ObjectiveTo evaluate the primarycare communications initiative, which introduced NHSnet to primarycare in Scotland.DesignSemi-structured telephone...Full Text Available
BackgroundWe examined whether older adults who had continuity of care with a primarycare physician (PCP) had lower mortality.MethodsSecondary analyses...Full Text Available
BackgroundDepression is a common illness, often treated in primarycare. Many studies have reported undertreatment with antidepressants in primarycare. Recently, some studies also...Full Text Available
OBJECTIVE AND DESIGNThis study used qualitative and quantitative methods to examine the reasons primarycare physicians and nurses offered for their inability to initiate guideline-concordant...Full Text Available
BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primarycare. The aim of this investigation was to study the health care utilisation...Full Text Available
BackgroundExisting studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary...Full Text Available
BackgroundThe Emergency Care Summary (ECS) was introduced in 2006 to allow aspects of the general practitioner (GP; family doctor, equivalent to primarycare physician) medical record...Full Text Available
BackgroundNew Zealand's Primary Health Care Strategy (NZPHCS) was introduced in 2002. Its features are substantial increases in government funding delivered as capitation payments,...Full Text Available
The objective of this study was to evaluate the effect of pregabalin in painful cervical or lumbosacral radiculopathy treated in PrimaryCare settings under routine clinical practice. An observational,...Full Text Available
OBJECTIVE: To examine primarycare physicians' management of rheumatoid arthritis, ascertain the determinants of management and compare management with that recommended by a current practice panel....Full Text Available
BackgroundThe Government has invested £7 million (approx. $11.5 million) to connect all PrimaryCare Practices in Scotland to the National Health Service...Full Text Available
PURPOSE We wanted to assess computer capabilities in a primarycare practice-based research network and to understand how receptive the practices were to new ideas for automation of practice...Full Text Available
ObjectiveTo estimate the joint effect of a multifaceted access intervention on primarycare physician (PCP) productivity in a large, integrated prepaid group practice.Data...Full Text Available
We show that the HACCP system is not fully applicable at the primary production level, and that food safety is obtained through the careful implementation of good hygiene practice (GHP) at the farm. Guides to GHP intended at primary productions cover one activity, such as cattle rearing or corn production. Yet most farms have more than one activity. Hazards from one activity can be transferred to another activity, and in general this is not considered in one-activity guides. There is a need therefore for farmers to be able to detect and control such transfers. We suggest a horizontal complement to the Guides to GHP that would consider only the application of the Step 6 and Principle 1 of the HACCP system amended as follows: ''List all potential hazards transferred from one activity to anot...
BackgroundMost studies on children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) have been undertaken in tertiary care and little is known about their management...Full Text Available
BackgroundInternationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of...Full Text Available
OBJECTIVE. This study was conducted to determine whether an index for measuring quality of care for psychiatric emergencies is reliable and valid. DATA SOURCES/STUDY SETTING. The study used primary...Full Text Available
OBJECTIVE--To review findings from studies of the influence of desktop computers on primarycare consultations. DESIGN--Systematic review of world reports from 1984 to 1994. SETTING--The computerised...Full Text Available
PURPOSE The Wells rule is widely used for clinical assessment of patients with suspected deep vein thrombosis (DVT), especially in the secondary care setting. Recently a new clinical decision...Full Text Available
Patients rely on their primarycare physician to manage multiple, often chronic medical conditions that require prescription medications. Balancing the risk to benefit of treatments can be challenging...Full Text Available
OBJECTIVE: To evaluate the effectiveness of a program to improve hypertension control practices in primarycare. DESIGN: Retrospective quasi-experimental study. SETTING: Three hospital-based family...Full Text Available
Summary Objective To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses. Methods Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases. The study included 1999 patients aged 15 or over with cough or difficult breathing, attending 40 primarycare clinics staffed by nurses in the Free State province. They were interviewed at first presentation, and 1856 (93%) were interviewed 3 months late...
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...
The Sultanate of Oman has a relatively young national health care system that could demonstrate its high performance at an international level. Emergency medicine as a specialty has developed rapidly in the country over the last decade. This has involved the parallel development of local emergency residency training, prehospital emergency care, and emergency nursing programs. This article reviews the progress of emergency care practice in this country from a general primarycare system toward becoming an established specialty in hospital, prehospital, and private emergency care settings. It also describes aspects of undergraduate, postgraduate, and continuous emergency medicine education in the country. Further, a glimpse into academic emergency medicine and emergency nursing is provided. ...
Patients who fail to attend initial appointments reduce clinic efficiency. To maximize attendance by newly referred outpatients, we introduced a mandatory group orientation clinic for all new patients...Full Text Available
Objective To establish current practice in the use of Read codes for diabetes.Design Cross sectional study.Setting 17 practices in the Battersea...Full Text Available
ObjectiveTo test whether a disclosure intervention improves subjective health and reduces medical consumption and sick leave in somatising patients in general practice.DesignNon-blind...Full Text Available
BackgroundChina has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report...Full Text Available
BackgroundEffective prevention of excessive alcohol use has the potential to reduce the public burden of disease considerably. We investigated the cost-effectiveness of Screening...Full Text Available
BackgroundMany health care professionals use spinal palpatory exams as a primary and well-accepted part of the evaluation of spinal pathology. However, few studies have explored...Full Text Available
BackgroundComputer-based health-risk assessments are electronic surveys which can be completed by patients privately, for example during their waiting time...Full Text Available
To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disease (CVD) in RA patients. Patients with RA (ICD-9 code 714.0 at ?2 office visits with a rheumatologist) and a primarycare physician (PCP) at the Geisinger Health System (GHS) were identified through electronic health records. The records were searched back from 3/31/08 for the length of time required to satisfy each outcome measure. Percentages were compared with population testing rates using the Pearson Chi-square test. Eight hundred and thirty-one RA patients were compared to 169,476 subjects...
PURPOSE We wanted to examine how coordinated care is implemented in primarycare practices to address patients' health behavior change needs. METHODS Site visit notes, documents, interviews, and online implementation diaries were collected from July 2005 to September 2007 from practice-based research networks (PBRNs) participating in Prescription for Health: Promoting Healthy Behaviors in PrimaryCare Research Networks (P4H). An iterative group process was used to conduct a cross-case comparative analysis of 9 interventions. Published patient outcomes reports from P4H interventions were referenced to provide information on intervention effectiveness. RESULTS In-practice health risk assessment (HRA) and brief counseling, coupled with referral and outreach to a valued and known counseling resource, emerged as the best way to consistently coordinate and encourage follow-through for ...
Following the February 2011 earthquake in Christchurch, New Zealand (NZ), the authors participated in counselling local residents, and debriefing and supervising support teams. Indications were that risk for mental health disorders, including Post-Traumatic Stress Disorder (PTSD), may be elevated in residents, and that this risk may continue for some time. Patients may be de-prioritising their mental health issues when these become normalised throughout the city's population. The authors recommend that primarycare patients are assessed using a brief, comprehensive tool (for example, the Case-finding and Help Assessment Tool) that targets many health and behavioural issues identified as increasing in the city following the earthquake. Anxiety and mood disorder symptoms may indicate assessment is appropriate to reduce harm arising from increased risk for PTSD. Concern also is raised for primary health ...
Caring for a child with a potentially fatal medical condition is a challenge for parents or caregivers. The ability to measure parental self-efficacy in pediatric palliative care may be an important component of targeting supportive services that address individual needs of families. Therefore, the goal was to develop a Pediatric Palliative Care Parental Self-Efficacy Measure (PCPEM). First, a list of questions were generated that asked parents their level of confidence in carrying out tasks involved in caring for a child with a potentially fatal medical condition in 6 palliative care domains: 1) medical discussion/decisions; 2) symptom management/medication; 3) daily activities; 4) feelings/concerns; 5) spirituality; and 6) end-of-life care. The PCPEM was narrowed to 58 questions after expert reviews. Then, 16 caregivers of children receiving palliative ...
A series of 53 cases of primary hemifacial spasm have been evaluated by means of blink reflexes and their results compared with a normal control group. Reflex responses were obtained by percutaneous...Full Text Available
BackgroundGeneralized anxiety disorder (GAD) is the most frequent anxiety disorder in primarycare patients. It is known that painful physical symptoms (PPS) are associated with...Full Text Available
This paper summarises the main results obtained so far in the frame of the EU Home Team test programme of ITER primary wall small scale mock ups. It describes briefly the fabrication method of the mock ups, the test conditions and the main results obtained with high heat flux and thermal fatigue tests of Cu alloy/stainless steel and beryllium/Cu alloy/stainless steel mock ups. The results obtained so far show good thermal fatigue performance and operation margin of the ITER primary first wall concept. (author)
Reliable exposure information for cosmetic and other personal care products and ingredients is needed in order to conduct safety assessments. Essential information includes both the amount of product applied, and the frequency of use. To obtain current data, studies to assess consumer use practices were undertaken. Six widely used personal care product types were included in the studies. Five of the products were cosmetics (spray perfume, hairspray, liquid foundation, shampoo, body wash) and one product was a cosmetic/over-the-counter drug product (solid antiperspirant). Three hundred and sixty women, ages 19-65 years, who regularly use the products of interest, were recruited at 10 different geographical locations within the US. The number of recruits was chosen to ensure a minimum of thr...
Abstract Background: This study involves a multicentre surveillance of tigecycline and tetracycline activity against Gram-negative and Gram-positive bacteria from primarycare centres (PCCs), general hospital wards (GHWs) and intensive care units (ICUs) in Denmark (n == 9), Finland (n == 10), Norway (n == 7) and Sweden (n == 19). Methods: The hospitals were each asked to test 30 consecutive Gram-positive and 30 Gram-negative clinical isolates. Supportive information accompanying each isolate included the study centre, ward level (PCC, GHW, or ICU), patient identification and source of the isolate. Minimum inhibitory concentrations (MICs) for tetracycline and tigecycline were determined with the Etest. Results: The isolates collected comprised 1610 Gram-negative and 1767 Gram-positive clini...
Radio-biologists have pointed out a novel radiobiological phenomenon observed in many tumor and normal cell lines: hyper-radiosensitivity to very low-dose (H.R.S.) followed by induced radioresistance (I.R.R.) after a threshold dose of 0.1-0.3 Gy that depends on the cell line. Radioresistance at high dose (i.e. higher than 0.5 Gy) and metastatic potential of tumor cells are likely major factors of failure in radiotherapy. A careful review of literature suggests that: 1) radiotherapy does not increase the metastatic potential of tumor cells; 2) radioresistance at high dose and metastatic potential are not related. However, inside a given tumor cell line, highly metastatic clones may elicit more cells showing H.R.S; or are more radiosensitive at high dose than poorly metastatic ones. Recent data obtained from molecular techniques (comet and immunofluorescence assays) applied to single cells irradiated at very low radiation doses (1-100 mGy) ...
Turret moored Floating Production Storage and Offloading (FPSO) systems are considered suitable for a wide range of environmental conditions but experience of designing moorings for these units in harsh environments is limited. Furthermore, each floating production system has its own requirements as to the way the riser system is operated because of its dependence on both reservoir and site specific conditions. The current mooring codes do not have a consistent set of requirements; for example, the intact mooring system safety factors range from 1.5 to 2.3. Such vastly differing requirements result in wide variability in the intrinsic safety, reliability and cost. This paper describes a reliability analysis carried out for the first North Atlantic FPSO (Foinaven), to address the acceptance criteria for moorings by returning to the fundamentals. Although the analysis deals with FPSO`s, the approach is applicable to any catenary moored unit. One primary purpose of ...
This paper presents the main achievements of the European Home Team (EU HT) test programme of ITER primary wall small scale mock ups. It describes briefly the fabrication method of the mock ups, the test conditions and the main results obtained with high heat flux and thermal fatigue tests of Cu alloy/stainless steel and beryllium/Cu alloy/stainless steel mock ups. The results obtained so far show very good thermal fatigue performance and operation margin of the ITER primary first wall concept.
This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n=62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 weeks or longer duration, only 3 had...
Abuzakuk T, Coward P, Shenava Y, Kumar VS, Skinner JA. The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings. Abstract Wound care following lower limb arthroplasty has not been subject to in-depth clinical research, primarily because such wounds usually heal without complication. However, when prosthetic implants are used, serious wound problems can be disastrous (Whitehouse et al. Infect Control Hosp Epidemiol 2002;23:183-9; Lindwell OM. Clin Orthop Relat Res 1986;211:91-103). We report the results of a prospective, randomised, controlled trial comparing a hydrofibre (Aquacel) and central pad (Mepore) dressing in the management of acute wounds following primary total hip or knee arthroplasty left ...
The urine test strip is the most common test used to detect ketones in veterinary patients, but it can underestimate the degree of ketonuria and hence, ketonemia. Additionally, adequate urine samples for analysis may be difficult to obtain from dehydrated animals. The standard method used to detect and monitor ketonemia in human medicine is measurement of serum or whole blood beta-hydroxybutyrate (?HOB). A point-of-care (POC) analyzer has been validated for this purpose in humans. This study compared the accuracy of the POC device to an enzymatic reaction laboratory method for measurement of ?HOB in dogs. Although the POC sensor tended to overestimate ?HOB concentrations, there was good correlation (R(2) = 0.96) and good agreement between the 2 methods with a bias +/- precision of 0.0860 +/- 0.3410 mmol/L ?HOB. The POC ?HOB sensor can be useful for assessing ketonemia in dogs. PMID:21119867
An e.p.r. spectrum of the reduced form of the electron-transport component (X), thought to be the primary electron acceptor of Photosystem I, was obtained. By using line-shape simulations of this component...Full Text Available
Use of geothermal resources for generating electricity is briefly analyzed. Results obtained from optimization of the thermodynamic cycle implemented in the secondary coolant circuit of a binary geothermal power station and the parameters of its primary heat carrier circuit are presented.
This study aimed to reveal that severe disturbance of attachment relationship with primarycare-giver can affect functional and anatomical brain development by measuring cerebral perfusion on "9"9"mTc-ECD brain SPECT and correlative MRI. We included 18 children aged 31 to 76 months who met the diagnostic criteria of RAD as defined in DSM-IV and ICD-10 and SSP and CARS. "9"9"mTc-ECD SPECT was performed using CERASPECT. MRI was performed in all patients. SPECT data were visually assessed. 15 of 18 children had abnormal perfusion on SPECT, revealing decreased perfusion of Lt.thalamus (7/15) and Rt.thalamus (3/15), and bilateral thalami (5/15). Perfusion of basal ganglia was decreased in 8 children. Decreased perfusion of Lt. parietal area was seen in 2. Whereas, all patients had normal MR findings. Perfusion abnormalities involving thalamus, BG in most children with RAD were found in this study. These results suggest that brain development of ...
PurposeDescription and analysis of the effects and side-effects of integrated mental health care in the Netherlands.Context of caseDue...Full Text Available
The clinical use of "1"8F-fluorodeoxyglucose (FDG) positron emission tomography in monitoring anticancer treatment is expanding. At the same time a number of radiotracers aiming to image different aspects of tumour biology such as proliferation and apoptosis are being developed. However, the factors determining changes of radiotracer uptake parameters in response to treatment are not well understood. In many cases, cellularity may be the primary determinant of changes of FDG uptake and may confound the interpretation of metabolic changes. Early imaging assessments have in some cases showed transient increases of uptake parameters, commonly termed 'flares', which are likely to be unaffected by cellularity and directly reflect pharmacodynamics at a cellular level. In this review a number of settings where molecular imaging 'flares' have been described are discussed. Such changes may often be clinically informative and warrant careful study as ...
To discuss and share knowledge around advances in the care of patients with thrombotic disorders, the Third International Symposium of Thrombosis and Anticoagulation was held in S?o Paulo, Brazil, from October 14?16, 2010. This scientific program was developed by clinicians for clinicians, and was promoted by four major clinical research institutes: the Brazilian Clinical Research Institute, the Duke Clinical Research Institute of the Duke University School of Medicine, the Canadian VIGOUR Centre, and the Uppsala Clinical Research Center. Comprising 3?days of academic presentations and open discussion, the symposium had as its primary goal to educate, motivate, and inspire internists, cardiologists, hematologists, and other physicians by convening national and international visionaries, th...
Digital radiography for diagnosis of chest diseases using Fuji Computed Radiography (FCR) was evaluated. The results were as follows; 1. Compared to the conventional chest X-ray films, various types of image enhancement could be made by manipulation of the digital information such as tone conversion, spatial frequency modification etc. 2. Digital radiography lessens the X-ray exposure dose and will ultimately permit speedy transmission of image data from outlying clinics to central processing hospitals. 3. Digital radiographic images are useful in chest X-ray diagnosis especially in mass surveys for lung cancer and in primarycare medicine because of its full imaging capability. (author).
Summary Objectives To describe the pattern of incident illness in children after initiation of antiretroviral therapy (ART) in a large public health sector programme in Lusaka, Zambia. Methods Systematic chart review to retrospectively extract data from medical records of children (i.e. <15 years) initiating ART in the Lusaka, Zambia public sector. Incident conditions were listed separately and then grouped according to broad categories. Predictors for incident diagnoses were determined using univariate and multivariable analysis. Results Between May 2004 and June 2006, 1705 HIV-infected children initiated ART. Of these, 1235 (72%) had their medical records reviewed. Median age at ART initiation was 77 months and 554 (45%) were females. Eight hundred and forty-one (68%) children had an inc...
This paper describes how a computerized MIS is used to assist HMO management to conduct utilization and quality of care review activities in a prepaid medical care network. The HMO is a ‘network’...Full Text Available
Small economies such as New Zealand risk significant economic hardship without careful evaluation of alternatives to petroleum-based transportation due to the adverse effects of climate change and depleting international oil reserves. This paper uses an integrated multi-regional multi-fleet system dynamics model of New Zealand's energy economy to assess the primary impacts of alternative vehicle fleet technologies. Results suggest that hydrogen fuelled HICEs and FCVs may offer significantly greater economic savings than BEVs due to a much lower capital cost. Under our Base Case, 65% of the light fleet are HICEs and FCVs and 5% BEVs. Excluding hydrogen vehicles from the vehicle fleet can result in an average annual cost of US$562 per vehicle between 2015 and 2050. Co-production of hydrogen and electricity using coal gasification with carbon capture and storage is the dominant long term hydrogen production technology. (author)
Power System Stabilizers (PSS) have broad application throughout the world. PSS application requires careful tuning which is usually accomplished in the field with the generator and power system in an abnormal condition. Recently developed equipment which combines fast Fourier transform capability with digital computer technique provides a means of PSS tuning which is faster and more accurate than was previously obtainable. This paper describes a PSS tuning test conducted using the new technique. The advantages will be apparent to the reader. The described test is very poignant as evidenced by two unexpected occurrences of instability.
The paper presents an integrated approach to the problem of electron temperature diagnostics of the plasma in a reversed field pinch. Three different methods, sampling different portions of the electron distribution function, are adopted, namely Thomson scattering, soft X-ray spectroscopy by pulse-height analysis and filtered soft X-ray intensity ratio. A careful analysis of the different sources of systematic errors is performed and a novel statistical approach is adopted to mutually validate the three independent measurements. A satisfactory agreement is obtained over a large range of experimental conditions, indicating that in the plasma core the energy distribution function is well represented by a maxwellian. (author)
Close coupled expressions for phenomenological cross sections which describe transport properties of atom--diatom mixtures are obtained in the total-J coupling scheme and are related to the bracket integrals of kinetic theory. Coupled states and infinite order sudden expressions for the generalized phenomenological cross sections using initial, final, and average l-labeling are also given. Particular care is taken to use a phase convention for the CS and IOS approximations which is consistent with the Arthurs--Dalgarno formalism and which gives the correct behavior of degeneracy averaged differential cross sections.
Purpose: In a case of automatically controlling the water level at the time of generating a lower power, to impact the followability of the control necessary for the power variation of the steam generator thereby to obtain good controllability. Constitution: A signal of deviation of water level of a steam generator and its set value and a signal of a difference between the temperature of the primary coolant in the high temperature side pipeline and that of the primary coolant in the low temperature side pipeline are used to automatically or manually control the flow quantity of water fed to the steam generator. (Yoshihara, H.).
The Northwest Foster Care Alumni Study examined the relation between experiences in foster care and depression among young adults who spent at least a year in foster care as adolescents. Results indicate that preparation for leaving foster care, nurturing supports from the foster family, school stability, access to tutoring, access to therapeutic service and support, and a shorter and more stable placement history were associated with a lower probability of depression in young adulthood. Results provide evidence that suggest ways to improve practice to decrease rates of depression among alumni of care. (Contains 2 tables.)
The basic relationships of the convolution/superposition dose calculation technique are reviewed, and a modelling technique that can be used for obtaining a satisfactory beam model for a commercially available convolution/superposition-based treatment planning system is described. A fluence energy spectrum for a Co-60 treatment machine obtained from a Monte Carlo simulation was used for modelling the fluence spectrum for a Rokus M machine. In order to achieve this model we measured the depth dose distribution and the dose profiles with a Wellhofer dosimetry system. The primary fluence was iteratively modelled by comparing the computed depth dose curves and beam profiles with the depth dose curves and crossbeam profiles measured in a water phantom. The objective of beam modelling is to build a model of the primary fluence that the patient is exposed to, which can then be used for the calculation of the ...
Purpose - The article discusses how care programmes and integrated care pathways can be linked, finding ways to improve healthcare process professional and logistical quality from a supply chain and a network point-of-view. Design/methodology/approach - The authors argue that owing to cost containment goals and increasing healthcare demand, healthcare services systems are challenged to improve service quality, whilst at the same time finding ways to improve delivery processes. It explores if the combination of two instruments, care programmes and integrated care pathways, can meet both goals. This combination is illustrated by an example from the Institute of Mental Health Care Eindhoven en de Kempen. Findings - Analysis suggests that care programmes can be combined with integrated care pa...
Investigations are discussed carried out in a pilot plant at the Kaz. Power Engineering Scientific Research Institute into the effect of the amount of primary air in coal-dust flame on the final concentration of nitrogen oxides in flue gases. The tests were carried out in a 7500 mm high, 1600 mm dia vertical cylindrical combustion chamber having type P-57 burner, and air dispersed fuel plus additional air supplies located at the top. Amounts of coal dust fed by a drum feeder along the air pipe varied from 100-600 kg/h. The required air was supplied by 5000 m/sup 3//h Type TK-700/5 blowers at 0.04 MPa. Ehkibastuz coal samples contained: 1.3% moisture; 48.1% ash; 38.02% carbon; 2.56% hydrogen; 0.73% sulfur; 0.60% nitrogen; heat of combustion was 14.3 MJ/kg. Results obtained indicate that variations in the amount of primary air in swirl flow burners affect formation of fuel nitrogen; there is an optimum volume at which minimum ...
Aims:To Study the religious and ideological views and practice of Palliative Care physician towards Euthanasia.Materials and Methods:An...Full Text Available
Paediatric palliative care is a holistic approach aimed at addressing the complex issues related to the care of children and families facing chronic life limiting illnesses. The needs of children are...Full Text Available
BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced...Full Text Available
"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional...Full Text Available
Six patient assessment systems that have explicit decision rules for replicating team judgments on level of care patient placement were selected for analysis. The six were selected because of their...Full Text Available
Heat transfer tubes of a primary pressurized water cooled (PPWC) in the high temperature engineering test reactor (HTTR) form the reactor pressure boundary of the primary coolant, therefore are important from the viewpoint of safety. To establish inspection techniques for the heat transfer tubes of the PPWC, an automatic inspection system was developed. The system employs a bobbin coil probe, a rotating probe for eddy current testing (ECT) and a rotating probe for ultrasonic testing (UT). Nondestructive test of a half of the heat transfer tubes of the PPWC was carried out by the automatic inspection system during reactor shutdown period of the HTTR (about 55% in the maximum reactor power in this paper). The nondestructive test results showed that the maximum signal-to-noise ratio was 1.8 in ECT. Pattern and phase of Lissajous wave, which were obtained for the heat transfer tube of the PPWC, were different from those ...
