Academic literature on the topic 'Panier de soins'
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Journal articles on the topic "Panier de soins":
1
Bas, Anne-Charlotte. "L’accès aux soins bucco-dentaires dans la réforme 100 % santé : contexte et perspectives." Santé Publique 35, HS1 (December 1, 2023): 119–24. http://dx.doi.org/10.3917/spub.hs1.2023.0119.
Abstract:
Le volet bucco-dentaire de la réforme « 100 % santé » devait répondre au problème majeur des inégalités sociales d’accès aux soins dentaires en France. Nous proposons ici un résumé du contexte qui a appelé à cette réforme de la régulation des soins dentaires, une présentation de la réforme « 100 % santé » ainsi que des enjeux auxquels son application devra faire face. Les difficultés d’accès aux soins dentaires constatées étaient notamment associées à des restes à charge particulièrement élevés pour les usagers. La participation financière des usagers étaient ainsi la première cible de la réforme « 100 % santé », juste avant le renforcement d’une politique de santé préventive. L’outil principal de cette réforme est un plafonnement du tarif de certains soins. Cela permet d’organiser le financement total de ces soins par les assurances santé. Il existe désormais trois paniers de soins ayant chacun une tarification et un financement différent. Le premier panier propose des soins sans reste à charge pour le patient. Cette réforme constitue un choc dans la régulation des soins dentaires qui pourrait avoir des conséquences très différentes selon les territoires et leur dotation en chirurgiens-dentistes. L’efficacité de la réforme sur l’évolution de la consommation de soins et son efficience en matière de réduction des inégalités d’accès doivent être surveillées.
2
Leguay, D. "Les trois révolutions qui amélioreraient immédiatement l’efficience de notre système de soins psychiatriques." European Psychiatry 30, S2 (November 2015): S6. http://dx.doi.org/10.1016/j.eurpsy.2015.09.027.
Abstract:
Notre système de soins psychiatriques est à la fois sophistiqué, intelligent, et dysfonctionnel. Ses moyens restent importants. Toutefois la satisfaction de ses clients est faible. Ses résultats thérapeutiques globaux pourraient être significativement améliorés. Son efficience économique pourrait être optimisée. Des données internationales existent qui montrent que certains parcours de soins offrent davantage d’opportunités de rétablissement, à l’aune de la réduction de la pathologie, et des paramètres d’insertion. Le système français pourrait se mobiliser pour évoluer. Pour cela, trois révolutions seraient à mettre en œuvre :– la première serait de définir à la politique de santé mentale des objectifs de santé publique. C’est en poursuivant des objectifs chiffrés que l’on avance ;– la deuxième est de mettre en œuvre des structures dédiées, intersectorielles, offrant à tous le « panier de soins » nécessaires. Ce panier de soins devrait être défini, et leur mise à disposition sur chaque territoire devrait être systématique ;– la troisième est d’opérer le « virage du handicap psychique », de développer l’accompagnement médicosocial, et de tirer parti de tous les outils introduits par la loi de 2005.L’intervenant développera les données disponibles qui justifient ces propositions, déclinera les leviers à utiliser, et les modalités de mise en œuvre de ces « révolutions ».
3
Piveteau, Denis. "Le « Panier de soins » : une notion en trompe-l’œil ?" Revue d'économie financière 76, no. 3 (2004): 175–86. http://dx.doi.org/10.3406/ecofi.2004.4920.
4
JANCZEWSKI, A., M. JEGO-SABLIER, and J. KHOUANI. "Droit universel à la santé pour les populations migrantes vulnérables." EXERCER 34, no. 198 (December 1, 2023): 456–59. http://dx.doi.org/10.56746/exercer.2023.198.456.
Abstract:
L’Organisation mondiale de la santé positionne l’accès universel et l’équité des soins comme des critères d’évaluation de la performance des systèmes de santé. L’Organisation des Nations unies est en faveur d’une couverture sanitaire universelle, objectif 2030. En France, il a été proposé de redéfinir l’aide médicale d’État (AME), en argumentant une économie budgétaire. Les personnes en situation irrégulière auraient accès aux soins uniquement pour les situations médicales urgentes. L’état de santé de tous les primo-arrivants est préoccupant, avec une grande fréquence des problèmes de santé physique et psychique. Parmi eux, ceux en situation irrégulière et les demandeurs d’asile sont particulièrement vulnérables. Seule une faible proportion des personnes pouvant bénéficier de l’AME auraient ouvert leurs droits. Ce papier de position explore les interactions entre le droit universel à la santé et la vulnérabilité des populations migrantes. Il propose aux soins de santé primaires de prendre soin de ces populations vulnérables, en appliquant les principes de l’universalisme proportionné, d’aller-vers et de faire-avec. Il avertit qu’une réduction du panier de soins de l’AME aurait pour effet d’augmenter le renoncement aux soins et de dégrader l’état de santé des populations concernées.
