National Library of Energy BETA

Sample records for inpatient care hospital

  1. Health Care (Inpatient) | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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

    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

    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

    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

    Office of Energy Efficiency and Renewable Energy (EERE)

    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

    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

    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. Hospital Analytics | GE Global Research

    U.S. Department of Energy (DOE) - all 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

  10. Good Samaritan Hospital`s energy efficiency improvements

    SciTech Connect

    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.

  11. Researching Energy Use in Hospitals

    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...

  12. Integrating Federal Resources for High Performance Hospitals

    SciTech Connect

    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.

  13. Healthcare Energy: Massachusetts General Hospital Gray Building

    Energy.gov [DOE]

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

  14. ARM - CARES - Tracer Forecast for CARES

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    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 contains 72-hr...

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

    SciTech Connect

    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.

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

  3. Jackson Park Hospital Green Building Medical Center

    SciTech Connect

    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.

  4. Climate Care | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

  5. 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,...

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

    SciTech Connect

    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

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

    SciTech Connect

    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.

  8. 3D inpatient dose reconstruction from the PET-CT imaging of {sup 90}Y microspheres for metastatic cancer to the liver: Feasibility study

    SciTech Connect

    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

  9. Health Care Buildings: Subcategories Table

    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...

  10. Health Care Buildings: Equipment Table

    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)...

  11. 2012 CFCNCA Catalog of Caring

    Energy Saver

    ... INTERNATIONAL ORGANIZATIONS Jewish Aid Worldwide: America, ... poor and education and research for the future. 4.3% ... medical staff provides advanced health care to its ...

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

    U.S. Department of Energy (DOE) - all 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. Oregon Hospital Heats Up with a Biomass Boiler

    Energy.gov [DOE]

    Highlighting how a rural Oregon hospital was able to cut its heating bills while stimulating the local economy.

  14. 2007 CBECS Large Hospital Building Methodology Report

    Gasoline and Diesel Fuel Update

    Methodology Report Main Report | Methodology | FAQ | List of Tables CBECS 2007 - Release date: August 17, 2012 Data Collection The data in the Energy Characteristics and Energy Consumed in Large Hospital Buildings in the United States in 2007 report and accompanying tables were collected in the 2007 round of the Commercial Buildings Energy Consumption Survey (CBECS). CBECS is a quadrennial survey is conducted by the Energy Information Administration (EIA) to provide basic statistical information

  15. Federal Long Tern Care Insurance Program (FLTCIP)

    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...

  16. Health Care Buildings: Consumption Tables

    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...

  17. Jackson Park Hospital Green Building Medical Center

    SciTech Connect

    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. Health Care (Outpatient) | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    | Department of Energy Webcasts » Better than CFL? Dimmable LED Downlights in Hospitality Facilities Webinar Better than CFL? Dimmable LED Downlights in Hospitality Facilities Webinar LEDs represent less than 1% of the installed base of U.S. downlights, which in 2012 numbered about 700 million. 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 longer lifetimes than

  1. Building Green in Greensburg: Kiowa County Memorial Hospital

    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.

  2. 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 ...

  3. 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...

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

    National Nuclear Security Administration (NNSA)

    The Y-12 Employee Society launched the teddy bear collection campaign during December. Bears are given to patients during their hospital stay, eventually going home with them. ...

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

    Energy.gov [DOE] (indexed site)

    of combined heat and power (CHP) in the healthcare industry, specifically in hospitals. ... demands, and shrinking facility budgets. chphospitalguidebook2007.pdf (4 MB) More ...

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

    U.S. Department of Energy (DOE) - all 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...

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

    Energy.gov [DOE]

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Hospital 50% Energy Savings: Technical Support Document Eric Bonnema, Daniel Studer, Andrew Parker, Shanti Pless, and Paul Torcellini National Renewable Energy Laboratory 1617 ...

  9. House Care Co Ltd | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

  10. Tuning the Light in Senior Care

    Office of Energy Efficiency and Renewable Energy (EERE)

    The GATEWAY program documented the performance of tunable-white LED lighting systems installed in several spaces within the ACC Care Center, a senior-care facility in Sacramento, CA. The project...

  11. Taking Care of our Trails

    U.S. Department of Energy (DOE) - all 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

  12. Story County Hospital Wind Farm | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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. 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

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

    Gasoline and Diesel Fuel Update

    the United States in 2007 Energy Characteristics and Energy Consumed in Large Hospital Buildings in the United States in 2007 Main Report | Methodology | FAQ | List of Tables CBECS 2007 - Release date: August 17, 2012 Hospitals consume large amounts of energy because of how they are run and the many people that use them. They are open 24 hours a day; thousands of employees, patients, and visitors occupy the buildings daily; and sophisticated heating, ventilation, and air conditioning (HVAC)

  15. Webinar: The Nurses' Perspective on Hospital Patient Room Lighting |

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Department of Energy The Nurses' Perspective on Hospital Patient Room Lighting Webinar: The Nurses' Perspective on Hospital Patient Room Lighting During this September 13, 2016 webinar, presenters Pat Lydon of Legacy Health, and Robert Davis and Andrea Wilkerson of Pacific Northwest National Laboratory discussed how SSL technology provides new opportunities to address a holistic set of goals for healthcare lighting, with insights from a survey of 252 nurses on patient room lighting. What are

  16. Health Care Buildings : Basic Characteristics Tables

    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...

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

    SciTech Connect

    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)

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

    SciTech Connect

    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.

  19. Hospital Energy Benchmarking Guidance - Version 1.0

    SciTech Connect

    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.

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

    ScienceCinema

    Bowen, Ben

    2016-07-12

    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

    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. 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...

  4. Importance of patient education on home medical care waste disposal in Japan

    SciTech Connect

    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.

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

    SciTech Connect

    Banks, Robert S.; Rainer, David

    1980-03-01

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

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

    SciTech Connect

    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.

  7. Property:CBECSBuildingTypeName | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

  8. CBECS Building Types | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

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

  9. Category:CBECS Building Types | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

  10. 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

  11. Emergency Care Technology | GE Global Research

    U.S. Department of Energy (DOE) - all 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

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

    SciTech Connect

    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.

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

    SciTech Connect

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

    2007-07-01

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

  14. Providence Newberg Medical Center

    Building Catalog

    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. 07/08/2015 - 10:07

  15. CARES Helps Explain Secondary Organic Aerosols

    SciTech Connect

    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.

  16. CARES Helps Explain Secondary Organic Aerosols

    ScienceCinema

    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.

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    SciTech Connect

    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.

  19. 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

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

    SciTech Connect

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

    1994-02-01

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

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

    Energy.gov [DOE]

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

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

    U.S. Department of Energy (DOE) - all 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

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

    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. Isotopes for cancer and cardiac care

    U.S. Department of Energy (DOE) - all 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

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

    Buildings Energy Data Book

    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

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

    SciTech Connect

    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).

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

    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...

  8. Text-Alternative Version: The Nurses' Perspective on Hospital Patient Room Lighting

    Office of Energy Efficiency and Renewable Energy (EERE)

    Welcome, everybody, to today's webinar. This is Bob Davis with Pacific Northwest National Laboratory. Today's webinar on the Nurses' Perspective on Hospital Patient Rooms is brought to you by the...

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

    U.S. Department of Energy (DOE) - all 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...

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

    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...

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

    Gasoline and Diesel Fuel Update

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

    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.

  13. Abbreviated Pandemic Influenza Planning Template for Primary Care Offices

    SciTech Connect

    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. Compare All CBECS Activities: Total Energy Use

    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...

  15. b28.xls

    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

    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

    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

    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. Medicare Supplemental

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    very limited coinsurance for outpatient drugs and inpatient respite care 0 Balance *A ... Prescription Drug Plan Prescription Drugs, Insulin, Enteral Nutrition, Special ...

  20. Review the draft Title V with care

    SciTech Connect

    Romzick, P.G.; Heitz, D.R.

    1998-12-31

    The Title V permitting process is well underway for many industries and just beginning for others. Waste Management recently conducted the first in-depth reviews of draft Title V permits for some of its municipal solid waste (MSW) landfills. The Company`s comments on the draft permits were numerous. The draft permits contained some obvious as well as several less obvious errors. The results of these reviews identified a need to scrutinize carefully each and every draft permit issued to the Company`s landfills. The Company expects to require Title V permits for most of its 140 plus active landfills, due to the recently-enacted New Source Performance Standards for Municipal Solid Waste Landfills. Many issues of concern were encountered during the review. Had these issues not been identified, the facility would have had to live with an unnecessarily burdensome permit consisting of permit conditions that were more strict than the regulations required and lacking protections allowed by the law. This paper discusses many of the issues of concern identified during the draft permit review. Although many of the issues addressed in this paper are specific to MSW landfills, many of the issues are also applicable to Title V permits in general.

  1. California Alliance For Radiotracer Education, CARE

    SciTech Connect

    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. 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

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

    SciTech Connect

    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.

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

    SciTech Connect

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    U.S. Department of Energy (DOE) - all 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

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

    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...

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

    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...

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

    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...

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

    U.S. Department of Energy (DOE) - all 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)...

  12. A Look at Health Care Buildings - Index Page

    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...

  13. Why Should Americans Care About Manufacturing Day? | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Why Should Americans Care About Manufacturing Day? Why Should Americans Care About Manufacturing Day? October 7, 2016 - 10:50am Addthis Mark Johnson Mark Johnson Advanced Manufacturing Office Director Today we join communities across the nation in celebrating Manufacturing Day. Manufacturing has been a foundation for the nation since 1791 when Alexander Hamilton, our first Secretary of the Treasury, delivered the "Report on the Subject of Manufactures" to Congress. He emphasized,

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    U.S. Department of Energy (DOE) - all 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 on LinkedIn (Opens in new window) Click to share on Tumblr (Opens in new window) The Place Where Emergency Care Belongs Jason Castle 2013.05.23 The average adult's heart beats about 70 times a minute. With each beat, the left ventricle of your heart is pumping blood throughout your body, delivering the nutrients

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

    SciTech Connect

    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.

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

    U.S. Department of Energy (DOE) - all 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

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

    SciTech Connect

    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

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    Buildings Energy Data Book

    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

  6. Miniaturized Chemical Detectors for Point-of-Care Diagnosis - Energy

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Innovation Portal Miniaturized Chemical Detectors for Point-of-Care Diagnosis Sandia National Laboratories Contact SNL About This Technology Publications: PDF Document Publication Market Sheet (763 KB) <br type="_moz" /> Technology Marketing Summary Building on decades of portable chemical analysis research, Sandia's latest chemical detector, based on our miniaturized pulse-discharged ionization detector (mini-PDID), makes it possible to diagnose illnesses by identifying

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

    SciTech Connect

    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.

  8. Microsoft Word - CARES 2010.Science Plan.doc

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    7 CARES: Carbonaceous Aerosol and Radiative Effects Study Science Plan May 2010 RA Zaveri Principal Investigator WJ Shaw DJ Cziczo DISCLAIMER This report was prepared as an account of work sponsored by the U.S. Government. Neither the United States nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or

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

    SciTech Connect

    Stuart, J.M.

    1996-03-01

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

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

    SciTech Connect

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

    1983-06-01

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

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    U.S. Department of Energy (DOE) - all 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,

  20. Before the House Subcommittee on Energy Policy, Health Care & Entitlements

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    - Committee on Oversight and Government Reform | Department of Energy Policy, Health Care & Entitlements - Committee on Oversight and Government Reform Before the House Subcommittee on Energy Policy, Health Care & Entitlements - Committee on Oversight and Government Reform Testimony of Christopher Smith, Principal Deputy Assistant Secretary, Office of Fossil Energy Before the House Subcommittee on Energy Policy, Health Care & Entitlements - Committee on Oversight and Government

  1. New GATEWAY Report on Tunable Lighting in a Senior-Care Facility |

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Department of Energy GATEWAY Report on Tunable Lighting in a Senior-Care Facility New GATEWAY Report on Tunable Lighting in a Senior-Care Facility September 15, 2016 - 4:52pm Addthis The U.S. Department of Energy's GATEWAY program has released a new report on a pilot installation of tunable-white LED systems at a senior-care facility in Sacramento, CA. The installation took place at the ACC Care Center and was conducted by the Sacramento Municipal Utility District (SMUD), which invited

  2. How Do You Save Water When Caring for Your Lawn? | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Water When Caring for Your Lawn? How Do You Save Water When Caring for Your Lawn? August 13, 2009 - 11:30am Addthis Last week, Chris gave you some tips to save water while caring for your lawn. How do you save water when caring for your lawn? Each Thursday, you have the chance to share your thoughts on a question about energy efficiency or renewable energy for consumers. Please comment with your answers, and also feel free to respond to other comments. Addthis Related Articles How Do You

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

    Buildings Energy Data Book

    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

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

    SciTech Connect

    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.

