Science.gov (United States)

PMID:7444950

UK PubMed Central (United Kingdom)

New forms of payment, growing competition, the continued evolution of multiunit hospital systems, and associated forces are redefining the fundamental relationship between hospitals and physicians....Full Text Available

Science.gov (United States)

Language: English ...

KoreaScience (Korea)

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UK PubMed Central (United Kingdom)

The Joint Commission on Accreditation of Hospitals (JCAH) has continuously emphasized improvement in the quality of care provided in hospitals as the central purpose of the accreditation process. In...Full Text Available

UK PubMed Central (United Kingdom)

The needs of hospitalized geriatric patients differ from the needs of hospitalized younger adults. In an attempt to improve systems of care for the older adult, the Centers for Medicare and Medicaid...Full Text Available

Medline Plus

... Hospital & University Hospital Basel) If I Had - Pre-diabetes - Dr. Venkat Narayan, MD, MSc, MBA, Rollins School ... School, Massachusetts General Hospital, Discusses the Treatment of Diabetes Back to Home Page If I Had - A ...

UK PubMed Central (United Kingdom)

The method of linear analogue self-assessment (LASA) was used to quantify the views concerning day care which were held by patients attending a geriatric day hospital. The results suggest that day hospitals...Full Text Available

UK PubMed Central (United Kingdom)

Hydrolytic exoenzymes as indicators of metabolically active bacteria were investigated in four consecutive sapropel layers collected from bathyal sediments of the eastern Mediterranean Sea. For comparison,...Full Text Available

UK PubMed Central (United Kingdom)

BACKGROUND: This prospective and retrospective study carried out over a period of one month (50 patients) looked at the quality of hospital records of urethral catheterisation with reference to the...Full Text Available

UK PubMed Central (United Kingdom)

Although hospital-associated spread of vaccinia has been reported in the past, there have been no recent reports. This paper describes hospital-associated spread of vaccinia virus infection, supplies...Full Text Available

UK PubMed Central (United Kingdom)

Brief admission of the new diabetic child and of a parent to an enlightened hospital for stabilisation, preliminary education, and familiarisation with hospital and community staff is well worth while....Full Text Available

Science.gov (United States)

CONTINENT > EUROPE > EASTERN EUROPE > CZECH REPUBLIC .... CIESIN > Industry and Energy > Energy Production > Nuclear Energy ...

KoreaScience (Korea)

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Science.gov (United States)

PMID:21398174

KoreaScience (Korea)

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KoreaScience (Korea)

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Medline Plus

... 2009) Arrhythmia Electrophysiological Study and Catheter Ablation with 3D Mapping (Mercy Hospital, Miami, FL, 11/15/2007) ...

International Nuclear Information System (INIS)

Long term indoor radon gas measurements using a passive monitor were conducted in the basement rooms of five hospitals, which are built in the Tokyo metropolitan area. The ventilation rate averaged over all hospital was 12.3 air change per hour (ACH). The highest radon concentration was 56.3 Bq/m"3. The value averaged concentration over all hospital and all season was 20 Bq/m"3. But the average of the two hospitals were twice as high as those of three others. Since the total ventilation rate integrated over a day is not different much, the reason of the concentration difference is considered to be the difference in radon emission rate from concrete wall and soil of the each hospital. Though we inquired workers about 'Environmental complaints', it do not show the direct relation between radon and environmental complaints. (author)

Science.gov (United States)

... XVIII Airborne Corps forces grew from one brigade of the 82nd Airborne Division to a multi-national organization of five full divisions (Eastern Area ...

Science.gov (United States)

... some Central Asian populations (Zerjal et al. 2002). Haplogroup W has a similar Middle Eastern origin, and again ... ...

UK PubMed Central (United Kingdom)

Bellevue Hospital, the oldest public hospital in the United States and a lineal descendant of an infirmary for slaves, accepted its first African-American resident, Dr. Ubert Conrad Vincent, in 1918....Full Text Available

UK PubMed Central (United Kingdom)

OBJECTIVE. This study examines variations in the efficient use of hospital resources across individual physicians. DATA SOURCES AND SETTING. The study is conducted over a two-year period (1989-1990)...Full Text Available

International Nuclear Information System (INIS)

In this chart review the authors describe 51 cases of PSOAS abscess treated at Hospital Universitario del Valle in Cali, Colombia in the last 10 years. It is not a rare condition and require high index of suspicion. epidemiology, bacteriology, diagnosis and treatment are discussed.

UK PubMed Central (United Kingdom)

This paper evaluates the Post-Hospital Support Program for the frail elderly and their caregivers using a quasi-experimental design. The program goals were to reduce stress in the caregivers, improve...Full Text Available

UK PubMed Central (United Kingdom)

ObjectivesTo describe the plans of English NHS hospitals to implement ePrescribing systems.Design and settingQuestionnaire-based survey of attendees...Full Text Available

UK PubMed Central (United Kingdom)

The evolution of drug resistant bacteria is a severe public health problem, both in hospitals and in the community. Currently, some countries aim at concentrating highly specialized services in large...Full Text Available

UK PubMed Central (United Kingdom)

This article explores the effects of reimbursement and utilization control policies on utilization patterns and spending for physician and hospital outpatient services under state Medicaid programs....Full Text Available

UK PubMed Central (United Kingdom)

On 12 July the Audit Commission published For Your Information, a well researched report about information and its management in acute hospitals in Britain, how and why it is failing, and steps that...Full Text Available

UK PubMed Central (United Kingdom)

It is usually very complex to design an Integrated Information System in a hospital that includes both in-patient and out-patient medical care data. The difficulty appears because each department...Full Text Available

UK PubMed Central (United Kingdom)

Studies of the associations between air pollution and hospital admissions and emergency room use are reviewed, including studies of air pollution episodes, time-series analyses, and cross-sectional...Full Text Available

Science.gov (United States)

No abstract available.

UK PubMed Central (United Kingdom)

Among 177 extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolates collected from 11 Slovenian hospitals in 2005 and 2006, 60 (34%), from eight hospitals,...Full Text Available

Science.gov (United States)

Comprehensive geriatric care should receive nation-wide attention in order to realize its objectives. An analysis of patient problems at the Geriatirc Clinic, Tygerberg Hospital and Goodwood Aftercare Hospital is presented. The training of personnel, with full motivation of the community, to render health services to the aged is discussed. PMID:7368010

Energy Technology Data Exchange (ETDEWEB)

This study examines the extent of radioactive pollution of moss cover of forest communities of the Kamenskii district of the Sverdlovsk region. This area contains the periphery section of the Eastern-Ural Radioactive Trace, formed as a result of the Kyshtymskii accident. Mosses do not release radionuclides for a long time, making them a biological indicator of radioactive environmental pollution and making them useful for radioecological monitoring. 14 refs., 2 figs., 1 tab.

International Nuclear Information System (INIS)

In this project, measurement of x-ray radiation dose level during radiological examination in Jos university teaching hospital and Plateau State specialist hospital at different locations within the department were carried out using radiation survey meter. The results were converted from micro sievert per hour (#mu#Sv/hr) to milisievert per year (mSv/yr). The radiation levels from the two hospitals visited ranged from 1.3m Sv/yr to 8.4m Sv/yr. This implies that all the radiology departments visited are still operating within the safety limit having less than 20 mSv/yr which is the standard permissible radiation level recommended per year.

Energy Technology Data Exchange (ETDEWEB)

The objective of this investigation was to perform a preliminary evaluation of the utility of residual materials prepared from Green River Formation (western) and New Albany Shale (eastern) shale oils as recycling agents for aged asphalt pavement. Four petroleum asphalts were first aged by a thin-film accelerated-aging test, which simulates long service life of asphalt in pavement. The aged asphalts were mixed (recycled) with Green River Formation shale oil distillation residua to restore the original viscosities. Separately, for comparison, a commercial recycling agent was used to recycle the aged asphalts under the same circumstances. The recycled asphalts were reaged and the properties of both binder and asphalt-aggregate mixtures studied. Originally, the same study was intended for an eastern shale residua. However, the eastern shale oil distillation residua with the required flash point specification also had the ...

Science.gov (United States)

Context: The Balanced Budget Act (BBA) of 1997 allowed some rural hospitals meeting certain requirements to convert to Critical Access Hospitals (CAHs) and changed their Medicare reimbursement from prospective to cost-based. Some subsequent CAH-related laws reduced restrictions and increased payments, and the number of CAHs grew rapidly. Purpose: To examine factors related to hospitals' decisions to convert and time to CAH conversion. Methods: Eighty-nine rural hospitals in Iowa were characterized and observed from 1998 to 2005. Cox proportional hazards models were used to identify the determinants of time to CAH conversion. Findings: T-test and one-covariate Cox regression indicated that, in 1998, Iowa rural hospitals with more staffed beds, discharges, and acute inpatient days, higher operating margin, lower skilled swing bed days relative to acute days, and located in relatively ...

British Library Electronic Table of Contents (United Kingdom)

Due to shortage of fresh water resources, the vegetation of the eastern region of the United Arab Emirates (UAE) has experienced a series of declines resulting from salinization of groundwater, which is the major source of irrigation. To assess these changes, field measurements combined with Thematic Mapper (TM) and Enhanced Thematic Mapper Plus (ETM+) based Soil Adjusted Vegetation Index (SAVI) were analysed. TM and ETM+ images from two dates, 1987 and 2000 were acquired to enable the computation of the greenness anomalies for three sites in the eastern region, Fujairah, Kalba and Hatta. The results show an overall increase in agricultural area, associated with a severe decrease in vegetation greenness and health conditions, particularly in the Kalba study area. The SAVI values decreased ...

UK PubMed Central (United Kingdom)

The world's oceans contain a complex mixture of micro-organisms that are for the most part, uncharacterized both genetically and biochemically. We report here a metagenomic study of the marine planktonic...Full Text Available

International Nuclear Information System (INIS)

Second Regional Meeting for Nuclear Energy in Central Europe is an annual meeting of the Nuclear Society of Slovenia. The proceedings contains 75 articles from Slovenia, surrounding countries and countries of the Central and Eastern European Region

Energy Technology Data Exchange (ETDEWEB)

No abstract prepared.

International Nuclear Information System (INIS)

Salinisation of freshwater has been identified as a serious environmental issue in Australia and around the world. Protective concentrations (trigger values) for salinity can be used to manage salinity impacts, though require locally relevant salinity tolerance information. 72-h acute salinity tolerance values were determined for 102 macroinvertebrates collected from 11 locations in four biologically distinct freshwater bio-regions in Northeast Australia and compared with sensitivities observed in Southeast Australia. The salinity tolerance of individual taxa was consistent across Northeast Australia and between Northeast and Southeast Australia. However, two distinct communities were identified in Northeast Australia using distributions of the acute tolerance values and a calculated index of salinity sensitivity. Salinity trigger values should therefore be representative of local or regionally relevant communities and may be adequately calculated using sensitivity values from ...

Energy Technology Data Exchange (ETDEWEB)

This report describes research performed by the Morgantown Energy Technology Center in the following areas: oil and gas; advanced systems describing a coal solid fuel and an eastern shale oil residue waste program; environmental remediation; and waste management technologies.

British Library Electronic Table of Contents (United Kingdom)

Background Adrenalectomy remains the definitive therapy for most adrenal neoplasms. Introduced in the 1990s, laparoscopic adrenalectomy is reported to have lower associated morbidity and mortality. This study aimed to evaluate national adrenalectomy trends, including major postoperative complications and perioperative mortality. Methods The Nationwide Inpatient Sample was queried to identify all adrenalectomies performed during 1998?2006. Univariate and multivariate logistic regression were performed, with adjustments for patient age, sex, comorbidities, indication, year of surgery, laparoscopy, hospital teaching status, and hospital volume. Annual incidence, major in-hospital postoperative complications, and in-hospital mortality were evaluated. Results Using weighted national estimate, 4...