5
Leguay, D., and J. L. Roelandt. "Reh@b’ ET CCOMS – Quel « panier » de soins et de services dans la cité pour les personnes souffrant de troubles psychiatriques chroniques ?" European Psychiatry 30, S2 (November 2015): S89. http://dx.doi.org/10.1016/j.eurpsy.2015.09.385.
Abstract:
Les soins de réhabilitation constituent désormais un registre incontournable de la prise en charge des personnes présentant des troubles psychiatriques chroniques et invalidants. Mais quels soins de réhabilitation sont-ils indispensables ? Prenant place dans quels parcours de santé ? Et proposés par quels dispositifs ? En d’autres termes, qu’est-ce qui constitue le « panier de soins » de réhabilitation exigible aujourd’hui par les usagers et les familles pour ne pas subir une « perte des chances » de se rétablir ? Dans le prolongement de ces soins, quels accompagnements et aménagements sociaux doivent-ils être systématiquement recherchés ? Les intervenants s’attacheront à définir ce que doit être un parcours de rétablissement, les standards de soins et les services qui doivent être mis en œuvre. Au terme de cette session, les participants auront une vue globale des outils et de l’organisation du système de santé permettant de mettre en œuvre les soins de réhabilitation.
6
Clauvel Niama, Ange. "Panier de soins et assurance maladie universelle en Afrique : aspects méthodologiques." Revue française des affaires sociales 1, no. 4 (2018): 173. http://dx.doi.org/10.3917/rfas.184.0173.
7
Giraud-Baro, E. "Retour sur expérience en Rhône-Alpes, réflexion sur le panier de soin." European Psychiatry 30, S2 (November 2015): S90. http://dx.doi.org/10.1016/j.eurpsy.2015.09.389.
Abstract:
L’ARS Rhône-Alpes a eu la volonté de structurer l’offre de soins et de parcours en réhabilitation psychosociale à partir d’expériences locales et de données probantes issues des expériences étrangères. Des centres référents ont été labellisés pour des missions spécifiques et dotés en conséquences, un centre ressource a été créé pour dynamiser et aider à la construction de relais au sein des secteurs de psychiatrie. La question des équipements nécessaires et indispensables à la pratique de la réhabilitation en intégrant la dimension centrale du rétablissement a été largement discutée et tranchée selon des arguments cliniques, organisationnels.
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Nour, Kareen, Véronique Billette, and Alan Regenstreif. "Les services spécialisés en santé mentale pour des personnes âgées du CSSS Cavendish. Déjà 10 ans." Intervention 25, no. 1 (August 30, 2013): 152–78. http://dx.doi.org/10.7202/1018235ar.
Abstract:
Plusieurs CSSS du Québec réfléchissent sur l’organisation des soins et services en santé mentale pour la clientèle âgée afin de mieux les desservir. Certains ont souligné leur intérêt à implanter un modèle organisationnel de services en santé mentale qui s’apparente à celui du CSSS Cavendish-CAU. Ce modèle, en place depuis plus d’une dizaine d’années, fut développé grâce à l’expertises cliniques et aux meilleures pratiques dans le domaine. Avant d’exporter ce modèle novateur de services, il apparaissait important d’analyser son évolution à travers le temps. Une analyse détaillée de plusieurs sources de données (ex. documents de travail, entrevues individuelles, focus groups, etc.) a permis de constater que les services imaginés en 1999 ont passablement changés. Cette analyse souligne plusieurs transformations positives telles que l’amélioration du continuum de soins, l’augmentation et la diversification du panier de services, mais également des changements de paradigmes et de pratiques sont questionnables. Le Plan d’action (2005) du MSSS a évacué deux concepts fondamentaux des services spécialisés en santé mentale 60 ans et plus (SSSM60+), soit l’autonomie psychosociale et les comportements à risques qui sont à la base d’une intervention plus sociale que médicale. Une attention particulière doit être accordée à ces concepts afin de les remettre à l’avant plan dans l’offre de services.
9
Gayte, Marie, and Blandine Chelini-Pont. "L'objection de conscience opposable, nouvelle stratégie légale et judiciaire des acteurs religieux aux Etats-Unis (2011-2018)." Studies in Religion/Sciences Religieuses 48, no. 3 (September 2019): 382–409. http://dx.doi.org/10.1177/0008429819886729.
