A letter report issued by the Government Accountability Office with an abstract that begins "Infusion therapy--drug treatment generally administered intravenously--was once provided strictly in hospitals. However, clinical developments and emphasis on cost containment have prompted a shift to other settings, including the home. Home infusion requires coordination among providers of drugs, equipment, and skilled nursing care, as needed. GAO was asked to review home infusion coverage policies and practices to help inform Medicare policy. In this report, GAO describes (1) coverage of home infusion therapy components under Medicare fee-for-service (FFS), (2) coverage and payment for home infusion therapy by other health insurers--both commercial plans and Medicare Advantage (MA) plans, which provide a private alternative to Medicare FFS, and (3) the utilization and quality management practices that health insurers use with home infusion therapy benefits. To do this work, GAO reviewed Medicare program statutes, regulations, policies, and benefits data. GAO also interviewed officials of five large private health insurers that offered commercial and MA plans."

Other written product issued by the Government Accountability Office with an abstract that begins "This document is an E-supplement to GAO-10-428R. The recording and broadcast radio industries combined generated over $25 billion for the U.S. economy in 2008. These industries provide jobs for a range of skilled workers, including songwriters, producers, engineers and technicians, and radio announcers, among others. At the same time, recording studios and radio stations allow musicians, vocalists, and performers to share their talents with listeners across the nation. Through their work, the recording and broadcast radio industries contribute to the everyday American experience by creating and delivering music to people in their homes, cars, and workplaces. Beyond providing a popular form of entertainment, the recording and broadcast radio industries have helped music become a prominent feature of American culture. Music, like other forms of creative art, is protected by copyright law. Congress is considering legislation that would expand copyright protection for sound recordings. In particular, the proposed Performance Rights Act would eliminate an exemption that currently allows analog, nonsubscription AM and FM radio (broadcast radio stations) to broadcast a sound recording without acquiring permission from and paying a royalty to the copyright holder, performers, and musicians. …

The reduction in symmetry associated with the onset of ferroelectric order in PbZr{sub 0.2}Ti{sub 0.8}O{sub 3} (PZT) thin films leads to a pronounced difference at the Ti L{sub 3,2} absorption edges between spectra measured with the x-ray linear polarization perpendicular and parallel to the ferroelectric polarization. We introduce a general method to analyze the observed difference spectra using atomic multiplet calculations. Moreover, we find experimental evidence for structural changes in PZT induced by the reversal of the ferroelectric polarization.

High pressure systems are important, for example, to understand the interiors of giant planets (Jupiter and Saturn), for experiments at NIF (the National Ignition Facility at Livermore) related to inertially confined fusion and for other interests of DOE. In this project, we are developing innovative simulation methods (Quantum Monte Carlo methods) to allow more accurate calculation of properties of systems under extreme conditions of pressure and temperature. These methods can use the power of current day supercomputers made of very many processors, starting from the basic equations of physics to model quantum phenomena important at the microscopic scale. During the grant period, we have settled two important questions of the physics of hydrogen and helium under extreme conditions. We have found the pressures and temperatures when hydrogen and helium mix together; this is important to understand the difference of the interiors of the planets Jupiter and Saturn. Secondly, we have shown that there exists a sharp transition as a function of pressure between molecular and atomic liquid hydrogen at temperatures below 2000K. This prediction can be confirmed with high pressure experiments.

The R- & P- Reactor facilities were constructed in the early 1950's in response to Cold War efforts. The mission of the facilities was to produce materials for use in the nation's nuclear weapons stockpile. R-Reactor was removed from service in 1964 when President Johnson announced a slowdown of he nuclear arms race. PReactor continued operation until 1988 until the facility was taken off-line to modernize the facility with new safeguards. Efforts to restart the reactor ended in 1990 at the end of the Cold War. Both facilities have sat idle since their closure and have been identified as the first two reactors for closure at SRS.

In particle accelerators, scattered protons with energies close to the incident particles may travel considerable distances with the beam before impacting on accelerator components downstream. To analyze such problems, angular deflection and energy loss of scattered particles are the main quantities to be simulated since these lead to changes in the beam's phase space distribution and particle loss. Simple approximations for nuclear scattering processes causing limited energy loss to high-energy protons traversing matter are developed which are suitable for rapid estimates and reduced-description Monte Carlo simulations. The implications for proton loss in the Large Hadron Collider due to nuclear scattering on collimation crystals are discussed.