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

    U.S. Department of Energy (DOE) - all 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.

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

    DOE PAGES [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; 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

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

    SciTech Connect

    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

  8. Aerosol optical hygroscopicity measurements during the 2010 CARES Campaign

    DOE PAGES [OSTI]

    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

  9. Aerosol optical hygroscopicity measurements during the 2010 CARES campaign

    DOE PAGES [OSTI]

    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

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

    DOE PAGES [OSTI]

    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

  11. Aerosol optical hygroscopicity measurements during the 2010 CARES Campaign

    SciTech Connect

    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.

  12. Modular microfluidics for point-of-care protein purifications

    DOE PAGES [OSTI]

    Millet, L. J.; Lucheon, J. D.; Standaert, R. F.; Retterer, S. T.; Doktycz, M. J.

    2015-01-01

    Biochemical separations are the heart of diagnostic assays and purification methods for biologics. On-chip miniaturization and modularization of separation procedures will enable the development of customized, portable devices for personalized health-care diagnostics and point-of-use production of treatments. In this report, we describe the design and fabrication of miniature ion exchange, size exclusion and affinity chromatography modules for on-chip clean-up of recombinantly-produced proteins. Our results demonstrate that these common separations techniques can be implemented in microfluidic modules with performance comparable to conventional approaches. We introduce embedded 3-D microfluidic interconnects for integrating micro-scale separation modules that can be arranged and reconfigured tomore » suit a variety of fluidic operations or biochemical processes. In conclusion, we demonstrate the utility of the modular approach with a platform for the enrichment of enhanced green fluorescent protein (eGFP) from Escherichia coli lysate through integrated affinity and size-exclusion chromatography modules.« less

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

  17. b29.xls

    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 ...

  18. a5.xls

    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 ...

  19. Compare All CBECS Activities: Natural Gas Use

    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...

  20. Compare Activities by Number of Employees

    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...

  1. 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

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

    ScienceCinema

    Hinchliffe, Ian

    2016-07-12

    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.

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

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

    SciTech Connect

    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.

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

    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...

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

    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?...

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

    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?...

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

    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?...

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

    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...

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

    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...

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

    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?...

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

    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...

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

    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...

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

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

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

    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...

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

    Energy Saver

    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 ...

  18. Miscellaneous Electric Loads: What Are They and Why Should You Care? |

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Department of Energy Miscellaneous Electric Loads: What Are They and Why Should You Care? Miscellaneous Electric Loads: What Are They and Why Should You Care? September 15, 2016 - 12:36pm Addthis Marina Sofos Marina Sofos Sensors and Controls Technology Manager Thanks in part to DOE's Buildings Technologies Office (BTO) and its network of research and industry partners, many appliances and building technologies, such as air conditioning and solid-state lighting, have, and continue to, become

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    SciTech Connect

    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)

  1. Experimental observation of acoustic emissions generated by a pulsed proton beam from a hospital-based clinical cyclotron

    SciTech Connect

    Jones, Kevin C.; Solberg, Timothy D.; Avery, Stephen; Vander Stappen, François; Janssens, Guillaume; Prieels, Damien; Bawiec, Christopher R.; Lewin, Peter A.; Sehgal, Chandra M.

    2015-12-15

    Purpose: To measure the acoustic signal generated by a pulsed proton spill from a hospital-based clinical cyclotron. Methods: An electronic function generator modulated the IBA C230 isochronous cyclotron to create a pulsed proton beam. The acoustic emissions generated by the proton beam were measured in water using a hydrophone. The acoustic measurements were repeated with increasing proton current and increasing distance between detector and beam. Results: The cyclotron generated proton spills with rise times of 18 μs and a maximum measured instantaneous proton current of 790 nA. Acoustic emissions generated by the proton energy deposition were measured to be on the order of mPa. The origin of the acoustic wave was identified as the proton beam based on the correlation between acoustic emission arrival time and distance between the hydrophone and proton beam. The acoustic frequency spectrum peaked at 10 kHz, and the acoustic pressure amplitude increased monotonically with increasing proton current. Conclusions: The authors report the first observation of acoustic emissions generated by a proton beam from a hospital-based clinical cyclotron. When modulated by an electronic function generator, the cyclotron is capable of creating proton spills with fast rise times (18 μs) and high instantaneous currents (790 nA). Measurements of the proton-generated acoustic emissions in a clinical setting may provide a method for in vivo proton range verification and patient monitoring.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    DOE PAGES [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,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

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    DOE Data Explorer

    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.

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

    DOE Data Explorer

    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.

  10. 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

    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.

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

    SciTech Connect

    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.

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

    DOE PAGES [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 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

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

    SciTech Connect

    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.

  14. Child Care

    U.S. Department of Energy (DOE) - all 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...

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

    SciTech Connect

    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.

  16. Walk-in

    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 ...

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

    SciTech Connect

    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

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

    DOE PAGES [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 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

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

    SciTech Connect

    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.

  20. 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

    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.

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

    SciTech Connect

    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

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

    SciTech Connect

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

    2014-09-15

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

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

  6. (Engineering standards in the CARES (Central American Rural Electrification Support) project)

    SciTech Connect

    Garcia, A. III.

    1989-10-27

    Given the short time that the staff has been in place the overall progress has been exceptional. No doubt the professionalism and high level of technical competence of the staff are some of the primary reasons. Documentation of the projects is adequate to reconstruct events and information that result in key decisions. The current Annual Workplan, however, is cumbersome due to its organization and excess of redundant reporting. It needs to be re-organized based on the original goals of the Phase I Study and not the 35 components. The progress to date has been impressive. The NRECS Staff has made a significant impact on policy and engineering decisions in Belize, Guatemala and El Salvador, all with some proven cost savings. The demonstration projects and alternative designs have resulted in a high degree of credibility for the NRECA Staff. The proposed new engineering standards have gained acceptance in all of the countries as experience grows. They are well planned and carefully thought out. Professional training will be needed in the coming years to overcome the natural momentum of the status quo.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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

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

    SciTech Connect

    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

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

    SciTech Connect

    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.

  11. Mid-term evaluation of the NRECA (National Rural Electric Cooperative Association) Central America Rural Electrification Support Program (CARES)

    SciTech Connect

    Perlack, R.D. ); Jones, H.G. ); Garcia, A. III . Dept. of Agricultural Engineering); Flores, E. , Guatemala City )

    1990-09-01

    Oak Ridge National Laboratory was requested by the Regional Office for Central America and Panama to conduct a mid-term evaluation of the Cares Project, which is being implemented by the National Rural Electric Cooperative Association. This evaluation was conducted over a three week period by a four person team. Overall, the project has had numerous successes and is highly valued by local counterpart utilities and USAID Missions. Notwithstanding the significant results of the project, changes can be made in certain operating procedures and in the direction of some programmatic activities that can lead to an even more effective project.

  12. 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

    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.

  13. Archived Reference Building Type: Hospital

    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.

  14. Archived Reference Building Type: Hospital

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    SciTech Connect

    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.

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

    DOE PAGES [OSTI]

    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

  19. ARM - CARES Measurements

    U.S. Department of Energy (DOE) - all 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 ...

  20. ARM - CARES Campaign Highlights

    U.S. Department of Energy (DOE) - all 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 ...

  1. Careful where you dig!

    SciTech Connect

    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.

  2. Health Care Buildings

    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...

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

    SciTech Connect

    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

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

    DOE PAGES [OSTI]

    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

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

    SciTech Connect

    Thompson, Stephen R.; Delaney, Geoff P.; Gabriel, Gabriel S.; Jacob, Susannah; Das, Prabir; Barton, Michael B.

    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

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

    DOE PAGES [OSTI]

    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

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

    DOE PAGES [OSTI]

    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

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

    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

  9. Buildings*","Principal Building Activity"

    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*

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

  11. 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, ...

  12. --No Title--

    Energy Information Administration (EIA) (indexed site)

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

  13. 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...

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

    SciTech Connect

    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.

  15. ORISE Resources: Community Assessment Tool for the CDC

    U.S. Department of Energy (DOE) - all 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....

  16. Category:Hospital | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    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...

  17. Reference Buildings by Building Type: Hospital

    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.

  18. Hospital Sterile Processing | GE Global Research

    U.S. Department of Energy (DOE) - all 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...

  19. 2007 CBECS Large Hospital Building FAQs

    Annual Energy Outlook

    The smallest level of geographic detail for which data are available are Census regions, of which there are four in the United States. Will there be a public use data file for ...

  20. 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

    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.

  1. Taking Care of our Trails

    U.S. Department of Energy (DOE) - all 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. Evaluating the effect of sample type on American alligator (Alligator mississippiensis) analyte values in a point-of-care blood analyser

    DOE PAGES [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 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

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

    SciTech Connect

    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.

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

    SciTech Connect

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

    Buildings Energy Data Book

    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

  6. Robotic Intelligent System | GE Global Research

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Intelligent System Could Save Hospitals Millions 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) Robotic Intelligent System Could Save Hospitals Millions Imagine an intelligent system managing the surgical tool sterilization process in a hospital-ensuring safe delivery of care, enabling new levels of hospital efficiency

  7. 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

    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.

  8. b7.pdf

    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

  9. Buildings*","Principal Building Activity"

    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

  10. Table 2.11 Commercial Buildings Electricity Consumption by End Use, 2003 (Trillion Btu)

    Energy Information Administration (EIA) (indexed site)

    1 Commercial Buildings Electricity Consumption by End Use, 2003 (Trillion Btu) End Use Space Heating Cooling Ventilation Water Heating Lighting Cooking Refrigeration Office Equipment Computers Other 1 Total All Buildings 167 481 436 88 1,340 24 381 69 156 418 3,559 Principal Building Activity Education 15 74 83 11 113 2 16 4 32 21 371 Food Sales 6 12 7 Q 46 2 119 2 2 10 208 Food Service 10 28 24 10 42 13 70 2 2 15 217 Health Care 6 34 42 2 105 1 8 4 10 36 248 Inpatient 3 25 38 2 76 1 4 2 7 21

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

    Buildings Energy Data Book

    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

  12. Buildings Energy Data Book: 3.2 Commercial Sector Characteristics

    Buildings Energy Data Book

    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%

  13. Buildings Energy Data Book

    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

  14. Combined Heat and Power (CHP) Systems

    Energy.gov [DOE]

    The CHP systems program aimed to facilitate acceptance of distributed energy in end-use sectors by forming partnerships with industry consortia in the commercial building, merchant stores, light industrial, supermarkets, restaurants, hospitality, health care and high-tech industries.

  15. New Medical Technology | GE Global Research

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Healthcare We're making healthcare accessible for people around the globe, increasing quality of care and expanding medical treatment boundaries. Home > Innovation > Healthcare Hospital Management Is Evolving to Reduce Wait Times With hospitals busier than ever and not enough staff to meet the higher demand, going to the hospital can be a series of waiting... Read More » Making High-Value Imaging More Accessible Around the World Advancements in healthcare are creating a paradigm shift in

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

    Office of Environmental Management (EM)

    DISCLAIMER DISCLAIMER DISCLAIMER DISCLAIMER DISCLAIMER Viewing this video and completing ... Meeting that goal is beyond the scope of this video and requires either additional ...

  17. Pre-Hospital Practices for Handling a Radiologically Contaminated...

    Office of Environmental Management (EM)

    Guide is to provide instructors with an overview of the key points covered in the video. ... The Student Handout should be distributed to students after the video is shown and the ...

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    Office of Legacy Management (LM)

    Eliminated from consideration under FUSRAP due to limited scope of activities and 15 day ... consideration under FUSRAP due to limited scope of activities and 15 day half-life of P-32 ...

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Energy Saver

    Gundersen is investing in renewable energy solutions, including a biogas generator that ... Gunderson is even investing in a biogas generator that uses methane from a local landfill ...

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

    Office of Environmental Management (EM)

    and Sustainability at the National Building Museum in Washington, DC to discuss ... solutions to cut costs, lower energy usage, and reduce pollution across the country." ...

