North West Cancer Centre launches step-by-step video guide for patients

first_imgAn information video has been launched to guide new patients attending the cross-border North West Cancer CentreThe video was produced to give patients an opportunity to prepare for what to expect before and during their radiotherapy or chemotherapy treatment at Altnagelvin Hospital in Derry.The video follows two patients (actors) from their arrival at the Cancer Centre, through the treatment planning process and shows what can be expected from the treatment itself.  It also highlights the support available from Macmillan Cancer Support, both at the Cancer Centre and at the Macmillan Support Centre on the Altnagelvin site. Watch the video here: Una Cardin, Assistant Director of Nursing at the North West Cancer Centre, said: “The new video was developed to assist our patients, especially those with a new cancer diagnosis and visiting the Cancer Centre for the first time.  We incorporated all the relevant information on what to expect when attending for diagnostic scans, pre-treatment appointments and the treatment itself.“The video also features staff and volunteers from the Centre and lets patients know the range and many different staff they will meet during their cancer treatment journey.” Useful information on parking, support services and other facilities in the hospital are also covered to ensure that the patient has all information available before their first appointment.Una added: “A person’s cancer journey can be a worrying and emotional time. We hope that the video will help break down some of the fear, uncertainty and misunderstanding that can come when faced with having to receive treatment for cancer. It will provide people with information so that they know where to come and what to expect. We hope this will also give people the time to think of questions they would like to ask staff when they arrive for their treatment.”Staff at the North West Cancer Care CentreThe North West Cancer Centre opened in November 2016 and has treated over 2000 radiotherapy patients across a range of tumour sites over the past three yearsThe video can be accessed via the Western Trust’s Website. West Cancer Centre launches step-by-step video guide for patients was last modified: November 1st, 2019 by Rachel McLaughlinShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)last_img read more

Humboldt State football falls to Central Washington for third straight home loss

first_imgARCATA >> On homecoming night at the Redwood Bowl, the Jacks put forth a second-half performance that they would quickly like to forget.Humboldt State again found itself on the wrong side of a final score at home, as Central Washington eliminated a 10-point halftime deficit and outscored the Jacks, 35-0, in the second half en route to a 42-17 win on Saturday night.“We got outplayed,” HSU head coach Rob Smith said in regard to the Jacks’ showing in the second half. “You’ve got to make plays in …last_img

R33bn upgrade for South Africa’s ports

first_img4 May 2012 Port operator Transnet Port Terminals will spend R33-billion (US$4.3-billion) over the next seven years on upgrading and expanding South Africa’s ports, as part of a massive state-led infrastructure drive aimed at boosting the country’s economic growth. The R33-billion capital expenditure will form part of state-owned Transnet Group’s R300-billion (US$39.1-billion) expenditure on port and rail capital projects until 2018/19. Unveiling details of the expenditure in Durban on Thursday, Transnet Port Terminals CEO Karl Socikwa said Transnet’s new market demand strategy “has major implications for our division’s responsibility to facilitate unconstrained growth, unlock demand and create world-class port operations through improved efficiencies.Boosting port competitiveness, efficiency “It entails an acceleration of our capacity creation programmes at all our major terminals, to ensure that we are able to grow the economy and make the ports as competitive and efficient as possible,” Socikwa said in a statement. Seventy-one percent of the R33-billion spend will be on port expansion projects, while the remaining 29% will go towards “capital sustaining projects”, including the replacement and refurbishment of equipment, Socikwa said. The expansion projects will see major increases in the container handling capacity of the ports in Durban, KwaZulu-Natal and Ngqura outside Port Elizabeth in the Eastern Cape.Container handling capacity Durban Continer Terminal’s Pier 1 will see its capacity grow from 700 000 to 1.2-million TEUs by 2016/17, while its Pier 2 capacity will expand from 2.1-million to 3.3-million TEUs by 2017/18. The Ngqura Container Terminal, which has been earmarked as a transshipment hub, will be expanded from 800 000 to 2-million TEUs by 2018/19. Container capacity is also being created in other terminals, such as the Durban Ro-Ro and Maydon Wharf Terminal, through the acquisition of new equipment, including as mobile cranes, and various infrastructure upgrades.Bulk handling capacity The bulk handling capacity at Ngqura, Richards Bay in KwaZulu-Natal, and Saldanha in the Western Cape will also come in for major expansion. R3.7-billion has been set aside for the ageing Richards Bay Terminal, with investments in mobile equipment, quayside equipment and weighbridges fast-tracked for 2012/13, and safety-critical, environmental and legal compliance projects also in the pipeline. R1.2-billion will be spent on creating new capacity, including new storage areas, at Richards Bay, while Transnet also pursues the reengineering of the port to create additional capacity for bulk products at the terminal. Saldanha’s iron ore bulk facility, which has undergone significant expansion in recent years, will be further expanded, taking its capacity from 60 to 82 million tons per annum. Additional manganese capacity will be created by relocating the existing, 5.5mtpa export facility in Port Elizabeth to a new two-berth manganese facility at the Port of Ngqura, boosting capacity to 12 million tons per annum from 2016/17. SAinfo reporterlast_img read more