Energy Technology Data Exchange (ETDEWEB)

The hospitals are important consumers of energy. At the General Hospital of Zone (HGZ) N of the IMSS in Aguscalientes (HGZ N . IMSS Ags.), the diesel oil is the main fuel that is used to satisfy the requirements of thermal energy of the hospital. According to the data collected by this author, this fuel represented in 2001, 75% of its total energy consumption and the 67.9% of its total costs in energy that ascended to $396.131 (December 2001 Dollars) Since this last amount represents an important percentage of the total expenses of the hospital (29.367 million dollars) it is important to determine the technical-economic possibilities of thermal energy saving of the hospital. The HGZ N 1 IMSS Ags. is located in a ampler conglomerate where the IMSS units are located, such as, the regional laundry, the sport unit, the center of social security, the familiar medicine unit N 1 and the ...

Science.gov (United States)

... Harbor Township Vineland Voorhees Pediatric Partner Hospitals AtlantiCare Regional Medical Center- City Campus, Atlantic City AtlantiCare Regional Medical Center - ...

UK PubMed Central (United Kingdom)

This study was carried out to determine the rate and types of injuries experienced by boardsailors. Results derive from: (a) a review of hospital medical records for water sports injuries, and (b) a...Full Text Available

UK PubMed Central (United Kingdom)

The prevalence of Helicobacter pylori infection was studied in 138 patients with dyspepsia in a hospital in Nakuru, Kenya, and in 138 asymptomatic sex- and age-matched controls from...Full Text Available

UK PubMed Central (United Kingdom)

Contact precautions are implemented to reduce transmission of multidrug-resistant organisms but may also increase hospital costs and patient complications. The goal of this study was to determine...Full Text Available

Science.gov (United States)

Nov 13, 2006 ... Indicator Experiment (TIE) consists of a wideband sensor to gather radar, ... November 10 at Shore Memorial. Hospital in Nassawadox, Va. ...

UK PubMed Central (United Kingdom)

The organizational structure of medical record departments in Iran is not appropriate for the efficient management of healthcare information. In addition, there is no strong information management division...Full Text Available

UK PubMed Central (United Kingdom)

Instructions and control measures related to enteric contagious diseases at the Veterinary Medical Teaching Hospital (VMTH) of the Faculty of Veterinary Medicine of the University of Montreal are presented....Full Text Available

Science.gov (United States)

An evaluation of eastern shale oil as an asphalt additive to reduce oxidative age hardening and moisture susceptibility is being conducted. An eastern shale oil residue having a viscosity of 1.30 Pa`s at 60{degrees}C (140{degrees}F) was blended with three different petroleum-derived asphalts that are known to be very susceptible to oxidative aging. In addition, blends of the eastern shale oil residue and the petroleum-derived asphalts are being coated onto three different aggregates that are known to be susceptible to water stripping. The oxidative age hardening portion of this study is not complete at this time. To date, information has been obtained on the unaged samples and two of the aged petroleum-derived asphalts (AAD-1 and AAK-1). When complete, this data will include rheological data on the unaged, RTFO-aged, and the RTFO/PAV-aged samples and infrared data on the unaged and RTFO/PAV-aged samples. With respect to the ...

Wastenet

... The National Oceanography Centre, Southampton is one of the world's leading research centres for the study of ocean and earth sciences. Southampton General Hospital One of the country's leading teaching hospitals and the base for the University's School of Medicine. Winchester School of Art Founded in 1863, Winchester School of Art is based 12 miles (20 kilometres) north of Southampton in the historic city of Winchester,...

Energy Technology Data Exchange (ETDEWEB)

This report consists of a review of the geological, geochemical and geophysical data available for the Eastern Copper River basin with emphasis on the mud volcanoes, and the results of geophysical and geochemical studies carried out in the summers of 1982 and 1984. The purpose was to determine if there are geothermal energy resources in the Copper River Basin. The Eastern Copper River basin is situated on the flanks of a major volcano, Mt. Drum, which was active as late as 200,000 years ago and which is thought to have retained significant amounts of residual heat at high levels. Mt. Wrangell, farther to the east, has been volcanically active up to the present time. The 1982 geophysical and geochemical surveys located three principal areas of possible geothermal interest, one near Tazlina and two near the Klawasi mud volcanoes. The intensive survey work of 1984 was concentrated on those areas. We have integrated the results of soil helium, soil ...

British Library Electronic Table of Contents (United Kingdom)

Abstract An increase in chronic disease prevalence is contributing to health care cost growth and decreased quality of life in industrialized nations worldwide. Inadequate management of chronic diseases is a leading cause of hospitalizations and, thus, avoidable expenditures. In this study, we evaluated the impact of nurse-delivered care calls, the primary intervention of a proactive chronic care management (CCM) program, in a population aged 65 and older in Germany. In this analysis, hospital admission rates were evaluated among program enrollees who were diagnosed with diabetes, heart failure, coronary heart disease, or chronic obstructive pulmonary disease. The Intervention group comprised those members who participated in care calls (n?=?13,486), whereas the Comparison group included e...

International Nuclear Information System (INIS)

The Median Tectonic Zone (MTZ) of New Zealand is a generally north trending belt of Mesozoic subduction related I-type plutonic, volcanic, and sedimentary rocks in South Island and Stewart Island that separates Permian strata of the Eastern Province Brook Street Terrane from lower to mid Gondwana margin assemblages of the Western Province. High precision isotope dilution U/Pb ages of zircons from 30 rocks are reported. Pre-digestion leaching of zircon in hydrofluoric acid yielded significantly more concordant residues by removing common Pb and dissolving more soluble high-U domains that have been more affected by relatively recent Pb loss. The results show that MTZ magmatism ranges in age from at least Early Triassic to Early Cretaceous (247-131 Ma), with a pronounced gap in the Middle Jurassic. Triassic plutons tend to occur on the eastern side of the MTZ, and they intrude volcanic/sedimentary sequences of the MTZ in Nelson and ...

British Library Electronic Table of Contents (United Kingdom)

Abstract The Jebel Ressas Pb-Zn deposits in North-Eastern Tunisia occur mainly as open-space fillings (lodes, tectonic breccia cements) in bioclastic limestones of the Upper Jurassic Ressas Formation and along the contact of this formation with Triassic rocks. The galena-sphalerite association and their alteration products (cerussite, hemimorphite, hydrozincite) are set within a calcite gangue. The Triassic rocks exhibit enrichments in trace metals, namely Pb, Co and Cd enrichment in clays and Pb, Zn, Cd, Co and Cr enrichment in carbonates, suggesting that the Triassic rocks have interacted with the ore-bearing fluids associated with the Jebel Ressas Pb-Zn deposits. The 18O content of calcite associated with the Pb-Zn mineralization suggests that it is likely to have precipitated from a fl...

British Library Electronic Table of Contents (United Kingdom)

Summary Analyses of event runoff coefficients provide essential insight on catchment response, particularly if a range of catchments and a range of events are compared by a single indicator. In this study we examine the effect of climate, geology, land use, flood types and initial soil moisture conditions on the distribution functions of the event runoff coefficients for a set of 14 mountainous catchments located in the eastern Italian Alps, ranging in size from 7.3 to 608.4km2. Runoff coefficients were computed from hourly precipitation, runoff data and estimates of snowmelt. A total of 535 events were analysed over the period 1989-2004. We classified each basin using a "permeability index" which was inferred from a geologic map and ranged from "low" to "high permeability". A continuous s...

British Library Electronic Table of Contents (United Kingdom)

Forest gap models have been used widely in the study of forest dynamics, including predicting long-term succession patterns and assessing the potential impacts of climate change on forest structure and composition. However, little effort is devoted to predict forest dynamics in the high elevation areas, although they have the sensitive response to global climate change. In the present study, based on a modified height-diameter function, we developed a new version (FAREAST-GFSM) of the forest patch model, FAREAST for simulating the changes of subalpine forests. The observed data from the Gongga Mt. Alpine Station were also used to test model precision. With the improved performance of FAREAST-GFSM, we explored the impact of three warming scenarios on subalpine forest on the eastern Tibetan ...

UK PubMed Central (United Kingdom)

A screening questionnaire designed to take an alcohol history was used on 996 patients attending the London Hospital Accident and Emergency Department. Questions concerned with 'binge' drinking detected...Full Text Available

UK PubMed Central (United Kingdom)

Successful management of a patient with tracheo-innominate artery erosion requires the rapid institution of specific resuscitative and operative measures. Ten patients seen at the Charity Hospital of...Full Text Available

UK PubMed Central (United Kingdom)

In a cross-sectional study of the pattern of isolated sleep paralysis among the entire population of nursing students at the Neuropsychiatric Hospital in Abeokuta, Nigeria (consisting of 58 males and...Full Text Available

UK PubMed Central (United Kingdom)

Introduction:Chronic obstructive pulmonary disease (COPD) is a major public health problem. It imparts a substantial economic burden on individuals and society. Acute exacerbations...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundAcute lower respiratory infection (ALRI) is a major cause of hospitalization for children in China, while the etiological diagnosis of ALRI remains a challenge. This study...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

Every cook knows that microwaves and metal don't mix. But scientists at the National Institute of Standards have devised a way to make them compatible. If it all pans out, hospitals may be able to sterilize medical instruments and waste in a device similar to a conventional microwave oven.

UK PubMed Central (United Kingdom)

BackgroundContrast-induced nephropathy is the leading cause of in-hospital acute renal failure. This side effect of contrast agents leads to increased morbidity, mortality, and health...Full Text Available

UK PubMed Central (United Kingdom)

ObjectiveTo implement a role-reversal exercise to increase first-year pharmacy students' awareness of communication barriers in the health care setting, especially for deaf and hard-of-hearing...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundRifampin is a key drug in antituberculosis chemotherapy because it rapidly kills the majority of bacilli in tuberculosis lesions, prevents relapse and thus enables 6-month...Full Text Available

UK PubMed Central (United Kingdom)

The relationship between malaria transmission intensity and clinical disease is important for predicting the outcome of control measures that reduce transmission. Comparisons of hospital data...Full Text Available

UK PubMed Central (United Kingdom)

Background:Falls have been identified as a potential adverse event associated with the administration of psychotropic medications to older patients.Objective:The...Full Text Available

UK PubMed Central (United Kingdom)

IntroductionPatients undergoing selective minor emergency and elective procedures are followed up by a nurse-led structured telephone review six weeks post-operatively in our hospital....Full Text Available

UK PubMed Central (United Kingdom)

Sixty-seven patients hospitalized for poisonous snakebite between 1975 and 1990 were managed by elevation, tetanus prophylaxis, intravenous fluids and antibiotics, and often by a limited excision of...Full Text Available

UK PubMed Central (United Kingdom)

The reasons for referral to hospital of 147 babies subsequently included in the DHSS study of postneonatal infant mortality were analysed and compared with those of 104 control infants. Although similar...Full Text Available

UK PubMed Central (United Kingdom)

Three clinical strains (Escherichia coli Rio-6, E. coli Rio-7, and Enterobacter cloacae Rio-9) collected in 1996 and 1999 from hospitals in Rio de...Full Text Available

UK PubMed Central (United Kingdom)