  3. DOE - Office of Legacy Management -- Memorial Hospital - NY 0...

    Office of Legacy Management (LM)

    Conducted studies for MED including a "Physiological Study of Sunbath Treatments." Involvement with radioactive materials unknown. NY.0-16-1 Site Disposition: Eliminated -...

  4. The Nurses' Perspective on Hospital Patient Room Lighting

    Energy Saver

    North American SynchroPhasor Initiative (NASPI) is a collaboration between the electric industry, the North American Electric Reliability Corporation (NERC), and the U.S. Department of Energy (DOE) to advance the use of synchrophasor technology to enhance grid reliability and economics through high-speed, wide-area measurement, monitoring, and control. The NASPI community is contributing to the development of secure, high- speed, time-synchronized data about bulk power system conditions. This

  5. 2007 CBECS Large Hospital Building List of Tables

    Gasoline and Diesel Fuel Update

    Energy Supply Crude Oil Production (a) (million barrels per day) ......................... 9.49 9.47 9.41 9.30 9.17 8.85 8.68 8.68 8.68 8.71 8.67 8.87 9.42 8.84 8.73 Dry Natural Gas Production (billion cubic feet per day) ..................... 73.44 74.50 74.51 74.08 73.77 72.38 71.73 71.51 73.06 74.41 75.81 76.93 74.14 72.34 75.06 Coal Production (million short tons) ................................ 240 212 237 207 173 161 205 208 198 175 200 195 897 747 768 Energy Consumption Liquid Fuels

  6. Archived Reference Building Type: Outpatient health care

    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.

  7. POST-CLOSURE CARE AND INSPECTION PLAN

    Office of Legacy Management (LM)

    Department of Energy Comprehensive Legacy Management and Institutional Controls Plan Doc. .........35 Comprehensive Legacy Management and Institutional Controls ...

  8. Nashville Gas treads carefully to replace pipe

    SciTech Connect

    1997-06-01

    The private gas utility, Nashville Gas, was responsible for replacing damaged or inadequate 2- and 4-inch steel gas lines beneath Music City, USA. The line replacements required either size for size or upsizing. The first choice was directional drilling, which was quickly determined to be unpractical because of rocky soil conditions. The second option was open trenching. Undoubtedly, trenching would mean having to contend with angry residents and tourists, since gas lines ran beneath yards, mature trees, sidewalks, roadways, and railways. In addition to the negative social factors, trenching would require additional funds for substantial landscaping and pavement replacement. It at all possible, a no-dig alternative was desired. Nashville Gas found Grundomat piercing tools which create a bore, then pushes pipe back through it. These same tools can simultaneously pull in pipe. These tools were customized for the Nashville project.

  9. Why Should We Care About a

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    SSL » Why SSL Why SSL Since 2000, the U.S. Department of Energy has invested with industry partners in research and development of solid-state lighting (SSL)-including both light-emitting diode (LED) and organic light emitting diode (OLED) technologies. Why such concentrated attention on SSL? The answer is simple: because of SSL's rapid ongoing improvements and superior energy-saving potential. It is estimated that switching to SSL could reduce national lighting energy use by 75 percent in

  10. Tuning the Light in Senior Care

    Energy Saver

    of Energy Tune In To Our Online Town Hall With Sec. Chu at 12:45PM EST Tune In To Our Online Town Hall With Sec. Chu at 12:45PM EST January 26, 2011 - 8:35am Addthis Ginny Simmons Ginny Simmons Former Managing Editor for Energy.gov, Office of Public Affairs During the State of the Union address last night, President Obama placed the national spotlight on clean energy, saying that "we need to out-innovate, out-educate, and out-build the rest of the world," and that we must invest in

  11. Archived Reference Building Type: Outpatient health care

    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.

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

    Energy Saver

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

  13. Opportunity for cogeneration

    SciTech Connect

    Manning, K.

    1996-10-01

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    SERVICE PLAN INSURANCE COMPANY 3333 Quality Drive, Rancho Cordova, CA 95670 (916) 851-5000 (800) 877-7195 Group ... after receipt, unless special circumstances require an ...

  15. Group Vision Care Plan Vision Care for Life EVIDENCE OF COVERAGE

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    the structures in the front of the eye Diabetic Macular Edema Swelling of the retina in diabetes mellitus due to leaking of fluid from blood vessels within the macula 11 PLAN...

  16. All

    Energy Information Administration (EIA) (indexed site)

    87,093 8,041 8,900 14,105 11,917 13,918 12,415 10,724 7,074 Principal building activity Education 12,239 391 353 1,212 1,492 3,363 3,020 2,358 Q Food sales 1,252 360 Q Q Q Q Q N N Food service 1,819 788 640 355 Q Q N N N Health care 4,155 268 241 364 316 529 350 859 1,227 Inpatient 2,374 N N Q Q 220 196 677 1,219 Outpatient 1,781 268 241 355 263 309 Q 182 Q Lodging 5,826 85 214 705 764 1,270 1,127 919 742 Mercantile 11,330 730 1,052 1,821 1,648 1,909 2,178 1,264 726 Retail (other than mall)

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

    Buildings Energy Data Book

    9 2003 Commercial Delivered Energy Consumption Intensities, by Principal Building Type and Vintage (1) | Building Type Pre-1959 1960-1989 1990-2003 | Building Type Pre-1959 1960-1989 1990-2003 Health Care 178.1 216.0 135.7 | Education 77.7 88.3 80.6 Inpatient 230.3 255.3 253.8 | Service 62.4 86.0 74.8 Outpatient 91.6 110.4 84.4 | Food Service 145.2 290.1 361.2 Food Sales 205.8 197.6 198.3 | Religious Worship 46.6 39.9 43.3 Lodging 88.2 111.5 88.1 | Public Order & Safety N.A. 101.3 110.6

  18. Buildings Energy Data Book: 5.6 Lighting

    Buildings Energy Data Book

    8 2003 Lighting Consumption and Energy Intensities, by Commercial Building Type Annual Lighting Building Type Education 14% 33.1 8.4% 3.4 Food Sales 2% 13.5 3.4% 10.8 Food Service 2% 12.3 3.1% 7.4 Health Care 5% 30.8 7.8% 9.7 Inpatient 3% 22.3 5.7% 11.8 Outpatient 2% 8.2 2.1% 6.6 Lodging 7% 36.3 9.3% 7.1 Mercantile 16% 90.3 23.0% 8.1 Retail (Other Than Mall) 6% 32.5 8.3% 7.5 Enclosed and Strip Malls 10% 57.7 14.7% 8.4 Office 18% 82.4 21.0% 6.8 Public Assembly 6% 7.9 2.0% 2.1 Public Order and

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

    SciTech Connect

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

    2007-02-15

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

  20. R&D 100 Winner 2010: Acoustic Wave Biosensors

    ScienceCinema

    Larson, Richard; Branch, Darren; Edwards, Thayne

    2016-06-29

    The acoustic wave biosensor is innovative device that is a handheld, battery-powered, portable detection system capable of multiplex identification of a wide range of medically relevant pathogens and their biomolecular signatures ? viruses, bacteria, proteins, and DNA ? at clinically relevant levels. This detection occurs within minutes ? not hours ? at the point of care, whether that care is in a physician's office, a hospital bed, or at the scene of a biodefense or biomedical emergency.

  1. Apr2003z

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  3. Why should we care about the top quark Yukawa coupling?

    SciTech Connect

    Shapshnikov, Mikhail; Bezrukov, Fedor

    2015-04-15

    In the cosmological context, for the Standard Model to be valid up to the scale of inflation, the top quark Yukawa coupling yt should not exceed the critical value ytcrit , coinciding with good precision (about 0.2‰) with the requirement of the stability of the electroweak vacuum. So, the exact measurements of yt may give an insight on the possible existence and the energy scale of new physics above 100 GeV, which is extremely sensitive to yt. In this study, we overview the most recent theoretical computations of and the experimental measurements of ytcrit and the experimental measurements of yt. Within the theoretical and experimental uncertainties in yt, the required scale of new physics varies from 10⁷ GeV to the Planck scale, urging for precise determination of the top quark Yukawa coupling.

  4. Why should we care about the top quark Yukawa coupling?

    DOE PAGES [OSTI]

    Shapshnikov, Mikhail; Bezrukov, Fedor

    2015-04-15

    In the cosmological context, for the Standard Model to be valid up to the scale of inflation, the top quark Yukawa coupling yt should not exceed the critical value ytcrit , coinciding with good precision (about 0.2‰) with the requirement of the stability of the electroweak vacuum. So, the exact measurements of yt may give an insight on the possible existence and the energy scale of new physics above 100 GeV, which is extremely sensitive to yt. In this study, we overview the most recent theoretical computations of and the experimental measurements of ytcrit and the experimental measurements ofmore » yt. Within the theoretical and experimental uncertainties in yt, the required scale of new physics varies from 10⁷ GeV to the Planck scale, urging for precise determination of the top quark Yukawa coupling.« less

  5. EM Cares About Small Businesses, Acquisition Chief Says at Conference

    Energy.gov [DOE]

    PHOENIX – EM is realizing success in setting aside and awarding significant work to small businesses, EM’s acquisition chief said here earlier this month.

  6. Point-of-Care Flu Diagnosis | GE Global Research

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    and InDevR Scientists Improve Flu Diagnoses 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 ...

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    Energy Saver

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

  9. What is a low-energy house and who cares?

    SciTech Connect

    Litt, B.R.

    1994-12-01

    Most energy analysts view low-energy houses as good things, yet differ in their expectations of what exactly a low energy house is. There are two intertwining threads to this report. The first is an evaluation of 50 buildings that have been claimed to be low-energy residences, for which monitored energy performance data have been collected. These data represent the preliminary effort in the ongoing update of the Buildings Energy-Use Compilation and Analysis (BECA) data base for new residences. The second thread concerns the definition of a low-energy house. After the elements of a definition are presented, their implications for actors involved in providing housing are identified. Several more tractable definitions are applied to the houses in this compilation. The outcomes illustrate ways in which different interests are served by various definitions. Different definitions can yield very different energy rankings. No single definition of a low-energy house is universally applicable.

  10. Holy Cross Energy- WE CARE Commercial Energy Efficiency Rebate Program

    Energy.gov [DOE]

    Holy Cross offers a wide variety of prescriptive rebates for energy efficient equipment purchased by its commercial customers. Equipment must be replacing existing working equipment to qualify. The...

  11. Why should we care about the top quark Yukawa coupling?

    SciTech Connect

    Bezrukov, F.; Shaposhnikov, M.

    2015-03-15

    In the cosmological context, for the Standard Model to be valid up to the scale of inflation, the top quark Yukawa coupling y{sub t} should not exceed the critical value y{sub t}{sup crit}, coinciding with good precision (about 0.2‰) with the requirement of the stability of the electroweak vacuum. So, the exact measurements of y{sub t} may give an insight on the possible existence and the energy scale of new physics above 100 GeV, which is extremely sensitive to y{sub t}. We overview the most recent theoretical computations of and the experimental measurements of y{sub t}{sup crit} and the experimental measurements of y{sub t}. Within the theoretical and experimental uncertainties in y{sub t}, the required scale of new physics varies from 10{sup 7} GeV to the Planck scale, urging for precise determination of the top quark Yukawa coupling.

  12. Microsoft Word - NMN292==CARES--2003 Refunding Bonds Official...

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    service to eligible customers and to undertake certain other programs, such as fish and wildlife protection, mitigation and enhancement. The 2003 Bonds are special limited...

  13. Conversion and Resource Evaluation Ltd CARE | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

    is an independent company providing specialist technical and economic services in the bio-energy and waste conversion sector. References: Conversion and Resource Evaluation Ltd...

  14. Tunable-White Lighting at the ACC Care Center

    Energy Saver

    Bio-Gas Project Daryl Williams November 18, 2008 Introduction Background Description of Project Partnership Feasibility Study/Business Plan Creation of Quil Ceda Power Funding Creation of Qualco Energy Closing Background Land-Use Changes from Agriculture to Other Types of Development Skykomish River WQ Problems Bacteria Nutrient Loading Relationship Between Tribes and Dairies Poor Economy for Dairy Operations Project Description Sewage Treatment for

  15. Reference Buildings by Building Type: Outpatient health care

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

    Office of Energy Efficiency and Renewable Energy (EERE)

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

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

    SciTech Connect

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

    2010-04-15

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

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

    National Nuclear Security Administration (NNSA)

    CNS community donation donations Pantex Plant Y-12 Y-12 National Security Site Related News NNSA's systems administrators keep the computers running NNSA innovation fuels space ...

