WorldWideScience
8

Prevalence and Predisposing Factors for Bundle Branch Block in Patients Starting Dialysis  

British Library Electronic Table of Contents (United Kingdom)

Introduccion y objetivos Aunque los bloqueos de rama (BR) se consideran hallazgos frecuentes, la informacion sobre su prevalencia real en la poblacion general es escasa, y es inexistente en los pacientes en dialisis. El objetivo es establecer la prevalencia del BR completo en la poblacion que inicia dialisis y los factores relacionados con su aparicion. Como analisis adicional, se explora su asociacion con la mortalidad y con la aparicion de un evento cardiovascular. Metodos Se incluyo a los pacientes que iniciaron dialisis en nuestro centro entre el 1 de noviembre de 2003 y el 31 de diciembre de 2006. Todos fueron sometidos a valoracion cardiologica al inicio de dialisis. Determinamos el BR y su relacion con factores clinicos y parametros ecocardiograficos y bioquimicos. Los pacientes fue...

2008-01-01

9

Importance of Recognizing Occult Renal Disease in Hypertensive Patients  

British Library Electronic Table of Contents (United Kingdom)

Introduccion y objetivos La enfermedad renal oculta (ERO) es una entidad que define los estadios mas iniciales de insuficiencia renal y no se detecta con los metodos usados habitualmente. El objetivo es determinar la prevalencia de ERO en los pacientes hipertensos en consultas de cardiologia y su relacion con los distintos factores de riesgo y tratamientos cardiovasculares. Metodos. Estudio observacional, transversal, retrospectivo y multicentrico que se llevo a cabo en 1.214 hipertensos de consultas de cardiologia. Resultados . Se analizo a 1.190 pacientes (98%). El filtrado glomerular (FG) fue calculado (MDRD) por el cardiologo responsable en el 11% de los pacientes. Tras su determinacion a posteriori, el 9,5% presentaba ERO, mas probablemente mujeres, con mas edad, mas antecedents de di...

2009-01-01

10

Developing IT Infrastructure for Rural Hospitals: A Case Study of Benefits and Challenges of Hospital-to-Hospital Partnerships  

UK PubMed Central (United Kingdom)

This article presents a study identifying benefits and challenges of a novel hospital-to-hospital information technology (IT) outsourcing partnership (HHP). The partnership is an innovative response...Full Text Available

2008-07-01

12

EMS and evaluation of environmental aspects: a review  

International Nuclear Information System (INIS)

The Environmental Management System (EMS) is an instrument to manage the interaction between the organization and the environment. The scope od EMS is to reduce the environmental impact and to achieve improvements in overall performances. In particular, the focus point of EMS implementation is the method for identifying and assessing significant environmental aspects. This paper presents a review of methods and techniques existing in this area, and the definition of the state of the art. The results of the literature, regulation and case studies reviews have shown that rigorous, repeatable and transparent methodologies do not exist.

2006-04-01

15

Economic regulation and hospital behavior: the effects on medical staff organization and hospital-physician relationships.  

UK PubMed Central (United Kingdom)

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

1985-12-01

16

Treatment and Course of Community-Acquired Pneumonia Caused by Atypical Pathogens  

British Library Electronic Table of Contents (United Kingdom)

Objetivo Estudiar la evolucion de un grupo de neumonias extrahospitalarias causadas por germenes atipicos (Mycoplasma pneumoniae, Legionella spp., Coxiella burnetii y Chlamydophila pneumoniae) en funcion del tratamiento empirico recibido. Pacientes y metodos Entre enero de 1996 y febrero de 2001 ingresaron en nuestra unidad 390 casos de neumonia, de los que 89 estaban causados por germenes atipicos. Los pacientes se dividieron retrospectivamente en 2 grupos segun el tratamiento empirico pautado: grupo A, al que se habia proporcionado cobertura frente a germenes atipicos (quinolonas o macrolidos), y grupo B, al que no se habia proporcionado dicha cobertura. Se estudio la evolucion segun las diferencias entre ambos grupos en la estancia hospitalaria, la resolucion radiologica, el reingreso e...

2006-01-01

17

Numerical field calculations considering the human subject for engineering and safety assurance in MRI  

UK PubMed Central (United Kingdom)

Numerical calculations of static, switched, and radiofrequency (RF) electromagnetic (EM) fields considering the geometry and EM properties of the human body are used increasingly in MRI to explain...Full Text Available

2009-11-01

20

The impact of the America's Cup on Fremantle Hospital.  

UK PubMed Central (United Kingdom)

The first defence of the America's Cup outside of the USA took place off Fremantle, Western Australia, between October, 1986 and February, 1987. Fremantle Hospital, the nearest hospital to the marinas,...Full Text Available

1989-12-01

21

The New Quality Assurance Standard of the Joint Commission on Accreditation of Hospitals  

UK PubMed Central (United Kingdom)

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

1980-02-01

22

Support for hospital-based HIV testing and counseling: a national survey of hospital marketing executives.  

UK PubMed Central (United Kingdom)

Today, hospitals are involved extensively in social marketing and promotional activities. Recently, investigators from the Centers for Disease Control and Prevention (CDC) estimated that routine testing...Full Text Available

1995-07-01

23

Making the Hospital Safer for Older Adult Patients: A Focus on the Indwelling Urinary Catheter  

UK PubMed Central (United Kingdom)

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

2011-01-01

24

Including Internet insurance as part of a hospital computer network security plan.  

Science.gov (United States)

Cyber attacks on a hospital's computer network is a new crime to be reckoned with. Should your hospital consider internet insurance? The author explains this new phenomenon and presents a risk assessment for determining network vulnerabilities. PMID:11951384

2002-01-01

25

If I Had - A Family History of Heart Disease  

Medline Plus

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

26

Identification and Treatment of Osteoporosis among Elderly Patients with Hip Fractures  

UK PubMed Central (United Kingdom)

OBJECTIVE:To evaluate the profile of osteoporosis treatment among patients hospitalized due to hip fractures at a tertiary-level university hospital. To compare the impact of hospitalization...Full Text Available

2009-12-01

27

Evaluation of patients' assessment of day hospital care.  

UK PubMed Central (United Kingdom)

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

1977-09-01

28

Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections  

UK PubMed Central (United Kingdom)

Objectives:The aim of this study was to analyze clinical records of dental patients attending the Dental Department at the University of Jordan Hospital: a teaching hospital in Jordan....Full Text Available

2008-10-01

29

Integrating the Integrators - A Roadmap to Success  

Energy Technology Data Exchange (ETDEWEB)

The U.S. Department of Energy Environmental Management's (DOE-EM) investments in science and technology, as well as science and technology investments associated with other parts of the DOE are aimed at meeting the Departments cleanup goals. These investments, primarily focused on EM's cleanup mission, comprise the Environmental Quality Research and Development (R&D) portfolios. Synchronizing EM's Cleanup Project Managers (operations facility and process owners throughout the DOE complex) operational needs with EM R&D including the extensive work of the six Focus Areas (major thrust areas within DOE-EM) has been a continuing challenge. This recent initiative to better integrate the R&D program is in response to evolving needs within the Department to apply proven system engineering methods to clarify requirements and define ...

1999-03-01

30

The quality of hospital records of urethral catheterisation.  

UK PubMed Central (United Kingdom)

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

2002-03-01

31

The Johns Hopkins Hospital Network  

UK PubMed Central (United Kingdom)

The Johns Hopkins Hospital has initiated an ambitious program to apply modern technologies to the development of a new, comprehensive clinical information system. One component of this system is a...Full Text Available

1985-11-13

32

Nosocomial Vaccinia Infection  

UK PubMed Central (United Kingdom)

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

1976-10-01

33

Coping Strategies of Family Members of Hospitalized Psychiatric Patients  

UK PubMed Central (United Kingdom)

This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping...Full Text Available

2011-01-01

34

Care of the diabetic child in the community.  

UK PubMed Central (United Kingdom)

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

1980-12-06

35

Assessment of informatization for the dispensing of medications at a university hospital  

UK PubMed Central (United Kingdom)

INTRODUCTIONInformatics and automation are important tools for the reduction of work, errors and costs in a hospital pharmacy.OBJECTIVESTo describe...Full Text Available

2010-04-01

38

Road to Recovery from Prostate Cancer  

Medline Plus

... have the support of the hospital, from the CEO to administration, to the chief of urology that ...

40

Lung irradiation for paraquat toxicity  

International Nuclear Information System (INIS)

(Nov 1985). United Kingdom Williams, MV Addenbrooke's Hospital,

42

An In-Hospital Family Member Cardiopulmonary Resuscitation (CPR) Education Program  

Science.gov (United States)

Cardiac Arrest; Coronary Disease; Cardiovascular Risk Factors

2010-12-13

43

 

Medline Plus

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

44

Hospital waste management in Lebanon  

International Nuclear Information System (INIS)

Hospital wastes comprises approximately 80% domestic waste components, also known as non-risk waste and 20% hazardous or risk waste. The 20% of the hospital waste stream or the risk waste (also known as infectious, medical, clinical wastes) comprises components which could be potentially contaminated with infections, chemical or radioactive agents. Therefore, it should be handled and disposed of in such a manner as to minimize potential human exposure and cross-contamination. Hospital risk waste and be subdivided into seven general categories as follows: infections, anatomical/pathological, chemical, pharmaceutical, radioactive waste, sharps and pressurised containers. These waste categories are generated by many types of health care establishments, including hospitals, clinics, infirmaries.... The document presents also tables of number of hospitals and estimated bed number in ...

1999-06-02

45

Conceptual design of the ATLAS EM muon chamber support structures  

CERN Document Server

The conceptual design of the support structures of the EM muon chambers is presented. On each side of the detector the EM chambers are arranged in four layers: one layer of MDTs and the three layers of TGCs. The chambers are mounted on four individual wheel structures per side. The four wheels are inclined by 1.23% and suspended from two longitudinal beams parallel to the beam axis. In order to allow for the opening of the ATLAS detector the wheels can be displaced longitudinally over a distance of 6 m. In addition individual wheels can be separated from each other by up to 1 m for maintenance purposes.

1998-01-01

47

Know When to Hold`em: The Art of Restraint  

Science.gov (United States)

... Wiki Leaks (The Sunshine Press) Video, 39 min., 2010, electronic video, http://www.collateralmurder.com and http://wikileaks.org/ (accessed 11 ...

2010-05-03

49

Electron Microscope Database - GCMD - NASA  

Science.gov (United States)

Electron Microscope Database. Entry ID: em_database ... Ancillary Keywords. electron microscope. Data Set Progress. IN WORK. Originating Center ...

50

EMS and process of identification and evaluation of environmental aspects: a proposal methodology  

International Nuclear Information System (INIS)

The Environmental Management System (EMS) is an instrument to manage the interaction between the organization and the environment. The scope od EMS is to reduce the environmental impact and to achieve improvements in overall performances. In particular, the focus point of EMS implementation is the method for identifying and assessing significant environmental aspects. The results of the literature and regulation reviews (Perotto 2006) have shown that rigourous repeatable and transparent methodologies do not exist. This paper presents a proposal method for identifying and assessing significant environmental aspects, that has all three of these important characteristics. In particular, the proposal methodology for assessing aspects is based on some criteria that are combined in a specific algorithm. It is important to specify that to make a correct application of the method a preliminary rigorous approach to investigating the ...

2006-05-01

53

On the long term indoor radon concentration measurements the basement of Japanese hospitals  

International Nuclear Information System (INIS)

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

54

Management of sampling and analysis activities in DOE`s Office of Environmental Management  

Energy Technology Data Exchange (ETDEWEB)

DOE`s Office of Environmental Management (EM) is responsible for managing waste and cleaning up contamination at DOE sites across the United States. A substantial fraction of the work performed for EM includes sampling and analysis activities. This paper outlines the Sample Management Programs, achievements to date, and future directions.

1995-12-31

55

Differences of the deformation parameter #beta# for 2"+_1 states of even-even spherical nuclei from electromagnetic excitation and proton scattering  

International Nuclear Information System (INIS)

Differences of the deformation parameters for the 2"+_1 states of even-even spherical nuclei extracted from electromagnetic excitation #beta#sup(em)_2 and from proton scattering #beta#sup(pp')_2 are discussed. It is found that the ratio #beta#sup(pp')_2/#beta#sup(em)_2 is equal to about unity and that there is a small isotope dependence for several incomplete shell nuclei. (orig.).

56

Training African-American residents in the 20th century.  

UK PubMed Central (United Kingdom)

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

2004-03-01

57

The role of the social worker in the accident and emergency department of a district general hospital  

UK PubMed Central (United Kingdom)

This is a retrospective study of the development of the social worker role within the multi-disciplinary team setting of the Accident and Emergency (A&E) Department at Burnley General Hospital...Full Text Available

1994-03-01

58

The effect of physician practice organization on efficient utilization of hospital resources.  

UK PubMed Central (United Kingdom)

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

1994-12-01

59

Telephone reliability of the Frenchay Activity Index and EQ-5D amongst older adults  

UK PubMed Central (United Kingdom)

BackgroundOlder adults may find it problematic to attend hospital appointments due to the difficulty associated with travelling to, within and from a hospital facility for the purpose...Full Text Available

60

Pyogenic abscess of the PSOAS - Description of cases registered in the university hospital of the valley  

International Nuclear Information System (INIS)

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

2006-06-01

61

Prevalence of potential drug interactions in patients in an intensive care unit of a university hospital in Brazil  

UK PubMed Central (United Kingdom)

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

2011-01-01

62

Post-hospital support program for the frail elderly and their caregivers: a quasi-experimental evaluation.  

UK PubMed Central (United Kingdom)

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

1990-01-01

63

Poor Work Environments and Nurse Inexperience Are Associated with Burnout, Job Dissatisfaction, and Quality Deficits in Japanese Hospitals  

UK PubMed Central (United Kingdom)

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

2008-12-01

64

Planned implementations of ePrescribing systems in NHS hospitals in England: a questionnaire study  

UK PubMed Central (United Kingdom)

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

65

Oral cancer awareness amongst hospital nursing staff: a pilot study  

UK PubMed Central (United Kingdom)

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

66

On Being the Right Size: The Impact of Population Size and Stochastic Effects on the Evolution of Drug Resistance in Hospitals and the Community  

UK PubMed Central (United Kingdom)

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

2011-04-01

67

Nursing Research and Participant Recruitment: Organizational Challenges and Strategies  

UK PubMed Central (United Kingdom)

Hospitals as research environments are crucial in advancing evidence-based practice and translational research. The authors discuss issues related to hospital-based nursing research such as...Full Text Available

2010-01-01

68

Medicaid policy and the substitution of hospital outpatient care for physician care.  

UK PubMed Central (United Kingdom)

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

1989-04-01

69

Hospital waste management status in Lebanon  

International Nuclear Information System (INIS)

author.The existing management of hospital waste in Lebanon currently poses both an environmental hazard as well as a public health risk. This is due mainly to lack of legislation, information and modern treatment and disposal facilities designed for this purpose. A nation-wide questionnaire survey was conducted to asses the status of hospital waste management. The study started from October 1997 till August 1998. We found that 75% of the surveyed hospitals completely ignore their total waste quantity: 73% of hospitals surveyed practice segregation at source of infectious, pathological, sharps and pharmaceuticals; more than 40% dispose of their hospital risk wastes through the municipality waste disposal, 24% by burning in open fires, 14% by on-site hospital incinerators, 11% in on-site dumping, 8% handled by a private contractor and 1% in uncontrolled landfill. ...

70

Hospital information management: the need for clinical leadership.  

UK PubMed Central (United Kingdom)

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

1995-07-15

71

Effect of widespread restrictions on the use of hospital services during an outbreak of severe acute respiratory syndrome  

UK PubMed Central (United Kingdom)

BackgroundRestrictions on the nonurgent use of hospital services were imposed in March 2003 to control an outbreak of severe acute respiratory syndrome (SARS) in Toronto, Ont. We...Full Text Available

2007-06-19

72

Development of an Integrated Medical Record System at a Large Hospital Using COSTAR as a Designing Tool  

UK PubMed Central (United Kingdom)

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

1982-11-02

73

Academic Health Systems Management: The Rationale Behind Capitated Contracts  

UK PubMed Central (United Kingdom)

ObjectiveTo determine why hospitals enter into “capitated” contracts, which often generate accounting losses. The authors’ hypothesis is that hospitals coordinate...Full Text Available

2000-06-01

74

A critical review of studies of the association between demands for hospital services and air pollution.  

UK PubMed Central (United Kingdom)

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

1993-07-01

75

A Computerized Hospital to Physician Office Link Based on Readily Available Technology  

UK PubMed Central (United Kingdom)

Most hospitals today are quickly developing special programs and services that are designed to compete for physicians and patients, and ultimately fill unoccupied beds. In an attempt to attract physicians...Full Text Available

1989-11-08

77

Advanced Gas Cooling Study for the Hospital at Davis ...  

Science.gov (United States)

... The performance at reduced condenser water temper- atures was assumed to be the same as that of the single-effect unit. ...

1999-01-01

78

Nationwide Survey of CTX-M-Type Extended-Spectrum ?-Lactamases among Klebsiella pneumoniae Isolates in Slovenian Hospitals ?  

UK PubMed Central (United Kingdom)

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

2009-01-01

79

Longitudinal changes in extended roles in radiography  

Energy Technology Data Exchange (ETDEWEB)

Purpose: The purpose of this research was to identify the extent and scope of changes to radiography practice. Method: Questionnaires were sent to radiology managers at acute National Health Service (NHS) hospitals in 2000 as a follow-up to an initial survey conducted in 1998. Information was sought on region, teaching/non-teaching status, the nature of extended role tasks undertaken and the year in which these tasks were first undertaken. Results: Some 172 questionnaires were returned from a total of 253 dispatched (68%). In 161 hospitals radiographers administered intravenous injections and performed barium enemas in 119 hospitals, while a red-dot system was in operation in 141 hospitals. Reporting by radiographers had increased since 1998. Replies indicated that, at 124 hospitals, radiographers were reporting in ultrasound. Skeletal reporting was the second ...

2002-11-01

80

Health care of the elderly at Tygerberg Geriatric Clinic and Goodwood Aftercare Hospital.  

Science.gov (United States)

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

1980-03-29

81

Measurements of x-ray radiation dose levels during radiological examination in Jos university teaching hospital and Plateau state specialist hospital  

International Nuclear Information System (INIS)

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

2008-10-15

82

Do Higher Hospital-wide Nurse Staffing Levels Reduce In-hospital Mortality in Elderly Patients with Hip Fractures: A Pilot Study  

British Library Electronic Table of Contents (United Kingdom)

Background There is increasing recognition that lower nurse staffing levels are associated with higher morbidity and mortality among medical and surgical patients. The degree to which this applies to elderly patients with hip fractures is unclear. Questions/purposes We conducted a pilot study using administrative data as an initial step in investigating the relationship between nurse staffing levels and in-hospital mortality among elderly patients with hip fractures. Patients and Methods We retrospectively reviewed administrative data for 13,343 patients 65?years or older with a primary diagnosis of hip fracture admitted to 39 Michigan hospitals between 2003 and 2006. We used logistic regression to calculate the change in predicted probability of in-hospital death conferred by differences ...

2011-01-01

83

Energy Management Action Network (EMAK). A scoping study investigating the establishment and support of an international and domestic action network of energy management in industry. Information paper  

Energy Technology Data Exchange (ETDEWEB)

The IEA has identified energy efficiency as essential to achieving a sustainable energy future. In order to improve energy efficiency in industry one of the priority areas for further action is the promotion of more and higher quality energy management (EM) activity. However, there are significant gaps in the current implementation of EM. One method of bridging these gaps would be the creation of an EM Action NetworK (EMAK) to bring practical support to energy managers, connect energy managers to energy policy makers, and interconnect these networks globally. The paper describes possible aims, activities, scope, structure, timelines and approaches related to EMAK and looks at specific tasks that would be important in the set-up and implementation.

2009-12-15

84

Assessment of cost savings of DOE's return-on-investment program  

Energy Technology Data Exchange (ETDEWEB)

The U.S. Department of Energy (DOE) Office of Pollution Prevention (EM-77) created is successful internally competed program to fund innovative projects based on projected returns. This is called the Return-on-Investment (ROI) program. EM-77 conducted a successful ROI pilot, developed and implemented sound management practices, and successfully transferred the program to several Operations Offices. Over the past 4 years sites have completed 262 ROI projects (costing $18.8 million) with claimed first-year savings of $88 million and claimed life cycle savings exceeding $300 million. EM-77 requested that Oak Ridge National Laboratory perform an independent evaluation of the site-led, DOE-HQ-funded pollution prevention (P2) ROI program to assist the Department in determining whether claimed savings are real.

1999-08-01

85

Update on erectile dysfunction treatment for aging men  

British Library Electronic Table of Contents (United Kingdom)

Resumen Estudios epidemiologicos recientes, muestran claramnete la incidencia de la disfuncion erectil con la edad. Por lo tanto, los profesionales sanitarios que se ocupan de las personas de edad avanzada, deberian preparar cuidadosamente el diagnostico y el abordaje de la disfuncion erectil. Es innegable que la introduccion de los inhibidores de la fosfodisterasa tipo 5 (PDE5Is) ha revolucionado el tratamiento de la disfuncion erectil. Los clinicos deberian conocer el potencial de los efectos adversos asociados con el uso de PDE5Is cuando se aconseja a los pacientes. Otras terapias suplementarias y de segunda/tercera linea para la disfuncion erectil, que incluyen las inyecciones intracavernosas, la aplicacion transuretral de medicacion, la testosterona, los sistemas de vacion peneano, la...

2008-01-01

86

The use of "1"3"1I-radioiodine in diagnostic and treatment: estimated risk in Guanabara  

International Nuclear Information System (INIS)

The "1"3"1-radioiodine use in Guanabara area, during 1972-1973, is analysed. References are made to the radiation levels delivered to thyroid, bone marrow and gonads in a population of 27000 people examined by tracer techniques, 190 submitted to hyperthyroidism treatment and 50 treated for thyroid cancer. The pertinent literature gives some data concerning radiation induced cancer (leukaemia and thyroid cancer). By this, it was possible to estimate the probability of tumour occurrence in that population, assuming a linear relationship between dose and effect. The conclusions are the followings: 1 - there are many duties in this field at the present; 2 - the leukaemia incidence related to the 131-radioiodine use is negligible, either in diagnostic or therapeutic modalities; 3 - the possibility of thyroid tumors induced by radiation is real, specially in hyperthyroidism treatment; 4 - the use of tracer techniques that cause lower irradiation to the pacient is ...

87

Structure functions of nuclei in fluctonic model with rescaling  

International Nuclear Information System (INIS)

It is shown that the available data on x, Q"2, and A dependence of nuclear structure functions and for their ratios (EMS effect) can be described in terms of the flucton model with rescaling of parton distributions in nuclei. The x, Q"2 and A dependence of nuclear structure functions in the cumulative range (x >1) is predicted.

89

Flucton model with scaling breaking: EMC effect and lepton pair production on nuclei  

International Nuclear Information System (INIS)

The EMS effect is explained in the flucton model as a consequence of scale invariance violation. Nontrivial behaviour of the ratio between structural functions and production cross sections for lepton pairs for different nuclei at x > 1 is predicted.

91

Ecotoxicology of Explosives  

Energy Technology Data Exchange (ETDEWEB)

Managing sites contaminated with munitions constituents is an international challenge. Although the choice of approach and the use of Ecological Risk Assessment (ERA) tools may vary from country to country, the assurance of quality and the direction of ecotoxicological research are universally recognized as shared concerns. Drawing on a multidisciplinary team of contributors, 'Ecotoxicology of Explosives' provides comprehensive and critical reviews available to date on fate, transport, and effects of explosives. The book delineates the state of the science of the ecotoxicology of explosives, past, present, and recently developed. It reviews the accessible fate and ecotoxicological data for energetic materials (EMs) and the methods for their development. The chapters characterize the fate of explosives in the environment, then provide information on their ecological effects in key environmental media, including aquatic, sedimentary, and terrestrial ...

2009-04-01

92

EM-MWD technology; EM-MWD system jitsuyoka gijutsu  

Energy Technology Data Exchange (ETDEWEB)

A project on the title is a special study of TRC (Technology Research Center) Japan National Oil Corporation, which aims at developing a system collecting many data near well bottom while drilling. The project is a 3-year project from 1993 to 1995 succeeding to results of a project on real-time drilling control technology which was finished in fiscal 1992. This paper is a record in fiscal 1993. In 1993, the first year, TRC starts a joint study with relational enterprises aiming at utilizing an EM-MWD (electromagnetic-measurement while drilling) system practically. Based on the past fruit of the study, the EM-MWD system was applied to an highly inclined well or a horizontal well. A total system was constructed, which improved electromagnetic radiation transmission efficiency, and reliability, and workability. An electromagnetic radiation receiver system for an offshore drilling rig was developed. A well bottom tools of 6-3/4 inches outer ...

1994-10-31

95

CRED Simrad em300 multibeam backscatter data from the submarine slope environment at Rose Island, American Samoa, South ...  

Science.gov (United States)

Multibeam backscatter imagery extracted from gridded bathymetry of Rose Island, American Samoa, South Pacific. These data provide coverage between 20 ... ...

97

State of work for services provided by the Waste Sampling and Characterization Facility for effluent monitoring  

International Nuclear Information System (INIS)

This document defines the services the Waste Sampling and Characterization Facility (WSCF) shall provide Effluent Monitoring (EM) throughout the calendar year for analysis. The internal memo contained in Appendix A identifies the samples Em plans to submit for analysis in CY-1995. Analysis of effluent (liquid and air discharges) and environmental (air, liquid, animal, and vegetative) samples is required using standard laboratory procedures, in accordance with regulatory and control requirements. This report describes regulatory reporting requirements and WSCF services and data quality objectives.

98

Hanford tanks initiative plan  

Energy Technology Data Exchange (ETDEWEB)

Abstract: The Hanford Tanks Initiative (HTI) is a five-year project resulting from the technical and financial partnership of the U.S. Department of Energy`s Office of Waste Management (EM-30) and Office of Science and Technology Development (EM-50). The HTI project accelerates activities to gain key technical, cost performance, and regulatory information on two high-level waste tanks. The HTI will provide a basis for design and regulatory decisions affecting the remainder of the Tank Waste Remediation System`s tank waste retrieval Program.

1997-07-01

99

Development of the SRS environmental counting laboratory gamma spectroscopy system  

International Nuclear Information System (INIS)

The Savannah River Site (SRS), one of several U.S. Department of Energy (DOE) facilities, produces nuclear materials for national defense and for other government and civilian uses. SRS ceased production of defense materials in 1988, and the site's main activities now involve waste management and environmental restoration. These programs have generated extensive effluent monitoring and environmental surveillance programs for the Environmental Monitoring Section (EMS), which performs #approx#105,000 radiological analyses on 30,000 samples a year. Gamma spectroscopy is performed on an estimated 10,000 samples annually. This report describes a program to develop and improve the EMS system.

1996-06-16

100

Factors Associated with Iowa Rural Hospitals' Decision to Convert to Critical Access Hospital Status  

Science.gov (United States)

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

2008-12-01

101

Ten-year cleanup of U.S. Department of Energy weapon sites: The changing roles for technology development in an era of privatization  

Energy Technology Data Exchange (ETDEWEB)

In its beginning, the U.S. Department of Energy (DOE) Office of Environmental Management (EM) viewed private industry as lacking adequate technology know-how to meet demands of hazardous and radioactive waste problems at the DOE`s laboratories and nuclear weapons production facilities. In November 1989, EM`s Office of Technology Development (recently renamed the Office of Science and Technology) embarked on a bold program of developing and demonstrating {open_quotes}innovative{close_quotes} waste cleanup technologies that would be safer, faster, more effective, and less expensive than the {open_quotes}baseline{close_quotes} commercial methods. This program has engaged DOE sites, national laboratories, and universities to produce preferred solutions to the problems of handling and treating DOE wastes. More recently, much of this work has shifted to joint efforts with private industry partners to accelerate the use of newly developed technologies ...

1996-12-31

102

Geophysical remote sensing of water reservoirs suitable for desalinization.  

Energy Technology Data Exchange (ETDEWEB)

In many parts of the United States, as well as other regions of the world, competing demands for fresh water or water suitable for desalination are outstripping sustainable supplies. In these areas, new water supplies are necessary to sustain economic development and agricultural uses, as well as support expanding populations, particularly in the Southwestern United States. Increasing the supply of water will more than likely come through desalinization of water reservoirs that are not suitable for present use. Surface-deployed seismic and electromagnetic (EM) methods have the potential for addressing these critical issues within large volumes of an aquifer at a lower cost than drilling and sampling. However, for detailed analysis of the water quality, some sampling utilizing boreholes would be required with geophysical methods being employed to extrapolate these sampled results to non-sampled regions of the aquifer. The research in this report addresses using ...

2009-12-01

103

Violence in a community emergency room.  

UK PubMed Central (United Kingdom)

Violence in both community and county hospitals in the USA is increasing. It caused significant physical, emotional and economic hardship to many emergency department employees. We describe an incident...Full Text Available

1989-12-01

104

Trends in adrenalectomy: a recent national review  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

105

Transient azotaemia is associated with a high risk of death in hospitalized patients  

British Library Electronic Table of Contents (United Kingdom)

Background.There are no suitably powered epidemiological studies of `transient azotaemia' (TA). The objective of this study was to describe the epidemiology of TA and its independent association with hospital mortality. We hypothesized that TA would be associated with an independent increase in the risk of death. Methods.We retrospectively studied all patients admitted to a university-affiliated hospital in Australia between January 2000 and December 2002. Patients were excluded if they were <15 years old, were on chronic dialysis, had kidney transplant or if their length of hospital stay was <24 hours. We defined TA as rapidly recovering acute kidney injury (AKI) (return to no-AKI risk, injury, failure, loss, end stage (RIFLE) class within 72 hours of onset). We performed descriptive and ...

2010-01-01

106

The technical-economic potential of thermal energy saving in hospitals; El potencial tecnico-economico de ahorro de energia termica en hospitales  

Energy Technology Data Exchange (ETDEWEB)

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

2001-07-01

107

Outcomes of Severely Injured Adult Trauma Patients in an Australian Health Service: Does Trauma Center Level Make a Difference?  

British Library Electronic Table of Contents (United Kingdom)

Background Trauma centers are designated to provide systematized multidisciplinary care to injured patients. Effective trauma systems reduce patient mortality by facilitating the treatment of injured patients at appropriately resourced hospitals. Several U.S. studies report reduced mortality among patients admitted directly to a level I trauma center compared with those admitted to hospitals with less resources. It has yet to be shown whether there is an outcome benefit associated with the ?level of hospital? initially treating severely injured trauma patients in Australia. This study was designed to determine whether the level of trauma center providing treatment impacts mortality and/or hospital length of stay. Methods Outcomes were evaluated for severely injured trauma patients with an ...

2011-01-01

108

Nemours Foundation  

Science.gov (United States)

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

109

Navy Medical Resource Planning: Rates of Illness for Various ...  

Science.gov (United States)

... sample. Hosoitalization Data Hospital admission rates across Navy ships :.n 1985 and 1975 are presented in Table 17. ...

2011-05-13

110

Injuries in sailboard enthusiasts.  

UK PubMed Central (United Kingdom)

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

1988-09-01

111

Independent Hospital Dialysis in Brunei  

UK PubMed Central (United Kingdom)

In establishing a chronic haemodialysis unit in Brunei the difficulties encountered were less insuperable than had been expected. Quite unsophisticated patients successfully dialysed unattended in...Full Text Available

1971-09-11

112

Dyspepsia Symptoms and Helicobacter pylori Infection, Nakuru, Kenya  

UK PubMed Central (United Kingdom)

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

2003-09-01

113

Dosimetry audit on the accuracy of 192Ir brachytherapy source strength determinations in Sweden  

Energy Technology Data Exchange (ETDEWEB)

The absorbed dose delivered to the patient in brachytherapy is directly proportional to the source strength in terms of the reference air-kerma rate (RAKR). Verification of this quantity by the hospitals is widely recognized as an important part of a quality assurance program. An external audit was performed on behalf of the Secondary Standard Dosimetry Laboratory at the Swedish Radiation Protection Authority (SSI). The aim was to investigate how accurately the source-strength in 192Ir brachytherapy is determined at Swedish hospitals. The SSI reference well-type ion chamber and calibrated equipment were used to measure the RAKR of an 192Ir source in each of the 14 Swedish afterloading units. Comparisons with values determined by vendors and hospitals were made. Agreement in values of RAKR as determined by SSI, hospitals and vendors were in all cases within the +-3% uncertainty (at a coverage factor of ...