The purpose of the work reported in this paper was to measure the radionuclide buildup in primary heat transport system cell No. 3 at the Fast Flux Test Facility (FFTF) and to compare the results with predicted values from a model based on experimental studies and experience at similar reactors. The information obtained is used for maintenance planning and to enhance ability to assess radionuclide buildup in the future at FFTF and in other reactors.
The etching method developed made it possible to observe under the microscope the finest components of the anatomical structure of coal-forming plants. The dependence of the effectiveness of etching of tissues on the concentrations of geopolymers (protocellulose and protolignin) in them was found. The study of tissues of this kind by the methods of local analysis (for example, X-ray microanalysis) allowed us to obtain the characteristics of the above geopolymers and to use them for the identification of the primary biochemical composition of fossil organic matter.
The results obtained by studying double-front extensive air showers in which more than 107 particles are contained and in which the fronts are separated by a time interval of #DELTA#t #approx# 100 ns are presented. Serious difficulties in explaining 'delayed' showers are revealed. In this connection, a hypothesis that the 'leading' showers are initiated by tachyons produced in the first interaction of primary particles is proposed.
OBJECTIVETo examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy...Full Text Available
AbstractObjective: This study examined the effectiveness of a telephone-based referral-care management (TBR-CM) intervention on psychiatric health...Full Text Available
This article is a story of networking of palliative care at the corporate level. This gives an insight that if you have will and dedication then you can imagine and make it true that networking can...Full Text Available
... Harbor Township Vineland Voorhees Pediatric Partner Hospitals AtlantiCare Regional Medical Center- City Campus, Atlantic City AtlantiCare Regional Medical Center - ...
OBJECTIVETo evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.STUDY DESIGNFull Text Available
This study examined whether cognitive behavioural therapy (CBT) could prevent the development or worsening of panic-spectrum psychopathology and anxiety symptoms in chronic obstructive pulmonary disease (COPD). 41 patients with COPD, who had undergone pulmonary rehabilitation, were randomised to either a four-session CBT intervention condition (n = 21) or a routine care condition (n = 20). Assessments were at baseline, post-intervention, and at 6-, 12- and 18-month follow-ups. Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates. There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic ...
A transient-enhanced diffusion has been observed during the furnace or rapid thermal annealing of ion-implanted silicon. We have studied this transient in detail and show that, for doses of Group V dopants sufficient to amorphize the silicon, it arises from the trapping of interstitials by dopant atoms during implantation. These are retained during solidphase-epitaxial (SPE) growth, but can be released by additional thermal processing to cause the observed transient and the formation of a band of extended defects. We have measured the enhanced diffusion coefficients and the duration of the transient for Sb-implanted Si by careful furnace annealing experiments. We obtain general expressions which predict the effects of the transient during any thermal processing based on SPE growth (furnace, CW laser, or rapid thermal annealing). We show that there is no analogous mechanism of vacancy trapping by Group III elements.
A transient-enhanced diffusion has been observed during the furnace or rapid thermal annealing of ion-implanted silicon. We have studied this transient in detail and show that, for doses of Group V dopants sufficient to amorphize the silicon, it arises from the trapping of interstitials by dopant atoms during implantation. These are retained during solidphase-epitaxial (SPE) growth, but can be released by additional thermal processing to cause the observed transient and the formation of a band of extended defects. We have measured the enhanced diffusion coefficients and the duration of the transient for Sb-implanted Si by careful furnace annealing experiments. We obtain general expressions which predict the effects of the transient during any thermal processing based on SPE growth (furnace, CW laser, or rapid thermal annealing). We show that there is no analogous mechanism of vacancy trapping by Group III elements.
Due to deregulation, the electrical power industry is undergoing deep changes, moving towards an open market. Two kinds of parties are active in the new environment: the economical agents (producers, consumers, brokers) and the power system operator, the former interested in power exchanges and their economic value, the latter in bus injections and their threat to the security of the transmission network. The variables used to model the transmission network operation have to be meaningful to the power system operator as well as to the economical parties; the action rules followed by the power system operator to enforce network security have to be carefully designed to be equitable and non-discriminatory. In this paper, a modeling of the power exchanges is proposed in the form of multilateral trades, and some rules for the action of the power system operator are proposed and discussed. The results obtained on a simple study case are discussed. ...
The dosimetry for radiotherapy involving neutrons is very complicated, owing to the complexity of secondary radiation components, whose contributions to the total absorbed dose have to be discriminated, owing to the different radiobiological effects. In order to separate thermal neutrons and photons, LiF dosimeters are mostly utilized. containing different percentage of Li, like as TLD-700, TLD-100 and TLD-600, but many problems arise. In the response of TLD-700 exposed to neutron-gamma mixed fields with high neutron flux, the contribution of thermal neutrons to the Tl emission is high. Moreover. TLD-100 and TLD-600 may undergo radiation damage, and great care has to be taken in order to obtain reliable results. Other TLDs showing lower sensitivity to neutrons are proposed and experimented for such high-flux neutron fields. The faced problems and various proposed solutions are here described. (Author)
As the ground state potential curve is strongly related to spectral line shapes, the minumum position of the ground state potential is obtained from the experiemental absorption profile k({delta}{nu}, T) at high density of the radiating atoms. The temperature dependence of the absorption processes of Hg and Cd lines 253.65 and 326.1 nm, respectively perturbed by inert gases (Xe, Kr, Ar and Ne) had been carefully studied over a wide spectral range. Using the point of the maximum temperature dependence {delta}{nu} {sub m} in each case, we are able to calculate the position of the ground state potential R {sub m} using a simple formula.
The optimization of the safety characteristics of electrical installations in industrial plants with explosion or fire hazards can be obtained only through a careful interdisciplinary study and analysis carried out at the onset of the plant project design phase. The least complex and costly and safest solutions are those which are born from plant designs which take into account the typology of the industrial process or technology, or which incorporate pollution abatement measures and adequate safety measures for the electrical installations. This paper provides examples to illustrate how the global plant economy is fundamentally dependant upon a multi-disciplinary initial effort in design analyses. Comments are made relevant to the adequacy of the safety requirements established by existing and planned Italian norms in dealing with safety and fire protection for high-tech industrial plant electrical installations.
Environmental factors, phytoplankton biomass (Chl a) and primary production of two water areas in Daya Bay (Dapeng'ao Bay and Aotou Bay) were investigated during the transition period from spring to summer. Chl a ranged from 3.20 to 13.62 and 13.43 to 26.49 mg m"-"3 in Dapeng'ao Bay and Aotou Bay respectively, if data obtained during red tides are excluded. Primary production varied between 239.7 and 1001.4 mgC m"-"2 d"-"1 in Dapeng'ao Bay. The regional distribution of Chl a and primary production were mostly consistent from spring to summer in both bays. Seasonal transition characters have been found in Daya Bay from spring to summer, including high values of DO, nitrate and silicate. Size structures of phytoplankton and its primary production do not change very much from spring to summer, with micro-phytoplankton dominating and contributing about 50% of the whole. In Daya Bay, ...
A new algorithm for constructing extensions of the Virasoro algebra by primary fields - so called W-algebras - is presented. With the help of REDUCE all W-algebras with one further primary field up to conformal dimension 9 were calculated. Furthermore I give an interpretation of the obtained results using fusion algebras. The algorithm could also be used for constructing extensions of the super Virasoro algebra which play an important role in superstring theory. I present two examples here. With using representation theory of Kac-Moody algebras I determine the minimal field content of the super W_3 algebra. Finally, the general coset models SU(2)_kxSU(2)_m/SU(2)_k_+_m and SU(3)_kxSU(3)_m/SU(3)_k_+m are investigated. I calculate which W-algebras are likely contained in these cosets. (orig.).
This paper reports on the mathematical model developed by Sunu and Bennion that has been extended to include the separator, precipitation of both solid ZnO and K{sub 2}Zn(OH){sub 4}, and the air electrode, and has been used to investigate the behavior of a primary Zn-Air battery with respect to battery design features. Predictions obtained from the model indicate that anode material utilization is predominantly limited by depletion of the concentration of hydroxide ions. The effect of electrode thickness on anode material utilization is insignificant, whereas material loading per unit volume has a great effect on anode material utilization; a higher loading lowers both the anode material utilization and delivered capacity. Use of a thick separator will increase the anode material utilization, but may reduce the cell voltage.
Mini-LIA is a miniature of a linear induction accelerator developed by China Academy of Engineering Physics and Tsinghua University in 2007. It has been constructed with a thermionic cathode in an electron injector and a metglas core in the induction accelerator cavities. A double-pulsed electron beam was produced for the first time in China on the Mini-LIA with a thermionic cathode in the electron gun and a metglas core in the induction accelerator cavities. A double-pulsed beam current of more than 1.1A was obtained on condition of 80 kV double-pulsed high voltage produced by pulsed power system supplying to the injector and accelerating modules. Some primary experiments for measuring the parameters of Mini-LIA has been performed, and some beam characterizations of Mini-LIA are presented. Further improvement is underway. (authors)
During the second half of 1993, the groundwater at the F-Area Seepage Basins (FASB) was monitored in compliance with Module 3, Section C, of South Carolina Hazardous Waste Permit SC1-890-008-989, effective November 2, 1992. The monitoring well network is composed of 87 FSB wells screened in the three hydrostratigraphic units that make up the uppermost aquifer beneath the FASB. A detailed description of the uppermost aquifer is included in the Resource Conservation and Recovery Act Part B post-closure care permit application for the F-Area Hazardous Waste Management Facility submitted to the South Carolina Department of Health and Environmental Control (SCDHEC) in December 1990. Beginning in the first quarter of 1993, the standard for comparison became the SCDHEC Groundwater Protection Standard (GWPS) specified in the approved F-Area Seepage Basins Part B permit. Currently and historically, gross alpha, nitrate, nonvolatile beta, and tritium are among the ...
Some authors have concluded that spiral structures and shocks do not develop if an adiabatic index gamma > 1.16 is adopted in accretion disc modelling, whilst others have claimed that they obtained well defined spirals and shocks adopting a gamma = 1.2 and a M_2/M_1 = 1 stellar mass ratio. In our opinion, it should be possible to develop spiral structures for low compressibility gas accretion discs if the primary component is a black hole. We considered a primary black hole of 8 solar mass and a small secondary component of 0.5 solar mass to favour spiral structures formations and possible spiral shocks via gas compression due to a strong gravitational attraction. We performed two 3D SPH simulations and two 2D SPH simulations and characterized a low compressibility model and a high compressibility model for each couple of simulations. 2D models reveal spiral structures existence. Moreover, spiral shocks are also evident ...
The presentation summarises the highlights of experimental results obtained for VVER type horizontal steam generator heat transfer, primary side flow pattern, and mixing in the hot collector during secondary side boil-off with primary at single-phase natural circulation. The experiments were performed using the PACTEL facility with Large Diameter (LD) steam generator models, with collector instrumentation designed specifically for these tests. The key findings are as follows: (1) the primary to secondary heat transfer degrades as the secondary water inventory is depleted, following closely the wetted tube area; (2) a circulatory flow pattern exists in the tube bundle, resulting in reversed flow (from cold to the hot collector) in the lower part of the tube bundle, and continuous flow through the upper part, including the tubes that have already dried out; and (3) mixing of the hot leg flow entering the ...
All MBI bending magnets in each of the two LHC injection transfer lines will be powered in series. The limited output voltage of existing power converters lead to an unusual coil design avoiding external return bus-bars by combining two overlapping half-coils, electrically separated, with 3 1/2 turns each in a monolithic structure. The voltage between turns in one coil can reach up-to 3.6 kV. The coil has been designed with particular care for obtaining high interturn and ground insulation. Flux-free soldering of connections with plug-in cone sleeves is applied, allowing to execute water cooled current connections as prolongation of the coil conductor. Epoxy compound polymerization in the impregnation mould is obtained by passing overheated water in regulated cycles through the water circuit of the coil conductor. We describe the design basics as well as various test results of pre-series and series produced coils. (4 ...
Studies on the multivariate autoregressive (MAR) analysis are carried out for the choice of the parameters for modelling the data obtained from various sensors optimally. Accordingly, the roles of the parameters on the analysis results are identified and the related ambiguities are reduced. Experimental investigations are carried out by means of synthesized reactor noise-like data obtained from a digital simulator providing simulated stochastic signals of an operating nuclear reactor so that the simulator constitutes a favourable tool for the present studies aimed. As the system is well defined with its known structure, precise comparison of the MAR analysis results with the true values is performed. With the help of the information gained through the studies carried out, conditions to be taken care of for optimal signal processing in MAR modelling are determined. Although the parameters involved are related among ...
The differential recoil cross sections of H have been determined for 1.5-3.0 MeV He"+ incidence. In order to obtain precise data, we have performed simultaneous detection and spectrum simulation of recoiled H and backscattered He. In addition, a careful cross check has been made by secondary ion mass spectrometry (SIMS). The present results have revealed a pronounced contribution from a nuclear short-range interaction. The He"+ energy and recoil angle dependence of the H recoil cross sections are well reproduced by adding the nuclear term, which is simply derived from effective range theory. Our computer simulation program of elastic recoil combined with Rutherford backscattering spectra makes it possible to determine the depth distributions of H together with other elements absolutely, without any ambiguities. The present elastic recoil analysis is employed to determine the H composition of amorphous Si(H) films deposited on Si wafers. An ...
This paper deals with the heat transfer characteristics of horizontal steam generators, particularly under natural circulation (decay heat removal) conditions on the primary side. Special emphasis is on the inherent features of horizontal steam generator behaviour. A mathematical model of the horizontal steam generator primary side is developed and qualitative results are obtained analytically. A computer code, called HSG, is developed to solve the model numerically, and its predictions are compared with experimental data. The code is employed to obtain for VVER 440 steam generators quantitative results concerning the dependence of primary-to-secondary heat transfer efficiency on the primary side flow rate, temperature and secondary level. It turns out that the depletion of the secondary inventory leads to an inherent limitation of the decay energy removal in ...
One of the most loaded parts of a steam generator of VVER 440 MW type are the bolts and thread holes of the primary collector cover sealing set. The strength calculations and tensometric measurings performed during operation proved the high degree of a load on the bolts. The conditions of the stress limitation are not met in some cases according to the pertinent standards. The untightnesses at nickel rings occurred during putting the units of Jaslovske Bohunice and Dukovany nuclear power stations into operation. With regard to improve the reliability, the producer has taken measures to improve the quality of the rings and users have introduced more strict regulations for bolts tightening. Due to these measures the high reliability of the set has been obtained from point of view of the tightness, but substantial reduction of bolts and holes threads loading have not been obtained. Several years operation experience proved ...
This report describes the results of EPRI Program S404-28, titled Experimental Modeling of Eddy Current Response'', conducted by the Westinghouse Science and Technology Center (STC). The Westinghouse STC demonstrates that its mercury modeling technique provides an unique bridge between steam generator eddy current field inspection conditions and predictions obtained using recently developed analytical models. The mercury modeling technique was used systematically to explore factors which contribute to primary water stress corrosion cracking (PWSCC) sizing inaccuracy, including probe design, coil excitation frequency, crack length, and crack morphology. Two new proposed techniques for inverting crack lengths from eddy current data are compared with the technique commonly used in field data analysis for PWSCC. The performance of uniform field eddy current probes is compared with the performance of pancake coil probe designs, ...
This report describes the results of EPRI Program S404-28, titled Experimental Modeling of Eddy Current Response'', conducted by the Westinghouse Science and Technology Center (STC). The Westinghouse STC demonstrates that its mercury modeling technique provides an unique bridge between steam generator eddy current field inspection conditions and predictions obtained using recently developed analytical models. The mercury modeling technique was used systematically to explore factors which contribute to primary water stress corrosion cracking (PWSCC) sizing inaccuracy, including probe design, coil excitation frequency, crack length, and crack morphology. Two new proposed techniques for inverting crack lengths from eddy current data are compared with the technique commonly used in field data analysis for PWSCC. The performance of uniform field eddy current probes is compared with the performance of pancake coil probe designs, and ...
The main object of the present study was to obtain the relationship of primary, secondary and index properties; compressibility; and angle of repose of coal ash. Representative samples of coal ash from different storage locations of Ropar thermal power plant, Punjab, were analysed. Based on test results of various primary characteristics of ash, the following observations have been made. (1) Ashes sampled for the study have a common mineralogical origin. The uniformity coefficient increases for ash collected near location of discharge compared to ash collected far from the location. (2) The void ratio extent, that is, a different of emax. or a ratio of emax. and emin. decreases with an increase of mean size. The maximum dry density obtained in dry vibration and proctor test differs for fine ash. Maximum dry density decreases and optimum moisture content increases with increase in mean size. Permeability ...
A vortex diode has been developed as a reverse flow limiter in the primary circuit of an advanced gas cooled reactor. In addition to the development work on a prototype diode to optimise performance and geometry, measurements were also made on an available experimental diode of similar size with pressure differences up to 4 MPa and temperatures up to 600 K using nitrogen, argon and carbon dioxide as the test fluids. Correlation of data from all tests was satisfactorily obtained using isentropic one-dimensional nozzle flow equations. (author).
The lateral natural frequency and vibration response analyses of the Large Scale Breeder Reactor (LSBR) primary pump were performed as part of the total dynamic analysis effort to obtain the fabrication release. The special features of pump modeling are outlined in this paper. The analysis clearly demonstrates the method of increasing the system natural frequency by reducing the generalized mass without significantly changing the generalized stiffness of the structure. Also, a method of computing the maximum relative and absolute steady state responses and associated phase angles at given locations is provided. This type of information is very helpful in generating response versus frequency and phase angle versus frequency plots.
As recently shown the conformal affine Toda models can be obtained via hamiltonian reduction from a two-loop Kac-Moody algebra. In this paper we propose a systematic procedure to analyze the higher spin symmetries of the conformal affine Toda models. The method is based on an explicit construction of infinite towers of extended conformal symmetry generators. Two fundamental building blocks of this construction are special spin-one and -two primary fields characterizing the conformal structure of these models. The connection to the algebra of area preserving diffeomorphisms on a two-manifold (w_#infinity# algebra) is established. (orig.).
The primary objective is to perform a fundamental study of filtration of nanoparticles, and to obtain filtration knowledge necessary to design particle collection devices/systems for nanoparticle processing and for preventing nanoparticle emissions into the environment. The research covered a wide area relevant to nanoparticle filtration, under these main topics: (1) nanoparticle filtration and molecular dynamics simulation, (2) nanoparticle virtual impactor, (3) particle transport under low pressure, and (4) development of a high-throughput nanoparticle generator. A number of novel tools and numerical models have been developed under the DOE support.
The manufacturing of TRIGA fuel rods with low enriched uranium follows in principle the same route as high-enriched uranium. The high purity of the primary metals (uranium, zirconium and erbium) is important for determining the equilibrium metal-hydrogen phases. The impurities from the metal, on the surface and from hydrogen may have an important influence on the hydriding process. This paper presents the aspects of the fuel contamination with oxygen during the manufacturing process of the low enriched uranium fuel. The continuous control of the oxygen concentration in the working zone ensures avoidance of the accidental contamination. Key words: manufacturing, fuel, oxygen, contamination. (authors)
Malfunctions in machinery are often sources of reduced productivity and increased maintenance costs in various industrial applications. For this reason, machine condition monitoring is being pursued to recognise incipient faults. In this paper, the fault diagnostic problem is tackled within a neuro-fuzzy approach to pattern classification. Besides the primary purpose of a high rate of correct classification, the proposed neuro-fuzzy approach also aims at obtaining an easily interpretable classification model. The efficiency of the approach is verified with respect to a literature problem and then applied to a case of motor bearing fault classification.
The General Electric Test Reactor emergency cooling system performance was tested by intentionally scramming the reactor and then terminating the power to the primary pump. Certain transient thermal-hydraulic data were obtained preceding and during the established natural convection cooling loop composed of the upward flow through the core and the downward flow through the pool. An analysis was performed to permit the data to be extrapolated to obtain distributed fuel element flow rates and bulk temperature rises during the established cooling loop. The earliest time for the quasi-steady natural cooling loop to develop is about 2.5 min following scram. The cladding hot-spot temperature does not exceed the local saturation temperature after quasi-steady flow is established. Data are presented to assist in the modeling of the GETR natural convection loop. Semi-empirical relationships for friction factor and Nusselt number are ...
This paper is concerned with the real time automatic discriminating of flaws from two categories; i. cracks (planar defect) and ii. Non-cracks (volumetric defect such as cluster porosity and slag) using pulse-echo ultrasound. The raw ultrasonic flaws signal were collected from a computerized robotic plane scanning system over the whole of each reflector as the primary source of data. The signal is then filtered and the analysis in both time and frequency domain were executed to obtain the selected feature. The real time feature analysis techniques measured the number of peaks, maximum index, pulse duration, rise time and fall time. The obtained features could be used to distinguish between quantitatively classified flaws by using various tools in artificial intelligence such as neural networks. The proposed algorithm and complete system were implemented in a computer software developed using Microsoft Visual BASIC 6.0 ...
Racemic and enantiomerically pure b-amino-a-trifluoromethyl alcohols were obtained via sequential nucleophilic trifluoromethylation of selected a-imino ketones, derived from arylglyoxals, and subsequent removal of the MeO or Ph(Me)CH substituent, respectively, located at the N-atom. The obtained products, containing a primary amino group, were used for the synthesis of imidazole N-oxides bearing a trifluoromethyl group as a part of the N(1)-alkyl chain. Imidazole N-oxides with an electron-withdrawing ester group at C(4) underwent spontaneous isomerization under the reaction conditions, and the corresponding imidazol-2-ones derivatives were isolated as final products.
Effect of globular structure parameters - size of primary #alpha#-phase particles (bsub(I)), thickness and amount of plates of secondary #alpha#-phase (bsub(II), #gamma#sub(II#alpha# )) - on a complex of mechanical properties (#sigma#sub(#beta#), S, phi, asub(H), asub(T), Ksub(Q), #sigma#sub(-1), #sigma#_1_0_0"4"5"0, #sigma#sub(0.2/100)) of VT3-1 (#alpha#+#beta#)-titanium alloy is studied. The dependences obtained allow one to determine globular structure parameters, providing necessary mechanical properties. In combination with data on the effect of thermal treatment conditions on structure parameters, results obtained in the paper may be used for structure control to increase a level of required characteristics.
Non-design-basis transition changes in the level fluctuations in the surrounds of a hot steam generator collector for a WWER-440 reactor and the corresponding responses of the temperature fields, strains and stresses are examined. A new approach to the thermal calculation of the horizontal steam generator, which is rapid and affords accurate results, is suggested. An important result of the calculation is the shape of the transition region level and the corresponding distribution of the heat transfer coefficient values. This was used for the calculation of the temperature fields, strain and stress of the hot collector. The stress values obtained were deeply below the yield point of the hot collector material but they get superimposed on the stress from overpressure in the primary and secondary circuits. The obtained fluctuations of the secondary medium level in the surrounds of the hot collector give rise to comparison ...