Abstract:
En mars 2010, Barack Obama fait adopter par le Congrès une réforme visant à élargir au maximum la couverture maladie des Américains. Parmi les points de la réforme, dans le cadre des plans collectifs, les employeurs ont l’obligation de fournir à leurs salariés un panier de soins préventifs dont le contenu, édicté par le ministère de la santé, inclut les moyens de contraception. Le ministère de la Santé a écarté la prise en charge des soins contraceptifs par les employeurs religieux au sens strict comme les Eglises, puis les organisations religieuses sans but lucratif dont les universités et les hôpitaux. Mais ces exemptions ne vont pas empêcher une levée de boucliers au sein de l’épiscopat catholique qui dénonce le contraceptive mandate comme une atteinte à la liberté religieuse et en appelle à la désobéissance civile. Il est bientôt rejoint par de nombreuses organisations évangéliques, avec lesquelles il finit par faire cause commune pour défendre le droit à l’objection de conscience des chrétiens à accepter la contraception comme un soin pris en charge. Ce droit recouvre également leur refus de la légalité de l’avortement et du mariage homosexuel. Depuis 2010, plusieurs Etats, sur la base de cette posture et grâce à des majorités républicaines ont adopté des textes protégeant prioritairement la liberté religieuse incluant l’objection en cas de conflit de conscience face à la loi. Cette présentation s’attachera à mettre en évidence les racines de l’objection de conscience dans le contexte religieux américain ainsi que sa direction actuelle. Elle dressera un premier état des lieux de l’efficacité, légale et judiciaire, de cette stratégie d’objection religieuse
10
Lefebvre, Pierre. "Discrimination sexuelle dans les dépenses des ménages : survol de la littérature et évidences empiriques pour le Canada." Articles 82, no. 1-2 (August 28, 2006): 119–53. http://dx.doi.org/10.7202/013467ar.
Abstract:
Résumé La recherche récente suggère que le sexe d’un enfant a des effets importants et étendus sur les comportements parentaux et les résultats familiaux. Un constat général émerge de cette littérature : en matière de choix de vie familiale (mariage, divorce, fécondité) et de comportements individuels (de travail, de consommation, d’activités non marchandes) il y a des différences notables entre les hommes et les femmes. Les constats empiriques sont cohérents avec les modèles économiques qui expliquent les comportements intrafamiliaux comme le résultat d’un processus complexe de négociations concernant l’allocation du temps et des ressources familiales, et le partage du « surplus » familial et conjugal (dégagé par rapport au fait de vivre seul). Cette recherche aborde la question en examinant le panier des dépenses de consommation des familles qui ont un ou deux enfants du même sexe. L’analyse empirique cherche à identifier s’il y a un effet de « genre » dans les dépenses familiales en estimant l’effet du sexe de l’enfant sur plusieurs catégories de dépenses dont des biens familiaux à caractère public tels que l’habitation et les biens durables. D’autres types de dépenses sont aussi analysés (alimentation, soins médicaux, loisir et divertissement, aliments achetés au restaurant, services personnels, soins de santé et médicaments, dons et contributions). L’analyse utilise les microdonnées des fichiers publics de l’Enquête sur les dépenses des ménages de 1997 et 1998, les deux seules années où Statistique Canada identifie le sexe des enfants de 0-17 ans. Les résultats empiriques suggèrent que les effets sont peu marqués et systémiques.
Dissertations / Theses on the topic "Panier de soins":
1
Seri, Bi Neatien Urbain Victorien. "Contribution à l'étude de la Couverture maladie universelle (CMU) au prisme du droit à la santé en droit social ivoirien." Electronic Thesis or Diss., Bordeaux, 2024. http://www.theses.fr/2024BORD0013.
