pain management results: Topics by WorldWideScience.org

Stabbing paroxysmal pain due to neurological disease can often be controlled by anticonvulsants, whereas steady burning pain is often responsive to tricyclic antidepressants, and to neuroleptics. Overuse...Full Text Available

1985-08-01

3

Managing Cancer Pain

A pain management program for chronic cancer-treatment-related pain: a preliminary study.

Despite the existence of effective analgesic drugs, many cancer patients live and die with ineffective pain control. The control of cancer pain is largely achievable with the appropriate use of available...Full Text Available

1984-02-01

4

Opioids and the Treatment of Chronic Pain: Controversies, Current Status, and Future Directions

A large proportion of patients may develop chronic pain following cancer treatments such as surgery, radiotherapy, or chemotherapy. These patients can experience significant levels of physical and psychological morbidity. Our aim was to investigate a cognitive-behavioral pain management program (PMP) for cancer patients with chronic treatment-related pain. Thirteen patients (1 man, 12 women; mean age 52 yrs) completed the study, 9 of whom had a history of breast cancer and had received extensive medical treatment, including surgery. A combination of physical and psychological techniques were adapted from previous work in chronic benign pain and implemented by two therapists. Interventions included education, relaxation, exercise training, and goal setting. A variety of outcomes were examined to assess general fitness, psychological distress, coping success, activities of daily ...

2006-02-01

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Intrathecal Catheter and Subcutaneous Access Port Implantation in Pain Management for Terminal Cancer Patient - A case report -

Opioids have been regarded for millennia as among the most effective drugs for the treatment of pain. Their use in the management of acute severe pain and chronic pain related to advanced medical...Full Text Available

2008-10-01

6

A feasibility study of percutaneous radiofrequency ablation followed by radiotherapy in the management of painful osteolytic bone metastases.

Full Text Available

2007-12-01

7

Preemptive analgesia: the prevention of neurogenous orofacial pain.

PMID:21533865

2011-05-01

8

Modern Techniques of Pain Management

Chronic neurogenous pain is often an extremely difficult condition to manage. In the orofacial region, trauma from injury or dental procedures may lead to the development of severe neuralgic pains and...Full Text Available

1995-01-01

9

Social Work Role in Pain Management with Hospice Caregivers: A National Survey

Even clinicians who keep up with the research literature on pain mechanisms may find themselves uncertain when trying to bring these new theories down to practical application for a patient with pain....Full Text Available

1988-01-01

10

The behavioral management of pain: a criticism of a response.

This article reports on an exploratory study of hospice social workers’ assessment and collaborative practices related to pain management; especially caregiver concerns about patient...Full Text Available

2009-01-01

11

Physical therapy for chronic pain conditions—A novel approach using mind–body connection

In response to an earlier published paper by Fordyce, some assumptions underlying the behavior management paradigm of chronic pain are critically discussed. While operant treatment has proved successful, the conclusion that operant factors play an important role in the development and maintenance of chronic benign pain is debated. Some empirical studies, regularly used to demonstrate this role, are re-evaluated. An alternative theory is proposed for chronic pain behavior, in which the role of a lower tolerance to proprioceptive stimuli, which may include more than just pain stimuli, is emphasized. PMID:3313200

1987-09-01

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British Library Electronic Table of Contents (United Kingdom)

The treatment of chronic pain conditions continue to present a challenge to the medical field. Physical therapy treatment needs to approach the management of chronic pain differently than the approach used to resolve acute pain. Patients with chronic pain often have many factors that have perpetuated the pain condition. These factors, as well as pain itself, influence their ability to reactivate and perform functional daily activities. Physical therapists can begin to address some of the factors, including fear and deconditioning, by building confidence and body awareness in a self-care model including a slow graduated reactivation program. There is evidence that patients with chronic pain conditions have altered motor control that may be influencing reoccurrences and possible flares of pa...

2011-01-01

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The treatment of chronic pain by epidural spinal cord stimulation--a 15 year follow up; present status.

A multifactorial strategy of pain management is associated with less pain in scheduled vaccination of children. A study realized by family practitioners in 239 children aged 4-12 years old

Pain is necessary for survival but chronic pain is disabling and causes significant health and economic problems. This study provides an understanding of the future for spinal cord stimulation. Stimulation by means of chronically implanted electrodes, was carried out in 200 patients with pain of varied benign organic etiology. In 177 of them, pain was confined to the failed back syndrome. Most patients were referred by a Pain Management Service. 226 epidural implants were used: 80 unipolar, 59 Resume, 12 bipolar, and 75 quadripolar. Patients were followed for periods of 6 months to 12 years, with a mean follow-up of 44 months. 84 patients (42%) were able to control their pain by stimulation alone, 22 patients (11%) needed occasional analgesic supplements along with their stimulation program. Pain secondary to failed back ...

1997-06-01

14

British Library Electronic Table of Contents (United Kingdom)

Background and aims. The multiplicity of vaccine injections during childhood leads to iterative painful and stressful experiences which may lead in turn to anticipated pain and then possibly to a true needle phobia. We aimed at evaluating a multifactorial strategy of pain management combining pharmacological and non-pharmacological approaches during vaccination, as compared to usual care, in 4- to 12-year-old children. Methods. In all, 239 children were enroled by 25 family practitioners in an open-label study. After a pseudo-randomization, usual pain management (n = 132) was compared to a multifactorial strategy (n = 107) associating preliminary application of an anesthesic patch, preferential use of specified vaccines, child education by the parents and the doctor, parental accompaniment...

2008-01-01

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Post-operative hilotherapy in SMAS-based facelift surgery: A prospective, randomised, controlled trial

British Library Electronic Table of Contents (United Kingdom)

Background: Ecchymosis, oedema, haematoma and pain after SMAS-based facelift surgery are all the direct result of the physical trauma of surgery and subsequent inflammatory response. Hilotherapy is a novel form of cryotherapy that purports to minimise these events through single-use face masks circulating cooled, sterile water. This study was performed to assess the validity of Hilotherapy in this population of patients. Methods: Over 14 weeks fifty consecutive patients were randomised to post-operative facial cooling with Hilotherapy or management with standard dressings alone, while fifteen subsequent, consecutive patients were randomised to cooling of one side of the face but not the other. Assessment of ecchymosis, oedema, haematoma and pain was performed independently by clinical staf...

2011-01-01

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Sacroiliac joint dysfunction: From a simple pain in the butt to integrated care for complex low back pain

British Library Electronic Table of Contents (United Kingdom)

In the last 40 years, significant advances have been made in the understanding of the neurophysiologic processes involved in the experience of trauma and pain. This knowledge, together with the rapid growth and understanding in the behavioral health sciences, has expanded to include a much better appreciation of how these fields are converging and contribute to a process called neuroplasticity. These basic mechanisms common to all patients have important implications for clinical outcome and for improving clinical practice. This article is written for clinicians who manage patients with sacroiliac joint dysfunction, a specific type of nonspecific low back pain.

2011-01-01

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Sex Differences in Pain and Psychological Functioning in Persons With Limb Loss

British Library Electronic Table of Contents (United Kingdom)

Sex differences in pain are frequently reported in the literature. However, less is known about possible sex differences in the experience of pain secondary to a disability. The current study explored these issues in persons with limb loss (n = 335, 72% men) who were recruited as part of a postal survey. Participants provided ratings of phantom limb pain (PLP), residual limb pain (RLP), and general pain intensity. Participants also completed measures of pain-related interference, catastrophizing, coping, and beliefs. Results indicated that a greater proportion of males than females (86% vs 77%, respectively) reported the presence of PLP; however, this difference was no longer prominent when cause of limb loss was controlled. No sex differences were found in the presence of RLP, or in avera...