Twelve isolates of Enterobacteriaceae (1 of Klebsiella pneumoniae, 8 of Escherichia coli, 1 of Proteus mirabilis, and 2 of Proteus...Full Text Available

UK PubMed Central (United Kingdom)

Purpose:Methicillin-resistant Staphylococcus aureus (MRSA) strains are commonly classified as hospital-acquired (HA) or community-acquired (CA). Typical HA-MRSA...Full Text Available

UK PubMed Central (United Kingdom)

During 1978 there was a marked increase in the number of patients with meningococcal infection in the Hamilton area. Of 21 patients admitted to St. Joseph's Hospital, Hamilton, two thirds were under...Full Text Available

UK PubMed Central (United Kingdom)

BACKGROUND: The experience from general practice fundholding suggests that financial incentives may influence prescribing; guidelines and hospital prescribing are two other suggested influences. AIM:...Full Text Available

UK PubMed Central (United Kingdom)

ObjectiveMany hospitals utilize antimicrobial management teams (AMTs) to improve patient care. However, most function with minimal computer support. We evaluated the effectiveness...Full Text Available

Science.gov (United States)

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UK PubMed Central (United Kingdom)

We took blood samples from 128 prostitutes visiting the outpatient venereology department of the University Hospital, Rotterdam-Dijkzigt to test for the presence of hepatitis B surface antigen (HBsAg)...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundSarcoma encompasses an uncommon group of cancer and the data is insufficient from Pakistan. We report our four years experience of Sarcoma of soft tissues and bones.MethodsThis...Full Text Available

UK PubMed Central (United Kingdom)

BACKGROUND. Diabetes can be effectively treated and monitored in general practice. Postgraduate medical education at a local level is required to support this strategic shift of medical care from hospital...Full Text Available

UK PubMed Central (United Kingdom)

Hepatocellular carcinoma (hcc) is an uncommon tumour, but its incidence is increasing in Canada and elsewhere. Currently, there are no Canadian recommendations for diagnosis and treatment of...Full Text Available

UK PubMed Central (United Kingdom)

Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this...Full Text Available

UK PubMed Central (United Kingdom)

There is limited information about the true incidence of acute renal failure (ARF). Most studies could not quantify disease frequency in the general population as they are hospital-based and...Full Text Available

UK PubMed Central (United Kingdom)

Escherichia coli ILT-1, Klebsiella pneumoniae ILT-2, and K. pneumoniae ILT-3 were isolated in May 1999 in Paris, France, from a rectal swab of a hospitalized...Full Text Available

UK PubMed Central (United Kingdom)

A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundThis study assessed the level of knowledge, attitudes, and practice regarding disinfection procedures among nurses in Italian hospitals.MethodsA...Full Text Available

UK PubMed Central (United Kingdom)

CONTEXTThe impact of residents on hospital finance has been studied; there are no data describing the economic effect of residents on attending physicians.OBJECTIVEIn...Full Text Available

UK PubMed Central (United Kingdom)

The sensitivities to cefuroxime and cephradine of potentially pathogenic bacteria isolated in two British general hospitals comprising 900 beds have been assessed. In a three-month period 2537 strains...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundInsurance coverage of tobacco cessation medications increases their use and reduces smoking prevalence in a population. However, uncertainty about the impact of this coverage...Full Text Available

Energy Technology Data Exchange (ETDEWEB)

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.

Science.gov (United States)

The Sulphur Bank Mercury Mine (SBMM) is a 65 ha site located on the eastern shore of the Oaks Arm of Clear Lake, Lake County, California. Between 1864 and 1957, SBMM was the site of underground and open pit mining operations for S and Hg, coinciding with past and present hot spr...

Energy Technology Data Exchange (ETDEWEB)

In spite of the fact that market requirements for new plants continue to be restricted, steam turbine technology and operation engineers have left nothing undone to improve products and operating characteristics. They are generally guided by the principle of optimum economic power supplies but lowest pollution. The new eastern markets are expected to give new impulses to steam turbine design. Cogeneration is of special future importance. (orig.).

Energy Technology Data Exchange (ETDEWEB)

The Hanford Site in eastern Washington state currently is engaged in the largest waste cleanup in world history. In order to make informed decisions about remediation options, the public throughout the Pacific Northwest and the nation needs to understand the wastes that are present, their sources of generation, their composition, and their behavior in the environment. The fact that Hanford operations` were conducted in secret for over four decades presents a unique public information challenge to those who currently are responsible for communicating with the public.

UK PubMed Central (United Kingdom)

BackgroundThere are several known factors that cause ischemic heart disease. However, the part played by air pollution still remains something of a mystery. Recent attention has...Full Text Available

Wastenet

... All rickettsial diseases respond to treatment with antibiotics such as doxycycline and tetracycline As of 10 May, the Government of South Africa has reported 186 confirmed cases of RVF in humans, including 18 deaths, in Free State Province, Eastern Cape Province, Northern Cape Province, Western Cape, and North West Province. RVF is a viral disease that primarily affects animals (such as cattle, buffalo, sheep, goats and camels). The disease can also affect humans. The main mode of transmission of RVF ...

Energy Technology Data Exchange (ETDEWEB)

The paper shortly recapitulates the background to and the importance of the principle of channeling of liability to the operator, contained in the international Conventions in the field of nuclear liability. It tries to outline the main problems involved in the process of backfitting in some more detail and to describe part of the work that has been done in Sweden and elsewhere to try to solve them. Finally, the paper contains some concluding remarks indicating that no entirely satisfactory solution to the problem is presently at hand. (orig./HP)

Science.gov (United States)

The report gives results of the first 3 years of study to determine environmentally sound methods for disposing of wastes from nonregenerable flue gas desulfurization systems. Untreated and treated wastes from seven different scrubbers at eastern and western plants, using lime, l...

International Nuclear Information System (INIS)

The paper will report the experience gained in the implementation of the national assistance projects, including the detailed assessment of the national situation compared to the ITWG Model Action Plan, the upgrading of the technical skills, the training of national experts and the joint analysis of nuclear material at ITU. The status of the work with the 13 future Member States to the European Union will also be reported on during the conference

DEFF Research Database (Denmark)

Background:The validity of dementia diagnoses in the Danish nationwide hospital registers was evaluated to determine the value of these registers in epidemiological research about dementia. Methods: Two hundred patients were randomly selected from 4,682 patients registered for the first time with a dementia diagnosis in the last 6 months of 2003. The patients' medical journals were reviewed to evaluate if they fulfilled ICD-10 and/or DSM-IV criteria for dementia and specific dementia subtypes. The patients who were still alive in 2006 were invited to an interview. Results: One hundred and ninety-seven journals were available for review and 51 patients were interviewed. A registered diagnosis of dementia was found to be correct in 169 (85.8%) cases. Regarding dementia subtypes, the degree of agreement between the registers and the results of the validating process was low with a kappa of 0.36 (95% CI 0.24-0.48). Conclusion: The validity of dementia syndrome in the ...

International Nuclear Information System (INIS)

To quantify the number of cases and clinical courses of Acanthamoeba keratitis treated at the King Khaled Eye Specialist Hospital (KKESH) between December 1982 and May 2005, and to review their clinical course and response to medical and surgical therapy. Retrospective review of medical records of all patients with Acanthamoeba keratitis diagnosed by the KKESH Microbiology or Pathology or Pathology Laboratory since the opening of the hospital. During a period of over 22 years, only six cases of confirmed. Acanthamoeba keratitis were diagnosedand treated at KKESH. In two cases the diagnosis was made by corneal biopsy, while four cases required examination of a histopathology specimen obtained at the time of therapeutic keratoplasty to establish the diagnosis. One eye was cured by medical therapy, while five eyes required one (4eyes) or two (1 eye) therapeutic penetrating keratoplasty (PKP) to achieve a clinical cure. Three eyes achieved good ...

Energy Technology Data Exchange (ETDEWEB)

A statistical method is developed to determine the locations of major pollutant sources affecting a distant downwind receptor, provided that air trajectories can be estimated. Probability density functions are estimated which indicate the overall residence time of air parcels over a given geographic region as they travel toward a receptor and residence time for the case of high pollutant concentrations at the receptor. These functions are used to estimate a conditional probability function which indicates the potential for a source region to contribute to high air pollution concentrations. Finally, a source contribution function is formulated to indicate the relative contribution of different source regions to high concentrations at the receptor. The method is tested using data collected at Grand Canyon National Park in 1980. The dominant pathway for air masses arriving at Grand Canyon during this period was southern California. A lesser pathway was from the border of Utah and ...

Energy Technology Data Exchange (ETDEWEB)

An evaluation of eastern shale oil (ESO) residue as an asphalt additive to reduce oxidative age-hardening and moisture susceptibility was conducted. The ESO residue, having a viscosity of 23.9 Pa{sm_bullet}s at 60{degrees}C (140{degrees}F), was blended with three different petroleum-derived asphalts, AAD-1, AAK-1, and AAM-1, that are known to be very susceptible to oxidative aging. Rheological and infrared analyses of the unaged and aged asphalts and the blends were then conducted to evaluate oxidative age-hardening. In addition, the petroleum-derived asphalts and the blends were coated onto three different aggregates, Lithonia granite (RA), a low-absorption limestone (RD), and a silicious Gulf Coast gravel (RL), and compacted into briquets. Successive freeze-thaw cycling was then conducted to evaluate the moisture susceptibility of the prepared briquets. The abbreviations used above for the asphalts and the aggregates are part of the Strategic Highway Research ...

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Onshore and marine seismic-reflection data obtained near the Trans-Alaskan Crustal Transect (TACT), in the region of the eastern Aleutian trench and lower Cook Inlet, reveal highly reflective midcrustal layering that begins at a depth of 10-15 km within the upper plate of the Aleutian subduction zone. Beneath the continental shelf, midcrustal reflections were recorded over broad areas and occur in subhorizontal bands that are 1 to 3 s thick. The reflections extend beneath complexly deformed late Mesozoic and early Cenozoic accreted rocks that are exposed at the surface. Preliminary interpretation of seismic refraction data indicates that under the shelf the top of the reflections corresponds in depth with a sharp increase in rock velocity, from 5.9 km/s to 6.6 km/s. North and northwest of the shelf, beneath the Chugach and Kenai mountains, midcrustal features dip 20{degree}-30{degree} north or northwest, and below the Chugach Mountains, the top of the reflections ...

British Library Electronic Table of Contents (United Kingdom)

There is limited information on the incidence of acute kidney injury (AKI) in patients with traumatic brain injury (TBI) although AKI may contribute to morbidity and mortality. We investigated the incidence of AKI in patients with moderate and severe TBI and the association of AKI with risk factors and outcomes in these patients. We studied all TBI patients over 16 years of age admitted to the two designated trauma hospitals in the state of Victoria, Australia from 1 January to 31 December 2008. Patients were included if they had head trauma and presented with a Glasgow coma scale (GCS) <13. Prospectively collected data from the hospital trauma registries, ICUs, and pathology databases were analyzed retrospectively. Risk injury failure loss end (RIFLE) criteria were used to categorize rena...

British Library Electronic Table of Contents (United Kingdom)

Participants in the conference selected to attend two different working group sessions. The working groups discussed different perspectives of system-based approaches to osteoporosis and fracture care. The group on postfracture case management recommended that nurse case managers be used to improve communication among patients, orthopaedic surgeons, and those providing ongoing clinical care. The hospital working group discussed the impact of and barriers to improved postfracture management in the hospital setting. The health systems group emphasized the difference between a closed system in which long-term benefits of interventions were more likely to be appreciated than in fee for service systems. The health information technology group discussed the advantages and challenges of electroni...