Abstract:
L'accès aux soins de santé, notamment des plus pauvres, est une préoccupation au coeur des réflexions dans tous les systèmes politiques et juridiques nationaux. La question se pose davantage sur le continent africain où il existe peu de mécanismes de couverture santé. Les différents projets de Couverture maladie universelle initiés dans un certain nombre de pays africains tentent d'y apporter des solutions, mais peinent encore à se déployer. C'est le cas en Côte d'Ivoire depuis l'entrée en vigueur, le 1er octobre 2019, de la loi n°2014-131 du 24 mars 2014 instituant la Couverture maladie universelle. En dehors des travailleurs salariés et des fonctionnaires en activité ou à la retraite, les populations intègrent lentement et difficilement la CMU pourtant obligatoire pourtous. Il faut dire que le projet fait l'objet de critiques et de peu d'adhésion de la part de la population. Il pèche également par ses dispositions qui alimentent ces critiques, notamment sur la durée du délai de carence s’imposant à l’assuré, le caractère obligatoire de l'activité professionnelle pour les étrangers, le manque d'ouverture à d'autres formes de médecine telle que la médecine traditionnelle. Cela dit, l'exercice du droit fondamental à la santé dans un environnement marqué par un secteur informel important et une population à majorité pauvre passe par un système obligatoire et solidaire de mutualisation du risque comme la CMU. Reste à déterminer le modèle adéquat, notamment en termes de financement, afin de mettre en adéquation son objectifd’universalité et le contexte dans lequel il est mis en oeuvreAccess to health care, particularly for the poorest, is a central concern in all national political and legal systems. The issue is more acute on the African continent, where there are few health coverage mechanisms. The various Universal Health Coverage projects initiated in a number of African countries are attempting to provide solutions, but are still struggling to get off the ground. This has been the case in Côte d'Ivoire since law no. 2014-131 of 24 March 2014 instituting Universal Health Coverage came into force on 1 October 2019. Apart from salaried workers and civil servants, both active and retired, people are slowly and painstakingly integrating the CMU, despite the fact that it is compulsory for everyone. It has to be said that the project is the subject of criticism and little support from the population. It is also flawed by its provisions, which fuel these criticisms, in particular the length of the waiting period imposed on the insured, the compulsory nature of professional activity for foreigners, and the lack of openness to other forms of medicine such as traditionalmedicine. That said, if the fundamental right to health is to be exercised in an environment characterised by a large informal sector and a predominantly poor population, a compulsory, solidarity-based risk-pooling system such as the CMU is needed. What remains to be done is to determine the appropriate model, particularly in terms of funding, so as to match its universal objective with the context in which it is implemented
Books on the topic "Panier de soins":
1
Reynolds, Michael Frank. Sons of the Reich: II SS Panzer Corps, Normandy, Arnhem, Ardennes, Eastern Front. Barnsley: Pen & Sword Military, 2009.
2
Reynolds, Michael Frank. Sons of the Reich: The history of II SS Panzer Corps in Normandy, Arnhem, the Ardennes, and on the Eastern Front. Havertown, PA: Casemate, 2004.
3
Reynolds, Michael. Sons of the Reich: The History of II Panzer Corps. Casemate Publishers and Book Distributors, 2002.
4
Reynolds, Michael. Sons of the Reich: II Panzer Corps, Normandy, Arnhem, Ardennes, Eastern Front. Pen & Sword Books Limited, 2013.
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CB, Michael Reynolds. Sons of the Reich: II Panzer Corps, Normandy, Arnhem, Ardennes, Eastern Front. Pen & Sword Books Limited, 2013.
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Reynolds, Michael. Sons of the Reich: II Panzer Corps, Normandy, Arnhem, Ardennes, Eastern Front. Pen & Sword Books Limited, 2013.
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Reynolds, Michael Frank. Sons of the Reich: II SS Panzer Corps: Normandy, Arnhem, Ardennes, Eastern Front. Spellmount Publishers, 2002.
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Reynolds, Michael. Sons of the Reich. Spellmount Publishers Ltd, 2004.
9
Langford, Daniel L., and Emil J. Authelet. When the Caregiver Becomes the Patient: A Journey from a Mental Disorder to Recovery and Compassionate Insight. Haworth Press, 2002.
Book chapters on the topic "Panier de soins":
1
Durand-Zaleski, Isabelle. "24. Le panier de soins." In Traité d'économie et de gestion de la santé, 241–46. Presses de Sciences Po, 2009. http://dx.doi.org/10.3917/scpo.bras.2009.01.241.
2
Mishra, Rajiv K., and Charline Bidelot. "Corps, biométrie et soins de santé en Inde." In Panser la santé mondiale, 105–10. Éditions Syllepse, 2022. http://dx.doi.org/10.3917/syll.cetri.2022.03.0105.
3
Hay, William W., and Christopher N. Wold. "The Role of Mountains and Plateaus in a Triassic Climate Model." In Tectonic Boundary Conditions for Climate Reconstructions, 116–44. Oxford University PressNew York, NY, 1998. http://dx.doi.org/10.1093/oso/9780195112450.003.0006.