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

    Buildings Energy Data Book

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

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

    Buildings Energy Data Book

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

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

    Buildings Energy Data Book

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  3. At-a-Glance: Comparing the 2016 Medicare Supplement, PPO and...

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    ... Medicare Supplement Plan does however have an Out-of-pocket limit for prescription drugs. ... Medicare pays all but very limited coinsurance for outpatient drugs and inpatient respite ...

  4. Buildings Energy Data Book: 9.1 ENERGY STAR

    Buildings Energy Data Book

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

  5. Buildings Energy Data Book: 3.2 Commercial Sector Characteristics

    Buildings Energy Data Book

    8 2003 Average Commercial Building Floorspace, by Principal Building Type and Vintage Building Type 1959 or Prior 1960 to 1989 1990 to 2003 All Education 27.5 26.9 21.7 25.6 Food Sales N.A. N.A. N.A. 5.6 Food Service 6.4 4.4 5.0 5.6 Health Care 18.5 37.1 N.A. 24.5 Inpatient N.A. 243.6 N.A. 238.1 Outpatient N.A. 11.3 11.6 10.4 Lodging 9.9 36.1 36.0 35.9 Retail (Other Than Mall) 6.2 9.3 17.5 9.7 Office 12.4 16.4 14.2 14.8 Public Assembly 13.0 13.8 17.3 14.2 Public Order and Safety N.A. N.A. N.A.

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

    SciTech Connect

    Afghan, M; Shih, R; Chen, H

    2014-06-01

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

  7. Compare All CBECS Activities: Size

    Energy Information Administration (EIA) (indexed site)

    page, please call 202-586-8800. Square Feet per Building by Building Type Inpatient health buildings were by far the largest building type, on average, while food service and...

  8. Methods for point-of-care detection of nucleic acid in a sample

    DOEpatents

    Bearinger, Jane P.; Dugan, Lawrence C.

    2015-12-29

    Provided herein are methods and apparatus for detecting a target nucleic acid in a sample and related methods and apparatus for diagnosing a condition in an individual. The condition is associated with presence of nucleic acid produced by certain pathogens in the individual.

  9. Methods for point-of-care detection of nucleic acid in a sample...

    Office of Scientific and Technical Information (OSTI)

    Provided herein are methods and apparatus for detecting a target nucleic acid in a sample ... Sponsoring Org: USDOE Country of Publication: United States Language: English Subject: 59 ...

  10. Antiandrogenic properties of parabens and other phenolic containing small molecules in personal care products

    SciTech Connect

    Chen Jiangang; Ahn, Ki Chang; Gee, Nancy A.; Gee, Shirley J.; Hammock, Bruce D.; Lasley, Bill L. . E-mail: bllasley@ucdavis.edu

    2007-06-15

    To identify the androgenic potency of commonly used antimicrobials, an in vitro androgen receptor-mediated transcriptional activity assay was employed to evaluate the androgenic/antiandrogenic activity of parabens and selected other antimicrobials containing a phenolic moiety. This cell-based assay utilizes a stably transfected cell line that lacks critical steroid metabolizing enzymes and is formatted in a 96-well format. At a concentration of 10 {mu}M, methyl-, propyl- and butyl-4-hydroxybenzoate (parabens) inhibited testosterone (T)-induced transcriptional activity by 40%, 33% and 19%, respectively (P < 0.05), while 4-hydroxybenzoic acid, the major metabolite of parabens, had no effect on T-induced transcriptional activity. Triclosan inhibited transcriptional activity induced by T by more than 92% at a concentration of 10 {mu}M, and 38.8% at a concentration of 1.0 {mu}M (P < 0.05). Thirty-four percent of T-induced transcriptional activity was inhibited by thymol at 10 {mu}M (P < 0.05). Cell proliferation and/or cytotoxicity were not observed in any of the treatments. None of the compounds appeared to be androgenic when tested individually without T. The data presented in this report demonstrate that some widely used antimicrobial compounds have antiandrogenic properties and warrant further investigation to fully understand their potential impact on human reproductive health.

  11. Clean Burst Rapid Acoustic Lysis for Point-of-Care Diagnostics...

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    nanomicrofluidic devices. Benefits No harsh chemicals or purification needed Generates PCR-ready DNA Disrupts the cellular membranes of even the most difficult bacteria in...

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

    SciTech Connect

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

    2015-03-15

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

  13. ORISE Resources: Education in Palliative and End-of-Life Care...

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    (EPEC(tm)-O) Of the more than 1.4 million Americans who will be diagnosed with cancer this year, many will fight the disease through treatments. Unfortunately, however,...

  14. Forecasting the oil-gasoline price relationship: should we care about the Rockets and the Feathers?

    Gasoline and Diesel Fuel Update

    Matteo Manera Asymmetries in the Oil-Gasoline Price Relationship University of Milano-Bicocca, Italy and Fondazione Eni Enrico Mattei, Italy EIA Financial and Physical Oil Market Workshop "Evolution of Petroleum Market and Price Dynamics" September 29, 2015 Energy Information Administration, Washington DC, US 1 Introduction * Energy demand models are often developed on the assumption that consumer behavior is defined by symmetric responses to rising or falling prices and income * It is

  15. DOE/SC-ARM-10-018 CARES: Carbonaceous Aerosol and Radiative

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    ... behind the police station, which provides a substantial inherent level of security for the site. In addition, unofficial but uniquely designed photo ID badges will be provided ...

  16. Take care in picking membranes to combine with other processes for CO/sub 2/ removal

    SciTech Connect

    Schendel, R.; Seymour, J.

    1985-02-18

    Membranes are somewhat unique in gas processing. Membrane processing is different enough from conventional processing that each project must be examined on its own merits. Membranes should be considered based on their characteristics in combination with other technologies as well as by themselves, and used where they show advantage. Membranes may find use in unusual applications and may not be best in traditional applications. Membrane systems are easily simulated and evaluation of membrane applications can be made quickly. Using a mainframe computer, response is essentially instantaneous.

  17. Policy Memo #3 - Advanced-Leave-for-Childbirth-Adoption-and-Foster-Care.pdf

    Energy Saver

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

    SciTech Connect

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

    1994-05-01

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

  19. Patterns of Care and Locoregional Treatment Outcomes in Older Esophageal Cancer Patients: The SEER-Medicare Cohort

    SciTech Connect

    Smith, Grace L.; Smith, Benjamin D.; Buchholz, Thomas A.; Liao Zhongxing; Jeter, Melenda; Swisher, Stephen G. M.D.; Hofstetter, Wayne L.; Ajani, Jaffer A.; McAleer, Mary F.; Komaki, Ritsuko; Cox, James D.

    2009-06-01

    Purpose: Optimal management of elderly patients with nonmetastatic esophageal cancer is unclear. Outcomes data after locoregional treatment are lacking for this group. Methods: We assessed outcomes associated with standard locoregional treatments in 2,626 patients (age > 65 years) from the Surveillance Epidemiology and End Results (SEER)-Medicare cohort diagnosed with nonmetastatic esophageal cancer from 1992 to 2002. In patients treated with radiotherapy alone (RT), surgery alone (S), chemoradiotherapy (CRT), or preoperative chemotherapy followed by surgery (CRT + S), overall and disease-free survival were compared using proportional hazards regression. Postoperative complications were compared using logistic regression. Results: Mean age was 76 {+-} 6 years. Seven percent underwent CRT + S, 39% CRT, 30% S, and 24% RT. One-year survival was 68% (CRT + S), 52% (CRT), 53% (S), and 16% (RT), respectively (p < 0.001). Patients who underwent CRT + S demonstrated improved overall survival compared with S alone (hazard ratio [HR] = 0.81; 95% confidence interval [CI], 0.66-0.98; p = 0.03) and RT (HR = 0.44; 95% CI, 0.35-0.55; p < 0.0001); and comparable survival to CRT (HR = 0.82; 95% CI, 0.67-1.01; p = 0.06). Patients who underwent CRT + S also had comparable postoperative mortality (HR = 0.96; 95% CI, 0.87-1.07; p = 0.45) and complications (OR = 0.89; 95% CI, 0.70-1.14; p = 0.36) compared with S alone. Conclusions: Preoperative chemoradiotherapy may be an acceptable treatment option in appropriately selected older esophageal cancer patients. This treatment modality did not appear to increase surgical complications and offered potential therapeutic benefit, particularly compared with surgery alone.

  20. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    SciTech Connect

    Conard, R.A.

    1991-01-01

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  1. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    SciTech Connect

    Conard, R.A.

    1991-12-31

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  2. Fallout: The experiences of a medical team in the care of a Marshallese population accidently exposed to fallout radiation

    SciTech Connect

    Conard, R.A.

    1992-09-01

    This report presents an historical account of the experiences of the Brookhaven Medical Team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Noteworthy has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  3. Total Laryngectomy Versus Larynx Preservation for T4a Larynx Cancer: Patterns of Care and Survival Outcomes

    SciTech Connect

    Grover, Surbhi; Swisher-McClure, Samuel; Mitra, Nandita; Li, Jiaqi; Cohen, Roger B.; Ahn, Peter H.; Lukens, John N.; Chalian, Ara A.; Weinstein, Gregory S.; O'Malley, Bert W.; Lin, Alexander

    2015-07-01

    Purpose: To examine practice patterns and compare survival outcomes between total laryngectomy (TL) and larynx preservation chemoradiation (LP-CRT) in the setting of T4a larynx cancer, using a large national cancer registry. Methods and Materials: Using the National Cancer Database, we identified 969 patients from 2003 to 2006 with T4a squamous cell larynx cancer receiving definitive treatment with either initial TL plus adjuvant therapy or LP-CRT. Univariate and multivariable logistic regression were used to assess predictors of undergoing surgery. Survival outcomes were compared using Kaplan-Meier and propensity score–adjusted and inverse probability of treatment–weighted Cox proportional hazards methods. Sensitivity analyses were performed to account for unmeasured confounders. Results: A total of 616 patients (64%) received LP-CRT, and 353 (36%) received TL. On multivariable logistic regression, patients with advanced nodal disease were less likely to receive TL (N2 vs N0, 26.6% vs 43.4%, odds ratio [OR] 0.52, 95% confidence interval [CI] 0.37-0.73; N3 vs N0, 19.1% vs 43.4%, OR 0.23, 95% CI 0.07-0.77), whereas patients treated in high case-volume facilities were more likely to receive TL (46.1% vs 31.5%, OR 1.78, 95% CI 1.27-2.48). Median survival for TL versus LP was 61 versus 39 months (P<.001). After controlling for potential confounders, LP-CRT had inferior overall survival compared with TL (hazard ratio 1.31, 95% CI 1.10-1.57), and with the inverse probability of treatment–weighted model (hazard ratio 1.25, 95% CI 1.05-1.49). This survival difference was shown to be robust on additional sensitivity analyses. Conclusions: Most patients with T4a larynx cancer receive LP-CRT, despite guidelines suggesting TL as the preferred initial approach. Patients receiving LP-CRT had more advanced nodal disease and worse overall survival. Previous studies of (non-T4a) locally advanced larynx cancer showing no difference in survival between LP-CRT and TL may not apply to T4a disease, and patients should be counseled accordingly.

  4. Planning and care mark repair of 14-year old leak in Kuwait Oil Co. LPG tank 95

    SciTech Connect

    Shtayieh, S.

    1983-01-10

    This paper points out that the leak, which had been present for such a long time, completely saturated the perlite insulation with hydrocarbons, thus rendering the entire operation of inspection, repair, and maintenance of the inner tank a hazardous operation. It emphasizes the safety aspects, which were complicated by the saturated perlite as well as by the fact that the tank is situated in the middle of the LPG storage area with LPG tanks on either side. Tank design, making preparations, inspection, and repair are discussed. The fact that the leaking flanges were originally installed damaged, indicated the future need of tighter company quality control of all contractors work.

  5. ATTACHMENT L

    Office of Environmental Management (EM)

    H POST-CLOSURE CARE PLANS (Reserved)

  6. A survey of films for use as dosimeters in interventional radiology

    SciTech Connect

    Fajardo, L.C.; Geise, R.A.; Ritenour, E.R.