The prototype Bragg Curve Counter (BCC) has been tested by {alpha}-source ({sup 241}Am) with a continuous gas flow system (P-10: 90% Ar+10% CH{sub 4}, at 300Torr). Two types of the Frisch grid were prepared for the BCC. One was made of expanded metal meshes, which consist of 175 meshes/inch{sup 2} with a 100{mu}m{sup t} nickel sheet. The other was made of a 1mm pitch wire with {phi} 50 {mu}m of the tungsten. The shape of Bragg peak signal was compared each other. It was found that the energy spectrum obtained by the wire grid is a little sharper than that obtained by the meshes grid. However the meshes grid is superior than the wire grid so far as handling and durability are concerned. (author).
The study examines the question of whether or not civilian marketing practices and principles can be applied in the military care setting. Using the NRMC Great Lakes as a basis, the answer is yes--consumers of military medical care are ready to be the rec...
The paper describes the possibilities of using data warehousing and OLAP technologies in public health care in general and then our own experience with these technologies gained during the implementation...Full Text Available
By analyzing the data of 459 patients who completed the Supportive Care Needs Survey (SCNS), the prevalence, medical and non-medical predictors of unmet needs were investigated. Breast cancer patients...Full Text Available
BackgroundWith a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing...Full Text Available
Objectives To evaluate the extent to which intensive care units participating in the initial Keystone ICU project sustained reductions in rates of catheter related bloodstream infections.Design...Full Text Available
Goals of workThe goal of this study was to evaluate, at a population level, the association between specialized palliative care services (SPCS) and short- and long-term caregiver...Full Text Available
Fresh blood has many potential advantages over older blood, but there is no evidence that these properties translate into clinical benefit for intensive care patients. The observational multicenter...Full Text Available
Digital information flow within the intensive care unit (ICU) continues to grow, with advances in technology and computational biology. Recent developments in the integration and archiving of these...Full Text Available
Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the present century. Recent advances in health care have...Full Text Available
OBJECTIVES:To investigate the prevalence of potential drug interactions at the intensive care unit of a university hospital in Brazil and to analyze their clinical significance.METHODS:This...Full Text Available
ObjectiveTo identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients.Full Text Available
The outcome of patients admitted to intensive care units is known to be influenced by such factors as age, previous health status, severity of disease, and diagnosis. To estimate the outcome of such...Full Text Available
ObjectiveTo report the outcome of children with life-threatening asthma (LTA) admitted to a university Pediatric Intensive Care Unit (PICU).MethodsRetrospective...Full Text Available
Background Little is known about how migrants adapt to first-world public health systems. In Norway, patients are assigned a registered general practitioner (RGP) to provide basic care...Full Text Available
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
This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview...Full Text Available
BackgroundIntegration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in...Full Text Available
IntroductionThe aim of the study was to assess and classify incidents of electromagnetic interference (EMI) by second-generation and third-generation mobile phones on critical care...Full Text Available
Electronic personal health records (ePHRs) can potentially maximize access and coordination of health information and improve patient/clinician collaboration, patient self-management, and health outcomes....Full Text Available
PURPOSE This study was designed to evaluate the impact of electronic medical record (EMR) implementation on quality of diabetes care.METHODS We conducted a 5-year longitudinal...Full Text Available
Objectives:Despite its impact on health policy, the relationship between geographical proximity and health care seeking has received scant attention in the medical literature. This...Full Text Available
Emergency Departments (ED) are fast-paced, information-intensive environments where patient care team members must address their information needs quickly and accurately. We conducted a qualitative...Full Text Available
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
ObjectivesTo assess Croatian community pharmacists' patient care competencies using the General Level Framework (GLF).MethodsThe competencies of...Full Text Available
Quality research, requiring large numbers of participants, in the intensive care unit (ICU) population requires multicentre collaboration. Although logistically challenging, this methodology reduces...Full Text Available
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
Despite an accumulating body of literature addressing racial/ethnic disparities in children’s health and health care, there have been few published studies of interventions that have...Full Text Available
Will the aging of Canada's population bankrupt the health care system? In this issue (see pages 1555 to 1560) Dr. Marie Demers reports that the increase in physician service costs for elderly people...Full Text Available
The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available
BackgroundThe Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness....Full Text Available
Patients do considerable information work. Technologies that help patients manage health information so they can play active roles in their health-care, such as personal health records, provide...Full Text Available
Very few areas of medical science have experienced more rapid development of new and beneficial treatment approaches during the past two decades than the disciplines required for total care of patients...Full Text Available
This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented...Full Text Available
OBJECTIVE: To increase cost-efficiency while maintaining the standard of medical care, an accelerated surgical stay program for patients having breast surgery was instituted. SUMMARY BACKGROUND DATA:...Full Text Available
...dates of the implementation of the standard unique health identifier for health care providers. 162.404 Section 162.404 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA...
brain Printer-friendly version Email this page to a friend Share Primary lymphoma of the brain is cancer of the lymph cells that starts in the brain. Causes The cause of primary...
... Title : Mental Health and Resilience: Soldiers' Perceptions about Psychotherapy, Medications, and Barriers to Care in the United States Military. ...
Grassroots education is imperative if economic development is to be actualized. Therefore, it becomes necessary to study the primary school teachers' perception of the Universal Basic Education (UBE). This study attempted to find out the primary school teachers' perception of the Universal Basic Education (UBE) programme and their perceived contribution towards the success of the programme. It further examined how favorable perception towards the scheme could be a catalyst in the successful implementation of the UBE. To accomplish this task, two research questions and a hypothesis were raised to guide the study. The opinion of one hundred and eighteen (118) teachers, out of four hundred and forty-seven teachers (447) that constituted the population of the teachers in Esan West Public Primary Schools was obtained. The respondents were randomly selected. The questionnaire was used for data collection. A ...
Abstract in english The outcome of the interaction between Biomphalaria and Schistosoma mansoni depends on the response of the host internal defence system (IDS) and the escape mechanisms of the parasite. The aim of this study was to evaluate the responsiveness of the IDS (haemocytes and soluble haemolymph factors) of resistant and susceptible Biomphalaria tenagophila lineages and Biomphalaria glabrata lineages in the presence of in vitro-transformed primary sporocysts and secondary sporocys (more) ts obtained from infected B. glabrata. To do this, we assayed the cellular adhesion index (CAI), analysed viability/mortality, used fluorescent markers to evaluate the tegumental damage and transplanted secondary sporocysts. B. tenagophila Taim was more effective against primary and secondary sporocystes than the susceptible lineage and B. glabrata. Compared with secondary sporocysts exposed to B. tenagophila, ...
A novel system has been deployed to obtain geochemical samples of water and gas, at in situ pressure, during a geologic CO2 sequestration experiment conducted in the Frio brine aquifer in Liberty County, Texas. Project goals required high-frequency recovery of representative and uncontaminated aliquots of a rapidly changing two-phase (supercritical CO2-brine) fluid from 1.5 km depth. The datasets collected, using both the liquid and gas portions of the downhole samples, provide insights into the coupled hydro-geochemical issues affecting CO2 sequestration in brine-filled formations. While the basic premise underlying the U-Tube sampler is not new, the system is unique because careful consideration was given to the processing of the recovered two-phase fluids. In particular, strain gauges mounted beneath the high-pressure surface sample cylinders measured the ratio of recovered brine to supercritical CO2. A quadrupole mass spectrometer provided ...
During searches for new optical Galactic supernova remnants (SNRs) in the high resolution, high sensitivity Anglo-Australian Observatory/United Kingdom Schmidt Telescope (AAO/UKST) HAlpha survey of the southern Galactic plane, we uncovered a variety of filamentary and more diffuse, extensive nebular structures in the vicinity of Wolf-Rayet (WR) star 48 (Theta Muscae), only some of which were previously recognised. We used the double-beam spectrograph of the Mount Stromlo and Siding Spring Observatory (MSSSO) 2.3-m to obtain low and mid resolution spectra of selected new filaments and structures in this region. Despite spectral similarities between the optical spectra of WR star shells and SNRs, a careful assessment of the new spectral and morphological evidence from our deep HAlpha imagery suggests that the putative shell of Theta Mus is not a WR shell at all, as has been commonly accepted, but is rather part of a more complex area of ...
It is well known that the lightning protection of transmission lines is exclusively relying on their correct initial design. Although detailed engineering studies are usually performed by electric power utilities for the design of new transmission lines, there are reported cases where the design is based simply on tradition or on utilities' standardization policy. In this paper, the lightning protection of high-voltage transmission lines is faced as an optimization problem where optimum design parameters are calculated for the lines, relating their cost with the lightning failures' cost, aiming to reduce or even eliminate lightning failures. The optimization method considers all the available protection means, i.e. ground wires and surge arresters. In order to validate the effectiveness of the proposed method, it is applied on several operating Hellenic transmission lines of 150 kV carefully selected among others due to their high failure rates ...
Numerical studies are performed to identify an optimal range of geometric parameters in connection with the design of an impingement-conditioned small direct-injection diesel engine. The parametric studies were made in a pressure chamber with a circular protrusion on to which sprays are directed to impinge. Computational runs were made for 24 cases carefully chosen to allow examination of the effects on post-impingement spray characteristics of the following parameters: (a) the nozzle-plate distance and (b) the size and geometry pattern of the protrusion. An optimal range of these parameters has been identified through an analysis of the calculated results in terms of vapour concentration, the Sauter mean diameter of the wall spray and the dispersed wall spray volume. The results obtained also reveals that, by just changing the size of the impingement surface and the impingement distance, local fuel vaporization efficiency can be increased as ...
Multilayer mirror coatings which reflect extreme ultraviolet (EUV) radiation are a key enabling technology for EUV lithography. Mo/Si multilayers with reflectances of 67.5% at 13.4 nm are now routinely achieved and reflectances of 70 2% at 11.4 nm were obtained with MO/Be multilayers. High reflectance is achieved with careful control of substrate quality, layer thicknesses, multilayer materials, interface quality, and surface termination. Reflectance and film stress were found to be stable relative to the requirements for application to EUV lithography. The run-to-run reproducibility of the reflectance peak position was characterized to be better than 0.2%, providing the required wavelength matching among the seven multilayer-coated mirrors used in the present lithography system design. Uniformity of coating was improved to better than 0.5% across 150 mm diameter substrates. These improvements in EUV multilayer mirror technology will enable us ...
High-quality solar cells have been fabricated by utilizing localized argon-ion laser decomposition of silver neodecanoate spun onto diffused silicon substrates and subsequent electroplating. Early adhesion problems during electroplating have been carefully studied and finally solved using a novel coating procedure. The laser-metallized solar cells have been characterized using lighted and dark current-voltage measurements and compared with baseline cells metallized using standard photolithographic procedures. Non-AR-coated cell efficiencies ranging from 10 to over 11% have been obtained for the laser-metallized cells, comparable with the best baseline cells. The laser-metallized cells have 30 to 40% lower series resistance than the unsintered baseline cells, indicating that in-situ sintering takes place during laser writing. A dramatic new and simpler laser metallization process on which patent protection is currently being sought has yielded ...
Due to the improvement of algorithm and the advancement of calculation performance, the imaging by depth migration before stacking is being put into practice from the viewpoint of both calculation cost and accuracy. A lot of imaging examples have been already reported from the survey areas with complicated velocity structures, such as the North Sea and the Gulf of Mexico. Effectiveness of the method has been confirmed. For imaging techniques in Japan National Oil Corporation and Japan Petroleum Exploration Co., Ltd., high-speed depth migration before stacking and high efficiency velocity structure estimation technique have been investigated. This paper describes necessary care to be taken when using depth focusing analysis (DFA) for correcting a velocity model, as an interim stage of case study. The results of depth migration before stacking using dip moveout (DMO) velocity were further inferior to the section obtained by the migration after ...
A new N-body and hydrodynamical code, called RAMSES, is presented. It has been designed to study structure formation in the universe with high spatial resolution. The code is based on Adaptive Mesh Refinement (AMR) technique, with a tree based data structure allowing recursive grid refinements on a cell-by-cell basis. The N-body solver is very similar to the one developed for the ART code (Kravtsov et al. 97), with minor differences in the exact implementation. The hydrodynamical solver is based on a second-order Godunov method, a modern shock-capturing scheme known to compute accurately the thermal history of the fluid component. The accuracy of the code is carefully estimated using various test cases, from pure gas dynamical tests to cosmological ones. The specific refinement strategy used in cosmological simulations is described, and potential spurious effects associated to shock waves propagation in the resulting AMR grid are discussed and found to be ...
This paper presents a method for the optimal design of high voltage transmission lines taking into consideration shielding and backflashover failure rates. The minimization of suitably defined performance indices, which relate the failures caused by lightning in a transmission line to both line insulation level and tower footing resistance, is aimed. Optimum values for both line insulation level and tower footing resistance are calculated. The method is applied on several operating Hellenic transmission lines of 150 and 400kV, respectively, carefully selected among others, due to their high failure rates during lightning thunderstorms. Special attention has been paid on open loop lines, where a possible failure could bring the system out of service causing significant problems. The obtained design parameters, which reduce the failure rates caused by lightning, are compared with the existing design parameters of the transmission lines leading up ...
With recent and archival Rossi X-Ray Timing Explorer (RXTE) X-ray measurements of the heavily obscured X-ray pulsar EXO 1722-363 (IGR J17252-3616), we carried out a pulse timing analysis to determine the orbital solution for the first time. The binary system is characterized by a_x sin(i) = 101 +/- 3 lt-s and P_orb = 9.7403 +/- 0.0004 days (90% confidence), with the precision of the orbital period being obtained by connecting datasets separated by more than 7 years (272 orbital cycles). The orbit is consistent with circular, and e 61 degrees at the 99% confidence level, the radius of the primary is between 21 R_sun and 37 R_sun, and its mass is less than about 22 M_sun. The acceptable range of radius and mass shows that the primary is probably a supergiant of spectral type B0I-B5I. Photometric measurements of its likely counterpart are consistent with the spectral type and luminosity if the distance to the system is ...
Water quality of the Citarum River and the Jatiluhur Reservoir in Indonesia was evaluated using C-14 radioisotope. A close relationship between the abiotic (physical and chemical) and the biotic (algal growth potential, primary productivity, chlorophylla and diversity index of planktonic and benthic macroinvertebrate) parameters was obtained. Algal growth potential to abiotic parameters relationship has the highest correlation coefficient and can be used as a pollution indicator. The other biotic parameters do not show clear relationship with the abiotic parameters. The Citarum water quality is the lowest in those locations which receive human and industrial waste from Bandung and its environment. This water cannot be used for drinking purposes and fishery. The water quality in other locations of the river, however, meets the criteria for agriculture. Agricultural waste does not show any drastic effect on the water quality profile due to ...
Abstract in english INTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. MATERIALS AND METHODS: We present data concerning 90 patients submitted to diagnostic lapa (more) roscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. RESULTS: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with ...
Various electrochemical capacitors (ultracapacitors) are being developed for hybrid vehicles as candidate power assist devices for the fast response engine. The primary functions of the ultracapacitor are to level the dynamic power loads on the primary propulsion device and recover available energy from regenerative breaking during off-peak power periods. Ultracapacitors show promise toward being able to accept high regenerative pulses while exhibiting very high cycle life. This paper will present test data from selected US Department of Energy (DOE) supported ultracapacitor projects designed to meet the fast response engine requirements. Devices containing carbon, conducting polymers, and metal oxide electrode materials in combination with aqueous or organic electrolytes are being supported by the DOE. This paper will present and discuss testing data obtained from recent prototype capacitors supplied by Maxwell Energy ...
The interrelations between the factors causing the main effects on the primary circuit coolant flow rate distribution in the horizontal steam generator pipes in reactor facilities with the WWER type reactors under the modes with natural circulation are discussed. The criterion showing the presence or absence of coolant circulation reversal in bottom rows of the steam generator pipes is obtained. It is shown that large hydraulic non-uniformity in steam generator pipes operating in parallel under coolant natural circulation leads to decreasing the heat transfer surface efficiency under reactor facility emergency cooling, restricts its servicing capabilities. The circulation reverse in steam generator pipes under coolant natural circulation mode can give unfavourable effect on separate structural elements of the steam generators and as a result it can cause additional temperature strains in metal. The conclusion on provisions for improving the ...
In order to model transport of dissolved ions in subsurface environments, one should understand how these ions interact with solid phase adsorbents. Our primary goal has been investigating the reaction mechanisms which affect microcontaminant partitioning between aqueous solutions and solid phase adsorbents, using goethite ({alpha}-FeOOH) as a model adsorbent. Cylindrical internal reflection -- Fourier transform infrared (CIR-FTIR) spectroscopy has been developed as the primary technique for this study. Wet chemical adsorption studies, acoustophoresis and electrophoretic mobility have been used to obtain supporting information as needed. Phenol and o-nitrophenol did not adsorb to goethite. Benzoate, phthalate and p-hydroxybenzoate all adsorbed via a bidentate mechanism to two adjacent iron atoms, while salicylate and 2,4-dihydroxybenzoate formed a chelate complex to single iron atoms. Phosphate adsorption was predominately ...
More than two and a half years of monitoring of a passive house school and day-care centre in Frankfurt a. M. show comfortable indoor climate and good air quality. The space heat consumption is low and shows savings of approximately 90 % as compared to average existing schools. Excellent performance was also achieved in terms of primary energy. The results of further analyses of the efficient ventilation system with heat recovery, the perimeter insulation as an alternative to floor slab insulation and the influence of the air change due to the entrance door are presented. (Abstract Copyright [2008], Wiley Periodicals, Inc.) [German] Ueber zweieinhalb Jahre Monitoring einer Passivhaus-Schule und Kindertagesstaette (KiTa) in Frankfurt a.M. zeigt behagliche raumklimatische Bedingungen bei guten Luftqualitaeten. Die Heizwaermeverbrauchswerte liegen wie erwartet niedrig und zeigen Einsparungen um 90 % gegenueber dem Durchschnitt im Bestand. Auch ...
Throughout much of the 1980s, deforestation in Brazil eliminated more than 15,000 square kilometers (9000 square miles) per year. That pace has only increased through the 90s and into the 21st century. Brazil is also home to more than a quarter of Earths tropical forests. Considering that the band of lush green that circles the globe through many equatorial nations is fundamental to the overall health of the whole planets environment, careful monitoring of forest health in the tropics is essential. Tropical forests act as major carbon sinks, places where ambient carbon dioxide in the atmosphere can be absorbed by growing things and sequestered for years. Definitive evidence shows that excess carbon dioxide can contribute to the greenhouse effect and speed global warming. Similarly, tropical forests also act as a primary producer of oxygen. In the respiration process that absorbs gaseous carbon dioxide, trees and other plants give off oxygen. It ...
The primary goal of this project is to obtain a better understanding of thermophilic microorganisms which convert acetic acid to CH[sub 4]. The previous funding period represents a departure from earlier research in this laboratory, which was more physiological and ecological. The present work is centered on the biochemistry of the thermophile Methanothrix sp. strain CALS-1. this organism presents a unique opportunity, with its purity and relatively rapid growth, to do comparative biochemical studies with the other major acetotrophic genus Methanosarcina. We previously found that Methanothrix is capable of using acetate at concentrations 100 fold lower than Methanosarcina. This finding suggests that there are significant differences in the pathways of methanogenesis from acetate in the two genera.
An analysis of the total photoabsorption cross section for nuclei ranging from "4He up to "2"3"8U has been performed in the energy range 0.2-1.0 GeV. Mean total photoabsorption cross sections have been obtained by summing up the contributions from partial photoreactions, and found to follow an A"1-dependence in the 0.2-1.0 GeV range. A review of the available total photoabsorption cross section data is also presented. Comparisons have been made with cross section values calculated by considering both the quasi-deuteron and #pi#-meson photoproduction mechanism of primary nuclear photointeraction. (orig.).
This paper is concerned with the fracture analysis of thin cylindrical shells subject to secondary bending stresses with some degree of elastic follow-up. A P.Y.F.M. failure assessment route is utilised for an initial investigation. Results are presented graphically and indicate the differences obtained by considering the stresses as primary or secondary in nature. The Jsup(*) contour integral is computed from the results of a non-linear finite element analysis of a thermally loaded cracked cylinder. Comparison is made between Jsup(*) and the P.Y.F.M. failure criteria demonstrating the degree of conservatism in the latter. It is observed that LEFM may be appropriate for moderate load levels but that the elastic follow-up of the structure causes enhancement of Jsup(*) for higher loads, at which stage LEFM becomes non-conservative. (orig.).
This sampling and analysis plan (SAP) identifies characterization objectives pertaining to sample collection, laboratory analytical evaluation, and reporting requirements for vapor samples obtained during the operation of mixer pumps in tank 241-AZ-101. The primary purpose of the mixer pump test (MPT) is to demonstrate that the two 300 horsepower mixer pumps installed in tank 241-AZ-101 can mobilize the settled sludge so that it can be retrieved for treatment and vitrification. Sampling will be performed in accordance with Tank 241-AZ-101 Mixer Pump Test Data Quality Objective (Banning 1999) and Data Quality Objectives for Regulatory Requirements for Hazardous and Radioactive Air Emissions Sampling and Analysis (Mulkey 1999). The sampling will verify if current air emission estimates used in the permit application are correct and provide information for future air permit applications.
Test Blanket Modules (TBM) will be tested in ITER to verify the capability of tritium breeding and recovery and the extraction of thermal energy suitable for the production of electricity. A Helium Cooled Solid Breeder (HCSB) TBM has been developed in Korea to accomplish these goals. Reduced Activation Ferritic/Martensitic (RAFM) steel has been chosen as the primary candidate structural material for Korean TBM. Due to the complexity of the First wall (FW) and Side wall (SW), it is necessary to develop various joining technologies, such as Hot Isostatic Pressing (HIP), Electron Beam Welding (EBW) and Tungsten Inert Gas (TIG) welding, for the successful fabrication of TBM. In this study, the mechanical properties of TIG welded RAFM steel were investigated. Various mechanical tests of TIG-welded RAFM steel were performed to obtain the optimized TIG welding process for RAFM steel
Progress in the worldwide capability of predicting the convective energy loss from solar central receivers is reviewed. The significant advances in the past three years have been in experimental areas. Baseline measurements of the convective heat transfer from large high-temperature surfaces, e.g., a flat plate and a cubical cavity, have been completed and empirical correlations have been obtained. Theoretical modeling activities have not kept pace with the experimental advances, however. Currently, the primary theoretical emphasis is the development and testing of turbulence models suitable for buoyant flows. Three major needs have been identified: the measurement of convective energy losses from operating solar central receivers; the continued development of theoretical models in spite of the relatively slow progress to date; and the quantification of the effects of atmospheric turbulence.
In the last years, the growing demand for air conditioning has caused a significant increase in demand for primary energy resources. Solar-powered cooling is one of the technologies which allows to obtain, by using the renewable solar source, an important energy saving compared to traditional air conditioning plants. The paper describes different technical installations for solar cooling, their way of operation, advantages and limits. The objective of the present study has been to analyze the technical and economic feasibility of solar absorption cooling systems, designed for two different application fields: industrial refrigeration and air conditioning. The possibility to replace or integrate the existing plants is studied, by considering the refrigeration requirements of a company, whic...
