National Library of Energy BETA

Sample records for inpatient care hospital

  1. 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...

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

    SciTech Connect (OSTI)

    HCTT CHE

    2010-01-01

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

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

    SciTech Connect (OSTI)

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

    2015-02-01

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

  4. Hospital Renovations

    Broader source: Energy.gov [DOE]

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

  5. 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.

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

    SciTech Connect (OSTI)

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

    2011-07-01

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

  7. 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

  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. Hospital Analytics | GE Global Research

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

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

  11. 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

  12. Good Samaritan Hospital`s energy efficiency improvements

    SciTech Connect (OSTI)

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

    1995-06-01

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

  13. 2007 CBECS Large Hospital Building FAQs

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

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

  14. Integrating Federal Resources for High Performance Hospitals

    SciTech Connect (OSTI)

    2008-08-01

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

  15. Researching Energy Use in Hospitals

    Broader source: Energy.gov [DOE]

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

  16. Healthcare Energy: Massachusetts General Hospital Gray Building

    Broader source: Energy.gov [DOE]

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

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

    SciTech Connect (OSTI)

    Burpee, Heather; Loveland, Joel; Helmers, Aaron

    2015-09-02

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

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

    Energy Savers [EERE]

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

    Open Energy Info (EERE)

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

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

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

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

  7. Jackson Park Hospital Green Building Medical Center

    SciTech Connect (OSTI)

    William Dorsey; Nelson Vasquez

    2010-03-01

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

  8. 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...

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

    SciTech Connect (OSTI)

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

    2013-03-27

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

  10. 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,...

  11. 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

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

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

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

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

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

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

  14. 3D inpatient dose reconstruction from the PET-CT imaging of {sup 90}Y microspheres for metastatic cancer to the liver: Feasibility study

    SciTech Connect (OSTI)

    Fourkal, E.; Veltchev, I.; Lin, M.; Meyer, J.; Koren, S.; Doss, M.; Yu, J. Q.

    2013-08-15

    Purpose: The introduction of radioembolization with microspheres represents a significant step forward in the treatment of patients with metastatic disease to the liver. This technique uses semiempirical formulae based on body surface area or liver and target volumes to calculate the required total activity for a given patient. However, this treatment modality lacks extremely important information, which is the three-dimensional (3D) dose delivered by microspheres to different organs after their administration. The absence of this information dramatically limits the clinical efficacy of this modality, specifically the predictive power of the treatment. Therefore, the aim of this study is to develop a 3D dose calculation technique that is based on the PET imaging of the infused microspheres.Methods: The Fluka Monte Carlo code was used to calculate the voxel dose kernel for {sup 90}Y source with voxel size equal to that of the PET scan. The measured PET activity distribution was converted to total activity distribution for the subsequent convolution with the voxel dose kernel to obtain the 3D dose distribution. In addition, dose-volume histograms were generated to analyze the dose to the tumor and critical structures.Results: The 3D inpatient dose distribution can be reconstructed from the PET data of a patient scanned after the infusion of microspheres. A total of seven patients have been analyzed so far using the proposed reconstruction method. Four patients underwent treatment with SIR-Spheres for liver metastases from colorectal cancer and three patients were treated with Therasphere for hepatocellular cancer. A total of 14 target tumors were contoured on post-treatment PET-CT scans for dosimetric evaluation. Mean prescription activity was 1.7 GBq (range: 0.583.8 GBq). The resulting mean maximum measured dose to targets was 167 Gy (range: 71311 Gy). Mean minimum dose to 70% of target (D70) was 68 Gy (range: 25155 Gy). Mean minimum dose to 90% of target (D90

  15. 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...

  16. 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)...

  17. Jackson Park Hospital Green Building Medical Center

    SciTech Connect (OSTI)

    William Dorsey; Nelson Vasquez

    2010-03-31

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

  18. 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...

  19. Hilton Worldwide is First Hospitality Company Certified under Superior

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

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

  20. 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...

  1. 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...

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

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

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

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

    Office of Environmental Management (EM)

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

  4. Building Green in Greensburg: Kiowa County Memorial Hospital

    Broader source: Energy.gov [DOE]

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

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

    Broader source: Energy.gov [DOE]

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

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

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

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

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

    Energy Savers [EERE]

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

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

    Office of Environmental Management (EM)

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

  9. 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

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

    Office of Energy Efficiency and Renewable Energy (EERE)

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

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

    Office of Legacy Management (LM)

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

  12. Story County Hospital Wind Farm | Open Energy Information

    Open Energy Info (EERE)

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

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

    Office of Legacy Management (LM)

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

  14. 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...

  15. 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

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

    SciTech Connect (OSTI)

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

    2012-09-01

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

  17. Hospital Energy Benchmarking Guidance - Version 1.0

    SciTech Connect (OSTI)

    Singer, Brett C.

    2009-09-08

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

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

    SciTech Connect (OSTI)

    Hume, M.

    1984-01-01

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

  19. 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...

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

    ScienceCinema (OSTI)

    Bowen, Ben

    2014-06-24

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

  1. 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.

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

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

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

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

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

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

  4. 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...

  5. 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.

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

    SciTech Connect (OSTI)

    Banks, Robert S.; Rainer, David

    1980-03-01

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

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

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

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

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

    SciTech Connect (OSTI)

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

    2011-12-15

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

  9. Property:CBECSBuildingTypeName | Open Energy Information

    Open Energy Info (EERE)

    This is a property of type String. The allowed values for this property are: Education Food Sales Food Service Health Care (Inpatient) Health Care (Outpatient) Lodging Mercantile...

  10. CBECS Building Types | Open Energy Information

    Open Energy Info (EERE)

    Energy Consumption Survey (CBECS) performed by the U.S. Energy Information Administration (EIA)1. Education Food Sales Food Service Health Care (Inpatient) Health Care...

  11. Category:CBECS Building Types | Open Energy Information

    Open Energy Info (EERE)

    E Education F Food Sales Food Service H Health Care (Inpatient) Health Care (Outpatient) L Lodging M Mercantile (Enclosed and Strip Malls) Mercantile (Retail Other Than Mall) O...

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

    SciTech Connect (OSTI)

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

    2007-07-01

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

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

    SciTech Connect (OSTI)

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

    2010-09-01

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

  14. Providence Newberg Medical Center

    High Performance Buildings Database

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

  15. 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

  16. 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

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

    National Nuclear Security Administration (NNSA)

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

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

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

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

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

    SciTech Connect (OSTI)

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

    2014-08-14

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

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

    Broader source: Energy.gov [DOE]

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

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

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

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

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

    SciTech Connect (OSTI)

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

    1994-02-01

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

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

    Broader source: Energy.gov [DOE]

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

  4. 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.

  5. 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.

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

    Buildings Energy Data Book [EERE]

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

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

    SciTech Connect (OSTI)

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

    2013-06-01

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

  8. 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

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

    Broader source: Energy.gov [DOE]

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

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

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

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

  11. 2007 CBECS Large Hospital Building FAQs: 2003-2007 Comparison Graphs

    Gasoline and Diesel Fuel Update (EIA)

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

  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. 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.

  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. b28.xls

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

    188 94 68 Q N Food Service ...... 297 282 94 149 Q Q Health Care ...... 129 124 49 65 Q 1 Inpatient ...

  16. a3.xls

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

    Q Q Q Food Service ...... 297 Q 27 54 34 61 24 42 Q 34 Health Care ...... 129 Q 17 20 11 27 11 10 13 18 Inpatient ...

  17. a7.xls

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

    203 Q N N Q N Food Service ...... 297 270 26 Q N N N Health Care ...... 129 91 34 Q Q Q N Inpatient ...

  18. b26.xls

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

    79 Q N Q Q Food Service ...... 297 282 125 171 Q Q 31 Q Health Care ...... 129 124 62 68 Q 2 Q Q Inpatient ...

  19. Compare All CBECS Activities: Total Energy Use

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

    are more likely to contain specialized, high energy-consuming equipment-food service (cooking and ventilation equipment), inpatient health care (medical equipment), and food sales...

  20. National Targets Table

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

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

  1. 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.

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

    SciTech Connect (OSTI)

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

    2014-08-14

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

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

    SciTech Connect (OSTI)

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

    2010-03-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1982-09-01

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

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

    SciTech Connect (OSTI)

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

    2012-05-31

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

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

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

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

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

    National Nuclear Security Administration (NNSA)

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

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

    Office of Legacy Management (LM)

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

  9. 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

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

    SciTech Connect (OSTI)

    Not Available

    1991-02-01

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

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

    SciTech Connect (OSTI)

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

    2005-03-01

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

  12. 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 ...

  13. 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...

  14. 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...

  15. 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...

  16. 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)...

  17. 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...

  18. 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.

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

    SciTech Connect (OSTI)

    Tuenge, Jason R.

    2011-01-17

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

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

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

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

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

    SciTech Connect (OSTI)

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

    2012-07-15

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

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

    SciTech Connect (OSTI)

    Not Available

    1982-01-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1984-12-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1992-09-01

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

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

    SciTech Connect (OSTI)

    Hoffman, Robert; Sak, James

    1992-09-01

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

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

    Buildings Energy Data Book [EERE]

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

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

    SciTech Connect (OSTI)

    Stuart, J.M.

    1996-03-01

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

  8. 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.

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

    SciTech Connect (OSTI)

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

    1983-06-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1991-02-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1983-06-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1982-09-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1982-10-01

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

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

    Broader source: Energy.gov [DOE]

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

  15. 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.

  16. 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.

  17. 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.

  18. 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,

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

    Buildings Energy Data Book [EERE]

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

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

    SciTech Connect (OSTI)

    1984-04-01

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

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

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

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

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

    SciTech Connect (OSTI)

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

    2015-03-02

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

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

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

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

    2015-03-02

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

  4. Aerosol optical hygroscopicity measurements during the 2010 CARES Campaign

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

    Atkinson, D. B.; Radney, J. G.; Lum, J.; Kolesar, K. R.; Cziczo, D. J.; Pekour, M. S.; Zhang, Q.; Setyan, A.; Zelenyuk, A.; Cappa, C. D.