    1995-04-01

    Analysis of radiation doses in interventional radiological procedures that can lead to deterministic radiation effects such as erythema and epilation would assist physicians in planning patient care after exposure and in reducing doses. Photographic films used to measure skin exposure in the past are too sensitive for the high doses involved in interventional procedures. Seventeen different types of films, many of which are generally available in hospitals, were surveyed to see if any would meet the demands of interventional radiology. Sensitometric curves obtained demonstrate that most films are inappropriate for high dose procedures. Using Kodak Fine Grain Positive and Deupont duplicating films and automatic processing, doses as high as 2.8 Gy could be measured with reasonable accuracy. Similar results can be obtained by manually processing Kodak XV-2 verification film at room temperature.

  7. Seismic base isolation in practice: The California experience

    SciTech Connect

    Naeim, F.; Lew, M.

    1995-12-01

    Seismic base isolation systems of various forms and features have been implemented in design of many new buildings and in rehabilitation of several existing structures. Currently, at least in California, the seismic isolation option is seriously considered at the onset of design of any hospital or health care facility project. While the design and implementation of seismic isolation systems seem to have been successful, there exist a multitude of problems which need to be addressed during each of the design, manufacturing, and construction processes to ensure a satisfactory end-result. The authors have been involved as structural and geotechnical engineers, as well as peer reviewers and plan checkers for many of the landmark California seismic isolated structures. This paper will provide a summary of state-of-the-practice and its problems for seismic isolated building structures.

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

    SciTech Connect

    Ho, Chao Chung

    2011-07-15

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

  9. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

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

  10. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

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

  11. Beryllium Related Links - Hanford Site

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Group (BAG) Website 10CFR850 Final Rule Preamble (PDF) OSHA NIOSH National Jewish Hospital, Denver; Beryllium Program University of Pennsylvania Hospital, Philadelphia DOE...

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Scientific and Technical Information (OSTI)

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

  14. http://southernhillshospital.com/

    National Nuclear Security Administration (NNSA)

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

  15. Nevada STEP Training

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Training For Hospital Personnel in Nevada CARLSBAD, N.M., January 15, 2001 - Radiation Management Consultants, Inc., (RMC) will host three separate hospital training sessions this ...

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

    Energy Saver

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  19. Is Primary Prostate Cancer Treatment Influenced by Likelihood of Extraprostatic Disease? A Surveillance, Epidemiology and End Results Patterns of Care Study

    SciTech Connect

    Holmes, Jordan A.; Wang, Andrew Z.; University of North Carolina-Lineberger Comprehensive Cancer Center, Chapel Hill, NC ; Hoffman, Karen E.; Hendrix, Laura H.; Rosenman, Julian G.; University of North Carolina-Lineberger Comprehensive Cancer Center, Chapel Hill, NC ; Carpenter, William R.; Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Health Policy and Management, University of North Carolina School of Public Health, Chapel Hill, NC ; Godley, Paul A.; Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC; Division of Hematology-Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC ; Chen, Ronald C.

    2012-09-01

    Purpose: To examine the patterns of primary treatment in a recent population-based cohort of prostate cancer patients, stratified by the likelihood of extraprostatic cancer as predicted by disease characteristics available at diagnosis. Methods and Materials: A total of 157,371 patients diagnosed from 2004 to 2008 with clinically localized and potentially curable (node-negative, nonmetastatic) prostate cancer, who have complete information on prostate-specific antigen, Gleason score, and clinical stage, were included. Patients with clinical T1/T2 disease were grouped into categories of <25%, 25%-50%, and >50% likelihood of having extraprostatic disease using the Partin nomogram. Clinical T3/T4 patients were examined separately as the highest-risk group. Logistic regression was used to examine the association between patient group and receipt of each primary treatment, adjusting for age, race, year of diagnosis, marital status, Surveillance, Epidemiology and End Results database region, and county-level education. Separate models were constructed for primary surgery, external-beam radiotherapy (RT), and conservative management. Results: On multivariable analysis, increasing likelihood of extraprostatic disease was significantly associated with increasing use of RT and decreased conservative management. Use of surgery also increased. Patients with >50% likelihood of extraprostatic cancer had almost twice the odds of receiving prostatectomy as those with <25% likelihood, and T3-T4 patients had 18% higher odds. Prostatectomy use increased in recent years. Patients aged 76-80 years were likely to be managed conservatively, even those with a >50% likelihood of extraprostatic cancer (34%) and clinical T3-T4 disease (24%). The proportion of patients who received prostatectomy or conservative management was approximately 50% or slightly higher in all groups. Conclusions: There may be underutilization of RT in older prostate cancer patients and those with likely extraprostatic disease. Because more than half of prostate cancer patients do not consult with a radiation oncologist, a multidisciplinary consultation may affect the treatment decision-making process.

  20. 1 of 8

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  1. 2007 Feature Stories | NREL

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  2. SU-E-I-32: Benchmarking Head CT Doses: A Pooled Vs. Protocol Specific Analysis of Radiation Doses in Adult Head CT Examinations

    SciTech Connect

    Fujii, K; Bostani, M; Cagnon, C; McNitt-Gray, M

    2015-06-15

    Purpose: The aim of this study was to collect CT dose index data from adult head exams to establish benchmarks based on either: (a) values pooled from all head exams or (b) values for specific protocols. One part of this was to investigate differences in scan frequency and CT dose index data for inpatients versus outpatients. Methods: We collected CT dose index data (CTDIvol) from adult head CT examinations performed at our medical facilities from Jan 1st to Dec 31th, 2014. Four of these scanners were used for inpatients, the other five were used for outpatients. All scanners used Tube Current Modulation. We used X-ray dose management software to mine dose index data and evaluate CTDIvol for 15807 inpatients and 4263 outpatients undergoing Routine Brain, Sinus, Facial/Mandible, Temporal Bone, CTA Brain and CTA Brain-Neck protocols, and combined across all protocols. Results: For inpatients, Routine Brain series represented 84% of total scans performed. For outpatients, Sinus scans represented the largest fraction (36%). The CTDIvol (mean ± SD) across all head protocols was 39 ± 30 mGy (min-max: 3.3–540 mGy). The CTDIvol for Routine Brain was 51 ± 6.2 mGy (min-max: 36–84 mGy). The values for Sinus were 24 ± 3.2 mGy (min-max: 13–44 mGy) and for Facial/Mandible were 22 ± 4.3 mGy (min-max: 14–46 mGy). The mean CTDIvol for inpatients and outpatients was similar across protocols with one exception (CTA Brain-Neck). Conclusion: There is substantial dose variation when results from all protocols are pooled together; this is primarily a function of the differences in technical factors of the protocols themselves. When protocols are analyzed separately, there is much less variability. While analyzing pooled data affords some utility, reviewing protocols segregated by clinical indication provides greater opportunity for optimization and establishing useful benchmarks.

  3. Similar Survival for Patients Undergoing Reduced-Intensity Total Body Irradiation (TBI) Versus Myeloablative TBI as Conditioning for Allogeneic Transplant in Acute Leukemia

    SciTech Connect

    Mikell, John L.; Waller, Edmund K.; Switchenko, Jeffrey M.; Rangaraju, Sravanti; Ali, Zahir; Graiser, Michael; Hall, William A.; Langston, Amelia A.; Esiashvili, Natia; Khoury, H. Jean; Khan, Mohammad K.

    2014-06-01

    Purpose: Hematopoietic stem cell transplantation (HSCT) is the mainstay of treatment for adults with acute leukemia. Total body irradiation (TBI) remains an important part of the conditioning regimen for HCST. For those patients unable to tolerate myeloablative TBI (mTBI), reduced intensity TBI (riTBI) is commonly used. In this study we compared outcomes of patients undergoing mTBI with those of patients undergoing riTBI in our institution. Methods and Materials: We performed a retrospective review of all patients with acute leukemia who underwent TBI-based conditioning, using a prospectively acquired database of HSCT patients treated at our institution. Patient data including details of the transplantation procedure, disease status, Karnofsky performance status (KPS), response rates, toxicity, survival time, and time to progression were extracted. Patient outcomes for various radiation therapy regimens were examined. Descriptive statistical analysis was performed. Results: Between June 1985 and July 2012, 226 patients with acute leukemia underwent TBI as conditioning for HSCT. Of those patients, 180 had full radiation therapy data available; 83 had acute lymphoblastic leukemia and 94 had acute myelogenous leukemia; 45 patients received riTBI, and 135 received mTBI. Median overall survival (OS) was 13.7 months. Median relapse-free survival (RFS) for all patients was 10.2 months. Controlling for age, sex, KPS, disease status, and diagnosis, there were no significant differences in OS or RFS between patients who underwent riTBI and those who underwent mTBI (P=.402, P=.499, respectively). Median length of hospital stay was shorter for patients who received riTBI than for those who received mTBI (16 days vs 23 days, respectively; P<.001), and intensive care unit admissions were less frequent following riTBI than mTBI (2.22% vs 12.69%, respectively, P=.043). Nonrelapse survival rates were also similar (P=.186). Conclusions: No differences in OS or RFS were seen between

  4. Management of chemical warfare injuries (on CD-ROM). Data file

    SciTech Connect

    1996-08-01

    The threat of use of chemical warfare agents (agents of `mass destruction`) is no longer confined to the battlefield. Agent releases by terrorists in Japan in 1995 served to awaken the world to the dangers faced by civilian communities far removed from centers of armed conflict. The ability to save lives in the event of a chemical agent release turns on provision of immediate and correct medical care in the field and hospital. Being able to ensure availability of life-saving care depends on reaching both military and civilian medical personnel with information on chemical warfare agents and on keeping their skills and knowledge current. While this is of critical importance both to the Department of Defense and to civilian agencies charged with protecting the public, it also is a daunting and potentially expensive task in view of the numbers and geographic dispersion of persons to be trained. The Department of Defense has addressed and overcome these challenges, to the benefit of the military and civilians, by using computer technology as the vehicle by which cost-effective chemical warfare agent training may be conveniently delivered to all who require it. The multi-media instructional program, Management of Chemical Warfare Injuries, was developed for military use by the Naval Health Sciences Education and Training Command, with the technical assistance of the U.S. Army Medical Command. It was originally designed for delivery via video disc, a format used extensively within the Navy. However, in response to a request from the Federal Emergency Management Agency, the Office of the Secretary of Defense agreed to repackage the materials for delivery on CD-ROM in order to make them accessible to a larger audience. In addition, the Navy agreed to include on the two CD-ROMs which contain the program a ready reference not found on the video disc: the Army`s `Medical Management of Chemical Casualties` handbooks for field and medical personnel.

  5. Biomedical technology prosperity game{trademark}

    SciTech Connect

    Berman, M.; Boyack, K.W.; Wesenberg, D.L.

    1996-07-01

    Prosperity Games{trademark} are an outgrowth and adaptation of move/countermove and seminar War Games. Prosperity Games{trademark} are simulations that explore complex issues in a variety of areas including economics, politics, sociology, environment, education and research. These issues can be examined from a variety of perspectives ranging from a global, macroeconomic and geopolitical viewpoint down to the details of customer/supplier/market interactions in specific industries. All Prosperity Games{trademark} are unique in that both the game format and the player contributions vary from game to game. This report documents the Biomedical Technology Prosperity Game{trademark} conducted under the sponsorship of Sandia National Laboratories, the Defense Advanced Research Projects Agency, and the Koop Foundation, Inc. Players were drawn from all stakeholders involved in biomedical technologies including patients, hospitals, doctors, insurance companies, legislators, suppliers/manufacturers, regulators, funding organizations, universities/laboratories, and the legal profession. The primary objectives of this game were to: (1) Identify advanced/critical technology issues that affect the cost and quality of health care. (2) Explore the development, patenting, manufacturing and licensing of needed technologies that would decrease costs while maintaining or improving quality. (3) Identify policy and regulatory changes that would reduce costs and improve quality and timeliness of health care delivery. (4) Identify and apply existing resources and facilities to develop and implement improved technologies and policies. (5) Begin to develop Biomedical Technology Roadmaps for industry and government cooperation. The deliberations and recommendations of these players provided valuable insights as to the views of this diverse group of decision makers concerning biomedical issues. Significant progress was made in the roadmapping of key areas in the biomedical technology field.