2010-01-01

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CT-guided injection for ganglion impar blockade: a radiological approach to the management of coccydynia

Role of B2 Adrenergic Receptors in Labor Pain

Aim: To evaluate the role of computed tomography (CT) in needle placement for ganglion impar blocks, and to determine the efficacy of CT-guided ganglion impar blocks in the management of coccydynia. Materials and methods: The results of ganglion impar blockade in eight patients with coccydynia secondary to trauma or unknown cause were reviewed. The diagnosis of coccydynia was based on clinical history, location of pain, and response to previous diagnostic and therapeutic procedures. The eight patients were treated with CT-guided ganglion impar blocks to manage their coccyx pain after conservative procedures, including oral medication and cushions, failed to provide relief. All patients were subjected to ganglion impar blocks under a thin-section CT-guided technique for needle placement, using a mixture of bupivacaine and triamcinolone. The patients were followed-up for a period of ...

2010-01-01

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Measuring IBS patient reported outcomes with an abdominal pain numeric rating scale: results from the proof cohort

Pain; Pain Threshold; Labour Pain

2010-10-01

20

Depression and chronic fatigue in the patient with chronic pain.

BackgroundControversy exists about how to effectively measure patient reported outcomes in IBS clinical trials. Pain numeric rating scales (NRS) are widely used in...Full Text Available

2009-12-01

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New technologies for reservoir management

Chronic benign pain is commonly associated with chronic fatigue and depression. Depression and chronic fatigue syndrome are also associated with each other and often include pain. Psychologic factors are prominent in these conditions, and they may share neurobiologic factors as well. Management requires separately addressing each component of patients' distress and usually includes physical rehabilitation, education, administration of nonhabituating medications and often counseling. Depression may be a favorable prognostic sign, as it suggests a treatable condition and provides incentive for recovery. PMID:1876618

1991-06-01

22

Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.

The E and P industry has high levels of uncertainty and risk, which oil companies attempt to quantify before embarking on each individual E and P project. However, the actual return on investment often falls well short of the hurdle rate. This discrepancy has been attributed to systemic limitations in decision analysis processes and workflow, which result in repeated underestimation of risk and overestimation of the predicted production of the project. Well designed decision analysis processes in association with clearly defined, multi-scenario analyses of significant technical uncertainties are required. However, simulation of these uncertainties is not realistic given the performance and infrastructure limitations of conventional technology (Begg et al., 2001; Floris and Peersmann, 2000). During the past five years, more than 20 companies have attempted to map the requirements of new technology that is needed to improve uncertainty assessment and decision ...

2004-07-01

23

Pulsed Radiofrequency Ablation for Residual and Phantom Limb Pain: A Case Series

Gallstone is a common disease with a 10% prevalence in the United States and Western Europe. However, it is only symptomatic in 20-30% of patients, with biliary pain "colic" being the most common symptom. Complications of asymptomatic gallstone disease are generally rare, with an incidence of <1 %/yr. The most common complications of gallstone disease are acute cholecystitis, acute pancreatitis, ascending cholangitis, and gangrenous gallbladder. Less frequent complications include Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Mirizzi syndrome and cholecystocholedochal fistula are two manifestations of the same process that starts with impaction of a gallstone in the gallbladder neck that results in obstruction of the bile duct, causing jaundice. The gallstone may erode into the bile duct, causing cholecystocholedochal fistula. Gallstone ileus refers to small bowel obstruction resulting from the ...

2002-02-01

24

British Library Electronic Table of Contents (United Kingdom)

Abstract Residual limb pain (RLP) and phantom limb pain (PLP) can be debilitating and can prevent functional gains following amputation. High correlations have been reported between RLP and the stump neuromas following amputation. Many treatment methods including physical therapy, medications, and interventions, have been used with limited success. Pulsed radiofrequency ablation (PRFA) has shown promise in treating neuropathic pain because of the inhibition of evoked synaptic activity. We present 4 amputees who were treated with PRFA after failing conservative management for their RLP and PLP. All 4 patients underwent PRFA and demonstrated at least 80% relief of RLP for over 6 months. One patient reported a complete resolution of phantom sensation while another patient had significantly de...

2010-01-01

25

Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections

Safety and efficacy of botox injection in alleviating post-operative pain and improving quality of life in lower extremity limb lengthening and deformity correction

BackgroundAdhesive capsulitis is a common, painful, and disabling condition that has been managed with corticosteroid injections for over 50 years. There is debate over the use of...Full Text Available

2007-08-01

26

Efficacy and cost-effectiveness of a physiotherapy program for chronic rotator cuff pathology: A protocol for a randomised, double-blind, placebo-controlled trial

BackgroundDistraction osteogenesis is the standard treatment for the management of lower limb length discrepancy of more than 3 cm and bone loss secondary to congenital anomalies,...Full Text Available

27

Residual limb osteomyelitis: A case series from a national prosthetic centre

BackgroundChronic rotator cuff pathology (CRCP) is a common shoulder condition causing pain and disability. Physiotherapy is often the first line of management for CRCP yet there...Full Text Available

28

British Library Electronic Table of Contents (United Kingdom)

Purpose. To examine the impact of residual limb osteomyelitis (RLO) on the rehabilitation of lower limb amputees. Method. Retrospective review of the casenotes of patients with RLO. Information sought included details of amputation, clinical features of investigations for and management of RLO and its effect on rehabilitation. Results. There were seven transfemoral and three transtibial amputees. Indications for amputation were vascular disease in nine cases, trauma in one. In each case, delayed wound healing or residual limb pain prompted radiological, hematological and microbiological investigations. Average time between amputation and diagnosis was 187 days. One patient died before treatment commenced. Two transtibial amputees were treated with intravenous antibiotics while rehabilitati...

2009-01-01

29

The Burden and Determinants of Neck Pain in the General Population

British Library Electronic Table of Contents (United Kingdom)

Study Design Best evidence synthesis. Objective To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population. Summary of Background Data The evidence on burden and determinants of neck has not previously been summarized. Methods The Bone and Joint Decade 2000?2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to...

2008-01-01

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Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after the introduction of laparoscopic cholecystectomy.

Methodological Quality of Studies on the Measurement Properties of Neck Pain and Disability Questionnaires: A Systematic Review

Asymptomatic cholelithiasis is increasingly diagnosed today, mainly as a result of the widespread use of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints. About 10-20% of people in most western countries have gallstones, and among them 50-70% are asymptomatic at the time of diagnosis. Asymptomatic gallstone disease has a benign natural course; the progression of asymptomatic to symptomatic disease is relatively low, ranging from 10-25%. The majority of patients rarely develop gallstone-related complications without first having at least one episode of biliary pain ("colic"). In the prelaparoscopy era, (open) cholecystectomy was generally performed for symptomatic disease. The minimally invasive laparoscopic cholecystectomy refueled the discussion about the optimal management of asymptomatic cholelithiasis. Despite some controversy, most authors agree that the vast majority ...

2007-03-28

31

British Library Electronic Table of Contents (United Kingdom)

Objective: The aim of this study was to obtain an overview of the methodological quality of studies on the measurement properties of neck pain and disability questionnaires and to describe how well various aspects of the design and statistical analyses of studies on measurement properties are performed. Methods: A systematic review was performed of published studies on the measurement properties of neck pain and disability questionnaires. Two reviewers independently rated the quality of the studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. This checklist was developed in an international Delphi consensus study. Results: A total of 47 articles were included on the measurement properties of 8 different questionnaires. The meth...

2011-01-01

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Back pain in the osteoporotic individual: A physiatric approach

British Library Electronic Table of Contents (United Kingdom)

Back pain from osteoporosis is commonly related to compression fractures. The patient with vertebral compression fractures additionally suffers from an ongoing risk of recurrent fractures and postural abnormalities that can result in impaired respiratory function, leading to increased risk of morbidity. Weakened back muscles, especially the back extensor group, are felt to contribute significantly to this risk. The combination of pharmacologic and nonpharmacologic interventions, through physical activity, exercise, and modalities, are potential interventions that could be used to help reduce the pain of osteoporotic compression fractures as well as potentially reducing recurrent fracture rates.