    2014-12-10

    Measurements of the effect of water uptake on particulate light extinction or scattering made at two locations during the 2010 CARES study around Sacramento, CA are reported. The observed influence of water uptake, characterized through the dimensionless optical hygroscopicity parameter γ, is compared with calculations constrained by observed particle size distributions and size-dependent particle composition. A closure assessment has been carried out that allowed for determination of the average hygroscopic growth factors (GF) at 85% relative humidity and the dimensionless hygroscopicity parameter κ for oxygenated organic aerosol (OA) and for supermicron particles, yielding κ = 0.1–0.15 and 0.9–1.0, respectively. Themore » derived range of oxygenated OA κ values are in line with previous observations. The relatively large values for supermicron particles is consistent with substantial contributions of sea salt-containing particles in this size range. Analysis of time-dependent variations in the supermicron particle hygroscopicity suggest that atmospheric processing, specifically chloride displacement by nitrate and the accumulation of secondary organics on supermicron particles, can lead to substantial depression of the observed GF.« less

  5. Aerosol optical hygroscopicity measurements during the 2010 CARES campaign

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

    Atkinson, D. B.; Radney, J. G.; Lum, J.; Kolesar, K. R.; Cziczo, D. J.; Pekour, M. S.; Zhang, Q.; Setyan, A.; Zelenyuk, A.; Cappa, C. D.

    2015-04-17

    Measurements of the effect of water uptake on particulate light extinction or scattering made at two locations during the 2010 Carbonaceous Aerosols and Radiative Effects Study (CARES) study around Sacramento, CA are reported. The observed influence of water uptake, characterized through the dimensionless optical hygroscopicity parameter γ, is compared with calculations constrained by observed particle size distributions and size-dependent particle composition. A closure assessment has been carried out that allowed for determination of the average hygroscopic growth factors (GFs) at 85% relative humidity and the dimensionless hygroscopicity parameter κ for oxygenated organic aerosol (OA) and for supermicron particles (defined heremore » as particles with aerodynamic diameters between 1 and 2.5 microns), yielding κ = 0.1–0.15 and 0.9–1.0, respectively. The derived range of oxygenated OA κ values are in line with previous observations. The relatively large values for supermicron particles is consistent with substantial contributions of sea-salt-containing particles in this size range. Analysis of time-dependent variations in the supermicron particle hygroscopicity suggest that atmospheric processing, specifically chloride displacement by nitrate and the accumulation of secondary organics on supermicron particles, can lead to substantial depression of the observed GF.« less

  6. Augmenting epidemiological models with point-of-care diagnostics data

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

    Pullum, Laura L.; Ramanathan, Arvind; Nutaro, James J.; Ozmen, Ozgur

    2016-04-20

    Although adoption of newer Point-of-Care (POC) diagnostics is increasing, there is a significant challenge using POC diagnostics data to improve epidemiological models. In this work, we propose a method to process zip-code level POC datasets and apply these processed data to calibrate an epidemiological model. We specifically develop a calibration algorithm using simulated annealing and calibrate a parsimonious equation-based model of modified Susceptible-Infected-Recovered (SIR) dynamics. The results show that parsimonious models are remarkably effective in predicting the dynamics observed in the number of infected patients and our calibration algorithm is sufficiently capable of predicting peak loads observed in POC diagnosticsmore » data while staying within reasonable and empirical parameter ranges reported in the literature. Additionally, we explore the future use of the calibrated values by testing the correlation between peak load and population density from Census data. Our results show that linearity assumptions for the relationships among various factors can be misleading, therefore further data sources and analysis are needed to identify relationships between additional parameters and existing calibrated ones. As a result, calibration approaches such as ours can determine the values of newly added parameters along with existing ones and enable policy-makers to make better multi-scale decisions.« less

  7. Aerosol optical hygroscopicity measurements during the 2010 CARES Campaign

    SciTech Connect (OSTI)

    Atkinson, D. B.; Radney, J. G.; Lum, J.; Kolesar, K. R.; Cziczo, Daniel J.; Pekour, Mikhail S.; Zhang, Qi; Setyan, Ari; Zelenyuk, Alla; Cappa, Christopher

    2015-01-01

    Measurements of the effect of water uptake on particulate light extinction or scattering made at two locations during the 2010 CARES study around Sacramento, CA are reported. The observed influence of water uptake, characterized through the dimensionless optical hygroscopicity parameter ?, is compared with calculations constrained by observed particle size distributions and size-dependent particle composition. A closure assessment has been carried out that allowed for determination of the average hygroscopic growth factors (GF) at 85% relative humidity and the dimensionless hygroscopicity parameter ? for oxygenated organic aerosol (OA) and for supermicron particles, yielding ? = 0.10.15 and 0.91.0, respectively. The derived range of oxygenated OA ? values are in line with previous observations. The relatively large values for supermicron particles is consistent with substantial contributions of sea salt-containing particles in this size range. Analysis of time-dependent variations in the supermicron particle hygroscopicity suggest that atmospheric processing, specifically chloride displacement by nitrate and the accumulation of secondary organics on supermicron particles, can lead to substantial depression of the observed GF.

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

    SciTech Connect (OSTI)

    Not Available

    1983-01-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1983-01-01

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

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

    SciTech Connect (OSTI)

    Not Available

    1983-03-01

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

  11. b29.xls

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

    437 568 Q N Food Service ...... 1,654 1,608 436 957 Q Q Health Care ...... 3,163 3,100 592 1,972 Q 388 Inpatient ...

  12. a5.xls

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

    Q Q Q Q N N Food Service ...... 297 202 65 23 Q Q N Q N Health Care ...... 129 56 38 19 5 5 3 2 1 Inpatient ...

  13. Compare All CBECS Activities: Natural Gas Use

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

    call 202-586-8800. Natural Gas Consumption per Building by Building Type Inpatient health care buildings used by far the most natural gas per building. Figure showing natural...

  14. Compare Activities by Number of Employees

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

    this page, please call 202-586-8800. Employees per Building by Building Type Inpatient health care buildings averaged six times more employees per building than any other building...

  15. External Beam Radiotherapy for Colon Cancer: Patterns of Care

    SciTech Connect (OSTI)

    Dunn, Emily F., E-mail: dunn@humonc.wisc.ed [Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, WI (United States); Kozak, Kevin R. [Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, WI (United States); Moody, John S. [Division of Radiation Oncology, Moses Cone Regional Cancer Center, Greensboro, NC (United States)

    2010-04-15

    Purpose: Despite its common and well characterized use in other gastrointestinal malignancies, little is known about radiotherapy (RT) use in nonmetastatic colon cancer in the United States. To address the paucity of data regarding RT use in colon cancer management, we examined the RT patterns of care in this patient population. Methods and Materials: Patients with nonmetastatic colon cancer, diagnosed between 1988 and 2005, were identified in the Surveillance, Epidemiology, and End Results (SEER) database. Univariate and multivariate methods were used to identify factors associated with RT use. Results: On univariate analysis, tumor location, age, sex, race, T stage, N stage, and geographic location were each associated with differences in RT use (all p < 0.01). In general, younger patients, male patients, and patients with more advanced disease were more likely to receive RT. On multivariate analysis, tumor location, age, gender, T and N stage, time of diagnosis and geographic location were significantly associated with RT use (all p < 0.001). Race, however, was not associated with RT use. On multivariate analysis, patients diagnosed in 1988 were 2.5 times more likely to receive RT than those diagnosed in 2005 (p = 0.001). Temporal changes in RT use reflect a responsiveness to evolving evidence related to the therapeutic benefits of adjuvant RT. Conclusions: External beam RT is infrequently used for colon cancer, and its use varies according to patient and tumor characteristics. RT use has declined markedly since the late 1980s; however, it continues to be used for nonmetastatic disease in a highly individualized manner.

  16. Policy Memorandum #3 Advanced Leave for Childbirth Adoption and Foster Care

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

    | Department of Energy 3 Advanced Leave for Childbirth Adoption and Foster Care Policy Memorandum #3 Advanced Leave for Childbirth Adoption and Foster Care Policy Memo #3 - Advanced-Leave-for-Childbirth-Adoption-and-Foster-Care.pdf (277.11 KB) Responsible Contacts Bruce Murray HR Policy Advisor E-mail bruce.murray@hq.doe.gov Phone 202-586-3372 More Documents & Publications DOE Handbook on Leave and Absence HQ Leave Guide POLICY GUIDANCE MEMORANDUM #20A Crediting Directly-Related

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

    SciTech Connect (OSTI)

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

    2013-07-01

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

  18. FIA-14-0064- In the Matter of Tri-Valley CAREs

    Broader source: Energy.gov [DOE]

    On October 7, 2014, The Office of Hearings and Appeals (OHA) denied an Appeal filed by Tri-Valley CAREs (Tri-Valley) under the FOIA of a final determination issued by the National Nuclear Security...

  19. 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?...

  20. 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?...

  1. 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?...

  2. 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...

  3. 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...

  4. 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?...

  5. 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...

  6. 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...

  7. FIA-14-0042- In the Matter of Tri-Valley CAREs

    Broader source: Energy.gov [DOE]

    In May 2008, Tri-Valley CAREs submitted a revised FOIA request to the DOE for a document titled “B368 Select Agent Risk and Threat Assessment,” dated July 14, 2005.  Jan. 14, 2011, Determination...

  8. Property:Building/FloorAreaSchoolsChildDayCare | Open Energy...

    Open Energy Info (EERE)

    Property Edit with form History Property:BuildingFloorAreaSchoolsChildDayCare Jump to: navigation, search This is a property of type Number. Floor area for Schools, including...

  9. Apps for Vehicles: Why should I care what data is in my car and...

    Open Energy Info (EERE)

    1 October, 2012 - 14:18 Points: 0 You certainly don't have to care what data is in your car and most people are content to simply drive from one place to another. Some of us...