Mechanistic studies on a charged ultrafiltration (UF) membrane fouled with natural organic matter (NOM) and colloidal particles are systematically investigated to understand the relative role of each NOM fraction and the presence of colloidal particulate to membrane fouling. Humic acid (HA), dextran, and kaolin were employed as surrogate model foulants representing the organic hydrophobic acid NOM, hydrophilic neutral NOM, and inorganic colloidal materials, respectively. The results obtained showed that the organic NOM of hydrophilic surrogate (dextran) plays a primary role in promoting membrane fouling, followed by hydrophobic acids and inorganic kaolin, but to a lesser extent than organic NOM compounds. Significant differences in the extent of fouling between dextran and HA have been obs...
New isotopic age determinations carried out with the rubidium-strontium method on granodioritic basement rocks from the Mecsek Mountains in Southeastern Transdanubia give further support to assumptions on a polyphase development of the Mecsek crystalline. As shown by initial Sr isotopic ratios, the protolith of the granodioritic assemblage of polymetamorphic-anatectic origin must have been strongly basic in its composition. The scatter of individual model ages obtained on total rock samples reflects the polymetamorphic-polytectonized character of the basement, and suggests that following a primary granitization process secondary events might have led to the total or partial recrystallization of the rocks in question. The tectonic development of the basement crystalline as reflected in the isotopic age data closed at about 270+-20 million years ago, with processes causing retrograde changes in the crystalline as a whole but leading to the ...
Pectin rich cold stored spoiled fruits, vegetables and cold soils were screened and different pectinolytic isolates were obtained by enrichment culturing and ruthenium red plate assay. Among the primary isolates 10-15% were yeast isolates. Six isolates with higher zones of pectin hydrolysis were selected and tested for polygalacturonase (PGU) production at room temperature (25 degrees C) and at 5 degrees C. One isolate identified as Saccharomyces sp. with highest polygalacturonase activity at 5 degrees C was used for enzyme production using raw fruit pectins as substrates. The isolate was identified by preliminary cultural, morphological and sugar fermentation tests. PGU production was high in raw pectin substrates like orange peel (21 U/ml), apple peel (20 U/ml ), mango peel (19 U/ml), ...
TiH{sub 2} and TiD{sub 2} thick targets were bombarded with 100 to 200 keV protons. Evidence for nuclear reactions was obtained by means of a surface barrier particle detector. Proton irradiation of TiD{sub 2} produced the following observations: {alpha} particle emission identified as (p, {alpha}) reactions from {sup 11}B and {sup 7}Li impurities in the target at ppm concentrations; and {approx}3 MeV proton and {approx}1 MeV triton emission from secondary D-D reactions caused by elastic scattering of the primary proton with a target deuteron. A 3.9 MeV {alpha} particle peak measured by others was not observed. (author)
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...
Background vibration in a CANDU plant can be used to determine the dynamic characteristics of major items of equipment, such as calandria, the fuelling machines and the primary heat transport pumps. These dynamic characteristics can then be used to verify the seismic response of the equipment which, at present, is based on theoretical models only. The feasibility and basic theory of this new approach (which uses accelerations measured at several points on a structure and does not require knowledge of the source of excitation) was established in Phase I of the study. This report is based on Phase II in which the methods of analysis developed in Phase I were improved and verified experimentally. A Fast Fourier Transform (FFT) algorithm was incorporated and an interactive curve fitting technique was developed to obtain the dynamic characteristics in the form of natural frequencies, mode shapes and damping ratios. The method is now available for ...
In January of 1977 the Paraho Development Company under contract with the United States Navy began a semi-works project to produce and refine up to 100,000 barrels of crude shale oil. Although the primary objective of the project was to produce specification turbine and diesel transportation fuels for field testing by the military field testing, the full-scale refinery run also produced a substantial quantity of hydrotreated shale oil residue. In 1978 the Electric Power Research Institute, recognizing the utilization potential of this material as a fuel for utility combustion turbines, obtained 4300 barrels of the residual shale oil product for future field testing. This report describes the processes involved in producing, handling, and storing the residual shale oil test material. The report also includes detailed chemical and physical analyses of the test material. In addition, guidelines which can be applied to future work with this type of ...
This is the final report of a three-year, Laboratory Directed Research and Development (LDRD) project at Los Alamos National Laboratory (LANL). The primary aim of this project is to obtain a basic scientific understanding of electrical transport processes at interfaces that contain an organic electronic material. Because of their processing advantages and the tunability of their electronic properties, organic electronic materials are revolutionizing major technological areas such as information display. We completed an investigation of the fundamental electronic excitation energies in the prototype conjugated polymer MEH-PPV. We completed a combined theoretical/experimental study of the energy relation between charged excitations in a conjugated polymer and the metal at a polymer/metal interface. We developed a theoretical model that explains injection currents at polymer/metal interfaces. We have made electrical measurements on devices ...
Using EAS data from the EAS-EXC group (EAS plus hadronic calorimeter and nuclear emulsion-X chamber hybrid experiment) on Mount Chacaltaya during the 1990's the fractal properties of the energetic cosmic ray fluxes was investigated. A discrimination in the hadron content of the energetic primaries furnishes two different data samples, the total EAS fluxes and the hadron-less fluxes. The sidereal diurnal variation of the hadron-less EAS time variation shows values of 0.5% with a phase at about 2.29 hr sidereal time. With the help of the Crassberger Procaccia algorithm the fractal dimensions have been investigated of, on the one hand, the differences in arrival times of the hadron-less showers and on the other hand the EAS fluxes time series with an integration time of five min. The obtained fractal dimensions show inconclusive evidence of continuous chaotic component in the data samples investigated.
The most effective way to generate electricity out of biomass is the gasification and the use of the gas in a gas engine. The conversion of the organic carbon with the gasification of biomass is higher than 95 %. Depending on the gasification concept, the efficiency of gasifiers is found between 70 and 90 %. If the pyrolysis gas is used in a gas engine, an electric efficiency of about 26 % referring to the primary amount of energy can be obtained. With efficient gas cleaning (cleaning for tar and dust), pyrolysis gas is well qualified for engine combustion. Through modern state of engine controlling there are ways to have complete control of the fluctuations in the gas composition. Furthermore, the minor calorific value of offered wood gas poses no problem for turbo charged lean-burn gas engines. (orig.)
Summary A prospective and randomized trial design is of utmost interest when it comes to evaluating new developments in the management of cardiovascular medicine. By defining the primary end point and a profound related statistic new therapeutic options can be tested with an adequate number of patients. The course of the trial is supervised by a Clinical Events Committee and a Data and Safety Monitoring Board. Registries are promising tools for describing how the results of clinical trials are translated into daily practice. Their drawbacks include lack of control of the clinical endpoints and their uniform definition and lack of a control group. There are numerous examples from cardiology of the limited usefulness of data obtained from registry studies with their often unexpected results ...
Purpose: To dissolve iron and nickel as well as chromium simultaneously at one step for cruds partially containing chromium, and obtain high decontaminating factor (decontamination factor). Method: Radioactive cruds formed as corrosion products in nuclear reactor primary coolant circuits are subjected to dissolving treatment by using a decontaminating agent composed of cerium sulfate type solution as the dissolving solution. When the treatment is substantially completed, a reducing agent is added to reduce the residual 4-valent cerium into 3-valent cerium. Those having potential lower than the redox potential of cerium are used as the reducing agent so that cerium is not deposited. This can provide high decontaminating factor while preventing the deposition of cerium. (Takahashi, M.).
This quarterly report, for the period April 1-June 30, 1982, summarizes Sandia's activities in coal liquefaction process research. The overall objectives of the program are to understand the mechanisms and determine the role of catalysts in the direct conversion of coal to liquids. Primary emphasis is being given to the Integrated Two-Stage Liquefaction (ITSL) process. Specific tasks include: short-contact time coal liquefaction, mineral matter effects and catalyst studies. During this period, work was done on: the characteristics of a Liquefaction (ITSL) facility at New Brunswick, NJ; the kinetics of hydrogenation and dehydrogenation of pyrene and dihydropyrenes in batch microreactors; the impact of coal cleaning on the effectiveness of two types of slurry phase catalysts; the deactivation of aged catalyst samples obtained from the H-Coal PDU; and a catalyst deactivation model for the H-Coal PDU.
Surgical resection is the only curative treatment strategy for intrahepatic cholangiocarcinoma (CC). Therefore, accurate staging is essential for appropriate management of patients with CC. We assessed the usefulness of 2-["1"8F]fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET) in the staging of CC. We undertook a retrospective review of FDG PET images in 21 patients (10 female, 11 male; mean age 57 years) diagnosed with CC. Ten patients had hilar CC and 11, peripheral CC. Patients underwent abdominal magnetic resonance imaging (MRI) (n=20) and computed tomography (CT) (n=12) for the evaluation of primary tumours, and chest radiography and whole-body bone scintigraphy for work-up of distant metastases. For semi-quantitative analysis, the maximum voxel standardised uptake value (SUV_m_a_x) was obtained from the primary tumour. All peripheral CCs showed intensely increased FDG uptake, and some demonstrated ...
Tarapur Atomic Power Station Unit-4 is first 540 MWe pressurized heavy water reactor in India. It achieved criticality on 06th March 2005 and then operated at full power i.e 500 MWe. Radiation workers during the normal operation and reactor shutdown are exposed to radiation field. The control of dose rates and the collective dose of the radiation workers is most important for the best performance of the reactor. Experience gained during the operation of the 220 MWe reactors has shown that the Moderator system, primary heat transport system, annulus gas system and moderator cover gas system are the main systems contributing to the dose rate and collective dose. In order to identify the radio nuclides contributing to the radiation field, study was undertaken at TAPS Unit-4. Various samples from the Moderator, primary heat transport system, annulus gas system and moderator cover gas system were collected and analysed for the spectrometric ...
The usefulness of helical CT early phase images optimized by the SmartPrep method for evaluation of wall invasion by colorectal cancer was investigated. Between August 1997 and September 1998, CT was performed to evaluate the primary tumor and local extension in 10 consecutive patients with colorectal cancer confirmed by barium enema- and/or colonoscopy. Early-phase images were acquired by using SmartPrep application software. This method allows the optimal scan delay time to be obtained by continuous monitoring of increases in CT values after injection of contrast medium. Sections of the surgical specimens, close to the same plane as the CT images, and of the same slice thickness, were analyzed histopathologically. All 10 cancers, regardless of size, showed strong enhancement on the early-phase images (81.4-112 HU, mean: 95.1 HU). The strongly enhanced image areas on CT corresponded to the primary cancer areas on ...
The anaerobic transformation and degradation of nitrophenols by granular sludge was investigated in upflow anaerobic sludge blanket (UASB) reactors continuously fed with a volatile fatty acid (VFA) mixture as the primary substrate. During the start-up, subtoxic concentrations of 2-nitrophenol (2-NP), 4-nitrophenol (4-NP), and 2, 4-dinitrophenol (2, 4-DNP) were utilized. 4-NP and 2, 4-DNP were readily converted to the corresponding aromatic amine; whereas 2-NP was converted to nonaromatic products via intermediate formation of 2-aminophenol (2-AP). These conversions led to a dramatic detoxification of the mononitrophenols because the reactors treated the nitrophenolics at the concentrations which were over 25 times higher than those that caused severe inhibition. VFA removal efficiencies greater than 99% were achieved in both reactors at loading rates greater than 11.4 g COD per liter of reactor volume per day even at volumetric loading of mononitrophenols up to 910 ...
The syntheses of N-alkylated deoxynojirimycin and 1,5-dideoxy-1,5-iminoxylitol derivatives having either a D- or an L-erythritol-3-sulfate functionalized N-substituent are reported. The alkylating agent used was a cyclic sulfate derivative, whereby selective attack of the nitrogen atom at the least hindered primary center afforded the desired ammonium salt. In aqueous solution, these salts were configurationally labile at the ammonium center. Sulfonium and/or selenonium analogues of the ammonium salts were prepared by analogous reactions. The chalcogen salts were obtained as mixtures of diastereomers, separable in some cases, differing only in the stereochemistry at the configurationally stable sulfur or selenium atoms. Proof of configuration and conformation of each compound was obtained by detailed NMR experiments. The compounds are six-membered ring analogues of salacinol, a known sulfonium-salt glucosidase inhibitor. ...
We analytically work out the orbital effects caused by a Rindlertype extra-acceleration ARin which naturally arises in some recent models of modified gravity at large distances. In particular, we focus on the perturbations induced by it on the two-body range {\\rho} and range-rate {\\rho}\\cdot which are commonly used in satellite and planetary investigations as primary observable quantities. The constraints obtained for ARin by comparing our calculations with the currently available range and range-rate residuals for some of the major bodies of the solar system, obtained without explicitly modeling ARin, are 1 - 2 \\times 10-13 m s-2 (Mercury and Venus), 1 \\times 10-14 m s-2 (Saturn), 1 \\times 10-15 m s-2 (Mars), while for a terrestrial Rindler acceleration we have 5 \\times 10-16 m s-2 (Moon). Another approach which could be followed consists of taking into account ARin in re-processing all the available data sets with ...
A prototype trumpet type nonimaging secondary concentrator was designed and fabricated for use with the Cummins Power Generation (CPG) 7.5 kW{sub e} dish-Stirling system. A set of operational tests was carried out with a high temperature heat pipe receiver and gas-gap calorimeter. These tests have successfully alleviated any operational concerns about the effectiveness of active water cooling for such devices. The authors obtained over two full days of testing with the cavity receiver operating at its design temperature of 660 C while the trumpet throat temperature remained {approx_equal} or less than 100 C. In addition, these tests have shown that the thermal isolation of the trumpet from the hot receiver is very effective. Highly variable insolation, instabilities in the temperature controller on the calorimeter, and a poor match between the optical quality of the primary and the design of the trumpet have made detailed quantitative results ...
The energy resolution of small NaI(Tl), CsI(Tl), BGO, GSO, YAP and LSO crystals has been studied using 16 mm diameter large area avalanche photodiodes (LAAPD) and a 52 mm diameter photomultiplier. The best result of 4.8% for 662 keV #gamma#-rays from a "1"3"7Cs source was obtained with a 9 mm in diameter by 9 mm high CsI(Tl) scintillator coupled to an LAAPD. Measuring the number of primary electron-hole pairs produced in the LAAPD and photoelectrons in the photomultiplier, as well as the noise contribution of the LAAPD, allowed a quantitative discussion of the results. The energy resolutions measured with LAAPDs are comparable to, or significantly better (at certain emission wavelengths) than, those obtained with the photomultiplier. At energies above 100 keV the energy resolution measured with the majority of crystals and the LAAPD was weakly affected by the photodiode noise contribution. The advantages and limitations of ...
In this paper, we report on the analysis of reverse flow in inverted U-tubes of a steam generator under natural circulation condition. The mechanism of reverse flow in inverted U-tubes of the steam generator with natural circulation is graphically analyzed by using the full-range characteristic curve of parallel U-tubes. The mathematical model and numerical calculation method for analyzing the reverse flow in inverted U-tubes of the steam generator with natural circulation have been developed. The reverse flow in an inverted U-tube steam generator of a simulated pressurized water reactor with natural circulation in analyzed. Through the calculation, the mass flow rates of normal and reverse flows in individual U-tubes are obtained. The predicted sharp drop of the fluid temperature in the inlet plenum of the steam generator due to reverse flow agrees very well with the experimental data. This indicates that the developed mathematical model and solution method can be ...
AbstractOBJECTIVETo provide an overview of the 2009 edition of the Rourke Baby Record (RBR), which incorporates recent research in the literature relating to preventive health care for children aged 0 to 5 years.QUALITY OF EVIDENCERecommendations are identified as supported by good, fair, or consensus evidence, according to the classification of the Canadian Task Force on Preventive Health Care.MAIN MESSAGENew information and recommendations are given for growth monitoring, nutrition, developmental surveillance, physical examination maneuvers, immunization schedules, and advice for parents. Anticipatory guidance updates relate to injury prevention, infant swaddling, literacy facilitation, nonparental child care, parenting skills programs, serum lead levels, over-the-counter cough and cold medications, pacifiers, antipyretics, insect repellents, and dental care and oral health. The 2009 RBR is available ...
The health politics and policy communities are still struggling with the question of "what went wrong" in the 1993-94 health care reform effort. Here I identify which Americans were politically active and inactive during the health care reform debate to explore the role political participation may have had in determining the outcome of the debate. Using data from a national and California random-sample telephone surveys, and controlling for other demographic attributes, I found that those who engaged in political activity specifically related to health care reform were disproportionately more likely to be self-identified conservatives, less likely to favor an employer mandate plan, more likely to be fifty to sixty-four years old, more likely to be men, and more likely to have greater interest in and knowledge of the health care issue. Even in California, where a single-payer proposal was on the November ...
The objectives of this paper are to: quickly outline the extent of the care gap in osteoporosis; define T-2 (knowledge) translation and its relationship to quality improvement; discuss the barriers to best practice in osteoporosis care after a fracture; convey the importance of rigor in design and evaluation of translational interventions by drawing upon examples from the broader literature; describe in some detail a series of post-fracture intervention trials conducted in Alberta, Canada; and make some conclusions specifically about osteoporosis interventions and more generally about T-2 translational research.
Fuel rod failures produce a release of fission products into primary coolant system. Since nuclear power plants have licensing limits for the release of volatile fission products to the environment (off-gas limits) detailed monitoring of the development of clad failure is necessary. In case of fuel rod failure a release of fission products into the primary coolant system arises. Fission gases accumulated in the free volume of a fuel rod escape through the clad defect. Water entering the fuel rod reacts with fission products, forming volatile chemical compounds. These may escape in a similar manner into the fission gases. Other compounds may dissolve and may be carried outside the fuel rod as dissolved species. Consequently, the distribution of these fission products, in the cross section of the fuel rod, is modified. An implementation of the maximum entropy gamma computed tomography technique is used to obtain such ...
... Ashton WS, Puntel RA, Wiswell TE. A rapid and readily available repair of the peripherally inserted central catheter in the nursery. NEONATAL INTENSIVE CARE 11 ...
During an outbreak of Flavobacterium meningosepticum septicaemia in a neonatal intensive care unit 9 infants were treated with intravenous trimethoprim sulphamethoxazole. Bacteriological cure was achieved...Full Text Available
A questionnaire on the development of specialist clinics was distributed to the members of the Association of British Neurologists and completed by 104 members (85 consultants). Half of the respondents...Full Text Available
ERDMANN A.L., DE ANDRADE S.R., FERREIRA DE MELLO A.L., KLOCK P., DO NASCIMENTO K.C., SANTOS KOERICH M. & STEIN BACKES D. (2011) Practices for caring in nursing: Brazilian research groups. International Nursing Review58, 379-385 Background:- The present study considers the production of knowledge and the interactions in the environment of research and their relationships in the system of caring in nursing and health. Aim:- To elaborate a theoretical model of the organization of the practices used for caring, based on the experiences made by the research groups of administration and management in nursing, in Brazil. Methods:- The study is based on grounded theory. Twelve leaders of research groups, working as professors in public universities in the south and the south-east of Brazil, distri...
ObjectiveTo investigate the prevalence of complicating and concurrent morbidities in older diabetic patients and to evaluate to what extent their occurrence affects the burden of...Full Text Available
Sepsis has continuously been a leading cause of neonatal morbidity and mortality despite current advances in chemotherapy and patient intensive care facilities. Neonates are at high risk for...Full Text Available
BackgroundAs long-term nursing home care is likely to increase with the aging of the population, identifying chronic medical conditions is of particular interest. Although need factors...Full Text Available
A Health Care Establishment (HCE) is an establishment where medical services are rendered. The above services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. Previously, IT equipment consisted solely of stand-alone systems, whereas in recent years, the trend has been towards computer networks and distributed systems in HCEs. The spread of distributed information technology in HCEs have necessitated the implementation of Security in HCISs, to assure confidentiality, integrity and availability of HCE information. This paper discusses the issues of Security and Network Security in Health Care Information Systems (HCISs). It also suggests a method in establishing Network Security Guidelines and describes Principles for the provision of Network Security in HCEs. PMID:10163736
... 82 Ibid, 200. 83 Ibid, 200. 84 Ibid, 201. 43 Page 49. care to hunt down and execute all that claimed to be from the house of David. They considered ...
A Health Care Establishment (HCE) is an establishment where medical services are rendered. These services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. The spread of distributed information technology in HCEs have necessitated the implementation of Network Security in Health Care Information System (HCISs), to assure confidentiality, integrity and availability of HC information being transmitted across HC networks. This paper presents a road map in implementing Network Security guidelines for the provision of Network Security in HCEs, work carried out within the Secure Environment for Information Systems in Medicine (SEISMED) project under the Advanced Informatics in Medicine (AIM) programme. PMID:8591295
... dressing changes and site care, mid-line placement, placement of peripherally inserted central catheters, heparin locks, and patient education. ...
PurposeHealth information technology (HIT) and physician career satisfaction are associated with higher-quality medical care. However, the link between HIT and physician...Full Text Available
The economics of medical computer networks are presented in context with the patient care and administrative goals of medical networks. Design alternatives and network topologies are discussed with...Full Text Available
BackgroundAlthough advances in rehydration therapy have made cholera a treatable disease with low case-fatality in settings with appropriate medical care, cholera continues...Full Text Available
In contrast to the increasing availability of information pertaining to the care of children with chronic kidney disease (CKD) from large-scale observational and interventional studies, epidemiological...Full Text Available
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
Background Increasing numbers of cancer patients are using the Internet, but little is known about their attitudes toward online health care.Full Text Available
of injuries, disabilities, and deaths; and 3. Encourage professionals from a wide spectrum of disciplines such as engineering, bioengineering, medicine, health care, public...
This bibliography of nonserial publications consists of 610 annotations. It is intended as a guide to the development of a collection for librarians and for health professionals in research and education....Full Text Available
BackgroundThis study focuses on the role of an Internet-based group for people who have an autoimmune liver disease, primary biliary cirrhosis. Primary biliary...Full Text Available
the revealed stage of T Tauri star evolution, is only a mere shadow of its former self. Once primary accretion starts, one has the (poorly quantified) ...
Primary sclerosing cholangitis (PSC) is a rare cholestatic liver disease with major morbidity and mortality. Therapeutic management is difficult, due to lack of conclusive data and individual disease...Full Text Available
Description: Hurricane Hugo, which struck South Carolina in September of 1989, destroyed a significant proportion of the State's timber. Primary wood-products ...
Idiopathic achalasia is a primary esophageal motor disorder characterized by esophageal aperistalsis and abnormal lower esophageal sphincter (LES) relaxation in response to deglutition. It is a rare...Full Text Available
Diethyl phthalate (DEP) and di-n-butyl phthalate (DnBP) are used extensively in personal care products, including fragrances (DEP) and nail polish (DnBP). Between May 2003 and...Full Text Available
Implementing a successful local area network for a publications work-group isn't as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group's patterns of working together, and carefully managing the human and technological resources.
Implementing a successful local area network for a publications work-group isn`t as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group`s patterns of working together, and carefully managing the human and technological resources.
BackgroundInformal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the...Full Text Available
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
BackgroundEffectiveness of services for patients diagnosed with severe mental illness (SMI) may improve when treatment plans are needs based. A regional Cumulative Needs for Care...Full Text Available
Material related to routine as well as sensitive aspects of parent/day care center relationships is presented in this training module, one of a series providing staff development information for programs operated for dependents of military personnel. The module offers a brief discussion of ways caregivers can help parents feel at ease about leaving their children in child care and presents a set of multiple-choice skill-building exercises for effectively working with parents. Exercises focus on various topics, including how parents can be approached when their child may have a health problem, when child abuse or neglect is suspected, and when parental cooperation is needed to stop a child's undesirable or disruptive behavior. Exercises are also devoted to the questions of whether or not caregivers should act as advisors to parents or tell parents about their child's behavior at the center. Concluding exercises indicate how caregivers can ...