A Tale of Two Houses

first_imgAs difficult as it is to meet the requirements for Passivhaus certification, builders and designers have a great deal of leeway in how they approach it. There are just a few big hurdles to clear, including limits on how much energy the building can use and how airtight the building envelope must be.Exactly how a builder accomplishes this is not spelled out. As long as the building meets the standard, it can win certification, either from the Passive House Institute U.S. (PHIUS) or its European counterpart, the Passivhaus Institut (PHI).At the North American Passive House Network conference last month in Portland, Maine, two designers with very different outlooks detailed their Passivhaus projects, demonstrating that many roads can lead to the same destination.One of them, Andrew Michler, took the unusual step of avoiding foam insulation in the house he designed in the mountains of Colorado: none under the slab, none in the walls, none in the roof.The other, New Mexico architect Vahid Mojarrab, chose components made with rigid foam as a way of achieving Passivhaus performance economically and reliably.Is one better than the other? It all depends on how you look at it. In New Mexico, the aim is to compete in a spec marketIf Michler had the luxury of working on a guest house on his own property, and the time to feel his way through some of the building details, Vahid Mojarrab faced a completely different set of challenges: How to build to the Passivhaus standard with a labor pool familiar only with conventional techniques, and do so quickly and efficiently enough to stay competitive on price.Mojarrab knows the production housing market well. He’s built more than 1,200 houses in Colorado, New Mexico, and California but was first introduced to the Passivhaus standard five years ago in a training program in Champaign, Illinois. “It just made sense to me to be able to take advantage of the airtightness and some of the basic science to achieve a high-performance building,” he said by telephone a week after the Portland conference. “When I came back to Santa Fe, we started investigating how we could incorporate that.“Obviously, the real estate market was in a downturn, so it was really hard to be able to go into the market with something so different and ask more money for it when people where looking around with really depreciated real estate all around the country, especially in our area.”Mojarrab’s plan was to stick as closely as possible to familiar building practices so crews wouldn’t have to learn an entirely new way of construction. He had two other advantages: an investor named Bob Schneck who was wanted to collaborate with Mojarrab to advance Passivhaus building in the region, and energy modeler and “Passivhaus optimizer” Graham Irwin of Essential Habitat in California. The answer: Cellulose, mineral wool, and a crawl spaceMichler’s two-story, 1,200-square-foot house in Masonville, Colorado, is built with 2×4 structural walls insulated with mineral wool batts, taped plywood sheathing, and 14-inch-deep Larsen trusses insulated with cellulose and Roxul Drainboard, a rigid mineral wool insulation.Exterior above-grade walls are rated at R-65 to R-85, depending on how thick they are. Their unusual depth made it impossible for Michler to find an insulation contractor willing to dense-pack them with cellulose. He ended up doing it himself, using weed mat to contain the cellulose between truss cavities, and OSB shelves to divide wall cavities into spaces no more than 7 feet tall to reduce settling.The roof, framed with I-joists, is insulated with a combination of mineral wool batts and cellulose to R-75 (see the section drawing for more details).Michler built the house over a crawl space. The concrete stem walls are insulated on both the inside and outside with Roxul Drainboard to R-40, and the floor consists of 16-inch-deep I-joists insulated with blown-in cellulose to R-58. OSB provides the air barrier.“A lot of people gave me hell for having a crawl space,” Michler said, because it raised concerns about moisture and mold. Although the crawl space will have to be monitored, the design looks viable in the relatively dry climate where he lives.Other details:The windows are triple-glazed Intus units with a solar heat gain coefficient of 0.51 and a U-factor of 0.14.Whole-house ventilation is provided by an Air Pohoda heat-recovery ventilator connected to an earth tube.A 2-kW photovoltaic array (off-grid).Domestic hot water from a solar-electric preheater tank and a 92% AFUE Noritz on-demand propane heater.Heat comes from domestic hot water system, which feeds both a radiant loop in a wall separating the living room from the bathroom in the middle of the house, and a heat coil in the supply side of the heat-recovery ventilator. The HRV runs continuously, drawing 30 watts of electricity to move 62 cfm.A phase-change material called BioPCmat M51 is installed on two walls to help even out spikes caused by solar heat gain.The blower door test measured air-tightness at 0.45 air changes per hour at a pressure difference of 50 pascals (ach50). Michler built the house for $220 per square foot. Time running out to make the right choicesWhat troubled Michler was “the legacy of toxicity” that foam insulation represented. He objects to its high embodied energy, the global warming potential of its blowing agents, and the extremely slow payback of using large amounts of it in a building. Spray polyurethane foam has more than 100 times the greenhouse gas potential as cellulose, he told a conference panel; expanded polystyrene has as much as 18 times the embodied energy as cellulose.