  10. The Higgs and all that. How the universe works and why we should care

    SciTech Connect (OSTI)

    Hinchliffe, Ian

    2013-10-31

    Berkeley Lab's Ian Hinchliffe discusses "The Higgs and all that. How the universe works and why we should care" in this Oct. 28, 2013 talk, which is part of a Science at the Theater event entitled Eight Big Ideas.

  11. What if we cared about the environment as much as we do about...

    Open Energy Info (EERE)

    What if we cared about the environment as much as we do about sports? Home > Blogs > Dc's blog Dc's picture Submitted by Dc(266) Contributor 13 November, 2014 - 14:25 Great...

  12. Save Some Green--Grass AND Dollars--with These Lawn Care Tips...

    Energy Savers [EERE]

    Save Some Green--Grass AND Dollars--with These Lawn Care Tips August 3, 2009 - 10:38am Addthis Chris Stewart Senior Communicator at DOE's National Renewable Energy Laboratory ...

  13. The Higgs and all that. How the universe works and why we should care

    ScienceCinema (OSTI)

    Hinchliffe, Ian

    2014-06-23

    Berkeley Lab's Ian Hinchliffe discusses "The Higgs and all that. How the universe works and why we should care" in this Oct. 28, 2013 talk, which is part of a Science at the Theater event entitled Eight Big Ideas.

  14. The US TAG What is it, Why Should I care? | Department of Energy

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

    The US TAG What is it, Why Should I care? The US TAG What is it, Why Should I care? Presented at the PV Module Reliability Workshop, February 26 - 27 2013, Golden, Colorado pvmrw13_ps3_powermark_mikonowicz.pdf (269.33 KB) More Documents & Publications Technical Standards Newsletter - December 2002 Agenda for the PV Module Reliability Workshop, February 26 - 27 2013, Golden, Colorado Solar America Board for Codes and Standards-- 2013 Progress Update

  15. 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

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

    SciTech Connect (OSTI)

    Stuart, J.M.

    1996-01-01

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

  17. 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.

  18. Enhancing Disaster Management: Development of a Spatial Database of Day Care Centers in the USA

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

    Singh, Nagendra; Tuttle, Mark A.; Bhaduri, Budhendra L.

    2015-07-30

    Children under the age of five constitute around 7% of the total U.S. population and represent a segment of the population, which is totally dependent on others for day-to-day activities. A significant proportion of this population spends time in some form of day care arrangement while their parents are away from home. Accounting for those children during emergencies is of high priority, which requires a broad understanding of the locations of such day care centers. As concentrations of at risk population, the spatial location of day care centers is critical for any type of emergency preparedness and response (EPR). However,more » until recently, the U.S. emergency preparedness and response community did not have access to a comprehensive spatial database of day care centers at the national scale. This paper describes an approach for the development of the first comprehensive spatial database of day care center locations throughout the USA utilizing a variety of data harvesting techniques to integrate information from widely disparate data sources followed by geolocating for spatial precision. In the context of disaster management, such spatially refined demographic databases hold tremendous potential for improving high resolution population distribution and dynamics models and databases.« less

  19. Enhancing Disaster Management: Development of a Spatial Database of Day Care Centers in the USA

    SciTech Connect (OSTI)

    Singh, Nagendra; Tuttle, Mark A.; Bhaduri, Budhendra L.

    2015-07-30

    Children under the age of five constitute around 7% of the total U.S. population and represent a segment of the population, which is totally dependent on others for day-to-day activities. A significant proportion of this population spends time in some form of day care arrangement while their parents are away from home. Accounting for those children during emergencies is of high priority, which requires a broad understanding of the locations of such day care centers. As concentrations of at risk population, the spatial location of day care centers is critical for any type of emergency preparedness and response (EPR). However, until recently, the U.S. emergency preparedness and response community did not have access to a comprehensive spatial database of day care centers at the national scale. This paper describes an approach for the development of the first comprehensive spatial database of day care center locations throughout the USA utilizing a variety of data harvesting techniques to integrate information from widely disparate data sources followed by geolocating for spatial precision. In the context of disaster management, such spatially refined demographic databases hold tremendous potential for improving high resolution population distribution and dynamics models and databases.

  20. Enhancing Disaster Management: Development of a Spatial Database of Day Care Centers in the USA

    SciTech Connect (OSTI)

    Singh, Nagendra; Tuttle, Mark A; Bhaduri, Budhendra L

    2015-01-01

    Children under the age of five constitute around 7% of the total U.S. population and represent a segment of the population, which is totally dependent on others for day-to-day activities. A significant proportion of this population spends time in some form of day care arrangement while their parents are away from home. Accounting for those children during emergencies is of high priority, which requires a broad understanding of the locations of such day care centers. As concentrations of at risk population, the spatial location of day care centers is critical for any type of emergency preparedness and response (EPR). However, until recently, the U.S. emergency preparedness and response community did not have access to a comprehensive spatial database of day care centers at the national scale. This paper describes an approach for the development of the first comprehensive spatial database of day care center locations throughout the USA utilizing a variety of data harvesting techniques to integrate information from widely disparate data sources followed by geolocating for spatial precision. In the context of disaster management, such spatially refined demographic databases hold tremendous potential for improving high resolution population distribution and dynamics models and databases.

  1. 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.

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

    SciTech Connect (OSTI)

    Not Available

    1982-12-01

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

  3. Carbonaceous Aerosols and Radiative Effects Study (CARES), g1-aircraft, sedlacek sp2

    DOE Data Explorer [Office of Scientific and Technical Information (OSTI)]

    Sedlacek, Art

    2011-08-30

    The primary objective of the Carbonaceous Aerosol and Radiative Effects Study (CARES) in 2010 was to investigate the evolution of carbonaceous aerosols of different types and their optical and hygroscopic properties in central California, with a focus on the Sacramento urban plume.

  4. Carbonaceous Aerosols and Radiative Effects Study (CARES), g1-aircraft, sedlacek sp2

    DOE Data Explorer [Office of Scientific and Technical Information (OSTI)]

    Sedlacek, Art

    The primary objective of the Carbonaceous Aerosol and Radiative Effects Study (CARES) in 2010 was to investigate the evolution of carbonaceous aerosols of different types and their optical and hygroscopic properties in central California, with a focus on the Sacramento urban plume.

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

    SciTech Connect (OSTI)

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

    2010-12-07

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

  6. Rapid detection of Ebola virus with a reagent-free, point-of-care biosensor

    SciTech Connect (OSTI)

    Baca, Justin T.; Severns, Virginia; Lovato, Debbie; Branch, Darren W.; Larson, Richard S.

    2015-04-14

    Surface acoustic wave (SAW) sensors can rapidly detect Ebola antigens at the point-of-care without the need for added reagents, sample processing, or specialized personnel. This preliminary study demonstrates SAW biosensor detection of the Ebola virus in a concentration-dependent manner. The detection limit with this methodology is below the average level of viremia detected on the first day of symptoms by PCR. We observe a log-linear sensor response for highly fragmented Ebola viral particles, with a detection limit corresponding to 1.9 × 10⁴ PFU/mL prior to virus inactivation. We predict greatly improved sensitivity for intact, infectious Ebola virus. This point-of-care methodology has the potential to detect Ebola viremia prior to symptom onset, greatly enabling infection control and rapid treatment. This biosensor platform is powered by disposable AA batteries and can be rapidly adapted to detect other emerging diseases in austere conditions.

  7. Rapid detection of Ebola virus with a reagent-free, point-of-care biosensor

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

    Baca, Justin T.; Severns, Virginia; Lovato, Debbie; Branch, Darren W.; Larson, Richard S.

    2015-04-14

    Surface acoustic wave (SAW) sensors can rapidly detect Ebola antigens at the point-of-care without the need for added reagents, sample processing, or specialized personnel. This preliminary study demonstrates SAW biosensor detection of the Ebola virus in a concentration-dependent manner. The detection limit with this methodology is below the average level of viremia detected on the first day of symptoms by PCR. We observe a log-linear sensor response for highly fragmented Ebola viral particles, with a detection limit corresponding to 1.9 × 10⁴ PFU/mL prior to virus inactivation. We predict greatly improved sensitivity for intact, infectious Ebola virus. This point-of-care methodologymore » has the potential to detect Ebola viremia prior to symptom onset, greatly enabling infection control and rapid treatment. This biosensor platform is powered by disposable AA batteries and can be rapidly adapted to detect other emerging diseases in austere conditions.« less

  8. Child Care

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

    to BPA federal and contract employees. The facility can accommodate up to 72 children and accepts children ages six weeks to five years. Childcare subsidy program Child...

  9. Rooftop Unit Tune-Ups: The AirCare Plus Program from ComEd and CLEAResult |

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

    Department of Energy Rooftop Unit Tune-Ups: The AirCare Plus Program from ComEd and CLEAResult Rooftop Unit Tune-Ups: The AirCare Plus Program from ComEd and CLEAResult August 17, 2016 12:00PM to 1:00PM EDT Are you getting the most out of your rooftop units (RTUs)? Extreme climates like Chicago can be harsh on RTUs and they need a little TLC to keep them running at peak performance. ComEd and CLEAResult have teamed up to offer the AirCare Plus RTU tune-up program with results in excess of

  10. SU-C-12A-07: Effect of Vertical Position On Dose Reduction Using X-Care

    SciTech Connect (OSTI)

    Silosky, M; Marsh, R

    2014-06-01

    Purpose: Reduction of absorbed dose to radiosensitive tissues is an important goal in diagnostic radiology. Siemens Medical has introduced a technique (X-CARE) to lower CT dose to anterior anatomy by reducing the tube current during 80° of rotation over radiosensitive tissues. Phantom studies have shown 30-40% dose reduction when phantoms are positioned at isocenter. However, for CT face and sinus exams, the center of the head is commonly positioned below isocenter. This work investigated the effects of vertical patient positioning on dose reduction using X-CARE. Methods: A 16cm Computed Tomography Dose Index phantom was scanned on a Siemens Definition Flash CT scanner using a routine head protocol, with the phantom positioned at scanner isocenter. Optically stimulated luminescent dosimeters were placed on the anterior and posterior sides of the phantom. The phantom was lowered in increments of 2cm and rescanned, up to 8cm below isocenter. The experiment was then repeated using the same scan parameters but adding the X-CARE technique. The mean dosimeter counts were determined for each phantom position, and the difference between XCARE and routine scans was plotted as a function of distance from isocenter. Results: With the phantom positioned at isocenter, using XCARE reduced dose to the anterior side of the phantom by 40%, compared to dose when X-CARE was not used. Positioned below isocenter, anterior dose was reduced by only 20-27%. Additionally, using X-CARE at isocenter reduced dose to the anterior portion of the phantom by 45.6% compared to scans performed without X-CARE 8cm below isocenter. Conclusion: While using X-CARE substantially reduced dose to the anterior side of the phantom, this effect was diminished when the phantom was positioned below isocenter, simulating common practice for face and sinus scans. This indicates that centering the head in the gantry will maximize the effect of X-CARE.