The magnetic structure of the cubic compound CeAl{sub 2} is incommensurate and double-k. The moments on the two Ce sites describe two elliptical helices of opposed chiralities and lie in the (11-bar0) plane, with their Fourier components m{sup k} close to the [111] direction. Recent symmetry considerations, including for the first time the inversion center of the crystal, have reduced the number of parameters of this structure and have underlined the existence of a phase difference between the projections m{sub x}{sup k}, m{sub y}{sup k} and m{sub z}{sup k} of m{sup k}. Up to now, although many neutron investigations have been carried out on CeAl{sub 2} single crystals, no set of magnetic intensities was available which was large and good enough to check whether this phase difference exists or not. We have measured such a set of data, taking great care of the instrumental resolution in order to avoid unwanted contributions to the intensities from other domains. As ...
The magnetic structure of the cubic compound CeAl_2 is incommensurate and double-k. The moments on the two Ce sites describe two elliptical helices of opposed chiralities and lie in the (11-bar0) plane, with their Fourier components m"k close to the [111] direction. Recent symmetry considerations, including for the first time the inversion center of the crystal, have reduced the number of parameters of this structure and have underlined the existence of a phase difference between the projections m_x"k, m_y"k and m_z"k of m"k. Up to now, although many neutron investigations have been carried out on CeAl_2 single crystals, no set of magnetic intensities was available which was large and good enough to check whether this phase difference exists or not. We have measured such a set of data, taking great care of the instrumental resolution in order to avoid unwanted contributions to the intensities from other domains. As the magnetic form factor of the #GAMMA#_7 ground ...
Lipase catalyzed esterification reactions between lactic acid and several fatty acids have been studied. Difficulties arise in esterifying lactic acid because of the potential for this substance to act both as an acyl donor and as a nucleophile. These difficulties were minimized via strategies which greatly increased the yield of the desired ester. Use of the companion fatty acid in excess with respect to lactic acid in an apolar solvent (n-hexane) in which the lactic is not completely dissolved has been employed to minimize the potential for lactic acid to act as an acyl donor in a self-polymerization reaction.Beneficial and sinergistic effects of both silica gel and molecular sieves on conversion to the desired product are described. However, careful control of the amount of molecular sieves used is required. This fact is a consequence of two opposing effects of this material: i.e. adsorption of both lactic acid and water from the reaction mixture. For reaction ...
The main aim of any food irradiation treatment is to guarantee the best safe quality of the products, reducing the spreading risk ("cross-contamination") for several food-associated diseases. Actually, over 40 countries provide clearances for the treatment of about 45 different types of foodstuffs. EU has to homogenise the situation within the associated States. With the European directive 1999/2/EC Italy, as other EU countries, already has brought into force their regulations to comply. The current Italian regulation on irradiation treatment of foodstuffs is referred since 1996 as follows: a) potatoes, onions and garlic; b) spices, herbs and condiments microbial. The new (April 2001) Italian law allows the possibility to ask for special permission of treatment for other foodstuff which is possible to treat in other E.U. countries. Large majority of foods are submitted to irradiation treatment after they have been packaged. In Dutch cases the study of radiation effects on the package ...
Nano materials are usually difficult to prepare. This work presents a simple way of preparing LiMn{sub 2}O{sub 4} nano powders using the high-energy ball milling method. This method has the advantage of producing pure, single-phase and crystalline nano powders. The milling method is carefully controlled to avoid unwanted chemical reactions that may change the stoichiometry of the material. Nano powders of between 30 and 50 nm are obtained. Structural studies of the nano powders, as well as the more conventional micron-sized LiMn{sub 2}O{sub 4}, are made using X-ray diffraction and neutron diffraction methods. Electrochemical evaluation of the materials is undertaken with a three-probe cyclic voltammetry technique and galvanostatic charge-discharge measurements. Structural studies reveal that not only are the crystallites of the nano powders much reduced in size from the normal powders, but their cell parameters are also smaller. The performance ...
The evaluation of possible manufacture-based defects in turbine shafts and housings for component serviceability relevance is of particular interest not only in post-manufacturing NDT but also in evaluation of NDT results obtained by in-service inspections of components with long service lives. The results discussed in the paper are summarized as follows: Most of the examined natural defects in the forgings and castings behave like cracks under the simulated operating conditions and hence may well be evaluated by fracture mechanical methods for their serviceability relevance determined by crack propagation under fatigue, creep and creep-fatigue stress. The empirical correlation of true defect size and US testing results (echo signal, echodynamics, attenuation) permits improved determination of true defect sizes in the turbine components. Care has to be taken to select the proper testing and evaluation methods in compliance with defect types. ...
The aim of this work is to account for the effects of the high temperature oxidation of metals on their microstructure and their mechanical properties. 'Model' materials like pure nickel, pure iron and the Ni-20Cr alloy are studied. Nickel foils have been oxidised at 1000 C on one side only in laboratory air, the other side being protected from oxidation by a reducing atmosphere. After the oxidation treatment, the unoxidized face was carefully examined by using an Atomic Force Microscope (AFM). Grain boundaries grooves were characterised and their depth were compared to the ones obtained on the same sample heat treated in the reducing atmosphere during the same time. They are found to be much deeper in the case of the single side oxidised samples. It is shown that this additional grooving is directly linked to the growth of the oxide scale on the opposite side and that it can be explained by the diffusion of the vacancies ...
This report describes the first phase of the AFS/DOE program on mathematical modeling of cupola behavior, covering the period May 19, 1989 to July 19, 1990. The objective of the program is to develop a comprehensive mathematical model of the cupola furnace for on-line and off-line process control and optimization. The work is being carried out by five organizations: Massachusetts Institute of Technology with responsibility for heat transfer and fluid flow modeling, and incorporation of the chemical models being developed by the University of Michigan team. Modern Equipment Company has the responsibility of compiling information on needed sensors for monitoring operation and providing materials data to be used for cupola input. General Motors, Central Foundry Division, is investigating the potential to augment the mathematical models with artificial intelligence programs. Lastly, General Motors Research laboratories are charged with providing accurate cupola operational data to test the ...
Previous experiments in fast critical assemblies demonstrated a method of determining reactivity from power spectral density measurements with /sup 252/Cf. This method determines reactivity from properties of the reactor only at the subcritical state of interest, thus it does not require a calibration near delayed criticality. The interpretation of the measured data to obtain reactivity does not require knowledge of the relative or absolute values of the source intensity, knowledge of the detection efficiencies, or knowledge of the detection instrumentation frequency responses. An experiment was performed at the Pool Critical Assembly to evaluate the possibility of /sup 252/Cf source driven neutron noise spectral density measurements in light water moderated reactors. This experiment showed that using commercially available detectors, such measurements can be performed in a reasonable time, that is, the measurement of the quantity of interest (the ratio of spectral ...
Spin-polarized liquid helium-3 is prepared by laser optical pumping in low magnetic field and at room temperature, prior to fast liquefaction of the polarized sample. The use of a new helium-3 cryostat enabled us to obtain liquid helium-3 with polarization rates up to 25 % at well-stabilized temperatures (around 0.5 K). We could thereby study the effect of nuclear polarization on liquid-vapour equilibrium, and particularly on the saturated vapour pressure. Very sensitive capacitive gauges were developed. We estimated (to first order in M{sup 2}) the expected effects when the polarization M is suddenly destroyed. These effects were experimentally observed in helium-3/helium-4 mixtures, in pure helium-3, only a transient increase in pressure has been recorded. We then describe in a third part a preliminary experiment which aimed at determining the longitudinal relaxation time T1 in mixtures. Relaxation on the walls is efficiently reduced by a cesium coating and T1s ...
To compare the accuracy in the detection and staging of various malignant tumors with high resolution whole-body MRI using parallel imaging with whole-body dual-modality PET-CT. Preliminary results of an interim analysis from a prospective, blinded study are presented, in which 20 patients (mean age 59 years, range 27-77 years) with different oncological diseases underwent whole-body dual modality FDG-PET-CT screening for tumor search or staging in case of confirmed or suspected metastatic disease. All patients also underwent whole-body MRI imaging with the use of parallel imaging (iPAT). High-resolution coronal T1w- and STIR-sequences of 5 body levels with 512 x 512 matrix, axial fast T2w imaging of lung and abdomen (HASTE), contrast-enhanced dynamic and static T1w-sequences of liver, brain, abdomen, and pelvis were performed. Using a 32-channel whole-body MRI scanner (Magnetom Avanto, Siemens Medical Solutions) with a total field of view of 205 cm and free table movement, all ...
The bands may be classified as primary if they merge into the eyewall encircling the eye of the storm, or secondary if they are disconnected from the ...
This paper dealt with the identification of possible damaging mechanism of the collector of the WWER 440 steam generator, cracking of primary collectors, corrosion damage of the protective coat of the primary collector circumferential weld, cracking of breathing space in the region of blinding effect by corrosion and strain, leaking of disassembling joint of the primary collector lid and with the integrity of heat exchanging tubes.
Total skin electron beam therapy (TSEB) was used in the treatment of 33 patients with lymphoma and 13 patients with leukemia involving extensive segments of the skin surface. Twenty-two of 23 had lesions as a primary manifestation of lymphoma (primary cutaneous lymphoma-PCL) and 11 developed cutaneous lesions following disseminated nodal lymphoma (secondary cutaneous lymphoma-SCL). A once weekly fractionation scheme was employed to irradiate the entire skin surface with 3.5 to 4 MeV electron beam from a 6 MeV linear accelerator. During each weekly session, 400 rad were delivered to the entire skin and a complete course consisted of 4-6 consecutive weekly sessions. The majority of patients have been previously treated elsewhere for various periods and all patients have been at risk for a median of 12 months, range from 12-117 months following TSEB. Striking predominance of the diffuse pattern (76%) was demonstrated in both the PCL and SCL. There ...
A theoretical background of crosshole reflection imaging with pre stack, multi-mode reverse time migration has been investigated. The crosshole migration has been carried out by solving two-way scalar wave equation with finite difference approximation. The wave field extrapolation was performed backward in time, with the imaging condition applied at each extrapolation time step to create partial image of the reflector. The complete migrated image was obtained by adding all the partial images from each time step. With multi-component crosshole data available, it is possible to separate the recorded data into primary P- and S-wave field. Separating wave field before migration is helpful in enhancing migrated image quality since only one wave mode can be dealt at a time with the scalar wave equation. It is possible to migrate mixed-mode primary reflections(P-S and S-P) as well as pure mode ones. These multi-mode migrations ...
A new metastable beta titanium alloy, Beta-CEZ, has been developed by CEZUS. This alloy was designed for use at moderate temperatures up to 450 C (840 F). Alloy requirements also included high mechanical strength, high fracture toughness and improved creep resistance as compared to existing beta alloys. The understanding of the relationships between processing/microstructure/mechanical properties in the alloy may lead to applications of such promising material in current and future airplanes. In this study, a combination of several forging routes, which included through-transus, hot-die and warm-die forging, with subsequent heat treatments were selected in order to evaluate the microstructure-mechanical property relationships. It was found that the recrystallized prior beta grain boundary alpha, characteristic of the through-transus forging process, lead to an improved tensile-fracture toughness balance. The size of the primary alpha structure observed in ...
This report presents the operating results for Run 245 at the Advanced Coal Liquefaction R and D Facility in Wilsonville, Alabama. This run was made in an all-distillate Integrated Two-Stage Liquefaction (ITSL) mode using Illinois 6 coal from the Burning Star mine. The primary run objective was to obtain steady-state ITSL performance by replacing spent HTR reactor catalyst with fresh, sulfided catalyst. Secondary objectives were to maintain an all-distillate (minimum resid production) product slate and to demonstrate the effects of catalyst addition on the net gas production and hydrogen consumption. Run 245 began on 7 November, 1983, and continued through 12 February, 1984. During this period, 179.0 tons of coal was fed in 2045 hours of operation. Eight special product workup material balances were defined, and the results are presented herein. 6 references, 28 figures, 20 tables.
We have been developing an innovative Steam Generator concept of Fast Breeder Reactors by using liquid-liquid direct contact heat transfer. In this concept, the SG shell is filled with a molten alloys, which is heated by primary sodium. Water is fed into the high temperature molten alloy, and evaporates by direct contact heating. In order to obtain the fundamental information to discuss the heat transfer mechanisms of the direct contact between the water and the alloy, this phenomenon was visualized by real-time neutron radiography. JRR-3M real-time thermal neutron radiography in Japan Atomic Energy Research Institute was used. Followings are main results. (1) The vigorous evaporation occurs in the molten alloy. This phenomena is different from the known phenomenon such as the evaporation of refrigerant R-113 in the water. (2) The evaporation in the bubble has finished in a moment due to high heat transfer performance between the liquid and ...
The purpose of this study was to evaluate the feasibility, efficacy and safety of percutaneous thromboaspiration with a Desilets-Hoffman Sheath compared with the previously established percutaneous mechanical thrombectomy technique in cases of occluded dialysis graft. One hundred and sixty eight patients (103 women, 65 men; mean age, 54.7 years; mean graft age, 20.9 months) with 225 episodes of dialysis graft thrombosis underwent percutaneous thromboaspiration with a 7F Desilets-Hoffman sheath using the crossing catheter or single puncture technique. The technical success rate, procedure time, and complication and patency rates were analyzed. Technical success was achieved in 200 of the 225 procedures (88.9%). The average duration of the intervention was 74.3 {+-} 35 minutes. The primary patency rate was 63.1% at 3 months, 44.2% at 6 months and 26.3% at 1 year. Major complications occurred in 4% of the cases (4 venous ruptures; 4 arterial embolisms; 1 arterial ...
Connectivity and capacity are two fundamental properties of wireless multi-hop networks. The scalability of these properties has been a primary concern for which asymptotic analysis is a useful tool. Three related but logically distinct network models are often considered in the asymptotic analysis, i.e. the dense network model, the extended network model and the infinite network model, which consider respectively a network deployed in a finite area with a sufficiently large node density, a network deployed in a sufficiently large area with a fixed node density, and a network deployed in $\\Re^{2}$ with a sufficiently large node density. The infinite network model originated from continuum percolation theory and asymptotic results obtained from the infinite network model have often been applied to the dense and extended networks. In this paper, through two case studies related to network connectivity on the expected number of isolated nodes and ...
Nitromethane (CH(3)NO(2)) and its chlorinated analogue, chloropicrin (CCl(3)NO(2)), were photolyzed at 193, 248, and 266 nm, and the products were observed by time-dependent Fourier transform infrared emission spectroscopy. At 193 and 248 nm, the primary photodissociation pathway for nitromethane was cleavage of the C-N bond to produce CH(3) + NO(2)(A (2)B(2)). At 266 nm, weak emission was observed following photodissociation of nitromethane, but an infrared spectrum could not be obtained. The photodissociation of chloropicrin at 193 nm produced the analogous product channel CCl(3) + NO(2)(A (2)B(2)) in addition to several other product channels. At 248 and 266 nm, only CCl(3) + NO(2)(A (2)B(2)) was observed. The production of phosgene (CCl(2)O) from chloropicrin photodissociation was not observed in this study. PMID:16571044
Purpose: To permit accurate detection of sodium leakage by distinguishing between variations in the overflow tank level due to changes in sodium temperature accompanying changes in the power level or operating state of a liquid metal sodium cooled fast breeder, and a reduction in power level due to duct leakage. Constitution: The volume of sodium in the primary cooling system is roughly estimated from the temperatures of hot and cold legs, and the duct leak preset level with respect to the sodium liquid level within an overflow tank when the plant is normal is varied according to the state of the plant. More particularly, the volume of sodium within the overflow tank is calculated on the basis of a signal representing the liquid level detected by a liquid level gauge in the overflow tank and a signal representing the temperature detected by hot leg and cold leg thermometers, thereby obtaining the preset value of the liquid level within the ...
The natural circulation experiments were conducted to confirm the cooling capability and the flow characteristics of the natural convection in the HANARO (Hi-flux Advanced Neutron Application Reactor). The tests were done at the power levels of 2%, 3% and 4% (1.2MW_t_h) of full power. The flow rates and temperatures at various locations of the primary and secondary cooling loops were measured at each power level. The temperature distributions in the chimney and the pool were also obtained. Through tests, the flow paths of the natural circulation and the cooling capability of the reactor were confirmed as designed. In addition, the simulation for the natural circulation tests was made by using RELAP5/KMRR, which was modified from RELAP5/MOD2 for applying to the HANARO conditions. The simulation results show that RELAP5/KMRR gives reasonable predictions for the flow rate and the coolant temperature during natural circulation condition in the ...
Full text: Recent geoarchaeological research in the Erzurum district, north-eastern Anatolia, has revealed an abundance of obsidian at numerous neolithic and Bronze Age sites. Geochemical characterisation using neutron activation analysis indicates that the obsidian was obtained from several sources that are chemically distinct from the major sources already known from Central Anatolia an the Lake Van area. Multiple sources are represented in the samples collected from at least two of the sites, namely the sites of Sos and Pulur. The primary source of some of the obsidian utilised at the site of Sos has been located in the volcanic sequence outcropping tot he north-west of Pasinler. Field survey however has shown that the alluvial deposits along the main rivers and some of their tributaries were the main sources of the obsidian utilised at the sites near Erzurum. Trade or exchange of obsidian with sites outside the Erzurum area seems to have ...
Computer programs have been developed to define the temperature increase which would be needed to bring deep-ocean water into density equilibrium with surface water for locations where data are available. A series of continuous-flow studies on phytoplankton blooms resulting from mixtures of 80 percent deep and 20 percent surface water in 2000-liter concrete culturing vessels (''reactors'') has been completed. A quantitative determination of nutrient utilization and flow through a combined primary and secondary trophic level system has been completed. This study utilized the clam Tapes semidecussata, fed from phytoplankton grown in 80 percent deep and 20 percent surface water. An analysis of the fate of the deep water discharged from a floating OTEC plant indicates that horizontal containment of the resulting deep water: surface water mixture is necessary if conditions optimal for open-sea mariculture are to ...
The reaction of the chelating ligands (obtained by the condensation of 2-hydroxy-1-naphthaldehyde with various primary amines) with [RuHCl(CO)(EPh3)2(B)] (where E=P; B=PPh3, py or pip: E=As; B=AsPh3) in benzene afforded new stable ruthenium(II) carbonyl complexes of the general formula [Ru(Cl)(CO)(EPh3)(B)(L)] (L=anion of bidentate Schiff bases). The structure of the new complexes was investigated using elemental analyses, spectral (FT-IR, UV-vis and 1H NMR) and electrochemical studies and is found to be octahedral. All the metal complexes exhibit characteristic MLCT absorption and luminescence bands in the visible region. The luminescence efficiency of the ruthenium(II) complexes was explained based on the ligand environment around the metal ion. These complexes catalyze oxidation of prim...
LP steam turbine retrofits are generally undertaken as a result of mechanical problems, for example due to stress corrosion cracking, torsional vibration or erosion. They present plant operators with an opportunity to introduce advanced aerodynamic technology, and at the same time improve efficiency and availability. Standard components, the majority proven in long-term service, can be used to obtain a permanent solution to the problems. In several European countries, retrofits have been carried out on intact LP steam turbines owned by utilities whose primary motivation is efficiency improvement. (orig.) [Deutsch] Niederdruck-Dampfturbinen werden in der Regel nur dann nachgeruestet, wenn waehrend des Betriebes Probleme durch Spannungsrisskorrosion, Torsionsschwingungen oder Erosion auftreten. In solchen Faellen bietet sich die Gelegenheit, eine moderne aerodynamische Loesung zu waehlen, die gleichzeitig Wirkungsgrad und Verfuegbarkeit ...
SiC has been considered as a primary candidate material for a first wall component in future fusion reactor because it has been claimed that SiC has excellent high-temperature properties, good chemical stability and low activation. However, the behavior of tritium on SiC has not been discussed yet. In this study, tritium trapping capacity on the surface of SiC was experimentally obtained at the temperature range of 25-800 deg. C in consideration of tritium trapping to the experimental system. The capacity, which was independent of the water vapor pressure in the gas phase and the temperature, was determined as about 10{sup 6} Bq/cm{sup 2}. The isotope exchange reaction rate between tritiated water in a gas phase and hydrogen on the surface was quantified at the temperature of 25, 500 and 700 deg. C in consideration of the behavior of tritium trapping at change of experimental condition by the numerical curve fitting method applying the serial ...
SiC has been considered as a primary candidate material for a first wall component in future fusion reactor because it has been claimed that SiC has excellent high-temperature properties, good chemical stability and low activation. However, the behavior of tritium on SiC has not been discussed yet. In this study, tritium trapping capacity on the surface of SiC was experimentally obtained at the temperature range of 25-800 deg. C in consideration of tritium trapping to the experimental system. The capacity, which was independent of the water vapor pressure in the gas phase and the temperature, was determined as about 10"6 Bq/cm"2. The isotope exchange reaction rate between tritiated water in a gas phase and hydrogen on the surface was quantified at the temperature of 25, 500 and 700 deg. C in consideration of the behavior of tritium trapping at change of experimental condition by the numerical curve fitting method applying the serial reactor ...
In response to the Clean Coal II solicitation, Bethlehem Steel Corporation (BSC) submitted a proposal to the DOE in May 1988. The proposal submitted by BSC describes a Unique integration of commercial technologies developed by Davy/Still Otto to clean coke oven gas being produced at its Sparrows Point, Maryland steel plant. This innovative coke oven gas cleaning system combines secondary gas cooling with hydrogen sulfide and ammonia removal, hydrogen sulfide and ammonia recovery, ammonia destruction and sulfur recovery to produce a cleaner fuel gas for plant use. The primary environmental benefit associated with employing this innovative coke oven gas cleaning system is realized when the fuel gas is burned within the steel plant. Emissions of sulfur dioxide are reduced by more than 60 percent. The removal, recovery and destruction of ammonia eliminates the disposal problems associated with an unmarketable ammonium sulfate by-product. Significant reduction in ...
In a holomorphic family $(X_b)_{b\\in B}$ of non-K\\"ahlerian compact manifolds, the holomorphic curves representing a fixed 2-homology class do not form a proper family in general. The deep source of this fundamental difficulty in non-K\\"ahler geometry is the {\\it explosion of the area} phenomenon: the area of a curve $C_b\\subset X_b$ in a fixed 2-homology class can diverge as $b\\to b_0$. This phenomenon occurs frequently in the deformation theory of class VII surfaces. For instance it is well known that any minimal GSS surface $X_0$ is a degeneration of a 1-parameter family of simply blown up primary Hopf surfaces $(X_z)_{z\\in D\\setminus\\{0\\}}$, so one obtains non-proper families of exceptional divisors $E_z\\subset X_z$ whose area diverge as $z\\to 0$. Our main goal is to study in detail this non-properness phenomenon in the case of class VII surfaces. We will prove that, under certain technical assumptions, a lift $\\widetilde E_z$ ...