  6. Phosphate-Containing Polyethylene Glycol Polymers Prevent Lethal Sepsis by Multidrug-Resistant Pathogens

    SciTech Connect

    Zaborin, Alexander; Defazio, Jennifer; Kade, Matthew; Kaiser, Brooke LD; Belogortseva, Natalia; Camp, David G.; Smith, Richard D.; Adkins, Joshua N.; Kim, Sangman M.; Alverdy, Alexandria; Goldfeld, David; Firestone, Millicent; Collier, Joel; Jabri, Bana; Tirrell, Matthew; Zaborina, Olga; Alverdy, John C.

    2014-02-01

    The gastrointestinal tract is the primary site of colonization for multi-drug resistant healthcare associated pathogens (HAPs) that are the principal source and cause of life-threatening infections in critically ill patients. We previously identified a high molecular weight co-polymer (PEG15-20) with mucoadhesive and cytoprotective actions on the intestinal epithelium. In this report we covalently bonded phosphate (Pi) to PEG15-20 ( termed Pi-PEG15-20) to enhance its cytoprotective activity against microbial virulence activation and invasion based on our previous work showing that Pi is a key environmental cue regulating microbial virulence across pathogens of clinical importance to hospitalized patients. We demonstrated that Pi-PEG15-20 can suppress phosphate-, iron-, and quorum sensing signal- mediated activation of bacterial virulence as well as inhibit intestinal epithelial IL-8 release during lipopolysaccharide (LPS) exposure. Pi-PEG15-20 also prevented mortality in C. elegans and mice exposed to several highly virulent and antibiotic(?)-resistant health care acquired pathogens (HAPs) while preserving the normal microbiota. Intestinal application Pi-PEG 15-20 has the potential to be a useful agent to prevent the pathogenic activation of microbes during critical illness where exposure to HAPs is ubiquitous.

  7. Creating healthier environments: Performance contracting in the Canadian Healthcare Industry

    SciTech Connect

    O`Conner, T.

    1995-06-01

    More efficient use of energy reduces the fossil fuel pollutants entering the air. It takes money out of expenses, now paying for wasted energy, and puts it in the revenue stream. That`s good for an individual business and good for a country. When we practice energy efficiency in healthcare facilities, we get environmental benefits to our health and more resources to devote to health care. Canadians realize this. People throughout the world are increasingly aware of this. But even with all these benefits, organizations -- hospitals, universities, businesses, government -- lack the money to do the job. If only they could get their hands on all the money that goes up the smokestack for wasted energy...money they are now paying the utilities for energy they don`t really need. If only they could think of dollars for energy efficiency as an investment, not an expense. That is exactly what performance contracting involves: a firm that is willing to invest in an organization`s energy efficiency. As with any investment, you look at the cost, the risks and the potential return. In one way or another, that`s what all of us do when we are considering a performance contracting investment.

  8. Environmental tobacco smoke and canine urinary cotinine level

    SciTech Connect

    Bertone-Johnson, Elizabeth R. Procter-Gray, Elizabeth; Gollenberg, Audra L.; Ryan, Michele B.; Barber, Lisa G.

    2008-03-15

    Epidemiologic studies of companion animals such as dogs have been established as models for the relationship between exposure to environmental tobacco smoke (ETS) and cancer risk in humans. While results from these studies are provocative, pet owner report of a dog's ETS exposure has not yet been validated. We have evaluated the relationship between dog owner's report of household smoking by questionnaire and dog's urinary cotinine level. Between January and October 2005, dog owners presenting their pet for non-emergency veterinary care at the Foster Hospital for Small Animals at Cummings School of Veterinary Medicine, Tufts University, were asked to complete a 10-page questionnaire measuring exposure to household ETS in the previous 24 h and other factors. A free-catch urine sample was also collected from dogs. Urinary cotinine level was assayed for 63 dogs, including 30 whose owners reported household smoking and 33 unexposed dogs matched on age and month of enrollment. Urinary cotinine level was significantly higher in dogs exposed to household smoking in the 24 h before urine collection compared to unexposed dogs (14.6 ng/ml vs. 7.4 ng/ml; P=0.02). After adjustment for other factors, cotinine level increased linearly with number of cigarettes smoked by all household members (P=0.004). Other canine characteristics including age, body composition and nose length were also associated with cotinine level. Findings from our study suggest that household smoking levels as assessed by questionnaire are significantly associated with canine cotinine levels.

  9. Fuel cells provide a revenue-generating solution to power quality problems

    SciTech Connect

    King, J.M. Jr.

    1996-03-01

    Electric power quality and reliability are becoming increasingly important as computers and microprocessors assume a larger role in commercial, health care and industrial buildings and processes. At the same time, constraints on transmission and distribution of power from central stations are making local areas vulnerable to low voltage, load addition limitations, power quality and power reliability problems. Many customers currently utilize some form of premium power in the form of standby generators and/or UPS systems. These include customers where continuous power is required because of health and safety or security reasons (hospitals, nursing homes, places of public assembly, air traffic control, military installations, telecommunications, etc.) These also include customers with industrial or commercial processes which can`t tolerance an interruption of power because of product loss or equipment damage. The paper discusses the use of the PC25 fuel cell power plant for backup and parallel power supplies for critical industrial applications. Several PC25 installations are described: the use of propane in a PC25; the use by rural cooperatives; and a demonstration of PC25 technology using landfill gas.

  10. Executive summary and guide to final report: Advisory committee on human radiation experiments

    SciTech Connect

    1995-01-01

    On January 15, 1994, President Clinton appointed the Advisory Committee on Human Radiation Experiments to investigate reports of possibly unethical experiments funded by the government decades ago. The Committee was directed to uncover the history of human radiation experiments during the period 1944 through 1974 and to examine cases in which the government had intentionally released radiation into the environment for research purposes. The Committee was further charged with identifying the ethical and scientific standards for evaluating these events, and with making recommendations to ensure that whatever wrongdoing may have ocurred in the past cannot be repeated. The Committee undertook three projects: A review of how each agency of the federal government that currently conducts or funds research involving human subjects regulates this activity or oversees it; An examination of the documents and consent forms of research projects that are today sponsored by the federal government in order to develop insight into the current status of protections for the rights and interests of human subjects; and, Interviews of nearly 1,900 patients receiving out-patient medical care in private hospitals and federal facilities throughout the country. This booklet provides an overview of the Final Report, summarizing each chapter.

  11. Reducing Infant Mortality Rate With Ultrasound in Rural India...

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    An average of about eighty babies were annually born In the Santhemarahalli Government Hospital in the recent years. The hospital did not have a blood bank or an anesthetist ...

  12. Bringing MRI where it's needed most

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    resonance imaging to create images of the brain that can be used in field hospitals for ... resonance imaging to create images of the brain that can be used in field hospitals for ...

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

    SciTech Connect

    Dunn, M.E.

    2006-02-27

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

  14. Cutting Edge Building Technologies – Join the fun!

    Energy.gov [DOE]

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

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

    Energy.gov [DOE] (indexed site)

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

  16. Healthcare Technologies | GE Global Research

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    imaging, visualization, navigation, monitoring, recording, therapy delivery, hospital information technology and Industrial Internet. Rather than looking at how we can...

  17. Welcome to

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Energy Information Administration (EIA) (indexed site)

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

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

    SciTech Connect

    Not Available

    1980-01-01

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

  20. Microsoft Word - Part 7.doc

    Office of Environmental Management (EM)

    7 Page 7-1 of 6 PART 7 - POST-CLOSURE CARE PLAN 7.1. OVERVIEW This Part specifies the post-closure care requirements for the WIPP facility. Post-closure care requirements are...

  1. CNS | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

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

  2. Life Insurance

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Life Insurance Life Insurance A comprehensive benefits package with plan options for health care and retirement to take care of our employees today and tomorrow. Contact Benefits...

  3. Legal Plan

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Legal Plan Legal Plan A comprehensive benefits package with plan options for health care and retirement to take care of our employees today and tomorrow. thumbnail of Benefits ...

  4. Error abstractions

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Error and fault abstractions Mattan Erez UT Austin *Who should care about faults and errors? *Ideally, only system cares about masked faults? - Assuming application bugs are not...

  5. EA-1444: Final Environmental Assessment

    Office of Energy Efficiency and Renewable Energy (EERE)

    Construction of New Office Building, Child-Care Facility, Parking Garage, And Storm Water Retention Pond

  6. TH-C-18C-01: MRI Safety

    SciTech Connect

    Pooley, R; Bernstein, M; Shu, Y; Gorny, K; Felmlee, J; Panda, A

    2014-06-15

    Clinical diagnostic medical physicists may be responsible for implementing and maintaining a comprehensive MR safety program. Accrediting bodies including the ACR, IAC, Radsite and The Joint Commission each include aspects of MR Safety into their imaging accreditation programs; MIPPA regulations further raise the significance of non-compliance. In addition, The Joint Commission recently announced New and Revised Diagnostic Imaging Standards for accredited health care organizations which include aspects of MR Safety. Hospitals and clinics look to the physicist to understand guidelines, regulations and accreditation requirements related to MR safety. The clinical medical physicist plays a significant role in a clinical practice by understanding the physical basis for the risks and acting as a facilitator to successfully implement a safety program that provides well-planned siting, allows for the safe scanning of certain implanted devices, and helps radiologists manage specific patient exams. The MRI scanning of specific devices will be discussed including cardiac pacemakers and neurostimulators such as deep brain stimulators. Furthermore for sites involved in MR guided interventional procedures, the MR physicist plays an essential role to establish safe practices. Creating a framework for a safe MRI practice includes the review of actual safety incidents or close calls to determine methods for prevention in the future. Learning Objectives: Understand the requirements and recommendations related to MR safety from accrediting bodies and federal regulations. Understand the Medical Physicist's roles to ensure MR Safety. Identify best practices for dealing with implanted devices, including pacemakers and deep brain stimulators. Review aspects of MR safety involved in an MR guided interventional environment. Understand the important MR safety aspects in actual safety incidents or near misses.

  7. Long-Term Outcomes of Vestibular Schwannomas Treated With Fractionated Stereotactic Radiotherapy: An Institutional Experience

    SciTech Connect

    Kapoor, Sumit; Batra, Sachin; Carson, Kathryn; Shuck, John; Kharkar, Siddharth; Gandhi, Rahul; Jackson, Juan; Wemmer, Jan; Terezakis, Stephanie; Shokek, Ori; Kleinberg, Lawrence; Rigamonti, Daniele

    2011-11-01

    Purpose: We assessed clinical outcome and long-term tumor control after fractionated stereotactic radiotherapy (FSRT) for unilateral schwannoma. Methods and Materials: Between 1995 and 2007, 496 patients were treated with fractionated stereotactic radiotherapy at Johns Hopkins Hospital (Baltimore, MD); 385 patients had radiologic follow-up that met the inclusion criteria. The primary endpoint was treatment failure. Secondary endpoints were radiologic progression and clinical outcome. Logistic regression analysis assessed the association of age, race, tumor side, sex, and pretreatment symptoms. Results: In 11 patients (3%) treatment failed, and they required salvage (microsurgical) treatment. Radiologic progression was observed in 116 patients (30.0%), including 35 patients (9%) in whom the treatment volume more than doubled during the follow-up period, although none required surgical resection. Tumors with baseline volumes of less than 1 cm{sup 3} were 18.02 times more likely to progress than those with tumor volumes of 1 cm{sup 3} or greater (odds ratio, 18.02; 95% confidence interval, 4.25-76.32). Treatment-induced neurologic morbidity included 8 patients (1.6%) with new facial weakness, 12 patients (2.8%) with new trigeminal paresthesias, 4 patients (0.9%) with hydrocephalus (1 communicating and 3 obstructive), and 2 patients (0.5%) with possibly radiation-induced neoplasia. Conclusions: Although the rate of treatment failure is low (3%), careful follow-up shows that radiologic progression occurs frequently. When reporting outcome, the 'no salvage surgery needed' and 'no additional treatment needed' criteria for treatment success need to be complemented by the radiologic data.

  8. Characterization of aerosols produced by surgical procedures

    SciTech Connect

    Yeh, H.C.; Muggenburg, B.A.; Lundgren, D.L.; Guilmette, R.A.; Snipes, M.B.; Jones, R.K.; Turner, R.S.