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

    *** PROGRAM TO CREATE FORMAT LIBRARY FOR THE 1986 NBECS DATA ***; PROC FORMAT LIBRARY=SASLIB; VALUE $ACTIVTY ' ' = 'Inapplicable' '01' = 'Vacant' '02' = 'Office' '03' = 'Mercantile/services' '04' = 'Assembly' '05' = 'Food sales' '06' = 'Public order/safety' '07' = 'Health care (outpatient)' '08' = 'Industrial' '09' = 'Agricultural' '10' = 'Laboratory' '11' = 'Warehouse (refrig)' '12' = 'Warehouse (nonrefrig)' '13' = 'Education' '14' = 'Food service' '15' = 'Health care (inpatient)' '16' =

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

    PROGRAM TO CREATE FORMAT LIBRARY FOR THE 1989 CBECS DATA PROC FORMAT LIBRARY=SASLIB; VALUE $ACTIVTY ' ' = 'Inapplicable' '01' = 'Vacant' '02' = 'Office' '03' = 'Mercantile/services' '04' = 'Assembly' '05' = 'Food sales' '06' = 'Public order/safety' '07' = 'Health care (outpatient)' '08' = 'Industrial' '09' = 'Agricultural' '10' = 'Laboratory' '11' = 'Warehouse (refrig.)' '12' = 'Warehouse (nonrefrig.)' '13' = 'Education' '14' = 'Food service' '15' = 'Health care (inpatient)' '16' = 'Skilled

  13. Walk-in

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

    service 380 380 293 72 233 Q 259 201 42 Health care 157 142 9 6 15 1 18 139 36 Inpatient ... or complex 197 158 Q Q 29 Q 22 138 Q Health care complex 52 46 14 5 9 (*) 19 42 18 ...

  14. 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

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

    SciTech Connect (OSTI)

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

    1997-06-01

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

  16. Towards microfluidic reactors for cell-free protein synthesis at the point-of-care

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

    Timm, Andrea C.; Shankles, Peter G.; Foster, Carmen M.; Doktycz, Mitchel John; Retterer, Scott T.

    2015-12-22

    Cell-free protein synthesis (CFPS) is a powerful technology that allows for optimization of protein production without maintenance of a living system. Integrated within micro- and nano-fluidic architectures, CFPS can be optimized for point-of care use. Here, we describe the development of a microfluidic bioreactor designed to facilitate the production of a single-dose of a therapeutic protein, in a small footprint device at the point-of-care. This new design builds on the use of a long, serpentine channel bioreactor and is enhanced by integrating a nanofabricated membrane to allow exchange of materials between parallel reactor and feeder channels. This engineered membrane facilitatesmore » the exchange of metabolites, energy, and inhibitory species, prolonging the CFPS reaction and increasing protein yield. Membrane permeability can be altered by plasma-enhanced chemical vapor deposition and atomic layer deposition to tune the exchange rate of small molecules. This allows for extended reaction times and improved yields. Further, the reaction product and higher molecular weight components of the transcription/translation machinery in the reactor channel can be retained. As a result, we show that the microscale bioreactor design produces higher protein yields than conventional tube-based batch formats, and that product yields can be dramatically improved by facilitating small molecule exchange within the dual-channel bioreactor.« less

  17. Towards microfluidic reactors for cell-free protein synthesis at the point-of-care

    SciTech Connect (OSTI)

    Timm, Andrea C.; Shankles, Peter G.; Foster, Carmen M.; Doktycz, Mitchel John; Retterer, Scott T.

    2015-12-22

    Cell-free protein synthesis (CFPS) is a powerful technology that allows for optimization of protein production without maintenance of a living system. Integrated within micro- and nano-fluidic architectures, CFPS can be optimized for point-of care use. Here, we describe the development of a microfluidic bioreactor designed to facilitate the production of a single-dose of a therapeutic protein, in a small footprint device at the point-of-care. This new design builds on the use of a long, serpentine channel bioreactor and is enhanced by integrating a nanofabricated membrane to allow exchange of materials between parallel reactor and feeder channels. This engineered membrane facilitates the exchange of metabolites, energy, and inhibitory species, prolonging the CFPS reaction and increasing protein yield. Membrane permeability can be altered by plasma-enhanced chemical vapor deposition and atomic layer deposition to tune the exchange rate of small molecules. This allows for extended reaction times and improved yields. Further, the reaction product and higher molecular weight components of the transcription/translation machinery in the reactor channel can be retained. As a result, we show that the microscale bioreactor design produces higher protein yields than conventional tube-based batch formats, and that product yields can be dramatically improved by facilitating small molecule exchange within the dual-channel bioreactor.

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

    SciTech Connect (OSTI)

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

    2014-09-15

    Radiation dose to patients undergoing invasive coronary angiography (ICA) is relatively high. Guidelines suggest that a local benchmark or diagnostic reference level (DRL) be established for these procedures. This study sought to create a DRL for ICA procedures in Queensland public hospitals. Data were collected for all Cardiac Catheter Laboratories in Queensland public hospitals. Data were collected for diagnostic coronary angiography (CA) and single-vessel percutaneous intervention (PCI) procedures. Dose area product (P{sub KA}), skin surface entrance dose (K{sub AR}), fluoroscopy time (FT), and patient height and weight were collected for 3 months. The DRL was set from the 75th percentile of the P{sub KA.} 2590 patients were included in the CA group where the median FT was 3.5 min (inter-quartile range = 2.36.1). Median K{sub AR} = 581 mGy (374876). Median P{sub KA} = 3908 uGym{sup 2} (24895865) DRL = 5865 uGym{sup 2}. 947 patients were included in the PCI group where median FT was 11.2 min (7.717.4). Median K{sub AR} = 1501 mGy (9282224). Median P{sub KA} = 8736 uGym{sup 2} (544912,900) DRL = 12,900 uGym{sup 2}. This study established a benchmark for radiation dose for diagnostic and interventional coronary angiography in Queensland public facilities.

  19. 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

  20. 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.

  1. Coordination of Breast Cancer Care Between Radiation Oncologists and Surgeons: A Survey Study

    SciTech Connect (OSTI)

    Jagsi, Reshma; Abrahamse, Paul; Morrow, Monica; Hamilton, Ann S.; Katz, Steven J.

    2012-04-01

    Purpose: To assess whether radiation oncologists and surgeons differ in their attitudes regarding the local management of breast cancer, and to examine coordination of care between these specialists. Methods and Materials: We surveyed attending surgeons and radiation oncologists who treated a population-based sample of patients diagnosed with breast cancer in metropolitan Detroit and Los Angeles. We identified 419 surgeons, of whom 318 (76%) responded, and 160 radiation oncologists, of whom 117 (73%) responded. We assessed demographic, professional, and practice characteristics; challenges to coordinated care; and attitudes toward management in three scenarios. Results: 92.1% of surgeons and 94.8% of radiation oncologists indicated access to a multidisciplinary tumor board. Nevertheless, the most commonly identified challenge to radiation oncologists, cited by 27.9%, was failure of other providers to include them in the treatment decision process early enough. Nearly half the surgeons (49.7%) stated that few or almost none of the breast cancer patients they saw in the past 12 months had consulted with a radiation oncologist before undergoing definitive surgery. Surgeons and radiation oncologists differed in their recommendations in management scenarios. Radiation oncologists were more likely to favor radiation than were surgeons for a patient with 3/20 lymph nodes undergoing mastectomy (p = 0.03); surgeons were more likely to favor more widely clear margins after breast conservation than were radiation oncologists (p = 0.001). Conclusions: Despite the widespread availability of tumor boards, a substantial minority of radiation oncologists indicated other providers failed to include them in the breast cancer treatment decision-making process early enough. Earlier inclusion of radiation oncologists may influence patient decisions, and interventions to facilitate this should be considered.

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

    SciTech Connect (OSTI)

    Dipl.-Ing. Knut Stahl

    2002-01-31

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

  3. 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.