2007-11-15

114

Documentation of Contact Precautions in an Electronic Health Record  

UK PubMed Central (United Kingdom)

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

2011-07-01

115

Comparing healthcare outcomes.  

UK PubMed Central (United Kingdom)

Governments are increasingly concerned to compare the quality and effectiveness of healthcare interventions but find this a complex matter. Crude hospital statistics can be dangerously misleading and...Full Text Available

1994-06-04

116

April 15 02 - NASA  

Science.gov (United States)

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

118

A New Model for the Organizational Structure of Medical Record Departments in Hospitals in Iran  

UK PubMed Central (United Kingdom)

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

119

 

UK PubMed Central (United Kingdom)

OBJECTIVE: To evaluate the effectiveness of a program to improve hypertension control practices in primary care. DESIGN: Retrospective quasi-experimental study. SETTING: Three hospital-based family...Full Text Available

1994-10-01

120

 

UK PubMed Central (United Kingdom)

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

1999-12-01

121

Plan to send NHS patients for private surgery to cut waiting lists - Health News - News - WalesOnline  

Wastenet

... orthopaedics, waiting times, NHS, private hospitals,health news, medical news, health services, medical treatments, health tips NHS ...be sent to private hospitals for surgery in a bid to bring orthopaedic waiting times under control. Plan to send NHS patients for ...

122

Our campuses :: University of Southampton  

Wastenet

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

123

A pragmatic study exploring the prevention of delirium among hospitalized older hip fracture patients: Applying evidence to routine clinical practice using clinical decision support  

UK PubMed Central (United Kingdom)

Delirium occurs in up to 65% of older hip fracture patients. Developing delirium in hospital has been associated with a variety of adverse outcomes. Trials have shown that multi-component preventive...Full Text Available

124

X-ray, Optical, and Radio Observations of SN 1999em and SN 1998S  

CERN Document Server

Observations of the Type II-P (plateau) Supernova (SN) 1999em and Type IIn (narrow emission line) SN 1998S have enabled estimation of the profile of the SN ejecta, the structure of the circumstellar medium (CSM) established by the pre-SN stellar wind, and the nature of the shock interaction. SN 1999em is the first and only Type II-P detected at both X-ray and radio wavelengths. It is the least radio luminous and one of the least X-ray luminous SN ever detected (except for the unusual and very close SN 1987A). The Chandra X-ray data indicate non-radiative interaction of SN ejecta with a power-law density profile (rho \\propto r^{-n} with n ~ 7) with a pre-SN wind with a low mass loss rate of ~2 \\times 10^{-6} Msun/yr for a wind velocity of 10 km/sec, in close agreement with radio mass-loss rate estimates. The Chandra data show an unexpected, temporary rise in the 0.4--2.0 keV X-ray flux at ~100 days after explosion. SN 1998S appears reasonably ...

2001-01-01

125

The Quantum Vacuum of Complex Media. A Unified Approach to the Dielectric Constant, the Spontaneous Emission and the Zero-Temperature Electromagnetic Pressure  

CERN Document Server

We study from a critical perspective several quantum-electrodynamic phenomena commonly related to vacuum electromagnetic (EM) fluctuations in complex media. We compute the resonance-shift, the spontaneous emission rate, the local density of states and the van-der-Waals-Casimir pressure in a dielectric medium using a microscopic diagrammatic approach. We find, in agreement with some recent works, that these effects cannot be attributed to variations on the energy of the EM vacuum but to variations of the dielectric self-energy. This energy is the result of the interaction of the bare polarizability of the dielectric constituents with the EM fluctuations of an actually polarized vacuum. We have found an exact expression for the spectrum of these fluctuations in a statistically homogeneous dielectric. Those fluctuations turn out to be different to the ones of normal radiative modes. It is the latter that carry the ...

2009-01-01

126

In Situ Remediation Integrated Program: FY 1994 program summary  

Energy Technology Data Exchange (ETDEWEB)

The US Department of Energy (DOE) established the Office of Technology Development (EM-50) as an element of the Office of Environmental Management (EM) in November 1989. In an effort to focus resources and address priority needs, EM-50 introduced the concept of integrated programs (IPs) and integrated demonstrations (IDs). The In Situ Remediation Integrated Program (ISR IP) focuses research and development on the in-place treatment of contaminated environmental media, such as soil and groundwater, and the containment of contaminants to prevent the contaminants from spreading through the environment. Using in situ remediation technologies to clean up DOE sites minimizes adverse health effects on workers and the public by reducing contact exposure. The technologies also reduce cleanup costs by orders of magnitude. This report summarizes project work conducted in FY 1994 under the ISR IP in three major areas: treatment ...

1995-04-01

127

From waste minimization to ISO 14000: Taiwan`s experience and prospects  

Energy Technology Data Exchange (ETDEWEB)

Taiwan has completed a very successful five-year industrial waste minimization (IWM) demonstration and promotion project sponsored by the government. From 1990 to 1995, the project successfully disseminated the IWM concept of pollution prevention (P2) to industries. It effectively reduced industrial waste while significantly benefitting the economy by assisting industries in implementing in-plant IWM programs. In July 1995, the second stage of the five-year IWM and ISO 14000 promotion project was initiated for further promoting the IWM, P2, and cleaner production and, in particular, coping with the upcoming international environmental management standards (ISO 14000). To assist industries in establishing an environmental management system (EMS) and accumulating related experience, an EMS pilot demonstration project of five model industries and an ISO 14001 EMS demonstration and promotion project for 22 factories in 13 ...

1996-12-31

128

UNITED STATES DEPARTMENT OF ENERGY WASTE PROCESSING ANNUAL TECHNOLOGY DEVELOPMENT REPORT 2007  

Energy Technology Data Exchange (ETDEWEB)

The Office of Environmental Management's (EM) Roadmap, U.S. Department of Energy--Office of Environmental Management Engineering & Technology Roadmap (Roadmap), defines the Department's intent to reduce the technical risk and uncertainty in its cleanup programs. The unique nature of many of the remaining facilities will require a strong and responsive engineering and technology program to improve worker and public safety, and reduce costs and environmental impacts while completing the cleanup program. The technical risks and uncertainties associated with cleanup program were identified through: (1) project risk assessments, (2) programmatic external technical reviews and technology readiness assessments, and (3) direct site input. In order to address these needs, the technical risks and uncertainties were compiled and divided into the program areas of: Waste Processing, Groundwater and Soil Remediation, and Deactivation and Decommissioning ...

2008-08-12

129

Use of surface affinity enrichment and cryo-embedding to prepare in vitro reconstituted mitotic chromosomes for EM tomography  

Energy Technology Data Exchange (ETDEWEB)

We present a novel preparation method for studies of in vitro reconstituted mitotic chromosomes from Xenopus laevis egg extracts. This method involves a gentle adsorption of chromosomes from the extracts using surface affinity enrichment, followed by plunge freezing, freeze-substitution and cryo-embedding before examination by EM tomography. For comparison, chromosomes were also prepared by a conventional method, which included immobilization of chromosomes in agarose and a room-temperature dehydration (embedding) protocol. Three-dimensional reconstructions showed that samples prepared with the new method have a greater interconnectivity of sub-structural features and a higher compaction ratio together with an apparently less perturbed chromatin structure than those prepared using the conventional approach. The implications of the new method for the preparation of other difficult samples and additional application possibilities are discussed.

2005-07-15

130

The Bedwyr system for model checking over syntactic expressions  

CERN Document Server

Bedwyr is a generalization of logic programming that allows model checking directly on syntactic expressions possibly containing bindings. This system, written in OCaml, is a direct implementation of two recent advances in the theory of proof search. The first is centered on the fact that both finite success and finite failure can be captured in the sequent calculus by incorporating inference rules for {\\em definitions} that allow {\\em fixed points} to be explored. As a result, proof search in such a sequent calculus can capture simple model checking problems as well as may and must behavior in operational semantics. The second is that higher-order abstract syntax is directly supported using term-level $\\lambda$-binders and the quantifier known as $\

2007-01-01

131

Surface equation of state for pulmonary surfactant monolayers at Air-Water interface: Protein-lipid binary mixture monolayers  

British Library Electronic Table of Contents (United Kingdom)

Abstract The available surface equation of state for pure pulmonary surfactant monolayers is generalised to binary mixture monolayers by introducing a group of parameters, i(i-=-1-4) in the form of $x_{r}^{\\beta _{i} } $ to express the influence of the components in new mixing rules and a new factor, I $\\left[ { = \\left( {\\prod\\limits_{i = 1}^{4} {\\beta _{i} } } \\right)^{{\\raise0.5ex\\hbox{$\\scriptstyle 1$}\\kern-0.1em/\\kern-0.15em\\lower0.25ex\\hbox{$\\scriptstyle {4}$}}} } \\right]$, is defined to represent the interaction intensity between two different components. The ---A isotherms getting by the surface equations of state agree with the experimental data for protein-lipid binary monolayers, and the average deviation is about 11.41%. The result shows the order of the interaction intensity b...

2010-01-01

132

On external network model development  

Energy Technology Data Exchange (ETDEWEB)

Although state estimation is a mature technique which is widely available in the EMS industry, experience with practical implementation and use of state estimation and network security analysis functions at electric power utilities over the last two decades indicates recurring difficulties and problems attributable to inadequate external network modeling detail and data. This paper addresses the development of a set of guidelines for external network modeling and data exchange, based on the results of a recent project sponsored by EPRI. A general methodology is developed based on the results of a survey of a representative set of utilities and EMS suppliers, supplemented by subsequent analysis and simulation studies. Distinction is made between guidelines pertaining to external network topology, analog measurements, data exchange, and implementation procedures. A philosophy and approach for constructing and testing external models is also ...

1996-05-01

133

Deep inelastic scattering of leptons on nuclei  

International Nuclear Information System (INIS)

Experimental studied of deep-inelastic scattering of neutrino, antineutrino, #mu#-mesons, electron reactions on He, D, Al, Fe, Au, Be, C, Ca, Ag, N nuclei conducted in recent years at different laboratories the world for consideration of modern status of the problems of R(x, Q"2) = #sigma#sub(L)/#sigma#sub(T) parameter variation and for study on nuclear effects in structural functions of nucleons are described in the review. Experimental information on measurements of the R parameter by data on EMS and SLAK groups is analyzed. It is noted that experimental data on measuring R contain essential errors that hampers unambiguous interpretation of data on nucleon structure. Present experimental data and predictions for explanation of the EMS effect are analyzed from the view point of quark and flucton models of a nucleus.

1984-06-19

134

A case-based approach to outpatient evaluation and management service coding.  

Science.gov (United States)

Understanding Center for Medicare and Medicaid Services (CMS) documentation and coding rules is challenging for most physicians. To accurately bill for clinical services, physicians must learn a system that may initially seem daunting, but is in fact governed by a small number of straightforward rules. The Evaluation and Management (E/M) guidelines for all service codes specify 3 components: history, examination, and medical decision-making, each with a defined set of elements or characteristics. Service coding is based on the level of care supported by the number of history and examination elements and the complexity of decision-making. This article will clarify the guidelines for outpatient clinical services and suggest a practical method of selecting appropriate E/M codes. Because physicians must often choose between billing codes 99213 and 99214 for a visit by an established patient, it will particularly focus on the minimum documentation ...

2008-11-01

135

The Impact of Proactive Chronic Care Management on Hospital Admissions in a German Senior Population  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

136

Potentially pathogenic free-living amoebae isolated from hospital wards with immunodeficient patients in Tehran, Iran  

British Library Electronic Table of Contents (United Kingdom)

This study investigated the occurrence of free-living amoebae (FLA) in immunodeficiency wards of hospitals in Tehran, Iran. A total of 70 dust and biofilm samples from wards serving transplant, pediatric (malignancies), HIV, leukemia and oncology patients of five university hospitals were collected and examined for the presence of FLA using culturing and molecular approaches. Based on the morphology of the amoebae in plate cultures, primer sets were applied for molecular identification of Acanthamoeba, vahlkampfiid amoebae and Hartmannella. Out of 70 samples, 37 (52.9%) were positive for FLA. Acanthamoeba belonged to the T4 genotype was the most prevalent isolate. Presence of the T4 genotype on medical instruments, including an oxygen mask in an isolation room of an immunodeficiency pediat...

2011-01-01

137

The oxygenation of [3-methyl-3H]desacetoxycephalosporin C [7beta-(5-D-aminadipamido)-3-methylceph-3-em-4-carboxylic acid] to [3-hydroxymethyl-3H]desacetylcephalosporin C by 2-oxoglutarate-linked dioxygenases from Acremonium chrysogenum and Streptomyces clavuligerus.  

UK PubMed Central (United Kingdom)

Cell-free extracts of Acremonium chrysogenum and Streptomyces clavuligerus oxidize the 3-methyl group of desacetoxycephalosporin C to a 3-hydroxymethyl group. The enzyme responsible for this reaction...Full Text Available

1978-09-01

139

Production of three vector bosons in {gamma} {gamma} colliders; Producao de tres bosons vetoriais em {gamma} {gamma} colliders  

Energy Technology Data Exchange (ETDEWEB)

The production of three vector bosons in {gamma} {gamma} collisions studying the reactions {gamma} + {gamma} {yields} W{sup +} + W{sup -} + Z{sup 0} and {gamma} + {gamma} {yields} W{sup +} + W{sup -} + {gamma}. 12 refs., 4 figs., 2 tabs.

1994-12-31

140

Modalidade de morte em mamiferos expostos a irradiacao de corpo inteiro (sindrome aguda da radiacao). (Modes of death in mammals exposed to whole body radiation (acute radiation syndromes)).  

Science.gov (United States)

When an animal is exposed to a sufficient amount of radiation, there will be changes in many organs of the body, and as a result of either the effects in one particular organ or the interaction of effects in several organs, the animal as a whole will show...

1990-01-01

141

Electric loading of power transmission lines - statistical methodology and real time management; Carregamento eletrico de linhas de transmissao - metodologia estatistica e gerenciamento em tempo real  

Energy Technology Data Exchange (ETDEWEB)

This paper shows a computerized system, that adopt a statistical methodology and simultaneous measurements of wind velocity and environment temperature, as an experiences at the power transmission lines with environmental monitoring systems. 9 figs., 16 refs.

1991-12-31

142

Cumulative hadron production in quark models of flucton fragmentation  

International Nuclear Information System (INIS)

Quark models of cumulative particle production and EMS effect are analyzed. All the models are characterized by a universal relationship between the spectrum of cumulative nucleons and the cross section of cumulative particles containing valence nuclear quarks. This relationship is tested for a deuteron. The role is discussed played by secondary nuclear processes for heavy nuclei. A special role of ''sea'' cumulative particles (K"-, p-bar) is pointed out in understanding the nature of the difference between the structure functions of a nucleus and of free nucleon.

143

Corona effect in high voltage transmission lines; O efeito corona em linhas eletricas aereas de alta-tensao  

Energy Technology Data Exchange (ETDEWEB)

Corona from bare conductors of electrical overhead power lines is studied in this article. Its origin, as well as, its bad influences over communication systems are both studied, yet. Line`s models are defined, in order to be able the examination of Corona on line`s cables. Formulas for the surface electrical gradient calculations are shown. (author) 2 refs.

1993-12-01

144

Use of a questionnaire to obtain an alcohol history from those attending an inner city accident and emergency department.  

UK PubMed Central (United Kingdom)

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

1989-03-01

145

Unique health care utilization patterns in a homeless population in Ghent  

UK PubMed Central (United Kingdom)

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

146

Tracheo-innominate artery erosion: Successful surgical management of a devastating complication.  

UK PubMed Central (United Kingdom)

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

1976-08-01

147

Thirty-five cases of transient hyperthyroidism.  

UK PubMed Central (United Kingdom)

Over a 7-year period transient hyperthyroidism was diagnosed in 35 patients seen in a consulting practice in a community hospital. The patients were followed up for an average of 15 months. Initially...Full Text Available

1984-05-01

148

The pattern of isolated sleep paralysis among Nigerian nursing students.  

UK PubMed Central (United Kingdom)

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

1992-01-01

149

The human Tp53 Arg72Pro polymorphism explains different functional prognosis in stroke  

UK PubMed Central (United Kingdom)

The functional outcome after stroke is unpredictable; it is not accurately predicted by clinical pictures upon hospital admission. The presence of apoptotic neurons in the ischemic penumbra and perihematoma...Full Text Available

2011-03-14

150

The costs of hospitalization in patients with acute exacerbation of chronic obstructive pulmonary disease  

UK PubMed Central (United Kingdom)

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

151

The Trade-Off between Costs and Outcomes: The Case of Acute Myocardial Infarction  

UK PubMed Central (United Kingdom)

ObjectiveTo investigate and to quantify the relationship between hospital costs and health outcomes for patients with acute myocardial infarction (AMI) in Veterans Health Administration...Full Text Available

2010-12-01

152

The Blind NasoTracheal Aspiration Method Is Not a Useful Tool for Pathogen Detection of Pneumonia in Children  

UK PubMed Central (United Kingdom)

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

153

Surge Capacity for Response to Bioterrorism in Hospital Clinical Microbiology Laboratories  

UK PubMed Central (United Kingdom)

Surge capacity is the ability to rapidly mobilize to meet an increased demand. While large amounts of federal funding have been allocated to public health laboratories, little federal funding has been...Full Text Available

2003-12-01

154

Sterilization wave of the future: Microwaves  

Energy Technology Data Exchange (ETDEWEB)

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

1989-11-05

155

Solitary Fibrous Tumor of the Pancreas: Imaging Findings  

UK PubMed Central (United Kingdom)

We report here a case of a pathologically proven solitary fibrous tumor of the pancreas. A 54-year-old man was referred to our hospital for further evaluation of a pancreatic mass that was found incidentally....Full Text Available

2008-07-01

156

Sodium bicarbonate-based hydration prevents contrast-induced nephropathy: a meta-analysis  

UK PubMed Central (United Kingdom)

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

157

Safety Implications of High-Field MRI: Actuation of Endogenous Magnetic Iron Oxides in the Human Body  

UK PubMed Central (United Kingdom)

BackgroundMagnetic Resonance Imaging scanners have become ubiquitous in hospitals and high-field systems (greater than 3 Tesla) are becoming increasingly common. In light of recent...Full Text Available

158

Role-Reversal Exercise with Deaf Strong Hospital to Teach Communication Competency and Cultural Awareness  

UK PubMed Central (United Kingdom)

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

2011-04-11

159

Risk Factors for Piperacillin-Tazobactam-Resistant Pseudomonas aeruginosa among Hospitalized Patients  

UK PubMed Central (United Kingdom)

Antimicrobial resistance is an emerging problem with Pseudomonas aeruginosa. This study determined risk factors for the recovery of piperacillin-tazobactam-resistant P. aeruginosa...Full Text Available

2002-03-01

160

Rifampin pharmacokinetics in children, with and without human immunodeficiency virus infection, hospitalized for the management of severe forms of tuberculosis  

UK PubMed Central (United Kingdom)

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

161

Response to a trial of physician-based inpatient order entry.  

UK PubMed Central (United Kingdom)

Our group has developed a physician-operated inpatient order-entry system (BICS-OE). Mindful of the problems inherent in bringing a radical cultural change such as this to the hospital, we conducted...Full Text Available

1993-01-01

162

Relationship Between Exposure, Clinical Malaria, and Age in an Area of Changing Transmission Intensity  

UK PubMed Central (United Kingdom)

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

2008-08-01

163

Prematurity as a public health problem: US policy from the 1920s to the 1960s.  

UK PubMed Central (United Kingdom)

During the 1920s and 1930s, a number of physicians created model premature infant stations in select hospitals, arguing that medicine could successfully treat premature infants, most of whom could be...Full Text Available

1996-06-01

164

Potentially Inappropriate Prescribing of Benzodiazepines for Older Adults and Risk of Falls During a Hospital Stay: A Descriptive Study  

UK PubMed Central (United Kingdom)

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

2009-07-01

165

Postoperative retention of urine: a prospective urodynamic study.  

UK PubMed Central (United Kingdom)

OBJECTIVE--To investigate the cause of post-operative retention of urine in elderly men. DESIGN--Prospective study. SETTING--Northern General Hospital, Sheffield. PATIENTS--32 consecutive men (median...Full Text Available

1991-04-13

166

Post-operative telephone review is cost-effective and acceptable to patients  

UK PubMed Central (United Kingdom)

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

2010-05-01

167

Posion Prevention in the Home  

UK PubMed Central (United Kingdom)

The Poison Control Centre at Toronto's Hospital for Sick Children received over 25,000 telephone inquiries in 1981. Those at greatest risk of accidental poisoning are children under age five. Education...Full Text Available

1983-06-01

168

Poisonous snakebite in central Texas. Possible indicators for antivenin treatment.  

UK PubMed Central (United Kingdom)

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

1991-05-01

169

Pediatric injuries in an Arabian Gulf country.  

UK PubMed Central (United Kingdom)

OBJECTIVE: To determine the common types of injuries among children (0-14 years) in Al-Ain, United Arab Emirates (UAE). DESIGN: A retrospective descriptive hospital based study. SETTING: Al-Ain Medical...Full Text Available

1997-09-01

170

Pattern of illnesses before cot deaths.  

UK PubMed Central (United Kingdom)

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

1983-11-01

171

Outbreak of Infection with a Multiresistant Klebsiella pneumoniae Strain Associated with Contaminated Roll Boards in Operating Rooms  

UK PubMed Central (United Kingdom)

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

2005-10-01

172

Novel Cefotaximase (CTX-M-16) with Increased Catalytic Efficiency Due to Substitution Asp-240?Gly  

UK PubMed Central (United Kingdom)

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

2001-08-01

173

Nonbacterial thrombotic endocarditis associated with cancer of unknown origin complicated with thrombus in the left auricular appendage: case report  

UK PubMed Central (United Kingdom)

A 63-year-old man was admitted to our hospital with a complaint of right lateroabdominal pain. He was diagnosed with metastatic colon cancer, and then developed multiple brain embolic infarctions 7...Full Text Available

174

Multiple CTX-M-Type Extended-Spectrum ?-Lactamases in Nosocomial Isolates of Enterobacteriaceae from a Hospital in Northern Italy  

UK PubMed Central (United Kingdom)

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

2003-09-01

175

Molecular epidemiology of trimethoprim resistance among coagulase-negative staphylococci.  

UK PubMed Central (United Kingdom)

A 42% (70 of 167 isolates) incidence of resistance to 20 micrograms of trimethoprim per ml was found among clinical isolates of coagulase-negative staphylococci from two hospitals. A specific trimethoprim...Full Text Available

1987-11-01

176

Molecular Epidemiology of Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolated from the Eye  

UK PubMed Central (United Kingdom)

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

2011-02-01

177

Molecular Epidemiology of Escherichia coli Producing Extended-Spectrum ?-Lactamases Isolated in Rome, Italy?  

UK PubMed Central (United Kingdom)

Escherichia coli strains producing extended-spectrum β-lactamases (ESBLs) are a major problem in many different hospitals worldwide, causing outbreaks as well as sporadic infections....Full Text Available

2008-01-01

178

Meningococcal infections in the Hamilton area during 1978.  

UK PubMed Central (United Kingdom)

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

1980-03-08

179

Knowledge and Awareness about Cervical Cancer and Its Prevention amongst Interns and Nursing Staff in Tertiary Care Hospitals in Karachi, Pakistan  

UK PubMed Central (United Kingdom)

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

180

Influences on prescribing in non-fundholding general practices.  

UK PubMed Central (United Kingdom)

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

1996-05-01

181

Implementing a Web-based clinical information system using EMR middle layer services.  

UK PubMed Central (United Kingdom)

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

1996-01-01

182

Impact of a Computerized Clinical Decision Support System on Reducing Inappropriate Antimicrobial Use: A Randomized Controlled Trial  

UK PubMed Central (United Kingdom)

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

2006-07-01

183

Impact of Clinical Oral Chemotherapy Program on Wastage and Hospitalizations  

UK PubMed Central (United Kingdom)

Purpose:The oral chemotherapy cycle management program (CMP) provides clinical management support to patients receiving certain oral chemotherapies. The CMP includes a dose-monitoring...Full Text Available

2011-05-01

184

Hospital Admission Rates and Lengths of Treatment Among a ...  

Science.gov (United States)

Page 1. Page 2. Page 3. Page 4. Page 5. Page 6. Page 7. Page 8. Page 9. Page 10. Page 11. Page 12. Page 13. Page 14. Page 15. Page 16. Page ...

2001-09-01

185

High Prevalence of Extended-Spectrum Beta Lactamases among Salmonella enterica Typhimurium Isolates from Pediatric Patients with Diarrhea in China  

UK PubMed Central (United Kingdom)

We investigated the extended-spectrum beta lactamases among 62 Salmonella enterica Typhimurium isolates recovered from children with diarrhea in a Chinese pediatric hospital. A large...Full Text Available

186

Hepatitis B antigen and antibody in the blood of prostitutes visiting an outpatient venereology department in Rotterdam.  

UK PubMed Central (United Kingdom)

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

1984-10-01

187

Health professionals rarely record history of complementary and alternative medicines  

UK PubMed Central (United Kingdom)

AimsTo identify the completeness of documentation of Complementary And Alternative Medicine (CAM) use in hospital medical records of patients before and after an education programme.Full Text Available

2005-02-01

188

Four year experience of sarcoma of soft tissues and bones in a tertiary care hospital and review of literature  

UK PubMed Central (United Kingdom)

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

189

Epidemiological Risk Factors for Isolation of Ceftriaxone-Resistant versus -Susceptible Citrobacter freundii in Hospitalized Patients  

UK PubMed Central (United Kingdom)

Antimicrobial resistance is an emerging problem among nosocomial bacteria. Risk factors for the recovery of ceftriaxone-resistant (CRCF) or -susceptible (CSCF) Citrobacter freundii...Full Text Available

2003-09-01

190

Effect of structured postgraduate medical education on the care of patients with diabetes.  

UK PubMed Central (United Kingdom)

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

1995-03-01

191

Duration of red blood cell storage is associated with increased incidence of deep vein thrombosis and in hospital mortality in patients with traumatic injuries  

UK PubMed Central (United Kingdom)

IntroductionIn critically ill patients the relationship between the storage age of red blood cells (RBCs) transfused and outcomes are controversial. To determine if duration of RBC...Full Text Available

2009-01-01

192

Diagnosis and management of hepatocellular carcinoma: results of a consensus meeting of The Ottawa Hospital Cancer Centre  

UK PubMed Central (United Kingdom)

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

2010-04-01

193

Cytological diagnosis of a rare case of solid pseudopapillary neoplasm of the pancreas  

UK PubMed Central (United Kingdom)

A 23-year-old woman presented to our hospital with nonspecific pain in the abdomen. She underwent radiological investigations, which revealed a solid and cystic mass in the tail end of the pancreas....Full Text Available

2010-01-01

194

Correlation of Pain Scores, Analgesic Use, and Beck Anxiety Inventory Scores During Hospitalization in Lower Extremity Amputees  

UK PubMed Central (United Kingdom)

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

195

Comprehensive Analysis of Blood Culture Performed at Nine University Hospitals in Korea  

UK PubMed Central (United Kingdom)

BackgroundOptimal blood culture performance is critical for successful diagnosis and treatment of sepsis. To understand the status of blood culture, we investigated several aspects...Full Text Available

2011-04-01

196

Community-based incidence of acute renal failure  

UK PubMed Central (United Kingdom)

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

2007-07-01

197

Characterization of Multidrug Resistant ESBL-Producing Escherichia coli Isolates from Hospitals in Malaysia  

UK PubMed Central (United Kingdom)

The emergence of Escherichia coli that produce extended spectrum β-lactamases (ESBLs) and are multidrug resistant (MDR) poses antibiotic management problems....Full Text Available

2009-01-01

198

CTX-M-Type Extended-Spectrum ?-Lactamase That Hydrolyzes Ceftazidime through a Single Amino Acid Substitution in the Omega Loop  

UK PubMed Central (United Kingdom)

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

2001-12-01

199

CDC - Media Relations - MMWR - June 4, 2004  

Science.gov (United States)

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...

2011-09-24

200

Barotrauma developed during intra-hospital transfer -A case report-  

UK PubMed Central (United Kingdom)

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

2010-12-01

201

BOOKMARKS:  

Wastenet

Secretariat of the Basel Convention United Nations Office at Geneva ...such as public utilities, waste disposal sites, large energy dependent facilities including factories, institutions (hospitals, ...it provides immediate identification of PCB wastes, informs company officials of any special handling or disposal techniques

202

An Investigation of Nurses' Knowledge, Attitudes, and Practices Regarding Disinfection Procedures in Italy  

UK PubMed Central (United Kingdom)

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

203

Acute kidney injury in the intensive care unit: current trends in incidence and outcome  

UK PubMed Central (United Kingdom)

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

2007-01-01

204

Actual and Potential Effects of Medical Resident Coverage on Reimbursement for Inpatient Visits by Attending Physicians  

UK PubMed Central (United Kingdom)

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

2002-06-01

205

Access to Cardiac Interventional Services in Alabama and Mississippi: A Geographical Information System Analysis  

UK PubMed Central (United Kingdom)

ObjectiveThe objective of this study was to determine the contribution of distance to hospitals with cardiac interventional services (CIS) to county age-adjusted myocardial infarction...Full Text Available

206

A survey of the sensitivity of fresh clinical isolates to cefuroxime and other antibiotics.  

UK PubMed Central (United Kingdom)

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

1979-09-01

207

A Picture Archiving and Communication System Module for Radiology  

UK PubMed Central (United Kingdom)

This paper presents the design and implementation of a clinical picture archiving and communication system (PACS) module within the radiology department of a 700-bed teaching hospital. The system is...Full Text Available

1988-11-09

208

A Longitudinal Study of Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Hospitalizations for Cardiovascular Disease  

UK PubMed Central (United Kingdom)

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

2010-12-01

209

RMIT - Professor named Chair at Epworth Hospital  

Wastenet

...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 ...

210

Analysis of potential self-guarantee tests for demonstrating financial assurance by non-profit colleges, universities, and hospitals and by business firms that do not issue bonds  

Energy Technology Data Exchange (ETDEWEB)

The Nuclear Regulatory Commission (NRC) on December 29, 1993, promulgated self-guarantee requirements that materials licensees may use to demonstrate financial assurance for decommissioning costs. However, nonprofit colleges and universities, nonprofit hospitals, and for-profit firms that do not issue bonds are currently precluded, by their unique accounting and financial reporting systems, or by other features of their business practices, from using the financial tests for self-guarantors adopted by the NRC. This Report evaluates several alternative financial tests that might serve as the basis for self-guarantee by these three categories of licensees.

1997-06-01

211

The Muhlbauer method for pipeline risk management in onshore environment; O metodo de Muhlbauer para gerenciamento de risco em linhas de dutos em ambiente 'onshore'  

Energy Technology Data Exchange (ETDEWEB)

There are several methods for the risk assessment and risk management applied to pipelines, among them the Muhlbauer's Method. W. Kent Muhlbauer is an internationally recognized authority on pipeline risk management. He made a detailed identification about 300 distinct conditions that influence the risk assessment in pipelines and he proposed a score system that is known as method of Muhlbauer. The purpose of this model is to evaluate the public exposure to the risk and identify ways for management that risk in fact. The assessment is made by the attribution of quantitative values to the several items that influences in the pipeline risk. This paper approaches the Muhlbauer's basic model for risk assessment and management in pipelines. In the beginning, the basic model for risk assessment is presented, and methodology for pipelines in onshore environment is detailed. After, presents major items in risk assessment and this relative score. Finally, present the ...