Abstract:
Abstract The Triassic is a unique episode in Earth history (Triimpy, 1982), characterized by the most arid climates of the Phanerozoic. Although the entire Triassic was arid, the Early Triassic (Scythian) was unique in leaving no record of equatorial forests or soils that would reflect the high rainfall that must occur in the Intertropical Convergence Zone (ITCZ). The amalgamation of Laurussia and Gondwana to form Pangea had occurred at the end of the Pennsylvanian Period (290 Ma), and the breakup of Pangea that led to formation of the modem ocean basins occurred during the Jurassic, starting about 180 Ma. The Triassic represents the middle of the interval during which Pangea existed. The general paleogeography of the Triassic was not greatly different from that of the Permian and Early Jurassic. Pangea extended almost from pole to pole, having a nearly meridional western margin and a large embayment, the Tethys, on its eastern side.
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Magnarella, Paul J. "Arrest, Trial, Escape." In Black Panther in Exile, 81–102. University Press of Florida, 2020. http://dx.doi.org/10.5744/florida/9780813066394.003.0006.
Abstract:
In chapter 5 Pete O’Neal describes his arrest in Kansas City, Missouri, for allegedly violating the Federal Gun Control Act of 1968. O’Neal travels to California to seek help from Charles Gary, the Panthers’ regular defense attorney. Rather than offering to defend O’Neal, Gary tells him he could help the Party more from inside prison. Deeply disappointed, O’Neal leaves the Black Panther Party and forms the Sons of Malcolm. He is convicted in Federal District Court with attorney Austin Shute defending and Judge Arthur J. Stanley presiding. Fearing that he would be killed in prison, O’Neal flees to Sweden with his wife, Charlotte.
5
Vybornov, V. V. "КАПЕЛЬНОЕ ОРОШЕНИЕ РЕПЧАТОГО ЛУКА: ИТОГИ 2019 г." In НАУЧНО-МЕТОДИЧЕСКОЕ ОБЕСПЕЧЕНИЕ РАЗВИТИЯ МЕЛИОРАТИВНО-ВОДОХОЗЯЙСТВЕННОГО КОМПЛЕКСА, 5. ФГБНУ «ВНИИГиМ им. А.Н. Костякова», 2020. http://dx.doi.org/10.37738/vniigim.2020.67.35.003.
Abstract:
Представлены данные по площадям посева репчатого лука в мире, России и Волгоградской области. Наибольшие площади посева лука в России отмечены в Волгоградской области - 6,48 тыс. га. Цель исследований -повышение эффективности управления водным и минеральным питанием репчатого лука за счет обоснования расчетного слоя увлажнения почвы и агротехнических приемов возделывания на светло-каштановых почвах для получения 110 т/га товарной продукции. Полевой опыт включает следующие варианты: водный режим почвы (фактор А), режим минерального питания (фактор В), перспективные гибриды лука (фактор С). Исследования проводятся на посевах репчатого лука ВалероF1 МанасF1 ПандероF1 УниверсоF1 БлустерF1 СедонаF1.Data on the areas of onion sowing in the world, Russia and the Volgograd region are presented. The largest areas of onion sowing in Russia were recorded in the Volgograd region of 6.48 thousand ha. The aim of the research is to increase the efficiency of water and mineral nutrition management of onions by substantiating the calculated soil moisture layer and agrotechnical methods of cultivation on light chestnut soils to obtain 110 t / ha of commercial products. Field experience includes the following options: soil water regime (factor A), mineral nutrition regime (factor B), promising onion hybrids (factor C). Research is conducted on onions onion Valero F1 Manas F1 Pandero F1 Universo F1 Bluster F1 Sedona F1.
Conference papers on the topic "Panier de soins":
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Purvina, Dana, Ieva Licite, Aldis Butlers, Andis Lazdins, Guntis Saule, Andris Turks, and Larysa Prysiazhniuk. "Evaluation of peat layer thickness effect on soil GHG fluxes." In 22nd International Scientific Conference Engineering for Rural Development. Latvia University of Life Sciences and Technologies, Faculty of Engineering, 2023. http://dx.doi.org/10.22616/erdev.2023.22.tf096.