  4. Overview of the 2010 Carbonaceous Aerosols and Radiative Effects Study (CARES)

    SciTech Connect (OSTI)

    Zaveri, Rahul A.; Shaw, William J.; Cziczo, D. J.; Schmid, Beat; Ferrare, R.; Alexander, M. L.; Alexandrov, Mikhail; Alvarez, R. J.; Arnott, W. P.; Atkinson, D.; Baidar, Sunil; Banta, Robert M.; Barnard, James C.; Beranek, Josef; Berg, Larry K.; Brechtel, Fred J.; Brewer, W. A.; Cahill, John F.; Cairns, Brian; Cappa, Christopher D.; Chand, Duli; China, Swarup; Comstock, Jennifer M.; Dubey, Manvendra K.; Easter, Richard C.; Erickson, Matthew H.; Fast, Jerome D.; Floerchinger, Cody; Flowers, B. A.; Fortner, Edward; Gaffney, Jeffrey S.; Gilles, Mary K.; Gorkowski, K.; Gustafson, William I.; Gyawali, Madhu S.; Hair, John; Hardesty, Michael; Harworth, J. W.; Herndon, Scott C.; Hiranuma, Naruki; Hostetler, Chris A.; Hubbe, John M.; Jayne, J. T.; Jeong, H.; Jobson, Bertram T.; Kassianov, Evgueni I.; Kleinman, L. I.; Kluzek, Celine D.; Knighton, B.; Kolesar, K. R.; Kuang, Chongai; Kubatova, A.; Langford, A. O.; Laskin, Alexander; Laulainen, Nels S.; Marchbanks, R. D.; Mazzoleni, Claudio; Mei, F.; Moffet, Ryan C.; Nelson, Danny A.; Obland, Michael; Oetjen, Hilke; Onasch, Timothy B.; Ortega, Ivan; Ottaviani, M.; Pekour, Mikhail S.; Prather, Kimberly A.; Radney, J. G.; Rogers, Ray; Sandberg, S. P.; Sedlacek, Art; Senff, Christoph; Senum, Gunar; Setyan, Ari; Shilling, John E.; Shrivastava, ManishKumar B.; Song, Chen; Springston, S. R.; Subramanian, R.; Suski, Kaitlyn; Tomlinson, Jason M.; Volkamer, Rainer M.; Wallace, Hoyt A.; Wang, J.; Weickmann, A. M.; Worsnop, Douglas R.; Yu, Xiao-Ying; Zelenyuk, Alla; Zhang, Qi

    2012-08-22

    Substantial uncertainties still exist in the scientific understanding of the possible interactions between urban and natural (biogenic) emissions in the production and transformation of atmospheric aerosol and the resulting impact on climate change. The U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) program's Carbonaceous Aerosol and Radiative Effects Study (CARES) carried out in June 2010 in Central Valley, California, was a comprehensive effort designed to improve this understanding. The primary objective of the field study was to investigate the evolution of secondary organic and black carbon aerosols and their climate-related properties in the Sacramento urban plume as it was routinely transported into the forested Sierra Nevada foothills area. Urban aerosols and trace gases experienced significant physical and chemical transformations as they mixed with the reactive biogenic hydrocarbons emitted from the forest. Two heavily-instrumented ground sites - one within the Sacramento urban area and another about 40 km to the northeast in the foothills area - were set up to characterize the evolution of meteorological variables, trace gases, aerosol precursors, aerosol size, composition, and climate-related properties in freshly polluted and 'aged' urban air. On selected days, the DOE G-1 aircraft was deployed to make similar measurements upwind and across the evolving Sacramento plume in the morning and again in the afternoon. The NASA B-200 aircraft, carrying remote sensing instruments, was also deployed to characterize the vertical and horizontal distribution of aerosols and aerosol optical properties within and around the plume. This overview provides: a) the scientific background and motivation for the study, b) the operational and logistical information pertinent to the execution of the study, c) an overview of key observations and initial results from the aircraft and ground-based sampling platforms, and d) a roadmap of planned data

  5. NO{sub x} reduction RACT compliance requires careful technology selection

    SciTech Connect (OSTI)

    Heckler, G.B.

    1996-05-01

    After the Clean Air Act Amendments passed in 1990, Title I (Attainment and Maintenance of Ambient Air Quality Standards) and Title IV (Acid Deposition Control) of the Act required power plants to submit and implement compliance plans for NO{sub x} and volatile organic compounds (VOC) emissions, among other pollutants. This legislation affected PECO Energy Co.`s Eddystone Generating Station, requiring the utility to comply with the Act under reasonably available control technology (RACT) rules established by the state of Pennsylvania. After carefully considering alternatives aligned with the RACT rules for Pennsylvania, PECO adopted a compliance strategy and submitted it to the Pennsylvania Department of Environmental Protection (PaDEP) for review and approval. Under the case-by-case RACT proposals, the proposed NO{sub x} reduction technology for Units 3 and 4 was to rehabilitate existing OFA ports which had been bricked over. Each of the four corners of these units was originally constructed with an OFA port located in the boiler side walls. Also under the case-by-case RACT proposals, the proposed NO{sub x} reduction technology for the A, B and C auxiliary boilers was to install low-NO{sub x} burners. Under presumptive RACT proposals, PECO proposed low-NO{sub x} burners with close-coupled OFA (CCOFA) and separated OFA (SOFA) as the proposed NO{sub x}-reduction technology for Units 1 and 2. For the combustion turbines PECO proposed to reduce NO{sub x} by limiting the annual capacity factor to 5 percent or less on a 12-month rolling basis. After considering technological and economic feasibility, the utility proposed no VOC reductions because none of the available VOC reduction technologies fell within RACT guidelines.

  6. Overview of the 2010 Carbonaceous Aerosols and Radiative Effects Study (CARES)

    SciTech Connect (OSTI)

    Zaveri, R. A.; Shaw, W. J.; Cziczo, D. J.; Schmid, B.; Ferrare, R. A.; Alexander, M. L.; Alexandrov, M.; Alvarez, R. J.; Arnott, W. P.; Atkinson, D. B.; Baidar, S.; Banta, R. M.; Barnard, J. C.; Beranek, J.; Berg, L. K.; Brechtel, F.; Brewer, W. A.; Cahill, J. F.; Cairns, B.; Cappa, C. D.; Chand, D.; China, S.; Comstock, J. M.; Dubey, M. K.; Easter, R. C.; Erickson, M. H.; Fast, J. D.; Floerchinger, C.; Flowers, B. A.; Fortner, E.; Gaffney, J. S.; Gilles, M. K.; Gorkowski, K.; Gustafson, W. I.; Gyawali, M.; Hair, J.; Hardesty, R. M.; Harworth, J. W.; Herndon, S.; Hiranuma, N.; Hostetler, C.; Hubbe, J. M.; Jayne, J. T.; Jeong, H.; Jobson, B. T.; Kassianov, E. I.; Kleinman, L. I.; Kluzek, C.; Knighton, B.; Kolesar, K. R.; Kuang, C.; Kubátová, A.; Langford, A. O.; Laskin, A.; Laulainen, N.; Marchbanks, R. D.; Mazzoleni, C.; Mei, F.; Moffet, R. C.; Nelson, D.; Obland, M. D.; Oetjen, H.; Onasch, T. B.; Ortega, I.; Ottaviani, M.; Pekour, M.; Prather, K. A.; Radney, J. G.; Rogers, R. R.; Sandberg, S. P.; Sedlacek, A.; Senff, C. J.; Senum, G.; Setyan, A.; Shilling, J. E.; Shrivastava, M.; Song, C.; Springston, S. R.; Subramanian, R.; Suski, K.; Tomlinson, J.; Volkamer, R.; Wallace, H. W.; Wang, J.; Weickmann, A. M.; Worsnop, D. R.; Yu, X. -Y.; Zelenyuk, A.; Zhang, Q.

    2012-01-01

    Substantial uncertainties still exist in the scientific understanding of the possible interactions between urban and natural (biogenic) emissions in the production and transformation of atmospheric aerosol and the resulting impact on climate change. The U.S. Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) program’s Carbonaceous Aerosol and Radiative Effects Study (CARES) carried out in June 2010 in Central Valley, California, was a comprehensive effort designed to improve this understanding. The primary objective of the field study was to investigate the evolution of secondary organic and black carbon aerosols and their climate-related properties in the Sacramento urban plume as it was routinely transported into the forested Sierra Nevada foothills area. Urban aerosols and trace gases experienced significant physical and chemical transformations as they mixed with the reactive biogenic hydrocarbons emitted from the forest. Two heavily-instrumented ground sites – one within the Sacramento urban area and another about 40 km to the northeast in the foothills area – were set up to characterize the evolution of meteorological variables, trace gases, aerosol precursors, aerosol size, composition, and climate-related properties in freshly polluted and “aged” urban air. On selected days, the DOE G-1 aircraft was deployed to make similar measurements upwind and across the evolving Sacramento plume in the morning and again in the afternoon. The NASA B-200 aircraft, carrying remote sensing instruments, was also deployed to characterize the vertical and horizontal distribution of aerosols and aerosol optical properties within and around the plume. This overview provides: a) the scientific background and motivation for the study, b) the operational and logistical information pertinent to the execution of the study, c) an overview of key observations and initial findings from the aircraft and ground-based sampling platforms, and d) a roadmap of

  7. b11.xls

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

    Lodging Retail (Other Than Mall) Table B11. Selected Principal Building Activity: Part 1, Number of Buildings for Non- Mall Buildings, 2003 Principal Building Activity Number of Buildings (thousand) Health Care All Buildings* Education Food Sales Food Service Energy Information Administration 2003 Commercial Buildings Energy Consumption Survey: Building Characteristics Tables Released: June 2006 Next CBECS will be conducted in 2007 Inpatient Outpatient All Buildings*

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

    SciTech Connect (OSTI)

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

    2014-06-01

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

  9. Archived Reference Building Type: Hospital

    Broader source: Energy.gov [DOE]

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

  10. Archived Reference Building Type: Hospital

    Broader source: Energy.gov [DOE]

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

  11. 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.

  12. What do correlations tell us about anthropogenic – biogenic interactions and SOA formation in the Sacramento plume during CARES?