2011-01-01

33

Federal Energy Management Program: Interagency Coordination

[Opioids and chronic benign pain].

Program Plans, Implementation, & Results Energy Management at Federal Facilities Energy Management at DOE Fleet Management Interagency Coordination Interagency Energy...

2011-08-21

34

[Chronic benign pain in children].

PMID:8094542

1993-02-01

35

Management of Ewing's sarcoma

PMID:2255360

1990-11-24

36

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

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 ...

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A critical review of behavioural treatments for chronic benign pain other than headache.

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 ...

1997-07-01

38

The Business Value of IT Managing Risks, Optimizing Performance and Measuring Results

Studies of the effectiveness of operant, relaxation, cognitive, and multimodal behavioural approaches to the treatment of chronic benign pain other than headache were evaluated. In general, the quality of the studies was poor, and most investigations lacked appropriate and adequate control conditions, outcome measures, and/or follow-ups. While outcome reports for all four behavioural treatments have been mainly positive, few data were found which conclusively demonstrate that any of the approaches are effective or that they are the treatment of choice. The data do, however, imply that behavioural approaches may help patients lead more normal and productive lives. Specifically, the literature suggests that: (1) the operant method leads to increased activity levels and decreased pain and drug intake, (2) the relaxation approach results in decreased EMG levels and some pain reductions, (3) the cognitive ...

1982-11-01

39

Pain measurement: the affective dimensional measure of the McGill pain questionnaire with a cancer pain population.

The Business Value of IT

2008-01-01

40

RMIT - Improving health and lifestyle

Two experiments used the McGill Pain Questionnaire (MPQ) to examine the affective dimension of pain in patients whose pain was secondary to malignancy. In experiment I, segregating groups of cancer patients on the basis of extreme scores (high versus low) on the MPQ failed to produce segregation on independent measures of affect and infirmity. This outcome contrasts with earlier work with chronic benign pain patients. Experiment II compared cancer pain patients matched with benign pain patients on intensity of pain report on the affective dimension of the MPQ. Cancer pain patients reported a reliably higher affective loading to their pain. These data suggest that cancer pain patients employ different criteria than benign pain patients in selecting affective ...

1982-02-01

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The role of cryoanalgesia for chronic thoracic pain: results of a long-term follow up.

... 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 ...

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Indications, technique and results of caudal epidural injection for lumbar disc retropulsion.

Cryoanalgesia (the use of cold to provide anesthesia or analgesia) is the oldest anesthetic and analgesic still in current clinical use. Its intraoperative use in providing postoperative analgesia for...Full Text Available

2002-08-01

43

Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.

The indications, contra-indications and technique of caudal epidural injections in the treatment of low back pain and sciatica are described. Of 201 patients treated by epidural injection, about 56%...Full Text Available

1977-01-01

44

Inflammatory spine disease as a cause of back pain

Seventy seven patients with soft tissue shoulder lesions including adhesive capsulitis and disorders of the rotator cuff and acromioclavicular joint were admitted to a trial comparing two different...Full Text Available

1983-11-05

45

Perceived Entitlement to Pain-Related Support and Pain Catastrophizing: Associations with Perceived and Observed Support

The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-#alpha# antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-#alpha# antagonists is based on clinical and laboratory criteria, and signs of ...

2006-06-01

46

Preamputation Pain and Acute Pain Predict Chronic Pain After Lower Extremity Amputation

Studies on the determinants of pain-related support are needed to enhance couples-based treatments for pain. The purpose of this study was to determine the extent to which pain catastrophizing...Full Text Available

2009-12-15

47

British Library Electronic Table of Contents (United Kingdom)

Although previous research suggests that preamputation pain is a risk factor for pain after amputation, little is known about the association between acute postsurgical pain and chronic amputation-related pain. The current prospective study examined the associations of preamputation pain and acute postamputation pain with chronic amputation-related pain. The sample consisted of patients with lower limb amputation (N = 57) who provided both preamputation and postamputation data during a 2-year study period. Preamputation pain intensity and duration were assessed before amputation; acute phantom limb pain (PLP) and residual limb pain (RLP) intensity were assessed on postsurgical days 4 and 5. Acute PLP intensity was the only significant independent predictor of chronic PLP ...

2007-01-01

48

Shoulder pain

Pain catastrophizing scale for francophone adolescents: A preliminary validation

IntroductionShoulder pain covers a wide range of problems and affects up to 20% of the population. It is not a specific diagnosis. Shoulder pain can be caused by problems with the...Full Text Available

49

Pain and self-reported health in Canadian children

BACKGROUND:In adults, it is well known that high levels of pain catastrophizing are related to increased pain and disability as well as to heightened anxiety and depression. However,...Full Text Available

2008-01-01

50

A Novel Tool for the Assessment of Pain: Validation in Low Back Pain

BACKGROUND:Despite increasing attention to the epidemiology of pain, relatively little is known about the association between pain and health in children. In particular, no studies...Full Text Available

2008-09-01

51

Energy management, real estate management, and facility management; Energiemanagement in der Immobilienverwaltung

BackgroundAdequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently...Full Text Available

2009-04-01

52

Sociodemographic factors in a pediatric chronic pain clinic: The roles of age, sex and minority status in pain and health characteristics

The publication presents an outline of the subject of energy management and attempts to test the hypotheses that targeted knowledge management may result in new developments and potentials, and if these are at all desirable. On this basis, a knowledge management system will be developed that may effectively promote developments and potentials in the field of energy management. The tools and fundamentals of energy management are looked into, and the given situation and desired goals are identified by means of an enquiry. This is a scientific study that aims at providing empirical information on the situation and views on the subject of energy management. The analysis, which is supported by an enquiry sheet, is to provide a basis for testing the assumed hypothesis. Further, the potential acceptance and utilization potential of decisive ...

2010-07-01

53

Pain and pain-related interference in adults with lower-limb amputation: Comparison of knee-disarticulation, transtibial, and transfemoral surgical sites

Little is known about how sociodemographic factors relate to children’s chronic pain. This paper describes the pain, health, and sociodemographic characteristics of a cohort of children...Full Text Available

2010-07-01

54

Effects of Preemptive Gabapentin on Postoperative Pain after Mastectomy

Pain and pain-related interference with physical function have not been thoroughly studied in individuals who have undergone knee-disarticulation amputations. The principal aim of this study...Full Text Available

2009-01-01

55

Comparison between children and adolescents with and without chronic benign pain: consultation rate and pain characteristics.

Full Text Available

2004-10-01

56

Clinical effectiveness of antidepressants and antipsychotics in chronic benign pain.

The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample...Full Text Available

2002-03-01

57

Metastatic tumor of thoracic and lumbar spine: prospective study comparing the surgery and radiotherapy vs external immobilization with radiotherapy; Metastases do segmento toracico e lombar da coluna vertebral: estudo prospectivo comparativo entre o tratamento cirurgico e radioterapico com a imobilizacao externa e radioterapia

PMID:1354044

1992-01-01

58

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

Bone metastases at the thoracic and lumbar segment of the spine are usually presented with painful sensation and medullar compression. The treatment is based on the clinical and neurological conditions of the patient and the degree of tumor invasion. In the present study, 32 patients with spinal metastasis of thoracic and lumbar segment were prospectively analyzed. These patients were treated by decompression and internal stabilization followed by radiotherapy or irradiation with external immobilization. The election of the groups was in accordance with the tumor radiotherapy sensitivity, clinical conditions, spinal stability, medullar or nerve compression and patient's decision. The Frankel scale and pain visual test were applied at the moment of diagnosis and after 1 and 6 months. The surgical group had better results with preserving the ambulation longer and significant reduction of ...