A moving window technique for the finite element time domain (FETD) method is developed to simulate the propagation of electromagnetic waves induced by the transit of a charged particle beam inside large and long structures. The window moving along with the beam in the computational domain adopts high-order finite-element basis functions through p refinement and/or a high-resolution mesh through h refinement so that a sufficient accuracy is attained with substantially reduced computational costs. Algorithms to transfer discretized fields from one mesh to another, which are the key to implementing a moving window in a finite-element unstructured mesh, are presented. Numerical experiments are carried out using the moving window technique to compute short-range wakefields in long accelerator structures. The results are compared with those obtained from the normal FETD method and the advantages of using the moving window technique are discussed.

Proportional counters (PCs) are a type of gas-filled radiation detection device capable of distinguishing between a wide range of radiation types and energies. In this application, however, these devices are limited by high power consumption and high bias potentials required to operate in the proportional detection regime. Previous work performed with a single carbon nanotube (CNT) anode has shown that nanoscale-based PCs can operate at bias potentials of 10V rather than the 1000V range required for PCs. ''Proof of concept'' experiments with a single CNT as the anode exhibit a small detection volume and consequently required long count times (24 hrs). To make this a practical detector technology (i.e., decrease the count time), the effective detection volume has to be increased. Experimental data and electric field modeling show that if the pitch (spacing between individual nanotubes) of the arrays is too small, the electric field of the individual nanostructure will collapse and the nanoscale array will behaved as a single macro-scale field with the associated high bias potential required to reach the proportional region. Electric-field modeling of the affect of nanostructure pitch on the electric field distribution of these arrays predicted that a pitch of about two-and-a-times the height of …

SLAC National Accelerator Laboratory has built and is currently operating a first generation prototype Marx klystron modulator to meet ILC specifications. Under development is a second generation prototype, aimed at improving overall performance, serviceability, and manufacturability as compared to its predecessor. It is designed around 32 cells, each operating at 3.75 kV and correcting for its own capacitor droop. Due to the uniqueness of this application, high voltage gate drivers needed to be developed for the main 6.5 kV and droop correction 1.7 kV IGBTs. The gate driver provides vital functions such as protection of the IGBT from over-voltage and over-current, detection of gate-emitter open and short circuit conditions, and monitoring of IGBT degradation (based on collector-emitter saturation voltage). Gate drive control, diagnostic processing capabilities, and communication are digitally implemented using an FPGA. This paper details the design of the gate driver circuitry, component selection, and construction layout. In addition, experimental results are included to illustrate the effectiveness of the protection circuit.

This paper presents accelerated lifetime tests on a polypropylene film capacitor. Experimental parameters (20% droop, 5 Hz repetition rate) simulate anticipated operating conditions encountered in the SLAC P2 Marx. Elevated film electric field stress is utilized as the acceleration parameter. Results indicate that, for the particular film of interest, a film stress of {approx}290 V/{mu}m corresponds to a 10{sup 5} hour lifetime. In addition, the voltage scaling exponent for this film is 13.1.

The ILC Marx Modulator is under development as a lower cost alternative to the 'Baseline Conceptual Design' (BCD) klystron modulator. Construction of a prototype Marx is complete and testing is underway at SLAC. The Marx employs solid state elements, IGBTs and diodes, to control the charge, discharge and isolation of the modules. The prototype is based on a stack of sixteen modules, each initially charged to {approx}11 kV, which are arranged in a Marx topology. Initially, eleven modules combine to produce the 120 kV output pulse. The remaining modules are switched in after appropriate delays to compensate for the voltage droop that results from the discharge of the energy storage capacitors. Additional elements will further regulate the output voltage to {+-}0.5%. The Marx presents several advantages over the conventional klystron modulator designs. It is physically smaller; there is no pulse transformer (quite massive at these parameters) and the energy storage capacitor bank is quite small, owing to the active droop compensation. It is oil-free; voltage hold-off is achieved using air insulation. It is air cooled; the secondary air-water heat exchanger is physically isolated from the electronic components. This paper outlines the current developmental status of the prototype Marx. It presents …

The authors report an update to their previous measurement of the CKM element |V{sub ub}| using exclusive B {yields} {pi}{ell}{nu} decays. In the charm sector they have performed a measurement of f{sub D{sub s}} using D{sub s}{sup +} {yields} {tau}{sup +}{nu}{sub {tau}} decays, they have measured the mixing parameter y{sub CP} using the lifetime ratio <{tau}{sub K{pi}}>/<{tau}{sub hh}> in D{sup 0} decays, and they have also searched for CP violation using T-odd correlations in D{sup 0} decays to K{sup +}K{sup -}{pi}{sup +}{pi}{sup -}. Finally, in the tau sector they have performed a search for the lepton flavor violating decays {tau}{sup {+-}} {yields} e{sup {+-}}{gamma} and {tau}{sup {+-}} {yields} {mu}{sup {+-}}{gamma}.