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

    Kleinman, Lawrence I.; Kuang, Chongai; Sedlacek, Art; Senum, Gunnar I.; Springston, Stephen R.; Wang, Jian; Zhang, Qi; Jayne, John T.; Fast, Jerome D.; Hubbe, John M.; et al

    2016-02-15

    During the Carbonaceous Aerosols and Radiative Effects Study (CARES) the DOE G-1 aircraft was used to sample aerosol and gas phase compounds in the Sacramento, CA plume and surrounding region. We present data from 66 plume transects obtained during 13 flights in which southwesterly winds transported the plume towards the foothills of the Sierra Nevada Mountains. Plume transport occurred partly over land with high isoprene emission rates. Our objective is to empirically determine whether organic aerosol (OA) can be attributed to anthropogenic or biogenic sources, and to determine whether there is a synergistic effect whereby OA concentrations are enhanced bymore » the simultaneous presence of high concentrations of CO and either isoprene, MVK+MACR (sum of methyl vinyl ketone and methacrolein) or methanol, which are taken as tracers of anthropogenic and biogenic emissions. Furthermore, linear and bi-linear correlations between OA, CO, and each of three biogenic tracers, “Bio”, for individual plume transects indicate that most of the variance in OA over short time and distance scales can be explained by CO.« less

  13. Summary of the Mini BNL/LARP/CARE-HHH Workshop on Crab Cavities for the LHC (LHC-CC08)

    SciTech Connect (OSTI)

    Ben-Zvi,I.; Calaga, R.; Zimmermann, F.

    2008-05-01

    The first mini-workshop on crab compensation for the LHC luminosity upgrade (LHC-CC08) was held February 24-25, 2008 at the Brookhaven National Laboratory. A total of 35 participants from 3 continents and 15 institutions from around the world participated to discuss the exciting prospect of a crab scheme for the LHC. If realized it will be the first demonstration in hadron colliders. The workshop is organized by joint collaboration of BNL, US-LARP and CARE-HHH. The enormous interest in the subject of crab cavities for the international linear collider and future light sources has resulted in a large international collaboration to exchange aspects of synergy and expertise. A central repository for this exchange of information documenting the latest design effort for LHC crab cavities is consolidated in a wiki page: https://twiki.cern.ch/twiki/bin/view/Main/LHCCrabCavities. The main goal of this workshop was to define a road-map for a prototype crab cavity to be installed in the LHC and to discuss the associated R&D and beam dynamics challenges. The diverse subject of implementing the crab scheme resulted in a scientific program with a wide range of subtopics which were divided into 8 sessions. Each session was given a list of fundamental questions to be addressed and used as a guideline to steer the discussions.

  14. 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.

  15. Careful where you dig!

    SciTech Connect (OSTI)

    Kelly, D.S.

    1996-04-01

    Improved excavation techniques help contractors at former nuclear weapons site avoid digging up the past. The Department of Energy's Hanford Site is an excavator's nightmare. It's one of the country's oldest nuclear sites, with facilities that were built in the rush to win a world war and then a decades-long arms race. During World War II the reactors and process facilities at Hanford were constructed with utmost secrecy. For instance, the site was divided up into various, distinct processing areas -- each with its own separate survey coordinate system to confuse an invading enemy. In 1989 when the Cold War ended, Hanford began its metamorphosis from top secret defense site to the nation's largest and most complex nuclear waste cleanup project. National defense urgency and past environmental and as-built standards of the time left a legacy of chemical discharges and semi-hidden utilities. Also, the new cleanup mission included a new interest in privatization and outsourcing for engineering and services. This brought an influx of new contractors and personnel with no work experience of the Hanford Site. In the 50-year history of Hanford, various government agencies, contractors and their policies have come and gone. As federal budgets rose and fell, so did the accuracy of as-built documentation. At one point, jobs below $150,000 in value were not even documented as they were built because it wasn't considered cost-effective. Many utilities were field-routed, leaving no dependable as-built drawings. To be cost-effective, adjacent construction projects often shared a common excavation, both adding underground lines to the same trench. This 1ed to mixed confidence levels in the accuracy of the as-builts.

  16. ARM - CARES Campaign Highlights

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

    ... I truly enjoyed writing about the daily field activities, participants' roles, their instruments, and the scientific issues related to the effects of air pollution on climate ...

  17. ARM - CARES Measurements

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

    of both anthropogenic and biogenic aerosol data sets-profiling secondary organic aerosols ... Light Absorption and Scattering Photo-Acoustic Soot and Aerosol Sensor, Three ...

  18. 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...

  19. The mixing state of carbonaceous aerosol particles in northern and southern California measured during CARES and CalNex 2010

    SciTech Connect (OSTI)

    Cahill, John F.; Suski, Kaitlyn; Seinfeld, John H.; Zaveri, Rahul A.; Prather, Kimberly A.

    2012-11-21

    Carbonaceous aerosols impact climate directly by scattering and absorbing radiation, and hence play a major, although highly uncertain, role in global radiative forcing. Commonly, ambient carbonaceous aerosols are internally mixed with secondary species such as nitrate, sulfate, and ammonium, which influence their climate impacts through optical properties, hygroscopicity, and atmospheric lifetime. Aircraft-aerosol time-of-flight mass spectrometry (A-ATOFMS), which measures single-particle mixing state, was used to determine the fraction of organic and soot aerosols that were internally mixed and the variability of their mixing state in California during the Carbonaceous Aerosol and Radiative Effects Study (CARES) and the Research at the Nexus of Air Quality and Climate Change (CalNex) field campaigns in the late spring and early summer of 2010. Nearly 88% of all A-ATOFMS measured particles (100-1000 nm in diameter) were internally mixed with secondary species, with 96% and 75% of particles internally mixed with nitrate and/or sulfate in southern and northern California, respectively. Even though atmospheric particle composition in both regions was primarily influenced by urban sources, the mixing state was found to vary greatly, with nitrate and soot being the dominant species in southern California, and sulfate and organic carbon in northern California. Furthermore, mixing state varied temporally in northern California, with soot becoming the prevalent particle type towards the end of the study as regional pollution levels increased. The results from these studies demonstrate that the majority of ambient carbonaceous particles are internally mixed and are heavily influenced by secondary species that are most predominant in each region. Based on these findings, considerations of regionally dominant sources and secondary species, as well as temporal variations of aerosol physical and optical properties, will be required to obtain more accurate predictions of the

  20. Estimation of the Optimal Brachytherapy Utilization Rate in the Treatment of Gynecological Cancers and Comparison With Patterns of Care

    SciTech Connect (OSTI)

    Thompson, Stephen R.; Delaney, Geoff P.; University of New South Wales, Sydney; University of Western Sydney, Sydney ; Gabriel, Gabriel S.; University of New South Wales, Sydney ; Jacob, Susannah; Das, Prabir; Barton, Michael B.; University of New South Wales, Sydney

    2013-02-01

    Purpose: We aimed to estimate the optimal proportion of all gynecological cancers that should be treated with brachytherapy (BT)-the optimal brachytherapy utilization rate (BTU)-to compare this with actual gynecological BTU and to assess the effects of nonmedical factors on access to BT. Methods and Materials: The previously constructed inter/multinational guideline-based peer-reviewed models of optimal BTU for cancers of the uterine cervix, uterine corpus, and vagina were combined to estimate optimal BTU for all gynecological cancers. The robustness of the model was tested by univariate and multivariate sensitivity analyses. The resulting model was applied to New South Wales (NSW), the United States, and Western Europe. Actual BTU was determined for NSW by a retrospective patterns-of-care study of BT; for Western Europe from published reports; and for the United States from Surveillance, Epidemiology, and End Results data. Differences between optimal and actual BTU were assessed. The effect of nonmedical factors on access to BT in NSW were analyzed. Results: Gynecological BTU was as follows: NSW 28% optimal (95% confidence interval [CI] 26%-33%) compared with 14% actual; United States 30% optimal (95% CI 26%-34%) and 10% actual; and Western Europe 27% optimal (95% CI 25%-32%) and 16% actual. On multivariate analysis, NSW patients were more likely to undergo gynecological BT if residing in Area Health Service equipped with BT (odds ratio 1.76, P=.008) and if residing in socioeconomically disadvantaged postcodes (odds ratio 1.12, P=.05), but remoteness of residence was not significant. Conclusions: Gynecological BT is underutilized in NSW, Western Europe, and the United States given evidence-based guidelines. Access to BT equipment in NSW was significantly associated with higher utilization rates. Causes of underutilization elsewhere were undetermined. Our model of optimal BTU can be used as a quality assurance tool, providing an evidence-based benchmark against

  1. What do correlations tell us about anthropogenicbiogenic interactions and SOA formation in the Sacramento Plume during CARES?

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

    Kleinman, L.; Kuang, C.; Sedlacek, A.; Senum, G.; Springston, S.; Wang, J.; Zhang, Q.; Jayne, J.; Fast, J.; Hubbe, J.; et al

    2015-09-17

    During the Carbonaceous Aerosols and Radiative Effects Study (CARES) the DOE G-1 aircraft was used to sample aerosol and gas phase compounds in the Sacramento, CA plume and surrounding region. We present data from 66 plume transects obtained during 13 flights in which southwesterly winds transported the plume towards the foothills of the Sierra Nevada Mountains. Plume transport occurred partly over land with high isoprene emission rates. Our objective is to empirically determine whether organic aerosol (OA) can be attributed to anthropogenic or biogenic sources, and to determine whether there is a synergistic effect whereby OA concentrations are enhanced bymorethe simultaneous presence of high concentrations of CO and either isoprene, MVK+MACR (sum of methyl vinyl ketone and methacrolein) or methanol, which are taken as tracers of anthropogenic and biogenic emissions, respectively. Linear and bilinear correlations between OA, CO, and each of three biogenic tracers, "Bio", for individual plume transects indicate that most of the variance in OA over short time and distance scales can be explained by CO. For each transect and species a plume perturbation, (i.e., ?OA, defined as the difference between 90th and 10th percentiles) was defined and regressions done amongst ? values in order to probe day to day and location dependent variability. Species that predicted the largest fraction of the variance in ?OA were ?O3 and ?CO. Background OA was highly correlated with background methanol and poorly correlated with other tracers. Because background OA was ~ 60 % of peak OA in the urban plume, peak OA should be primarily biogenic and therefore non-fossil. Transects were split into subsets according to the percentile rankings of ?CO and ?Bio, similar to an approach used by Setyan et al. (2012) and Shilling et al. (2013) to determine if anthropogenic-biogenic interactions enhance OA production. As found earlier, ?OA in the data subset having high ?CO and high ?Bio was