2007-09-15

59

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

60

Recent advances in the management of carcinoma of the rectum

The University of North Carolina Pain Center-I. Organization and Function

In the last two decades rectal cancer has changed from a surgically managed disease into a multidisciplinary treatment model resulting in considerable improvements in the survival and outcome. This...Full Text Available

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Substance Misuse Treatment for High Risk Chronic Pain Patients on Opioid Therapy: A Randomized Trial

The University of North Carolina Comprehensive Pain Center, which has been in existence since 1972, is a pain evaluation, treatment and research program based upon individual diagnosis, comprehensive...Full Text Available

1982-03-01

62

Spouse Beliefs about Partner Chronic Pain

Chronic pain patients who show aberrant drug-related behavior often are discontinued from treatment when they are noncompliant with their use of opioids for pain. The purpose of this study was...Full Text Available

2010-09-01

63

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis

While research has shown that patients’ beliefs about their pain are related to pain adjustment and treatment outcomes, little is known about the beliefs of their significant others....Full Text Available

2009-05-01

64

Sex Differences in Pain and Psychological Functioning in Persons with Limb Loss

Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain...Full Text Available

2009-08-01

65

Selective Inflammatory Pain Insensitivity in the African Naked Mole-Rat (Heterocephalus glaber)

Sex differences in pain are frequently reported in the literature. However, less is known about possible sex differences in the experience of pain secondary to a disability. The current study...Full Text Available

2010-01-01

66

Prevalence and determinants of pain and pain-related disability in urban and rural settings in southeastern Ontario

In all mammals, tissue inflammation leads to pain and behavioral sensitization to thermal and mechanical stimuli called hyperalgesia. We studied pain mechanisms in the African naked mole-rat, an unusual...Full Text Available

2008-01-01

67

Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic

BACKGROUND:Canadian chronic pain prevalence estimates range from 11% to 66%, are affected by sampling and measurement bias, and largely represent urban settings.OBJECTIVES:To...Full Text Available

2006-01-01

68

Original Research Article: Longitudinal Relationships of Depressive Symptoms to Pain Intensity and Functional Disability Among Children with Disease-Related Pain

BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons.OBJECTIVE:To study...Full Text Available

2008-09-01

69

Increased wind-up to heat pain in women with a childhood history of functional abdominal pain

ObjectiveTo examine the longitudinal relationship between depressive symptoms at study entry (T1) on pain intensity (PI) and functional disability over a 1-year period...Full Text Available

2006-01-01

70

Image-guided lumbar facet joint infiltration in nonradicular low back pain

Idiopathic or functional abdominal pain (FAP) is common in school-age children and typically reflects a functional gastrointestinal disorder (FGID). FGIDs in adults have been distinguished by...Full Text Available

2011-04-01

71

Disability and Psychologic Distress in Patients with Nonspecific and Specific Arm Pain

Objective:To assess the efficacy of facet joint infiltrations for pain relief in 44 selected patients with chronic nonradicular low back pain (LBP).Materials...Full Text Available

2009-02-01

72

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

Psychological illness influences the experience and expression of pain and disability. We tested three null hypotheses: (1) patients with nonspecific pain (medically unexplained and idiopathic) and...Full Text Available

2008-11-01

73

Analysis of Failed Spinal Cord Stimulation Trials in the Treatment of Intractable Chronic Pain

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

74

A System for Evaluating and Treating Chronic Back Disability

ObjectiveThe purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal...Full Text Available

2008-02-01

75

ICDF Complex Operations Waste Management Plan

Five methods of personality assessment are evaluated to provide guidance for the psychological treatment of patients with chronic back pain. Patient pain drawings, pentothal pain studies, stress score...Full Text Available

1976-05-01

76

Bariatric surgery complications. Internal hernia: A potentially fatal condition. A case report and literature review

This Waste Management Plan functions as a management and planning tool for managing waste streams generated as a result of operations at the Idaho CERCLA Disposal Facility (ICDF) Complex. The waste management activities described in this plan support the selected remedy presented in the Waste Area Group 3, Operable Unit 3-13 Final Record of Decision for the operation of the Idaho CERCLA Disposal Facility Complex. This plan identifies the types of waste that are anticipated during operations at the Idaho CERCLA Disposal Facility Complex. In addition, this plan presents management strategies and disposition for these anticipated waste streams.

2006-12-01

77

The Prevalence of low back pain in Africa: a systematic review

In recent years, Obesity (defined as Body Mass Index > 30 kg/m2) has increased its prevalence reaching epidemic levels in countries such as The United States where it has became a national health issue. In Colombia the Obesity prevalence is figured around 14%. Treatment options for Obesity include life style modifications, pharmacologist management and surgical approach (Bariatric Surgery). This article describes a patient with previous bariatric surgery, who presents abdominal pain and melena owed to isquemic process of the alimentary limb caused by an internal hernia which is a potentially lethal condition if it is not highly suspected allowing its early diagnosis and treatment

78

Role of spinal cyclooxygenase in human postoperative and chronic pain

BackgroundLow back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general...Full Text Available

79

Pharmacological treatment of neuropathic pain in older persons

BackgroundNonsteroidal anti-inflammatory drugs are commonly used to treat postoperative and chronic pain. Animal studies suggest these drugs act in part by blocking...Full Text Available

2010-05-01

80

Morphine versus Mexiletine for Treatment of Postamputation Pain

Interest and research into the mechanisms and treatment of neuropathic pain have increased during recent years, but current treatment is still far from satisfactory (Dworkin...Full Text Available

2008-03-01

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81

BackgroundStump and phantom pains are debilitating sequelae of amputations that are often resistant to treatment. The efficacy of pharmacologic therapies, including...Full Text Available

2008-08-01

82

Gynecologic Pelvic Pain

Cryoanalgesia for intractable perineal pain.

The family physician dealing with gynecologic pelvic pain (acute or chronic) enters at the beginning of the problem as diagnostician, refers the patient to a specialist in the interim, and resumes...Full Text Available

1989-06-01

83

Chronic Pain Associated with Upper-Limb Loss

Cryoanalgesia, the local application of extreme cold to nerves to produce analgesia, has been used to treat patients with intractable perineal pain. The cryoprobe was inserted percutaneously through...Full Text Available

1981-11-01

84

Radioactive source management in Daya Bay NPP

ObjectiveTo describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb loss: phantom limb, residual limb,...Full Text Available

2009-09-01

85

Comparison between children and adolescents with and without chronic benign pain: consultation rate and pain characteristics.

'Small radioactive source results in big accident' have occurred repeatedly in China and worldwide alike. Radioactive source management is one of the key activities for a nuclear power plant to maintain its good safety record and image to the public. From aspects of establishing the management system, centralized storage, periodic accounting, performing whole process control to the source usage and experience feedback etc., the author reports the practice and experience of radioactive source management in Daya Bay Nuclear Power Plant

1999-11-01

86

Computed Tomography diagnosis of skeletal involvement in multiple myeloma

The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample of children and adolescents aged between 0 and 18 years of age was drawn from the records of ten general practices. According to their responses to a pain questionnaire, subjects were assigned to the chronic benign pain group (n = 95) if they had pain of more than three months' duration, or to the control group (n = 105) if they had pain of less than three months' duration or no pain at all. All the subjects had an average GP consultation rate of 2.6 contacts per year. No significant age and sex differences were found. Chronic benign pain in childhood and adolescence is not related to increased use of healthcare ...

2002-03-01

87

Theory and evidence of economies of scale in the development of waste management systems

The authors assess the role of Computed Topography in the diagnosis and management of multiple myeloma (MM) and investigate if Computed Tomography findings can influence the clinical approach, prognosis and treatment. 273 multiple myeloma patients submitted to Computed Tomography June 1994, to December, 1996. The patients were 143 men and 130 women (mean age: 65 years): 143 were stage I, 38 stage II and 92 stage III according to Durie and Salomon's clinical classification. All patients were submitted to blood tests, spinal radiography and Computed Tomography, the latter with serial 5-mm scans on several vertebral bodies. Computed Tomography despicted vertebral arch and process involvement in 3 cases with the vertebral pedicle sign. Moreover, Computed Tomography proved superior to radiography in showing the spread of myelomatous masses into the soft tissues in a case with solitary permeative lesion in the left public bone, which facilitated subsequent biopsy. As for ...