British Library Electronic Table of Contents (United Kingdom)

Abstract Aim- According to the revised Bethesda Guidelines, colorectal cancer (CRC) occurring under age 50-years should be screened to exclude Lynch syndrome. However, in current practice in East Anglia, tumour screening is initiated only after genetics referral, reserved for those with a strong pedigree. This study aimed to determine how many patients with young-onset CRC undergo tumour screening in hospitals in East Anglia. Method- A retrospective case notes review over 5-years in four hospitals was undertaken to determine what proportion of those with young-onset CRC underwent referral for tumour screening and to assess local practices in terms of patient counselling and management. Results- One hundred and twenty-two patients were included. There was an average yearly caseload of 6-9 p...

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Objectives Our purpose was to evaluate interaction of green tea consumption and abdominal obesity as related factors for lacunar infarction in Korean women. Designs A hospital-based, incident case-control study. Settings The Prevention and Managements of Stroke in Women study. Participants Cases (n=233) of first incident lacunar infarction were enrolled and matched by age to stroke-free hospital controls (n=204). Measurements The data were collected through face-to-face interviews by well trained research assistants to assess demographic, medical, lifestyle, marital status, religions status, green tea consumptions, family history of stroke, smoking status, alcohol consumption, meat and vegetable intake frequency, and past history of hypertension. Biochemical analysis, fasting blood specime...

British Library Electronic Table of Contents (United Kingdom)

Aims.- To examine the relationships between depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Taiwan. Background.- Research suggests associations between depression, metabolic syndrome and quality of life. Despite this fact, few studies have investigated these relationships among Taiwanese. Design.- A cross-sectional descriptive correlational design was used to conduct this study. Methods.- A convenience sample of 140 adults participated in the study. Data were analysed with descriptive statistics, Pearson-s correlations, hierarchical regression and t-tests. Results.- Almost a half of the subjects (465%) had metabolic syndrome. The most common combination of metabolic synd...

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In Niigata University Hospital, most of conventional radiography were changed to Fuji computed Radiography (FCR) from July 1988. To evaluate its clinical utility, questionnaires relating to FCR image were distributed to all physicians including non-radiologists in the hospital after three months. The ratio of the physicians evaluated FCR image to be better than conventional image was 75% in chest radiography, 64% in abdominal radiography. FCR tomography of bone, joint, cranium and chest was also evaluated to be better than conventional by most of the physicians. Reduced size of the film and difficulty in detecting interstitial shadows of the lung were mentioned to be the fault of FCR. (author).

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Objective To demonstrate clinical features of a patient subgroup presenting with polycystic ovary syndrome (PCOS) without polycystic ovary morphology. Design Retrospective study. Setting Hospital-based IVF center. Patient(s) In the present study, 876 PCOS patients were selected from women who visited the Reproductive Medicine Center at Shandong Provincial Hospital, Shandong University, between September 2004 and October 2006. Women with PCOS were divided into two groups based on ultrasound image: group A, PCOS patients with classic polycystic ovary (n = 800); group B, PCOS patients without polycystic ovary morphology (n = 76). The following available data were analyzed in the large cohort of women: body height, weight, waistline, hip circumference, hirsutism scores, family history, serum s...

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Results are given for deep-level petroleum and gas drilling probes in various coastal zones of Southern Sakhalin covering the Poronai depression and the Aniv Bay trough. The exploratory probes indicate that the Middle Miocence deposits of the Boundary trough contain commercial-size deposits of petroleum, that commercial-size gas deposits are in the upper Myocene deposits of the Aliv Bay trough, and that the upper Cretaceous and Cenozoic deposits of the eastern section of Southern Sakhalin lack folded deformations. 7 references, 2 figures.

Wastenet

...review on the Bank Simpanan Nasional (National Savings Bank) in Malaysia by Mohd. Fuad Md. Sawari & Razi Hassan & ...crisis and Islamic stock markets integration by Bakri Abdul Karim & Nor Akila Mohd. Kassim & Mohammad Affendy Arip [Downloadable! (...Index and the Dow Jones Islamic Market Index by Azhar Abdul Rahman & Mohd Azlan Yahya & Mohd Herry Mohd Nasir [Downloadable! ...at the International Islamic University Malaysia by Noor Hazilah Abd Manaf & Dinon Mohd & Kalthom Abdullah [Downloadable! (restricted)] ...

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The Devonian oil shales of the Eastern United States are a significant domestic energy resource. The overall objective of the multi-year program, initiated in October 1987 by the US Department of Energy is to perform the research necessary to develop the Pressurized Fluidized-Bed Hydroretorting (PFH) process for producing oil from Eastern oil shales. The program also incorporates research on technologies in areas such as raw shale preparation, beneficiation, product separation, and waste disposal that have the potential of improving the economics and/or environmental acceptability of recovering oil from oil shales using the PFH process. The results of the original 3-year program, which was concluded in May 1991, have been summarized in a four-volume final report published by IGT. DOE subsequently approved a 1-year extension to the program to further develop the PFH process specifically for application to beneficiated shale as feedstock. Studies ...

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A petrographic comparison of Triassic, fluvial sandstones from the Deep River Basin in the eastern piedmont of North Carolina with nearby Holocene stream sands (1) indicates that he Triassic climate was more arid than today's and (2) distinguishes an eastern, more plutonic terrane from a western, more metamorphic source terrane. The paleoclimatic interpretation is based on differences in framework composition between modern and ancient sands of the same grain size, derived from the same rock type, transported similar distances and deposited in similar settings. The Triassic sandstones contain more lithic-fragments but less quartz than otherwise equivalent, modern sand in the Deep River Basin. Feldspar content is more complex, controlled by both source-rock composition and climate. Sand from the more plutonic terrane contains more feldspar and plutonic lithic-fragments than sand from the more metamorphic terrane, which contains more ...

International Nuclear Information System (INIS)

On 21 October 1994, three brothers entered a waste repository at Tammiku, Estonia, without authorization and removed a metal container enclosing a caesium-137 source. During the removal the source was dislodged and fell to the ground. One of the men picked up the source, placed it in his pocket and took it to his home in the nearby village of Kiisa. Very soon after entry into the repository he began to feel ill, and few hours later he began to vomit. The man was subsequently admitted to hospital with severe injuries to his leg and hip and died on 2 November 1994. The injury and subsequent death were not attributed to radiation exposure, and the source remained in the man's house with his wife and stepson and the boy's great-grandmother. The boy was hospitalized on 17 November with severe burns on his hands, and these were identified by a doctor as radiation induced. The authorities were alerted, and the Estonian Rescue Board recovered the ...

UK PubMed Central (United Kingdom)

BackgroundMany emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital...Full Text Available

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... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

International Nuclear Information System (INIS)

Neutron activation of nitrogen and hydrogen in the body, the isotope dilution technique and the measurement of naturally radioactive potassium in the body are among the new nuclear methods, now under collaborative development by the Australian Nuclear Scientific and Technology Organization and medical specialists from several Sydney hospitals. These methods allow medical specialists to monitor the patient's response to various diets and dietary treatments in cases of cystic fibrosis, anorexia nervosa, long-term surgical trauma, renal diseases and AIDS. ills.

International Nuclear Information System (INIS)

This study mainly concerns medical explorations by radioisotopes. Detectors with medical exams and applications are described. Ionisation chambers, semiconductor detectors and scintillation counters are also presented. Uses of radioisotopes in medicine in vivo and in vitro techniques are explained. Examples of scintiscanning are given like: angiography, nuclear cardiography and thyroid scintiscanning. The importance of the study is to present a panorama of nuclear medicine laboratories -at the time- in hospitals in Lebanon.

UK PubMed Central (United Kingdom)

A nationwide antimicrobial resistance surveillance has been conducted since 1997 in Korea. In this study, susceptibility test data generated in 2004 by KONSAR group hospitals were analyzed and compared...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundType 2 Diabetes mellitus (T2DM) affects persons of all ages, while also placing heavy economic burdens on national economies and healthcare systems. The study aims to investigate...Full Text Available

UK PubMed Central (United Kingdom)

A 21-year-old male patient was transferred to the emergency room of our hospital after suffering seat belt abdominal injury in a traffic accident. Abdominal computed tomography revealed a massive hematoma...Full Text Available

International Nuclear Information System (INIS)

The diagnostic value of the portable chest radiography obtained with Fuji computed radiography (FCR) was evaluated in comparison with conventional images in 23 patients who were admitted to ICU in Yokohama City University Hospital. On the whole , FCR produced more exellent images than conventional screen-film radiographs. Especially the evaluation for the demonstration of the catheters, the endotracheal tubes and the tracheal shadows obtained high score. We discuss the clinically utility of FCR for the portable chest radiographs in ICU. (author).

International Nuclear Information System (INIS)

Radiotherapy has been reported to be of benefit in prolonging the survival of patients with cholangiocarcinoma. This study examined whether radiotherapy in addition to endoscopic stenting improved survival. The survival advantage of radiotherapy in those with a type II/III stricture is seen only in the first 10 months after diagnosis. The costs of radiotherapy and significantly increased time spent in hospital, however, raise doubts over its routine use in the management of non-resectable cholangiocarcinoma. (Author).

CERN Document Server

The adjoint of an ocean general circulation model is used as a tool for investigating the causes of changes in ENSO SST indices. We identify adjoint Kelvin and Rossby waves in the sensitivities to sea level and wind stress at earlier times, which can be traced back for more than a year through western and weak eastern boundary reflections. Depending on the thermocline depth the first and second baroclinic modes are excited. The sensitivities to the heat flux and SST are local and decay in about a month. The sensitivities to the fluxes are converted into the influence of SST using the adjoint of a statistical atmosphere model. Focusing on SST perturbations in the index region itself, we recover, up to a scale factor, the delayed oscillator concept.

Energy Technology Data Exchange (ETDEWEB)

The economic development of eastern Europe was associated during the last 15 years with the following average annual increases in energy consumption: Approximately 1% in the sectors industry, building and transport, almost 7% in the farming sector, approximately 3% in households, and nearly 4% in the municipal sector. This trend will not continue. As the economic system shifts from centrally planned to free economy and as the previously secluded economy is forced to face world market conditions as well as changed pars of exchange and conditions of payment, it not only experiences a transitory, sharp dip of economic growth in general but, in particular, drastic structural changes. - While there is to be expected, on the whole a slump in national economic growth, in tradiational branches of industry (e.g., metallurgy, the chemicals and textile industry) as well as in farming, such sectors as the service industry and small trade are expanding. (orig./UA).

British Library Electronic Table of Contents (United Kingdom)

Several researchers have investigated morphological changes on the south-eastern Mediterranean coast during the late Holocene. However, very few of these studies include quantitative data covering the last 200?years. In this study, topographical maps, nautical charts and aerial photographs are used to estimate the shoreline migrations and beach?nearshore sand balance over the last 200?years in Haifa Bay, Israel, the northernmost final depositional sink of the Nile littoral cell. The findings reflect two main periods. During the first period, between 1799 and 1928, human intervention along the bay?s coast was negligible, a significant coastal expansion of ?50 to 150?m (averages of 0.4?1.2?m/year) was measured, and sand accumulation was estimated at ?70,000?m3 annually in the beach?nearshore...