Abstract:
Organic soils are the largest source of GHG emissions in Latvia producing the amount of emissions comparable with the whole energy sector. Organic soils in cropland and grassland alone release about 4.5 mill. tonnes of CO2 eq. annually, which is nearly twice as big as the total emissions from the agriculture sector in Latvia. The reduction of the emissions from the organic soils is the primary target to implement the climate neutrality target in the post-2050 period in LULUCF sector. One of the issues in reporting of GHG emissions from organic soils is different definitions of organic soils, e.g. Latvia is using the Intergovernmental Panel on Climate Change (IPCC) definition (at least 10 cm deep peat layer and at least 12% of carbon content in upper 20 cm of the topsoil), while other countries use different criteria, e.g., at least 30 cm or 40 cm deep peat layer. The scope of this study is evaluating the effect of the peat layer thickness on GHG fluxes in grasslands. The study results proved that increase of the peat layer depth is associated with a trend of increase of CO2 and CH4 emissions. There is also strong correlation between CH4 emissions and the groundwater depth and soil temperature and CO2 emissions. N2O emissions are correlating with nitrogen content in soil. In the study sites soil turns into net source of CH4 emissions if the depth of peat layer exceeds 40 cm. The study results point that the peat depth should be considered as one of the parameters in accounting of GHG emissions.
2
Bardulis, Andis, Dana Purvina, Arta Bardule, and Andis Lazdins. "Potential role of tree introduction in agricultural land to reduce greenhouse gas emissions." In 22nd International Scientific Conference Engineering for Rural Development. Latvia University of Life Sciences and Technologies, Faculty of Engineering, 2023. http://dx.doi.org/10.22616/erdev.2023.22.tf038.
Abstract:
The European Union (EU) has proposed legislative revisions to achieve climate neutrality in EU by 2050. The Land Use, Land-Use Change and Forestry (LULUCF) Regulation, adopted in 2018, is being revised to ensure that accounted greenhouse gas (GHG) emissions from LULUCF are balanced by equivalent accounted removals of carbon dioxide (CO2) from the atmosphere. This study focuses on the impact of targeted tree introduction in agricultural land in Latvia, specifically afforestation of drained organic soil and implementation of agroforestry systems (riparian buffer strips), on national GHG reduction targets for the LULUCF sector. The potential contributions of selected measures were evaluated using evaluation methods including GHG emissions factors based on the Intergovernmental Panel on Climate Change (IPCC) guidelines and recent scientific studies. The study differentiated between different land use categories by GHG emissions from soil and CO2 removals in living biomass, dead wood, litter, mineral soil, and organic soil. Basic scenarios were compared with additional scenarios that included afforestation of drained organic soils and implementation of agroforestry systems. The study analysed the possibilities of achieving LULUCF sector goals for 2030, 2035, and 2050 with the selected scenarios. According to the basic scenarios, the LULUCF sector has been a continuous source of GHG emissions since 2019, partly compensated by forest management by 2040, but after 2040 forest management becomes a source of GHG emissions as well. The study shows that afforestation of organic soils currently used for agricultural production can reduce GHG emissions and ensure the achievement of national LULUCF targets for 2021-2025, with a significant decrease in GHG emissions by 3.9 million t CO2 eq. during the 2021-2025 period if compared to the basic scenario. However, the study finds that national target of net GHG removals is not achieved for 2026-2030 according to both basic and afforestation scenarios if no additional measures, e.g., establishment of the shelter belts, are implemented.
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Morton, Mark, and Janaka Jayamaha. "Technical Justification and Choice for Remediation Methods." In ASME 2011 14th International Conference on Environmental Remediation and Radioactive Waste Management. ASMEDC, 2011. http://dx.doi.org/10.1115/icem2011-59398.
Abstract:
When out of normal material or very high activity is encountered in a Deactivation & Decommissioning (D&D) project, special considerations are needed. As the source term increases, the level of attention to planning, project cost and risk management must increase as well. WorleyParsons (WP) is engaged in identifying, screening and documenting (with follow on project design expected) the various remediation methods available to remove highly contaminated soils discovered under a hot cell. Soil dose rates have been measured in the 70 to 100 Sieverts/hour range, with radionuclide mix to be defined in mid to late summer 2011 from samples collected in June 2011. The scope of this project is to identify remedial techniques and removal methods (means and methods) and develop a set of technically implementable remedial alternatives (alternatives). These remedial alternatives will be screened by a Technical Panel consisting of WP and client experts using a WP defined screening process to narrow the list of alternatives. Transparency and un-biased choice of actions is key to owner and public confidence in the process and the choice of the ultimate path forward. The poster will show Phase 1 — how potential remedial techniques and removal methods (means and methods) were first identified, catalogued and initial screened. Following the initial screening, the remaining means and methods are combined to form an alternative — a stabilization means with a removal method are matched with a waste container to from an alternative. A rough order of magnitude (ROM) cost estimate and high level schedule are also developed for each alternative. In parallel with the above, screening criteria with associated design attributes were identified and given a weight factor and attribute value, which are then multiplied together and used to develop a decision matrix for the developed alternatives. Two parallel processes — screening criteria development and alternative development — are being pursued to allow better focus on each while not prejudicing the final alternative selection. Phase 2 actions — the expert panel - grade each alternative against the pre-approved screening criteria using the decision matrix that compiles results — real time but blind to the panel. The top two to four scores from this last effort will proceed to a pre-conceptual, conceptual design phase and the expert panel reconvened to make the final decision on the remediation methods to be used for removing the soil / contamination.