1994-06-01

88

Improvement of muscle strenght independently of analgesic effect following spinal cord stimulation. A case report.

Waste is a cost of doing business. This cost can be considered in terms of the potential adverse health and environmental impacts, or the waste management costs associated with avoiding, minimizing, and controlling those impacts. There is an anticipated increase in the cost of waste management as a result of the increasing requirements for regulatory compliance. To meet the total waste management capacity needs of the organization and the compliance requirements, low-level radioactive, hazardous, and mixed waste management will need demonstrated technologies strategically managed as a technology portfolio. The role of the decision maker is to select the optimum mix of technologies and facilities to provide the waste management capacity needed for the next twenty years. The waste management system ...

1989-01-01

89

Dextranomer/hyaluronic acid copolymer (Deflux) implants mimicking distal ureteral calculi on CT

Spinal cord stimulation (SCS) is frequently used for relief of chronic benign pain resistant to conservative therapies. Clinical practice suggests, at least in patients with failed back surgery syndrome (FBSS), the possibility that SCS significantly improves motor performances. We present here the case of a 41-years-old female patient with FBSS, who showed a clear improvement in muscle strength after SCS, persisting at 6-months follow-up. We speculate that the electrical stimulation of posterior columns could potentiate the caudal, segmental spinal reflexes resulting in a facilitation of motoneurons activation. PMID:16175150

2004-12-01

90

[Our experiences in chronic benign pain by injecting local anaesthetic into scars].

Periureteral or subtrigonal injection of dextranomer/hyaluronic acid (Dx/HA) copolymer (Deflux, Q-Med, Uppsala, Sweden) is an increasingly common endoscopic treatment for vesicoureteral reflux. We report a confusing radiographic finding of bilateral calcified Dx/HA injections initially thought to represent bilateral distal ureteral stones in a boy who presented with intermittent periumbilical pain. Urologists, radiologists, and emergency room physicians should be aware of the potential for calcification of ureteral implants of Dx/HA, and of the potentially confusing radiographic images that may result. (orig.)

2008-01-15

91

[Is prescribing of opioid analgetics such as morphine to patients with chronic benign pain (un)ethical?].

PMID:20198285

2009-01-01

92

The Effect of Additional Mobilization with Conservative Physical Therapy in Patients with Frozen Shoulder on ROM and Subjective Pain Scale

PMID:1461290

1992-11-14

93

Comparison of Premixed NaHCO3 and Lidocaine on Rocuronium Injection Pain

Full Text Available

2009-11-01

94

Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20.

Full Text Available

2005-05-01

95

A Survey on Pain and Self-Care Behavior of Patients with Chronic Arthritis

PMID:20525319

2010-06-04

96

PFP Interface identification and management planning guide

Full Text Available

2003-08-01

97

An energy management teaching module for management education in the Higher Vocational Education schools in the Netherlands. Lesmodule energiebeheer voor managementgericht onderwijs in het Hoger Beroepsonderwijs; Fase 1: Market research (Final report)

The purpose of-this planning guide is to present the process used to identify, document, and control PFP Stabilization and Deactivation Project interfaces. Revisions to this document will include, as attachments, the most recent version of the Project Interface Management List. A preliminary Interface Management List is included in Appendix A. This document is intended be a Project owned management tool. As such, this document will periodically require revisions resulting from improvements of the information, processes, and techniques as now described. For most revisions that suggest improved processes, PFP management approval is all that will be required.

1999-05-20

98

The language of pain: affective descriptors of pain are a better predictor of psychological disturbance than pattern of sensory and affective descriptors.

The demand for energy management in teaching packages of Higher Vocational schools in the Netherlands and the possibilities to implement energy management into the different sectors of this school type have been investigated. The results are based on interviews with representative of the above-mentioned school types. Recommendations are made for a follow-up of this investigation in order to set up an energy management teaching module. 1 tab., 1 appendix

1992-02-01

99

Patient isolation in chronic benign pain.

The language used by chronic benign pain patients to characterize their pain complaint was analyzed to determine the best predictor of psychiatric disturbance. Using the 78 adjectives provided by the McGill Pain Questionnaire, the number of affective descriptors used was the best predictor of psychiatric disturbance. Addition of sensory descriptors either to augment the total number of descriptors used (magnitude) or as a pattern of sensory greater than affective or sensory less than affective failed to increase predictive strength. PMID:6877847

1983-06-01

100

How Do Police Respond to Stalking? An Examination of the Risk Management Strategies and Tactics Used in a Specialized Anti-Stalking Law Enforcement Unit

Over the years, nurses, doctors and scientists have sought ways of assessing the impact of pain on patients. While many of the instruments devised have been extremely useful in identifying the nature and intensity of pain, defining the effect it has on people's lives and perceptions has proved much more problematic. Based on the work she carried out with patients suffering from chronic benign pain, Karen Rose explores one aspect of these effects--the feeling of isolation. By using a four-step anthropological approach to identify the impact of pain, she argues, nurses can arrive at a realistic and accurate assessment of how patients are coping. PMID:7947167

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101

British Library Electronic Table of Contents (United Kingdom)

How do police respond to and manage complaints of stalking? To answer this question, we conducted a 3-phase study. First, we reviewed the literature to identify risk management tactics used to combat stalking. Second, we asked a group of police officers to review those tactics for completeness and group them into categories reflecting more general risk management strategies. The result was 22 categories of strategies. Finally, we used qualitative methods to evaluate the files of 32 cases referred to the specialized anti-stalking unit of a metropolitan police department. We coded specific risk management tactics and strategies used by police. Results indicated that a median number of 19 specific tactics from 7 general strategies were used to manage risk. Also, the implementation of strategi...

2011-01-01

102

[NASA/DOD Aerospace Knowledge Diffusion Research Project. Report 3:] Technical communications in aeronautics: Results of an exploratory study. An analysis of profit managers' and nonprofit managers' responses

Spent fuel management in Czechoslovak WWER-440 type reactors

Data collected from an exploratory study concerned with the technical communications practices of

1989-01-01

103

Knowledge management process and strategy

The main aspects of the present WWER-440 reactors spent fuel management are described in the paper. Experimental results of fuel integrity studies which are carried out under conditions of a long-term storage are also presented. (author). 5 refs, 5 figs.

1988-12-01

104

EHR's effect on the revenue cycle management Coding function.

Knowledge management

2011-01-01

105

Management considerations of the large primary-to-secondary leakage accidents

Without administrative terminologies there is no revenue to manage. The use of healthcare IT to capture the codes for administrative and financial support functions will impact the revenue cycle and the management of it. This is presumed to occur because clinical data coded at the point of care becomes the source for claims data. Thus, as electronic health record system applications utilizing terminologies are implemented, healthcare providers need to systematically consider the effect on the coding function and management of the revenue cycle. A key factor is the sequence of events changes, i.e., instead of a health information management professional selecting billing codes at the conclusion of an encounter based on the review of the record, clinical data generates the claims data via mapping. Efficiencies and management challenges result. PMID:19267004

2008-01-01

106

[Efficacy of epidural neurolysis].

The management procedure of a large PRISE (Primary-to-Secondary) leakage accident at Loviisa nuclear power plant taking into account the plant modifications which are expected to be realized during 1995-96 is described. The management procedure has been validated by performing thermal hydraulic analyses with the computer code RELAP5/MOD3 and the results from these analyses are also shortly discussed. (4 refs., 6 figs., 1 tab.).