2008-07-01

212

Pressure based leak detection system implanted on the business Unit Exploration and Production of PETROBRAS in Rio Grande do Norte e Ceara; Sistema de deteccao de vazamentos em dutos baseado em pressao implantado na Unidade de Negocios de Exploracao e Producao da PETROBRAS no Rio de Grande do Norte e Ceara  

Energy Technology Data Exchange (ETDEWEB)

This paper presents the experience faced by people who works in PETROBRAS Business Unit (UN-RNCE), located in Rio Grande do Norte Province, Brazil, during the implementation of a pipeline leak detection system. That application involved nine multiphase oil pipelines distributed along several production facilities. Because of the emergency after the leakage that polluted the Guanabara bay and due to the two phases and multi phases pipelines characteristics, the UN-RNCE decided to apply the Pressure Point Analysis (PPA) technology in order to detect leakages. It is a statistical method for leak detection e uses a very simple instrumentation which facilitates the installation and maintenance. However, in order to get the best performance of the system, it is necessary to know thoroughly the whole process and have a fast and reliable SCADA system for long distance communication. Finally it will be shown the test results, the recommendations to expand the system and the conclusions. ...

2003-07-01

213

Observational approach implementation guidance: Year-end report  

Energy Technology Data Exchange (ETDEWEB)

It is generally recognized that the Remedial Investigation/Feasibility Study (RI/FS) process can be time-consuming and costly. To expedite the process, the Environmental Protection Agency, through the National Contingency Plan and Office of Solid Waste and Emergency Response (OSWER) Directives, has promoted streamlining'' the RI/FS. The concept of streamlining is directly applicable to Resource Conservation and Recovery Act (RCRA) Remedial Facility Investigation/Corrective Measure Study (RFI/CMS) as well. The US Department of Energy's (DOE's) environmental restoration process promises to be lengthy and expensive: therefore, the Office of Environmental Restoration (EM-40) believes that it is to incorporate streamlining into RI/FS and RFI/CMS efforts across the DOE complex. The Office of Program Support (EM-43) has asked Pacific Northwest Laboratory (PNL) to provide presentations and workshops on streamlining ...

1992-06-01

214

Integrated thermal and nonthermal treatment technology and subsystem cost sensitivity analysis  

Energy Technology Data Exchange (ETDEWEB)

The U.S. Department of Energy`s (DOE) Environmental Management Office of Science and Technology (EM-50) authorized studies on alternative systems for treating contact-handled DOE mixed low-level radioactive waste (MLLW). The on-going Integrated Thermal Treatment Systems` (ITTS) and the Integrated Nonthermal Treatment Systems` (INTS) studies satisfy this request. EM-50 further authorized supporting studies including this technology and subsystem cost sensitivity analysis. This analysis identifies areas where technology development could have the greatest impact on total life cycle system costs. These areas are determined by evaluating the sensitivity of system life cycle costs relative to changes in life cycle component or phase costs, subsystem costs, contingency allowance, facility capacity, operating life, and disposal costs. For all treatment systems, the most cost sensitive life cycle phase is the operations and maintenance phase and the ...

1997-02-01

215

Integrated EM & Thermal Simulations with Upgraded VORPAL Software  

Energy Technology Data Exchange (ETDEWEB)

Nuclear physics accelerators are powered by microwaves which must travel in waveguides between room-temperature sources and the cryogenic accelerator structures. The ohmic heat load from the microwaves is affected by the temperature-dependent surface resistance and in turn affects the cryogenic thermal conduction problem. Integrated EM & thermal analysis of this difficult non-linear problem is now possible with the VORPAL finite-difference time-domain simulation tool. We highlight thermal benchmarking work with a complex HOM feed-through geometry, done in collaboration with researchers at the Thomas Jefferson National Accelerator Laboratory, and discuss upcoming design studies with this emerging tool. This work is part of an effort to generalize the VORPAL framework to include generalized PDE capabilities, for wider multi-physics capabilities in the accelerator, vacuum electronics, plasma processing and fusion R&D fields, and we will also discuss user ...

2011-03-01

216

Implementation of the DOE Office of Technology Development Strategic Program Plan for Environmental Education and Development  

Energy Technology Data Exchange (ETDEWEB)

With the November 1989 formation of the Office of Technology Development (OTD) within the Office of Environmental Restoration and Waste Management (EM) came the responsibility to develop programs to ensurethat enough trained and educated people would be available to support the achievement of EM's 30-year goal. This mission responsibility derives from public policy and Departmental environmental management requirements. Within DOE, urgency to move forward resulted from the assumptions (1) that the current workforce was insufficiently prepared for the transition from a production mission to a mission of environmental compliance and cleanup; and (2) that, given current trends and forecasts, the national education infrastructure was unlikely to yield the scientists, engineers, and technicians to meet future DOE workforce needs, especially in the case of women and minorities who, projected to make up two-thirds of the net entering ...

1992-01-01

217

Electron momentum spectroscopy of H_2 and D_2: Ionization to ground and excited final states  

International Nuclear Information System (INIS)

The symmetric noncoplanar (e,2e) cross sections (momentum profiles) of H_2 and D_2 for the transitions to the 2p#sigma#_u and 2s#sigma#_g excited ion states have been measured, relative to the ground-state ion transition, using a high-sensitivity multichannel momentum-dispersive electron momentum spectrometer (EMS) at an impact energy of 1200 eV. Newly calculated plane-wave impulse approximation (PWIA) cross sections, based on a full-configuration-interaction H_2 wave function, are compared to the experimental results. These calculations are in better agreement with the experimental results for the transition to the 2s#sigma#_g ion state than the earlier theoretical work of Liu and Smith, Jr. [Phys. Rev. A 31, 3003 (1985)] which has been found to be in error. Nevertheless, significant discrepancies between the relative experimental and theoretical cross sections are observed for the transitions to excited ion states, suggesting a failure of the PWIA description of ...

218

EMS network security applications of the future  

Energy Technology Data Exchange (ETDEWEB)

Changes facing the electricity supply industry are significant, and the challenges these changes pose are enormous. There are major changes to the business environment of transitional electric utilities. There are also changes in the management of the companies in that nontechnical people are taking over the leadership of traditionally technical companies to deal with the new business scenario. This raises the concern that there may be a lack of familiarity by management of the technical issues involved with the result that the quality of the product may be at risk over the long term. This article deals with the future. It describes a vision for the control center energy management systems (EMS) network security applications as a function of the current and expected changes in the electric supply industry. The objective is to present a conceptual specification. It suggests possible approaches to the problems control centers are likely to encounter in the future. ...

1996-04-01

219

Correlation between designed wall thickness of gas pipelines and external and internal corrosion processes; Adequacao de espessura de parede projetada em funcao de processos de corrosao externa e interna em gasodutos  

Energy Technology Data Exchange (ETDEWEB)

Corrosion control on gas pipelines plays an important role on the assessment of pipeline integrity and reliability. In many countries a great extension of buried pipelines is used on transport and distribution systems. This extension will be certainly increased in a near future due to the increasing consumption of natural gas. Inadequate corrosion control can drive to pipeline failures, bringing up the possibility of accidents in populated or environmental protected areas, bringing together severe economical, legal and environmental consequences. Corrosion is frequently considered as a natural and inevitable phenomenon. Based upon this assumption, some recommendations are included on design standards of gas pipelines in order to compensate its detrimental effect. The aim of this work is to present a review of the correlation between external corrosion process and the guidelines established during the project phase of gas pipelines. It is intended to contribute for a better ...

2004-07-01

220

Collective behavior of stock price movements in an emerging market  

CERN Document Server

To investigate the universality of the structure of interactions in different markets, we analyze the cross-correlation matrix ${\\mathbf C}$ of stock price fluctuations in the National Stock Exchange (NSE) of India. We find that this {\\em emerging} market exhibits strong correlations in the movement of stock prices compared to {\\em developed} markets, such as the New York Stock Exchange (NYSE). This is shown to be due to the dominant influence of a common market mode on the stock prices. By comparison, interactions between related stocks, e.g., those belonging to the same business sector, are much weaker. This lack of distinct sector identity in emerging markets is explicitly shown by reconstructing the network of mutually interacting stocks. Spectral analysis of ${\\mathbf C}$ for NSE reveals that, the few largest eigenvalues deviate from the bulk of the spectrum predicted by random matrix theory, but they are far fewer in number compared ...

2007-01-01

221

A Wide-Band Electromagnetic Impedance Profiling System forNon-Invasive Subsurface Characterization  

Energy Technology Data Exchange (ETDEWEB)

A non-invasive, wide-band electromagnetic (EM) impedance difference system for shallow subsurface electrical structure characterization in environmental and engineering problems has been developed at the Lawrence Berkeley National Laboratory (LBNL). Electrical parameters of interest are electrical conductivity and dielectric permittivity that are deduced from the impedance difference data. The prototype system includes a magnetic loop transmitter, which operates between 0.1 MHz and 100 MHz, an electrical dipole antenna for observing the electric field, and a loop antenna for measuring the magnetic field.All antennas are mounted on a cart made of non-metallic material for easy movement of the whole array for profiling. Surface EM impedance difference is obtained by taking the difference of the ratios of the electric fields to the magnetic fields at selected frequencies at two different levels. Numerical simulations will be presented to verify ...

2004-12-17

222

Ultraviolet Complete Electroweak Model Without a Higgs Particle  

CERN Document Server

An electroweak model with running coupling constants described by an energy dependent entire function is utraviolet complete and avoids unitarity violations for energies above 1 TeV. The action contains no physical scalar fields and no Higgs particle and the physical electroweak model fields are local and satisfy microcausality. The $W$ and $Z$ masses are compatible with a symmetry breaking $SU(2)_L\\times U(1)_Y \\rightarrow U(1)_{\\rm em}$, which retains a massless photon. The vertex couplings possess an energy scale $\\Lambda_W > 1$ TeV predicting scattering amplitudes that can be tested at the LHC.

2010-01-01

223

The AMS-02 electromagnetic calorimeter  

CERN Document Server

The Electromagnetic Calorimeter (ECAL) of the AMS-02 experiment is a lead-scintillating fibers sampling calorimeter characterized by high granularity that allows to image the longitudinal and lateral showers development, a key issue to provide high electron/hadron discrimination. The light collection system and the FE electronics are designed to let the calorimeter operate over a wide energy range from few GeV up to 1 TeV. A full-scale prototype of the e.m. calorimeter was tested at CERN in October 2001 using electrons and pions beams with energy ranging from 3 to 100 GeV. Effective sampling thickness, linearity and energy resolution were measured. (8 refs).

2002-01-01

224

Ten-nanometer surface intrusions in room temperature silicon  

CERN Document Server

Defects ~10 nm in size, with number densities ~10^{10} cm^{-2}, form spontaneously beneath ion-milled, etched, or HF-dipped silicon surfaces examined in our Ti-ion getter-pumped transmission electron microscope (TEM) after exposure to air. They appear as weakly-strained non-crystalline intrusions into silicon bulk, that show up best in the TEM under conditions of strong edge or bend contrast. If ambient air exposure is <10 minutes, defect nucleation and growth can be monitored {\\em in situ}. Possible mechanisms of formation are discussed.

2002-01-01

225

Technical papers presented at the 4. symposium of specialists in electric operational and expansion planning. v. 2; Artigos tecnicos apresentados no 4. simposio de especialistas em planejamento da operacao e expansao eletrica. v. 2  

Energy Technology Data Exchange (ETDEWEB)

This symposium about electric operational and expansion planning presents several articles that approaches issues such as, monitoring the power system stability, electrical load modelling, reliability in power systems, optimization in power systems, integrated resources planning in power systems, reactive control through static compensators, power flow analysis, system modelling, etc

1994-12-31

226

Solenoid transport for heavy ion fusion  

Energy Technology Data Exchange (ETDEWEB)

Solenoid transport of high current, heavy ion beams is considered for several stages of a heavy ion fusion driver. In general this option is more efficient than magnetic quadrupole transport at sufficiently low kinetic energy and/or large e/m, and for this reason it has been employed in electron induction linacs. Ideally an ion beam would be transported in a state of Brillouin flow, i.e. cold in the transverse plane and spinning at one half the cyclotron frequency. The design of appropriate solenoids and the equilibrium and stability of transported ion beams are discussed. An outline of application to a fusion driver is also presented.

2004-06-15

227

Physics with Polarized Antiprotons  

Energy Technology Data Exchange (ETDEWEB)

Polarized antiprotons produced by spin filtering with an internal polarized gas target provide access to a wealth of single- and double-spin observables, thereby opening a window to physics uniquely accessible with the HESR at FAIR. This includes a first measurement of the transversity distribution of the valence quarks in the proton, and a first measurement of the moduli and the relative phase of the time-like electric and magnetic form factors G{sub E,M} of the proton. In polarized and unpolarized pp-bar elastic scattering open questions like the contribution from the odd charge-symmetry Landshoff-mechanism at large |t| and spin-effects in the extraction of the forward scattering amplitude at low |t| can be addressed.

2006-04-15

228

Niobium behaviour in liquid aluminium; Comportamento do niobio em aluminio liquido  

Energy Technology Data Exchange (ETDEWEB)

In this paper we studied the behavior of commercially pure niobium immersed in molten aluminum. The experiments were carried out 800 and 900 deg C during 2 to 128 hours. Chemical and metallographic analyses, as well as microhardness measurements of the niobium specimens were accomplished. An increase of niobium content in the aluminum bath with time was observed. Metallographic observations revealed the formation of Nb Al{sub 3} external intermetallic compound. During dissolution, fragments of this compound settled at the bottom of the crucible. This behaviour was also observed at 900 deg C, nevertheless with higher intensity. (author) 10 refs., 5 figs., 3 tabs.

1996-12-31

229

Material-not-categorized-as-waste survey for 1992  

Energy Technology Data Exchange (ETDEWEB)

In October 1992, the US Department of Energy, Richland Field Office (RL) requested that Westinghouse Hanford Company (WHC) respond to a letter from EM-331 asking for completion of a survey of items in storage but not categorized as waste (Roberts 1992). The letter contained an attachment with instructions on how to fill out the attached form and what to exclude from the survey (Appendix A). This report is a summary of the information from the response issued to RL. This report primarily is for use in estimating future waste volumes that may have been overlooked because of the nature of their classification as material not categorized as waste (MNCAW) (i.e., not yet declared Waste).

1993-07-01

230

Induced plasmon mutations affecting the growth habit of peanuts, A. hypogaea L  

International Nuclear Information System (INIS)

The effectiveness of the acridines ethidium bromide (EB) and acriflavine in inducing plasmon mutations was compared with the alkylating agents ethyl methanesulphonate (EMS) and diethyl sulphate and to #gamma#-rays. The growth habit (trailing versus bunch) of peanuts (A. hypogaea), controlled by genic-cytoplasmic interactions, was utilized. Breeding tests distinguishing nuclear from plasmon mutations were developed and are described in detail. Plasmon mutations were induced, but there were differences in mutation yields between the cultivars and the mutagens. (Auth.).

1978-01-01

231

Indirect stabilization of weakly coupled systems with hybrid boundary conditions  

CERN Document Server

We investigate stability properties of indirectly damped systems of evolution equations in Hilbert spaces, under new compatibility assumptions. We prove polynomial decay for the energy of solutions and optimize our results by interpolation techniques, obtaining a full range of power-like decay rates. In particular, we give explicit estimates with respect to the initial data. We discuss several applications to hyperbolic systems with {\\em hybrid} boundary conditions, including the coupling of two wave equations subject to Dirichlet and Robin type boundary conditions, respectively.

2011-01-01

232

Excitation of Plasma Fluctuations near ion Giro frequencies during RF Plasma Heating in URAGAN-3M Torsatron  

International Nuclear Information System (INIS)

Currentless plasma in Uragan-3M (U-3M) is produced and heated by absorption of RF power in the region of Alfven waves (AW). The process of plasma heating was explained in (2) as a result of Cherenkov absorption of energy of the fast (EM) and slow (kinetic Alfven) waves by electrons and turbulent ion heating due to excitation of short wave ion Bernstein waves (IBW). In this report we present results of studies of plasma density fluctuations showing existence of a narrow bands near the frequencies of ? ? n?ci (n=1,2,3).

2006-01-01

233

Equipment stainless steel entire versus steels bimetallics clad or overlay; Utilizacao de equipamentos de processo construidos em aco inoxidavel integral versus acos bimetalicos cladeado ou 'overlay'  

Energy Technology Data Exchange (ETDEWEB)

This study does not recommend the use of a pressure vessel made of integral stainless steel, due to the failure mechanisms under stress corrosion assisted by chlorides or polythionic acid. Are presented case studies of literature and analysis of reports of proceedings of RLAM reactors, showing that the materials produced by bimetallic clad overlay or are more appropriate, in terms of integrity, for use in equipment that the internal environment requires austenitic stainless steel specification.

2008-07-01

234

Electric induction on a trolley bus contact line, running parallel to a 138 KV overhead transmission line; Inducao em linha de contato de trolebus paralela a uma linha de transmissao de 138 kV  

Energy Technology Data Exchange (ETDEWEB)

Results obtained on induced current and voltage caused by a high voltage transmission lines running parallel at a trolley bus contact lines, are presented. A computer program in Basic language, was developed to calculate the electric induction, problems of safety, a theoretical development and mathematical model of the electric factors between two lines (inductor and induced) are also discussed. 11 figs., 1 tab., 8 refs.

1991-12-31

235

Determination of the semi-empiric relationship among the physical density, the concentration and rate between hydrogen and manganese atoms, and a manganese sulfate solution; Determinacao da relacao semi-empirica entre a densidade fisica, concentracao e razao entre atomos de hidrogenio e manganes em uma solucao de sulfato de manganes  

Energy Technology Data Exchange (ETDEWEB)

The bath of a manganese sulfate (BMS) is a system for absolute standardization of the neutron sources. This work establishes a functional relationship based on semi-empirical methods for the theoretical prediction of physical density values, concentration and rate between the hydrogen and manganese atoms presents in the solution of the BMS

2009-07-01

236

Validity of dementia diagnoses in the danish hospital registers  

DEFF Research Database (Denmark)

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

2007-01-01

237

Sequential outbreaks of multidrug-resistant Acinetobacter baumannii in intensive care units of a tertiary referral hospital in Italy: combined molecular approach for epidemiological investigation  

British Library Electronic Table of Contents (United Kingdom)

SummaryA laboratory-based surveillance study was conducted from January 2007 to May 2010 in San Martino Tertiary Referral Hospital in Genoa, Italy in which the molecular epidemiology of multidrug-resistant Acinetobacter baumannii was investigated in the five intensive care units (ICUs). A total of 53 A. baumannii strains were isolated from patients admitted to ICUs (69.8%) and to other epidemiologically linked hospital wards (30.2%) and were genotyped by repetitive extragenic palindromic polymerase chain reaction (REP-PCR), multilocus sequence typing (MLST) and adeB sequence typing. REP-PCR fingerprinting analysis, MLST and adeB typing results were well correlated and allowed us to classify strains causing epidemic events into three major epidemic clones: A (REP-I/ST4, adeB-STII genotype) ...

2011-01-01

238

Acanthamoeba Keratitis at the King Khaled Eye Specialist Hospital  

International Nuclear Information System (INIS)

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

239

The incidence of acute kidney injury in patients with traumatic brain injury  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

240

Tensions of network security and collaborative work practice: Understanding a single sign-on deployment in a regional hospital  

British Library Electronic Table of Contents (United Kingdom)

Background: Healthcare providers and their IT staff, working in an effort to balance appropriate accessibility with stricter security mandates, are considering the use of a single network sign-on approach for authentication and password management. Single sign-on (SSO) promises to improve usability of authentication for multiple-system users, increase compliance, and help curb system maintenance costs. However, complexities are introduced when SSO is placed within a collaborative environment. These complexities include unanticipated workflow implications that introduce greater security vulnerability for the individual user. Objectives and methodology: In this work, we examine the challenges of implementing a single sign-on authentication technology in a hospital environment. The aim of the...

2011-01-01

241

Systems-based approaches to osteoporosis and fracture care: policy and research recommendations from the workgroups  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

242

Randomised, placebo-controlled trial to evaluate co-trimoxazole to reduce mortality and morbidity in HIV-infected post-natal women in Zambia (TOPAZ)  

British Library Electronic Table of Contents (United Kingdom)

Summary Objective- To evaluate the role of prophylactic trimethoprim-sulfamethoxazole (co-trimoxazole) antibacterial prophylaxis in reducing morbidity and mortality in HIV-infected post-natal women in southern Africa. Methods- Double-blind placebo-controlled trial. HIV-infected women with WHO stage 2 or 3 HIV disease who had recently delivered in the Department of Obstetrics and Gynaecology at the University Teaching Hospital, Lusaka, Zambia were randomised to receive daily co-trimoxazole (cotox) or matched placebo daily for the duration of the trial. Participants were followed up for a minimum of 1-year. Primary outcome measures were mortality from any cause or hospital admission and serious adverse events. Results- Of 600 women randomised, follow-up information was available from 355 (18...

2011-01-01

243

Management of young onset colorectal cancer: divergent practice in the East of England  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

244

High-Volume Centers  

British Library Electronic Table of Contents (United Kingdom)

Outcome from trauma, surgery, and a variety of other medical conditions has been shown to be positively affected by providing treatment at facilities experiencing a high volume of patients with those conditions. An electronic literature search was made to identify English-language articles available through March 2011, addressing the effect of patient treatment volume on outcome for patients with subarachnoid hemorrhage. Limited data were identified, with 16 citations included in the current review. Over 60% of hospitals fall into the lowest case-volume quartile. Outcome is influenced by patient volume, with better outcome occurring in high-volume centers treating >60 cases per year. Patients treated at low-volume hospitals are less likely to experience definitive treatment. Furthermore, t...

2011-01-01

245

Green tea consumption, abdominal obesity as related factors of lacunar infarction in Korean women  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

246

Ethical and legal aspects of management for disorders of sex development  

British Library Electronic Table of Contents (United Kingdom)

Abstract Intense controversy surrounds the management of disorders of sex development, particularly in relation to the validity of parental consent for genital surgery and the removal of gonadal tissue carried out during infancy or childhood. Past practices have been heavily criticised on ethical grounds by patient advocacy organisations, who have demanded a moratorium on these kinds of operations unless authorised by a court. Some doctors and hospital administrators have been influenced by the controversy and have referred cases to the Family Court of Australia, where a series of judgements have now established legal precedents that apply across Australia, restricting the circumstances in which parents can give consent for surgery. An alternative approach is to use a hospital-based Clinic...

2011-01-01

247

Depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Southern Taiwan  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

248

Comparative activity of tigecycline and tetracycline on Gram-negative and Gram-positive bacteria revealed by a multicentre study in four North European countries  

British Library Electronic Table of Contents (United Kingdom)

Abstract Background: This study involves a multicentre surveillance of tigecycline and tetracycline activity against Gram-negative and Gram-positive bacteria from primary care 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...

2011-01-01

249

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist  

Energy Technology Data Exchange (ETDEWEB)

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

1990-04-01

250

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist  

International Nuclear Information System (INIS)

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

1988-07-01

251

Clinical and metabolic characteristics of polycystic ovary syndrome without polycystic ovary: a pilot study on Chinese women  

British Library Electronic Table of Contents (United Kingdom)

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

2008-01-01

252

An Outbreak of Post-Cataract Surgery Endophthalmitis Caused by Pseudomonas aeruginosa  

British Library Electronic Table of Contents (United Kingdom)

Objective Infectious endophthalmitis is among the most serious complications of cataract surgery. Gram-negative bacteria, including Pseudomonas aeruginosa, are responsible for less than 30% of cases; however, their rapidity of infection and virulence often results in poor visual outcome despite prompt antibiotic treatment. The purpose of this study was to investigate an outbreak of post-cataract surgery P. aeruginosa endophthalmitis in India. Design Hospital-based case series. Participants Twenty patients with acute postoperative endophthalmitis who underwent cataract surgery at one of the peripheral centers of Joseph Eye Hospital, Tiruchirapalli, Tamil Nadu, India, from February 23 to April 2, 2008. Interventions Vitreous aspirates and environmental surveillance specimens were inoculated ...

2009-01-01

253

The radiological accident in Tammiku  

International Nuclear Information System (INIS)

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

254

Survey of radiation doses to patients from the diagnostic use of X-rays  

International Nuclear Information System (INIS)

The National Radiological Protection Board is to carry out a survey of doses received by patients from the diagnostic use of X-rays, beginning in June 1977, and carried out at over 100 National Health Service hospitals. Details are given of the reasons for carrying out the survey and the survey objectives. The survey working methods are discussed, together with methods of calculation of the genetically significant dose. The radiation doses will be measured by a thermoluminescent dosimeter developed specially for the survey. (U.K.).

1977-06-01

255

Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial  

UK PubMed Central (United Kingdom)

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

257

RMIT - Improving health and lifestyle  

Wastenet

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

258

Pericardio-peritoneal drainage using a subcostal approach.  

Science.gov (United States)

A 56-year-old man admitted to our hospital for cardiac tamponade due to dilated cardiomyopathy did not respond to treatment by usual medical means or surgery. Pericardio-peritoneal drainage was conducted using a subcostal approach. Seven months later, the patient remains well and free of signs of pericardial tamponade. This method has proved to be safe and effective in patients with persistent massive pericardial effusion. PMID:10496067

1999-08-01

259

Nuclear methods monitor nutrition  

International Nuclear Information System (INIS)

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

260

New Variant of CTX-M-Type Extended-Spectrum ?-Lactamases, CTX-M-71, with a Gly238Cys Substitution in a Klebsiella pneumoniae Isolate from Bulgaria?  

UK PubMed Central (United Kingdom)

A single Klebsiella pneumoniae strain isolated in a Bulgarian hospital was found to produce CTX-M-71, a new CTX-M variant characterized by one amino acid substitution...Full Text Available

2009-10-01

261

Medical explorations by radioisotopes in Lebanon  

International Nuclear Information System (INIS)

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

262

Incidental Findings in Genetics Research Using Archived DNA  

UK PubMed Central (United Kingdom)

You were a patient at Hospital A several years ago when you were suffering from disease X, which has long since resolved. You have just arrived home from a long day's work when the phone rings....Full Text Available

2008-01-01

263

High Prevalence of Ceftazidime-Resistant Klebsiella pneumoniae and Increase of Imipenem-Resistant Pseudomonas aeruginosa and Acinetobacter spp. in Korea: a KONSAR Program in 2004  

UK PubMed Central (United Kingdom)

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

2006-10-31

264

First Outbreak of Multidrug-Resistant Klebsiella pneumoniae Producing both SHV-12-Type Extended-Spectrum ?-Lactamase and DHA-1-Type AmpC ?-Lactamase at a Korean Hospital  

UK PubMed Central (United Kingdom)

PurposeCoexistence of different classes of β-lactamases in a single bacterial isolate may pose diagnostic and therapeutic challenges. We investigated a spread of Klebsiella...Full Text Available

2008-02-29

265

Factors affecting costs and utilization of type 2 diabetes healthcare: a cross-sectional survey among 15 hospitals in urban China  

UK PubMed Central (United Kingdom)

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

266

Early Experience in Using an 18 MeV Linear Accelerator for Mycosis Fungoides at Howard University Hospital  

UK PubMed Central (United Kingdom)

This paper describes the problems and solutions in using 18 MeV linear accelerator, with minimum 6 MeV electron capability, for total skin irradiation for mycosis fungoides. The 6 MeV electron energy...Full Text Available

1977-04-01

267

Complete Dissection of a Hepatic Segment after Blunt Abdominal Injury Successfully Treated by Anatomical Hepatic Lobectomy: Report of a Case  

UK PubMed Central (United Kingdom)

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

268

Clinical application of FCR for the portable chest radiographs in ICU  

Energy Technology Data Exchange (ETDEWEB)

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

1989-08-01

269

Clinical application of FCR for the portable chest radiographs in ICU  

International Nuclear Information System (INIS)

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

1989-01-01

270

CT-guided percutaneous aspiration and drainage of postoperative abdominal fluid collections  

International Nuclear Information System (INIS)

The authors report the personal techniques and the results of CT-guided percutaneous drainage of postoperative abdominal fluid collections. CT-guided percutaneous drainage offers many advantages over surgery: it is less invasive, can be repeated and requires no anesthesia, there are not surgery-related risks and lower morbidity and mortality rates. Moreover, subsequent hospitalization is shorter and costs are consequently reduced. The authors conclude that CT-guided percutaneous drainage is the method of choice in the treatment of postoperative abdominal fluid collections.

1999-03-01

271

A retrospective comparison of endoscopic stenting alone with stenting and radiotherapy in non-resectable cholangiocarcinoma  

International Nuclear Information System (INIS)

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

272

A Language/Action Model of Human-Computer Communication in a Psychiatric Hospital  

UK PubMed Central (United Kingdom)

When a staff physician says to an intern he is supervising “I think you should try medication X,” this statement may differ in meaning from the same string of words spoken between colleagues....Full Text Available

1990-11-07

273

Viscosity of the Earth's inner core: Constraints from nutation observations  

British Library Electronic Table of Contents (United Kingdom)

The gravitational torque applied on the Earth by the other celestial bodies generates periodic variations in the orientation of the Earth's rotation axis in space which are called nutations. Observations of Earth's nutations allow for insights into the physical properties of the inner core because of the presence of a normal mode, the Free Inner Core Nutation (FICN), which is characterized by a tilt of the inner core figure and rotation axes with respect to the mantle and outer core. The frequency of the FICN is controlled by the strength of the mechanical coupling acting at the inner core boundary (ICB) and by the ability of the inner core to deform under the action of centrifugal and gravitational forces. Attenuation of the FICN reflects energy dissipated by electromagnetic (EM) and visc...

2011-01-01

274

Unravelling the complexity of collective mental models: A method for developing and analysing scenarios in multi-organisational contexts  

British Library Electronic Table of Contents (United Kingdom)

In multi-organisational contexts, scenario building has been used to engage stakeholders in a critical discussion on issues of mutual importance, and to gain their support with regards to possible future responses. A review of existing literature suggests that much has been written regarding the process of scenario development and the benefits of the process, but the detailed analysis of scenario building outcomes, which encompass a large number of issues and their complex interconnections, has not been made explicit for studying and enhancing understanding of a complex societal problem. This paper presents a systematic method for analysing such complex outcomes in order to facilitate reflective thinking on important issues within the wider context for policy development. The method was em...

2011-01-01

275

The use of domestic microwave oven in experimental classes of organic chemistry: salicylaldehyde nitration; O uso de aparelhos de micro-ondas domesticos em aulas experimentais de quimica organica: nitracao de salicilaldeido  

Energy Technology Data Exchange (ETDEWEB)

The use of microwave in chemistry has known benefits over conventional heating methods, e.g. reduced reaction times, chemical yield improvement and the possibility if reducing or eliminating the use of organic solvents. We describe herein a procedure for the nitration of salicylaldehyde in water using a domestic microwave oven, which can be used as an experiment in the undergraduate chemistry laboratory. The experiment involves safe and rapid preparation and identification of the position isomers by thin layer chromatography and {sup 1}H NMR, or by their melting points. (author)

2010-07-01

276

Surge pressure behavior in reduced diameter segments of shipping terminals; Comportamento de pulsos de pressao em trechos de diametro reduzido de dutos de terminais maritimos  

Energy Technology Data Exchange (ETDEWEB)

In a shipping terminal, the pipeline in the pier usually has a diameter smaller than the main pipeline diameter. This diameter reduction amplifies the effects caused by hydraulic transients. It was noticed during simulations that check valves placed in the pier may introduce some error in the maximum pressure when it was modeled in a conventional fashion. The dynamic check valve model had been added to a commercial pipeline simulation software and the results was compared with a similar model using the method of characteristics. Considering a real state shipping terminal case, it was proved even a pipeline that works with low pressure and smooth elevation profile needs a detailed valve modeling to prevent the calculation of unreal pressure values in the region with diameter reduction. (author)

2004-07-01

277

Some preliminary views of plasma interaction: electromagnetic-launch systems  

Energy Technology Data Exchange (ETDEWEB)

This discussion outlines a few areas of fundamental research which appear vital for progress in developing advanced propulsion concepts using dc railgun thrusters. We have placed emphasis on the following: (1) dense plasma and high current density influences on changes in microstructure and properties of conventional rail conductors such as Cu, Al, and W alloys or composites; (2) the influences described in (1) on more advanced high temperature, microstrain resistant, materials such as amorphous tungsten; (3) location, description and temporal evolution of current, magnetic field, and losses during intense plasma-current field interactions with conductors; and (4) composite materials and sequentially sectioned structures for more efficient EM dc launcher configuration.