4
Abukhodair, Bassam M., Joe Litman, and Jay Bergman. "Concrete Containment Wall vs. Earthen Containment Dikes." In 2008 7th International Pipeline Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/ipc2008-64042.
Abstract:
The most common form of secondary containment for petroleum tanks is an earthen dike structure. Precast, pre-stressed concrete wall structures, however, can offer effective secondary containment, especially for sites that encroach on existing infrastructure, property limits, or environmentally sensitive areas. A secondary containment system constructed with concrete walls occupies a much smaller footprint than an earthen dike structure. This reduction in footprint can be critical, particularly in today’s expanding market which is placing increasing pressure on available site properties including, in many cases, the need to acquire permits for the development of environmentally sensitive areas. The new Tank #79 and Tank #80 projects at the Enbridge Griffith Terminal utilized an 880 lineal foot precast, pre-stressed concrete containment wall system. The existing site soils were sandy and unsuitable for containment berm construction. Therefore, earthen dike structure construction would have required imported clay material. However, the primary motivation for using the structural wall system at the Griffith Terminal was to reduce wetland impacts on the adjacent protected Hoosier Prairie Wetland. The concrete containment wall system saved approximately one half acre of wetland which significantly reduced wetland mitigation costs and also fulfilled the wetland permitting requirement to reduce (minimize) wetland disturbance. Finding a vendor with past experience in the fabrication of precast, pre-stressed concrete panels suitable for secondary containment was a challenge due to their limited prior use in similar containment wall systems. For the design, detailing and fabrication of this system Enbridge worked closely with precast concrete fabricators to define a typical pre-cast panel which was economical, could be easily installed, was structurally suitable for containment design forces and which would prove durable in a cold-weather environment. Additional considerations included proper sealing of adjacent wall panel joints, selecting and detailing a suitable impermeable liner to bridge the wall to the tank lot clay layer, and design and installation of supporting concrete caissons and steel piles for wall panel vertical and lateral support. The Tank #79 and #80 projects at the Griffith Terminal have benefited from the decision to depart from the traditional earthen berm and construct a structural containment wall system. These benefits included reduced wetland and overall project footprint impacts, accelerated project environmental permitting and an accelerated project construction schedule.
Reports on the topic "Panier de soins":
1
Belkin, Shimshon, Sylvia Daunert, and Mona Wells. Whole-Cell Biosensor Panel for Agricultural Endocrine Disruptors. United States Department of Agriculture, December 2010. http://dx.doi.org/10.32747/2010.7696542.bard.
Abstract:
Objectives: The overall objective as defined in the approved proposal was the development of a whole-cell sensor panel for the detection of endocrine disruption activities of agriculturally relevant chemicals. To achieve this goal several specific objectives were outlined: (a) The development of new genetically engineered wholecell sensor strains; (b) the combination of multiple strains into a single sensor panel to effect multiple response modes; (c) development of a computerized algorithm to analyze the panel responses; (d) laboratory testing and calibration; (e) field testing. In the course of the project, mostly due to the change in the US partner, three modifications were introduced to the original objectives: (a) the scope of the project was expanded to include pharmaceuticals (with a focus on antibiotics) in addition to endocrine disrupting chemicals, (b) the computerized algorithm was not fully developed and (c) the field test was not carried out. Background: Chemical agents, such as pesticides applied at inappropriate levels, may compromise water quality or contaminate soils and hence threaten human populations. In recent years, two classes of compounds have been increasingly implicated as emerging risks in agriculturally-related pollution: endocrine disrupting compounds (EDCs) and pharmaceuticals. The latter group may reach the environment by the use of wastewater effluents, whereas many pesticides have been implicated as EDCs. Both groups pose a threat in proportion to their bioavailability, since that which is biounavailable or can be rendered so is a priori not a threat; bioavailability, in turn, is mediated by complex matrices such as soils. Genetically engineered biosensor bacteria hold great promise for sensing bioavailability because the sensor is a live soil- and water-compatible organism with biological response dynamics, and because its response can be genetically “tailored” to report on general toxicity, on bioavailability, and on the presence of specific classes of toxicants. In the present project we have developed a bacterial-based sensor panel incorporating multiple strains of