1993-12-31

107

Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release: A Preliminary Study

Forty-one patients were treated with epidural neurolysis using 50 % ethyl alcohol 2 ml. Thirty eight patients were suffering from cancer pain and three patients were complaining of chronic benign pain. Alcohol block was repeated 2.3 times (mean) in the same patient. Thirty patients were followed after the treatment. Forty-seven percent of the patients reported 70 % or greater pain relief and 20 % of the patients reported about 50 % pain relief. Duration of pain relief was from 9 days to 203 days with a mean duration of 54 days. Adverse effects were reported 43 % of the patients. There is no miserable adverse effect. Adverse effect reported most was pain with epidural injection of drugs after the alcohol block had been performed. PMID:8544293

1995-11-01

108

British Library Electronic Table of Contents (United Kingdom)

"Pillar pain" is a relatively frequent complication after surgical release of the median nerve at the wrist. Its etiology still remains unknown although several studies highlight a neurogenic inflammation as a possible cause. Pillar pain treatment usually includes rest, bracing and physiotherapy, although a significant number of patients still complain of painful symptoms two or even three years after surgery. The aim of this study was to investigate the efficacy of low-energy, flux density-focused extracorporeal shock wave therapy (ESWT) in the treatment of pillar pain. We treated 40 consecutive patients with ESWT who had pillar pain for at least six months after carpal tunnel release surgery, and to our knowledge, this is the first study that describes the use of ESWT for treating this c...

2011-01-01

109

Organizational factors enhancing customer knowledge utilization in the management of key account relationships

British Library Electronic Table of Contents (United Kingdom)

Customer knowledge has become an important topic for both academicians and practitioners in recent years. However, there has been little academic research on the utilization of customer-specific knowledge. This study adds to our understanding in focusing on the relationships between various intra-organizational factors and customer knowledge utilization in the context of key account management. The results of the study show, that the use of teams, top management involvement, KAM formalization and CRM technology enhance the utilization of customer knowledge in the management of large industrial key account customers.

2010-01-01

110

Autonomic Management of Maintenance Scheduling in Chord

China Report, Economic Affairs

This paper experimentally evaluates the effects of applying autonomic management to the scheduling of maintenance operations in a deployed Chord network, for various membership churn and workload patterns. Two versions of an autonomic management policy were compared with a static configuration. The autonomic policies varied with respect to the aggressiveness with which they responded to peer access error rates and to wasted maintenance operations. In most experiments, significant improvements due to autonomic management were observed in the performance of routing operations and the quantity of data transmitted between network members. Of the autonomic policies, the more aggressive version gave slightly better results.

2010-01-01

111

Undiagnosed osteoid osteoma of the spine presenting as painful scoliosis from adolescence to adulthood: a case report

... increasing its economic results, tapping mew financial sources and augmenting its income, but also a basic task in financial and tax management. ...

1986-04-09

112

Trends in use of opioids for chronic non-cancer pain among individuals with mental health and substance use disorders: the TROUP study

Presented here is a case of a young woman, with an undiagnosed osteoid osteoma of the spine, which presented with painful scoliosis in adolescence and was treated by bracing until her accession to adulthood....Full Text Available

113

The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis

ObjectivesUse of prescription opioids for chronic pain is increasing, as is abuse of these medications, though the nature of the link between these trends is unclear....Full Text Available

2010-01-01

114

The development and validation of the daily electronic Endometriosis Pain and Bleeding Diary

BackgroundAnterior knee pain (AKP) is a common musculoskeletal complaint. It has been suggested that one factor that may contribute to the presence of AKP is a delay in the recruitment...Full Text Available

115

The Immediate Effects of Thoracic Spine and Rib Manipulation on Subjects with Primary Complaints of Shoulder Pain

BackgroundThe objective of this study was to develop and validate a daily electronic Endometriosis Pain and Bleeding Diary (EPBD) for assessing treatment-related changes in endometriosis...Full Text Available

116

Tendo Achillis pain: steroids and outcome.

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic...Full Text Available

2009-01-01

117

Tendency to adhere to provider-recommended treatments and subsequent pain severity among individuals with cancer

A retrospective study is presented of 83 athletes with tendo Achillis pain (TAP) treated conservatively over a 12-year period from 1976 to 1988. Local steroid injections did not contribute to an earlier...Full Text Available

1992-03-01

118

Sex, Gender, and Pain: A Review of Recent Clinical and Experimental Findings

BackgroundPatients’ general tendency to adhere to health care provider-recommended treatments is associated with a number of health outcomes, but whether it influences pain...Full Text Available

119

Sex and Hormonal Variations in the Development of At-level Allodynia In a Rat Chronic Spinal Cord Injury Model

Sex-related influences on pain and analgesia have become a topic of tremendous scientific and clinical interest, especially in the last 10 to 15 years. Members of our research group published...Full Text Available

2009-05-01

120

Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire

The development of central neuropathic pain varies among patients with spinal cord injury (SCI). The factors contributing to the development and perpetuation of segmental pain (at-level allodynia)...Full Text Available

2010-06-25

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121

Potassium channels as a potential therapeutic target for trigeminal neuropathic and inflammatory pain

BackgroundSeverely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs,...Full Text Available

122

Patient-reported-outcomes in subjects with painful lumbar or cervical radiculopathy treated with pregabalin: evidence from medical practice in primary care settings

Previous studies in several different trigeminal nerve injury/inflammation models indicated that the hyperexcitability of primary afferent neurons contributes to the pain pathway underlying mechanical...Full Text Available

123

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

The objective of this study was to evaluate the effect of pregabalin in painful cervical or lumbosacral radiculopathy treated in Primary Care settings under routine clinical practice. An observational,...Full Text Available

2010-06-01

124

Racial and ethnic disparities in healthcare persist in the U.S. Although pain is one of the most prevalent and disabling symptoms of disease, only a few studies have assessed disparities in...Full Text Available

2007-01-01

125

Frozen shoulder.

Foraminal stenosis complicating retained broken epidural needle tip -A case report-

The frozen shoulder is a common cause of shoulder pain and disability. Most patients slowly improve over 12 to 24 months. Some have prolonged loss of movement, pain, and associated disability. Treatments...Full Text Available

1993-08-01

126

Feasibility of Using Cranial Electrotherapy Stimulation for Pain in Persons with Parkinson's Disease

Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given...Full Text Available

2010-12-01

127

Evaluating Patients with Chronic Pain and their Families

Objectives. To assess the feasibility of treating musculoskeletal pain in the lower back and/or lower extremities in persons with Parkinson's disease (PD) with cranial electrotherapy...Full Text Available

128

Effects of removal of dietary polyunsaturated fatty acids on plasma extravasation and mechanical allodynia in a trigeminal neuropathic pain model

Inclusion of family members in the assessment of patients with chronic pain can improve outcomes. Family functioning can be assessed in four basic areas: boundaries, power, communication, and intimacy....Full Text Available

1991-02-01

129

Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis

BackgroundNeuropathic pain (NP) is partially mediated by neuroinflammatory mechanisms, and also modulates local neurogenic inflammation. Dietary lipids, in particular the total amount...Full Text Available

130

Coping with Test Pain, Discomfort, and Anxiety

Patients with adhesive capsulitis were clinically evaluated to establish whether pain elicited by pressure on the coracoid area may be considered a pathognomonic sign of this condition. The study group...Full Text Available

2010-03-01

131

Clinical value of SPECT/CT for evaluation of patients with painful knees after total knee arthroplasty- a new dimension of diagnostics?

... Search Help? Coping with Test Pain, Discomfort, and Anxiety Introduction | Be Prepared | Know Your Tests | Relax | Conclusion ... though they may feel some embarrassment, discomfort, or anxiety at the outset. If undergoing medical tests makes ...

132

Chronic pain in primary care. German figures from 1991 and 2006

BackgroundThe purpose of our study was to evaluate the clinical value of hybrid SPECT/CT for the assessment of patients with painful total knee arthroplasty (TKA).MethodsTwenty-three...Full Text Available

133

Chronic or Recurrent Pain in the Emergency Department: National Telephone Survey of Patient Experience

BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primary care. The aim of this investigation was to study the health care utilisation...Full Text Available

134

Chest pain and angiographically normal coronary arteries. Implications for treatment.