Reduction of occupational radiation exposure dose in a BWR plant is achieved by an elimination of crud in a BWR primary loop condensate stream by condensate demineralizer. Crud removal by condensate polisher improves year by year, a phenomenon called the Aging Effect of Ion Exchange Resins. The cause of this phenomenon is assumed to be mainly due to changes in the cation resin property becoming more crud adsorptive, where a typical change in physical property of aged cation resin is an increase in water retention capacity. Assuming that the crud removal efficiency was influenced by a crosslinkage of cation resin, an attempt was made to enhance this removal efficiency by decreasing the crosslinkage and satisfactory results were obtained. As a result, new gel type cation resins were developed with lower crosslinkage and larger surface areas, as compared with conventional gel type resins. The crosslinkage degree of these new cation resins are ...
Reduction of occupational radiation exposure dose in a BWR plant is achieved by an elimination of crud in a BWR primary loop condensate stream by condensate demineralizer. Crud removal by condensate polisher improves year by year, a phenomenon called the Aging Effect of Ion Exchange Resins. The cause of this phenomenon is assumed to be mainly due to changes in the cation resin property becoming more crud adsorptive, where a typical change in physical property of aged cation resin is an increase in water retention capacity. Assuming that the crud removal efficiency was influenced by a crosslinkage of cation resin, an attempt was made to enhance this removal efficiency by decreasing the crosslinkage and satisfactory results were obtained. As a result, new gel type cation resins were developed with lower crosslinkage and larger surface areas, as compared with conventional gel type resins. The crosslinkage degree of these new cation resins are ...
As for No.2 plant in Sendai Nuclear Power Station, which is the fourth nuclear power generation facilities in Kyushu Electric Power Co., Inc., all works have been completed, and at present, the final trial operation is under way. In No.2 plant, many new techniques for raising the reliability and safety, improving the maintainability and reducing radiation exposure were introduced on the basis of the operation experience of PWRs obtained so far, similarly to No.1 plant. In this paper, the main items of the new techniques related to the design and construction of the plant are reported. No. 2 plant is a first improved and standardized plant having the thermal output of 2660 MW for standard three-loop PWRs, and the rated power output was set at 890 MW. As for the turbine, TC6F-40 in was adopted. As the improved design, a large reactor containment vessel, 17 x 17 type 9-grid fuel, improved steam generators, a reactor vessel cover of one-body type, a titanium tube ...
Abstract in english Higher olefins are produced as a by product in a number of refinery processes and are one of the potential raw materials to produce propylene. In the present study, FCC model feed compound was considered to explore the olefin cracking features and options to enhance propylene using 30% SAPO-34 zeolite as catalyst in a micro-reactor. The superior selectivity of propylene (73 wt%) and higher total olefin selectivity was obtained over 30% SAPO-34 catalyst than over Y or ZSM- (more) 5 zeolite catalysts. The thermodynamical constraints were found to be relatively less serious in the case of 1-hexene conversion. Most of the 1-hexene follows a direct cracking pathway to give two propylene molecules, due to weak acid sites and better diffusion opportunities. The higher temperature and short residence time could also suppress the hydrogen transfer reactions. From OPE (olefins performance envelop) the products were classified as ...
The Fresnel solar collector is a promising concept to reduce the electricity cost price in solar thermal power plants. The optical performance of a Fresnel collector depends on material properties, on its geometric layout and on the level of optical accuracy that can be obtained. A variety of geometric parameters, e.g. the height of the absorber, the number, size and distance of primary mirrors in.uence the shading and blocking of rays and the amount of rays missing the absorber. To evaluate the in.uence of the parameter variation regarding the electricity cost price and to yield an optimization, the optical performance is assessed with an annual simulation based on hourly weather-data. To permit a consideration of changes in collector cost according to different geometric layouts, cost factors where allocated to geometric parameters. The paper presents the method and the simulation results of the optimization under different boundary ...
Inco Ltd., a primary producer of nickel and an important producer of copper, cobalt, precious metals and sulphur products, initiated a project in 1997 to conduct eco-profiles of its worldwide metal production in an effort to improve its internal processing, marketing and environmental management. The study made it possible to recognize some internal and external benefits including the opportunity to gain operating efficiencies and improved process/product design, the development of better environmental performance indicators to guide decision making, and the availability of comprehensive product related environmental data to meet the informational needs of customers, designers, engineers and governments. This paper described the life cycle assessment (LCA) process used by Inco to conduct the study. A life cycle inventory (LCI) was used to quantitatively calculate resource requirements and environmental burdens associated with a product system over the life cycle of ...
Exercise training associated with robust conditioning can be useful for the study of molecular mechanisms underlying exercise-induced cardiac hypertrophy. A swimming apparatus is described to control training regimens in terms of duration, load, and frequency of exercise. Mice were submitted to 60- vs 90-min session/day, once vs twice a day, with 2 or 4% of the weight of the mouse or no workload attached to the tail, for 4 vs 6 weeks of exercise training. Blood pressure was unchanged in all groups while resting heart rate decreased in the trained groups (8-18%). Skeletal muscle citrate synthase activity, measured spectrophotometrically, increased (45-58%) only as a result of duration and frequency-controlled exercise training, indicating that endurance conditioning was obtained. In groups which received duration and endurance conditioning, cardiac weight (14-25%) and myocyte dimension (13-20%) increased. The best conditioning protocol to promote physiological ...
In electron beam therapy, tissue overdose due to electrons backscattered from lead has been profusely studied. To quantify this dose enhancement effect, an electron backscatter factor (EBF) wasdefined as the ratio of dose at the tissue-inhomogeneity interface with and without the scatterer present. The dependence of the EBF on energy at the scatterer surface is not well known for energies lower than 3 MeV which is the most frequent clinical situation. In this work, we have done Monte Carlo calculations with the GEANT code to study EBF in lead at this energy range. The applicability of this code and the developed procedure for dose estimation has been experimentally verified. The dependence of the EBF on the beam energy incident on the scatterer has been studied for different nominal beam energies incident at the phantom's surface. The results show a trend of increase of EBF with the beam energy incident on the scatterer between 0.5 and 1.5 MeV, keeping practically constant ...
The purpose of this study is to develop the radioisotope tracer technology, which can be used in solving industrial and environmental problems and to build a strong tracer group to support the local industries. In relation to the tracer technology in 1999, experiments to estimate the efficiencies of a sludge digester of a waste water treatment plant and a submerged biological reactor of a dye industry were conducted. As a result, the tracer technology for optimization of facilities related to wastewater treatment has been developed and is believed to contribute to improve their operation efficiency. The quantification of the experimental result was attempted to improve the confidence of tracer technology by ECRIN program which basically uses the MCNP simulation principle. Using thin layer activation technique, wear of tappet shim was estimated. Thin layer surface of a tappet shim was irradiated by proton beam and the correlation between the measured activity loss and the amount of wear ...
At the Tokai Research Establishment of Japan Atomic Energy Research Institute, the radioactive solid waste incineration unit with a capacity of 100 kg/h was installed in 1979, since then the unit has been routinly operated. An off-gas cleaning system of the unit consists mainly of a primary and secondary ceramic filters, a heat resistant HEPA filter and a scrubber. A series of hot test was carried out to examine the docontamination performance for radionuclides in the off-gas cleaning system. In the test, simulated wastes contaminated with a known quantity of radionuclides were burned in the unit, and radioactive concentrations in the off-gas were measured. And then, the following data were obtained: a retention factor of radionuclides in a furnace and a decontamination factor for radionuclides in each of off-gas cleaning components. And also overall decontamination factors, defined as the ratio of radioactivities input to the furnace to ...
The adherent magnetite film thickness, corrosion rate and the loose crud on the surface of carbon steel and other structural materials were evaluated by inserting the coupons in the two autoclaves connected to the two ends of the PHT systems of Indian PHWRs. This paper includes an analysis of the results obtained during the hot conditioning of TAPP-3 and 4, Kaiga-3 and 4, and RAPP-5. The system temperatures of 230 deg C to 260 deg C and the adherent magnetic thickness of 0.30 ?m to 0.75 ?m on the internal surface of carbon steel were achieved during the hot conditioning of these reactors. The time duration of termination of the hot conditioning ranged from 48 to 71 hours. The maximum magnetite film thickness of 0.75 ?m in 71 hours and temperature 260 deg C and a minimum thickness of 0.30 nm in 48 hours at 230 deg C were achieved during hot conditionings. The XRD analyses of hot conditioned carbon steel coupons showed that oxide film constitutes only magnetite. ...
Correlations are studied between the power density of Alfv\\'en-cyclotron waves (having frequencies between 0.02 and 2 Hz) and the ratio of the perpendicular and parallel temperature of the protons. The wave power spectrum is evaluated from high-resolution 3D magnetic field vector components, and the ion temperatures are derived from the velocity distribution functions as measured in fast solar wind during the Helios-2 primary mission at radial distances from the Sun between 0.3 AU and 0.9 AU. From our statistical analysis, we obtain a striking correlation between the increases in the proton temperature ratio and enhancements in the wave power spectrum. Near the Sun the transverse part of the wave power is often found to be by more than an order of magnitude higher than its longitudinal counterpart. Also the measured ion temperature anisotropy appears to be limited by the theoretical threshold value for the ion-cyclotron instability. This ...
Experimental and theoretical research has been conducted jointly at the Livermore and Los Alamos National laboratories on dc electromagnetic railgun Lorentz accelerators. Pellets weighing a few grams to tens of grams have been launched at velocities up to better than 11 km/s. The research is addressed to attaining repeated launches of samples at hypervelocity in target impact experiments. In these experiments, shock-induced pressures in the tens of megabars range are obtained for high pressure equation-of-state research. Primary energy sources of the order of several hundred kJ to a MJ and induction currents of the order of 1 or more MA are necessary for these launches. Erosion and deformation of the conductor rails and the accelerated sample material are continuing problems. The heating, stress, and erosion resulting from simultaneous imposition of rail induction current, dense plasma (armature) interaction, current distribution, magnetic ...
This 4.5-year project consisted of routine analytical support to DOE`s direct liquefaction process development effort (the Base Program), and an extensive effort to develop, demonstate, and apply new analytical methods for the characterization of liquefaction process streams (the Participants Program). The objective of the Base Program was to support the on-going DOE direct coal liquefaction process development program. Feed, process, and product samples were used to assess process operations, product quality, and the effects of process variables, and to direct future testing. The primary objective of the Participants Program was to identify and demonstrate analytical methods for use in support of liquefaction process develpment, and in so doing, provide a bridge between process design, development, and operation and analytical chemistry. To achieve this direct coal liquefaction-derived materials. CONSOL made an evaluation of each analytical technique. During the ...
Components of various forest and agricultural residue biomass-including the polyphenolic compounds-were converted into aqueous solution and/or suspension by extraction and digestion. Some biomass components reacted vigorously under alkaline catalysis with formaldehyde and initially showed a high degree of exothermic reaction; however, other components did not react as vigorously under these conditions, indicating that different biomass materials require different methods to obtain optimum reactivity for the copolymerization with phenol. Our primary goal is to develop adhesives capable of producing acceptable bond quality, as determined by the wood products industries` standards, under a reasonable range of gluing conditions. Copolymer resins of phenol, formaldehyde, and biomass components were synthesized and evaluated for gluability of bonding exterior grade structural replaced with chemicals derived from peanut hulls, pecan shell flour, pecan ...
Benz(a)pyrene (BP) levels in extracts and solvent cake obtained by alcoholic and aqueous extraction of specimens of 20 different medicinal plants were measured to explore into the possibility of its passage from these plants to drugs. Seventy percent alcoholic extracts were found to contain 40-60% of BP passed from raw material, while aqueous extracts--2-3% (in some cases 10-14%). Maximal concentrations of BP in alcoholic extracts were 0.6-0.7 micrograms/1 and 0.03-0.04 micrograms/1--in aqueous ones. A significant correlation between BP level in extracts and its content in plants was established. BP pathways in the course of solasodine manufacturing from nightshade (Solanum lacinatum) were studied. As little as 1% of BP passed to extract after primary extraction in 2%--sulfuric acid. Solasodine contained about 3 micrograms/kg of BP.
The aim of this study was to evaluate the potential of low-resolution Raman spectroscopy for monitoring the oxidation status of olive oil. Primary and secondary oxidation parameters such as peroxide value, K"2"3"2 and K"2"7"0 were studied. Low-resolution Raman spectra ranging from 200 to 2700 cm^-^1 in a set of 126 oxidized and virgin olive oil samples were collected directly using a probe. Partial Least Squares was used to calibrate the Raman instrument for the different targeted parameters. The performance of the models was determined by using validation sets, and the best results obtained were: R^2 = 0.91, RMSEP = 2.57 for the peroxide value content; R^2 = 0.88, RMSEP = 0.37 for K"2"3"2; and R^2 = 0.90, RMSEP = 0.08 for K"2"7"0. These results demonstrated that low-resolution Raman spect...
Discontinuously reinforced aluminium-based composites containing particulate or whisker SiC reinforcements at different volume fractions, were produced via a powder-route. Isothermal creep tests have been carried out at 270, 300 and 320 C. During these tests axial and transverse strains were monitored using a non-contacting laser scanning extensometer arrangement. At the same time neutron diffraction has been used to measure the elastic phase strain evolution with composite creep deformation. It was found that after the initial loading the phase strains remained essentially constant during primary and secondary creep. This indicates that the initial matrix/reinforcement inelastic misfits remain largely unchanged, probably due to the setting up of a dynamic equilibrium between misfit generation and stress relaxation. For each system, the neutron data has been combined with Eshelby modelling to obtain a measure of the load transfer. It was found ...
The non-licensed operator on the job training model presently considered for development and implementation at C.N. Almaraz (CNA) has the primary objective of imparting practical knowledge and skills to the trainee on a per system basis and specific to the job position. This model is somewhat different in scope from the OJT process used in U.S. stations because the learning process is not done on a task per task basis, but rather on the concept of learning collectively all the knowledge and skills required by the specific-system job. This model arose primarily from two thoughts. First, the knowledge and skills have been obtained from a detailed job and task analysis process which will result in the learning of many required knowledge and skills divided by three categories: components, systems and academics. Secondly, the OJT most commonly used in the U.S. requires that the respective station department administers and implements the OJT ...
Molecular recognition by calix[6]arene-based receptors bearing three primary alkylamino side chain arms (1) is described. Complexation of ZnII ion provides the dinuclear m-hydroxo complex ${{\\bf 2}{{{\\rm OH}\\hfill \\atop {\\rm G}\\hfill}}}$, XRD characterization of which, together with solution studies, provided evidence of its hosting of neutral polar organic guests G. Treatment of this complex with a carboxylic acid or a sulfonamide (XH) results in the formation of mononuclear species ${{\\bf 3}{{{\\rm X}\\hfill \\atop {\\rm G}\\hfill}}}$, one of which (X = Cl) has been characterized by XRD. A dicationic complex ${{\\bf 3}{{{\\rm RNH}{_{2}}\\hfill \\atop {\\rm G}\\hfill}}}$ is obtained upon treatment of ${{\\bf 2}{{{\\rm OH}\\hfill \\atop {\\rm G}\\hfill}}}$ with a mixture of an alkylamine and a strong acid....
The aim of the present study was to test a mathematical model of the biochemical processes in the parathyroid glands responsible for the secretion of parathyroid hormone resulting from extracellular calcium reduction. A double exponential curve described the parathyroid hormone secretion induced by rapid lowering of blood-ionized calcium in humans with normal as well as abnormal parathyroid tissue. Our data show that it was possible to establish a simple mathematical model of the parathyroid hormone response to blood-ionized calcium lowering, sufficient to fit experimental data obtained from patients with abnormal and normal parathyroid tissue. The fitted parameters showed no significant differences between patients with insulin-dependent diabetes mellitus and controls. In primary hyperparathyroidism, the parathyroid hormone production and steady-state transport across the cell membrane were increased, probably due to the larger amount of ...
An electric power generating apparatus is described, including: a solar collector; a primary thermal loop including primary thermal fluid; a cavity receiver to receive reflected solar energy from the solar reflector, convert the solar energy into thermal energy, and transmit the thermal energy to the primary thermal fluid by heating the primary thermal fluid not to exceed a given temperature, the given temperature being substantially equal to 700 F; a Stirling engine receiving the primary thermal fluid heated by the cavity receiver, including means to generate mechanical power and means to generate electrical power from the means to generate mechanical power.
This document presents the results of a review of publicly available information on energy use in health care facilities. The information contained in this document and in the sources cited herein provides the background and context for efforts to reduce energy use and costs in health care. Recognizing the breadth and diversity of relevant information, the author acknowledges that the report is likely not comprehensive. It is intended only to present a broad picture of what is currently known about health care energy use. This review was conducted as part of a 'High Performance Health Care Buildings' research study funded by the California Energy Commission. The study was motivated by the recognition that health care facilities collectively account for a substantial fraction of total commercial building energy use, due in large part to the very high energy ...
The purpose of this study was to use high-resolution magnetic resonance (MR) imaging combined with image analysis to investigate the three-dimensional (3D) trabecular structure, anisotropy, and connectivity of human vertebral, femoral, and calcaneal specimens. The goal was to determine whether: (a) MR-derived measures depict known skeletal-site-specific differences in architecture and orientation of trabeculae; (b) 3D architectural parameters combined with bone mineral density (BMD) improve the prediction of the elastic modulus using a fabric tensor formulation; (c) MR-derived 3D architectural parameters combined with BMD improve the prediction of strength using a multiple regression model, and whether these results corresponded to the results obtained using higher resolution depictions of trabecular architecture. A total of 94 specimens (12 x 12 x 12 mm cubes) consisting of trabecular bone only were obtained, of which there were 7 from the ...
Objectives This paper examines the determinants of the insureds decision to use their health insurance card when seeking outpatient and inpatient health care in Vietnam. Methods Uses Vietnams latest Household Living Standard Survey data and random-intercept logistic regression to assess the influence of the observed individual, household and commune/ward factors on the insureds decision to access health insurance benefits while controlling for the unobserved commune/ward-specific factors. Results Compared to the compulsory enrollees, the voluntary enrollees and the beneficiaries of the Health Care Fund for the Poor are less likely to use their card when seeking inpatient care. An individuals likelihood of accessing insurance benefits varies inversely with income and the level of education,...
Given the concern over the potential for health risks associated with certain ingredients (e.g., phthalates) in personal care products, usage patterns of 30 types of personal care products (e.g., shampoo, sunscreen, fragrance, etc.) were collected in 604 California households through a telephone interview. Preferences in selecting products, e.g., scented or unscented, aerosol, and brand loyalty, were also investigated. Participants were recruited in three age groups, children (mostly preschoolers), their parents, and adults age 55 or older. Use frequencies of various product types varied by sex, age group, race, education, and climatic region. Product use by parent and child from the same household were correlated. Use frequencies of products in the same class (e.g., skincare) were moderat...
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...
Opinion statement Because a minority of patients with D-transposition of the great arteries are diagnosed in utero by ultrasound, most present after delivery with cyanosis. In the absence of apparent lung disease, cyanotic neonates suspected of having a cardiac lesion should be immediately transferred to an intensive care unit at a pediatric tertiary care center for monitoring, resuscitation, and to define the cardiac anatomy and physiology. A prostaglandin E-1 infusion is usually initiated to maintain ductal patency and promote intra-cardiac mixing. In the past, balloon atrial septostomy (BAS) was routinely performed to enlarge the atrial septal defect and improve intra-cardiac mixing while the infants awaited surgery. Recent literature has reported an increase risk of stroke in neonates ...
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 ...
Objective. Preterm neonates are susceptible to infection due to a combination of sub-optimal immunity and increased exposure to invasive organisms. Invasive fungal infections are associated with significant morbidity and mortality among preterm infants cared for in the neonatal intensive care unit (NICU). Mannose-binding lectin (MBL) is a component of the innate immune system, which may be especially important in the neonatal setting. The objective of this study was to investigate the presence of any association between MBL gene polymorphism and nosocomial invasive fungal infection in preterm neonates. Methods. Codon 54 (B allele) polymorphism in exon 1 of the MBL gene was investigated in 31 patients diagnosed as nosocomial invasive fungal infection and 30 control preterm neonates. Results...
Despite the many advances in scientific research over the last several decades, cutting edge technologies and therapeutics often take many years to find their way into widespread use. The dissemination and uptake of best practices into clinical care is sometimes a neglected component of research that is essential to improve the population?s health. Type 2 translational research, sometimes called ?Proof in Practice Research,? seeks to maximize the yield of what has been learned from the bench and from carefully controlled clinical trials and to extend those benefits to a larger population. One aspect of type 2 translational research, sometimes called evidence implementation or implementation science, applies what has been learned about clinical medicine to achieve best practices across prov...
AbstractBACKGROUND: Disparities in treatment and mortality for colorectal cancer (CRC) may reflect differences in access to specialized care or other characteristics of the area where an individual lives. METHODS: Surveillance, Epidemiology and End Results Program-Medicare data for seniors diagnosed with CRC were linked to area measures of the sociodemographic characteristics and the capacity of surgeons, medical oncologists, and radiation oncologists. Outcomes included receipt of stage-appropriate CRC care and mortality. RESULTS: After adjustment, blacks and Hispanics were less likely than whites to undergo surgery (odds ratio [OR] 0.57, 95% confidence interval (CI) 0.52-0.63 and OR 0.82, 95% CI 0.70-0.95, respectively). Individuals who lived in areas with the highest tertile of surgeon c...
The objective of this study was to evaluate the association between the number of blood cultures collected and the appropriateness of care for suspected bacteremic community-acquired urinary tract infection (UTI) in the elderly. We retrospectively evaluated the medical records of 129 patients with UTI >65?years old admitted to a large community-based training hospital in Japan from 1 January 2006 to 31 December 2009. We assessed the association between the number of blood cultures collected and the appropriateness of care received, as well as other factors. Two-thirds of the patients were women, and patients >85?years old accounted for 45.0% of the cases. Most of the organisms isolated from the urine and blood were Escherichia coli (65.4?67.0%). More than two blood cultures were collected ...
Background ?Guidelines for safe and effective management and use of point of care testing? have been recently launched in Ireland. Aims To survey point of care testing (POCT) services in the Republic of Ireland. Methods A questionnaire covering accreditation status, existence of POCT committees, quality management systems, and staff resources was distributed by the Irish External Quality Assessment Scheme (IEQAS). Results Of those that returned completed questionnaires, 56% had assigned specific POCT responsibilities to designated staff. Most support was for blood gases and glucose analysis. Compared with other published studies, Irish laboratories gave similar support for blood gases, less for glucose and much less for urinalysis. Conclusions This survey demonstrated poor IT support for P...
Hydrologic information is essential for environmental efforts at Los Alamos National Laboratory. Testing at new characterization wells being drilled to the regional aquifer (''R wells'') to improve the conceptual hydrogeologic model of the Pajarito Plateau is providing such information. Drilling has been by air-rotary casing-advance or open-hole methods. Most wells are completed with multiple screens. After their construction, wells were rigorously developed by wire-brushing, bailing, followed by surging, swabbing, or jetting, and finally by pumping. These methods are effective based on field-parameter measurements and comparison of results of hydrologic testing at well R-31 before and after complete well development. We conducted field tests on various zones of saturation penetrated by the R wells to collect data needed for determining hydraulic properties. This document provides details of the design and execution of testing as well as an analysis ...
There are a total of nine operational nuclear plants in Spain totalling 7.350 MWe. These units produced 54.265 x 106 KWh in 1990, 36% of the total generation in Spain. Seven of these plants are of the PWR type. The first plant in operation was Jose Cabrera (ZORITA) in 1968, one loop Westinghouse plant with a model 24 Steam Generator. Due to the design margin and careful operation of the Steam Generator of this plant its performance have been very good, with only 5% tubes plugged after 23 years of operation. This is one of the few units in the world that remains in phosphate chemistry. During the period 1981-1985 a total of four units, two in Almaraz and two in Asco entered in operation. These three loop s Westinghouse units use model D-3 preheater Steam Generators. The poor design and manufacture of the Steam Generators of these units have caused a large number of problems: mechanical (Preheater and AVB's vibration), denting, and primary and ...