“What are the chemical impacts of what we’re doing right now?” he asked.“The industry has kind of baffled us with bullsh**, the foam industry,” he said by telephone, “where they can kind of say, ‘We’ve done this better,’ while totally ignoring all the other science and other issues with their product and then call it green because it’s less damaging. The whole idea with Cradle to Cradle is that you don’t create products that are less damaging; you create products that are more beneficial.“If we’re looking at turning around the ship, so to speak, we don’t have 60 years; we don’t have 15 years. We really have to start talking about the impact of our building sector at this moment,” he continued. “In that sense, I don’t see the race as a marathon, as we often talk about it for payback periods, but as a sprint from start line to finish line.” Start with typical local practice and work with thatBecause of building requirements in Santa Fe, builders were already used to adding a layer of rigid foam insulation on exterior walls. “What we did,” Mojarrab said, “was to take that detail and just bumped it up.”Instead of adding 2 inches of EPS, they added 10 inches of EPS in the form of a panel faced on one side with OSB — half of a structural insulated panel. The 2×6 exterior walls were air-sealed by taping the Zip panels before the SIPs went up, creating an air barrier where it would stay protected from plumbers, electricians, and other subs. With blown-in cellulose in cavities, and the 10 inches of EPS over the sheathing, total wall R-values are 61.“It has to be taped; it has to be taken care of a little bit,” he said of the Zip wall system. “The construction approach has to adjust a little bit, but it wasn’t really a drastic measure. Nobody looked at our details and said, ‘We cannot build this. Oh, it’s so expensive.’”Mojarrab placed 4 inches of EPS insulation beneath the slab. In the roof, he used another 10-inch thick, one-sided SIP in addition to blown-in cellulose in the I-joist framing for a total R-value of 97.Mojarrab’s VolksHouse 1.0 (meaning “People’s House”) came in 6.5% below normal construction costs and was appraised for 35% more than similarly sized houses in the same area.Some of the construction details:Domestic hot water: Solar thermal with an electric backup and an 80-gallon tank.Heating and cooling: A Mitsubishi Mr. Slim ducted minisplit heat pump rated at 8,100 Btu/hour for cooling and 10,900 Btu/hour for heating.Whole-house ventilation: UltimateAir energy-recovery ventilator.Windows: Optiwin. Southern exposure, solar heat gain coefficient of 0.63 and a U-factor of 0.11; east, north and west elevations, solar heat gain coefficient of 0.53 and a U-factor of 0.11.The blower door test measured air tightness at 0.3 ach50.Mojarrab built the 1,700-square-foot, three-bedroom, two-story house for $165 per square foot. It is certified by PHI and also won a New Mexico “Emerald” rating, which Mojarrab says is similar to a LEED-Platinum rating. For Michler, a first-ever Passivhaus designMichler has been living off the grid in the mountains outside of Fort Collins, Colorado, for 20 years. He’s done lots of retrofit work, and built a few houses, but about five years ago, during a construction dry spell, he veered into consulting and writing. He hopes to publish a coffee table book on high-performance building sometime next year.A few years ago, Michler interviewed William McDonough, an influential architect and writer who published a book called Cradle to Cradle in 2002 in which he advocates benign, waste-free design. The interview was pivotal for Michler. When he began designing a guest house for his Colorado property, one of the most important considerations became the selection of the materials that would go into it.Foam insulation manufactured with petrochemicals wasn’t on his list. Although it’s commonly used in many parts of a high-performance house, Michler decided he didn’t want it. “McDonough makes a fantastic case that we really need to look at what a resource is, in general, and not just think about attributes but think about the long stretch,” Michler said by phone a week after the conference. Foam was an important building componentMojarrab’s decision to make rigid foam insulation integral to his design was an easy one. “The reason that we used the EPS for the performance of the building was that it was an easy way to get the performance very quickly,” he said. “We are dealing with production housing, so the people who are building the houses are not very sophisticated. They just put this stuff together.”Using the half-SIPs on exterior walls was very familiar to the crews he worked with. “It’s the detail they are used to,” he said. “They’re not unfamiliar with it, so it can be executed again and again with great success.”Mojarrab continues to tinker with his designs and reduced the amount of rigid foam insulation in subsequent designs. But he thinks it will be difficult to eliminate foam entirely, especially beneath the slab and in the roof assembly.“As we are proceeding, we are really refining our walls,” he said. “I can’t argue with Michler or anyone else when they say that foam doesn’t have any place in their buildings, but at the same time I feel like I’d rather use it for insulation than burn it in my car. It’s available to us. Our builders get it. It makes a better building. Why not use it until we come up with a better solution?”Then, too, there are the pressures of the production housing market in which Mojarrab is working. “What we try to do in all of our projects is to optimize it, to make every dollar count,” he said. “That’s production building. Every dollar counts in overall construction costs.”last_img read more