ObjectivePersons with chronic or recurrent pain frequently visit the emergency department (ED), yet little research examines this experience. We conducted this national survey to...Full Text Available

2010-12-01

135

Characteristics of chronic non-specific musculoskeletal pain in children and adolescents attending a rheumatology outpatients clinic: a cross-sectional study

Approximately 20% to 30% of patients who undergo coronary arteriography for the evaluation of chest pain are found to have normal coronary arteries. These patients have a survival rate comparable to...Full Text Available

1993-01-01

136

Challenges of functional imaging research of pain in children

BackgroundChronic non-specific musculoskeletal pain (CNSMSP) may develop in childhood and adolescence, leading to disability and reduced quality of life that continues into adulthood....Full Text Available

137

Behavioural assessment of pediatric pain

Functional imaging has revolutionized the neurosciences. In the pain field it has dramatically altered our understanding of how the brain undergoes significant functional, anatomical and chemical changes...Full Text Available

138

Astroglia in Medullary Dorsal Horn (Trigeminal Spinal Subnucleus Caudalis) Are Involved in Trigeminal Neuropathic Pain Mechanisms

Behavioural assessment methods have been used to signal the need for intervention and to evaluate treatment effectiveness. Direct observation and rating scales have been used to assess pain and distress...Full Text Available

2009-01-01

139

An Analysis of Heavy Utilizers of Opioids for Chronic Non-Cancer Pain in the TROUP Study

The aim of this study was to investigate whether astroglia in the medullary dorsal horn (trigeminal spinal subnucleus caudalis; Vc) may be involved in orofacial neuropathic pain following trigeminal...Full Text Available

2009-09-09

140

The effect of magnesium sulfate on postoperative pain in patients undergoing major abdominal surgery under remifentanil-based anesthesia

ContextWhile opioids are increasingly used for chronic non-cancer pain (CNCP), we know little about opioid dosing patterns among individuals with CNCP in usual care...Full Text Available

2010-08-01

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141

Spinal cord stimulation in treatment of chronic benign pain: challenges in treatment planning and present status, a 22-year experience.

Full Text Available

2008-09-01

142

A Double-blinded, Randomized, Placebo Controlled Study of the Effect a Small Dose of Ketamine has on Postoperative Pain of Sevoflurane-remifentanil Anesthesia

PMID:16528188

2006-03-01

143

Quick Discrimination of A_delta and C Fiber Mediated Pain Based on Three Verbal Descriptors

Full Text Available

2008-02-01

144

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

BackgroundA_δ and C fibers are the major pain-conducting nerve fibers, activate only partly the same brain areas, and are differently involved in pain syndromes....Full Text Available

145

Traumatic and Non-traumatic Fibromyalgia Syndrome: Impact Assessment on the Life Quality of Women

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, ...

2001-11-01

146

British Library Electronic Table of Contents (United Kingdom)

Objective To investigate the impact on life quality of women with traumatic and non-traumatic origin fibromyalgia syndrome [FMS]. Method Women affected with FMS were selected and divided into two groups: those with traumatic origin FMS [Group 1] and those with non-traumatic origin FMS [Group 2]. A standard question form was used for the research, as well as the fibromyalgia impact questionnaire [FIQ] for evaluation of life quality. Results Seventy-two patients, 34 for Group 1 and 38 for Group 2 were analyzed. The main triggering symptoms were divorce [23.5 percent of cases] and death in the family [23.5 percent of cases]. In addition to diffuse pain, the main symptoms presented were poor sleep quality, weariness, and paresthesia, with no difference between the groups; migraine had a greate...

2011-01-01

147

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

Influence of attention focus on neural activity in the human spinal cord during thermal sensory stimulation

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

148

British Library Electronic Table of Contents (United Kingdom)

Perceptions of sensation and pain in healthy people are believed to be the net result of sensory input and descending modulation from brainstem and cortical regions depending on emotional and cognitive factors. Here, the influence of attention on neural activity in the spinal cord during thermal sensory stimulation of the hand was investigated with functional magnetic resonance imaging by systematically varying the participants' attention focus across and within repeated studies. Attention states included (1) attention to the stimulus by rating the sensation and (2) attention away from the stimulus by performing various mental tasks of watching a movie and identifying characters, detecting the direction of coherently moving dots within a randomly moving visual field and answering mentally-...

2011-01-01

149

Amphiphysin (Amph) maps to the proximal region of mouse chromosome 13

A Progressive Network Management Architecture Enabled By Java Technology

Amphiphysin is a protein concentrated in neuronal synapses and peripherally associated with neurotransmitter vesicles. It is expressed in many neurons of the central and peripheral nervous systems, in the adrenal medulla, in the anterior and posterior pituitary, in cell lines of the endocrine pancreas, and in spermatocytes. Its subcellular localization and tissue distribution indicate a potential involvement in mechanisms of regulated exocytosis. A role in the dynamic organization of the membrane-associated cytoskeleton is suggested by structural homology to the products of two yeast genes, RVS161 and RVS167, whose mutation results in an abnormal actin distribution, disturbs budding morphology, and impairs cell entry into stationary phase. Limited stretches of sequence similarity, including an SH3 domain, are also shared with other actin-binding proteins. Amphiphysin is the dominant autoantigen in paraneoplastic Stiff-Man syndrome, a neurological autoimmune ...

1995-07-20

150

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

This paper proposes a framework based completely on Java technology. The advantages brought about by the use of Java in network management answer some critical problems existing in current systems. With this work we address several factors concerning interoperability and security in heterogeneous network environments. Specifically, we present a manager application and a multithreaded agent engine that make use of a lightweight communication mechanism for message exchange. A MIB parser is introduced to accelerate handling of incoming management requests, and the RSA public-key cryptosystem is implemented to provide both encryption and authentication features. Results, measured in terms of response time, compare favourably with other published work and standard management frameworks.

2010-01-01

151

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

152

Brain mechanisms supporting the modulation of pain by mindfulness meditation.

Free Time Management Contributes to Better Quality of Life: A Study of Undergraduate Students in Taiwan

The subjective experience of one's environment is constructed by interactions among sensory, cognitive, and affective processes. For centuries, meditation has been thought to influence such processes by enabling a nonevaluative representation of sensory events. To better understand how meditation influences the sensory experience, we used arterial spin labeling functional magnetic resonance imaging to assess the neural mechanisms by which mindfulness meditation influences pain in healthy human participants. After 4 d of mindfulness meditation training, meditating in the presence of noxious stimulation significantly reduced pain unpleasantness by 57% and pain intensity ratings by 40% when compared to rest. A two-factor repeated-measures ANOVA was used to identify interactions between meditation and pain-related brain activation. Meditation reduced pain-related activation of the ...

2011-04-01

153

British Library Electronic Table of Contents (United Kingdom)

This study was designed to identify the relationship between free time management and quality of life, exploring whether the amount of free time or the way people using their free time relates to their quality of life. Data were collected from National Pingtung University of Science and Technology in Taiwan. Of the 500 questionnaires distribute, 403 usable questionnaires were received with an 81% response rate. The result has found a positive relationship between free time management and quality of life. Contrary to this, there was no significant relationship between time allocation and quality of life. Results might indicate that people who manage their free time well lead to better quality of life. Suggestions based on the observed relationship and directions for future researches were d...

2011-01-01

154

FY2000 Annual Self-Evaluation Report for the Pacific Northwest National Laboratory

Cleaning up DOE`s weapons sites: Issues of organization and management

This self-evaluation report offers a summary of results from FY2000 actions to achieve Pacific Northwest National Laboratory's strategy and provides an analysis of the state of their self-assessment process. The result of their integrated planning and assessment process identifies Laboratory strengths and opportunities for improvement. Critical elements of that process are included in this report; namely, a high-level summary of external oversight activities, progress against Operations Improvement Initiatives, and a summary of Laboratory strengths and areas for improvement developed by management from across the laboratory. Some key areas targeted for improvement in FY2001 are: systems approach to resource management; information protection; integrated safety management flow-down to the benchtop; cost management; integrated assessment; Price Anderson ...