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

    Open Energy Info (EERE)

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

  3. --No Title--

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

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

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

    Office of Scientific and Technical Information (OSTI)

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

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

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

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

  6. b11.xls

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

    Table B11. Selected Principal Building Activity: Part 1, Number of Buildings for Non- Mall Buildings, 2003 Principal Building Activity Number of Buildings (thousand) Health Care All Buildings* Education Food Sales Food Service Lodging Retail (Other Than Mall) Energy Information Administration 2003 Commercial Buildings Energy Consumption Survey: Building Characteristics Tables Revised June 2006 81 Released: June 2006 Next CBECS will be conducted in 2007 Inpatient Outpatient All Buildings*

  7. set3.pdf

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

    4,657 2,348 1,110 708 257 145 59 23 7 Principal Building Activity Education .................................................... 327 119 61 52 49 30 10 5 Q Food Sales .................................................. 174 138 Q Q Q Q Q N N Food Service ............................................... 349 251 71 23 Q Q Q N N Health Care ................................................. 127 64 Q 10 8 4 2 2 1 Inpatient ..................................................... 11 N N Q Q Q 2 2 1

  8. Buildings*","Principal Building Activity"

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

    2. Selected Principal Building Activity: Part 1, Floorspace for Non-Mall Buildings, 2003" ,"Total Floorspace (million square feet)" ,"All Buildings*","Principal Building Activity" ,,"Education","Food Sales","Food Service","Health Care",,"Lodging","Retail (Other Than Mall)" ,,,,,"Inpatient","Outpatient" "All Buildings*

  9. Table B6. Building Size, Number of Buildings, 1999

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

    4,657 2,348 1,110 708 257 145 59 23 7 Principal Building Activity Education .................................................... 327 119 61 52 49 30 10 5 Q Food Sales .................................................. 174 138 Q Q Q Q Q N N Food Service ............................................... 349 251 71 23 Q Q Q N N Health Care ................................................. 127 64 Q 10 8 4 2 2 1 Inpatient ..................................................... 11 N N Q Q Q 2 2 1

  10. What do correlations tell us about anthropogenic–biogenic interactions and SOA formation in the Sacramento plume during CARES?

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

    Kleinman, L.; Kuang, C.; Sedlacek, A.; Senum, G.; Springston, S.; Wang, J.; Zhang, Q.; Jayne, J.; Fast, J.; Hubbe, J.; et al

    2016-02-15

    During the Carbonaceous Aerosols and Radiative Effects Study (CARES) the US Department of Energy (DOE) G-1 aircraft was used to sample aerosol and gas phase compounds in the Sacramento, CA, plume and surrounding region. We present data from 66 plume transects obtained during 13 flights in which southwesterly winds transported the plume towards the foothills of the Sierra Nevada. Plume transport occurred partly over land with high isoprene emission rates. Our objective is to empirically determine whether organic aerosol (OA) can be attributed to anthropogenic or biogenic sources, and to determine whether there is a synergistic effect whereby OA concentrations are enhanced bymore » the simultaneous presence of high concentrations of carbon monoxide (CO) and either isoprene, MVK + MACR (sum of methyl vinyl ketone and methacrolein), or methanol, which are taken as tracers of anthropogenic and biogenic emissions, respectively. Linear and bilinear correlations between OA, CO, and each of three biogenic tracers, “Bio”, for individual plume transects indicate that most of the variance in OA over short timescales and distance scales can be explained by CO. For each transect and species a plume perturbation, (i.e., ΔOA, defined as the difference between 90th and 10th percentiles) was defined and regressions done amongst Δ values in order to probe day-to-day and location-dependent variability. Species that predicted the largest fraction of the variance in ΔOA were ΔO3 and ΔCO. Background OA was highly correlated with background methanol and poorly correlated with other tracers. Because background OA was  ∼  60 % of peak OA in the urban plume, peak OA should be primarily biogenic and therefore non-fossil, even though the day-to-day and spatial variability of plume OA is best described by an anthropogenic tracer, CO. Transects were split into subsets according to the percentile rankings of ΔCO and ΔBio, similar to an approach used by Setyan et al

  11. What do correlations tell us about anthropogenic - biogenic interactions and SOA formation in the Sacramento plume during CARES?

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

    Kleinman, Lawrence; Kuang, Chongai; Sedlacek, Arthur; Senum, Gunnar; Springston, Stephen; Wang, Jian; Zhang, Qi; Jayne, John; Fast, Jerome; Hubbe, John; et al

    2016-02-15

    During the Carbonaceous Aerosols and Radiative Effects Study (CARES) the US Department of Energy (DOE) G-1 aircraft was used to sample aerosol and gas phase compounds in the Sacramento, CA, plume and surrounding region. We present data from 66 plume transects obtained during 13 flights in which southwesterly winds transported the plume towards the foothills of the Sierra Nevada. Plume transport occurred partly over land with high isoprene emission rates. Our objective is to empirically determine whether organic aerosol (OA) can be attributed to anthropogenic or biogenic sources, and to determine whether there is a synergistic effect whereby OA concentrationsmore » are enhanced by the simultaneous presence of high concentrations of carbon monoxide (CO) and either isoprene, MVK+MACR (sum of methyl vinyl ketone and methacrolein), or methanol, which are taken as tracers of anthropogenic and biogenic emissions, respectively. Linear and bilinear correlations between OA, CO, and each of three biogenic tracers, “Bio”, for individual plume transects indicate that most of the variance in OA over short timescales and distance scales can be explained by CO. For each transect and species a plume perturbation, (i.e., ΔOA, defined as the difference between 90th and 10th percentiles) was defined and regressions done amongst Δ values in order to probe day-to-day and location-dependent variability. Species that predicted the largest fraction of the variance in ΔOA were ΔO3 and ΔCO. Background OA was highly correlated with background methanol and poorly correlated with other tracers. Because background OA was ~60% of peak OA in the urban plume, peak OA should be primarily biogenic and therefore non-fossil, even though the day-to-day and spatial variability of plume OA is best described by an anthropogenic tracer, CO. Transects were split into subsets according to the percentile rankings of ΔCO and ΔBio, similar to an approach used by Setyan et al. (2012) and Shilling et

  12. ORISE Resources: Community Assessment Tool for the CDC

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

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

  13. Are We Appropriately Selecting Therapy For Patients With Cervical Cancer? Longitudinal Patterns-of-Care Analysis for Stage IB-IIB Cervical Cancer

    SciTech Connect (OSTI)

    Carlson, Julie A.; Rusthoven, Chad; DeWitt, Peter E.; Davidson, Susan A.

    2014-11-15

    Purpose: We performed a patterns-of-care analysis evaluating the effects of newer technology and recent research findings on treatment decisions over 26 years to determine whether patients with cervical cancer are being appropriately selected for treatment to optimize the therapeutic ratio. Methods and Materials: A retrospective analysis was conducted using the Surveillance, Epidemiology and End Results (SEER) program from 1983 to 2009. We identified 10,933 women with stage IB-IIB cervical carcinoma. Results: Of the 10,933 subjects identified, 40.1% received surgery, 26.8% received radiation (RT), and 33.1% received surgery plus RT. RT use increased after 2000 compared to prior to 2000, with a corresponding decrease in surgery and surgery plus RT. Among patients with risk factors including tumor size >4 cm, positive parametria, and positive lymph nodes, declining use of surgery plus RT was observed. However, 23% of patients with tumors >4 cm, 20% of patients with positive parametria, and 55% of node-positive patients continued to receive surgery plus RT as of 2009. Factors associated with increased use of surgery plus RT included patient age <50 and node-positive status. Conclusions: In this largest patterns-of-care analysis to date for patients with locally advanced cervical cancer, we found a substantial proportion of patients continue to undergo surgery followed by radiation, despite randomized data supporting the use of definitive radiation therapy, with lower morbidity than surgery and radiation.

  14. Category:Hospital | Open Energy Information

    Open Energy Info (EERE)

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

  15. Reference Buildings by Building Type: Hospital

    Broader source: Energy.gov [DOE]

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

  16. 2007 CBECS Large Hospital Building Methodology Report

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

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

  17. Hospital Sterile Processing | GE Global Research

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

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

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

    SciTech Connect (OSTI)

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

    2013-04-01

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

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

    *** PROGRAM TO CREATE FORMAT LIBRARY FOR THE 1979-83 CBECS DATA ***; PROC FORMAT LIBRARY=SASLIB; VALUE $AUDTR ' '='Inapplicable' ‘1’ ='Private contractor' ‘2’ ='Utility company representative' ‘3’ ='Someone else' ‘7’ ='Refused' ‘8’ ='Don''t know' ‘9’ ='Not ascertained'; VALUE $BCWM ' '='1983 nonrespondent' ‘01’ ='Agricultural' ‘02’ ='Assembly' ‘03’ ='Educational' ‘04’ ='Food sales/service' ‘05’ ='Health care (in-patient)' ‘06’ ='Health care (out-patient)' ‘07’

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

    Buildings Energy Data Book [EERE]

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

  1. Taking Care of our Trails

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

    of weather conditions, hazards, and wildlife. Please leave no trace and pack out your trash. Trail Monitoring LANL trails in the White Rock area (TAs 7071) are actively...

  2. Evaluation of New and Proposed Organic Aerosol Sources and Mechanisms using the Aerosol Modeling Testbed. MILAGRO, CARES, CalNex, BEACHON, and GVAX

    SciTech Connect (OSTI)

    Hodzic, Alma; Jimenez, Jose L.