1982-07-14

278

Simulation of the New York Power Pool for dispatcher training  

Science.gov (United States)

This paper describes the simulation of the operating environment of the New York Power Pool (NYPP) within the Dispatcher Training Simulator facility at the New York State Electric and Gas Corporation (NYSEG). The NYSEG control center uses real-time data received from the NYPP control center to control its internal generation. In addition, the NYSEG dispatchers work very closely with the NYPP dispatchers. The exact emulation of the Generation Control functions of the NYPP EMS, and the associated data exchange with the NYSEG ECS, contribute greatly to the high degree of realism achieved in the NYSEG DTS facility. The accuracy of the power system simulation in the DTS has been validated against actual power system disturbances recorded at NYSEG.

1994-11-01

279

Predictability, complexity and learning  

CERN Document Server

We define {\\em predictive information} $I_{\\rm pred} (T)$ as the mutual information between the past and the future of a time series. Three qualitatively different behaviors are found in the limit of large observation times $T$: $I_{\\rm pred} (T)$ can remain finite, grow logarithmically, or grow as a fractional power law. If the time series allows us to learn a model with a finite number of parameters, then $I_{\\rm pred} (T)$ grows logarithmically with a coefficient that counts the dimensionality of the model space. While logarithmic growth of related information theoretic quantities has been found in previous work on learning, power law growth has not been seen in this context. We find that it is associated, for example, with the learning of infinite parameter (or nonparametric) models such as continuous functions with smoothness constraints. There are connections between the predictive information and measures of complexity that have been defined both in ...

2000-01-01

280

Optimized sizing model for renewable energy systems in rural areas; Modelo de dimensionamento otimizado para sistemas energeticos renovaveis em ambiente rurais  

Energy Technology Data Exchange (ETDEWEB)

The purpose of this research was to develop a methodology for sizing integrated renewable energy systems, useful for rural areas, using simulation and optimization tools developed in MATLAB 6.0. The sizing model produces a system with minimum cost and high reliability level, based on the concept of loss of power supply probability (LPSP) for consecutive hours. An optimization model is presented and three different sizing scenarios are calculated and compared, showing flexibility in the elaboration of different project conceptions. The obtained results show a complete sizing of the energy conversion devices and a long-term cost evaluation. (author)

2005-05-15

281

Natural gas utilization in blast furnace of non-integrated pig-iron plants; Utilizacao de gas natural em altos fornos de usinas siderurgicas nao-integradas  

Energy Technology Data Exchange (ETDEWEB)

In this paper, the authors investigate the technical and economical aspects of the natural gas injection in non-integrated pig-iron plants using charcoal in the blast furnace. The effects of the natural gas injection concerning the blast furnace flame temperature, charcoal consumption, productively and permeability are analyzed. It was found that the injection is beneficial in many ways, such as in the improvement of the productivity and quality, if the flame temperature is kept within an appropriate range. In the financial-economic project`s evaluation, the cash flow for the natural gas injection was analysed considering two blast conditions: through the drying and oxygen enrichment of the air. A sensibility analysis is presented in which the internal rate of return of the investment varies according to the prices of charcoal and oxygen. 3 refs., 3 figs., 3 tabs

1990-12-31

282

Modelling and migration of seismic data in transversely isotropic media; Modelamento e migracao de dados sismicos em meios transversalmente isotropicos  

Energy Technology Data Exchange (ETDEWEB)

The forward modelling and the prestack reverse time migration of seismic P-SV wave field was carried out in 2-D models of isotropic and anisotropic media which allow separation of P-SV and SH motion. The P-SV wave field can be described by a system of hyperbolic, first order differential equations in terms of particle velocity and stress. The system of five equations and five unknowns, namely horizontal (U) and vertical (V) velocity components, and three components of stress (T{sub xx}, T-z{sub z} and T{sub xz}) was solved numerically using second order space and forth order time finite differences operators. In order to attenuate numerical dispersion, a staggered grid was used. (author). 48 refs., 5 figs

1993-12-31

283

Implantation of an electronic system for real time neutron graphic images acquisition at the IPEN/CNEN Argonaut reactor; Implantacao de um sistema eletronico para aquisicao de imagens neutrongraficas em tempo real no reator Argonauta do IEN/CNEN  

Energy Technology Data Exchange (ETDEWEB)

The aim of this work is the implantation and characterization of a neutron radiography system that uses an electronic device for attainment of images in real time, for its implementation in the nuclear research reactor Argonauta at IEN/CNEN (Nuclear Engineering Institute of the Brazilian Nuclear Energy Commission). The Electronic Imaging System in Real Time is composed by a scintillator screen for neutron, a video camera (CCD), a digital plate and a computer with specific computational programs for digital processing of the images. The System in installed real time is apt to carry through neutron radiography inspections of static and dynamic events of several types of samples. (author)

2004-04-15

284

Fusion of protoplasts with irradiated micro protoplasts as a tool for radiation hybrid panel in citrus;Fusao de protoplastos com microprotoplastos irradiados como ferramenta para painel hibrido de radiacao em citros  

Energy Technology Data Exchange (ETDEWEB)

The objective of this work was to combine asymmetric somatic hybridization (donor-recipient fusion or gamma fusion) to microprotoplast-mediated chromosome transfer, as a tool to be used for chromosome mapping in Citrus. Swinglea glutinosa micro protoplasts were irradiated either with 50, 70, 100 or 200 gamma rays and fused to cv. Ruby Red grapefruit or Murcott tangor protoplasts. Cell colonies were successfully formed and AFLP analyses confirmed presence of S. glutinosa in both 'Murcott' tangor and 'Ruby Red' grapefruit genomes. (author)

2009-12-15

285

Free electron laser: general concepts and present state of practical importance  

International Nuclear Information System (INIS)

Since the advent of the first free electron laser (FEL) in 1976 up to now, a series of principles, configurations and operation modes of these FELs have been devised and partially implemented. The principles refer to transverse FEL, longitudinal FEL, combined FEL, and transverse optical klystron FEL. Configurations may be standard or many-stage and the undulators may be magnetostatic, electrostatic or electromagnetic. The operation regimes may be low-gain Compton type, high-gain Compton type, Raman type, with and without space charge. The operation modes may be the amplification of an external coherent EM radiation, a self-amplified spontaneous emission (SASE), or an oscillator. The paper presents in detail these concepts and the limit between classical approach and the quantum approach of FEL. (Author).

1994-09-21

286

Extended cognition and the space of social interaction  

British Library Electronic Table of Contents (United Kingdom)

The extended mind thesis (EM) asserts that some cognitive processes are (partially) composed of actions consisting of the manipulation and exploitation of environmental structures. Might some processes at the root of social cognition have a similarly extended structure? In this paper, I argue that social cognition is fundamentally an interactive form of space management-the negotiation and management of "we-space"-and that some of the expressive actions involved in the negotiation and management of we-space (gesture, touch, facial and whole-body expressions) drive basic processes of interpersonal understanding and thus do genuine social-cognitive work. Social interaction is a kind of extended social cognition, driven and at least partially constituted by environmental (non-neural) scaffold...

2011-01-01

287

Exergy transfer in a porous rectangular channel  

British Library Electronic Table of Contents (United Kingdom)

Present paper is performed to investigate the heat and exergy transfer characteristics of forced convection flow through a horizontal rectangular channel where open-cell metal foams of different pore densities such as 10, 20 and 30PPI (per pore inches) were situated. All of the bounding walls of the channel are subjected to various uniform heat fluxes. The pressure drop and heat transfer characteristics are presented by two important parametric values, Nusselt number (NuH) and friction factor (f), as functions of Reynolds number (ReH) and the wall heat flux (q). The Reynolds number (ReH) based on the channel height of the rectangular channel is varied from 600 to 33 000, while the Grashof number (GrDh) ranged from approximately 105-107 depending on q. Based on the experimental data, new em...

2010-01-01

288

Estimating Field Volatility of Soil Fumigants Using CHAIN_2D: Mitigation Methods and Comparison Against Chloropicrin and 1,3-Dichloropropene Field Observations  

British Library Electronic Table of Contents (United Kingdom)

Academic, government, and industrial field researchers have generated a significant database of field studies of the volatility of soil applied fumigants. However, limited work exists in validating physical models against field volatility data sets and fully exploring the volatility parametric response surface. Field studies quantifying atmospheric flux for soil fumigants 1,3-dichloropropene and chloropicrin are validated against the United States Department of Agriculture (USDA Salinity Laboratory) soil physics model CHAIN_2D that was modified specifically for agronomic uses of soil fumigants. Comparison between model predictions and field observations for six unique field trials in five different states indicate that CHAIN_2D effectively captures the magnitude and duration of fumigant em...

2010-01-01

289

Embodied energy and emergy evaluation of a typical biodiesel production chain in China  

British Library Electronic Table of Contents (United Kingdom)

Biodiesel from non-grain feedstock has been considered as one of the proper substitutes for fossil fuels associated with a series of activities emerging in China in order to meet the resource shortage and develop the energy crops. This paper presents an ecological accounting framework based on embodied energy, emergy, and CO2 emission for the whole production chain of biodiesel made from Jatropha curcas L. (JCL) oil. The energy and materials invested in and CO2 emission from the whole process, including cropping, transportation, extraction, and production, are accounted and calculated. Also, EmCO2, the ratio of real CO2 released to the emergy-based sustainability indicator per joule biodiesel, is proposed in this paper to present a new goal function for low-carbon system optimization. Fina...

2011-01-01

290

Electromagnetic forming - a potentially viable technique for accelerator technology  

International Nuclear Information System (INIS)

Modern day accelerator development encompasses a myriad technologies required for their diverse needs. Whereas RF, high voltage, vacuum, cryogenics etc., technologies meet their functional requirements, high finish lapping processes, ceramic-metal joining, oven brazing, spark erosion or wire cutting etc., are a must to meet their fabrication requirements. Electromagnetic (EM) forming technique falls in the latter category and is developed as a special technology. It is currently catering to the development as a nuclear reactor technology, but has the potential to meet accelerator requirements too. This paper highlights the general principle of its working, simple design guidelines, advantages, and suggests some specific areas where this could benefit accelerator technologies

2003-02-03

291

Dynamic modelling of check valves in shipping terminals; Modelagem dinamica de valvulas de retencao em terminais maritimos  

Energy Technology Data Exchange (ETDEWEB)

As usual a shipping terminal contains a header and its diameter is smaller than the main pipeline diameter. This diameter reduction amplifies the effects caused by hydraulic transients. It was noticed during simulations that check valves without dynamic modeling may introduce some error in the maximum pressure results without a dynamic model approach. The current paper uses commercial pipeline simulation software to model the dynamic behavior of the check valves. It was studied the header diameter influence and how the check valve model type may change the maximum pressure in the pipeline. It was proved that even a pipeline that works with low pressure and small elevation drop needs a detailed valve modeling to prevent the calculation of unreal pressure values in the region with diameter reduction. (author)

2005-07-01

292

Determination of Ca, Cr, Cu, Fe, K, Mg, Na and Zn in Brazilian medicinal plants by neutron activation and atomic absorption; Determinacao de Ca, Cr, Cu, Fe, K, Mg, Na e Zn em plantas medicinais brasileiras por ativacao neutronica e absorcao atomica  

Energy Technology Data Exchange (ETDEWEB)

Medicinal plants are available in the markets in Belo Horizonte, Minas Gerais. The objective of this work is to investigate the Ca, Cr, Cu, Fe, K, Mg, Na e Zn concentrations in two lots of usually known diuretics plants (azeitona do mato, cabelo de milho, cavalinha, cervejinha do campo, chapeu de couro, congonha de bugre, marmelinho do campo and quebra pedra) bought with an interval of time - six months - between the purchases. The elemental concentrations were determined applying k{sub 0} instrumental neutron activation analysis and atomic absorption spectrophotometry analysis. (author)

2002-07-01

293

Assessment of the supramolecular structures presents into biological samples by SAXS technique;Avaliacao das estrutras supramoleculares presentes em amostras biologicas atraves da tecnica de SAXS  

Energy Technology Data Exchange (ETDEWEB)

In this work was made an assessment of the supramolecular structures presents into human breast tissue normal and pathological samples, as well as into two types of animals samples (tendon chicken and pork fat) using the small angle x-ray scattering (SAXS) technique. The scattering profiles of the samples were determined at the momentum transfer range O.150nm{sup -1}<=5:q(=4pi.sin({theta}/2)/{lambda})<=8.500nm{sup -1}. In this range, it was possible identify structures corresponding to collagen fibrils (glandular tissue) and to triacylglycerides (adipose tissue) from the correlation between the information extracted from the human breast tissues scattering profiles and those extracted from animals samples. (author)

2009-07-01

294

Antireflection coatings with FeSi2 layer: Application to spectrally selective infrared emitter  

British Library Electronic Table of Contents (United Kingdom)

We have developed efficient spectrally selective infrared (IR) emitters that can be utilized for thermophotovoltaic (TPV) power generation by using stainless steel (SUS304) substrates coated with b- FeSi2 thin films. To develop spectrally selective emitters, we theoretically propose antireflection (AR) coatings consisting of a single layer of a dielectric material having a high refractive index (~5) and are appropriate for use with metals such as stainless steels in the IR region. This type of AR coating is fabricated by sputtering a b- FeSi2 thin film on a polished SUS304 substrate. The reflectance in the IR region is successfully reduced to less than 10%. In addition, the AR properties are stable even at 700 K in air. Therefore, metals with AR coatings of b- FeSi2 can be applied to IR em...

2011-01-01

295

A contribution to the study of the thermal behavior and of the electric performance of squirrel-cage induction motors; Uma contribuicao ao estudo do comportamento termico e do desempenho eletrico de motores de inducao com rotor em gaiola  

Energy Technology Data Exchange (ETDEWEB)

A thermal-electric mathematical model for a squirrel cage induction motors which permits to specify the best motor for specific drive, under thermal and electric aspects based, only on manufacturer technical bulletins and technical information is presented. Changes of rotor parameters due Skin Effect and changes of winding resistances (both stator and rotor) with the temperature are considered. The accuracy of this model is appraised using experimental results. The thermal behavior and electric performance for some motors are obtained for continuos and intermittent duties with sinusoidal and non-sinusoidal voltages. (author)

1992-03-01

296

Global positioning automatic vehicle location system  

Energy Technology Data Exchange (ETDEWEB)

Los Alamos National Laboratory (LANL) is a unique facility covering over 43 square miles. The Emergency Management and Response Office (EM&R) is required to respond, provide Incident Command (IC), and coordination for all Laboratory emergencies. This requires IC`s and support staff to respond to the actual scene of the incident. Since the IC is under numerous constraints and stress, the office wanted the capability of locating the EM&R vehicles on an electronic map. An automated vehicle location (AVL) system was required for the additional safety of the emergency response personal. The requirements for the AVL system include total automatic tracking and low cost. After careful consideration, it was determined that the most efficient and cost effective system would be based on packet radio technology as the transmission media. The location is determined by the Department of Defense Global Positioning System (GPS). The system that was ...

1997-03-01

297

Energy use in swine unit in the finishing system with waste treatment; Uso de energia em unidade suinicola em sistema de terminacao com tratamento de residuos  

Energy Technology Data Exchange (ETDEWEB)

The purpose of this study was to assess the energy flux and energetic balance related to the swine production and the recycling of residues generated by the system for utilization as organic fertilizers. The experiment was carried out at Vale dos Ipes Farm, located in the city of Ouro Verde do Oeste, in the Western of Parana State. One finishing phase swine unity containing 600 animals was monitored from January to June 2005. The treatment system is composed by one steel digester with capacity for 50 m{sup 3}, one sedimentation tank, one algae tank and one bio fertilizer storage tank. The swine barn cleaning is performed by dry scratching on a daily basis. The generated residues flow by gravitation through ducts towards the digester. The duration of the hydraulic retention period was 12 days. In the calculation of energetic efficiency, the energetic component ration is the greatest energetic cost in production system of finishing phase swine, corresponding to 95% from the total direct ...

2006-07-01

298

The use of noninvasive mechanical ventilation in COPD with severe hypercapnic acidosis  

British Library Electronic Table of Contents (United Kingdom)

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

2007-01-01

299

Solid-pseudopapillary tumor of the pancreas in a 13-year-old girl - case report  

International Nuclear Information System (INIS)

The solid-pseudopapillary tumor (SPT) of the pancreas is a rare type of exocrine pancreatic neoplasm. SPT predominantly affects young women and female children, and is usually discovered incidentally. This tumor is generally benign with a low incidence of malignancy. A 13-year-old girl was admitted to the hospital with a few weeks' history of mild abdominal pain and jaundice. On physical examination, there was no palpable mass. The laboratory tests showed increased SR, CRP, high bilirubin, amylase and lipase serum levels. Ultrasound imaging revealed a solid lesion in the region of the pancreatic head. On MRI, precise tumor localization in the head of the pancreas with pancreatic duct dilatation and compression of the common bile duct were visualized. Pancreaticoduodenectomy and cholecystectomy was performed with good clinical outcome. Microscopic and immunohistochemical studies indicated that tumor cells were typical of SPT without any signs of malignancy. After ...

300

Physical aspects of quality assurance in radiotherapy: A protocol for quality control  

International Nuclear Information System (INIS)

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

2009-06-21

301

Health-hazard evaluation report HETA 85-354-1872, Asarco, Denver, Colorado  

Science.gov (United States)

An evaluation was made of possible hazardous working conditions at the ASARCO Globe facility, Denver, Colorado. The facility was involved in the recovery of cadmium from baghouse dust, a waste byproduct of nonferrous smelters. A medical study of kidney function was conducted in 45 current or former cadmium production workers; results were compared to those for 35 hospital workers. Kidney abnormalities were more common and more severe in the cadmium workers than in the hospital workers. Abnormalities of proximal tubular function included reduced reabsorption of beta-2-microglobulin, retinol binding protein, calcium and phosphate. Glomerular dysfunction was evidenced as elevated serum creatinine. As length of exposure to cadmium increased, changes became more apparent in workers. No reversal of the conditions was noted in workers who had ceased to be exposed to cadmium some time before the study. The authors conclude that occupational ...

1988-02-01

302

Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii, and California: demographic, physical, dietary, and biochemical characteristics  

International Nuclear Information System (INIS)

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

303

Thrombolysis: attempting to reduce postcode prescribing in Scotland?  

Science.gov (United States)

The literature is littered with reports presenting the proportion of patients admitted with ischaemic stroke receiving thrombolysis. This gives some measure of activity and the efficiency of prehospital and hospital triage. Some stroke centres have reported rates of thrombolysis as high as 20%, but without knowing the population that such services serve, these proportions do not indicate how well or equitably the treatment is being delivered. Here, we explore various metrics to monitor our efforts to provide equitable access to stroke thrombolysis in Lothian, a region in the South East of Scotland. PMID:21086712

2010-12-01

304

Organisation of care for Swedish patients with an implantable cardioverter defibrillator, a national survey  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

305

Organ doses to atomic bomb survivors during photofluorography, fluoroscopy and computer tomography  

Energy Technology Data Exchange (ETDEWEB)

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

1991-08-01

306

Organ doses to atomic bomb survivors during photofluorography, fluoroscopy and computer tomography  

International Nuclear Information System (INIS)

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

1991-01-01

307

Lung cancer screening program using annual chest radiographs with computed radiography (FCR)  

Energy Technology Data Exchange (ETDEWEB)

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

1987-08-01

308

Lung cancer screening program using annual chest radiographs with computed radiography (FCR)  

International Nuclear Information System (INIS)

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

1987-01-01

309

Field surgery on a future conventional battlefield: strategy and wound management.  

Science.gov (United States)

Most papers appearing in the surgical literature dealing with wound ballistics concern themselves with wound management in the civilian setting. The pathophysiology of modern war wounds is contrasted with ballistic wounds commonly encountered in peacetime, but it should be noted that even in peacetime the modern terrorist may have access to sophisticated military weaponry, and that patients injured by them may fall within the catchment area of any civilian hospital. Management problems associated with both wound types are highlighted; areas of controversy are discussed. The orthodox military surgical approach to ballistic wounds is expounded and defended. PMID:1996857

1991-01-01

310

Exons, Introns and Talking Genes: The Sience Behind the Human Genome Project  

Energy Technology Data Exchange (ETDEWEB)

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

1993-01-01

311

Correct monitoring of stationary battery systems; Stationaere Batteriesysteme richtig ueberwacht  

Energy Technology Data Exchange (ETDEWEB)

There are many applications that necessitate reliable and permanent power supply, e.g. power stations, airports, computer centers or hospitals. The stationary battery systems must be monitored by efficient systems, e.g. Batlog. (orig.) [Deutsch] Viele Anwendungen verlangen eine permanent verfuegbare und zuverlaessige Stromversorgung. Kraftwerke, Flughaefen, Rechenzentren oder Krankenhaeuser muessen ihre Prozesse auch bei einem Netzausfall oder einer Versorgungsunterbrechung weiterbetreiben. Dies gelingt nur, wenn sich der entsprechende Energiespeicher in einsatzbereitem Zustand befindet. Die Ueberwachung der stationaeren Batterieanlagen erfordert leistungsfaehige Systeme wie Batlog. (orig.)

1998-10-01

312

A Business Model Analysis of Telecardiology Service  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

313

Wide Differences in the Estimation of Cost in Endovenous Laser Therapy for Varicose Veins  

Science.gov (United States)

PURPOSE: To investigate differences in cost of endovenous laser therapy (EVLT) using a top-down approach derived from the Annual Report versus a clinically orientated, bottom-up approach at a single hospital. METHODS: Information was obtained from: the day-case activity Service Line Report (SLR) income statement for general surgery, comparative data from the National Audit Commission, reference costs from the hospital finance department on 69 patients and calculations on individual treatment times and session slots (2 EVLT's per 3.5 hr session) on 37 consecutive patients. Duration of treatment, consumables (over #3) and staff pay were also recorded. Overheads were estimated at 15% and adjustments were made based on location and length of stay. RESULTS: Using a top-down approach with SLR data the total cost of EVLT was estimated at #963.78 per treatment after adjustments for services and consumables. This compares with #1,073.34 using national ...

2011-08-01

314

Performance study of teleradiology network systems with CRT monitors. ROC analysis of an observation study of simulated lung nodules  

International Nuclear Information System (INIS)

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

315

Evolution of improved varieties of sesame through induced mutations  

International Nuclear Information System (INIS)

Sesame varieties/genotypes showed a good response to radiation with gamma rays and treatments with EMS. In M_1 both gamma rays and EMS influenced germination, seedling height, survival of plants and pollen fertility/sterility, producing deleterious effects on these characters. Compared to black seeded genotypes, white seeded ones are more susceptible to radiation. Both gamma rays and EMS produced various types of morphological variations in M_2 generation. These were dwarf plant mutants, mottled and fleshy leaved mutants (sterile), fasciated stem, flower colour, altered phyllotaxy, early, uniculm, capsule size variations, multiple capsule/leaf axil, seed coat colour variations, indehiscent and semi-indehiscent type mutants. Moreover, studies on quantitative characters including seed yield revealed the induction of mutants in both positive and negative directions for such traits which made a good scope of selection of ...

2001-01-01

316

Use of natural gas on heavy duty vehicles in Brazil: experience, current scene and barriers that still persist; Utilizacao do gas natural em veiculos pesados no Brasil: experiencia, cenario atual e barreiras que ainda persistem  

Energy Technology Data Exchange (ETDEWEB)

In the 80's, because of the oil crisis, the Natural Gas (NG) appeared as a fuel with a great potential for Diesel replacement in Heavy Duty Vehicles. At that time, PETROBRAS with other companies have developed partial conversion technologies from Diesel to NG, known as 'Dual Fuel'. Engine dynamometer and vehicle bus tests have been developed to verify its technical and economical viability. Because of several factors, the Dual Fuel Program did not advance and the experience was interrupted. At the same time, other experiences using NG Otto Cycle bus engines, manufactured in Brazil, have been conducted, mainly at Sao Paulo, nevertheless, without expansion. Currently, factors as increase of the NG converted light vehicles fleet; the NG excess in the National Market, which has contributed to the NG distribution net expansion; the Environmental Legislature in vigor, that continuously determine lower emission limits; the government interest in increasing the NG ...

2004-07-01

317

The biofuels excellence network; Rede de excelencia em biocombustiveis  

Energy Technology Data Exchange (ETDEWEB)

The organization of the Biofuels Excellence Network, inside PROMINP - the Program of Mobilization of the National Industry of Oil and Natural Gas, has the objective of improving the actions of technical innovation and management in the chain of Oil, Gas Natural and Biofuels, through the optimized use of physical, financial, technological resources, of information and staff, with maximum qualification in areas of the human knowledge, whose purpose is to make decisions on specific problems of improvement of processes and/or products, besides promoting actions for the development and reinforcement of the markets of ethanol and biodiesel. The organization of the Biofuels Excellence Network became necessary, in order to enable Brazil to reach vanguard standards in biofuels (ethanol and biodiesel) in a sustainable, competitive and environmentally responsible way. Among the main reasons for the creation of the Biofuels Excellence Network are: to speed up the acquisition of knowledge and ...

2008-07-01

318

Synchrotron Self-Compton Analysis of TeV X-ray Selected BL Lacertae Objects  

CERN Document Server

We introduce a methodology for analysis of multiwavelength data from X-ray selected BL Lac (XBL) objects detected in the TeV regime. By assuming that the radio--through--X-ray flux from XBLs is nonthermal synchrotron radiation emitted by isotropically-distributed electrons in the randomly oriented magnetic field of a relativistic blazar jet, we obtain the electron spectrum. This spectrum is then used to deduce the synchrotron self-Compton (SSC) spectrum as a function of the Doppler factor, magnetic field, and variability timescale. The variability timescale is used to infer the comoving blob radius from light travel-time arguments, leaving only two parameters. With this approach, we accurately simulate the synchrotron and SSC spectrum of flaring XBLs in the Thomson through Klein-Nishina regimes. Photoabsorption by interactions with internal jet radiation and the intergalactic background light (IBL) is included. Doppler factors, magnetic fields, and absolute jet powers are obtained by ...

2008-01-01

319

Separation of the components of the binary mixture ethanol-water by steam flux in solid phase column; Separacao dos componentes da mistura binaria etanol-agua por passagem do vapor em coluna de fase solida  

Energy Technology Data Exchange (ETDEWEB)

This paper deals with the energy required to separate ethanol from an aqueous solution in a distillation column containing a solid phase. The solid phases evaluated consisted of either an amylatious (ground corn) or a cellulose (sugar cane bagasse) absorber whit particle sizes smaller than 4 mm. The water-retention capacity of each solid phase was measured by passing vapors or ethanol-water mixtures through the solid phase. When starting with initial concentrations bellow the azeotropic point, ethanol concentrations up to 99,5% (on corn) and 97,2% (on sugar cane) were achieved. The water content was evaluated potentiometrically (Karl`Fischer). Regarding the 2-4 mm ground corn solid phase column, the energy consumed was estimated to be reduced by 15,6% and 60% (by weight) ethanol-water mixture respectively. (author) 11 refs., 2 figs., 2 tabs

1987-12-31

320

Ruthenium-106 brachytherapy for uveal melanomas. Preliminary results: a single institutional experience; Braquiterapia com rutenio-106 em melanomas uveais. Resultados preliminares: experiencia uni-instuticional  

Energy Technology Data Exchange (ETDEWEB)

Objective: To analyze the early response of uveal melanomas in patients treated with ruthenium-106 brachytherapy. Materials And Methods: In the period between April 2002 and July 2003, 20 patients diagnosed with uveal melanoma were submitted to ruthenium-106 brachytherapy. The calculated dose delivered at the apex of the tumor ranged between 55 Gy and 100 Gy. Patients with lesions greater than 5 mm were submitted to transpupillary thermotherapy concomitantly with ophthalmic plaque insertion. Results: As regards the lesions site, 75% of the lesions were located in the choroid, 15% in the iris, and the remainder 10% in the ciliary body. In a median 19-month-follow-up, the progression-free survival for brachytherapy was 69%, and 87% for associated brachytherapy and transpupillary thermotherapy. A significant tumor height reduction was observed after treatment. No patient was submitted to enucleation. Conclusion: Our preliminary results show that ruthenium-106 brachytherapy is an ...

2007-03-15

321

Reverse time migration: resolution in cross well seismic surveys; Migracao reversa no tempo: resolucao em levantamentos sismicos interpocos  

Energy Technology Data Exchange (ETDEWEB)

The standards mapping methods are limited by the lack of information between surface measures and wells profiles. The cross well seismic survey has proven being an effective high-resolution method for reservoirs characterization due its high frequency band. In this work, a 2-D finite differences algorithm for numerical cross well seismic simulation was developed, based in the approach of 2nd order for the time derivatives and 4th order for the space derivatives. In relation to the imaging techniques, it was introduced a reverse time migration method based in the solutions of the wave equation in time for cross well seismic data by the method of the finite differences exclusively. The results of reverse time migration has showed that layers with 90 cm thickness for P-waves could be visualized in migrated sections with excellent resolution. The high frequency cross well seismic data combined with reverse time migration have the potential for revealing never seeing reservoir details using ...

2003-07-01

322

Proximal cholangiocarcinoma. Prognostic factor and effectiveness of post operative radiotherapy  

International Nuclear Information System (INIS)

To define the prognostic factors after surgical resection and evaluate the effectiveness of Post Operative Radiotherapy (PORT) in cases with cholangiocarcinoma, 44 cases with proximal cholangiocarcinoma were examined. The mean observation period was 20.6 months, and the survival rates 1, 3 and 5 years after the resection were 79.9%, 59.8% and 39.3%, respectively. Univariate analysis revealed that the presence of lymph node metastasis and absence of PORT were significant poor prognostic factors. Multivariate analysis revealed that the absence of PORT was a significant poor prognostic factor. The survival rates for 1 and 3 years after the resection were 80.0% and 40.0% in the curable A/B and PORT (-) group, and 100% and 53.3% in curable C and PORT (+) group. There were no local reccurences in the pathologically classified hm2 and em2 patients who underwent PORT. Even when the surgical margin is positive for the carcinoma pathologically, it is possible to avoid local ...

2000-10-01

323

Piperidine adsorption on two different silver electrodes: A combined surface enhanced Raman spectroscopy and density functional theory study  

Energy Technology Data Exchange (ETDEWEB)

The surface enhanced Raman scattering (SERS) spectra of piperidine in silver colloid solution, on roughened silver electrode and on roughened silver electrode modified with silver nanoparticles were studied, and the high-quality SERS spectra of piperidine on roughened silver electrode modified with silver nanoparticles were obtained for the first time. Surface selection rules derived from the EM enhancement model were employed to deduce piperidine orientations on the different surfaces. On the basis of this, two models of piperidine adsorbed on the surface of the silver nanoparticles were built, and DFT-B3PW91/LanL2dz was applied to calculate the Raman frequencies. It proves that, at higher potential values, the piperidine is perpendicularly standing on the roughened silver electrode surface though its lone-electron pair, but in silver colloid solution and on the silver nanoparticles modified silver electrode the piperidine molecular lies flat on the silver ...

2007-10-15

324

Performance evaluation of the conventional Brazilian industries radiation protection in the small industrial gauges and industrial radiography areas; Sistema de avaliacao de desempenho em radioprotecao das industrias convencionais brasileiras nas areas de medidores nucleares e radiografia industrial  

Energy Technology Data Exchange (ETDEWEB)

This works evaluates by punctuation the performance in conventional Brazilian industries radiation protection area which make use of small industrial gauges and industrial radiography. It proposes, procedures for industry self-evaluation, besides a new radiation protection plans pattern for the small industrial gauges area. The data source where inspection reports of Dosimetry Radiation Protection Institute/Nuclear Energy Commission conventional Brazilian industries' radiation protection plans, beyond visitation to the inspection place. The performance evaluation has been realized both in the administrative and operational aspects of the industries. About of 60% of the industries have a satisfactory register control which does not happen to the operational control. The performance evaluation advantage is that industries may self-evaluate, foreseeing Dosimetry Radiation Protection Institute's regulation inspections, correcting its irregularities, automatically ...