British Library Electronic Table of Contents (United Kingdom)

Crustal xenoliths (pyroxenites and plagioclase + quartz + pyroxene lithologies) from the Quaternary Big Pine volcanic field on the eastern flank of the Sierra Nevada Batholith in California (USA) represent the products of metasomatic reaction between the margins of a Cretaceous granodioritic pluton and Paleozoic marbles, possibly at mid-crustal depths based on the equilibration temperatures recorded by Ti-in-quartz geothermometry. This interpretation is based on the presence of plagioclase showing relict plutonic textures, pyroxenite characterized by nearly pure diopside clinopyroxene, recrystallized plagioclase with anomalously high anorthite content, textures indicating replacement of plagioclase by clinopyroxene (and vice versa), `ghost' plagioclase rare earth element signatures in some...

British Library Electronic Table of Contents (United Kingdom)

Previous studies on river health evaluation mainly focused on characterizations at a river-corridor scale and ignored the complex interactions between the river ecosystem and other components of the river basin. Based on the consideration of the interactions among rivers, associated river basin and habitats, an assessment framework with multi-scale indicators was developed. An index system divided among these three scales to characterize the health of river ecosystems in China???s Liao River Basin was established. Set pair analysis was applied to integrate the multi-scale indicators and determine the health classes. The evaluation results indicated that the rivers in the western and eastern zones of the Liao River were classified as sick, and rivers in the main stream of the Liao and Hunta...

Energy Technology Data Exchange (ETDEWEB)

Impacts of gas pipeline rights-of-way (ROWs) through wetlands depend on types of habitat, construction techniques, final elevations, ROW maintenance practices, soil composition, and local climate. In some instances factors unrelated to the presence of the pipeline may have greater impacts on wetland modification than does the pipeline itself. At one site, the required seeding program inhibited natural reestablishment of wetland plants; at another, downstream construction resulted in a major disruption to the adjacent wetland habitat. This paper discusses observation from 13 study sites, each zero to 30 years old, that are located in seven Eastern States.

British Library Electronic Table of Contents (United Kingdom)

Detailed geothermal studies of deep drill holes provide insights to heat transfer processes in the crust, and allow separation of different factors involved, such as palaeoclimatic and structural conductive effects as well as advective fluid flow effects. We present high resolution geothermal results of the 2516m deep Outokumpu Deep Drill Hole in eastern Finland drilled in 2004-2005 into a Palaeoproterozoic formation with metasedimentary rocks, ophiolite-derived altered ultramafic rocks and pegmatitic granite. The down-hole temperatures have been logged five times after end of drilling and extend to day 948 after drilling. The hole is completely cored (79% core coverage) and thermal conductivity measurements were done at 1m intervals. The geothermal results on temperature gradient, thermal...

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Oils, tars, and degraded oils of varying degrees of biodegradation occur in the Permian Phosphoria Formation along the eastern flank of the Wind River mountains, Wyoming, US. Biodegradation has altered the isomer distributions of steranes, the hopanes, and the mono- and triaromatised steroids in these oils. The conventional maturity parameters based on these biomarkers are of limited use in estimating their maturity. On the other hand, even in severely biodegraded oils the vanadylporphyrin distributions are unaltered. Because of this, the Porphyrin Maturity Parameter (PMP) derived from the vanadylporphyrin distribution is an ideal parameter for estimating the maturity of these oils. This study also confirms the previous observation that T[sub s] and T[sub m] are unaffected by even severe biodegradation. 14 refs., 5 figs., 2 tabs.

British Library Electronic Table of Contents (United Kingdom)

World demand for rare-earth elements and the metal yttrium?which are crucial for novel electronic equipment and green-energy technologies?is increasing rapidly. Several types of seafloor sediment harbour high concentrations of these elements. However, seafloor sediments have not been regarded as a rare-earth element and yttrium resource, because data on the spatial distribution of these deposits are insufficient. Here, we report measurements of the elemental composition of over 2,000 seafloor sediments, sampled at depth intervals of around one metre, at 78 sites that cover a large part of the Pacific Ocean. We show that deep-sea mud contains high concentrations of rare-earth elements and yttrium at numerous sites throughout the eastern South and central North Pacific. We estimate that an a...

Energy Technology Data Exchange (ETDEWEB)

Bioremediation of land crude oil and lube oil spills is an effective and economical option. Other options include road spreading (where permitted), thermal desorption, and off-site disposal. The challenge for environment and operations managers is to select the best approach for each remediation site. Costs and liability for off-site disposal are ever increasing. Kerr-McGee`s extensive field research in eastern and western Texas provides the data to support bioremediation as a legitimate and valid option. Both practical and economical bioremediation as a legitimate and valid option. Both practical and economical, bioremediation also offers a lower risk of, for example, Superfund clean-up exposure than off-site disposal.

British Library Electronic Table of Contents (United Kingdom)

Coal mining activities cause an increased acidity and an associated decrease of the pH-value in mine waters. This process is also known as acid mine drainage (AMD). Due to AMD, lakes that were formed in the post mining landscapes in the lignite mining area of Central Germany are characterized by specific limnological development changes. Remote sensing is a time and cost saving technique that enables the observation of the hydrological and limnological development of the lakes ranging from a small to a mid size scale. The current research was based on Landsat TM5/ETM+7 satellite data collected between 1999 and 2004. In combination of satellite data, surface waters of the post mining lakes in Central Germany were sampled and analyzed for their physicochemical properties. The objective of th...

British Library Electronic Table of Contents (United Kingdom)

SummaryStudy Objectives: To compare the effect of noninvasive mechanical ventilation (NIV) in severely acidotic with mildly acidotic patients with acute hypercapnic chronic obstructive lung disease (COPD).Design: Comparison of NIV in consecutively enrolled patients with acute hypercapnic COPD with mild (pH 7.25-7.35) or severe (pHPaCO2, duration of NIV treatment, length of stay in hospital and survival.Results (meadian (IQR)): Twenty-nine patients had 36 episodes of acute hypercapnic respiratory failure: Seventeen with pHPaCO2 improve (12 (6-34) vs 12 (4-28)h, respectively, Formula Not Shown ), with similar duration of NIV treatment (60 (35-96) vs 68 (36-48)h, respectively, Formula Not Shown ) and hospital length of stay (8 (7-18) vs 9 (5-17) days, respectively, Formula Not Shown ). Overal...

International Nuclear Information System (INIS)

In consistency with the increasing requests from Member States for establishing radiotherapy programmes, an IAEA Technical Co-operation project was initiated in Latin America aimed at improving the physical aspects (as a complement to the clinical issues) of quality assurance in radiotherapy; this ARCAL XXX project (RLA/6/032) was classified as a Model Project of the IAEA. Among the important outcomes of the project were (i) the training of a considerable number of medical physicists in hospitals of the region, (ii) the development of a protocol for quality control procedures, and (iii) the organization of quality audit site visits (to the participant countries) where the implementation in hospitals of the developed quality control procedures is verified. The present publication is the protocol for quality control of the physical aspects of radiotherapy. It contains detailed procedures on what should be measured by a medical physicist in a ...

International Nuclear Information System (INIS)

These summary descriptive data of ethnically similar cohorts of indigenous and migrant Japanese males have shown similarities or slight differences in characteristics wholly or largely genetically determined, such as blood groups, stature, and skeletal size. Differences have been noted in characteristics largely environmental or behavioral, such as diet and cigarette smoking habit, as well as in characteristics determined by a varying mixture of genetic and environmental influences, such as weight, blood pressure, glucose tolerance, and serum lipid and uric acid levels. Detailed analyses of the distributions of laboratory variables, of dietary data obtained by different methods, and of correlations among laboratory, dietary, physical, and demographic variables are currently in progress. Also part of the study plan are determinations of disease prevalence from evaluation of examination, laboratory, and electrocardiographic findings, of disease incidence from repeat examinations and from ...

British Library Electronic Table of Contents (United Kingdom)

Aim.- To describe the clinical aspects of implantable cardioverter defibrillators care in Sweden with focus on organisation, the role and education of nurses, patient information and education and areas in need of improvement. Background.- Implantable cardioverter defibrillators implantations have developed rapidly in recent years and are now an established arrhythmia treatment. The expanding indication for implantable cardioverter defibrillators implantation demands new competencies and resources in the implantable cardioverter defibrillators team members. Methods.- Participants were recruited among physicians and nurses in all of the hospitals implanting implantable cardioverter defibrillators (n-=-16). Data were collected by a questionnaire. Additionally, all written educational materia...

International Nuclear Information System (INIS)

Doses to the salivary glands, thyroid gland, breast, lung, stomach and colon during mass radiological gastric screening, mass radiographic chest screening, upper gastrointestinal series and computed tomography were determined by exposing a female human phantom to simulated radiological X-ray examinations as performed in community hospitals. The doses were measured using thermoluminescent dosemeters, and the results will be used to document organ doses received by participants in the Atomic Bomb Casualty Commission/Radiation Effects Research Foundation Adult Health Study. (Author).

International Nuclear Information System (INIS)

In the Wajima lung cancer screening program conducted under the auspices of Kanazawa University Hospital, Fuji Computed Radiography (FCR) was utilized in a new chest radiography trial. The results of the screening program are that the necessity of repeat examinations due to poor image quality are less common and the method enables detection of small pulmonary nodular shadows which are possibly candidates for surgery. Oblique chest X-ray with FCR is remarkably effective for the detection and the identification of small lesions. However, the disadvantage of slow processing and high cost must be fully satisfied if FCR is to become a new imaging modality for mass screening. (author).

Energy Technology Data Exchange (ETDEWEB)

This book presents in simple terms the basis of molecular genetics and how it is used to obtain an understanding of the human genome. The author's central focus is the transistion of genetics from statistics to experimental manipulations, and he offers analogies that help readers visualize the genome, thereby avoiding conventional scientific presentations. He illustrates how genetics is used in scientific laboratories, in courtrooms, and in hospitals. Little is presented about the complex social and ethical issues raised by the Human Genome project.

British Library Electronic Table of Contents (United Kingdom)

Abstract Telecare has become an increasingly common medical service in recent years. However, new service must be close to the market and be market-driven to have a high likelihood of success. This article analyzes the business model of a telecardiology service managed by a general hospital. The methodology of the article is as follows: (1) initially it describes the elements of the service based on the ontology of the business model, (2) then it transfers these elements into the choices for business model dynamic loops and examines their validity, and (3) finally provides an empirical financial analysis of the service to assess the profit-making possibilities.

International Nuclear Information System (INIS)

To evaluate the diagnostic performance of commercially available CRT monitors used in a teleradiology system by determining the rate of detection of simulated lung nodules. Three types of CRT monitors were tested in the observation study. They had matrix sizes of 1024 x 768 (16 inches, color), 1024 x 768 (20 inches, color) and 1600 x 1125 (24 inches, black and white). Twenty chest radiographs were obtained by Fuji computed radiography (FCR) of an anthropomorphic chest phantom with ten simulated nodules on its surface. These FCR films were digitized by a film digitizer with 125 DPI (1024 x 1024 matrix sizes) and 12 bit gray scales, and the image data were transferred from Shinshu University Hospital to other hospitals where interpretation was carried out by the radiologists. Ten radiologists of three hospitals were asked to interpret independently both the original FCR films and the images shown on the CRT monitors and to ...

Energy Technology Data Exchange (ETDEWEB)

The coal transportation industry has played an integral role in determining coal markets, particularly in recent years, as the industry has evolved from cost-based pricing to market-based pricing. Aggressive pricing by Western rail carriers has caused extensive changes in coal marketing patterns in the Midwest. Multi-modal barge deliveries of Western and Appalachian coals have also played a significant, though lesser, role in changing coal markets. Eastern rail carriers have generally lagged in their aggressive pursuit of new coal markets and, to date, few changes in coal markets have been realised. The historic dominant role of transportation in shaping markets for coal will continue into the future as the utility industry contends with the effects of CAAA compliance and deregulation and as the coal industry contends with regional coal displacements and major imbalances in supply and demand. The dominance of rail transportation in defining coal distribution ...