In these lectures the author describes the remarkable ultraviolet behavior of N = 8 supergravity, which through four loops is no worse than that of N = 4 super-Yang-Mills theory (a finite theory). I also explain the computational tools that allow multi-loop amplitudes to be evaluated in this theory - the KLT relations and the unitarity method - and sketch how ultraviolet divergences are extracted from the amplitudes.

China's 11th Five-Year Plan (FYP) sets an ambitious target to reduce the energy intensity per unit of gross domestic product (GDP) by 20% from 2005 to 2010 (NDRC, 2006). In the building sector, the primary energy-saving target allocated during the 11 FYP period is 100 Mtce. Savings are expected to be achieved through the strengthening of enforcement of building energy efficiency codes, existing building retrofits and heat supply system reform, followed by energy management of government office buildings and large scale public buildings, adoption of renewable energy sources. To date, China has reported that it achieved the half of the 20% intensity reduction target by the end of 2008, however, little has been made clear on the status and the impact of the building programs. There has also been lack of description on methodology for calculating the savings and baseline definition, and no total savings that have been officially reported to date. This paper intend to provide both quantitative and qualitative assessment of the key policies and programs in building sector that China has instituted in its quest to fulfill the national goal. Overall, this paper concludes that the largest improvement for building energy efficiency were achieved in new buildings; …

In a dynamical-radiative model we recently developed to describe the physics of compact, GHz-Peaked-Spectrum (GPS) sources, the relativistic jets propagate across the inner, kpc-sized region of the host galaxy, while the electron population of the expanding lobes evolves and emits synchrotron and inverse-Compton (IC) radiation. Interstellar-medium gas clouds engulfed by the expanding lobes, and photoionized by the active nucleus, are responsible for the radio spectral turnover through free-free absorption (FFA) of the synchrotron photons. The model provides a description of the evolution of the GPS spectral energy distribution (SED) with the source expansion, predicting significant and complex high-energy emission, from the X-ray to the {gamma}-ray frequency domain. Here, we test this model with the broad-band SEDs of a sample of eleven X-ray emitting GPS galaxies with Compact-Symmetric-Object (CSO) morphology, and show that: (i) the shape of the radio continuum at frequencies lower than the spectral turnover is indeed well accounted for by the FFA mechanism; (ii) the observed X-ray spectra can be interpreted as non-thermal radiation produced via IC scattering of the local radiation fields off the lobe particles, providing a viable alternative to the thermal, accretion-disk dominated scenario. We also show that the relation between the hydrogen column densities …

In recent years China's energy consumption has increased rapidly. The problem of high energy consumption intensity and low energy utilization efficiency is serious, and the contradiction between economic development and energy and environmental resources has become increasingly acute, making energy conservation and consumption reduction an important society-wide concern. At the same time, global climate change has and will continue to have profound impacts on human survival and development, and is another major challenge to all countries. In order to accelerate China's energy conservation and emission reduction work, the National Leading Group to Address Climate Change, Energy Conservation and Emission Reduction was founded with Premier Wen Jiabao as the head, and the 'Comprehensive Work Program of Energy Conservation and Emission Reduction' and 'China's National Program of Addressing Climate Change' were issued, under which China's energy conservation and emission reduction work has been fully deployed. Efforts to promote energy efficiency have been further strengthened in all levels of government, and various policies and measures have progressively been issued and implemented. In addition, based on China's experience with implementing energy-saving priority strategies over the past 20+ years, our government established a goal of a 20% decrease in energy consumption per unit GDP in …

LANMAS is a transaction-based nuclear material accountability software product developed to replace outdated and legacy accountability systems throughout the DOE. The core underlying purpose of LANMAS is to track nuclear materials inventory and report transactions (movement, mixing, splitting, decay, etc.) to the Nuclear Materials Management and Safeguards System (NMMSS). While LANMAS performs those functions well, there are many additional functions provided by the software product. As a material is received onto a site or created at a site, its entire lifecycle can be tracked in LANMAS complete to its termination of safeguards. There are separate functions to track material movements between and within material balance areas (MBAs). The level of detail for movements within a MBA is configurable by each site and can be as high as a site designation or as detailed as building/room/rack/row/position. Functionality exists to track the processing of materials, either as individual items or by modeling a bulk process as an individual item to track inputs and outputs from the process. In cases where sites have specialized needs, the system is designed to be flexible so that site specific functionality can be integrated into the product. This paper will demonstrate how the software can be used …