1999-08-01

325

Partial Isometries of a Sub-Riemannian Manifold  

CERN Document Server

In this paper, we obtain the following generalisation of isometric $C^1$-immersion theorem of Nash and Kuiper. Let $M$ be a smooth manifold of dimension $m$ and $H$ a rank $k$ subbundle of the tangent bundle $TM$ with a Riemannian metric $g_H$. Then the pair $(H,g_H)$ defines a sub-Riemannian structure on $M$. We call a $C^1$-map $f:(M,H,g_H)\\to (N,h)$ into a Riemannian manifold $(N,h)$ a {\\em partial isometry} if the derivative map $df$ restricted to $H$ is isometric; in other words, $f^*h|_H=g_H$. The main result states that if $\\dim N>k$ then a smooth $H$-immersion $f_0:M\\to N$ satisfying $f^*h|_H

2010-01-01

326

Monitoring the Effect of Longwall Mining on Agricultural Environments - Interim Report  

Energy Technology Data Exchange (ETDEWEB)

The project was designed to quantify the impacts of longwall mine subsidence (LWMS) on the production and quality of agricultural vegetated environments. This project utilised a variety of traditional ground based sampling techniques including biomass harvests and estimates, leaf area index (LAI), pasture height, species composition and soil sampling along with proximal sensor data capture using a Crop Circle{trademark} and an EM38. Satellite imagery was collected using the Quickbird satellite and the high resolution imagery was used to monitor large areas of LWMS affected areas and adjacent un-mined land. Two landscapes were investigated using a whole of mine site technique including remote sensing, ground survey and traditional agricultural monitoring methods. The landscapes were at the Kestrel site in Emerald, QLD including a forage sorghum and an improved pasture and at Beltana in the Hunter Valley, NSW including an irrigated lucerne pasture and an unimproved ...

2009-06-15

327

Models comparative study for heat storage in fixed beds; Estudo comparativo de modelos para armazenamento de calor em leitos fixos  

Energy Technology Data Exchange (ETDEWEB)

This work presents comparative results of a numerical investigation of four possible models for the prediction of thermal performance of fixed bed storage units and their thermal design. These models includes Schumann's model, the radial dispersion model, a model that include both axial heat conduction in the fluid phase and admits thermal gradient in the solids particles and finally a two dimensional single phase model. For each of these models a computer code was written and tested to evaluate the computing time of same data and analyze any other computational problems. The tests of thermal performance included particle size, porosity, particle material, flow rate, inlet temperature and heat losses form tank walls and extremities. Dynamics behaviour of the storage units due to transient variation in either flow rate or inlet temperature was also investigated. The results presented include temperature gradients, pressure drop and heat storage. The results obtained are very ...

1991-07-01

328

Measurement-while-drilling (MWD) development for air drilling  

Energy Technology Data Exchange (ETDEWEB)

The objective of this program is to tool-harden and make commercially available an existing wireless MWD tool to reliably operate in an air, air-mist, or air-foam environment during Appalachian Basin oil and gas directional drilling operations in conjunction with downhole motors and/or (other) bottom-hole assemblies. The application of this technology is required for drilling high angle (holes) and horizontal well drilling in low-pressure, water sensitive, tight gas formations that require air, air-mist, and foam drilling fluids. The basic approach to accomplishing this objective was to modify GEC's existing electromagnetic (e-m) CABLELESS''{trademark} MWD tool to improve its reliability in air drilling by increasing its tolerance to higher vibration and shock levels (hardening). Another important aim of the program is to provide for continuing availability of the resultant tool for use on DOE-sponsored, and other, air-drilling programs.

1992-01-01

329

Material and process improvements in condenser tubing  

Energy Technology Data Exchange (ETDEWEB)

The reliability of the surface condenser is a key factor in plant performance level and maintenance cost optimization. This is especially the case for thermal nuclear plants where condenser raw wa-ter ingress can introduce contamination into the chemically-controlled, steam/water loop potentially causing damage to sensitive equipment. Two important parameters must be taken into account when attempting to optimize the quality and the reliability of condenser tubing. They include selecting the appropriate material according to the cooling water corrosion level present. A second and equally important parameter is the manufac-turing of the tubing product itself. This paper will identify methods to optimize manufacturing processes and improve tubing quality, according to VALTIMET's 30 years of condenser welded tubing production experience. Those methods complete the core manufacturing process (forming and welding), through improvement of the metallurgical homogeneity (Roll Sink ...

2010-07-01

330

Magnetic moment measurements of gadolinium, holmium and ytterbium tartrate trihydrate crystals  

British Library Electronic Table of Contents (United Kingdom)

Magnetic moment and susceptibility of single crystals of rare earth tartrates of the type R(C4H4O6)(C4H5O6)3H2O (where R = Gd, Ho, and Yb), using a vibration sample magnetometer are reported. The experimental values of molar susceptibilities for Gd(C4H4O6)(C4H5O6)3H2O, Ho(C4H4O6)(C4H5O6)3H2O, and Yb(C4H4O6)(C4H5O6)3H2O are 2.58x10-2, 4.66x10-2, and 8.03x10-3 (in cgs em units), respectively. The calculated effective magnetic moments are in good agreement with the theoretical predictions on rare earth ions.

2008-01-01

331

Generalized Collective Inference with Symmetric Clique Potentials  

CERN Document Server

Collective graphical models exploit inter-instance associative dependence to output more accurate labelings. However existing models support very limited kind of associativity which restricts accuracy gains. This paper makes two major contributions. First, we propose a general collective inference framework that biases data instances to agree on a set of {\\em properties} of their labelings. Agreement is encouraged through symmetric clique potentials. We show that rich properties leads to bigger gains, and present a systematic inference procedure for a large class of such properties. The procedure performs message passing on the cluster graph, where property-aware messages are computed with cluster specific algorithms. This provides an inference-only solution for domain adaptation. Our experiments on bibliographic information extraction illustrate significant test error reduction over unseen domains. Our second major contribution consists of algorithms for ...

2009-01-01

332

Facial osteomyelitis as complication of chronic sinusitis in hemophiliac-AIDS patients - scintigraphic evaluation with technetium-99m-MDP and Gallium-67; Osteomielitis da face como complicacao de sinusite cronica em hemofilicos aideticos - avaliacao cintilografica com {sup 99m} Tc-MDP e {sup 67} Ga  

Energy Technology Data Exchange (ETDEWEB)

In the paper six cases of facial osteomyelitis as a complication of chronic sinusitis in hemophiliac-AIDS patients are reported. Osteomyelitis was suggested by an increasing of erythrocyte sedimentation rate. The diagnosis was confirmed by a positive {sup 99m} Tc MDP scintigraphy. The patients were submitted to clinical treatment. The erythrocyte sedimentation rate and 67-gallium citrate scans were used in the follow-up of the therapy. Three patients had negative gallium after three weeks of organism-specific antibiotic therapy; in two patients the gallium scintigraphy remained positive. One patient did not undergo the radionuclide scan for this clinical conditions. These results suggest that MDP scans showed higher sensitivity and specificity in detection of bone disease in chronic sinusitis. Gallium scans appeared to be valuable tool in the follow-up of the infection. There are no reports in the literature of osteomyelitis as a complication of chronic sinusitis in AIDS patient. ...

1997-01-01

333

Exemplification of the Game Theory application in auctions of exploratory blocks; Um exemplo de aplicacao de Teoria dos Jogos em leiloes de blocos exploratorios  

Energy Technology Data Exchange (ETDEWEB)

This article describes a methodology to determine the best strategy in an open bid, where oil and gas fields are the targets for exploration. Based upon the previous bid rounds for a given specific area - the Campos Basin, for that matter -, the data were statistically treated to fit a probability density function, modelling the value of bids offered by the competing companies. By means of techniques and concepts pertaining to Game Theory a balance matrix was built for values of bids made by companies as a function of the company alone in assumed bid rounds. At the end of each british auction, participants of this simultaneous game, using the rationality principle, aimed at winning the tender on the oil field aimed for, through the use of better answers with respect to its rival competitor. The game goal was maximize return on investment purchase in the decisions of lease blocks purchases in the auctions, or to try minimize its opponents gains. Proceeding with the work, this time, ...

2003-07-01

334

Evaluation of the increase of superficial dose due to thermoplastic immobilizing in radiotherapy; Avaliacao dos efeitos de superficializacao de dose por imobilizadores termoplasticos em radioterapia  

Energy Technology Data Exchange (ETDEWEB)

Perforated thermoplastic masks are used to provide patients immobilization. This procedure inserts a material in the path of the radiation beam, that attenuates and modifies the beam fluence and flatness. The present study evaluates the increase in skin dose as a result of using thermoplastic masks. Relative doses were measured on the surface of a solid water phantom, in the presence and absence of masks. These masks were stretched according to deformation patterns observed in clinical routine. The measurements were obtained with a plane-parallel chamber (Markus type 23343) and radiochromic film (EBT Gafchromic) for 6MV X-rays from a linear accelerator, and for a radiation beam from a cobalt therapy unit. The results showed that thermoplastic masks, whose thickness varied between 2 and 3 mm, increased the dose on the surface by a factor of 3. Due to the variations in the skin dose distribution, clinical procedures were suggested to minimize radiobiological damages in subcutaneous ...

2010-07-01

335

Evaluation of specific consumption from the use of chicken oil biodiesel in one cylinder generator set; Avaliacao do consumo especifico a partir da utilizacao de biodiesel de oleo de frango em um grupo-gerador monocilindrico  

Energy Technology Data Exchange (ETDEWEB)

Biodiesel can be produced from numerous materials, including by-products of animal chain. In this scenario, the chicken's oil, that is located and an environment not explored for biodiesel production, can be a good alternative in South and Southeast Brazilian Region, where they are slaughtered around 9.100.000 chickens per day. In order to determine the specific consumption from a generator set with single cylinder 6.6 kW of power and generation capacity of 5 kW, using chicken oil biodiesel (B-100), were performed the bench test using a auxiliary tank, precision scale and an energy analyzer. Were conducted four treatments (25%, 50%, 75% and 100% of generating capacity). The worst SC was the engine at 25% of generation capacity (1.5 kW) and better with 75% of maximum load (3.75 kW) with a mean of 479.34 g kWh{sup -1}. By Turkey's test ant 5% probability there was a significant difference only for the first treatment. (author)

2010-07-01

336

Evaluation of red mud as pozzolanic material in replacement of cement for production of mortars; Avaliacao da lama vermelha como material pozolanico em substituicao ao cimento para producao de argamassas  

Energy Technology Data Exchange (ETDEWEB)

Red mud is a by-product of the alkaline extraction of aluminum from the bauxite and represents a renewed environmental problem due the significant annual throughput by the plants. In the present work, the pozzolanic properties of Brazilian red mud fired at 600, 700, 800 and 900 deg C were investigated by monitoring lime consumption using DTA analysis and Brazilian standard methodology NBR 5772 (1992). Products and kinetics of hydration were determined in cement pastes produced with 5 and 15% red mud using x-ray diffraction and DTA analysis. Compressive strength and capillary absorption tests were realized on mortars constituted by 5, 10 and 15% red mud in replacement of cement. When calcined at 600 deg C, the red mud develops good pozzolanic properties, and the compressive strength of mortars produced with this waste meet values in accordance with regulatory standard. These results shown than red mud can be used, in partial replacement of cement, as new construction material to produce ...

2010-07-01

337

Effects of morpho dynamics in shallow waters over pipeline facilities; Efeitos da morfodinamica em aguas rasas sobre instalacoes de dutos  

Energy Technology Data Exchange (ETDEWEB)

The success in developing of the oil industry operating in offshore-onshore terminals, connected by pipelines with the facilities of the coastal zone, can be attributed partially to the beach morpho dynamic monitoring. This study represents a solution to the concerns of the technical operations in coastal zones because it minimizes the impact of the petroleum production and it assures the environmental protection associated to the risks of the pipelines breaking. This impact type results mainly of the vertical and horizontal displacements of the beach, from the coastal dunes to the shore face. The mobility of the profile is associated to the magnitude of the sedimentary processes, which reproduce naturally or not, in scale of time that can vary among few days, years or decades. For the monitoring and interpretation of the beach profile mobility the following methods are recommended: calculation of the closure depth with base in the wave data; bathymetric survey with sled; calculation ...

2003-07-01

338

Determination of the initial energy in computerized tomography with proton beams; Determinacao da energia inicial em tomografia computadorizada com feixe de protons  

Energy Technology Data Exchange (ETDEWEB)

In earliest works devoted to proton computed tomography it was shown that the advantage of pCT image reconstruction appears when the energy is close to the Bragg peak region, since the proton passes the object. This effect provided by the Bragg peak makes the computerized tomography with protons possible. However, when decreasing the initial proton energy, with the increase of the irradiation dose, there are two effects that work simultaneously in opposite ways. First, the energy loss of a proton in an object becomes bigger at small initial energy. At the same time decreasing of the proton energy results in the increase of the energy straggling, requiring a larger number of protons. In this work the radiation dose dependence on the proton initial energy was studied using analytical formulas and computer simulations. The investigation determined that the radiation dose practically does not depend on the initial energy, except in the energy region very close to the minimum energy ...

2007-07-01

339

Core Heat Transfer Model Validation of the TASS/SMR-S Code using the Bennett's Test  

International Nuclear Information System (INIS)

The SMART (System-integrated Modular Advanced ReacTor) which is a 330 MWt advanced integral PWR was developed by the KAERI (Korea Atomic Energy Institute) for electricity generation and seawater desalination. A thermal hydraulic evaluation and analysis of the SMART is performed by the TASS /SMR-S (Transient And Setpoint Simulation/System integrated Modular Reactor-Safety). The TASS/SMR-S code has various models reflecting the design features of the SMART such as the drift flux model, the core models (core power and core heat transfer model), the component models, and the specific models. One of the core models is the core heat transfer model. The role of this model is to calculate the heat flux and radial temperature profiles at a fuel rod surface using the relevant heat transfer correlations for all of the heat transfer modes. Also it is modeled to meet the requirements of the 10 CFR 50 appendix K EM model for the CHF (Critical Heat Flux) and post CHF conditions. ...

2010-10-01

340

Computing Good Nash Equilibria in Graphical Games  

CERN Document Server

This paper addresses the problem of fair equilibrium selection in graphical games. Our approach is based on the data structure called the {\\em best response policy}, which was proposed by Kearns et al. \\cite{kls} as a way to represent all Nash equilibria of a graphical game. In \\cite{egg}, it was shown that the best response policy has polynomial size as long as the underlying graph is a path. In this paper, we show that if the underlying graph is a bounded-degree tree and the best response policy has polynomial size then there is an efficient algorithm which constructs a Nash equilibrium that guarantees certain payoffs to all participants. Another attractive solution concept is a Nash equilibrium that maximizes the social welfare. We show that, while exactly computing the latter is infeasible (we prove that solving this problem may involve algebraic numbers of an arbitrarily high degree), there exists an FPTAS for finding such an equilibrium as long as the best ...

2007-01-01

341

Cogeneration in air separation cryogenic plants; Cogeracao em plantas criogenicas de separacao de ar  

Energy Technology Data Exchange (ETDEWEB)

A thermal and economic study, carried on by using the first and second law of thermodynamics concepts demonstrated the economic feasibility of the cogeneration system, and proposed modifications to be done in the studied cryogenic plant, a typical T-240 NA MPL3 plant. The thermodynamic analysis showed that the second law efficiency of the processes could be improved, together with a 12% electric energy consumption reduction. Four cogeneration schemes were analyzed with both the first and second laws of thermodynamics and, then, the economic analysis was performed. Rankine, Brayton, Otto and Combined gas-steam basic cycles were used in this analysis.The combined gas-steam cycle was shown to be more economically feasible than others. Thermal and electric loads were well balanced, resulting in a higher second law efficiency. Although the initial investment for the modification was higher, the savings resulted to be higher, turning into a higher rate of return of the investment. (author)

2000-07-01

342

Cavity detection based on EM migration of TEM data; TEM ho data no denji migration ni yoru kudo kenshutsu no kokoromi  

Energy Technology Data Exchange (ETDEWEB)

With an objective to discuss applicability of resistivity imaging using electromagnetic migration to detection of underground cavity, an applicability test was carried out on calculation of a numerical model and measurement data. By using the numerical model, a calculation was performed on a hypothetical case that a cubic cavity with sides each at 40 m exists in a homogenous medium of 200 ohm-m, with the cavity top located 20 m below the ground surface. As a result, it was possible to structure in a very short calculation time an image of the cavity which cannot be identified by one-dimensional inverse analysis. In the case of this cavity, a center of the image was structured on its lower face. It was shown that a location to indicate the image must be changed according to difference in the measurement locations. In a test on data measured in an underground cavity in the city of Utsunomiya, Tochigi Prefecture, it was found that the result may vary largely depending on structure of the ...

1997-05-27

343

Bioremediation process in impacted area of petroleum activities; Processos de biorremediacao em areas influenciadas por atividades petroliferas  

Energy Technology Data Exchange (ETDEWEB)

The present work's objective is to test sampling methodologies applied on the bioremediation processes in situ, involving the establishment of sample replicates, specific laboratory procedures and its results, inedited on the referred technique. Agricultural fertilizers were used, NPK and OSMOCOTE, as biostimulants on mangroves substrates affected by petroleum activities. The tested methodology used on the experiment was based on the monitoring of this technology in aquarium with water from Sao Paulo's river and sediment contaminated by oil, realized in three steps (first pre-test, second pre-test and third pre-test) that happened between the months of August and November of 2007. The physical-chemical parameters were measured with portable devices carefully calibrated and the oil analyzed with gas chromatography. The saturated hydrocarbons (n-alkenes) had an increase on the concentrations for some aquariums and these found results do not permit to confirm if the ...

2008-07-01

344

An efficient method for 3-D pre stack migration in time reverse-time depth by using finite difference method; Um metodo eficiente para migracao pre-empilhamento 3-D em profundidade reversa no tempo pelo metodo das diferencas finitas  

Energy Technology Data Exchange (ETDEWEB)

Much of the current technology on 3D-prestack depth migration is based on the Kirchhoff method and the traveltime information needed for this purpose is obtained by the ray-theory approximation. The main motivation driving these options is to reduce computations but it can also have an adverse effect on the quality of results. Experience with real data indicates that the corresponding poststack data migrated by the reverse-time method often yields superior results. Considerable computational efficiency can be obtained by employing nonuniform coarse grid spacing during the reverse-time migration. We followed this strategy for developing a parallel scheme for doing 3D- prestack depth migration. However, we worked only on a small subset of shot gathers whose determined by the Quasi-Monte Carlo method. The results were indistinguishable from those obtained by using a much larger population of uniformly spaced shot gathers. We present examples of migration of 3-D data. (author)

1997-07-01

345

A single sorbent for tetracycline enrichment and subsequent solid-matrix time-resolved luminescence  

Energy Technology Data Exchange (ETDEWEB)

The aim of this study was to search for a sorbent that could act as an extraction phase and as a support for solid-matrix time-resolved luminescence (SMTRL). Four potential sorbents were investigated for this purpose using tetracycline (TC) as a model analyte. Sorbents prepared from C18 silica gel or calcium cross-linked pectin gel were able to extract TC from dilute solutions. Europium(III)-TC complex adsorbed on the surface of C18 generated the most intense TRL signal when measured at {lambda}{sub ex} = 388 nm and {lambda}{sub em} = 615 nm. This method achieved a 1 ng/ml limit of detection (LOD) with a 100 {mu}l sample solution in a repeated spotting mode. Hyphenation of sorbent extraction and SMTRL was demonstrated using C18. This method is suitable for screening of TC in foods or aqueous solutions and can be extended to other luminescent lanthanide-chelating analytes in physiological or environmental samples.

2005-01-10

346

Study of the inorganic constituents in different species of Casearia medicinal plant collected in distinct regions of the Atlantic Forest, SP State, Brazil; Estudo sobre os constituintes inorganicos presentes em diferentes especies da planta medicinal do genero Casearia coletadas em regioes distintas da Mata Atlantica, SP  

Energy Technology Data Exchange (ETDEWEB)

The use of medicinal plants in the treatment of diseases has increased significantly in the last years, as has research concerning chemical characterization of these plants. In this study, inorganic constituents were determined in leaves and in extracts from three medicinal plant species of the Casearia genus (C. sylvestris, C. decandra and C. obliqua) collected in distinct regions of the Atlantic Forest, SP. The elemental compositions of the soils in which these plants were grown were also determined. Traditionally, these plants are used due to their antiinflammatory, antiacid, antiseptic and cicatrizing properties. The antiulcer and the antitumor activities of the Casearia genus and its capacity to neutralize snake and bee venoms, have also been scientifically confirmed. The analytical methodology used was neutron activation analysis. Long and short irradiation periods of the samples and the standards were carried out at IPEN's IEA-R1 nuclear research reactor. In the leaf K ...

2006-07-01

347

Proposal of procedures to prevent errors in radiotherapy based in learned lessons of accidental expositions; Proposta de procedimentos para evitar erros em radioterapia baseados em licoes aprendidas de exposicoes acidentais  

Energy Technology Data Exchange (ETDEWEB)

In order to consider some procedures to prevent errors in radiotherapy based in learned lessons of accidental expositions and in accordance with information contained in international reports elaborated by International Atomic Energy Agency (IAEA) and of the data base availability by the European group Radiation Oncology Safety Information System (ROSIS) on the events, a research of the occurred errors was performed. For the evaluation of the incidents a data base based in the ROSIS and added plus a parameter was created 'type of error'. All the stored data make possible the evaluation of the 839 incidents in terms of frequency of the type of error, the process of detention, the number of reached patients and the degree of severity. Of the 50 types of found errors, the type of error more frequently was 'incorrect treatment coordinate', confirmed with the data of literature and representing 28,96 por cent of the total of the incidents. The results ...

2007-07-01

348

MENDING THE IN SITU MANIPULATION BARRIER  

Energy Technology Data Exchange (ETDEWEB)

In early 2004, the U.S. Department of Energy (DOE) Richland and Fluor Hanford requested technical assistance from the DOE Headquarters EM-23 Technical Assistance Program to provide a team of technical experts to develop recommendations for mending the In Situ Redox Manipulation (ISRM) Barrier in the 100-D Area of the Hanford Site in Washington State. To accommodate this request, EM-23 provided support to convene a group of technical experts from industry, a national laboratory, and a DOE site to participate in a 2 1/2-day workshop with the objective of identifying and recommending options to enhance the performance of the 100-D Area reactive barrier and of a planned extension to the northeast. This report provides written documentation of the team's findings and recommendations. In 1995, a plume of dissolved hexavalent chromium [Cr(VI)], which resulted from operation of the D/DR Reactors at the Hanford site, was discovered along the ...

2006-02-06

349

[Neurodevelopmental follow-up of premature children in Lausanne and Geneva].  

Science.gov (United States)

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

2011-02-23

350

What factors influence the prevalence and accuracy of nursing diagnoses documentation in clinical practice? A systematic literature review  

British Library Electronic Table of Contents (United Kingdom)

Aim.- To identify what determinants influence the prevalence and accuracy of nursing diagnosis documentation in clinical practice. Background.- Nursing diagnoses guide and direct nursing care. They are the foundation for goal setting and provide the basis for interventions. The literature mentions several factors that influences nurses- documentation of diagnoses, such as a nurse-s level of education, patient-s condition and the ward environment. Design.- Systematic review. Method.- MEDLINE and CINAHL databases were searched using the following headings and keywords: nursing diagnosis, nursing documentation, hospitals, influence, utilisation, quality, implementation and accuracy. The search was limited to articles published between 1995-October 2009. Studies were only selected if they were...

2011-01-01

351

Use of misoprostol for induction of labour in unvaorable cervix in eclampsia  

International Nuclear Information System (INIS)

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

2004-01-01

352

Use of acupuncture therapy as a supplement to conventional medical treatments for acute ischaemic stroke patients in an academic medical centre in Korea  

British Library Electronic Table of Contents (United Kingdom)

Objectives: Acupuncture has served as a major complementary and alternative therapy that supplements conventional medicine and is the subject of growing public interest. This study was conducted to estimate the usage rate of acupuncture as a supplemental treatment in acute ischaemic stroke patients and to identify factors associated with the choice to use this therapy. Methods: Using the registry of stroke patients admitted to an academic medical centre in Korea, the use of acupuncture therapy was recorded and analysed, along with the patients' socio-demographic characteristics, hospital access variables, risk factors for ischaemic stroke and clinical characteristics. The data were analysed using descriptive statistics, chi-square tests and multiple logistic regression analyses. Results: O...

2011-01-01

353

Urticaria due to Urtica dioica in a neonate  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

354

Total skin electron beam therapy in mycosis fungoides. Evaluation of a technique for deceleration of electron beam energy and clinical study  

Energy Technology Data Exchange (ETDEWEB)

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

1988-08-01

355

Total skin electron beam therapy in mycosis fungoides  

International Nuclear Information System (INIS)

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

356

The epidemiology of Graves' disease: Evidence of a genetic and an environmental contribution  

British Library Electronic Table of Contents (United Kingdom)

Previous family and twin studies have indicated that Graves' disease has a heritable component. Family studies have also shown that some autoimmune disease cluster in families and genetic studies have been able to show shared susceptibility genes. In the present nation-wide study we describe familial risk for Graves' disease among parents and offspring, singleton siblings, twins and spouses with regard to age of onset, gender and number and type of affected family members. Additionally familial association of Graves' disease with any of 33 other autoimmune and related conditions was analyzed. The Swedish Multigeneration Register on 0-75-year-old subjects was linked to the Hospital Discharge Register from years 1987-2007. Standardized incidence ratios (SIRs) were calculated for individuals ...

2010-01-01

357

The antimicrobial efficacy of a silver alginate dressing against a broad spectrum of clinically relevant wound isolates  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

358

The Negative Effect of Triple-Negative Breast Cancer on Outcome after Breast-Conserving Therapy  

British Library Electronic Table of Contents (United Kingdom)

Purpose To evaluate disease failure patterns and overall survival (OS) of women with triple-negative (TN) breast cancer who underwent breast-conserving therapy (BCT) and to understand the relationship of TN tumors with other prognostic factors. Patients and Methods The Surveillance, Epidemiology, and End Results (SEER) registry identified 562 women diagnosed and/or treated with unilateral invasive breast cancer during 2003?2004 at three Emory hospitals. After medical record review, 193 eligible women, with all tumor types, received BCT. Primary endpoints (local, regional, and distant recurrences) and secondary endpoint (OS) were evaluated using chi-square tests and Cox proportional hazards models. Results Of the 193 women, 33 (17.1%) had TN tumors and 160 (82.9%) had non-TN tumors. Patient...

2011-01-01

359

The Assisi landslide monitoring: a multi-year activity based on geomatic techniques  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

360

Targeted doctors, missing patients: Obstetric health services and sectarian conflict in Northern Pakistan  

British Library Electronic Table of Contents (United Kingdom)

The spectre of exclusionary medical service provision, restricted clinic access and physician targeting in sectarian-divided Iraq underscores the crucial and timely need for qualitative research into the inter-relationship between conflict, identity and health. In response, this paper provides a critical ethnography of obstetric service provision and patient access during Shia-Sunni hostilities in Gilgit Town, capital of Pakistans Northern Areas (2005). I analyse how services were embedded in and constrained by sectarian affiliation in ways that detrimentally impacted Sunni women patients and hospital staff, resulting in profoundly diminished clinic access, reduced physician coverage and a higher observed incidence of maternal morbidity and mortality. The paper first situates obstetric med...

2010-01-01

361

Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride  

Energy Technology Data Exchange (ETDEWEB)

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

2009-10-15

362

Sub-Tenons anesthesia with aspirin, warfarin, and clopidogrel  

British Library Electronic Table of Contents (United Kingdom)

PurposeTo review the frequency of hemorrhagic complications with sub-Tenons anesthesia in patients on aspirin, warfarin or clopidogrel.SettingSt. Jamess University Hospital, Leeds, United Kingdom.MethodsData were collected prospectively for patients having elective phacoemulsification under sub-Tenons anesthesia. Seventy-five patients were on aspirin, 65 were on warfarin, and 40 were on clopidogrel. Seventy-five patients on no anticoagulants were used as the control group. No changes in the anticoagulant regimen were made prior to surgery.ResultsNo sight-threatening hemorrhagic complications were noted, and no surgery was postponed or cancelled due to an anesthesic complication. Subconjunctival hemorrhage occurred in 19% in the control group, 40% in the clopidogrel group, 35% in the warfar...

2006-01-01

363

Similar Treatment Outcomes for Radical Cystectomy and Radical Radiotherapy in Invasive Bladder Cancer Treated at a United Kingdom Specialist Treatment Center  

British Library Electronic Table of Contents (United Kingdom)

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

2008-01-01

364

Self-valued health in Danish women after cervix cancer surgery-A retrospective questionnaire study  

British Library Electronic Table of Contents (United Kingdom)

Women treated of localised stages of cervix cancer have a very good prognosis. But do health care professionals have a tendency to underestimate the potential need for rehabilitation of this group? To be able to answer this question this study aimed to develop knowledge concerning these women's own perception of their health during a long period after surgical cancer treatment. A total of 398 women who underwent radical hysterectomy in the period from the 1 January 1983 to 31 December 2000 participated in the study at Aarhus University Hospital, Skejby in Denmark 2001-2003. All patients initially filled in an internally validated questionnaire. Subsequently a sample of 100 women filled in the questionnaires Short Form -36 and Sense of Coherence to evaluate their self-reported health. Analy...

2007-01-01

365

Selective Tibial Neurotomy in the Treatment of Spastic Equinovarus Foot in Hemiplegic Patients: A 2-Year Longitudinal Follow-Up of 30 Cases  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

366

Role of cerebrospinal fluid pressure in the pathogenesis of glaucoma  

British Library Electronic Table of Contents (United Kingdom)

Abstract. The pathogenesis of normal (intraocular) pressure glaucoma has remained unclear so far. As hospital-based studies showed an association of normal-pressure glaucoma with low systemic blood pressure, particularly at night, and with vasospastic symptoms, it has been hypothesized that a vascular factor may play a primary role in the pathogenesis of normal-pressure glaucoma. That assumption may, however, be contradicted by the morphology of the optic nerve head. Eyes with normal-pressure glaucoma and glaucomatous eyes with high-intraocular pressure can show a strikingly similar appearance of the optic nerve head, including a loss of neuroretinal rim, a deepening of the optic cup, and an enlargement of parapapillary atrophy. These features, however, are not found in any (other) vascula...

2011-01-01

367

Retroperitoneal endoscopic adrenalectomy is safe and effective  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

368

RIFLE Criteria for Cardiac Surgery-Associated Acute Kidney Injury: Risk Factors and Outcomes  

British Library Electronic Table of Contents (United Kingdom)

The aims of this study were to identify risk factors and evaluate the association with clinical outcomes of postoperative cardiac surgery-associated acute kidney injury (CSA-AKI). Data from 2488 consecutive adult patients were analyzed. Patients were classified as having CSA-AKI based on the risk, injury, failure, loss of kidney function, and end-stage kidney disease (RIFLE) criteria using peak postoperative creatinine in the postoperative intensive care unit (ICU). Multiple stepwise logistic regression analysis was used to identify independent risk factors for CSA-AKI. CSA-AKI occurred in 584 patients (23.5%). CSA-AKI patients had significantly longer aortic cross-clamp and cardiopulmonary bypass times. Furthermore, CSA-AKI patients had higher hospital mortality (5.5% vs 1.5%, PCopyright2...

2010-01-01

369

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation  

British Library Electronic Table of Contents (United Kingdom)

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 ...

2010-01-01

370

Penile injury and effect on male sexual function  

British Library Electronic Table of Contents (United Kingdom)

Summary Penile injury is common as an emergency and should be accurately diagnosed and treated. We analysed 22 patients with penile injury admitted to the emergency unit of Dubrava University Hospital during a 4-year period. According to the American Association for the Surgery of Trauma five-grade classification of penile injuries, there were 14 grade I, 6 grade II and 2 grade III cases. Diagnosis was mainly based on clinical and ultrasonography findings, and in some cases on cavernosography. Nineteen patients underwent immediate surgery and three patients received conservative therapy. On outpatient follow up, sexual function was assessed by use of the 5-item International Index of Erectile Function (IIEF-5) test at 3 and 12-months of injury. At 3-month follow up, moderate, mild and no e...