genetically engineered biosensors for the purpose of detecting different types of biological effects. The overall objective as defined in the approved proposal was the development of a whole-cell sensor panel for the detection of endocrine disruption activities of agriculturally relevant chemicals. To achieve this goal several specific objectives were outlined: (a) The development of new genetically engineered wholecell sensor strains; (b) the combination of multiple strains into a single sensor panel to effect multiple response modes; (c) development of a computerized algorithm to analyze the panel responses; (d) laboratory testing and calibration; (e) field testing. In the course of the project, mostly due to the change in the US partner, three modifications were introduced to the original objectives: (a) the scope of the project was expanded to include pharmaceuticals (with a focus on antibiotics) in addition to endocrine disrupting chemicals, (b) the computerized algorithm was not fully developed and (c) the field test was not carried out. Major achievements: (a) construction of innovative bacterial sensor strains for accurate and sensitive detection of agriculturally-relevant pollutants, with a focus on endocrine disrupting compounds (UK and HUJ) and antibiotics (HUJ); (b) optimization of methods for long-term preservation of the reporter bacteria, either by direct deposition on solid surfaces (HUJ) or by the construction of spore-forming Bacillus-based sensors (UK); (c) partial development of a computerized algorithm for the analysis of sensor panel responses. Implications: The sensor panel developed in the course of the project was shown to be applicable for the detection of a broad range of antibiotics and EDCs. Following a suitable development phase, the panel will be ready for testing in an agricultural environment, as an innovative tool for assessing the environmental impacts of EDCs and pharmaceuticals. Furthermore, while the current study relates directly to issues of water quality and soil health, its implications are much broader, with potential uses is risk-based assessment related to the clinical, pharmaceutical, and chemical industries as well as to homeland security.
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Raikow, David, Mark Wasser, Amanda McCutcheon, and Anne Farahi. Trends in water quality of Waikolu Stream, Kalaupapa National Historical Park, Moloka?i, Hawaii, 2007?2017. National Park Service, 2024. http://dx.doi.org/10.36967/2302153.
Abstract:
Water quality was monitored in Waikolu Stream, Kalaupapa National Historical Park, Moloka?i, Hawa?i from 2007-2017. Water was collected for nutrient analyses and a sonde equipped with multiple probes was used to measure water quality parameters. The sampling regime was based on a split-panel of permanently established or ?fixed? sites sampled during each sampling effort, and ?temporary? sites of randomly assigned locations, for each sampling effort. Results included: ? NO-3 + NO-2 regularly exceeded state water quality criteria. ? TP exceeded state water quality criteria once out of three quarters evaluated. ? Other nutrient concentrations were consistent with Hawaiian streams. ? Waters were clear and well oxygenated. ? Conditions were consistent with similar pacific island streams. ? Dissolved nutrient fractions dominated base flow conditions. ? Seasonality was detected for TDN, NO-3 + NO-2, chlorophyll, pH, oxygen, and temperature. ? Several trends were detected; however, the magnitude of change was small and did not warrant concern. ? Temporal patterns did not obviously correspond to climate conditions. ? Parameters varied spatially to a limited extent, with nitrogen decreasing and temperature, specific conductance, and oxygen increasing from headwaters to the mouth. ? Temporary site conditions were highly correlated with fixed sites and did not provide additional insights. Water quality in Waikolu Stream was generally good with the exception of NO-3 + NO-2 which exceeded state standards. However, concentrations of NO-3 + NO-2 were generally consistent with many streams in Hawaii and natural causes of observed concentrations may have included older soils, steep slopes, and high precipitation. Exotic species including ungulates, which are known to occur in Waikolu Valley, could have contributed to elevated N through droppings and soil erosion in the riparian zone. Waikolu Stream TDN, TDP, chlorophyll, pH, turbidity, SpC, and oxygen were consistent with streams in other well-protected NPS watersheds on pacific islands on Maui, Guam, and American Samoa. Due to the watershed?s small size, the stream?s short length, and because variation or unique conditions were not captured by using split-panel, we recommend reducing the sampling effort. For example, our observations indicate that one easily accessible site in the lower reaches of the stream (FKALA03) displays water quality that reflects the entire stream. We also recommend adding nutrient analytes to better characterize biogeochemical cycling in this stream, including TP, TN, NH+4, and PO4. A power analysis is underway to evaluate reduction of sample sites. Such a reduction will result in large cost savings for the PACN water quality monitoring program.