Environmental sampling (ES) is a key component of International Atomic Energy Agency (IAEA) safeguarding approaches throughout the world. Performance of ES (e.g. air, water, vegetation, sediments, soil and biota) supports the IAEAs mission of drawing conclusions concerning the absence of undeclared nuclear material or nuclear activities in a State and has been available since the introduction of safeguards strengthening measures approved by the IAEA Board of Governors (1992-1997). A recent step-change improvement in the gathering and analysis of air samples at uranium/plutonium bulk handling facilities is an important addition to the international nuclear safeguards inspector's toolkit. Utilizing commonly used equipment throughout the IAEA network of analytical laboratories for particle analysis, researchers are developing the next generation of ES equipment for air grab and constant samples. Isotopic analysis of collected particles from an Aerosol Contaminant Extractor (ACE) silicon substrate has been performed with excellent results in determining attribute and isotopic composition of chemical elements present in an actual test-bed sample. The new collection equipment will allow IAEA nuclear safeguards inspectors to develop enhanced safeguarding approaches for complicated facilities. This paper will explore the use of air monitoring to establish a baseline environmental signature of a particular facility that could be used …

China is now the world's largest producer and consumer of household appliances and commercial equipment. To address the growth of electricity use of the appliances, China has implemented a series of minimum energy performance standards (MEPS) for 30 appliances, and voluntary energy efficiency label for 40 products. Further, in 2005, China started a mandatory energy information label that covers 19 products to date. However, the impact of these standard and labeling programs and their savings potential has not been evaluated on a consistent basis. This research involved modeling to estimate the energy saving and CO{sub 2} emission reduction potential of the appliances standard and labeling program for products for which standards are currently in place, or under development and those proposed for development in 2010. Two scenarios that have been developed differ primarily in the pace and stringency of MEPS development. The 'Continued Improvement Scenario' (CIS) reflects the likely pace of post-2009 MEPS revisions, and the likely improvement at each revision step considering the technical limitation of the technology. The 'Best Practice Scenario' (BPS) examined the potential of an achievement of international best practice MEPS in 2014. This paper concludes that under the 'CIS' of regularly scheduled MEPS revisions to …

The technical presentations and discussions at this symposium disseminated and assessed current research and defined future directions in biomaterials research, with a focus on structure-function relationships in biological and biomimetic composites. The invited and contributed talks covered a diverse range of topics from fundamental biology, physics, chemistry, and materials science to potential applications in developing areas such as light-weight composites, multifunctional and smart materials, biomedical engineering, and nanoscaled sensors. The invited speakers were chosen to create a stimulating program with a mixture of established and junior faculty, industrial and academic researchers, and American and international experts in the field. This symposium served as an excellent introduction to the area for younger scientists (graduate students and post-doctoral researchers). Direct interactions between participants also helped to promote potential future collaborations involving multiple disciplines and institutions.

We report the oxidation of the InP(100) surface promoted by adsorbed Cs by synchrotron radiation photoemission. Oxygen exposure causes reduction of the charge transferred to the InP substrate from Cs and the growth of indium oxide and phosphorous oxide. The oxide growth displays a clear dependence on the Cs coverage. The oxidation of phosphorous is negligible up to 1000 L of O{sub 2} exposure when the Cs coverage is less than half a monolayer (ML), but the formation of the second half monolayer of Cs greatly accelerates the oxidation. This different enhancement of the InP oxidation by the first and the second half monolayer of Cs is due to the double layer structure of the adsorbed Cs atoms, and consequently the higher 6s electron density in the Cs atoms when Cs coverage is larger than 0.5 ML.

This report discusses the current political state of Iran, focusing particularly on the influence of the Taliban and other militant groups and on the leadership of Afghan President Hamid Karzai. This report also discusses the U.S.-Iran relationship and U.S. efforts under the Obama Administration to provide military, reconstructive, and stabilization aid.

Daily newspaper from Sweetwater, Texas that includes local, state, and national news along with advertising.

This report describes non-indigenous Asian carp migrating to the United States, their potential impacts on the ecosystem, federal responses, and litigation.