2011-01-01

371

Patient empowerment: Emancipatory or technological practice?  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

372

Outcome for Gram-negative bacteraemia when following restrictive empirical antibiotic guidelines  

British Library Electronic Table of Contents (United Kingdom)

Introduction: Restrictions in prescribing broad spectrum antimicrobials have been part of a strategy to reduce Clostridium difficile cases in the UK in recent years. However, there has been little work on assessing the safety of alternative antimicrobial agents. Methods: We performed an uncontrolled prospective observational survey over a 1-year period to determine the effectiveness and safety of a new antimicrobial stewardship programme in a district hospital in the UK. Results: In total, 227 Gram-negative bacteraemias (203 episodes) occurred in the study period. Guidelines were adequate in 194 of 203 (95%) episodes and 163 episodes (80.2%) received adequate therapy. Patients in the inadequate therapy group had >2-fold increased likelihood of death [odds ratio (OR) = 2.63, 95% confidence ...

2011-01-01

373

Onset of epilepsy and menarche-Is there any relationship?  

British Library Electronic Table of Contents (United Kingdom)

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

2006-01-01

374

Nutrition and diet services actuation  

International Nuclear Information System (INIS)

The paper stresses the difficulties to establish nutritional standard due to the fact that non-existent previous parameters because it is an new type of accident, becoming necessary an elaboration and use of nutritional plans coherent with probable demands, needs and complications of the patients. It is shown how that was accomplished without any prejudice to the other inpatients. The role of the nutritionists in all evolutional phase of the contaminated persons is described ed, introducing many types of diets used in accordance with individual and general demands. One case in which parenteral nutrition was utilized is analysed. The patients discharge from hospital conditions is explained and was a fact that all patients gained weight, concluding the writer says that was not possible to perform a deeper evaluation because of the great risk of contamination always present. (author).

375

Natural remedy use in a prospective cohort of breast cancer patients in southern Sweden  

British Library Electronic Table of Contents (United Kingdom)

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...

2011-01-01

376

Mottling score predicts survival in septic shock  

British Library Electronic Table of Contents (United Kingdom)

Background Experimental and clinical studies have identified a crucial role of microcirculation impairment in severe infections. We hypothesized that mottling, a sign of microcirculation alterations, was correlated to survival during septic shock. Methods We conducted a prospective observational study in a tertiary teaching hospital. All consecutive patients with septic shock were included during a 7-month period. After initial resuscitation, we recorded hemodynamic parameters and analyzed their predictive value on mortality. The mottling score (from 0 to 5), based on mottling area extension from the knees to the periphery, was very reproducible, with an excellent agreement between independent observers [kappa?=?0.87, 95% CI (0.72?0.97)]. Results Sixty patients were included. The SOFA scor...

2011-01-01

377

Locally invasive lymphangiosarcoma in a young domestic shorthair  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

378

Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments  

British Library Electronic Table of Contents (United Kingdom)

Background This study aimed to evaluate laparoendoscopic single-site (LESS) adrenalectomy via the retroperitoneal approach using the Alexis wound retractor with standard laparoscopic instrumentation. Methods Since October 2009, seven LESS retroperitoneal adrenalectomies have been completed successfully with a homemade single port created using an Alexis wound retractor as an access platform through a 3-cm incision beneath the tip of the 12th rib. Results All the LESS procedures for these seven patients with adrenal tumors (size, 1.3?6.0?cm; 4 right, 1 left) were completed successfully without traditional laparoscopic conversion or complication. The average operative time was 159?min, and the estimated blood loss was 100?ml. The average hospital stay was 2?days (range, 1?3?days). Conclusion...

2011-01-01

379

Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

380

Indoor climate seminar; Sisaeilmastoseminaari  

Energy Technology Data Exchange (ETDEWEB)

The national energy research programme LVIS-2000: Future Building Services is concerned with the control of energy use and indoor climate in buildings of the future. The projects were presented at a one day seminar arranged by the Laboratory of Heating and Ventilation of the Technical Research Centre in Finland which is coordinating the programme. The presentations at the seminar were: Impurity emission from materials, Building materials and indoor air quality, analysis of organic compounds in indoor air, effect of the return air, effect of the return air on health and comfort, electric heating as an indoor climate factor, calculations of air flows in ventilated rooms, effect of energy saving measures on hospital hygiene, application of modern aerosol measurement technique on indoor climate research.

1989-12-31

381

In vitro susceptibility of enterococci strains isolated from urine samples to fosfomycin and other antibiotics  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

382

Ewing's Sarcoma : a study of 38 cases  

International Nuclear Information System (INIS)

A retrospective study of Ewing's Sarcoma at The Armed Forces Malignant Diseases Treatment Centre, Command Hospital, Pune, is presented. A total of 38 cases over a period of thirteen years have been studied. Males predominate slightly, and the common age group on presentation has been in the second and third decade. Humerus, pelvis and femur are the bones commonly affected. The initial line of management has been primarily radiotherapy, which has been over the years supplemented by combination chemotherapy. All the cases achieved remission, though only 32 cases (84 per cent) had complete remission, and the remaining only partial remission. The overall survival in those offered aggressive therapy has been over 50 per cent in two years. The present policy in the management of these cases is discussed. (author). 4 tabs.

383

Evaluation of routine telephone transmission of nuclear medicine studies  

Energy Technology Data Exchange (ETDEWEB)

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

1989-01-01

384

Evaluation of digital radiography (Fuji computed radiography) for portable chest radiographs in ICU  

Energy Technology Data Exchange (ETDEWEB)

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

1992-12-01

385

Evaluation of digital radiography (Fuji computed radiography) for portable chest radiographs in ICU  

International Nuclear Information System (INIS)

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

1992-01-01

386

Evaluation of diagnostic digital radiography of the chest in comparison with conventional chest x-ray films  

International Nuclear Information System (INIS)

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 primary care medicine because of its full imaging capability. (author).

1983-01-01

387

Esophageal Complications Following Aluminium Phosphide Ingestion: An Emerging Issue Among Survivors of Poisoning  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

388

Emergency medicine in Oman: current status and future challenges  

British Library Electronic Table of Contents (United Kingdom)

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 primary care 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. ...

2009-01-01

389

Efficacy and safety of certolizumab pegol in an unselected crohn's disease population: 26-week data of the FACTS II survey  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

390

Effectiveness of different music-playing devices for reducing preoperative anxiety: A clinical control study  

British Library Electronic Table of Contents (United Kingdom)

Background: While waiting for surgery, patients often exhibit fear and anxiety. Music is thought to be an alternative to medication to relieve anxiety. However, due to concerns about infection control, devices other than headphones may be considered for this purpose. Objectives: The purpose of this study was to determine the anxiety-relieving effect of broadcast versus headphone music playing for patients awaiting surgery. Design: A randomized controlled clinical study. Setting: The waiting area of an operating theater of a metropolitan teach hospital in Taiwan. Participants: Alert adult with age between 20 and 65 years old waiting for surgery without premedications. Methods: A total of 167 patients were randomly assigned to the headphone, broadcast and control groups. Both the headphone a...

2011-01-01

391

E-commerce usage and business performance in the Malaysian tourism sector: empirical analysis  

British Library Electronic Table of Contents (United Kingdom)

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

2009-01-01

392

Dosimetric considerations for patients with HIP prostheses undergoing pelvic irradiation. Report of the AAPM Radiation Therapy Committee Task Group 63  

International Nuclear Information System (INIS)

This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the problems arising from the presence of these devices in the radiation beam, to quantify the dose perturbations they cause, and, finally, to provide recommendations for treatment planning and delivery. Some of the data and recommendations are also applicable to patients having implanted high-Z prosthetic devices such as pins, humeral head replacements. The scientific understanding and methodology of clinical dosimetry for these situations is still incomplete. This report is intended to reflect the current state of scientific understanding and technical methodology in clinical dosimetry for radiation oncology patients ...

2003-06-01

393

Digital mammography: more microcalcifications, more columnar cell lesions without atypia  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

394

Diet and incident venous thromboembolism: The Iowa Women's Health Study  

British Library Electronic Table of Contents (United Kingdom)

Background Little is known about the role of diet in the development of venous thromboembolism (VTE). We explored the prospective relation of dietary patterns, food groups, and nutrients to incident VTE in older women. Methods In 1986, Iowa women aged 55 to 69 years completed a mailed survey, including a 127-item food frequency questionnaire. These data were linked to Medicare data from 1986 to 2004, and International Classification of Diseases discharge codes were used to identify hospitalized VTE cases. Cox regression analyses evaluated relations of 2 principal components?derived dietary patterns, 11 food groups, and 6 nutrients to VTE, adjusted for age, education, smoking status, physical activity, and energy intake. Results Over 19 years of follow-up, 1,950 of the 37,393 women develope...

2009-01-01

395

Determination of radiation exposure and significance of its influential factors for X-rayed children in the GDR  

International Nuclear Information System (INIS)

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

1988-01-01

396

Cost minimization analysis for combinations of sampling techniques in bronchoscopy of endobronchial lesions  

British Library Electronic Table of Contents (United Kingdom)

SummaryBackground The choice of sampling techniques in bronchoscopy with sampling from a visible lesion will depend on the expected diagnostic yields and the costs of the sampling techniques. Aims The aim of this study was to determine the most economical combination of sampling techniques when approaching endobronchial visible lesions. Methods A cost minimization analysis was performed. All bronchoscopies from 2003 and 2004 at Haukeland university hospital, Bergen, Norway, were reviewed retrospectively for diagnostic yields. 162 patients with endobronchial disease were included. Potential sampling techniques used were biopsy, brushing, endobronchial needle aspiration (EBNA) and washings. Costs were estimated based on registration of equipment costs and personnel costs. Sensitivity analyse...

2009-01-01

397

Correlation of myocardial TC-99m-MIBI perfusion SPECT with coronary angiography in Namazi hospital  

International Nuclear Information System (INIS)

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

2004-04-27

398

Comparison of Plasma Antioxidant Levels and Related Metabolic Parameters Between Smokers and Non-smokers  

British Library Electronic Table of Contents (United Kingdom)

The relationship between cigarette smoking and cell damage is complicated, particularly considering the role of oxidative stress. The aim of this study was to identify the relationships among plasma nicotine metabolites, lipophilic antioxidants, and metabolic parameters in smokers and non-smokers. This cross-sectional study recruited 100 subjects who visited the Department of Family Medicine at Kaohsiung Medical University Hospital. Excluding 14 ineligible cases, 46 smokers and 40 non-smokers were enrolled. Plasma nicotine metabolites, lipophilic antioxidants (including retinol, lycopene, a-carotene, b-carotene, d-tocopherol, g-tocopherol and a-tocopherol), related metabolic parameters, and body composition (including height, weight, body mass index, body fat, and waist circumference) were...

2009-01-01

399

Comparison of Effectiveness and Safety of Ranolazine Versus Amiodarone for Preventing Atrial Fibrillation After Coronary Artery Bypass Grafting  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

400

Calculation of the air flow, air quality and the thermal comfort in an operating room. Berekening van de luchtstroming, luchtkwaliteit en het thermisch comfort in een operatiekamer  

Energy Technology Data Exchange (ETDEWEB)

By means of a numerical simulation model (PHOENICS) the air flow and the distribution of the air concentration in an operating room of an hospital have been calculated. Comparisons were made for 11 different conditions (m[sup 3]/h air flow, speed of the air supply in the centre, the middle and outside of the room), of which six cases are discussed in this article, in order to optimize the air flow pattern in the room. The calculations were conducted for the so-called Howorth system. It is shown that the inlet velocity profile with a higher inlet velocity in the center zone of the hood gives the best results. The calculated results were validated by some measurements and experiments with smoke. 7 figs., 2 tabs., 8 refs.

1993-04-01

401

Brief laboratory report: surgical drape flammability.  

Science.gov (United States)

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

2006-10-01

402

Association between the number of blood cultures and appropriateness of care for suspected bacteremic urinary tract infection in the elderly  

British Library Electronic Table of Contents (United Kingdom)

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 ...

2011-01-01

403

Aspirin Use Is Associated With an Improved Long-Term Survival in an Unselected Population Presenting With Unstable Angina  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

404

Arterial stiffness is associated with low thigh muscle mass in middle-aged to elderly men  

British Library Electronic Table of Contents (United Kingdom)

Objective: Sarcopenia of legs is an important cause of physical dysfunctions, frailty and dependence. Many predisposing and underlying mechanisms of sarcopenia, including age, sedentary life style, oxidative stress, insulin resistance, and low testosterone levels, are also known to be related to atherosclerosis, which is another leading cause of morbidity and mortality in elderly subjects. In this study, we investigated our hypothesis that sarcopenia and atherosclerosis are associated with each other to facilitate mutual abnormalities. Methods: Study was performed in apparently healthy 496 middle-aged to elderly persons recruited consecutively among the visitors to the medical check-up program, Anti-Aging Doc, in a University hospital, from March 2006 to December 2007. Mid-thigh muscle cro...

2010-01-01

405

An Effective Method of Image Retrieval using Image Mining Techniques  

CERN Document Server

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

2010-01-01

406

Affective Distress and Amputation-Related Pain Among Older Men with Long-Term, Traumatic Limb Amputations  

British Library Electronic Table of Contents (United Kingdom)

Psychological distress and postamputation pain were investigated in a sample of 582 males with long-term limb amputations (mean time since amputation 639.3 months, standard deviation 166.1; range 240-784 months). Prevalence of significant depressive symptoms (Hospital Anxiety and Depression Scale [HADS]-D score?8) was 32.0%, and 34.0% of respondents met the screening criterion for clinical anxiety (HADS-A score?8). Nearly one quarter (24.6%) of respondents reported significant post-traumatic psychological stress symptoms (Impact of Event Scale scores?35). In total, 87.8% experienced either phantom or residual limb pain. Affective distress scores differed according to the respondents' type of pain experience. Respondents who experienced residual limb pain reported significantly hig...

2006-01-01

407

Abces du muscle iliopsoas : complication rare de la sacro-iliite a pyogene chez lenfant  

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

408

A survey of point of care testing in Irish hospitals: room for improvement  

British Library Electronic Table of Contents (United Kingdom)

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...

2011-01-01

409

A retrospective analysis of bilateral fractures over sixteen years: localisation and variation in treatment of second hip fractures  

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

410

2007 2008 ACADEMIC TRAINING PROGRAMME  

CERN Multimedia

LECTURE SERIES 14, 15, 17 January 2008 11:00 to 12:00 - Council Chamber, bldg. 503-1-001 Applications of accelerators to tumour therapy U. AMALDI, TERA Foundation & University of Milano Bicocca The first lecture is devoted to an historical review of the developments of the teletherapy techniques which make use of hadron beams and are collectively called "hadrontherapy". The main emphasis is on the use of protons and light ions, but also neutrons, pions and antiprotons are considered. The second lecture reviews the rationale behind the use of carbon ions in the treatment of radioresistant tumours and the results obtained both with proton and carbon ion beams on the 60 000 patients treated worldwide. The numbers of patients who would profit from hadrontherapy are presented together with the current landscape of running and planned hospital based centres. The main technical challenges set by this therapeutic modality are discussed in the third lecture together ...

2007-01-01

411

Time Management in Acute Vertebrobasilar Occlusion  

International Nuclear Information System (INIS)

Acute vertebrobasilar occlusion (VBO) is associated with a high risk of stroke and death. Although local thrombolysis may achieve recanalization and improve outcome, mortality is still between 35% and 75%. However, without recanalization the chance of a good outcome is extremely poor, with mortality rates of 80-90%. Early treatment is a fundamental factor, but detailed studies of the exact time management of the diagnostic and interventional workflow are still lacking. Data on 18 patients were retrospectively evaluated. Time periods between symptom onset, admission to hospital, time of diagnosis, and beginning of intervention were correlated with postinterventional neurological status. The Glasgow Coma Scale and National Institute of Health Stroke Scale (NIHSS) were used to examine patients before and after local thrombolysis. Additionally, multivariate statistics were applied to reveal similarities between patients with neurological improvement. Primary ...

2009-03-01

412

Risk of malignant lymphoma in patients with inflammatory bowel diseases: A Dutch nationwide study.  

Science.gov (United States)

BACKGROUND: Immune suppressant medications such as thiopurines and anti-tumor necrosis factor agents are important for maintaining disease control in most patients with inflammatory bowel diseases (IBDs); however, their use has been associated with the development of malignant lymphoma. The purpose of this Dutch nationwide study was to estimate the relative risk of malignant lymphoma in IBD patients. METHODS: IBD patients who developed a lymphoma between 1997 and 2004 were identified using the Dutch National Database of PALGA. Data from confirmed cases were collected from individual hospitals, including data on Epstein-Barr virus (EBV). The age-adjusted 8-year incidence of malignant lymphoma in the Netherlands was retrieved from the Central Bureau of Statistics. RESULTS: Forty-two hospitals were visited and 285 matches evaluated in the total cohort of 17,834 IBD patients. Forty-four lymphomas were observed, resulting in a relative risk of 1.27 ...

2010-12-22

413

Reliability of diagnostic imaging techniques in suspected acute appendicitis: proposed diagnostic protocol; Indicacion de las tecnicas de diagnostico por la imagen en la sospecha de apendicitis aguda: propuesta de protocolo diagnostico  

Energy Technology Data Exchange (ETDEWEB)

To study the utility of ultrasound and computed tomography (CT) in case of suspected appendicitis. To determine the diagnostic yield in terms of different clinical contexts and patient characteristics. to assess the costs and benefits of introducing these techniques and propose a protocol for their use. Negative appendectomies, complications and length of hospital stay in a group of 152 patients with suspected appendicitis who underwent ultrasound and CT were compared with those of 180 patients who underwent appendectomy during the same time period, but had not been selected for the first group: these patients costs for each group were calculated. In the first group, the diagnostic value of the clinical signs was also evaluated. The reliability of the clinical signs was limited, while the results with ultrasound and CT were excellent. The incidence of negative appendectomy was 9.6% in the study group and 12.2% in the control group. Moreover, there were fewer ...

2001-07-01

414

Prevention of panic attacks and panic disorder in COPD.  

Science.gov (United States)

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 attack in the previous 6 months, with two ...

2009-09-09

415

Pathological study on autopsy cases at Hiroshima Atomic Bomb Hospital, September 1956 - March 1988  

Energy Technology Data Exchange (ETDEWEB)

A retrospective review was made of 2,659 autopsy patients obtained during the past 31 years and a half in Hiroshima Atomic Bomb Hospital. Of the patients, 1,328 (49.9%) were A-bomb survivors. Five hundred and six A-bomb survivors (38.1%) had been exposed at up to 2,000 m from the hypocenter. There was no correlation between the incidence of malignancy and the presence of exposure to A-bombing. The incidence of multiple malignancy was slightly higher in A-bomb survivors exposed at the place nearer the hypocenter. In the group of A-bomb survivors, cancer of the lung was the most common for men; and cancer of the stomach was the most common for women. The incidence of malignancy has been high in the exposed group during the early eras of examination; however, this figure has recently become high in the non-exposed group. Regarding the kinds of malignancy, there was no significant difference between the exposed and non-exposed groups. The incidence of leukemia was high ...

1990-03-01

416

Monte Carlo simulation of electron cones used in electron beam therapy  

International Nuclear Information System (INIS)

A Siemens Mevatron KV2 accelerator installed at the Royal Adelaide Hospital employs cylindrical solid-walled electron cones for some electron collimation. The cones being used at present result in treatment fields that do not always conform with the International Electrotechnical Commission (IEC) Standards (particularly at high energies). The aim of this project was to simulate the existing cones using Monte Carlo methods in order to evaluate potential cone modifications required to overcome the field irregularities. Simulations were performed using the EGS4 (Electron Gamma Shower version 4, distribution II) Monte Carlo code installed on a DEC Alpha workstation at the University of South Australia. To rigorously simulate the existing electron cones it was necessary to also simulate various components within the treatment head of the linear accelerator. Results of simulations for existing cones were found to be consistent with experimental data. (obtained from Royal ...

1998-09-01

417

Improving radiotherapy quality and safety: a common objective of A.S.N. and the Ile de France Regional Hospital Agency. Thoughts on successful cooperation in Ile de France; Ameliorer la qualite et la securite de la radiotherapie: un objectif conjoint de l'A.S.N. et de l'Agence regionale de l'hospitalisation Ile de France. Reflexions sur une cooperation feconde en Ile de France  

Energy Technology Data Exchange (ETDEWEB)

Radiotherapy recent development in cancer treatment needs strong procedures and quality assessment to improve safety both for patients and professionals. In Ile de France territory, a coordinated action between ASN inspectors and medical doctors specialized in public health (MISP), working as civil servants in health administration, was initiated at the end of 2007. An inspection guideline was implemented in a workshop between ASN and Regional Hospital Agency (ARH). The MISP as health administrator has to verify if care organisation responds to treatment cancer regulatory framework: as a doctor he is authorized to access to patient records to know which treatment was chosen. He has to assure if the therapeutic guidelines are respected. His comprehensive approach is essentially patient-oriented. The MISP inspection coordinated with ASN inspectors is a very pertinent pluri-disciplinary approach, undeniably necessary in such a medical technic. The effectiveness of the ...

2009-02-15

418

Improving radiotherapy quality and safety: a common objective of A.S.N. and the Ile de France Regional Hospital Agency. Thoughts on successful cooperation in Ile de France  

International Nuclear Information System (INIS)

Radiotherapy recent development in cancer treatment needs strong procedures and quality assessment to improve safety both for patients and professionals. In Ile de France territory, a coordinated action between ASN inspectors and medical doctors specialized in public health (MISP), working as civil servants in health administration, was initiated at the end of 2007. An inspection guideline was implemented in a workshop between ASN and Regional Hospital Agency (ARH). The MISP as health administrator has to verify if care organisation responds to treatment cancer regulatory framework: as a doctor he is authorized to access to patient records to know which treatment was chosen. He has to assure if the therapeutic guidelines are respected. His comprehensive approach is essentially patient-oriented. The MISP inspection coordinated with ASN inspectors is a very pertinent pluri-disciplinary approach, undeniably necessary in such a medical technic. The effectiveness of the ...

2009-02-01

419

Trap-nests used by Centris (Heterocentris) terminata Smith (Hymenoptera: Apidae, Centridini) at secondary Atlantic Forest fragments, in Salvador, Bahia State; Ninhos de Centris (Heterocentris) terminata Smith (Hymenoptera: Apidae, Centridini) em fragmentos de Mata Atlantica secundaria, Salvador, BA  

Energy Technology Data Exchange (ETDEWEB)

Ninety-five nests of Centris (Heterocentris) terminata Smith were collected in trap nests, during November/2001 and January/2003, at two fragments (PZGV e CFO-UFBA) of secondary Atlantic Forest, in Salvador, Bahia State (13 deg 01' W and 38 deg 30' S). The highest nest frequencies occurred from December to February (summer), with no nests foundations from August to October (winter - early spring). Two-hundred eight adults emerged from 347 brood cells, being 164 males and 116 females (1: 0.42). During the study period sex ratio was male biased ({chi}{sup 2} = 9.342; gl = 10; P < 0.05). C. terminata nested in holes with diameters 6, 8, 10 mm, but 84,2% were constructed in 8 and 10 mm. nests had one to seven cells arranged in a linear series with the cell's partitions built with a mixture of sand and resin or oil. Male is significantly smaller than female, which emerges from the first cells constructed. Immature mortality occurred in 14.1% of brood cells ...

2008-05-15

420

The interaction of /sup 125/I-insulin with cultured 3T3-L1 adipocytes: quantitative analysis by the hypothetical grain method  

Energy Technology Data Exchange (ETDEWEB)

The murine 3T3-L1 fibroblast under appropriate incubation conditions differentiates into an adipocyte phenotype. This 3T3-L1 adipocyte exhibits many of the morphologic, biochemical, and insulin-responsive features of the normal rodent adipocyte. Using quantitative electron microscopic (EM) autoradiography we find that, when /sup 125/I-insulin is incubated with 3T3-L1 adipocytes, the ligand at early times of incubation localizes to the plasma membrane of the cell preferentially to microvilli and coated pits. When the incubation is continued at 37 degrees C, /sup 125/I-insulin is internalized by the cells and preferential binding to the villous surface is lost. With the internalization of the ligand, two intracellular structures become labeled, as determined by the method of hypothetical grain analysis. These include large clear, presumably endocytotic, vesicles and multivesicular bodies. Over the first hour of incubation the labeling of these structures increases in ...

1983-07-01

421

Soybean biodiesel consumption in agricultural tractor submitted the two forces in the traction bar; Consumo de biodiesel de soja em trator agricola submetido a duas forcas na barra de tracao  

Energy Technology Data Exchange (ETDEWEB)

Due to the great development occurred in the world after the Second World War and the establishment of patterns of increasingly intense, the energy demand amounted to the point, putting at risk the non-renewable energy sources such as oil, coal minerals, among others, with growing interest in renewable energies, among which the biodiesel has been detached. In this sense, the present work had for objective to evaluate the fuel consumption of a tractor Valtra BM100 4x2 TDA, running with ethyl biodiesel from soybean filtered in seven mixture proportions mixed with the diesel, subject to two forces in the traction bar. The work was conducted in the Department of Rural Engineering of the Paulista State University (UNESP), Jaboticabal Campus, in an entirely randomized designed, in a factorial diagram 2 x 7, with three repetitions. The treatments were a combination for two forces in the traction bar (10 and 22 kN) and seven mixture proportions (B{sub 0}, B{sub 5}, B{sub 1}5, B{sub 2}5, B{sub ...

2009-07-01

422

Seasonal variations in photosynthetic response of algae epiphytic on Myriophyllum spicatum L  

Energy Technology Data Exchange (ETDEWEB)

The photosynthetic response to light of epiphytic algae from Lake Wingra, Wisconsin was determined monthly during the 1978 and 1979 growing seasons.A /sup 14/C technique was developed for measurement of photosynthesis of the intact epiphyte community which was then removed by shaking. The photosynthetic rate at low light, ..cap alpha.., varied from 5.56 to 18.26 ..mu..g C (mg Chl a)/sup -1/ h/sup -1/ (..mu..Em/sup -2/s/sup -1/)/sup -1/ while P/sup B//sub max/, the photosynthetic rate at light saturation, ranged from 1.0 to 2.6 mg C (mg Chl a)/sup -1/ h/sup -1/. During 1979, variations in ..cap alpha.. and P/sup B//sub max/ followed the sun-shade model for photosynthetic adaptation: P/sup B//sub max/ was highest in summer and lowest in spring and fall, while ..cap alpha.. followed the opposite pattern. Patterns in ..cap alpha.. and P/sup B//sub max/ for 1978 were less apparent. During 1979, P/sup B//sub max/ was significantly correlated with both temperature and ...

1982-07-01

423

SUPPLEMENTAL COLUMBIA RIVER PROTECTION ACTIVITIES AT THE DEPARTMENT OF ENERGY HANFORD SITE: 2006 TECHNICAL PEER REVIEW  

Energy Technology Data Exchange (ETDEWEB)

Prompted by a $10 million Congressional allocation to identify supplemental actions to protect the Columbia River from groundwater contamination beneath the Hanford Reservation, the U. S. Department of Energy (DOE) Environmental Management (EM) Office of Clean-up Technology identified twenty-three potential technical projects and then down-selected ten of these for further evaluation. An independent expert peer review was conducted for the ten down-selected proposals. The review panel consisted of twenty-three recognized subject matter experts that broadly represented academia, industry, and federal laboratories. Of the initial ten proposals reviewed, one was given unconditional support, six were given conditional support, and three were not supported as proposed. Three additional proposals were then submitted by DOE for review--these proposals were structured, in part, to respond to the initial round of technical peer review comments. Peer reviews of these ...

2006-12-20

424

Real-time neutron radiography; Radiografia com neutrons em tempo-real  

Energy Technology Data Exchange (ETDEWEB)

The main objective of the present thesis was develop and get operational a real-time neutron radiography system, at the IPEN-CNEN/SP. This system is installed inside the shielding of an old facility, designed in 1988, for film radiography, which is installed at the beam-hole 08 of the 5 MW, IEA-R1 Nuclear Research Reactor. The most important modifications at the such facility were the increase of the {gamma}-radiation filter thickness, increase of the inner area of the shielding, design of a neutron collimator and a light tight box. The main characteristics of the neutron beam at the irradiation position are: flux: 1 x 10{sup 6}n/cm{sup 2}s, collimation ratio 70, effective energy 7 meV, diameter 20 cm, neutron/{gamma} ratio {approx} 10{sup 6}n/cm{sup 2}mrem. The real-time images have been obtained by means of an imaging system that consists of a screen scintillator, a light intensifier, a video camera, a digitizing frame grabber and a computer. The device composed by the scintillator ...

2000-07-01

425

Occupational exposure prevention program to oil and gas industry; Antecipacao, reconhecimento, avaliacao e controle dos riscos ambientais em uma planta de petroleo e gas  

Energy Technology Data Exchange (ETDEWEB)

PETROBRAS/TRANSPETRO Pipelines and Terminals have 500 regular employees and 5.064 out sourced workers in its Southeast Division. The out sourced employees work under 125 contracts involving a wide range of activities such as maintenance, pipeline operation, pipeline launching, engineering, administrative and auxiliary services. Among these workers, 1.200 peoples are subjected to occupational exposure, which may be present in the industrial process or in the products transported in our pipelines, e.g. industrial noise, sulfidric gas, toluene, xylene and benzene (recognized as a carcinogen according to ACGIH and Brazilian Ministry of Labour). Our PPRA (acronym in Portuguese for Occupational Exposure Prevention Program) involves the workforce and fosters health by anticipation, recognition, evaluation and control of the situations that may result in injuries. Further actions include the procurement of equipment for detection of these agents not only in the air but also diluted in liquids ...

2005-07-01

426

Luminescent platinum(II) complexes of quinoxaline-2,3-dithiolate  

Energy Technology Data Exchange (ETDEWEB)

The synthesis, characterization, and photophysical properties of several Pt(II) complexes of quinoxaline-2,3-dithiolate (qdt) and 6,7-dimethylquinoxaline-2,3-dithiolate (dmqdt) are described. Specifically, (TBA){sub 2}[Pt(qdt){sub 2}], where TBA = tetra-n-butylammonium, Pt(COD)(qdt), where COD = 1,5-cyclooctadiene, and Pt(phen)(qdt), where phen = 1,10-phenanthroline, and their dmqdt analogs have been prepared and examined with respect to their photophysical properties. Highly structured emission from Pt(COD)(qdt) in frozen glass solution at 77 K has been detected, having a major vibrational progression of 1370 cm{sup {minus}1} corresponding to a C=C stretching frequency of the quinoxalinedithiolate backbone. Solution luminescence from (TBA){sub 2}[Pt(qdt){sub 2}] and Pt(phen)(qdt) has been detected with quantum yields, {Phi}{sub em}, of 10{sup {minus}5} and 10{sup {minus}3}, respectively, although the latter is highly sensitive to solvent effects. The complex ...

1995-04-12

427

Gas Storage Technology Consortium  

Energy Technology Data Exchange (ETDEWEB)

The EMS Energy Institute at The Pennsylvania State University (Penn State) has managed the Gas Storage Technology Consortium (GSTC) since its inception in 2003. The GSTC infrastructure provided a means to accomplish industry-driven research and development designed to enhance the operational flexibility and deliverability of the nation's gas storage system, and provide a cost-effective, safe, and reliable supply of natural gas to meet domestic demand. The GSTC received base funding from the U.S. Department of Energy's (DOE) National Energy Technology Laboratory (NETL) Oil & Natural Gas Supply Program. The GSTC base funds were highly leveraged with industry funding for individual projects. Since its inception, the GSTC has engaged 67 members. The GSTC membership base was diverse, coming from 19 states, the District of Columbia, and Canada. The membership was comprised of natural gas storage field operators, service companies, industry ...

2010-09-30

428

Gamma irradiation in the control of pathogenic bacteria in refrigerated ground chicken meat; Irradiacao gama no controle de bacterias patogenicas em carne de frango refrigerada  

Energy Technology Data Exchange (ETDEWEB)

This work evaluated the effect of gamma radiation on reducing the population of Staphylococcus aureus, Escherichia coli nd Salmonella typhimurium in ground chicken breast stored under refrigeration. The experiment included a control and 4 doses of gamma radiation ( 2.0, 4.0, 6.0 and 8.0 kGy) along with 5 periods of storage under refrigeration ( 1, 7 14, 21 and 28 days). Samples of ground chicken breast were inoculated with Staphylococcus aureus (ATCC 14458), Escherichia coli (ATCC 11105) and Salmonella typhimurium (ATCC 0626), irradiated at temperatures between 4 and 8 deg C and stored under refrigeration (5 deg C) for 28 days. The increased radiation dose and period of storage under refrigeration caused a reduction of Staphylococcus aureus, Escherichia coli and Salmonella typhimurium populations in the ground chicken breast. Mean radiation D values determined for Staphylococcus aureus and Escherichia coli were 0.41 and 0.72 kGy, respectively. Gamma irradiation was an effective ...