Energy Technology Data Exchange (ETDEWEB)

The island of Hispaniola (Dominican Republic and Haiti) lies within the North Caribbean strike-slip plate boundary zone. The post-Eocene history of Hispaniola is marked by strike-slip accretion of crustal fragments onto a Late Cretaceous-Eocene island arc. Three onshore Neogene clastic basins have been the focus of petroleum exploration in Hispaniola. Oil production was achieved by drilling surface anticlines in the Azua Basin in South-Central Hispaniola (Dominican Republic) during World War II (Maleno and Higuerito fields). More modern seismic exploration has been carried out in the Enriquillo, San Juan and Cibao Basins, but has not resulted in production. Recent surface and seismic stratigraphic mapping has elucidated the geologic history of Southern Hispaniola. It consists of several Late Cretaceous-Eocene oceanic and island-arc terranes separated by E-W to NW/SE-striking ''ramp'' or thrust-bound clastic basins of Neogene age (San Juan, Azua and ...

International Nuclear Information System (INIS)

We present a proof-of-concept analysis of the measurement of the health damage of ozone (O_3) produced from nitrogen oxides (NO_x=NO+NO_2) emitted by individual large point sources in the eastern United States. We use a regional atmospheric model of the eastern United States, the Comprehensive Air quality Model with Extensions (CAMx), to quantify the variable impact that a fixed quantity of NO_x emitted from individual sources can have on the downwind concentration of surface O_3, depending on temperature and local biogenic hydrocarbon emissions. We also examine the dependence of resulting O_3-related health damages on the size of the exposed population. The investigation is relevant to the increasingly widely used 'cap and trade' approach to NO_x regulation, which presumes that shifts of emission over time and space, holding the total fixed over the course of the summer O_3 season, will have minimal effect on the environmental outcome. By ...

Energy Technology Data Exchange (ETDEWEB)

In cooperation with NRPB, the specifications of the mainframe COSYMA version 95/1 and the PC COSYMA version 2.0 were prepared and the corresponding modifications implemented. Important improvements are dose-rate dependent models for deterministic health effects, the time dependent efficiency of stable iodine tablets, the extension of data bases for the inclusion of activation products, and supplementary evaluation programs. PC COSYMA has been completed by an economics module, further options in the ingestion pathways, and a graphics package for presenting assessment results. COSYMA has been applied for probabilistic dose assessments within paramter studies and special investigations of EPR concepts. RODOS, the real-time on-line decision support system for nuclear emergency management, has been further developed with the aim of the first pilot version 2.0 for pre-operational application in the second half of 1995. At present, some 20 institutes in the EU, 8 institutes in Russia, Belarus ...

Energy Technology Data Exchange (ETDEWEB)

An evaluation of eastern shale oil (ESO) residue as an asphalt additive to reduce oxidative age hardening and moisture susceptibility was conducted by Western Research Institute (WRI). The ESO residue, have a viscosity of 23.9 Pa{lg_bullet}s at 60{degree}C (140{degree}F), was blended with three different petroleum-derived asphalts, ASD-1, AAK-1, and AAM-1, which are known to be very susceptible to oxidative aging. Rheological and infrared analyses of the unaged and aged asphalts and the blends were then conducted to evaluate oxidative age hardening. In addition, the petroleum-derived asphalts and the blends were coated onto three different aggregates, Lithonia granite (RA), a low-absorption limestone (RD), and a siliceous Gulf Coast gravel (RL), and compacted into briquettes. Successive freeze-thaw cycling was then conducted to evaluate the moisture susceptibility of the prepared briquettes. The rheological analyses of the unaged petroleum-derived asphalts and ...

Energy Technology Data Exchange (ETDEWEB)

The eastern oyster (Crassostrea virginica) developed neoplastic disorders when experimentally exposed both in the laboratory and field to chemically contaminated sediment from Black Rock Harbor (BRH), Bridgeport, Connecticut. Neoplasia was observed in oysters after 30 or 60 days of continuous exposure in a laboratory flow-through system to a 20 mg/L suspension of BRH sediment plus postexposure periods of 3, 30, or 60 days. Composite tumor incidence was 13.6% for both exposures. Tumor occurrence was highest in the renal excretory epithelium, followed in order by gill, gonad, gastrointestinal, heart, and embryonic neural tissue. Regression of experimental neoplasia was not observed when the stimulus was discontinued. In field experiments, gill neoplasms developed in oysters, deployed in cages for 30 days at BRH and 36 days at a BRH dredge material disposal area in Central Long Island Sound, and kidney and gastrointestinal neoplasms developed in caged oysters deployed ...

Scientific Electronic Library Online (English)

Abstract in english The principal vector of malaria in eastern Venezuela, Anopheles aquasalis, is exophagic and exophilic. Control using indoor insecticide house sprays has failed to lower the number of malaria cases. Therefore, studies were initiated in two villages of the eastern coastal state of Sucre to better understand this vector's biology and develop a more integrated control program. An. aquasalis was found to have a crepuscular biting behavior with a major peak at dusk and a minor (more) peak at dawn. Mosquitos were collected more outdoors than indoors. Forty-seven percent of the biting took place before people went to bed (22:30 hr) and 69% of the mosquitos biting during this time period bite outdoors. Outdoor biting could be the reason why indoor spraying alone did not lower malaria cases. Seasonal abundance was greater in the rainy season compared to the dry season. Seasonal parous rates were high (78.3%-100%) and similar indoors ...

International Nuclear Information System (INIS)

In this study, a regional dynamical model (WRF) is used to drive biogenic emission models to calculate high resolution (10 x 10 km) biogenic emissions of isoprene (C_5H_8), monoterpenes (C_1H_1_6), and nitric oxide (NO) in China. This high resolution biogenic inventory will be available for the community to study the effect of biogenic emissions on photochemical oxidants in China. The biogenic emissions are compared to anthropogenic emissions to gain insight on the potential impact of the biogenic emissions on tropospheric chemistry, especially ozone production in this region. The results show that the biogenic emissions in China exhibit strongly diurnal, seasonal, and spatial variations. The isoprenoid (including both isoprene and monoterpenes) emissions are closely correlated to tree density and strongly vary with season and local time. During winter (January), the biogenic isoprenoid emissions are the lowest, resulting from lower temperature and solar radiation, and highest in ...

Science.gov (United States)

The U.S.A. is currently spending hundreds of millions of dollars on coal liquefaction research and this is aimed at improving the German processes to give better yields at lower temperatures and pressures using regenerable, instead of throw-away, catalysts. In assessing the various processes it should be remembered that Australia's requirements are different from those of America. American work is mainly directed to producing a clean, low sulphur, low ash, fuel(solid, liquid or gaseous) particularly from their high sulphur Eastern coals, in order to release for other purposes the very large quantities of oil and gas used in the U.S.A. each year in power stations. Obviously there is no scope for this approach in Australia, where over 90% of electricity is produced already from coal and where there are adequate resources of low sulphur coals to meet Australia's forseeable power requirements. Australia's pressing needs are for transport ...

Energy Technology Data Exchange (ETDEWEB)

This document gathers the presentations given at the first French national meetings of solar energy for the development of solar systems in buildings. The meeting was organized over two days. The first day comprises 4 workshops about: urbanism and planning, cultural acceptability of solar energy in buildings (the OPAC 38 housing association, point of view on an energy information point, the Freiburg (Germany) solar region and marketing examples), technical integration to the structure (Clipsol solutions), and economical criteria (compared impacts of R and D public photovoltaic programs (USA, Japan, Germany, France, Italy), financing of rehabilitation projects, global approach of solar photovoltaic energy, technical solutions and strategy of products development, why and how to make an economical analysis of solar energy applications in the building industry). The second day comprises a plenary session and a round table: global status of solar energy development in Europe, status of ...

British Library Electronic Table of Contents (United Kingdom)

The sycamore lace bug, Corythucha ciliata is a new, invasive pest of Platanus trees in China. Although C. ciliata is often subjected to acute low temperatures in early winter and spring in northern and eastern China, the cold tolerance of C. ciliata has not been well studied. The objectives of this study were to determine whether adults of C. ciliata are capable of rapid cold hardening (RCH), and to compare the benefits of RCH vs. cold acclimation (ACC) in the laboratory. When the adult females incubated at 26^oC were transferred directly to the discriminating temperature (-12^oC) for 2h, survival was only 22%. However, exposure to 0^oC for 4h before transfer to -12^oC for 2h induced RCH, i.e., increased survival to 68%. RCH could also be induced by gradual cooling of the insects at rates ...

Energy Technology Data Exchange (ETDEWEB)

Beneath the harsh deserts of Saudi Arabia lie dark chambers and complex mazes filled with strange shapes and wondrous beauty. Radon concentration measurements have been carried out in the desert caves of Al-Somman Plateau in the Eastern Province of Saudi Arabia. Passive radon dosimeters, based on alpha particle etch track detectors with an inlet filter, were used in this study. A total of 59 dosimeters were placed in five caves for a period of six months. Out of 59 dosimeters, 37 could be collected for analysis. Measurements showed significant variations in radon concentrations in caves depending upon their natural ventilation. The results of the study show that the average radon concentration in the different caves ranges from 74 up to 451Bqm{sup -3}. The average radon concentration in four of the caves was low in the range 74-114Bqm{sup -3}. However, one cave showed an average radon concentration of 451Bqm{sup -3}. Radon is not a problem for tourists in the ...

Energy Technology Data Exchange (ETDEWEB)

Energy is a critical factor which determines the progress of rural development. Energy is therefore an area of concern. The quality, availability and cost of conventional energies, plus the associated environmental effects are a growing problem - not only for the health infrastructure but also for agriculture and domestic life. This is true not only in developing countries where the fast growing industries and urban populations demand a soaring proportion of available energy at the expense of the rural communities, but also in the poorest countries with weak energy infrastructure. Renewable energies, much studied in the last 20 years, can meet the needs of rural health and education services and communities by providing high quality, low cost, non-polluting energy. Solar energy, in particular, has the flexibility to produce electricity, heat and cooling. Solar technologies, furthermore, are backed by an established and experienced industry. This report proposes to meet the energy needs ...

Energy Technology Data Exchange (ETDEWEB)

Indoor and soil gas Radon ({sup 222}Rn) concentration measurements were accomplished in two stages in Sivas, a central eastern city in Turkey. In the first stage, CR-39 passive nuclear track detectors supplied by the Turkish Atomic Energy Authority (TAEA) were placed in the selected houses throughout Sivas centrum in two seasons; summer and winter. Before the setup of detectors, a detailed questionnaire form was distributed to the inhabitants of selected houses to investigate construction parameters and properties of the houses, and living conditions of inhabitants. Detectors were collected back two months later and analysed at TAEA laboratories to obtain indoor {sup 222}Rn gas concentration values. In the second stage, soil gas {sup 222}Rn measurements were performed using an alphameter near the selected houses for the indoor measurements. Although {sup 222}Rn concentrations in Sivas were quite low in relation with the allowable limits, they are higher than the ...