    1994-07-01

    In many surgeries, especially orthopedic procedures, power tools such as saws and drills are used. These tools may produce aerosolized blood and other biological material from bone and soft tissues. Surgical lasers and electrocautery tools can also produce aerosols when tissues are vaporized and condensed. Studies have been reported in the literature concerning production of aerosols during surgery, and some of these aerosols may contain infectious material. Garden et al. (1988) reported the presence of papilloma virus DNA in the fumes produced from laser surgery, but the infectivity of the aerosol was not assessed. Moon and Nininger (1989) measured the size distribution and production rate of emissions from laser surgery and found that particles were generally less than 0.5 {mu}m diameter. More recently there has been concern expressed over the production of aerosolized blood during surgical procedures that require power tools. In an in vitro study, the production of an aerosol containing the human immunodeficiency virus (HIV) was reported when power tools were used to cut tissues with blood infected with HIV. Another study measured the size distribution of blood aerosols produced by surgical power tools and found blood-containing particles in a number of size ranges. Health care workers are anxious and concerned about whether surgically produced aerosols are inspirable and can contain viable pathogens such as HIV. Other pathogens such as hepatitis B virus (HBV) are also of concern. The Occupational Safety and Health funded a project at the National Institute for Inhalation Toxicology Research Institute to assess the extent of aerosolization of blood and other tissues during surgical procedures. This document reports details of the experimental and sampling approach, methods, analyses, and results on potential production of blood-associated aerosols from surgical procedures in the laboratory and in the hospital surgical suite.

  9. SU-E-T-544: A Radiation Oncology-Specific Multi-Institutional Federated Database: Initial Implementation

    SciTech Connect

    Hendrickson, K; Phillips, M; Fishburn, M; Evans, K; Banerian, S; Mayr, N; Wong, J; McNutt, T; Moore, J; Robertson, S

    2014-06-01

    Purpose: To implement a common database structure and user-friendly web-browser based data collection tools across several medical institutions to better support evidence-based clinical decision making and comparative effectiveness research through shared outcomes data. Methods: A consortium of four academic medical centers agreed to implement a federated database, known as Oncospace. Initial implementation has addressed issues of differences between institutions in workflow and types and breadth of structured information captured. This requires coordination of data collection from departmental oncology information systems (OIS), treatment planning systems, and hospital electronic medical records in order to include as much as possible the multi-disciplinary clinical data associated with a patients care. Results: The original database schema was well-designed and required only minor changes to meet institution-specific data requirements. Mobile browser interfaces for data entry and review for both the OIS and the Oncospace database were tailored for the workflow of individual institutions. Federation of database queries--the ultimate goal of the project--was tested using artificial patient data. The tests serve as proof-of-principle that the system as a whole--from data collection and entry to providing responses to research queries of the federated database--was viable. The resolution of inter-institutional use of patient data for research is still not completed. Conclusions: The migration from unstructured data mainly in the form of notes and documents to searchable, structured data is difficult. Making the transition requires cooperation of many groups within the department and can be greatly facilitated by using the structured data to improve clinical processes and workflow. The original database schema design is critical to providing enough flexibility for multi-institutional use to improve each institution s ability to study outcomes, determine best practices

  10. Regional Information

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  11. donation | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

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

  12. donations | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

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

  13. Y-12 National Security Site | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    Site NNSA's Y-12 & Pantex partner donates $10,000 for children's hospital Y-12's Site Manager Bill Tindal (right) presents a $10,000 donation to East Tennessee Children's Hospital CEO Keith Goodwin in support of the hospital's capital campaign. NNSA's management and operations partner Consolidated Nuclear Security (CNS) continued its legacy of community giving this... Y-12 National Security Complex Completes W69 Dismantlement NNSA sites prepared for disasters using real-time response

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

    Office of Scientific and Technical Information (OSTI)

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

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

    Office of Scientific and Technical Information (OSTI)

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

  16. Transportation Emergency Preparedness Program - Making A Difference

    Office of Environmental Management (EM)

    * Specialist * Hospital - HSEEP compliant drill and exercise program 2010 MERRTT Continuous Improvement Items * Revised all supporting training video clips to i lit...

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Energy.gov [DOE] (indexed site)

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

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

    Energy.gov [DOE] (indexed site)

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

  20. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

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

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

    Office of Scientific and Technical Information (OSTI)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  3. AppendixD_SRG_Staff_

    Office of Environmental Management (EM)

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

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

    Energy.gov [DOE]

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

  5. Badging

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    National Nuclear Security Administration (NNSA)

    Calls for assistance come from state health departments, commercial nuclear power facilities, federal agencies, hospitals, the World Health Organization, the International Atomic ...

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

    Office of Scientific and Technical Information (OSTI)

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

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

    Office of Environmental Management (EM)

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

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

    Office of Environmental Management (EM)

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

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

    Energy.gov [DOE] (indexed site)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

  18. NREL International Programs

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  19. CBECS Archive

    Energy Information Administration (EIA) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Scientific and Technical Information (OSTI)

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

  2. Facilities | Argonne National Laboratory

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Additionally, the 4 Tesla Magnet Facility reuses hospital MRI magnets to provide benchmarking for new muon experiments that will be performed at Fermilab. 4 Tesla Magnet Facility ...

  3. 4 Tesla Magnet Facility | Argonne National Laboratory

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  12. ExecSummary_SRG _staff_

    Office of Environmental Management (EM)

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

  13. GATEWAY Univ of Maryland Report | Department of Energy

    Energy Saver

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

  14. Locust Ridge II Wind Farm | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

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

  15. New-Hire Packet

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  16. Microsoft Word - Final Private Wires Study 1-12-09clean .doc

    Office of Environmental Management (EM)

    ... based on the desired applications, and outputs can be various combinations of steam, hot water, hot air or chilled ... HospitalsHealthcare OilGas Extraction Primary Metals ...

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

    Energy.gov [DOE] (indexed site)

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

  18. Sector Collaborative on Energy Efficiency

    SciTech Connect

    none,

    2008-06-01

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

  19. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  2. SEATTLE HELPS COMMUNITIES POWER BUILDINGS EFFICIENTLY | Department...

    Energy Saver

    commercial entities, to hospitals and municipal buildings. ... help achieve the city's carbon and energy reduction goals. ... carbon pollution, energy waste, and healthy communities-to ...

  3. Beijing PowerU Technology | Open Energy Information

    OpenEI (Open Energy Information) [EERE & EIA]

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

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

    Energy.gov [DOE] (indexed site)

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

  5. Attendee Lists BNL June 4.xlsx

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  6. Jane E. Lawton Conservation Loan Program

    Energy.gov [DOE]

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

  7. Sold directly to consumers for:

    Energy Information Administration (EIA) (indexed site)

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

  8. U.S. Department of Energy Office

    Office of Environmental Management (EM)

    ... the National Fire Protection Association (NFPA) Standard 472 "Standard for Competence of ... MERRTT courses resulted in a total of 999 emergency medical technicians or hospital ...

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  10. FY 2012 Volume 2

    Energy.gov [DOE] (indexed site)

    8 Volume 2 f Department of Energy FY 2012 Congressional B d R Budget Request Other Defense ... and Hospitals Working Capital Fund Energy Information Administration Safeguards and ...

  11. Commercial Absorption Heat Pump Water Heater

    Energy Saver

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  13. Search for: All records | SciTech Connect

    Office of Scientific and Technical Information (OSTI)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  15. Thermal Energy Corporation Combined Heat and Power Project

    SciTech Connect

    Turner, E. Bruce; Brown, Tim; Mardiat, Ed

    2011-12-31

    To meet the planned heating and cooling load growth at the Texas Medical Center (TMC), Thermal Energy Corporation (TECO) implemented Phase 1 of a Master Plan to install an additional 32,000 tons of chilled water capacity, a 75,000 ton-hour (8.8 million gallon) Thermal Energy Storage (TES) tank, and a 48 MW Combined Heat and Power (CHP) system. The Department of Energy selected TMC for a $10 million grant award as part of the Financial Assistance Funding Opportunity Announcement, U.S. Department of Energy National Energy Technology, Recovery Act: Deployment of Combined Heat and Power (CHP) Systems, District Energy Systems, Waste Energy Recovery Systems, and Efficiency Industrial Equipment Funding Opportunity Number: DE-FOA-0000044 to support the installation of a new 48 MW CHP system at the TMC located just outside downtown Houston. As the largest medical center in the world, TMC is home to many of the nation's best hospitals, physicians, researchers, educational institutions, and health care providers. TMC provides care to approximately six million patients each year, and medical instruction to over 71,000 students. A medical center the size of TMC has enormous electricity and thermal energy demands to help it carry out its mission. Reliable, high-quality steam and chilled water are of utmost importance to the operations of its many facilities. For example, advanced medical equipment, laboratories, laundry facilities, space heating and cooling all rely on the generation of heat and power. As result of this project TECO provides this mission critical heating and cooling to TMC utilizing a system that is both energy-efficient and reliable since it provides the capability to run on power independent of the already strained regional electric grid. This allows the medical center to focus on its primary mission providing top quality medical care and instruction without worrying about excessive energy costs or the loss of heating and cooling due to the risk of power

  16. Digital radiography: a focus on clinical utility

    SciTech Connect

    Price, R.R.; Rollo, F.D.; Monahan, W.G.; James, A.E. Jr.

    1982-01-01

    This book is interesting and timely in that it covers the new and exciting area of digital radiography. The book begins with chapters on the physics, instrumentation, and terminology of digital radiography. Then cost-benefit ratios, legal implication, and outpatient vs. inpatient studies are discussed. The clinical chapters follow. These are applicable to the head and neck, heart, lungs, kidneys, peripheral arteries, and pediatric population. Discussion then centers on intraarterial digital subtraction, clinical experience at Wisconsin, nonangiography application of digital radiology in children, and analog film-screen subtraction intravenous angiography. The book ends by briefly discussing microwave imaging, nuclear magnetic resonance, emission tomography, real-time and Doppler sonography, analog tomography, and the future photoelectric radiology department.

  17. Fact #564: March 30, 2009 Transportation and the Gross Domestic...

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Housing, health care, and food are the only categories with greater shares of the GDP. GDP ... Gross Domestic Product, 2007 Housing 24.3% Health Care 17.4% Food 11.6% ...

  18. ARM - Feature Stories and Releases Article

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    It's MAGIC in the Pacific Bookmark and Share A crane operator carefully moves the AMF2's ... A crane operator carefully moves the AMF2's Roll-Pitch-Yaw stabilization platform into ...

  19. ARM - Campaign Instrument - pass-air

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Campaigns Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Indirect ...

  20. ARM - Campaign Instrument - ptr-ms

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Observations and ...

  1. ARM - Campaign Instrument - uhsas

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Campaigns Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Indirect ...

  2. ARM - Campaign Instrument - rsp

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Spring Cloud IOP ...

  3. ARM - Campaign Instrument - nephelometer

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Carbonaceous ...

  4. ARM - Campaign Instrument - fims

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Primary ...

  5. ARM - Campaign Instrument - trac

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Primary ...

  6. ARM - Campaign Instrument - cpc

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Colorado: The ...

  7. ARM - Campaign Instrument - aerosmassspec

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Carbonaceous ...

  8. ARM - Campaign Instrument - hsrl-air

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Cloud LAnd Surface ...

  9. ARM - Campaign Instrument - gustprobe-air

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Primary ...

  10. ARM - Campaign Instrument - aircraftcabin

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Carbonaceous ...

  11. ARM - Campaign Instrument - gasmonitor

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 Primary ...

  12. ARM - Campaign Instrument - sp2-air

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Campaigns Carbonaceous Aerosol and Radiative Effects Study (CARES) Download Data McClellan AFB, Sacramento, CA, USA; Off-Site Campaign (CARES), 2010.06.02 - 2010.06.28 ...

  13. Any Refrig-

    Energy Information Administration (EIA) (indexed site)

    .....",1654,1651,1616,1495,491,1234,605,426 "Health Care ......",3163,3013,2131,1... ..",2347,1940,870,"Q","Q",320,1743,763 "Health Care Complex ......",2303,2233,1858,1...

  14. Buildings*","Buildings

    Energy Information Administration (EIA) (indexed site)

    .........",297,282,94,149,"Q","Q" "Health Care ......",129,124,49,65,"Q.........",7.4,7.7,14.3,9.4,42.6,32.3 "Health Care ......",10,10.4,20.3,15....