2000-09-01

429

Galaxy Group at z=0.3 Associated with the Damped Lyman Alpha System Towards Quasar Q1127-145  

CERN Document Server

We performed a spectroscopic galaxy survey, complete to $m_{F814W}\\leq20.3$ ($L_B>0.15L_B^{\\star}$ at z=0.3), within 100x100'' of the quasar Q1127-145 ($z_{em}=1.18$). The VLT/UVES quasar spectrum contains three $z_{abs}<0.33$ MgII absorption systems. We obtained eight new galaxy redshifts, adding to the four previously known, and galaxy star formation rates (SFRs) and metallicities were computed where possible. A strong MgII system [$W_r(2796)=1.8$A], which is a known damped Ly$\\alpha$ absorber (DLA), had three previously identified galaxies; we found two additional galaxies associated with this system. These five galaxies form a group with diverse properties, such as a luminosity range of $0.04\\leq L_B\\leq0.63 L_B^{\\star}$, an impact parameter range of $17\\leq D \\leq 241$ kpc and velocity dispersion of $\\sigma$=115 km/s. The DLA group galaxy redshifts span beyond the 350 km/s velocity spread of the metallic absorption lines of the DLA itself. The ...

2010-01-01

430

Effects of holmium laser on dental structure in vivo: thermal evaluation and histological analysis on pulpal tissue; Efeitos in vivo do laser de holmio em estrutura dental: monitoracao termica e analise histologica do tecido pulpar  

Energy Technology Data Exchange (ETDEWEB)

Previous in vitro studies have demonstrated that Ho:YLF laser is capable of inducing physical and chemical changes on dental surfaces treated for caries prevention. The temperature in the pulp chamber was in vitro evaluated to as a function of the power and frequency of the laser irradiation. The purpose of this work is to verify the occurrence of pulp inflammation after Ho:YLF laser irradiation using different parameters in rabbits' teeth. The premolars and molars of ten rabbits (NZB) were divided in two groups according to the irradiation energy values of a Ho:YLF laser prototype operating at 2.065{mu}m wave length, frequency of O,5Hz and pulse length of 250{mu}s. An group A teeth were irradiated with using ten pulses of 334mJ/pulse of a Ho:YLF laser prototype operating at O.5Hz, and group B, with 512mJ/pulse. Animals were killed by transcardiac perfusion and the samples were prepared for histopathological analysis. The in vitro temperature monitoring revealed an increase of ...

2001-07-01

431

Determination of volatiles produced during radiation processing in food and medicinal herbs; Determinacao de volateis produzidos durante o processamento por radiacao em ervas alimenticias e medicinais  

Energy Technology Data Exchange (ETDEWEB)

In order to protect food from pathogenic microorganisms as well as to increase its shelf life while keeping sensorial properties (e.g. odor and taste), once the latter are one of the main properties required by spice buyers, it is necessary to analyze volatile formation from irradiation of medicinal and food herbs. The aim of the present study was to analyze volatile formation from Co irradiation of Laurus Cinnamomum, Piper Nigrum, Origanum Vulgare and Myristica Fragans. Possible changes on the odor of these herbs are evaluated by characterizing different radiation doses and effects on sensorial properties in order to allow better application of irradiation technology. l he samples have been irradiated in plastic packages by making use of a {sup 60}Co Gamma irradiator. Irradiation doses of 0, 5, 10, 15, 20 and 25kGy have been tested. For the analysis of the samples, SPME has been applied, while for the analysis of volatile compounds, CG/MS. Spice irradiation has promoted mostly ...

2008-07-01

432

D & D screening risk evaluation guidance  

Energy Technology Data Exchange (ETDEWEB)

The Screening Risk Evaluation (SRE) guidance document is a set of guidelines provided for the uniform implementation of SREs performed on decontamination and decommissioning (D&D) facilities. Although this method has been developed for D&D facilities, it can be used for transition (EM-60) facilities as well. The SRE guidance produces screening risk scores reflecting levels of risk through the use of risk ranking indices. Five types of possible risk are calculated from the SRE: current releases, worker exposures, future releases, physical hazards, and criticality. The Current Release Index (CRI) calculates the current risk to human health and the environment, exterior to the building, from ongoing or probable releases within a one-year time period. The Worker Exposure Index (WEI) calculates the current risk to workers, occupants and visitors inside contaminated D&D facilities due to contaminant exposure. The Future Release Index (FRI) calculates the ...

1995-09-01

433

Coilgun Launcher for Nanosatellites  

Energy Technology Data Exchange (ETDEWEB)

Nanosatellite space launches could significantly benefit from an electrically powered launch complex, based on an electromagnetic coil launcher. This paper presents results of studies to estimate the required launcher parameters and some fixed facility issues. This study is based on electromagnetic launch, or electromagnetic gun technology, which is constrained to a coaxial geometry to take advantage of the efficiency of closely-coupled coils. A baseline configuration for analysis considers a payload mass of 10 kg, launch velocity of 6 km/s, a second stage solid booster for orbital insertion, and a payload fraction of about 0.1. The launch facility is envisioned as an inclined track, 1-2 km in length, mounted on a hillside at 25 degrees aimed in the orbital inclination of interest. The launcher energy and power requirements fall in the range of 2000 MJ and 2 MW electric. This energy would be supplied by 400 modules of energy storage and magnetic coils. With a prime power generator of 2 ...

1999-03-23

434

Aquatic macroinvertebrates and water quality of Sandia Canyon, Los Alamos National Laboratory, December 1992--October 1993. Status report  

International Nuclear Information System (INIS)

In the summer of 1990, an accidental spill from the TA-3 Power Plant Environment Tank released more than 3,785 liters of sulfuric acid into upper Sandia Canyon. The Biological Resource Evaluation Team (BRET) of EM-8 at Los Alamos National Laboratory (LANL) has collected aquatic samples from the stream within Sandia Canyon since then. These field studies gather water quality measurements and collect macroinvertebrates from permanent sampling sites. An earlier report by Bennett (1994) discusses previous BRET aquatic studies in Sandia Canyon. This report updates and expands Bennett's initial findings. During 1993, BRET collected water quality data and aquatic macroinvertebrates at five permanent stations within the canyon. The substrates of the upper three stations are largely sands and silts while the substrates of the two lower stations are largely rock and cobbles. The two upstream stations are located near outfalls that discharge industrial and sanitary waste ...

2004-06-01

435

Alternative fuel buses currently in use in China: Life-cycle fossil energy use, GHG emissions and policy recommendations  

International Nuclear Information System (INIS)

The Chinese government has enacted policies to promote alternative vehicle fuels (AVFs) and alternative fuel vehicles (AFVs), including city bus fleets. The life cycle (LC), energy savings (ES) and GHG reduction (GR) profiles of AVFs/AFVs are critical to those policy decisions. The well-to-wheels module of the Tsinghua-CA3EM model is employed to investigate actual performance data. Compared with conventional buses, AFVs offer differences in performance in terms of both ES and GR. Only half of the AFVs analyzed demonstrate dual benefits. However, all non-oil/gas pathways can substitute oil/gas with coal. Current policies seek to promote technology improvements and market creation initiatives within the guiding framework of national-level diversification and district-level uniformity. Combined with their actual LC behavior and in keeping with near- and long-term strategies, integrated policies should seek to (1) apply hybrid electric technology to diesel buses; (2) ...

2010-01-01

436

A comparison of algorithms for inference and learning in probabilistic graphical models.  

Science.gov (United States)

Research into methods for reasoning under uncertainty is currently one of the most exciting areas of artificial intelligence, largely because it has recently become possible to record, store, and process large amounts of data. While impressive achievements have been made in pattern classification problems such as handwritten character recognition, face detection, speaker identification, and prediction of gene function, it is even more exciting that researchers are on the verge of introducing systems that can perform large-scale combinatorial analyses of data, decomposing the data into interacting components. For example, computational methods for automatic scene analysis are now emerging in the computer vision community. These methods decompose an input image into its constituent objects, lighting conditions, motion patterns, etc. Two of the main challenges are finding effective representations and models in specific applications and finding efficient algorithms for inference and ...

2005-09-01

437

{sup 99m}Tc-MDP scintigraphy of femoral head necrosis following femoral neck fracture  

Energy Technology Data Exchange (ETDEWEB)

Secondary ischemic necrosis of femoral head due to loss of blood supply following to femoral neck fracture is well known. The regional distribution of bone-seeking radiopharmaceuricals in the skeleton can depend on a number of factors, but bone blood flow is a major physiological determinant of regional skeletal uptake of Tc-99m polyphosphate and bone imaging may thus be used for the evaluation of vascularity of the femoral head. The authors made a comparative study of scintigraphic findings and operative findings of 28 cases of femoral neck fracture treated at Kyung Hee University Hospital from April 1980 to May 1984. The results were as follows: 1. In 16 cases of proven avascular necorsis of femoral head, scintigraphy showed absent or decreased activity in 14 cases (87.5%), while radiography showed increased density in 10 cases (62.5%). 2. In 12 cases of proven vital femoral head, scintigraphy showed increased activity in 9 cases (75%) and radiography showed ...

1985-02-15

438

[Validity of the tympanic infrared thermometer in geriatric inpatients].  

Science.gov (United States)

The purpose of this study was to assess the agreement between rectal temperature and infrared emission detection (IRED). The specificity and sensitivity, the positive predictive value and the negative predictive value were calculated. It was a prospective, observational and unblinded study. Thermoscan-pro-1 was used to collect pairs of data in 41 patients, all hospitalised on an acute geriatric ward during a 4-month period. 41% of the patients were febrile. The 'bias' between rectal and tympanic measurement (left ear) was -0.64 degree C (d) and the standard deviation 0.58 degree C (s). The '95% Confidence Interval' for the bias was -0.82 degree C and -0.46 degree C. The '95% limits of agreement' between the rectal measurement and the tympanic measurement (left ear) was -1.78 degrees C and 0.50 degree C. Regression analysis taught us that bias was increasing with increasing temperature. If we take into account one measurement with the IRED ear thermometry, the sensitivity was 41%, the ...

2001-10-01

439

[Urinary infection in geriatric short stay: value of urinary strips].  

Science.gov (United States)

The blinded study of CBUE (cytobacteriological urine examination) test strips was carried out in 100 patients (65 women, 35 men), mean age 85.52 +/- 6.28 years, admitted for a short stay in a geriatrics department. Urinary infection was present in 19% of the cases. Typical clinical signs (pollakiuria, dysuria, hematuria, burning upon voiding) were rare, less than 10%. General signs, such as deterioration of general status (65% of the cases) and loss of autonomy (53% of the cases), on the other hand, were predominant and their relatively unspecific nature required a reliable screening test for urinary infection. Good results of sensitivity (89.5%), specificity (98.7%), and the leukocytes/nitrites values, confirmed the validity of the urine test strip in hospitalized elderly patients. In addition, the negative predictive value of the combination leukocytes and nitrites (90.8%) would have prevented 71 samples from being sent to the laboratory for CBUE, resulting in an ...

1997-01-01

440

[The nurturing and development of nurse practitioners].  

Science.gov (United States)

The role of nurse practitioner has been established because of a shortage of doctors. In May 2007, the first cohort of 582 nurse practitioners were licensed in Taiwan. The post of nurse practitioner in Taiwan is formally moving towards systematization and the most urgent matters in that regard are the sorting out of contentious issues and the establishment of clear job descriptions. Competence in critical thinking and problem-based learning is important and has to be improved with practice. The application of teaching assessment tools such as direct observation procedural skills (DOPS), objective structured clinical examination (OSCE), miniclinical evaluation exercises (Mini-CEX), and 360 degree assessments may contribute to the improvement of nurse practitioners' skills in conducting research, appraising evidence-based nursing literature, and developing teaching strategies and advanced systems by making policy clear, evaluating, auditing and monitoring the clinical competence of nurse ...

2007-12-01

441

[Legionella pneumonia caused by aspiration of hot spring water after sarin exposure].  

Science.gov (United States)

A 72-year-old man was exposed to the sarin gas attack in a Tokyo subway on March 20 th, 1995. After exposure, he noticed eye discomfort, chest tightness, headache and weakness of the lower limbs and oropharyngeal muscles. Despite these symptoms, he visited a hot spring on the same day with his family. On March 25 th, his muscle weakness progressed, and a low grade fever appeared. His muscle weakness disappeared 8 days after exposure to sarin, but respiratory failure rapidly developed, necessitating artificial ventilation within four day after hospitalization on March 28th. Chemotherapy with erythromycin, imipenem/cilastatin, and steroid pulse therapy was begu. PCR and culture of sputum collected by bronchofiberscopy were positive for Legionella pneumophila, serogroup I. His respiratory state improved, but subsequent infection with Pseudomonous aeruginosa. Enterobacter cloacae, and Candida tropicalis/glabrata caused his death 71 days after admission. Oropharyngeal ...

1998-03-01

442

Use of morphine sulfate (MS Contin) in patients with burns: a pilot study.  

Science.gov (United States)

Morphine sulfate (MS Contin), a proven analgesic in the treatment of cancer pain and chronic benign pain, seems to be a good analgesic for the treatment of burn pain. MS Contin is morphine sulfate incorporated in a wax cellulose matrix delivery system. This wax cellulose delivery system gives MS Contin its duration of action. Ten patients were enrolled in an open-labeled, nonrandomized study. The study was designed to examine the analgesic efficacy of MS Contin in the burn population. Each patient remained in the study for 6 days. The efficacy of the analgesic regimen was subjectively measured by the visual pain scale. The MS Contin group was retrospectively compared with a group of patients who were given continuous intravenous infusions of morphine. The two groups were matched according to age, burn size, surgical procedures, and hospital stay. The analgesic qualities of MS Contin were comparable to those of continuous intravenous morphine sulfate infusions. MS ...

443

The role of succinylcholine in the prevention of the obturator nerve reflex during transurethral resection of bladder tumors  

International Nuclear Information System (INIS)

Objective was to present our 8 year experience in the prevention of the obturator nerve reflex during transurethral resection of bladder tumors. This study was performed in Ataturk University Hospital between 1999 and 2007. We retrospectively reviewed the records of 89 patients with inferolateral bladder tumors, who underwent transurethral resection under epidural or general anesthesia and requested obturator nerve reflex inhibition. Epidural anesthesia was administered to 57 patients, while the remaining 32 patients underwent general anesthesia via mask; and succinylcholine was administered prior to resection. Of the 57 patients received epidural anesthesia, 18 were diagnosed as inferolateral bladder tumors during endoscopy and had to undergo general anesthesia. Obturator nerve block was attempted preoperatively in 39 patients. However, a nerve identification failure, hematoma and 4 obturator nerve reflex events, despite the block, were observed and these patients ...

444

The dosimetric verification of a pencil beam based treatment planning system  

International Nuclear Information System (INIS)

A new three-dimensional treatment planning system (TPS) based on convolution/superposition algorithms (TMS-Radix from HELAX AB, Uppsala, Sweden) was recently installed at the University Hospital in Lund. The purpose of the present study was to design a quality assurance and acceptance testing programme to meet the specific characteristics of this convolution model. The model is based on parametrization of a non-measurable quantity - the polyenergetic pencil beam. However, the verification of the treatment planning model is still dependent on numerous comparisons of measured depth-doses and dose profiles. The test programme was divided in two basic parts: (i) model implementation and beam data consistency and (ii) model performance and limitations in special situations. The first part was scheduled for all photon beam qualities available before they could be used for clinical treatment planning. The second part was performed for selected energies only. The results ...

445

The cervicograph in labour management in the Highland of Papua New Guinea.  

Science.gov (United States)

The use of the cervicograph with the incorporated action and alert lines in labour management in developing country obstetrics is now well established and patients in labour in Port Moresby have been thus managed since 1973. In this study the cerviograph was introduced in hospitals and health centres in Enga Province and the results analysed. Despite intensive tuition in its use, a large number of cervicographs were incorrectly constructed, especially in health centres, and its introduction made little difference to operative delivery or perinatal mortality rates. The proportion of patients crossing the action line was much higher than in Post Moresby but this difference was probably also largely due to the inaccuracy of many cervicographs. It is likely that these difficulties will not be overcome until many more nurses with intensive training in the use of the cervicograph are available and until more deliveries take place in health institutions to maintain ...

1981-12-01

446

The Effects of Capitation on Outpatient Mental Health Episodes of Children  

Science.gov (United States)

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 intensity. That outpatient ...

2006-02-01

447

Stochastic risk estimate for barium radiological examinations in Malaga (Spain)  

International Nuclear Information System (INIS)

The aim of this research work has been the estimation of the stochastic risk for five barium examinations. The sample was the population attending the Radiological Service of the 'Nuestra Senora de la Victoria' University Hospital, who had been treated with some barium examinations, set in five different groups: oesophagus tract, oesophagus-gastric-duodenal tract, intestinal tract, enteroclysis and double enema. To estimate the stochastic risk, it is necessary to know the organ dose. This can be calculated from the dose-area product which allows us to determine the effective dose using software. The dose-area product is the most suitable quantity to measure in these types of examination. We have evaluated the contribution that each procedure provides to the genetically significant dose, somatically significant dose, collective effective dose, annual effective dose 'per capita' and detriment, which are useful for assessing the population risk of cancer or hereditary ...

2000-01-01

448

Serotypes and susceptibilities of paediatric clinical isolates of Streptococcus pneumoniae in Crete, Greece, before and after the heptavalent pneumococcal conjugate vaccine.  

Science.gov (United States)

All Streptococcus pneumoniae strains isolated from paediatric clinical samples at Heraklion University General Hospital in the 10-year period 2000-2009 were tested for serotype and susceptibility to antimicrobials. Among a total of 258 strains, 159 were isolated in the 5-year period 2000-2004, before the introduction of the heptavalent pneumococcal conjugate vaccine (PCV7), and 99 in the post-PCV7 5-year period 2005-2009. The prevalence of PCV7-included serotypes decreased in the post-PCV7 period (p?=?0.0002), but an increase was observed for serotypes 7F (p?=?0.002) and 19A (p?=?0.004). Pan-susceptibility rates and susceptibility to cotrimoxazole increased in the post-PCV7 period (p?=?0.01 and p?=?0.008, respectively), but serotype 19A emerged as a contributor to multi-resistance (p?=?0.007). PCV7 was followed by decreased S. pneumoniae resistance and prevalence of vaccine-related serotypes but increased prevalence of serotypes 7F and 19A. Continuing surveillance ...

2010-07-10

449

Process energy management  

Energy Technology Data Exchange (ETDEWEB)

In many facilities, energy management is simply a matter of managing the energy required for lighting and space conditioning. In many others, however, energy management is much more complex and involves large motors and controls, industrial insulation, complex combustion monitoring, unique steam distribution problems, significant amounts of waste heat, etc. Typical facilities offering large energy management opportunities include industrial facilities, large office and commercial operations, government institutions such as schools, hospitals and prisons. Such facilities generally have specialized industrial, commercial or institutional processes that incorporate many of the concepts covered in other chapters. These processes require thorough analytical evaluations to determine the appropriate energy-saving measures. This chapter provides some examples. In this chapter the authors present a suggested procedure for process energy improvement. Then, motors and ...

1994-12-31

450

Optimisation of imaging technique used in direct digital radiography  

Energy Technology Data Exchange (ETDEWEB)

The purpose of the study was to optimise the technique employed for AP shoulder and lateral cervical spine examinations following an investigation into image quality, based on clinical assessment, and effective dose, calculated from patient entrance surface dose measurements. A study was therefore conducted in an attempt to determine whether the increased radiation dose to the patient following the introduction of an anti-scatter grid was justified by the level of improvement in image quality. The study, involving 100 patients, was able to demonstrate that the increase in radiation dose to the patient when using an anti-scatter grid for AP shoulder examinations is not justified by the improved image quality. A poor level of inter-rater reliability between the consultants scoring the lateral cervical spine images prevented a firm conclusion from being reached. The fact that all images were of diagnostic quality, however, suggested that the use of the anti-scatter grid was unnecessary. ...

2006-09-15

451

Optimisation of imaging technique used in direct digital radiography  

International Nuclear Information System (INIS)

The purpose of the study was to optimise the technique employed for AP shoulder and lateral cervical spine examinations following an investigation into image quality, based on clinical assessment, and effective dose, calculated from patient entrance surface dose measurements. A study was therefore conducted in an attempt to determine whether the increased radiation dose to the patient following the introduction of an anti-scatter grid was justified by the level of improvement in image quality. The study, involving 100 patients, was able to demonstrate that the increase in radiation dose to the patient when using an anti-scatter grid for AP shoulder examinations is not justified by the improved image quality. A poor level of inter-rater reliability between the consultants scoring the lateral cervical spine images prevented a firm conclusion from being reached. The fact that all images were of diagnostic quality, however, suggested that the use of the anti-scatter grid was unnecessary. ...

2006-09-01

452

Mean glandular doses for women undergoing mammographic breast screening in Oyo state, Nigeria  

British Library Electronic Table of Contents (United Kingdom)

In this work, thermoluminescent dosimeters have been used to measure entrance surface doses (ESDs) of patients undergoing mammographic screening at the University College Hospital, Ibadan, Oyo state. The mean glandular doses (MGDs) were also calculated using the measured ESDs. The results showed that the ESDs ranged from 0.26mGy to 21.26mGy for the mediolateral oblique (MLO) views and 0.08mGy to 5.36mGy for the craniocaudal (CC) views. The calculated MGD ranged from 0.07mGy to 3.57mGy for the MLO views and 0.02mGy to 0.98mGy for the CC views. The possible reasons for the large variations in the individual ESD values and MGD values for both views are discussed using patients data, equipment specific data and the technical parameters used for the examinations. Comparison showed that the mean...

2009-01-01

453

Management of Ewing's sarcoma  

International Nuclear Information System (INIS)

Forty cases of Ewing's sarcoma of various sites had attended the Department of Radiotherapy at the Wanless Hospital and the Miraj Medical Centre, attached to the Government Medical College, Miraj, Maharashtra, from January, 1970 through December, 1979. There were 28 male patients and 12 female patients in the series with a male to female ratio of 2.3:1. The youngest patient in the series was a female of 6 years of age with the tumour in the scapula and the oldest patient was a 32-year-old male with a lesion in the metacarpal bone. Sixty per cent of the cases were seen in the second decade. The average age of the patients was 13.5 years. The bones of the lower extremities were most commonly involved with the highest number (35 per cent) of the cases occurring in the femur. Involvement of the bones of the right side of the body was almost equal to that of the left side. Swelling over the site of the lesion and pain over the swelling were the most common complaints ...

454

Long-term effects of prenatal x-ray of human females: reproductive experience  

Energy Technology Data Exchange (ETDEWEB)

A cohort of singleton black human females exposed to diagnostic x-ray in utero and controls matched by parity, hospital of birth and birthdate have been followed to ages 25 to 30 years in Baltimore, Maryland. The search for possible effects of prenatal irradiation has focused on health, growth, development, and reproductive experience of exposed and control women. This paper reports findings related to reproductive experience. From an original data set of 1458 matched exposed-control pairs of women, questionnaire responses were received from 1109 exposed and 1124 control women including 852 each from pairs in which both the exposed and control woman responded. After careful search for alternative explanations of the findings, the authors concluded that females exposed in utero to low doses of x-ray (probably 1 to 5 rads) had significant increases in their rates of early onset of menses, births at age 15 years or less, numbers of living children, stillbirths, and ...

1981-09-01

455

Local control and survival of Ewing's sarcoma in children with radiotherapy and chemotherapy without radical surgery  

International Nuclear Information System (INIS)

The present study was undertaken in 27 children with localized Ewing's sarcoma treated at our hospital. In 9 cases the lesion was central and in 18 peripheral. Treatment consisted of: 1) Chemotherapy with 6 drugs (vincristine, cyclophosphamide, methotrexate, bleomycin, dactinomycin and doxorubicin) for one year in all patients; 2) Radiotherapy in 24 patients at a dose of 30-40 Gy in the entire bone with a booster dose of 10-15 Gy in the lesion. In 7 patients debulking surgery was performed followed by irradiation. Two cases with tumor in expendable bones and one with extensive destructive lesion in the tibia underwent radical surgery. One patient suffered local recurrence (femur) and 6 developed distant metastases. The remaining 20 (74%) patients were alive and tumor-free after follow-up periods of 17-80 months. Among the 12 patients with extremity lesions who were alive, 7 (58%) had minimal or mild treatment sequelae, 2 moderate, and 3 severe sequelae but no ...

456

Laparoscopic diagnosis and treatment of nonpalpable testis  

Scientific Electronic Library Online (English)

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 primary vascular ligature. There was no intraoperative ...

2008-06-01

457

Intracavity irradiation with deferred radioactive load technique, remote control high activity sources  

Energy Technology Data Exchange (ETDEWEB)

From December 1981 to September 1986, 149 patients were treated at the Radiotherapy Department of the Hospital Clinico y Provincial of Barcelona by means of intracavity irradiation with 137 cesium high 1 sources and 2. To 112 of the total number of patients external radiotherapy to the whole of the pelvis using photons of 6 MeV was also administered. A total of 46 (30.7%) patients presented rectal complications. The rectitis observed was mild in 16 cases (10.7%), moderate in 15(10%) and severe in 15(10%). The 15 patients with severe rectitis had to be treated by unloading colostomy. In patients with severe complications, the maximum total rectal dose administered was between 5,855 and 9,490 cGy, and the maximum rectal dose administered via curietherapy was 1,055 to 7,320 cGy. Maximum total rectal dose administration greater than 4,000 cGy and maximum rectal dose administered via curietherapy greater than 5,800 cGy were statistically significant prognostic factors ...

1988-01-01

458

Injection-associated pain in femoral arteriography: A European multicenter study comparing safety, tolerability, and efficacy of iodixanol and iopromide  

International Nuclear Information System (INIS)

Purpose. To evaluate injection-associated pain, safety, and efficacy with the isotonic contrast medium iodixanol (Visipaque 270 mg I/ml) compared with iopromide (Ultravist 300 mg I/ml) in femoral arteriography. Methods. A multicenter, double-blind, randomized, parallel-group clinical investigation was carried out in 54 hospitals in Europe. Of the patients evaluated, 1225 received iodixanol and 1227 iopromide in conventional and/or digital subtraction angiography. Results. The iodixanol group reported statistically significantly less injection-associated pain (0.9%) than the iopromide group (9.5%) (p<0.001). Further, 4.1% in the iodixanol group experienced pain and/or severe heat sensation vs 19.8% in the iopromide group (p<0.001). In the iodixanol group, 1.8% of the patients experienced contrast-related adverse events vs 2.4% in the iopromide group (p=NS). Overall diagnostic information was optimal for 94.1% in the iodixanol group and 95.3% in the iopromide ...

1997-07-01

459

Gene linked to Lou Gehrig's disease  

Energy Technology Data Exchange (ETDEWEB)

Scientists have just taken a big step toward understanding the cause of Lou Gehrig's disease, one of the most devastating nerve degenerative diseases. A large team of researchers, led by Robert Brown Jr. of Harvards's Massachusetts General Hospital and Robert Horvitz, a Howard Hughes Medical Institute investigator at the Massachusetts Institute of Technology, report in the 4 March Nature that they've identified the gene that causes a hereditary form of the condition, which also goes by the name amyothophic lateral sclerosis (ALS). While most ALS cases - approximately 90% - are apparently sporadic' and not caused by an inherited gene defect, all the patients have such similar symptons that researchers are hopeful that what they learn about hereditary ALS will also apply to the sporadic form, possibly leading to new therapeutic strategies that will help both. It's a very important finding,' says neurobiologist ...

1993-03-05

460

Effective radiation therapy on two cases of primary Ewing's sarcoma of the rib  

International Nuclear Information System (INIS)

Two cases of primary Ewing's sarcoma of the rib are reported, in which radiation therapy was quite effective. Case 1 was an 18-year-old female who had had an operation and radiation therapy for Ewing's sarcoma of the left 7th rib. She was referred to our hospital after a recurrent tumor was found. Radiation therapy (tumor dose 46.2 Gy) and chemotherapy were given. The tumor disappeared and there has been no relapse for 1 year and 3 months after the treatment. Case 2 was a 2-year-old-infant. Radiation therapy (tumor dose 74 Gy) was given for primary Ewing's sarcoma of the left 6th rib. The tumor became small and was successfully removed at operation. There has been no relapse or distant metastasis for 8 months following the operation. We emphasize the importance of multidisciplinary treatment in case 1 and the usefulness of preoperative radiotherapy in case 2. (author).

461

Departure from ICRP-60 in Canadian radiation protection regulations  

International Nuclear Information System (INIS)

The Atomic Energy Control Board (AECB), Canada's nuclear regulatory authority, is preparing new regulations based on ICRP-60. The proposed regulations have some features which are different from ICRP-60, e.g., the limit for pregnant workers was set at a higher level than that proposed in ICRP-60. The AECB, through its consultative process, received many responses from female staff in nuclear medicine. The concern was that it would be very difficult to prove compliance with such low doses, particularly for internal doses. There was an additional concern that hospital administrators would respond to the reduction of the current pregnant worker limit from 10 mSv to the ICRP-60 recommended value of 2 mSv by discriminating against hiring women. A new proposal for the dose limit for pregnant workers has been made which will limit the dose to the mother by means of a combining formula that will take both external and internal doses into account. (author).

462

Construction of a homogeneous phantom for radiographic image standardization; Construcao de um fantoma homogeneo para padronizacao de imagens radiograficas  

Energy Technology Data Exchange (ETDEWEB)

The principle of radiodiagnosis consists in the fact the X-ray beam is attenuated at different degrees by distinct tissues. For this reason, the anatomical structures have distinct radiological opacities, that produce the radiographic image. The progresses in radiology are related to the development if new radiographic image formation systems that enable an amplification in the quality, with low dose and/or risk to the patient. The objective of this work is the sensitometric valuation of a screen-film combination, that is still the most used, for the standardization, of radiographic images. Thinking about this, were constructed homogeneous phantoms of the chest, skull and pelvis, for the calibration of X-ray beams, with the purpose of obtaining radiographic images of good quality, basing in the routine of a radiodiagnosis service and in the scientific knowledge. Questions were approached about the choice of the suitable equipment, that allow the obtention of k Vp and m As combinations, ...

1996-12-31

463

Concise review: expanding roles for hematopoietic cellular therapy and the blood transfusion services.  

Science.gov (United States)

Hematopoietic stem cells (HSCs) have remained at the forefront of stem cell research for the past 50 years, since the therapeutic potential of bone marrow transplantation was realized. Uniquely, among stem and progenitor cells, research progress has been made in parallel between the laboratory benchtop and hospital bedside during this period. Integral to this work has been the role of the transfusion medicine services in the collection, storage, and processing of HSCs. The next decade promises to bring further developments: with new fields of cellular therapies, stem cell vaccination, and stem cell drug testing opening up. This article summarizes exciting areas of research concerning the behavior and potential clinical applications of HSCs. For the purposes of clarity, we describe in turn the trafficking and transfer of HSCs; ex vivo expansion of HSC units from different sources; and finally, applications of specifically selected subsets of hematopoietic cells and ...

2011-09-01

464

Coir pith of the green coconut in the decontamination of radioactive aqueous effluent  

International Nuclear Information System (INIS)

Industrial segments as plant of mining, hospitals and university generate considerable volumes of radioactive wastewater containing uranium. The increasing development of the use of the nuclear energy to lead away to an expansion of the sectors of the nuclear fuel cycle, but it leads to security problems and it appears the necessity of control of the removing of uranium and radioactive effluent treatments. Researches evaluate if the technique of the biosorption would promote an alternative process with attractive characteristics of cost-benefit. The residual biomass from agricultural activities has been studied and used as adsorbent of metals and organic composts by low cost, abundance and for being biodegradable. In this work, it is presented the efficiency of the coir pith for the adsorption of ions UO_2"2"+. The coir pith is a by-product of the harvest of the coconut, a renewable natural source. The study was accomplished using the batch techniques. The ...