Energy Technology Data Exchange (ETDEWEB)

European research in green energy production from crops has resulted in the development of full scale bioreactors that use energy crops as feedstock. Switchgrass has been touted as one of the most promising crops for energy production among several perennial grass species grown under moderate to hot climates. However, few studies have been conducted in colder climate conditions. This study examined the mesophilic methane yield of switchgrass grown under the cooler growing conditions that exist in northeastern North America. In 2007, switchgrass was harvested in late July, August and September and conserved as silage. The regrowth of plots harvested in late July was also harvested in late September as a two-cut strategy. A 30 L small-scale laboratory digester was used to anaerobically digest the switchgrass silage samples. Specific methane yield decreased considerably with advancing plant development, but was similar between the first harvest in late July and the regrowth in late ...

Energy Technology Data Exchange (ETDEWEB)

The Sunoco Felda oil trend of the South Florida basin has been a prolific oil producer. All the oil is produced from the Cretaceous Sunniland formation, a leached limestone bioherm. Although the producing section has been considered reefal in the literature, petrographic and biostratigraphic analyses of various cores in producing fields have determined that these deposits are composed of particles of fragmented rudist and other fauna deposited in a tidal shoal. Atop this debris an algae and gastropod section has been deposited, typical of a mound deposited on a tidal mud flat. This model is exemplified in the Sunoco Felda and West Sunoco fields and was used in exploring the Sunoco Felda trend. From the petrological analysis of these two fields and from knowledge of other wells in the basin, biostratigraphic and lithologic trends can be determined and extended offshore into the eastern Gulf of Mexico. The author stresses petrology in exploring the Sunniland ...

International Nuclear Information System (INIS)

This paper presents a practical case study on the dynamic stability of the Saudi Electricity Company (SEC) power system and its effect on increasing power transfer limit of the interconnection between Eastern Operating Area (SEC-EOA). The problem of optimal tuning of the power system stabilizer parameters was converted into optimization problem wth eigenvalue-based objective functions, which was then solved by genetic algorithms. In this regard, two eigenvalue-based objective functions were considered and the problem is solved using real-coded genetic algorithm (RCGA). The effectiveness of the suggested technique to enhance the power system dynamic stability and to extend the power transfer capability limit of the SEC-EOA and the SEC-EOA power system was verified through a comprehensive eigenvalue analysis and time-domain nonlinear simulation. The results also indicated that the proposed tuning schemes of the existing stabilizers in the system have led to an ...

International Nuclear Information System (INIS)

Sources of radon and pathways in which radon can reach dwelling-rooms are shortly discussed. In continuation of the previous measurements of radon in Swiss dwellings with track detectors and working level monitors, a complementary passive method for radon concentration measurements indoors and radon exhalation rate measurements from walls and soil surfaces is introduced. Radon decay products concentrations, air temperature gradients and wind velocities were measured continuously in four Swiss dwellings during several weeks in autumn and winter of 1985/86. The Rn-222 concentrations indoors ranged from about 10 Bq/m"3 in two houses in the Eastern Jura up to more than 23,000 Bq/m"3 in two houses situated in the Central Alps. Indoor equilibrium factors between 0.1 up to 0.5 with distinct dependences on floor-levels have been found. The influence of the temperature gradient between the oudoor and indoor air on the indoor radon daughter concentration has been determined. ...

Science.gov (United States)

It is currently unclear if the potential for West Nile virus transmission by mosquito vectors in the eastern United States is related to landscape or climate factors or both. We compared abundance of vector species between urban and suburban neighborhoods of Henrico County, VA, in relation to the following factors: temperature, precipitation, canopy cover, building footprint, and proximity to drainage infrastructure. Mosquitoes were collected throughout the 2005, 2006, and 2007 seasons and tested for West Nile virus (WNV) in pools of 10-50. Test results of mosquito pools were compared to average site abundance from 37 sites in Henrico County, VA; abundance was then examined in relation to ecological variables. Urban infrastructure was positively correlated with the abundance of Culex pipiens L./Cx. restuans, and our findings implicate combined sewer overflow systems as large contributors to Culex vector populations. No measure of urbanization examined in our study ...

Science.gov (United States)

Preterm children born before 32 weeks of gestation represent 1% of the annual births in Switzerland, and are the most at risk of neurodevelopmental disabilities. A neurological surveillance is thus implemented in the neonatal units, and multidisciplinary neurodevelopmental follow-up is offered to all our preterm patients. The follow-up clinics of the University hospitals in Lausanne and Geneva follow the Swiss guidelines for follow-up. An extended history and neurological examination is taken at each appointment, and a standardized test of development is performed. These examinations, which take place between the ages of 3 months and 9 years old, allow the early identification and treatment of developmental disorders frequent in this population, such as motor, cognitive or behavioral disorders, as well as the monitoring of the quality of neonatal care. PMID:21452511

International Nuclear Information System (INIS)

Objective: To find out safety and efficiency of Misoprostol in cervical ripening and induction of labour to achieve vaginal delivery. Results: From Misoprostol insertion to delivery time was 4-24 hours. Vaginal delivery was achieved in 80.2%, which included spontaneous, forceps and vacuum extraction. Caesarean section rate was 19.7%. Indications for C. Section included Misoprostol unresponsiveness 11% and fetal distress in 8.6%. Oxytocin augmentation was required in 32% of cases. Term babies were 58%. Intrauterine death and neonatal deaths were 9.8% and 8.6% respectively. Hyper stimulation and postpartum haemorrhage was seen in 2.4% and 3.7% of patients respectively. Conclusion: intravaginal Misoprostol is well tolerated and is very effective for the induction of labour in eclampsia. It helps vaginal delivery in toxemic patients, reduces maternal morbidity, mortality and hospital stay. (author)

British Library Electronic Table of Contents (United Kingdom)

Urticaria is one of the most common dermatoses during the childhood, but it is very rare in the neonates. A 17-day-old infant with a generalized urticaria was admitted to our pediatric emergency unit. The mother of the infant reported having applied water boiled with stinging nettle (Urtica dioica) onto her nipples twice a day (before and after each breastfeeding) for 2?days in order to heal her nipple cracks. Serum total immunoglobulin E (IgE) and specific IgE levels for stinging nettle were high in the infant and the mother. The rashes began to regress within the first day of the hospitalization and disappeared completely on the second day without treatment. The skin prick test with the water boiled with stinging nettle was positive for the infant with significant induration, but not for...

International Nuclear Information System (INIS)

The studies using phantoms confirmed that the reduction of electron beam energy and minimization of X-ray contamination could be achieved when electron beam was interposed by an acrylic plate placed 20 cm anterior to a patient. Four patients of mycosis fungoides were treated with 8 MeV electron beam of a linear accelerator at UOEH Hospital from October 1981 to December 1986. Two of them were treated with this technique by placing 2 cm thick acrylic plate anterior to the patients and satisfactory results were obtained. Cutaneous lesions subsided remarkably with the dosage of 2000 cGy given in 2 months. Leucopenia due to bone marrow suppression was mild and the patients tolerated the treatment well. (author).

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Wound dressings impregnated with silver have a role to play in aiding to reduce both the dressing and wound microbial bioburden. It is therefore imperative that antimicrobial wound dressings have efficacy on a broad range of clinical significant microorganisms. Accordingly, this study aimed to determine the antimicrobial efficacy of a silver alginate dressing against 115 wound isolates that had been isolated routinely from patients at West Virginia University Hospital. Standardised corrected zones of inhibition (CZOIs) were performed on all clinical isolates. It was found that the silver alginate dressing was able to inhibit the growth of all microorganisms tested. In particular, the silver alginate dressing inhibited the growth of Candida albicans and yeasts with CZOI of 3-115 mm. All met...

British Library Electronic Table of Contents (United Kingdom)

A wide area of the Assisi town, in Umbria (central Italy), is interested since its first edification (1950?1960) by an extensive landslide. The rate of motion is very slow (around 1?cm/year), but the deformations accumulated for almost 60?years have produced considerable damage to many private and public buildings, including the civic hospital and an important Franciscan monastery. The University of Perugia established in 1995 a geodetic monitoring network over the Assisi landslide, connecting a number of control points inside the moving area to an external reference network with markers placed on stable geological formations. The monitoring has been based since the beginning on GPS satellite positioning with static observations, aiming to obtain a three-dimensional accuracy of about 1?cm ...

Energy Technology Data Exchange (ETDEWEB)

The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children. (orig.)

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PurposeTo conduct a retrospective analysis within a large university teaching hospital, comparing outcomes between patients receiving either radical surgery or radiotherapy as curative treatment for bladder cancer.Patients and MethodsBetween March 1996 and December 2000, 169 patients were treated radically for muscle-invasive bladder cancer. Data were collected from patient notes. Statistical analyses were performed using Kaplan-Meier methods and Cox proportional hazards regression analysis to compare radiotherapy and surgical outcome data.ResultsThere was no difference in overall, cause-specific, and distant recurrence-free survival at 5 years between the two groups, despite the radiotherapy group being older (median age, 75.3 years vs. 68.2 years). There were 31 local bladder recurrences...

British Library Electronic Table of Contents (United Kingdom)

Deltombe T, Gustin T. Selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients: a 2-year longitudinal follow-up of 30 cases. Objective To assess the long-term efficacy of selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients. Design Intervention study (before-after trial) with an observational design and 2-year follow-up. Setting Spasticity group in a university hospital. Participants Hemiplegic patients (N=30) with spastic equinovarus foot. Intervention A selective neurotomy was performed at the level of the motor nerve branches of the tibial nerve. Main Outcome Measures Spasticity (Ashworth scale), muscle strength (Medical Research Council scale), passive ankle dorsiflexion, gait parameters (6 min walking test...

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AbstractBackground: The aim of this study was to review an experience with retroperitoneal endoscopic adrenalectomy (REA). This is the procedure of choice for adrenal tumours at this institution. Methods: Between 1997 and 2008, 112 REAs were performed in a single university centre. Data were retrieved retrospectively from a prospectively collected database, including information on patient demographics, surgical procedure, complications and hospital stay. Results: One hundred and twelve REAs were carried out successfully in 105 patients, including seven bilateral adrenalectomies. Thirty nine patients with unilateral adrenal disease had a phaeochromocytoma, of whom 16 had multiple endocrine neoplasia syndrome type 2, 21 patients had Cushing's disease and 20 had Conn's disease. Median body m...

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Objectives Vietnamese patients? views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients? impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patient-centered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24?h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting ...

British Library Electronic Table of Contents (United Kingdom)

Objective: To describe the meaning of the theme of empowerment from research on health promotion in nursing from the perspective of nurses participating in the study. Methods: Manual data analysis and QSR NUD*IST Vivo were used to analyse the data generated by individual and focus group interviews and the critical incident technique with 32 qualified nurses working in an acute hospital setting in the UK. Results: The participants identified a number of issues related to the theme of empowerment. These included the nurse as patient informer, psychological supporter and rapport builder and the concepts of informed choice/decision making, gatekeeping, coping, patient assertiveness, self-esteem and confidence. Conclusion: Empowerment is a complex, multi-dimensional, contested concept which can...

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SummaryPurposeWomen with epilepsy have increased frequency of reproductive health problems compared to women without epilepsy. In puberty, reproductive hormonal changes during sexual maturation may affect epilepsy and induce the debut of seizures as indicated in some studies. On the other hand, epileptic activity affects sex hormone function, which may induce alterations in pubertal endocrine maturation and thereby menarche age. We wanted to investigate the relation between epilepsy and menarche age in a larger population of female epilepsy patients.MethodsA retrospective, questionnaire study of a cohort of 265 female outpatients from three Norwegian hospitals and 142 controls, aged 18-45 years was conducted. Parameters regarding epilepsy and reproductive health issues were registered. Per...