    2015-04-09

    This work investigated the formation and evolution of organic aerosols (OA) arising from anthropogenic and biogenic sources in a framework that combined state-of-the-science process and regional modeling, and their evaluation against advanced and emerging field measurements. Although OA are the dominant constituents of submicron particles, our understanding of their atmospheric lifecycle is limited, and current models fail to describe the observed amounts and properties of chemically formed secondary organic aerosols (SOA), leaving large uncertainties on the effects of SOA on climate. Our work has provided novel modeling constraints on sources, formation, aging and removal of SOA by investigating in particular (i) the contribution of trash burning emissions to OA levels in a megacity, (ii) the contribution of glyoxal to SOA formation in aqueous particles in California during CARES/CalNex and over the continental U.S., (iii) SOA formation and regional growth over a pine forest in Colorado and its sensitivity to anthropogenic NOx levels during BEACHON, and the sensitivity of SOA to (iv) the sunlight exposure during its atmospheric lifetime, and to (v) changes in solubility and removal of organic vapors in the urban plume (MILAGRO, Mexico City), and over the continental U.S.. We have also developed a parameterization of water solubility for condensable organic gases produced from major anthropogenic and biogenic precursors based on explicit chemical modeling, and made it available to the wider community. This work used for the first time constraints from the explicit model GECKO-A to improve SOA representation in 3D regional models such as WRF-Chem.

  3. Evaluating the effect of sample type on American alligator (Alligator mississippiensis) analyte values in a point-of-care blood analyser

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

    Hamilton, Matthew T.; Finger, John W.; Winzeler, Megan E.; Tuberville, Tracey D.

    2016-01-01

    The assessment of wildlife health has been enhanced by the ability of point-of-care (POC) blood analysers to provide biochemical analyses of non-domesticated animals in the field. However, environmental limitations (e.g. temperature, atmospheric humidity and rain) and lack of reference values may inhibit researchers from using such a device with certain wildlife species. Evaluating the use of alternative sample types, such as plasma, in a POC device may afford researchers the opportunity to delay sample analysis and the ability to use banked samples. In this study, we examined fresh whole blood, fresh plasma and frozen plasma (sample type) pH, partial pressuremore » of carbon dioxide (PCO2), bicarbonate (HCO3₋), total carbon dioxide (TCO2), base excess (BE), partial pressure of oxygen (PO2), oxygen saturation (sO2) and lactate concentrations in 23 juvenile American alligators (Alligator mississippiensis) using an i-STAT CG4+ cartridge. Our results indicate that sample type had no effect on lactate concentration values (F2,65 = 0.37, P = 0.963), suggesting that the i-STAT analyser can be used reliably to quantify lactate concentrations in fresh and frozen plasma samples. In contrast, the other seven blood parameters measured by the CG4+ cartridge were significantly affected by sample type. In conclusion, we were able to collect blood samples from all alligators within 2 min of capture to establish preliminary reference ranges for juvenile alligators based on values obtained using fresh whole blood.« less

  4. Evaluating the effect of sample type on American alligator (Alligator mississippiensis) analyte values in a point-of-care blood analyser

    SciTech Connect (OSTI)

    Hamilton, Matthew T.; Finger, John W.; Winzeler, Megan E.; Tuberville, Tracey D.

    2016-01-01

    The assessment of wildlife health has been enhanced by the ability of point-of-care (POC) blood analysers to provide biochemical analyses of non-domesticated animals in the field. However, environmental limitations (e.g. temperature, atmospheric humidity and rain) and lack of reference values may inhibit researchers from using such a device with certain wildlife species. Evaluating the use of alternative sample types, such as plasma, in a POC device may afford researchers the opportunity to delay sample analysis and the ability to use banked samples. In this study, we examined fresh whole blood, fresh plasma and frozen plasma (sample type) pH, partial pressure of carbon dioxide (PCO2), bicarbonate (HCO3₋), total carbon dioxide (TCO2), base excess (BE), partial pressure of oxygen (PO2), oxygen saturation (sO2) and lactate concentrations in 23 juvenile American alligators (Alligator mississippiensis) using an i-STAT CG4+ cartridge. Our results indicate that sample type had no effect on lactate concentration values (F2,65 = 0.37, P = 0.963), suggesting that the i-STAT analyser can be used reliably to quantify lactate concentrations in fresh and frozen plasma samples. In contrast, the other seven blood parameters measured by the CG4+ cartridge were significantly affected by sample type. In conclusion, we were able to collect blood samples from all alligators within 2 min of capture to establish preliminary reference ranges for juvenile alligators based on values obtained using fresh whole blood.

  5. Topical Hyaluronic Acid vs. Standard of Care for the Prevention of Radiation Dermatitis After Adjuvant Radiotherapy for Breast Cancer: Single-Blind Randomized Phase III Clinical Trial

    SciTech Connect (OSTI)

    Pinnix, Chelsea; Perkins, George H.; Strom, Eric A.; Tereffe, Welela; Woodward, Wendy; Oh, Julia L.; Arriaga, Lisa; Munsell, Mark F.; Kelly, Patrick; Hoffman, Karen E.; Smith, Benjamin D.; Buchholz, Thomas A.; Yu, T. Kuan

    2012-07-15

    Purpose: To determine the efficacy of an emulsion containing hyaluronic acid to reduce the development of {>=}Grade 2 radiation dermatitis after adjuvant breast radiation compared with best supportive care. Methods and Materials: Women with breast cancer who had undergone lumpectomy and were to receive whole-breast radiotherapy to 50 Gy with a 10- to 16-Gy surgical bed boost were enrolled in a prospective randomized trial to compare the effectiveness of a hyaluronic acid-based gel (RadiaPlex) and a petrolatum-based gel (Aquaphor) for preventing the development of dermatitis. Each patient was randomly assigned to use hyaluronic acid gel on the medial half or the lateral half of the irradiated breast and to use the control gel on the other half. Dermatitis was graded weekly according to the Common Terminology Criteria v3.0 by the treating physician, who was blinded as to which gel was used on which area of the breast. The primary endpoint was development of {>=}Grade 2 dermatitis. Results: The study closed early on the basis of a recommendation from the Data and Safety Monitoring Board after 74 of the planned 92 patients were enrolled. Breast skin treated with the hyaluronic acid gel developed a significantly higher rate of {>=}Grade 2 dermatitis than did skin treated with petrolatum gel: 61.5% (40/65) vs. 47.7% (31/65) (p = 0.027). Only 1ne patient developed Grade 3 dermatitis using either gel. A higher proportion of patients had worse dermatitis in the breast segment treated with hyaluronic acid gel than in that treated with petrolatum gel at the end of radiotherapy (42% vs. 14%, p = 0.003). Conclusion: We found no benefit from the use of a topical hyaluronic acid-based gel for reducing the development of {>=}Grade 2 dermatitis after adjuvant radiotherapy for breast cancer. Additional studies are needed to determine the efficacy of hyaluronic acid-based gel in controlling radiation dermatitis symptoms after they develop.

  6. b7.pdf

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

    67,338 6,774 8,238 11,153 9,311 10,112 8,271 6,851 6,628 Principal Building Activity Education .................................................... 8,651 338 444 883 1,803 2,144 1,484 1,311 Q Food Sales .................................................. 994 302 Q Q Q Q Q N N Food Service ............................................... 1,851 754 541 352 Q Q Q N N Health Care ................................................. 2,918 189 Q 135 274 263 315 756 767 Inpatient

  7. Buildings*","Principal Building Activity"

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

    1. Selected Principal Building Activity: Part 1, Number of Buildings for Non-Mall Buildings, 2003" ,"Number of Buildings (thousand)" ,"All Buildings*","Principal Building Activity" ,,"Education","Food Sales","Food Service","Health Care",,"Lodging","Retail (Other Than Mall)" ,,,,,"Inpatient","Outpatient" "All Buildings* ...............",4645,386,226,297,8,121,142,443

  8. Buildings Energy Data Book: 3.1 Commercial Sector Energy Consumption

    Buildings Energy Data Book [EERE]

    0 2003 Commercial Primary Energy Consumption Intensities, by Principal Building Type Consumption Percent of Total | Consumption Percent of Total Building Type (thousand Btu/SF) Consumption | Building Type (thousand Btu/SF) Consumption Health Care 345.9 8% | Education 159.0 11% Inpatient 438.8 6% | Service 151.6 4% Outpatient 205.9 2% | Food Service 522.4 6% Food Sales 535.5 5% | Religious Worship 77.0 2% Lodging 193.1 7% | Public Order and Safety 221.1 2% Office 211.7 19% | Warehouse and Storage

  9. Buildings Energy Data Book: 3.2 Commercial Sector Characteristics

    Buildings Energy Data Book [EERE]

    2 Principal Commercial Building Types, as of 2003 (Percent of Total Floorspace) (1) Office 17% 17% 19% Mercantile 16% 14% 18% Retail 6% 9% 5% Enclosed & Strip Malls 10% 4% 13% Education 14% 8% 11% Warehouse and Storage 14% 12% 7% Lodging 7% 3% 7% Service 6% 13% 4% Public Assembly 5% 6% 5% Religious Worship 5% 8% 2% Health Care 4% 3% 8% Inpatient 3% 0% 6% Outpatient 2% 2% 2% Food Sales 2% 5% 5% Food Service 2% 6% 6% Public Order and Safety 2% 1% 2% Other 2% 2% 4% Vacant 4% 4% 1% Total 100%

  10. Buildings Energy Data Book [EERE]

    3.2.2 Principal Commercial Building Types, as of 2003 (Percent of Total Floorspace) (1) Total Floorspace Total Buildings Primary Energy Consumption Office 17% 17% 19% Mercantile 16% 14% 18% Retail 6% 9% 5% Enclosed & Strip Malls 10% 4% 13% Education 14% 8% 11% Warehouse and Storage 14% 12% 7% Lodging 7% 3% 7% Service 6% 13% 4% Public Assembly 5% 6% 5% Religious Worship 5% 8% 2% Health Care 4% 3% 8% Inpatient 3% 0% 6% Outpatient 2% 2% 2% Food Sales 2% 5% 5% Food Service 2% 6% 6% Public Order