BackgroundHow socio-demographic factors influence women's autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly...Full Text Available
A public health emergency such as an influenza pandemic will lead to shortages of mechanical ventilators, critical care beds, and other potentially life saving treatments. This will raise difficult...Full Text Available
... be able to watch the many intricate steps Dr. Richard Alexander must accomplish to remove the cancer. ... door to informed medical care. Now let's join Dr. Richard Alexander at the University of Maryland Medical ...
Patient decision support systems have a promising role in the delivery of health care. However, the best approach for further development of these systems is a matter of speculation. To help chart a...Full Text Available
BackgroundStrategies to accurately identify the occurrence of specific health care events in administrative data is central to many quality improvement and research efforts. Many...Full Text Available
Personal Health Records (PHRs) are increasingly recognized as a strategy to improve patient-provider communication, availability of health information, and quality of care, by making the delivery of...Full Text Available
Albeit the considerable progress that has been made both in our understanding of the pathophysiology of acute renal failure (ARF) and in its treatment (continuous renal replacement therapies), the morbidity...Full Text Available
Femur fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular...Full Text Available
Over 30 months 9292 consecutive patients admitted to nine coronary care units with suspected myocardial infarction were considered for admission to a randomised double blind study comparing the effect...Full Text Available
OBJECTIVE: The objective was to define and characterize the costs associated with trauma care at a level I trauma center. Once the costs were identified, attending physician-led teams were designed...Full Text Available
BackgroundThere has been substantial research on psychosocial and health care determinants of health disparities in the United States (US) but less on the role of modifiable risk...Full Text Available
BackgroundDespite having the largest population in Africa, Nigeria has no accurate population based data to plan and evaluate eye care services. A national survey was undertaken...Full Text Available
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
Patient-centered interdisciplinary health care for children with chronic medical disorders represents an evolution from the traditional “stop and go” treatment for acute illnesses. This...Full Text Available
This Mini-Computer-Assisted Nursing Management System allows nursing to control staffing costs and more effectively relate staffing to patient care requirements. Nursing resources are prospectively...Full Text Available
BackgroundPatients’ general tendency to adhere to health care provider-recommended treatments is associated with a number of health outcomes, but whether it influences pain...Full Text Available
BackgroundThe link between maternal factors and birth outcomes is well established. Substantial changes in society and medical care over time have influenced women's reproductive...Full Text Available
Although the demand for use of information technology within the healthcare industry is intensifying, relatively little has been written about guidelines to optimize IT investments. A technology architecture...Full Text Available
Abstract The Read Thesaurus (Version 3 of the Read Codes) is a controlled medical vocabulary produced during the Clinical Terms Projects with the involvement of over 2,000 health care...Full Text Available
BackgroundAdolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes...Full Text Available
Skin cancers in skin of color often present atypically or with advanced stage in comparison to Caucasian patients. Health care providers must maintain a high index of suspicion when examining...Full Text Available
Dental caries continues to be a common chronic disease among various population groups. Patient care can be improved with detection at the earliest stage. However, current techniques do not...Full Text Available
BackgroundSeverely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs,...Full Text Available
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
Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic...Full Text Available
BackgroundInternet education is increasingly provided to health professionals, but little is known about the most effective strategies for delivering the content. The purpose of...Full Text Available
Background In May 2000, AstraZeneca launched a Web service for asthma patients and health-care providers called LinkMedica, which includes an asthma diary for...Full Text Available
Continuing Medical Education (CME) is a requirement among practicing physicians to promote continuous enhancement of clinical knowledge to reflect new developments in medical care. Previous research...Full Text Available
ObjectiveThe authors present an Electronic Healthcare Record (EHR) server, designed and developed as a proof of concept of the revised prEN13606:2005 European standard concerning...Full Text Available
The current obesity pandemic is expected to result in considerable downstream morbidity, mortality and incremental costs to health care systems around the world. The major metabolic complications of...Full Text Available
BackgroundMefloquine has historically been considered safe and well-tolerated for long-term malaria chemoprophylaxis, but its prescribing requires careful attention to rule out contraindications...Full Text Available
ObjectiveComputerized physician order entry with clinical decision support has been shown to improve medication safety in adult inpatients, but few data are available regarding its...Full Text Available
ObjectivesPericardial tamponade after cardiac surgery is difficult to diagnose, thereby rendering timing of rethoracotomy hard. We aimed at identifying factors predicting the outcome...Full Text Available
This program focused on practice-level service change as a means of improving patient care and developing leadership skills of 19 general practitioners (GPs) and aimed to: promote and support change...Full Text Available
AimsTo describe nurse burnout, job dissatisfaction, and quality of care in Japanese hospitals, and to determine how these outcomes are associated with work environment...Full Text Available
In terms of managing thrombotic disorders, genotype-based individualized patient care emerged as early as 1994 when the association of factor V Leiden (G1691A), and later, prothrombin (G20210A),...Full Text Available
BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons.OBJECTIVE:To study...Full Text Available
An outbreak with a multiresistant Klebsiella pneumoniae (MRKP) strain among seven patients admitted to the adult intensive care unit (ICU) of a regional teaching hospital in The Netherlands...Full Text Available
BackgroundOral cancer is as prevalent as cervical and testicular cancer in the United Kingdom. Nursing staff provide the oral health care for the patient population in hospital....Full Text Available
BackgroundNorway, and particularly Oslo, has the highest reported incidence of hip fractures in the world. It is increasingly common to care for older hip fracture patients in orthogeriatric...Full Text Available
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...research and publications and some who are accredited by the British Association of Sport and Exercise Sciences (BASES), which enables them to work with high performance athletes . We care about your progress and welfare. As our recent QAA review noted \\
Out of nearly 900 women in a research study of human immunodeficiency virus infection in pregnancy, 8 were subsequently found not to be infected. Misdiagnoses could have resulted from (a) laboratory...Full Text Available
Laparoscopic colon surgery for select cancers is slowly evolving as the standard of care but minimally invasive approaches for rectal cancer have been viewed with significant skepticism. This procedure...Full Text Available
We report on the presentation and management of a patient with herniation of the rectum following a coccygectomy. We used an abdominal approach and careful pelvic dissection to define the defect in...Full Text Available
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
... the nest with young when the female left (male meadow voles were in the nest with young too infrequently ... prairie voles, whereas the number of checks that male meadow voles were in the nest increased s...
PurposeTo assess the prevalence and the dosimetric and clinical predictors of mandibular osteoradionecrosis (ORN) in patients with head and neck (HN) cancer who underwent...Full Text Available
Background and ObjectiveCervical cancer is one of the leading causes of morbidity and mortality amongst the gynecological cancers worldwide, especially in developing countries. It...Full Text Available
ObjectiveTo investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within...Full Text Available
ObjectivesIn 2003, the Omani Ministry of Health Child Health Care Program initiated a national Birth Defects (BD) Register. This paper reviews the magnitude and risk factors of birth...Full Text Available
BackgroundThe prevalence of tobacco use among individuals with mental illness remains a serious public health concern. Tobacco control has received little attention in community...Full Text Available
The Clinical Summary is a Web-based application for accessing the clinical database at the Massachusetts General Hospital. The application has been developed to give physicians in our health care community...Full Text Available
Policies and regulations in the current health care environment have impacted the manner in which patient data - especially protected health information (PHI) - are handled in the clinical and...Full Text Available
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
PURPOSE We wanted to assess the impact of an electronic health record–based diabetes clinical decision support system on control of hemoglobin A1c (glycated hemoglobin),...Full Text Available
We previously demonstrated the ability to create engineered arteries by carefully controlling the mechanical environment of intact arteries perfused ex vivo, yielding engineered arteries...Full Text Available
Giardiasis is recognized as a worldwide public health problem. Seroprevalence data from both the developing and developed world show high rates of carriage in populations at risk for fecal-oral transmission,...Full Text Available
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
BackgroundMany interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services...Full Text Available
ObjectiveWhile essential for patient care, information related to medication is often written as free text in clinical records and, therefore, difficult to use in computerized systems....Full Text Available
ObjectiveThe study aimed to examine the effect of household and community characteristics on financial catastrophe and impoverishment due to health payment in Western and Central...Full Text Available
Background:The minimum hemoglobin cutoff for blood donation in India is 12.5 gm% for both male and female donors and the minimum donation interval is 3 months. Donation...Full Text Available
Ever-changing audio technology requires that National Library Service NLS always be aware of developments and prepare carefully for any systematic changes that may be desired or required. Usefulness, cost effectiveness, thoughtful stewardship, and educate...
Total health care expenditure in 2006 was $2.1 trillion. This figure is estimated to double within the next few years as the cost of treating diabetes and other chronic conditions continues to rise....Full Text Available
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
PurposeTo develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.Full Text Available
BACKGROUND AND AIMS:In view of increasing therapeutic efficacy, the delivery of hepatitis C virus (HCV) antiviral treatment is expected to increase. Yet practical experience reveals...Full Text Available
BackgroundLung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently,...Full Text Available
The purpose of the meeting reported here was to develop a set of national evidence-based standards for assessing and managing patients with potentially resectable rectal cancer. This report represents...Full Text Available
ObjectivesTo see whether there are age variations in the relationships between having a close companion friend at church, health, and outpatient physician visits.Full Text Available
You receive an annuity if eligible -- requires 18 months service for FERS; and 60 ... You may use up to 104 hours of your accrued sick leave to care for sick family ...
Social support is a critical, yet underutilized resource when undergoing cancer care. Underutilization occurs in two conditions: (a) when patients fail to seek out information, material assistance,...Full Text Available
... yourself to call 911 until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...
... and retrieve an AED until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...
home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...
home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...
home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...
Drownings in Recreational Water Settings - United States, 2001-2002 While immediate CPR can save someone's life, often medical care in the hospital cannot prevent serious...
Low bone mineral density (BMD) is prevalent in human immunodeficiency virus (HIV)–infected subjects. Initiation of antiretroviral therapy is associated with a 2%–6% decrease...Full Text Available
The aim of the overview is to give a perspective of global biobank development is given in a view of positioning biobanking as a key resource for healthcare to identify new potential markers that can...Full Text Available
The devastating earthquake in Sichuan, China on 12 May 2008 left thousands of survivors requiring medical care and intensive rehabilitation. In view of this great demand, the Chinese Speaking Orthopaedic...Full Text Available
Abstract This paper focuses on the basic principles of information technology (IT) organization within health sciences centers. The paper considers the placement of the leader of the...Full Text Available
IntroductionTransfusion is a common treatment in pediatric intensive care units (PICUs). Studies in adults suggest that prolonged storage of red blood cell units is associated with...Full Text Available
BACKGROUND:The value of other health care professionals is increasingly being recognized to compensate for the shortage of physicians in Canada. Chronic cough is one of the most...Full Text Available
Validation of body-mass relationships requires a careful statistical analysis of data of normal weight individuals. BMI (ratio between body mass and square of body height) and BSI values (ratio between...Full Text Available
Careful measurements do not confirm an anomalous anisotropy in the angular distribution of fission fragments from the fast neutron fission of Americium 242. The energy range covered was 1.60-3.15 MeV. (AIP)
Information needs that arise when clinicians use clinical information systems often go unresolved, forcing clinicians to defer decisions or make them with incomplete knowledge. My research characterizes...Full Text Available
ContextWhile opioids are increasingly used for chronic non-cancer pain (CNCP), we know little about opioid dosing patterns among individuals with CNCP in usual care...Full Text Available
Alton Ochsner was a giant of American surgery. His career encompassed patient care, teaching, and research as symbolized on the original seal of the Ochsner Clinic. His ideas were innovative and groundbreaking...Full Text Available
This study describes instructions for after-hours care offered by family physicians' offices when patients telephone the practice. Randomly selected (n=1,680) Ontario family physicians and general practitioners...Full Text Available
Acute kidney injury (AKI) is a common clinical problem with significant clinical and economic consequences. A number of studies point to a rising incidence of AKI in the hospital and in the intensive...Full Text Available
Platelet reactivity plays a pivotal role in the pathogenesis of ischemic adverse events during and after acute coronary syndromes (ACS), and percutaneous coronary intervention (PCI). Glycoprotein (GP)...Full Text Available
BackgroundErrors have been the concern of providers and consumers of health care services. However, consumers' perception of medical errors in developing countries is rarely explored....Full Text Available
BackgroundIntrapartum fetal hypoxia remains an important cause of death and permanent handicap and in a significant proportion of cases there is evidence of suboptimal care related...Full Text Available
BackgroundParents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL). Insight in the dynamics of factors influencing parental HRQoL is necessary...Full Text Available
BackgroundTraffic injuries can cause physical, psychological, and economical impairment, and affected individuals may also experience shortcomings in their post-accident care and...Full Text Available
Recent health care policies and regulations have impacted the manner in which patient data – especially protected health information (PHI) – are handled in both the clinical...Full Text Available
...2010-10-01 false Special rules relating to group health plans. 146.145 Section 146.145 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...
...discrimination against participants and beneficiaries based on a health factor. 146.121 Section 146.121 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...
We investigate opportunistic cooperation between unlicensed secondary users and legacy primary users in a cognitive radio network. Specifically, we consider a model of a cognitive network where a secondary user can cooperatively transmit with the primary user in order to improve the latter's effective transmission rate. In return, the secondary user gets more opportunities for transmitting its own data when the primary user is idle. This kind of interaction between the primary and secondary users is different from the traditional dynamic spectrum access model in which the secondary users try to avoid interfering with the primary users while seeking transmission opportunities on vacant primary channels. In our model, the secondary users need to balance the desire to cooperate more (to create more transmission opportunities) with the need for maintaining ...
...named Chair at Epworth Hospital Professor Nilmini Wickramasinghe has been named Chair, Health Information Management , at Epworth HealthCare. Related links School of Business ...the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. Professor Wickramasinghe has more than ... Professor Wickramasinghersquo;s appointment as Epworth Chair, Health Information Management , will help to further strengthen this clinical academic alliance, with RMIT now ...
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...
For the performance assessment of radioactive and hazardous waste disposal sites, risk assessments are usually performed for the long term, i.e., over an interval in space and time for which one can predict movement and behavior of toxic agents in the environment. This approach is based on at least three implicit assumptions: One, that the engineering layout will take care of the immediate endangerment of potential receptors; two, that one has carefully evaluated just how far out in space and time the models can be extrapolated, and three, that one can evaluate potential health effects for very low exposures. A few of these aspects will be discussed here in the framework of the scientific method.
A computationally efficient dynamic adaptive chemistry (DAC) scheme is described that permits on-the-fly mechanism reduction during reactive flow calculations. The scheme reduces a globally valid full mechanism to a locally, instantaneously applicable smaller mechanism. Previously we demonstrated its applicability to homogeneous charge compression ignition (HCCI) problems with n-heptane [L. Liang, J.G. Stevens, J.T. Farrell, Proc. Combust. Inst. 32 (2009) 527-534]. In this work we demonstrate the broader utility of the DAC scheme through the simulation of HCCI and shock tube ignition delay times (IDT) for three gasoline surrogates, including two- and three-component blends of primary reference fuels (PRF) and toluene reference fuels (TRF). Both a detailed 1099-species mechanism and a skeletal 150-species mechanism are investigated as the full mechanism to explore the impact of fuel complexity on the DAC scheme. For all conditions studied, pressure and key species ...
To study the regulation of adipose tissue lipoprotein lipase (LPL) in human adipocytes, omental adipose tissue was obtained from healthy subjects and digested in collagenase. The isolated adipocytes thus obtained were suspended in Medium 199 and cultured at 37 degrees C. Cell viability was demonstrated in adipocytes cultured for up to 72 h by constancy of cell number, cell size, trypan-blue exclusion, and specific /sup 125/I-insulin binding. In addition, chloroquine induced an increase in cell-associated /sup 125/I-insulin at 24, 48, and 72 h after preparation. Thus, isolated adipocytes retained their ability to bind, internalize, and degrade insulin. LPL was measured as activity secreted into the culture medium (CM), released from cells by heparin (HR), and extracted from cell digests. A broad range of heparin concentrations produced a prompt release of LPL from a rapidly replenishable pool of cellular activity. When cells were cultured in ...
Jlab experiment E01-011, carried out in 2005 in JLab Hall C, is the second generation of the hypernuclear spectroscopy experiments by the (e,e{prime}K{sup +}) reaction. The (e,e{prime}K{sup +}) reaction is complimentary to the associated production reactions (K{sup -},{pi}{sup -}), ({pi}{sup +},K{sup +}) since, due to a larger momentum transfer to a hyperon, excitations of both spin-non-flip and spin-flip states are possible. The experiment uses high quality and continuous primary electron beam to produce neutron rich hypernuclei on various targets by the electroproduction. The experimental setup consists of splitter magnet, high resolution kaon spectrometer (HKS) and electron spectrometer (Enge) implemented in new configuration, the so called 'Tilt Method'. Production data was taken on multiple targets: CH{sub 2}, {sup 6}Li, {sup 7}Li, {sup 9}Be, {sup 10}B, {sup 12}C and {sup 28}Si. In present study the analysis of CH{sub 2}, {sup 12}C and {sup ...
The Steam Generator (SG) serves as an interface between primary and secondary cycle in Pressurized Heavy Water Reactor (PHWR). Failure of steam generator tubes result in leaking of active heavy water in the secondary closed loop. In Tarapur Atomic Power Station-3 and 4 (TAPS- 3 and 4), Scintillator detectors are provided to detect on line heavy water leakages in SG and moderator heat exchangers by monitoring Nitrogen-16 (16N) and Oxygen-19 (19O) activities. Efficacy of detection of these activities at designed detector position on SG blow down line in presence of background radiation field is analysed theoretically. The count rate of 19O and 16N estimated at the detector position inside Reactor Building (RB) shows that detectors only respond to very high leak rates due to presence of high ambient radiation level even though sensitivity is appreciably good. For detector position in RB in the accessible areas and out side the RE containment, the travel time for the ...
The calibration of cylindrical detectors using different types of radioactive sources is a matter of routine. The most accurate method, that of experiment, is limited by several factors when the energy interval is broad, requiring a relatively large number of primary standards, implying considerable investment of money and time. Several other techniques can be used instead, including Monte Carlo simulations and semi-empirical methods. Calculations based on the first technique require good definition of the geometry and materials, including the dead layer and window thickness together with an accurate set of cross-sections. The second technique requires two different types of experimental input, the first being from use of sources emitting cascade {gamma} rays and the second from use of sources emitting isolated {gamma} rays in order to cover the wide energy range and provide coincidence-summing corrections, respectively. Here, we introduce a new theoretical ...
The Steam Generator (SG) serves as an interface between primary and secondary cycle in Pressurized Heavy Water Reactor (PHWR). Failure of steam generator tubes result in leaking of active heavy water in the secondary closed loop. In Tarapur Atomic Power Station-3 and 4 (TAPS- 3 and 4), Scintillator detectors are provided to detect on line heavy water leakages in SG and moderator heat exchangers by monitoring Nitrogen-16 ("1"6N) and Oxygen-19 ("1"90) activities. Efficacy of detection of these activities at designed detector position on SG blow down line in presence of background radiation field is analysed theoretically. The count rate of "1"9O and "1"6N estimated at the detector position inside Reactor Building (RB) shows that detectors only respond to very high leak rates due to presence of high background even though sensitivity is appreciably good. For detector position out side the RB containment, the travel time for the feed water becomes very long resulting ...
ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program. This framework will facilitate comparisons across studies and improve generalizability by permitting context-specific interpretation. Research based on this framework ...
The influence of material configuration and impact parameters on the damage tolerance characteristics of sandwich composites comprised of carbon-epoxy woven fabric facesheets and Nomex honeycomb cores was investigated using empirically based response surfaces. A series of carefully selected tests were used to isolate the coupled influence of various combinations of the number of facesheet plies, core density, core thickness, impact energy, impactor diameter, and impact velocity on the damage formation and residual strength degradation due to normal impact. The ranges of selected material parameters were typical of those found in common aircraft applications. The diameter of the planar damage area associated with Through Transmission Ultrasonic C-scan measurements and the peak residual facesheet indentation depth were used to describe the extent of internal and detectable surface damage, respectively. Standard analysis of variance techniques were used to assess the ...
Available from UMI in association with The British Library. Requires signed TDF. Design of time and correlation windows for non -parametric frequency response estimates. The thesis deals with problems that arise in the field of spectral analysis due to finite observations of input and output records. In particular, it is concerned with the method of applying time and correlation windows in spectral analysis procedures to obtain non-parametric frequency response estimates of open-loop time invariant systems. The thesis reviews and develops the sources of error that arise when frequency response techniques are applied directly to windowed records of input and output data to estimate the frequency response of open loop systems. Having identified the cause of these errors, methods of eliminating or reducing them are studied. The techniques introduced involve the use of differing time windows for the input and output data records. It is shown that windows can be ...
This thesis was carried out at Forsmark Nuclear Power Plant. The power plant in Forsmark consists of three boiling water reactors (BWR) which produce about 17% of Swedish electricity. In a BWR the nuclear reactions are used to boil water inside the reactor vessel. The water works both as a coolant and as a moderator and the resulting steam is used directly to run the turbines. A problem when running a BWR at low flow conditions is the density wave oscillations that might occur to the water flow inside the fuel assemblies. These oscillations arise due to the connection between power and flow rate in a heated channel with two-phase flow. In order to improve the stability performance of the channel an orifice plate is placed at the inlet of each fuel assembly. Today these orifice plates have sharp edges and a constant resistance coefficient. Experimental work has been done with progressive orifices, the edge of which is half-oval in shape. The advantage of progressive orifices is the ...
Physico-chemical characterizations performed on samples of 100Cr6 steel implanted both with boron and nitrogen revealed the formation of boron nitride along with the following new phases: Fe{sub 1-x}(B, N), Fe{sub 2-x}(B, N) and Fe{sub 3-x}(B, N). A thorough analysis of boron NITRIDE (5BN) indicates that a low ion current density (3 {mu}A.cm{sup -2}) in the case of the boron plus nitrogen sequence favours the formation of sp{sup 2} bonds (hexagonal-BN) while a higher ion current density (6{mu}A.cm{sup -2}) promotes sp{sup 3} bonds (cubic-BN) in the opposite sequence. Tribological tests carried out on these samples revealed that nitrogen and boron implantations do not lead to any significant improvement of friction and wear at variance with the results obtained by others authors. However, on a set samples accidentally contaminated with carbon during implantation, we noticed a considerable improvement of these tribological parameters. As this pollution is commonly ...
Some hypo-stoichiometric Zr-based Laves phase alloys were prepared and studied from a viewpoint of discharge capacity for electrochemical application. After careful alloy design of ZrMn{sub 2}-based hydrogen storage alloys through changing their stoichiometry while substituting or adding some alloying elements, the Zr(Mn{sub 0.2}V{sub 0.2}Ni{sub 0.6}){sub 1.8} alloy reveals relatively good properties with regard to hydrogen storage capacity, hydrogen equilibrium pressure and electrochemical discharge capacity. In order to improve the discharge capacity and rate-capability, Zr is partially replaced by Ti. The discharge capacity of Zr{sub 1-x}Ti{sub x}(Mn{sub 0.2}V{sub 0.2}Ni{sub 0.6}){sub 1.8} (x=0.0, 0.2, 0.3, 0.4, 0.6) alloy electrodes at 30 C reaches a maximum value and decreases as the Ti fraction increases. In view of electrochemical and thermodynamic characteristics, the occurrence of a maximal phenomenon of the electrochemical discharge capacity of the alloy ...