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Abstract Background. Complementary and alternative medicine (CAM) use is common among breast cancer patients. Several CAM therapies may have negative side effects or interact with conventional therapies. We studied biologically based CAM use with and without vitamins/minerals in relation to patient and tumor characteristics as well as treatment in an ongoing prospective cohort of 855 primary breast cancer patients. Methods. Patients from two hospitals in southern Sweden were included. Pre-operative and follow-up questionnaires containing questions on food intake, lifestyle, and concomitant medications, including natural remedies, were completed up to five years postoperatively. Clinical information was obtained from clinical records and tumor characteristics from pathology reports. Results...

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A 2-year-old, female spayed, domestic shorthair cat presented to the University of Missouri-Veterinary Medical Teaching Hospital (UMC-VMTH) with an approximately 11-month history of fluid-draining pockets along her ventral thorax and axillae. The skin in these regions was erythematous, and multiple areas drained a serous to serosanguinous fluid. Fluid-filled, nodules formed along the ventrum, but these nodules disappeared as fluid drained spontaneously. Histologic assessment of skin biopsies revealed areas of vascular proliferation extending along the deep margin of the section and rare instances of invasion into the superficial dermis. These vascular channels were devoid of cells, lined by variably pleomorphic endothelial cells which had a low mitotic index. Based on the mild to moderate ...

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Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the pathological, clinical, and laboratory data of renal biopsies in 2007. Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patien...

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Enterococci are mostly isolated from urinary tract infections (UTIs). Increasing antibiotic resistance affects the success rate in empirical treatment, thus makes antibiotic susceptibility tests important. The aim of this study was to determine the species distribution and resistance patterns of Enterococcus strains isolated from urine samples to antibacterial agents including fosfomycin in a teaching hospital, Istanbul. The identification of 100 Enterococcus strains were determined by using conventional methods and API 20 Strep (bioMerieux France). The susceptibility testing was performed by disk diffusion and Etest. The majority of isolates were E. faecalis (67%), followed by E. faecium (33%). The ratio of E. faecalis to E. faecium was 2.03/1. E. faecalis and E. faecium strains were resi...

Energy Technology Data Exchange (ETDEWEB)

Rapid and reliable transmission of nuclear medicine studies using conventional telephone lines and commercially available modems and computer systems has been accomplished through use of software developed within the authors' hospital. Original digital images of all-night and weekend studies, acquired on any of the acquisition computers from different manufacturers, are now routinely sent for remote reading at the physician's home. Data, software, and letters are routinely exchanged using modems and standard telephone lines with a sister institution in Haifa, Israel. The software has been designed to achieve no loss data compression and minimal turnaround time loss. Thus, an average lung perfusion image or gallbladder study requires about 1-3 minutes of transmission time. Full analysis and display software is available on the remote computer.

International Nuclear Information System (INIS)

To evaluate the usefulness of portable chest radiographs by Fuji computed radiography (FCR) in ICU, FCR radiographs of 56 patients who were admitted to General Intensive Care Unit of Keio University Hospital were compared with the conventional portable images. Because FCR could show two differently processed images in one film and allowed a wide range of image reproduction, visualization of the trachea, bone soft tissues and catheters by FCR was easier than that by the conventional radiography. Repeated radiographs by FCR had similar optical densities and limited exposure errors. Furthermore, radiation was reduced than that of the conventional radiography. In conclusion, FCR is thought to be a useful technique for portable chest radiography in ICU patients. (author).

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Aluminium phosphide ingestion is the most common agricultural poisoning in suburban and rural India and with a high mortality rate. Among survivors of acute poisoning there are recent sporadic reports of esophageal complications such as esophageal strictures and tracheo-esophageal fistula. The present study was carried out to determine the incidence, natural history, and treatment outcome of local esophageal complications in survivors of aluminium phosphide poisoning with complaints of dysphagia. All confirmed cases of poisoning with aluminium phosphide ingestion were admitted in Hamidia Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India, from October 2007 to October 2008. Survivors with complaints of dysphagia underwent a barium study and upper gastrointestinal endoscopy to d...

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AbstractBackground: Certolizumab pegol (Cimzia, CZP) was approved for the treatment of Crohn's disease (CD) patients in 2007 in Switzerland as the first country worldwide. This prospective phase IV study aimed to evaluate the efficacy and safety of CZP over 26 weeks in a multicenter cohort of practice-based patients. Methods: Evaluation questionnaires at baseline, week 6, and week 26 were completed by gastroenterologists in hospitals and private practices. Adverse events were evaluated according to World Health Organization (WHO) guidelines. Results: Sixty patients (38F/22M) were included; 53% had complicated disease (stricturing or penetrating), 45% had undergone prior CD-related surgery. All patients had prior exposure to systemic steroids, 96% to immunomodulators, 73% to infliximab, and...

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Purpose - Based upon the E-VALUE model developed, this paper aims to investigate the impact of e-commerce usage on business performance in the tourism sector. Design/methodology/approach - A cross-sectional survey is carried out on 165 Malaysian firms involved in the tourism sector (hotels, resorts, and hospitals engaged in health tourism) through the use of a structured questionnaire. Findings - The structural equation modeling results indicate that technology competency, firm size, firm scope, web-technology investment, pressure intensity, and back-end usage have significant influence on e-commerce usage. Among these variables, back-end integration is found to function as a mediator. E-commerce experience (in years) is found to moderate the relationship between e-commerce usage and busin...

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The incidence of columnar cell lesions in breast core needle biopsies since full-field digital mammography in comparison with screen-filmed mammography was analyzed. As tiny microcalcifications characterize columnar cell lesions at mammography, we hypothesized that more columnar cell lesions are diagnosed since full-field digital mammography due to its higher sensitivity for microcalcifications. In all, 3437 breast core needle biopsies performed in three hospitals and resulting from in total 55?159 mammographies were revised: 1424 taken in the screen-filmed mammography and 2013 in the full-field digital mammography period. Between the screen-filmed mammography and full-field digital mammography periods, we compared the proportion of mammographies that led to core needle biopsies, the...

International Nuclear Information System (INIS)

After having discussed the peculiarities of children in X-ray diagnosis the application of the effective as well as the mean equivalent doses as to the determination of the radiation exposure in children is represented. In using computerized tomograms to determine position and extent of an organ the exposure by repeated X-raying was calculated referring to the entrance dose. Entrance dose measurements for all types of X-ray examination in hospitals and ascertainments of the frequency of radiograms in 20 X-ray departments were used to determine per capita and collective doses, resp., in several age groups. Alltogether, the per capita dose of children in the GDR amounts to 30% of that of adults. Conclusions were drawn as to taking measures to further reduction of radiation exposure: (1) Technical measures, such as positioning of patients, shielding of organs, quality assurance; (2) elaboration of regulations concerning the execution of X-raying in children and ...

International Nuclear Information System (INIS)

Coronary heart disease is the leading cause of death specially among elderly. Coronary angiography is the best diagnostic method in the patients, but is unfortunately an invasive procedure with its inherent risks. Myocardial perfusion scan is a noninvasive and sensitive method for evaluation of Coronary artery disease and is suggested by many investigators in recent years. In this study, 64 patients who had a Tc99m-MIBI SPECT myocardial perfusion study at our department, underwent coronary angiography within 4 months. Correlation of the methods revealed that SPECT Tc99m -MIBI had a high sensitivity and specificity in our hand, which is comparable with international findings.

British Library Electronic Table of Contents (United Kingdom)

Atrial fibrillation (AF) is common after coronary artery bypass grafting (CABG) and increases the morbidity and cost. Amiodarone reduces AF after CABG. Ranolazine, an antianginal agent, also prolongs atrial refractoriness and inhibits after depolarizations and triggered activity; effects that could decrease AF after CABG. The present study compared amiodarone versus ranolazine for the prevention of AF after CABG. A retrospective cohort study of patients undergoing CABG at Aspirus Hospital from June 2008 to April 2010. The patients received either amiodarone (400 mg preoperatively followed by 200 mg twice daily for 10 to 14 days) or ranolazine (1,500 mg preoperatively followed by 1,000 mg twice daily for 10 to 14 days). The primary end point was any identified AF after CABG. A total of 393 ...

Science.gov (United States)

Fires in the operating room continue to present a hazard to patients, at times with catastrophic and debilitating results. Recent data from closed claim files reveal oxygen, electrosurgical unit (ESU), and surgical drapes are common components of the fire triangle in the operating room. In this era of biotechnological sophistication, why are surgical drapes flammable? The purpose of this study was to test the flammability of different surgical drape materials and to determine the time to ignition using a bipolar ESU device in 21%, 35%, and 100% oxygen concentrations. Results show that regardless of oxygen concentration surgical drapes, when exposed to close contact with the ESU, are flammable. Time to ignition decreases with increasing concentrations of oxygen as expected. One of the surgical drapes tested was advertised to the hospital as nonflammable. Future research should focus on surgical drape materials and aim to reduce the flammability of such items in the ...

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AbstractBackground Few published data are available on the benefits of aspirin use in patients with unstable angina (UA). Hypothesis Aspirin use carries a mortality benefit in a population-based cohort of patients presenting with UA. Methods All residents of Olmsted County, Minnesota presenting to local emergency departments with acute chest pain from January 1985 through December 1992 having symptoms consistent with UA were identified through medical records. A total of 1628 patients were identified with UA and were stratified by aspirin use in-hospital and at discharge. Cardiovascular mortality and nonfatal myocardial infarction and stroke were assessed over a median of 7.5 years follow-up and all-cause mortality data over a median of 16.7 years. The mean age of patients with UA was 65 y...

CERN Document Server

The present research scholars are having keen interest in doing their research activities in the area of Data mining all over the world. Especially, [13]Mining Image data is the one of the essential features in this present scenario since image data plays vital role in every aspect of the system such as business for marketing, hospital for surgery, engineering for construction, Web for publication and so on. The other area in the Image mining system is the Content-Based Image Retrieval (CBIR) which performs retrieval based on the similarity defined in terms of extracted features with more objectiveness. The drawback in CBIR is the features of the query image alone are considered. Hence, a new technique called Image retrieval based on optimum clusters is proposed for improving user interaction with image retrieval systems by fully exploiting the similarity information. The index is created by describing the images according to their color characteristics, with ...

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Pyogenic sacroiliitis is a rare entity in children. Diagnosis is often delayed because of its variable clinical presentation, low suspicion by the examining physician, and rare findings on radiographs. Delayed diagnosis, however, results in complications such as iliopsoas abscess. We report the case of a 12-year-old girl hospitalized with a 21-day history of fever, pain in the left iliac fossa, and flexion contracture of the hip. On examination, she had fever (38.9 ^oC), psoitis, localized tenderness at the left sacroiliac joint, and pain elicited by lateral compression of the pelvis. The abdominal examination was normal. The erythrocyte sedimentation rate was 130mm in the first hour, C-reactive protein was 186mg/l, and the white blood cell count was 18,400/mm^3, with 79% neutrophils. Urin...

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The aim of this study was the evaluation of contralateral hip fractures after a previous hip fracture. For this retrospective analysis patients were selected from the database of the LUMC, a teaching hospital in the south-west of the Netherlands. We analyzed all patients with a second fracture of a hip between 1992 and 2007. The exclusion criteria were high impact trauma and patients with diseases or medication known to have a negative effect on bone metabolism. A total of 1,604 hip fractures were identified. The possible predictive factors for the second fracture and descriptive statistics related to surgery (Hb and HT before and after the operation, total amount of intra- and postoperative blood loss, type of osteosynthesis, complications, time of death after the last fracture, time betw...

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