  15. Buildings","All Heated

    Energy Information Administration (EIA) (indexed site)

    ....",1851,1721,"Q",583,261,"Q","Q",895,"Q" "Health Care ......",2918,2918,648,36....",1907,1885,"Q",832,584,"Q",462,708,"Q" "Health Care Complex ......",2339,2302,604,"Q...

  16. Buildings*","Buildings on Multibuilding Facilities",,"All

    Energy Information Administration (EIA) (indexed site)

    .........",297,27,"Q",1654,264,"Q" "Health Care ......",129,26,4,3163,18... or Complex ..",195,195,"Q",2347,2347,"Q" "Health Care Complex ......",39,39,8,2303,230...

  17. Floorspace

    Energy Information Administration (EIA) (indexed site)

    ......",297,1654,5.6,3.5 "Health Care ......",129,3163,24.6,6 ... Service ......",7.4,9,6.5,"" "Health Care ......",10,6.9,11.4,"" ...

  18. Susan M. Taylor | Department of Energy

    Energy.gov [DOE] (indexed site)

    founded as Essence CARES. The National CARES mission is to help end inter-generational poverty by securing and transforming the lives of under-resourced Black children. National...

  19. Pageflex Server [document: PF4577458_00001

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    You'll enjoy more value and the lowest out-of-pocket costs. * High Quality Vision Care. You'll get the best care from a VSP provider, including a WellVision Exam -the most...

  20. Policy Memorandum #3 Advanced Leave for Childbirth Adoption and...

    Office of Environmental Management (EM)

    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 ...

  1. Flexible Spending Accounts | National Nuclear Security Administration

    National Nuclear Security Administration (NNSA)

    Account Program (FSAFEDS), an account where you set aside a portion of your salary tax free each year to pay for your out-of-pocket health care and dependent care expenses. For...

  2. front cover

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    ... S services billed by a school, halfway house or group home, or their staff members; foster care; or behavior modification services S maintenance therapy or care provided after you ...

  3. Tax-Advantaged Plans

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Tax-Advantaged Plans Tax-Advantaged Plans A comprehensive benefits package with plan options for health care and retirement to take care of our employees today and tomorrow....

  4. DOE - Office of Legacy Management -- Tatum Salt Dome Test Site...

    Office of Legacy Management (LM)

    Site: Tatum Salt Dome Test Site (MS.01) Long-term care managed by DOE Legacy Management ... Status: Long-term care managed by DOE Legacy Management under the Nevada Offsites ...

  5. DOE - Office of Legacy Management -- Amchitka Island Test Center...

    Office of Legacy Management (LM)

    Site: Amchitka Island Test Center (AK.01) Long-term care managed by DOE Legacy Management ... Status: Long-term care managed by DOE Legacy Management under the Nevada Offsites ...

  6. Healthcare Energy Efficiency Research and Development

    SciTech Connect

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

    2011-01-31

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

  7. ARM - Campaign Instrument - wrf-chem

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Derived Quantities and Models, Surface Meteorology Campaigns Carbonaceous Aerosol and Radiation Effects Study (CARES) - Surface Meteorological Sounding Download Data Off...

  8. ARM - Feature Stories and Releases Article

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Caring for CARES: A California Air Study Keeps Spinning a Web of Research Bookmark and Share Insights on modeling and reality from an air zone that mixes urban and natural influences CARES principal investigator Rahul Zaveri, in front of the ARM Aerial Facility operated G-1 aircraft, led over 60 researchers during June 2010 in a campaign to investigate the ways in which atmospheric aerosols and their climate-affecting properties evolve as they travel and age. CARES principal investigator Rahul

  9. SBOT NEVADA NEVADA SITE OFFICE POC Anita Ross Telephone

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Locksmiths 561622 Exterminating and Pest Control Services 561710 Janitorial Services ... Business Utilization HEALTH CARE & SOCIAL ASSISTANCE Freestanding Ambulatory ...

  10. Research Highlight

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    aerosol, allowing carefully controlled and reproducible conditions. Benchmarking with humidified ammonium sulfate aerosol indicated that the optical measurements...

  11. Body of work

    SciTech Connect

    Carter, R.A.

    2008-06-15

    Selection of the right dump body for the job requires careful thinking, as is discussed in this paper. 2 figs.

  12. Dental Plan

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Dental Plan Dental Plan A comprehensive benefits package with plan options for health care and retirement to take care of our employees today and tomorrow. thumbnail of Benefits Office CONTACT US Benefits Office (505) 667-1806 Email Protect your smile Proper dental care plays an important role in your overall health, which is why the Lab offers employees and their eligible dependents free dental coverage through Delta Dental of California. In addition to free preventive care, the plan offers

  13. Management of Pediatric Spinal Cord Astrocytomas: Outcomes With Adjuvant Radiation

    SciTech Connect

    Guss, Zachary D.; Moningi, Shalini; Jallo, George I.; Cohen, Kenneth J.; Wharam, Moody D.; Terezakis, Stephanie A.

    2013-04-01

    Purpose: Pediatric intramedullary spinal cord tumors are exceedingly rare; in the United States, 100 to 200 cases are recognized annually, of these, most are astrocytomas. The purpose of this study is to report the outcomes in pediatric patients with spinal cord astrocytomas treated at a tertiary care center. Methods and Materials: An institutional review board-approved retrospective single-institution study was performed for pediatric patients with spinal cord astrocytomas treated at our hospital from 1990 to 2010. The patients were evaluated on the extent of resection, progression-free survival (PFS), and development of radiation-related toxicities. Kaplan-Meier curves and multivariate regression model methods were used for analysis. Results: Twenty-nine patients were included in the study, 24 with grade 1 or 2 (low-grade) tumors and 5 with grade 3 or 4 (high-grade) tumors. The median follow-up time was 55 months (range, 1-215 months) for patients with low-grade tumors and 17 months (range, 10-52 months) for those with high-grade tumors. Thirteen patients in the cohort received chemotherapy. All patients underwent at least 1 surgical resection. Twelve patients received radiation therapy to a median radiation dose of 47.5 Gy (range, 28.6-54.0 Gy). Fifteen patients with low-grade tumors and 1 patient with a high-grade tumor exhibited stable disease at the last follow-up visit. Acute toxicities of radiation therapy were low grade, whereas long-term sequelae were infrequent and manageable when they arose. All patients with low-grade tumors were alive at the last follow-up visit, compared with 1 patient with a high-grade tumor. Conclusion: Primary pediatric spinal cord astrocytomas vary widely in presentation and clinical course. Histopathologic grade remains a major prognostic factor. Patients with low-grade tumors tend to have excellent disease control and long-term survival compared to those with high-grade tumors. This experience suggests that radiation therapy

  14. Susan R. Podoba | Argonne National Laboratory

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Susan L. Taylor About Us Susan L. Taylor - Author, Former Editor of Essence magazine and Founder/CEO of the National CARES Mentoring Movement Susan L. Taylor Susan L. Taylor is the founder and CEO of the National CARES Mentoring Movement. After 27 years at the helm of Essence magazine, Taylor left publishing to devote her life to building the National CARES Mentoring, founded as Essence CARES. The National CARES mission is to help end inter-generational poverty by securing and transforming the

  15. Pageflex Server [document: PF5766808_00001]

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    the best in eyecare and eyewear with Los Alamos National Labs and VSP ® Vision Care. Why enroll in VSP? We invest in the things you value most- the best care at the lowest out-of-pocket costs. Because we're the only national not-for-profit vision care company, you can trust that we'll always put your wellness first. You'll like what you see with VSP. Value and Savings. You'll enjoy more value and the lowest out-of-pocket costs. High Quality Vision Care. You'll get the best care from a VSP

  16. JLab volunteers help out at Boys & Girls Club Thrift Store during Day of

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Caring | Jefferson Lab volunteers help out at Boys & Girls Club Thrift Store during Day of Caring JLab volunteers help out at Boys & Girls Club Thrift Store during Day of Caring JLab volunteers help out at Boys & Girls Club Thrift Store during Day of Caring Nine Jefferson Lab volunteers rolled up their sleeves and spent the day helping out at the Boys & Girls Club Thrift Store located on Warwick Boulevard on Sept. 9, the United Way's 2016 Day of Caring. The group spent the

  17. WE-A-16A-01: International Medical Physics Symposium: Increasing Access to Medical Physics Education/Training and Research Excellence

    SciTech Connect

    Bortfeld, T; Ngoma, T; Odedina, F; Morgan, S; Wu, R; Sajo, E; Ngwa, W

    2014-06-15

    Africa. This goal can only be achieved by stakeholders and dedicated individuals to lead and implement the strategies outlined in this plan. If you are interested in partnering with AORTIC to reduce the burden of cancer in Africa, please send an email to info@aortic-africa.org. Synergies in research and clinical care through international collaboration Thomas Bortfeld and David Gierga, Massachusetts General Hospital, Harvard Medical School, MA Medical Physics relies on high technology that is not distributed equally. The whole spectrum of Medical Physics technologies is not available at every hospital or research institute, and not even in every high income country. One example is heavy ion therapy equipment which is currently only available in Japan, Germany and Italy. There is also a large global variation in terms of research infrastructure and focus. A student of Medical physics cannot gain broad experience, certainly not hands-on experience, by staying at one place only. While it is debatable what a good trade-off between breadth and depth in Medical Physics education is, it is generally agreed upon that some breadth is necessary. Researchers in Medical Physics have to cross borders if they need specific technologies for their projects. Therefore it is self-evident that international programs in Medical Physics education and research make sense. Yet, very few programs of this type exist. In this presentation we will report on our own experience of pursuing an international career in Medical Physics, with international student programs, and with the international exchange of researchers. We will present new or planned opportunities such as the medical beamline at CERN in Geneva. We will also report on the synergies in clinical care through international collaborations between partners in high and low income countries. One example is the partnership of the MGH/Harvard Medical School community with the oncology community and government of Botswana to form the BOTSOGO

  18. Chicago Operations Off ice 9800 South Cass Avenue

    Office of Legacy Management (LM)

    The work at the Medical Research Center involved animal inhalation studies involving uranium dust. The work involved use of a small basement area of the hospital. This area was ...

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

  20. Sandia National Laboratories: About Sandia: Diversity

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  1. CX-004099: Categorical Exclusion Determination

    Office of Energy Efficiency and Renewable Energy (EERE)

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

  2. FEMP Focus - Jan/Feb 2003 Issue

    SciTech Connect

    2003-02-01

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

  3. Women @ Energy: Tina Henne | Department of Energy

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

    Mary's Hospital, she continued her studies toward a Bachelor's of Science in biology at ... education towards a Bachelor's degree in biology with the intent to go to medical school. ...

  4. Meteorological Data Report for YKHC Bethel, Alaska

    OpenEI (Open Energy Information) [EERE & EIA]

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

  5. ARM - Facility News Article

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE) (indexed site)

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

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

    Office of Scientific and Technical Information (OSTI)

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

  8. Fermilab Today

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    One West Speaker: Mark Pankuch, Central DuPage Hospital Title: Cancer Treatment 3:30 p.m. ... people around the globe: contributions to cancer therapy, the design of accelerators that ...

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    to create images of the brain that can be used in field hospitals or in remote villages. ... Consider the winding path our team at Los Alamos National Laboratory took from brain-imagi...

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

    Energy.gov [DOE]

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

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

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

  13. SREL Reprint #3150

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

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

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

    Office of Environmental Management (EM)

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

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

    Office of Energy Efficiency and Renewable Energy (EERE)

    On March 3, 2016, an OHA Administrative Judge issued a decision in which he concluded that an individual’s security clearance should be restored.  The individual was hospitalized after becoming ill...

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

    Energy.gov [DOE] (indexed site)

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

  17. CX-004117: Categorical Exclusion Determination

    Energy.gov [DOE]

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

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

    Energy.gov [DOE]

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

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

    Energy Saver

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

  20. Water Gunks Up Biofuels Production from Bio-Oils | U.S. DOE Office of

    U.S. Department of Energy (DOE) - all webpages (Extended Search)

    Water Data Collection in the 2007 CBECS CBECS 2007 - Release date: August 28, 2012 Did you know? Select water data results are described in the accompanying report, Energy Characteristics and Energy Consumed in Large Hospital Buildings in the United States in 2007 and tabulated in 2007 CBECS Large Hospital Building List of Tables. The 2007 round of the Commercial Buildings Energy Consumption Survey (CBECS) was the first time in the 30 year CBECS history that questions about water consumption