465

Characteristic findings of pediatric inpatients with pandemic (H1N1) 2009 virus infection among severe and nonsevere illnesses  

British Library Electronic Table of Contents (United Kingdom)

We analyzed the clinical features of inpatients at a Japanese pediatric department who were infected with pandemic (H1N1) 2009 virus. Study participants included 46 children hospitalized from July 2009 to January 2010. Infection with the virus was confirmed using real-time reverse transcriptase polymerase chain reaction (RT-PCR). The epidemic month was October 2009; 34 patients were boys, and median age was 7?years. Pandemic influenza-associated respiratory diseases included pneumonia (n?=?42), bronchitis (n?=?3), and pharyngitis (n?=?1). The median time from onset to admission was 3?days. Children were divided into those with severe (n?=?32) versus nonsevere illnesses (n?=?14) according to Japanese guidelines. Significant features in the severe group were younger age, previous asthmatic a...

2011-01-01

466

Can We Use Common Clinical Parameters to Identify Patients Who Will Need Insulin Treatment in Gestational Diabetes?  

Science.gov (United States)

OBJECTIVE To identify patients with gestational diabetes mellitus (GDM) who will need antenatal insulin treatment (AIT) by using a risk-prediction tool based on maternal clinical and biochemical characteristics at diagnosis. RESEARCH DESIGN AND METHODS Data from 3,009 women attending the Royal Prince Alfred Hospital GDM Clinic, Australia, between 1995 and 2010 were studied. A risk engine was developed from significant factors identified for AIT using a logistic regression model. RESULTS A total of 51% of GDM patients required AIT. Ethnicity, gestation at diagnosis, HbA(1c), fasting and 60-min glucose oral glucose tolerance test, BMI, and diabetes family history were significant independent determinants of AIT. Notably, only 9% of the attributable risk for AIT can be explained by the clinical factors studied. A modeled risk-scoring system was therefore a poor predictor of AIT. CONCLUSIONS Baseline maternal characteristics including HbA(1c) alone cannot predict the ...

2011-08-11

467

Calibration methods of plane-parallel ionization chambers used in electron dosimetry; Metodos de calibracao de camaras de ionizacao de placas paralelas para dosimetria de feixes de eletrons  

Energy Technology Data Exchange (ETDEWEB)

The use of linear accelerators in radiotherapy is of great importance in Medicine, and according to international recommendations the electron beam dosimetry has to be performed using plane-parallel ionization chambers, previously calibrated in standard gamma radiation fields at accredited laboratories. In this work, calibration methods of plane-parallel ionization chambers used in dosimetry procedures of high energy electron beams of clinical accelerators were presented, tested and intercompared. The experiments were carried out using gamma radiation beams of {sup 60} Co at the Calibration Laboratory of Clinical Dosemeters at IPEN and electron beams od 4 to 16 MeV at the Radiotherapy Department of Hospital Israelita Albert Einstein, Sao Paulo. A method was chosen to be established at IPEN. Proposals of the calibration procedure, calibration certificate and data sheets are presented. (author)

1999-07-01

468

Biological wound dressings sterilized with gamma radiation: Mexican clinical experience  

International Nuclear Information System (INIS)

Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is 'Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation'. At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican clinical experience with ...

2007-11-01

469

Atmospheric emissions as a tool in evaluation of sustainability research in oil industry; Emissao atmosferica como uma ferramenta na avaliacao do desenvolvimento sustentavel na industria do petroleo  

Energy Technology Data Exchange (ETDEWEB)

This work is directly to analysis of atmosphere surrounding Ipiranga Refinery; witch is located in the city of Rio Grande, in estate of Rio Grande do Sul. The refinery is surrounded by neighborhood, witch are impacted by atmospheric emissions of refinery. The objective of this work is correlating the refinery to the inhabitants that lives near the refinery, using an environmental sustainability index. This work will be achieve by analysis of Polycyclic Aromatic Hydrocarbons (PAH) bounded in particulate matter with diameter of 100 {mu}m (PTS), the acquisition of health data on the city hospitals and correlation of this data with PAH concentrations in Particulate Matter. The Samples were obtain by FEPAM, witch have three samples sites in the center of city. The samples was obtained by a High Volume Sampler equipped with quartz fiber filters. The meteorological data important to this work, like wind direction and speed, will be obtain in Meteorological Station on ...

2008-07-01

470

AN INFORMATION/NAVIGATION AID FOR COMPLEX INDOOR SPACE FEASIBILITY STUDY TO ESTABLISH OLDER PEOPLE'S NEEDS  

Environmental Research Database

Objectives1. To identify with older people the problems which they encounter in finding their way about public building/spaces.~%~2. To produce ideas, in consultation with older people, for an information/navigation aid that might facilitate their use and enjoyment of public buildings/spaces, notably hospitals, large shops, railway stations, airports.~%~3. To develop an emulation model of the information/navigation aid~%~4. To monitor use of the model by older people~%~5. To identify further research~%~6. [continued...]DescriptionThe growth in the number of older people offers scope for the development of customised information/navigation aids to help them to find their way around complex public spaces. New technology however is unlikely to be taken up by older people unless it is acceptable to them. The research will involve engineers in designing, testing and modifying a model of such an aid in conjunction with a sample of older people.~%~Older people, in ...

1999-01-31

471

A prospective study of 100 roboticallyassisted laparoscopic adrenalectomies  

British Library Electronic Table of Contents (United Kingdom)

We evaluated robotically assisted laparoscopic adrenalectomy (RLA) in a prospective study of 100 consecutive patients (60 women and 40 men) undergoing unilateral adrenalectomy at the University Hospital. The median age was 59 (24?82) years and BMI 27.6 (17.1?40.9) kg/m2. Preoperative diagnoses were Conn?s syndrome 30%, pheochromocytoma 23%, Cushing syndrome 27% and non-functional tumor 20%. The median tumor size was 53 (10?106) mm. The majority of the 7% of the patients who were converted to open surgery were in the early phase after the introduction of the technique. The BMI of the patients who were converted to open surgery was significantly higher, 31.5 (range 25.3?37.8) compared to, 27.5 (range 17.1?40.9) in patients without conversion (P?=?0.047). The median weight of the tumor was 51...

2011-01-01

472

A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out.  

Science.gov (United States)

Surgical fires--fires that occur on or in a surgical patient--are a rare but devastating complication of surgical procedures. They can happen during almost any kind of operation and can have dire consequences for both the patient and the hospital. The risk of surgical fires can be minimized as long as everyone on the surgical team understands how fires start and what to do when they occur. It's important to recognize the interaction among ignition sources, oxidizers, and fuels--the three sides of the classic fire triangle. What's more, staff members need to be alert to "hidden" fire risks, such as unsuspected oxygen-enriched atmospheres and less-than-obvious fuels. They also need to be drilled in the correct steps for responding to fires. In this guide, we describe the elements of surgical fires, including the types of equipment and materials that make up each side of the fire triangle. Through a series of case histories, we illustrate the many ways in which fires ...

2003-01-01

473

A Two-step Intensity-modulated Radiation Therapy Method for Nasopharyngeal Cancer: The Kinki University Experience  

British Library Electronic Table of Contents (United Kingdom)

Objective The aim of this study was to analyze the clinical results of our adaptive radiation therapy scheme of a two-step intensity-modulated radiotherapy (IMRT) method for nasopharyngeal cancer (NPC) at Kinki University Hospital. Methods Between 2000 and 2007, 35 patients with Stage I-IVB NPC treated by IMRT were included. For all patients, treatment-planning computed tomography was done twice before and during IMRT to a total dose of 60-70 Gy/28-35 fractions (median 68 Gy). Chemotherapy (cisplatin 80 mg/m2/3 weeks x 1-3 courses) was given concurrently with IMRT for 31 patients. Results The 3- and 5-year overall survival rates for the 31 patients treated with concurrent chemotherapy were 88% and 83%, respectively. The 3- and 5-year loco-regional control rates for the 31 patients were 93%...

2010-01-01

474

A Blueprint for Telerehabilitation Guidelines?October 2010  

British Library Electronic Table of Contents (United Kingdom)

Committee Members Co-Chairs David Brennan, M.B.E., Senior Research Engineer, National Rehabilitation Hospital, Washington, District of Columbia. Lyn Tindall, Ph.D., Speech-Language Pathologist, Department of Veterans Affairs Medical Center, Lexington, Kentucky. Writing Committee Janet Brown, M.A., CCC-SLP, Director, Health Care Services, American Speech-Language-Hearing Association, Rockville, Maryland. Mike Campbell, M.S., M.B.A., CCC-SLP, Director of the Speech and Hearing Program, The University of North Carolina at Greensboro, Browns Summit, North Carolina. Jana Cason, D.H.S., OTR/L, Assistant Professor, Auerbach School of Occupational Therapy, Louisville, Kentucky. Diana Christiana, M.A.T., CCC-SLP, President/CEO, Clinical Communications, Sugar Land, TX. Alan Lee, Ph.D., P.T., D.P.T.,...

2011-01-01

475

Spectroscopic characterization and temporal dynamics of energy transfer process between Tm{sup 3+} -Ho{sup 3+} and Yb{sup 3+} -Tm{sup 3+} ions in LiYF{sub 4} and LiLuF{sub 4} crystals; Caracterizacao espectroscopica e dinamica temporal dos processos de transferencia de energia entre os ions Tm{sup 3+} -Ho{sup 3+} e Yb{sup 3+} -Tm{sup 3+} em cristais de LiYF{sub 4} and LiLuF{sub 4}  

Energy Technology Data Exchange (ETDEWEB)

In this work, we perform spectroscopic studies to characterize the energy transfer processes occurring in rare-earth doped lithium fluoride systems, aiming the optimization of the population inversion of these media. Yb{sup 3+} ion was used in order to probe the electron-phonon coupling in LiYF{sub 4}, LiGdF{sub 4} and LiLuF{sub 4} matrices. In these systems it was obtained the average phononenergy, the vibronic transition probability and Huang-Rhys coupling constant. These parameters are dependent on the crystal host and the LiLuF{sub 4} system presents excluded correlation effects, an electronic repulsion that weakens the vibronic coupling. The Tm:Ho:LiYF{sub 4} system was studied under diode laser pumping at 796 nm, aiming the 2 {mu}m emission optimization. The ideal conditions of concentration and laser power were determined favouring the latter emission. Upconversion processes of two photons were identified besides the energy transfer among ions. The dynamic processes of ...

2001-07-01

476

Size and morphology of heavy-duty vehicle particle emissions; Raskaan ajoneuvokannan hiukkaspaeaestoen koko ja morfologia - HD-PM  

Energy Technology Data Exchange (ETDEWEB)

Formation of particles from heavy duty diesel and CNG vehicles was studied in laboratory conditions. PM, nano and soot mode particle emissions formed from buses of Euro 2-5 -emission levels were studied in relation to age and type approval characteristics of the vehicle. Characteristic particle emission factors from city driving were obtained by driving the buses on VTT's heavy duty chassis dynamometer applying the transient Braunschweig city cycle. The vehicles were a representative set of Euro 2 to 3 emission categories, supplemented with Euro 4-5 (EEV) -targeted CRT, CNG and DPF cars. Particle number emissions from Euro 4 to 5 buses were 1/100-1/1000 and mass emissions 1/10-1/100 of those of the current fleet. Particle emission from natural gas buses and after an advanced CRT trap contained almost entirely liquid < 60 nm nano particles, which will make filter mass based PM control very challenging in the near future. One result was that gravimetric PM emission could ...

2006-10-15

477

Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: A single center study  

International Nuclear Information System (INIS)

The aim of this study was to document vascular complications that occurred following cadaveric and living donor kidney transplants in order to assess the overall incidence of these complications at our center as well as to identify possible risk factors. In a retrospective cohort study, 1500 consecutive renal transplant recipients who received a living or cadaveric donor kidney between December 1988 and July 2006 were evaluated. The study was performed at the Nemazee Hospital, Shiraz, Iran. The assessment of the anatomy and number of renal arteries as well as the incidence of vascular complications was made by color doppler ultrasonography, angiography, and/or surgical exploration. Clinically apparent vascular complications were seen in 8.86% of all study patients (n = 133) with the most frequent being hemorrhage (n = 91; 6.1%) followed by allograft renal artery stenosis (n = 26; 1.7%), renal artery thrombosis (n = 9; 0.6%), and renal vein thrombosis (n = 7; 0.5%). ...

478

Use of sting-response techniques for simulate diagnostics in human esophagus; Uso de tecnicas estimulo-respuesta para simular diagnosticos en esofago humano  

Energy Technology Data Exchange (ETDEWEB)

In this work a study of simulation of the gamma graphic studies that are carried out in human esophagus in the Dept. of Nuclear Medicine of the 'Celestino Hernandez Robau Hospital of Santa Clara is presented. For the investigation tubular reactors were used and sting-response techniques with radioactive tracer of Technetium 99 metastable to a concentration of 1 mCi and several flows were applied. The distribution curves of residences times were obtained, those that respond to an equation of the type: Y = A + B exp (- exp((x-C)/D)) - ((x-C/D)+1). They were also carried out, optimizations studies of the doses of the radioactive to give to the patients from 1 mCi (that is the one used in studies) up to 0,5 mCi, and the influences on the obtained distributions of residence time were analyzed. It was confirmed the possibility to lower the doses with clear information of the signal. It was also carried out a simulation of the attenuation of the radiations that ...

2003-07-01

479

The relationship between seminal plasma zinc levels and high molecular weight zinc binding protein and sperm motility in Iraqi infertile men  

International Nuclear Information System (INIS)

To evaluate the relationship between sperm motility and total seminal plasma zinc concentration and high molecular weight zinc bound protein values in infertile Iraqi men. A case-control study was conducted at the Chemistry and Biochemistry Department, College of Medicine, Al-Nahrain University, Baghdad, Iraq between March 2005 to February 2006. The subjects for the study included 60 infertile male patients who were recruited Al-Kadhimiya Teaching Hospital, and Institute of Embryo Research and Infertility Treatment, Baghdad, Iraq. They were categorized according to their seminal parameters to oligozoospermia (n=32), azoospermia (n=22), and asthenozoospermia (n=6). Thirty nine fertile men (age range 31.87 +/- 3.76 years) were selected as controls, whose partners had conceived within the last year before participation with this study, and having normal spermiogram parameters. Seminal plasma zinc concentration and high molecular weight zinc binding proteins (HMW-Zn) ...

480

Tests for the diagnosis of Clostridium difficile infection: the next generation.  

Science.gov (United States)

Clostridium difficile (C. difficile) causes 25-30% of cases of antibiotic associated diarrhea and most cases of pseudomembranous colitis. Patients presenting with diarrhea after hospitalization for 3 or more days should be tested for C. difficile. There are many options available for testing, each of which has inherent advantages and disadvantages. Most laboratories perform toxin testing using an enzyme immunoassay method. In general these tests have sensitivities ranging from 60 to 70% and specificities of 98%. When using these methods, symptomatic patients with negative tests should be tested by another more sensitive method. Until recently, cell culture cytotoxicity neutralization assays (CCNAs) were considered the gold standard in the U.S. A two-step algorithm using an EIA for glutamate dehydrogenase detection followed by testing positives using CCNA, offered an improved alternative until the availability of molecular assays. Although early studies that ...

2011-03-03

481

Survey of Radiation Protection Education and Training in Finland in 2003  

Energy Technology Data Exchange (ETDEWEB)

The current state and need for radiation protection training in Finland have been surveyed by the Radiation and Nuclear Safety Authority STUK. The survey sought to determine whether the current requirements for radiation protection training had been met, and to promote radiation protection training. Details of the scope and quality of present radiation protection training were requested from all educational institutes and organizations providing radiation protection training. The survey covered both basic and further training, special training of radiation safety officers, and supplementary training. The questionnaire was sent to 77 educational organization units, 66 per cent of which responded. Radiation workers and radiation safety officers were asked about radiation protection knowledge and needs for additional training. The questionnaire was sent to 880 radiation users and 170 radiation safety officers, 70 per cent of whom responded. The survey covered all professional groups and ...

2004-07-01

482

Summary of Information and Resources Related to Energy Use in Healthcare Facilities - Version 1  

Energy Technology Data Exchange (ETDEWEB)

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 intensity of hospitals and other inpatient care facilities. The goal of the study was to ...

2009-09-08

483

Similar Treatment Outcomes for Radical Cystectomy and Radical Radiotherapy in Invasive Bladder Cancer Treated at a United Kingdom Specialist Treatment Center  

International Nuclear Information System (INIS)

Purpose: To conduct a retrospective analysis within a large university teaching hospital, comparing outcomes between patients receiving either radical surgery or radiotherapy as curative treatment for bladder cancer. Patients and Methods: Between March 1996 and December 2000, 169 patients were treated radically for muscle-invasive bladder cancer. Data were collected from patient notes. Statistical analyses were performed using Kaplan-Meier methods and Cox proportional hazards regression analysis to compare radiotherapy and surgical outcome data. Results: There was no difference in overall, cause-specific, and distant recurrence-free survival at 5 years between the two groups, despite the radiotherapy group being older (median age, 75.3 years vs. 68.2 years). There were 31 local bladder recurrences in the radiotherapy group (24 solitary), but there was no significant difference in distant recurrence-free survival. In a more recent (2002-2006) cohort, the median age ...

2008-02-01

484

Renal artery stenosis after radiotherapy for Ewing's sarcoma  

International Nuclear Information System (INIS)

Background: the fact that therapeutic irradiation can induce significant stenosis in the arteries of the head, neck, and chest, as welt as in the aorta and the iliac arteries, is familiar in daily practice and well documented in the literature. By contrast, radiation-induced renal artery stenosis seems to be a less widely known complication. Patients and methods: the sudden onset of medically refractory arterial hypertension and coma in a 27-year-old man is reported, who had been treated at age 20 with chemotherapy and radiotherapy for Ewing's sarcoma in the lumbar region. This treatment had been performed at the hospital of Sion, Switzerland in 2001. Also, the relevant literature from 1965 to 2007 is reviewed to underscore various aspects of this problem and to demonstrate the clinical relevance of renal artery stenosis as a potential long-term sequela of radiotherapy. Conclusion: radiation-induced renal artery stenosis has only rarely been described in the ...

2008-09-01

485

Reevaluation of the 'Falx sign'  

Energy Technology Data Exchange (ETDEWEB)

Visualization of falx cerebral on non-enhanced computer tomography (CT) of children with severe head injuries (the falx sign) has been regarded as an evidence of subarachnoid hemorrhage. On the contrary, other authors have reported reverse results. To evaluate clinical significance of the falx sign, authors studied frequency of visualization and CT number of falx cerebri and dural sinuses in 65 children with head injury and 65 children without head injury examined by cranial computer tomography at the Department of radiology, St Paul's Hospital, Catholic Medical College from March to September, 1981. All patients with head trauma were studied within 1 week of the traumatic event. Visualization of falx cerebri was observed at slice in the region of lateral ventricle and slice near to vertex respectively. On the slice in the region of lateral ventricle, falx cerebri was identified in 82% of all of the children examined, of which 92% showed partial ...

1982-06-15

486

Radiation exposure of children in pediatric radiology. Pt. 5. Organ doses in chest radiography; Zur Strahlenexposition von Kindern in der paediatrischen Radiologie. T. 5. Organdosen bei der Roentgenuntersuchung des Thorax  

Energy Technology Data Exchange (ETDEWEB)

Purpose: Reconstruction of organ doses of selected organs and tissues from radiographic settings and exposure data collected during chest X-ray examinations of children of various age groups performed in Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007. Materials and Method: The dosimetric data of all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 119 150 chest radiographs of all age groups. Reconstruction of organ doses in 40 organs and tissues in X-ray examinations of the chest was performed based on the conversion factor concept. Results: The radiation exposure of organs in projection radiography is determined by the exact site of the organs relative to the edges of the X-ray field and the beam direction of ...

2009-05-15

487

Quality control in medical radiology using T.L.D  

Energy Technology Data Exchange (ETDEWEB)

In this work tests of quality control in beams of X rays have been carried out, at diagnostic level, of two radiological services equipments of Brazilian hospitals (Aracaju, SE). We obtained the air kerma and kerma rate values, the beams efficiency, the coherence between the luminous fields and the referring fields of irradiation and half-value layer to each equipment and set of parameters. The measures of direct form have been obtained using two ionization chambers, one cylindrical and another one with parallel plates. An optional method for accomplishment some of the tests were carried out with CaSO{sub 4}:Dy + Teflon thermoluminescent dosimeters. The values of air kerma were evaluated for three tube voltage, 40, 60 and 81 kV at 1.0 m from the focus of the equipments. For each one of the voltages three distinct current values were chosen besides a fixed value of exposition time. The results showed that the values of air kerma varied between 8.0 {mu}Gy and 0.35 ...

2006-07-01

488

Natural background radiation induces cytogenetic radioadaptive response more effectively than occupational exposure in human peripheral blood lymphocytes  

Science.gov (United States)

Ramsar, a city in the northern Iran, has the highest level of natural background radiation in the world. It has been clearly shown that low doses of ionising radiation can induce resistance to subsequent higher exposures. This phenomenon is termed radioadaptive response. We have compared induction of cytogenetic radioadaptive response by High Natural Background Radiation (HNBR) in Ramsar and X-ray occupational exposure as conditioning doses in human peripheral blood lymphocytes. 30 healthy control individuals, living in Ramsar but in normal background radiation areas, 15 healthy individuals from Talesh Mahalleh, a region with extraordinary high level of background radiation, and 7 X-ray radiographers working in Ramsar hospital located in normal natural background ionising radiation area were evaluated. Peripheral blood samples were prepared and exposed to challenge dose of 0 and 2 Gy. Lymphocytes were scored using analysis of metaphase, for the presence of ...

2003-01-01

489

MR findings in cases of suspected impacted fracture of the femoral neck  

Energy Technology Data Exchange (ETDEWEB)

Purpose: To evaluate MR imaging of the hip in patients with a clinically suspected impacted fracture of the femoral neck in cases where conventional plain films show negative or equivocal findings. Material and Methods: Twenty-seven such patients were prospectively examined by MR imaging with a 1.0 T unit, within 24 hours of admittance to hospital. A coronal T1-weighted turbo spin-echo sequence (n=27), and a coronal STIR sequence (n=25) or a coronal T2-weighted turbo spin-echo fast saturation sequence (n=2) were used. The evaluations were made by 2 radiologists with experience in musculoskeletal radiology. Results: There were 6 patients with a petrochanteric fracture, 2 without and 4 with slight displacement. Five patients had an impacted fracture of the femoral neck, and 3 had a fracture of the superior pubic bone. Of 2 patients with advanced arthrosis, i had an impacted femoral neck fracture and the other a nondisplaced intertrochanteric fracture. There was 1 ...

1997-09-01

490

Insights in the use of health care services in chronic benign pain in childhood and adolescence.  

Science.gov (United States)

The utilization of health care services in children and adolescents with chronic benign pain was studied in a Dutch population sample of 254 chronic pain sufferers aged 0-18 years. Children and adolescents who had reported chronic pain (continuous or recurrent pain >3 months) in our previous prevalence study were asked to keep a 3-week diary on their pain and to fill out questionnaires on background factors, health care use and the impact of pain. Parent ratings were used for children aged 0-11 years, self-report was used in adolescents (12-18 years). In a 3-month period, in 53.4% of the cases medication was used for pain, and general practitioners and specialists were consulted for pain in 31.1% and 13.9% of subjects, respectively. Physiotherapists, psychologists and alternative health providers were visited by 11.5, 2.8, and 4.0%, respectively. In the preceding year, 6.4% had been hospitalized due to pain. The most important factors linked to utilizing medical ...

2001-11-01

491

Four years of North American registry home parenteral nutrition outcome data and their implications for patient management  

International Nuclear Information System (INIS)

The OASIS Registry started annual collection of longitudinal data on patients on home parenteral nutrition (HPN) in 1984. This report describes outcome profiles on 1594 HPN patients in seven disease categories. Analysis showed clinical outcome was principally a reflection of the underlying diagnosis. Patients with Crohn's disease, ischemic bowel disease, motility disorders, radiation enteritis, and congenital bowel dysfunction all had a fairly long-term clinical outcome, whereas those with active cancer and acquired immunodeficiency syndrome (AIDS) had a short-term outcome. The long-term group had a 3-year survival rate of 65 to 80%, they averaged 2.6 complications requiring hospitalization per year, and 49% experienced complete rehabilitation. The short-term group had a mean survival of 6 months; they averaged 4.6 complications per year and about 15% experienced complete rehabilitation. The registry data also indicated HPN was used for 19,700 patients in 1987 with ...

492

Digital subtraction angiography (DSA) using Fuji computed radiography (FCR)  

International Nuclear Information System (INIS)

A vessel phantom suitable for evaluation of spatial and contrast resolution of FCRDSA (Fuji Computed Radiography, digital subtraction angiography) has been developed and used for determining resolution. The effects of iodine concentration, low dose exposure, and acryl thickness on the resolution were evaluated in FCRDSA, and FCRDSA images were compared with film substraction with use of this phantom. It has been proven that limitation of resolution of FCRDSA was 5 % 1 mm and about 1/4 dose exposure compared with conventional film exposure was clinically acceptable. Dye dilution method was useful to determine a program of IVDSA with imaging plate. It has been proven that time to appearance and time to peak of time-concentration curve of dye dilution method closely correlate to time to appropriate image of DSA in the neck, the chest, and the abdomen. 106 cases of IVDSA and 130 cases of IADSA using FCR in Tohoku University Hospital from January through December 1984 ...

1984-12-01

493

Determination of distal dose edge location by measuring right-angled prompt-gamma rays from a 38 MeV proton beam  

International Nuclear Information System (INIS)

In clinical applications, it is very important to accurately determine the range of a proton beam in a patient. Recently, a prototype prompt-gamma scanning system, called a prompt-gamma scanner (PGS), has been constructed at Hanyang University in Korea with the collaboration of the Korean national cancer center (NCC), based on a series of Monte Carlo simulations. The PGS system is composed of a prompt-gamma collimator, a CsI(Tl) scintillation detector, a multi-channel analyzer (MCA), a precision movement system, and an integrated readout system. The prompt-gamma collimator is designed to effectively shield high-energy neutrons from the proton beam passage and subsequent capture gammas. The PGS system can be used to scan the distribution of the prompt gammas in the patient from the proton beam passage. The distribution of the prompt gammas can then be used to determine the proton beam range or the distal dose edge in the patient. In this study, the PGS system was tested with a 38 MeV ...

2007-09-21

494

Current trend of pneumococcal serotypes distribution and antibiotic susceptibility pattern in Malaysian hospitals.  

Science.gov (United States)

From January 2008 to December 2009, 433 Streptococcus pneumoniae strains were examined to determine the serotype distribution and susceptibility to selected antibiotics. About 50% of them were invasive isolates. The strains were isolated from patients of all age groups and 33.55% were isolated from children below 5 years. The majority was isolated from blood (48.53%) and other sterile specimens (6.30%). Community acquired pneumonia (41.70%) is the most common diagnosis followed by sepsis (9.54%). Serotyping was done using Pneumotest Plus-Kit and antibiotic susceptibility pattern was determined by modified Kirby-Bauer disk diffusion method and measurement of minimum inhibitory concentration (MIC) using E-test strip. Ten most common serotypes were 19F (15.02%), 6B (10.62%), 19A (6.93%), 14 (6.70%), 1 (5.08%), 6A (5.08%), 23F (4.85%), 18C (3.93%), 3 (2.08%) and 5 (1.85%). Penicillin MIC ranged between ? 0.012-4 ?g/ml with MIC?? of 1 ?g/ml. Penicillin resistant rate is 31.78%. The majority ...

2011-06-30

495

Corrected transposition of the great arteries  

International Nuclear Information System (INIS)

The corrected transposition of the great arteries is an usual congenital cardiac malformation, which consists of transposition of great arteries and ventricular inversion, and which is caused by abnormal development of conotruncus and ventricular looping. High frequency of associated cardiac malformations makes it difficult to get accurate morphologic diagnosis. A total of 18 cases of corrected transposition of the great arteries is presented, in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between September 1976 and June 1981. The clinical, radiographic, and operative findings with the emphasis on the angiocardiographic findings were analyzed. The results are as follows: 1. Among 18 cases, 13 cases have normal cardiac position, 2 cases have dextrocardia with situs solitus, 2 cases have dextrocardia with situs inversus and 1 case has levocardia with situs inversus. 2. Segmental sets ...

1981-12-01

496

Cardiac Malpositions  

International Nuclear Information System (INIS)

Cardiac Malposition refers to any position of the heart other than a left-sided heart in a situs solitus individual. Associated cardiac malformations are so complex that even angiocardiographic and autopsy studies may not afford an accurate information. Although the terms and classifications used to describe the internal cardiac anatomy and their arterial connections in cardiac malpositions differ and tend to be confusing, common agreement exists on the need for a segmental approach to diagnosis. Authors present 18 cases of cardiac malpositions in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between 1971 and 1979. Authors analyzed the clinical, radiographic, operative and autopsy findings with the emphasis on the angiocardiographic findings. The results are as follows: 1. Among 18 cases with cardiac malpositions, 6 cases had dextrocardia with situs inversus, 9 cases had dextrocardia ...

1979-06-01

497

Can intensity-modulated radiation therapy of the paraaortic region overcome the problems of critical organ tolerance?  

International Nuclear Information System (INIS)

Background and purpose: the recent RTOG guidelines for future clinical developments in gynecologic malignancies included the investigation of dose escalation in the paraaortic (PO) region which is, however, very difficult to target due to the presence of critical organs such as kidneys, liver, spinal cord, and digestive structures. The aim of this study was to investigate intensity-modulated radiotherapy's (IMRT) possibilities of either increasing, in a safe way, the dose to 50-60 Gy in case of macroscopic disease or decreasing the dose to organs at risk (OR) when treatment is given in an adjuvant setting. Material and methods: the dosimetric charts of 14 patients irradiated to the PO region at the department of radiation oncology, university hospital of Liege, Belgium, in 2000 were analyzed in order to compare six-field conformal external-beam radio-therapy (CEBR) and five-beam IMRT approaches. Both CEBR and IMRT investigations were planned to theoretically ...

2005-03-01

498

Accuracy of single versus combined use of ultrasonography or computed tomography in the localization of parathyroid adenoma  

International Nuclear Information System (INIS)

Objective was to assess the accuracy of a single versus combined use of ultrasound (US) or computed tomography (CT) in the localization of diseased parathyroid glands. Forty-one patients with hyper-parathyroidism treated surgically between January 2000 to December 2005 at Jordan University Hospital, Amman, Jordan were included in this study. Preoperative ultrasonographic and CT findings were reviewed and compared to the intraoperative and pathologic diagnosis of diseased parathyroid glands. The mean age of patients was 46 years (range 16-70; 15 males and 26 females). Parathyroid adenoma was confirmed in 33 patients and hyperplasia of the parathyroid glands in 8 patients. Preoperative evaluation was carried out in 32 patients (CT scan) and in 23 patients (US). In 18 cases, the diagnosis of parathyroid disease was based on CT findings alone and in 9 patients the diagnosis was based on a single US finding. Combined CT and US evaluation was carried out in 14 cases and ...

499

ANALYSIS OF ACCELERATOR BASED NEUTRON SPECTRA FOR BNCT USING PROTON RECOIL SPECTROSCOPY  

Energy Technology Data Exchange (ETDEWEB)

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 implementation of this ...

1998-11-06

500

A study of bacterial isolates from corneal specimens and their antibiotic resistance profile  

International Nuclear Information System (INIS)

We aim to examine the spectrum of bacteria causing corneal infections and their antibiotic susceptibility patterns. This will serve as a guideline for empiric therapy of corneal infections. We conducted the study over a period of 18 months from March 2001 through December 2002 in King Abdul-Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia. Corneal specimens taken from 200 patients were inoculated directly onto different types of media. The isolates were identified and then tested against the appropriate topical or systemic antibiotics. Sixty-seven (33.5%) of the total specimens were culture positive and 133 (66.5%) were culture negative. Fourteen (7%) of these showed organisms in the Gram stained smears and correlated well with the culture reports. Of the 67 positive cultures, 53 (79.1%) were Gram-positive bacteria mostly coagulase-negative Staphylococci 29 (43.3%) followed by Streptococcus pneumoniae (S. pneumoniae) 13 (19.4%). Among Gram-negative ...