Most breast cancers are multicentric in origin. They drain into two primary lymphatic depots—the axilla and internal mammary chain of nodes. The incidence of metastasis to the internal mammary...Full Text Available
Primary peritoneal pregnancy has been reported and debated for almost a century. Case reports using Studdiford's criteria and later modified criteria have substantiated the entity, but the pathogenesis...Full Text Available
IntroductionWe report an unusual presentation of primary biliary cirrhosis.Case presentationWe present the case of a 66-year-old white British woman...Full Text Available
Background:Despite variations in technique, the results of primary and revision lumbar discectomy have been good. The aim of this study was to retrospectively review cases...Full Text Available
The installation procedure, the fabrication, fitting up, positioning, adjustment and welding of piping, examinations, hydrostatics testing and insulation of piping for reactor primary circuit piping of Daya Bay Nuclear power Plant are briefly described.
An organ-specific invertase deficiency affecting only the primary root system is described in the Oh 43 inbred maize (Zea mays). Invertases (acid and neutral/soluble and insoluble)...Full Text Available
Sixty glaucomatous eyes of 60 patients treated with laser trabeculoplasty as primary therapy were reviewed retrospectively. There were 42 eyes with capsular glaucoma and 18 with simple glaucoma. The...Full Text Available
BackgroundIn primary hyperparathyroidism (PHPT) the predictive value of technetium 99m sestamibi single emission computed tomography (Tc99m-MIBI-SPECT) for localizing pathological...Full Text Available
For many years, epidemiological studies have demonstrated a strong link between chronic hepatitis B virus (HBV) infection and the development of primary hepatocellular carcinoma (PHC). Other hepatocarcinogens...Full Text Available
The sensitive explosives used in initiating devices like primers and detonators are called primary explosives. Successful detonations of secondary explosives are accomplished by suitable sources of...Full Text Available
The glycolipid content of human non-seminomatous germ cell tumour cell lines correlates with their differentiation lineage. To analyse whether this reflects the situation in primary tumours, we studied...Full Text Available
Purpose:The risks and benefits of continuing bisphosphonate therapy beyond 5 years in patients with primary osteoporosis have not been well established.Methods:We...Full Text Available
Objective: The aim of this study was to characterize using flow cytometry cultured human primary keratinocytes isolated from the epidermis and hair follicles by different methods. Methods:...Full Text Available
Nitrate reduction was studied as a function of carbohydrate concentration in detached primary leaves of barley (Hordeum vulgare L. cv Numar) seedlings under aerobic conditions in light...Full Text Available
BackgroundPrimary hepatocytes are the best resource for in vitro studies directed at understanding hepatic processes at the cellular and molecular levels, necessary...Full Text Available
PurposeTo analyze the contributions of cytochrome P4501B1 (CYP1B1) mutations to primary congenital glaucoma (PCG) in Spanish patients.MethodsWe...Full Text Available
Context: Mild primary hyperparathyroidism (PHPT) is characterized by asymptomatic hypercalcemia, most commonly in the absence of classical signs and symptoms. Hence, there is need to characterize...Full Text Available
This study examines the longitudinal relationship between personal and sexual partner incarceration and subsequent HIV risk behaviors among drug-involved men and their primary female sexual...Full Text Available
Secondary deuterium in the atmosphere are produced in interactions by primary cosmic rays. The shape of their energy spectrum depends on the primary cosmic ray spectrum incident at the top of the atmosphere. At high energies, the spectral shape depends on the primary spectrum of helium and heavy nuclei. However, at very low energies, specially below the geomagnetic cut-off, the spectral shape depends on the evaporation and recoil processes and hence almost independent of the spectral shape of the primary radiation. It is undertaken a calculation of the secondary deuterium spectrum at small atmospheric depths at various latitudes and the results will be presented.
... Title : Military Working Dog Procurements. ... Our primary objective was to determine whether recent procurements of military working dogs by the ...
Thirty-seven patients with primary nonresectable intrahepatic cholangiocarcinoma (57% with prior treatment and/or metastasis) were prospectively treated with external radiation, chemotherapy, and "1"3"1I labelled anti-CEA. Therapy began in all trials with whole liver irradiation (21.0 Gy, 3.0 Gy/Fx, 4 days/week, 10 MV photons) with alternate treatment day chemotherapy (Adriamycin, 15 mg + 5-FU, 500 mg). One month after external beam therapy, chemotherapy was given (Adriamycin, 15 mg + 5-FU, 500 mg) followed the next day by the first administration of "1"3"1I anti-CEA. The treatment schedule used was 20 mCi day 0; 10 mCi day 5 as an outpatient. This schedule was derived from tumor dose estimates which indicated that 20 mCi (8-10 mCi/mg IgG) was sufficient to achieve tumor saturation with a tumor effective half-life of 3 to 5 days, depending upon the species of animal from which the antibody was obtained. The median tumor dose for the 20 mCi + 10 ...
Purpose/Objective: With the advent of computed tomography and magnetic resonance imaging, the three dimensional representation of the patient anatomy has become an invaluable resource for better diagnosis and delineation of the target volume and sensitive structures in radiation therapy. Although the therapeutic linear accelerator industry has made available highly sophisticated equipment, the aggressiveness in dose prescription and delivery has to be complimented by accurate dose computation methods. We have adopted a convolution/superposition algorithm for the calculation of absolute dose that fully accounts for the external shape and internal structure of the patient for photon treatment radiotherapy. In this paper, we will discuss the principles of the convolution algorithm and we will show how the computed dose compares to clinically relevant treatment techniques. Materials and Methods: A computer controlled data acquisition system and a water tank where used to measure depth ...
The presentation deals with the flows on the primary side of a horizontal steam generator under conditions typical to natural circulation cooling of the reactor. The main goal is to analyse the effect of primary flow patterns on the heat transfer capability of the steam generator. Conclusions pertinent to steam generator modelling with system codes are also drawn. (10 refs., 9 figs., 4 tabs.).
The presentation deals with the flows on the primary side of a horizontal steam generator under conditions typical to natural circulation cooling of the reactor. The main goal is to analyse the effect of primary flow patterns on the heat transfer capability of the steam generator. Conclusions pertinent to steam generator modelling with system codes are also drawn. (10 refs., 9 figs., 4 tabs.).
The relative merits and difficulties of the primary and secondary origin hypotheses for the observed cosmic ray antiprotons, including the low energy measurement of Buffington, were examined. It is concluded that the cosmic ray antiproton data may be strong evidence for antimatter galaxies and baryon symmetric cosmology. The present antiproton data are consistent with a primary extragalactic component having antiproton/proton approximately equal to .0032 + or - 0.7.
The use of primary electron counting techniques as an alternative to the more usual parallel plate avalanche chamber that has been employed in soft x-ray scattering experiments is being investigated at the National Synchrotron Light Source. The theoretical aspects of primary electron counting and motivation behind building a primary electron counting detector are described, as well as characteristics and future improvements of the device constructed at the NSLS. The detector consists of a low electric field drift region and a low pressure multistep avalanche region which can be operated with two or three stages of electron multiplication. The device has worked well in extensive tests as a simple parallel plate avalanche chamber, providing energy resolutions of 58% and 43% at 277 and 500 eV, respectively. Operated as a primary electron counter, preliminary results show an energy resolution of 38% at 500 ...
A detailed chemical kinetic reaction mechanism is developed for primary reference fuel mixtures of n-hexadecane and 2,2,4,4,6,8,8-heptamethyl nonane for diesel cetane ratings. The mechanisms are constructed using existing rules for reaction pathways and rate expressions developed previously for the primary reference fuels for gasoline octane ratings, n-heptane and iso-octane. These reaction mechanisms are validated by comparisons between computed and experimental results for shock tube ignition and for oxidation under jet-stirred reactor conditions. The combined kinetic reaction mechanism contains the submechanisms for the primary reference fuels for diesel cetane ratings and submechanisms for the primary reference fuels for gasoline octane ratings, all in one integrated large kinetic reac...
In a PWR type reactor, a primary coolant circuit system using a steam generator is adopted in order to accelerate depressurization of a primary coolant circuit upon small rupture LOCA in which the pressure of the primary coolant circuit is moderately depressurized. A secondary coolant circuit depressurization valve is disposed to a main steam pipeline. The valve has a performance of automatically opening to remove heat by evaporation of water stored in SG for a short period of time when the pressure in the primary circuit is decreased to about 50kg/cm[sup 2] upon occurrence of LOCA or the like. Then, the secondary side of the SG is depressurized to about atmospheric pressure and gravitational water injection from a condensate tank is started. Further, a gas vent valve is disposed to a water chamber of the steam generator. The valve has a performance of automatically opening to discharge incondensible ...
We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on changes in episode duration and service ...
The aims of the study were to develop and test the psychometric properties of the Thai Family Health Routines (TFHR) scale, a 70-item self-report questionnaire used to measure the health of Thai families through their routine behaviors in daily life. Development of the TFHR was based on the structural domains of Denham's Family Health Model. The TFHR scale was initially composed of 85 items and tested on 1,040 families living in the central region of Thailand. The confirmatory factor analysis, with an acceptable factor structure model, yielded 70 items aligned with six factors: self-care, safety and prevention, mental health behavior, family care, family caregiving, and illness care routines. The preliminary psychometric properties demonstrated that the TFHR scale had satisfactory internal consistency, criterion validity, and construct validity. The test results suggested that the TFHR scale has potential benefits for ...
National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and experience) can do to demonstrate competencies in a range of quality and safety activities. Medical schools, vocational ...
This report presents the operating results for Run 244 at the Advanced Coal Liquefaction R and D Facility in Wilsonville, Alabama. This run was made in an all-distillate Integrated Two-Stage Liquefaction (ITSL) mode using Illinois 6 coal from the Burning Star mine. The primary objective was to demonstrate the effects of temperature programming an aged catalyst batch on the ITSL product slate, especially on the net C/sub 1/-C/sub 5/ gas production and hydrogen consumption. Other objectives were to demonstrate the effect of fresh catalyst addition and to age the catalyst batch for an extended run with catalyst addition and withdrawal. Run 244 began on 4 July 1983 and continued through 27 September 1983. During this period, 182.9 tons of coal was fed in 1872 hours of operation. Seven special product workup material balances and two hydrotreater balances were defined, and the results are presented herein. From 27 to 30 September, 7.4 tons of Wyodak (Clovis Point mine) ...
Parathyroid imaging based on the principle of differential uptakes of Tc-99m and T1-201 in the anterior neck to localize parathyroid (PT) disease has been reported with widely varying results. To evaluate the usefulness of this method, we have performed PT imaging on 47 patients prior to exploratory surgery for PT disease. Using pinhole collimation and digital acquisition, a 50k count image of the thyroid was obtained 20 minutes after injection of 1mCi99m Tc-pertechnetate. Then a lmCi dose of Tl-201 chloride was injected and a series of images acquired for 30 minutes at 30 sec/image. Raw data was spatially filtered and normalized by summing sufficient T1-201 images to equal the Tc-99m image scale of maximum cts/pixel. Image subtraction (Tl-Tc) gave the final PT image. Of 10 pts who had previous neck exploration, all had PT pathology accurately localized by preoperative scanning (7=single adenoma, 2=single hyperplastic gland, 1=two hyperplastic glands). In two ...
This report summarizes the results of an expert-opinion elicitation activity designed to qualitatively assess the status and capabilities of currently available computer codes and models for accident analysis and reactor safety calculations of advanced sodium fast reactors, and identify important gaps. The twelve-member panel consisted of representatives from five U.S. National Laboratories (SNL, ANL, INL, ORNL, and BNL), the University of Wisconsin, the KAERI, the JAEA, and the CEA. The major portion of this elicitation activity occurred during a two-day meeting held on Aug. 10-11, 2010 at Argonne National Laboratory. There were two primary objectives of this work: (1) Identify computer codes currently available for SFR accident analysis and reactor safety calculations; and (2) Assess the status and capability of current US computer codes to adequately model the required accident scenarios and associated phenomena, and identify important gaps. During the review, ...
This topical report is a compilation of characterizations by different disciplines of the Mississippian Ratcliffe in portions of Richland County, MT. Goals of the report are to increase understanding of the reservoir rocks, oil-in-place, heterogeneity and methods for improved recovery. The report covers investigations of geology, petrography, reservoir engineering and seismic. The Ratcliffe is a low permeability oil reservoir which appears to be developed across much of the study area and occurs across much of the Williston Basin. The reservoir has not been a primary drilling target in the study area because average reserves have been insufficient to payout the cost of drilling and completion despite the application of hydraulic fracture stimulation. Oil trapping does not appear to be structurally controlled. For the Ratcliffe to be a viable drilling objective, methods need to be developed for (1) targeting better reservoir development and (2) better completions. A ...
Piping systems transporting high-pressure fluid will release a large amount of energy, leading to whipping of the broken pipe as well as impingement of the ejecting fluids on adjacent structures if they fracture unstably. Postulation of such an event in design of piping systems in nuclear power plants often requires various counter measures such as installation of pipe whip restraints or jet impingement shields to prevent such damage. One of the approaches to justify exclusion of unstable fracture from the design conditions is leak-before-break (LBB) analysis. In order to demonstrate LBB behavior, it is necessary to prove that in the presence of a part-through wall flaw in the pipe, this flaw will not grow through the wall under fatigue loading and is stable (level 2 LBB) and that the leak of fluid through the penetration is detected by leak detection systems before unstable fracture occurs (level 3 LBB). If this can be demonstrated in plant design, significant reduction of ...
Purpose: This study presents a dosimetric optimization effort aiming to compare intensity-modulated (IM) X-rays and IM protons in 4 different orbital and paraorbital tumors. These are most challenging targets for standard radiotherapy due to their close relationship with the eyes and related structures. Methods and Materials: A primary orbital lymphoma, an optic nerve meningioma, a sphenoidal ridge meningioma protruding into the orbit, and a pediatric parameningeal paraorbital rhabdomyosarcoma were selected for the purpose of this study. Planning target volumes (PTVs) and organs at risk (OAR) were defined in each patient CT data set for each tumor site. IM X-ray and IM proton three-dimensional treatment plans were implemented. The following total tumor doses were prescribed: 30 Gy for the orbital lymphoma, 54 Gy for both meningiomas, and 50.4 Gy for the rhabdomyosarcoma case. Dose-volume histograms (DVHs) were obtained for all targets and OAR ...
This report describes the progress made during the second Quarter of a two year project to demonstrate that the air pollution, from a traveling grate stoker being used to heat water at a central heating plant in Krakow Poland, can be reduced significantly by replacing the unwashed, unsized coal now being used with a mechanically cleaned, double sized stoker fuel and by optimizing the operating parameters of the stoker. It is anticipated that these improvements will prove to be cost effective and hence be adopted in the other central heating plants in Krakow and indeed throughout Eastern European cities where coal is the primary source of heating fuel. EFH Coal Company has formed a partnership with two Polish institutions -- MPEC a central heating company in Krakow and Naftokrak-Naftobudowa, preparation plant designers and fabricators for this effort. The washability data from a 20mm x 0.5mm size fraction of raw coal from the Staszic Mine were evaluated. The data ...
The response of the reactive flow detector (RFD) toward organometallic compounds of several transition metals has been explored, and several of its strong elemental responses have been characterized in detail. The RFDs minimum detectable flow (measured in picograms of metal per second at S/N_p_-_t_-_p=2) is 0.1 for ruthenium, 3 for chromium, 10 for manganese, 5 for nickel, 15 for iron, and 2 for osmium. Typically, the linearity of response spans four orders of magnitude, with atomic selectivity of metal versus carbon ranging from 2 to 3 orders. Response quenching by co-eluting hydrocarbons is not observed. As a demonstration experiment, the common analysis of methylcyclopentadienyl manganese tricarbonyl (MMT) in gasoline is carried out on an RFD system modified for dual-channel operation. The results show that dual-channel operation of the RFD can increase the native elemental selectivity of manganese over carbon by a factor of 100, in accordance with earlier results ...
Ethanol has excellent fuel properties, such as high octane, high heat of vaporization and low photochemical reactivity in the atmosphere. It is less volatile than gasoline and there is lower smog formation from evaporative emissions of pure ethanol compared to gasoline. As such, ethanol has emerged as an important alternative energy source that is sustainable, efficient, cost effective, convenient and safe. In 2006, global production of ethanol reached 13.5 billion gallons, up from 12.1 billion gallons in 2005. However, in light of the current debate of food versus fuel, the industry must shift to non-food feedstocks. This paper described an emerging technology to cost-effectively produce ethanol from sweet sorghum stalks, the most promising alternative feedstock to corn, via solid state fermentation (SSF). Experiments of advanced solid state fermentation (ASSF) for ethanol production from sweet sorghum by Saccharomyces cerevisiae were conducted in laboratory and pilot scales studies. ...
"1"8F-fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET) scan has been found to reflect tumor aggressiveness and prognosis in various types of cancer. However, pattern of FDG uptake in biliary malignancies and its clinical significance have not been studied well. The purpose of this study was to assess the additional value of "1"8F-FDG PET in differential diagnosis and prognosis of cholangiocarcinoma (CC) according to the tumor location and tumor morphology. From April 2005 to May 2008, eighty two patients (M:F=55:27, age 66.2#+-#9.6 yrs) with CC underwent "1"8F-FDG PET. For semiquantitative analysis, the maximum standardized uptake value (SUV_m_a_x) was obtained from the primary tumor. The difference of SUV_m_a_x according to the tumor location and tumor growth pattern, such as scirrhous type, nodular type, polypoid type were compared. Overall sensitivity of PET scan was 81.7% in CC. SUV_m_a_x on PET scan in intrahepatic CC ...
Sixty-three subjects, aged 6 months to 16 years, who were enrolled in a prospective, fully blinded, randomized parallel-group phase III clinical trial, received 0.1 mmol/kg doses of either Gd-BOPTA (n=29) or Gd-DTPA (n=34). The MR images were acquired before and within 10 min of contrast agent injection. The primary objective was to compare the difference from pre-dose to post-dose lesion visualization between Gd-BOPTA and Gd-DTPA. Lesion visualization was determined as the sum of individual scores for three criteria of lesion morphological characteristics (lesion border delineation, internal morphology, and contrast enhancement), each assessed qualitatively using 4-point scales. Quantitative evaluation compared changes in lesion-to-background (LBR) and contrast-to-noise (CNR) ratios and per cent enhancement. Monitoring for adverse events and evaluation of vital signs and laboratory values was performed. Pre-dose to post-dose changes in lesion visualization were ...
This 4.5-year project consisted of routine analytical support to DOE`s direct liquefaction process development effort (the Base Program), and an extensive effort to develop, demonstrate, and apply new analytical methods for the characterization of liquefaction process streams (the Participants Program). The objective of the Base Program was to support the on-going DOE direct coal liquefaction process development program. Feed, process, and product samples were used to assess process operations, product quality, and the effects of process variables, and to direct future testing. The primary objective of the Participants Program was to identify and demonstrate analytical methods for use in support of liquefaction process development, and in so doing, provide a bridge between process design, and development, and operation and analytical chemistry. To achieve this objective, novel analytical methods were evaluated for application to direct coal liquefaction-derived ...
Several steam generator tube rupture accidents have occurred at plants in the past. In this paper the Computational Multi-Fluid Dynamics (CMFD) investigation of the horizontal steam generator thermal-hydraulics during the tube rupture accident is performed. A guillotine of a steam generator U-tube is assumed with choked flow from the primary to the secondary side of the steam generator. We have computed water and steam velocity fields, steam volume fraction distribution on the steam generator secondary (shell) side, as well as the swell level increase. The simulation results are a support to the safety analyses of the steam generator tube rupture accident. Numerical simulation is performed with the multidimensional multi-fluid modelling approach. The two-phase flow around steam generator tubes in the bundle is modelled by the porous media approach. Interfacial mass, momentum and energy transfer are modelled with the closure laws. The governing equations are solved ...
The understanding of fission product deposition in realistic steam generator conditions is needed for release estimates in PSA studies, and for the design of efficient accident management procedures. This is considered very important because primary-to-secondary leakages risk dominant sequences in many plants. Furthermore, the decay heat of the fission product deposits adds to the thermal load to the steam generator tubes also in other sequences, especially in case of cold leg leakages. This brings out the concern of induced steam generator tube ruptures in cases, where the steam generators are initially intact. The experimental data showed that the highest deposited fraction within the tubes were found in cases with lowest flow velocities. The minimum value of the deposited fraction was observed at intermediate flow velocities. With these relatively low Reynolds numbers, the results calculated with deposition models agree well with the experiments. At high ...
The understanding of fission product deposition in realistic steam generator conditions is needed for release estimates in PSA studies, and for the design of efficient accident management procedures. This is considered very important because primary-to-secondary leakages risk dominant sequences in many plants. Furthermore, the decay heat of the fission product deposits adds to the thermal load to the steam generator tubes also in other sequences, especially in case of cold leg leakages. This brings out the concern of induced steam generator tube ruptures in cases, where the steam generators are initially intact. The experimental data showed that the highest deposited fraction within the tubes were found in cases with lowest flow velocities. The minimum value of the deposited fraction was observed at intermediate flow velocities. With these relatively low Reynolds numbers, the results calculated with deposition models agree well with the experiments. At high ...
Boron Neutron Capture Therapy (BNCT) is a promising binary treatment modality for high-grade primary brain tumors (glioblastoma multiforme, GM) and other cancers. BNCT employs a boron-10 containing compound that preferentially accumulates in the cancer cells in the brain. Upon neutron capture by {sup 10}B energetic alpha particles and triton released at the absorption site kill the cancer cell. In order to gain penetration depth in the brain Fairchild proposed, for this purpose, the use of energetic epithermal neutrons at about 10 keV. Phase I/II clinical trials of BNCT for GM are underway at the Brookhaven Medical Research Reactor (BMRR) and at the MIT Reactor, using these nuclear reactors as the source for epithermal neutrons. In light of the limitations of new reactor installations, e.g. cost, safety and licensing, and limited capability for modulating the reactor based neutron beam energy spectra alternative neutron sources are being contemplated for wider ...
The 1,3-dipolar cyclo addition reactions between benzyl azide and the alpha,beta-unsaturated lactones crotonolactone, alpha-methylenebutyrolactone and Beta-angelica lactone have been performed. The best yields of cycloadducts were obtained by working without solvent, at 60 degree centigree in a sealed tube under nitrogen atmosphere. (3aRS,6aSR)-1-Benzyl-3 a, 4,6,6a-tetrahydro-1H-furo[3,4-d]-1,2,3-triazol-4-one and 3-benzyl-7-oxa-1,2,3-triazaspiro[4.4] non-1-en-6-one have been isolated in 36% and 78% yield from the reactions of the two first lactones respectively. The second product is the first example of this heterocyclic system. The reaction with Beta-angelica lactone yielded the primary cycloadducts (3aR,S,6RS,6aSR)-and (3aRS,6SR,6aSR)-1-benzyl-3a,4,6,6a-tetrahydro-6-methyl-1H-furo[3,4-d]-1,1,3-triazol-4-one and the nitrogen elimination product 4-benzylamino-5-methyl 1-2(5H)-furanone in 44%, 11%, and 7% yield respectively. 26 refs.