2000-11-15

155

Inflammatory spine disease as a cause of back pain; Entzuendliche Wirbelsaeulenerkrankungen als Ursache fuer Rueckenschmerzen

Many Department of Energy facilities across the United States are seriously contaminated with radioactive and other hazardous wastes. Decades of focus on weapons production and inadequate attention to long-term solutions for dealing with those wastes have resulted in tremendous problems. The Department of Energy recognizes the seriousness of those problems and is addressing them. In some cases existing management systems are being used to accomplish the new mission of environmental cleanup, and in other cases new systems have been created to help carry out that mission. Widespread criticism of those efforts to data are evidence that the management systems being used may not be appropriate for the job. In particular, it appears that some management systems aren`t producing desired results because they are not well aligned with the people and tasks for whom they are intended, and ...

1994-04-01

156

Lessons from the private sector on performance-based management

The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-{alpha} antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-{alpha} antagonists is based on clinical and laboratory criteria, and signs of ...

2006-06-15

157

Review on the status of solid radwaste management in Korean NPPs

Implementation of the Government Performance and Results Act of 1993 (GPRA) has provided a unique challenge for Federal Agencies, such as the Department of Energy (DOE) Office of Waste Management (OWM). While performance measurement, as required by GPRA, is new to Federal Agencies, private industry has applied it at all organizational levels to better manage their operations for some time. There has been significant discussion about how the private sector uses performance measures, but there have been very few empirical studies systematically examining their use. To gather information on comparable private industry practices, waste management industry firms were surveyed through questionnaires and follow-on interviews. Questionnaires were sent to 75 waste management firms throughout the United States and Canada. Twenty-four percent of the firms responded to the questionnaire and ...

1996-03-01

158

A Patient-Centric, Provider-Assisted Diabetes Telehealth Self-management Intervention for Urban Minorities

To minimize the low and intermediate-level solid radwaste volume, the reduction efforts were persisted in Korean NPPs. As a result, annual average waste volumes were reduced to 194 drums per unit at last year. In this paper we confirmed 250 drums/unit-yr, EPRI URD management goal, and management condition for solid radwaste volume. Also, through the sample assessment of specific Korean NPP opened to the public, we could make sure that the prediction of saturation year for interim storage facility is fully suitable.

2003-10-01

159

Tetracycline hydrochloride sclerotherapy; renal, hepatic, ovarian, and perivesical cysts

This article describes the design and implementation of an online diabetes self-management intervention for a sample of inner-city African Americans with diabetes. Study participants were randomly assigned to the treatment (26) and control (21) conditions. The results indicate that treatment group participants were more likely to achieve positive outcomes in terms of lowered hemoglobin A1c and body mass index measurements than were control group members. These findings support the development of telehealth interventions to promote effective chronic disease management in medically underserved communities.

2011-01-01

160

The entrepreneur's guide to managing information technology

To assess the efficacy and resulting complications of tetracycline sclerotherapy in renal, hepatic, ovarian, and perivesical cysts. We retrospectively reviewed 23 cases of benign cysts (16 renal, 4 hepatic, 2 ovarian, and 1 perivesical) in 22 patients in whom the condition was diagnosed or confirmed by either ultrasound, CT, or cytology, and who underwent percutaneous tetracycline sclerotherapy. Using a 21-gauge Chiba needle, the target cyst was punctured under ultrasound guidance. Prior to the injection of 1500 mg of tetracycline diluted in 5 ml of normal saline, almost all the cystic content was aspirated, and at the end of the procedure the tetracycline was left in the cyst. During a period of between 3 and 22 months, 18 of the 23 cases were followed up. In six of the 18 cases followed up, the cysts either decreased in size by 10%, or collapsed completely. In seven cases a collapse of over 50% was noted, and in the remaining five the cyst recurred. In one of ...

2000-11-01

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161

The Principles of Radioactive Waste Management

The entrepreneur's guide to managing information technology

2008-01-01

162

Knowledge management historical and cross-disciplinary themes

The Principles of Radioactive Waste Management

1995-01-01

163

Establishing a nationalsystem for radioactive waste management

Knowledge management

2007-01-01

164

Change management altering mindsets in a global context

Establishing a nationalsystem for radioactive waste management

1995-01-01

165

Scalable digital libraries of event data and the NSCP meta-cluster

Change management

2006-01-01

166

EMS and evaluation of environmental aspects: a review

In this paper we present the design, implementation, and experimental results of a system to mine and visualize event data using cluster computingbuilt upon an ATM network. Our approach is to build a system using light weight, modular software tools for data management, resource management, data analysis and visualization developed for local, campus and wide area clusters of workstations. (author)

1996-07-01

167

Optimal invasive species management under multiple uncertainties

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

168

British Library Electronic Table of Contents (United Kingdom)

The management programs for invasive species have been proposed and implemented in many regions of the world. However, practitioners and scientists have not reached a consensus on how to control them yet. One reason is the presence of various uncertainties associated with the management. To give some guidance on this issue, we characterize the optimal strategy by developing a dynamic model of invasive species management under uncertainties. In particular, focusing on (i) growth uncertainty and (ii) measurement uncertainty, we identify how these uncertainties affect optimal strategies and value functions. Our results suggest that a rise in growth uncertainty causes the optimal strategy to involve more restrained removals and the corresponding value function to shift up. Furthermore, we also...

2011-01-01

169

Data Management and Mining in Astrophysical Databases

Cost-time management for environmental restoration activities at the Department of Energy`s Idaho National Engineering Laboratory, Idaho Chemical Processing Plant

We analyse the issues involved in the management and mining of astrophysical data. The traditional approach to data management in the astrophysical field is not able to keep up with the increasing size of the data gathered by modern detectors. An essential role in the astrophysical research will be assumed by automatic tools for information extraction from large datasets, i.e. data mining techniques, such as clustering and classification algorithms. This asks for an approach to data management based on data warehousing, emphasizing the efficiency and simplicity of data access; efficiency is obtained using multidimensional access methods and simplicity is achieved by properly handling metadata. Clustering and classification techniques, on large datasets, pose additional requirements: computational and memory scalability with respect to the data size, interpretability and objectivity of clustering or classification ...

2003-01-01

170

Cost-time management for environmental restoration activities at the Department of Energy's Idaho National Engineering Laboratory, Idaho Chemical Processing Plant

Cost-time management methods have been developed by Westinghouse to examine business applications from a cost-time perspective. The initial application of cost-time management within Westinghouse was targeted at reducing cycle time in the manufacturing sector. As a result of the tremendous success of reduced cycle time in manufacturing, Westinghouse initiated application of the management technique to Environmental Restoration activities at its Government Owned Contractor Operated facilities. The Westinghouse initiative was proposed in support of the Department of Energy`s goals for cost effective Environmental Restoration activities. This paper describes the application of the cost-time method to Environmental Restoration work currently being performed at the Idaho National Engineering Laboratory (INEL) for the Department of Energy (DOE) by Westinghouse Idaho Nuclear Company (WINCO).

1992-05-22

171

Application of Risk Management for Control and Monitoring Systems

Cost-time management methods have been developed by Westinghouse to examine business applications from a cost-time perspective. The initial application of cost-time management within Westinghouse was targeted at reducing cycle time in the manufacturing sector. As a result of the tremendous success of reduced cycle time in manufacturing, Westinghouse initiated application of the management technique to Environmental Restoration activities at its Government Owned Contractor Operated facilities. The Westinghouse initiative was proposed in support of the Department of Energy's goals for cost effective Environmental Restoration activities. This paper describes the application of the cost-time method to Environmental Restoration work currently being performed at the Idaho National Engineering Laboratory (INEL) for the Department of Energy (DOE) by Westinghouse Idaho Nuclear Company (WINCO).

1992-08-23

172

Anaerobic digestion and related best management practices : utilizing life cycle assessment

This paper presents an application of the state of the art and new trends for risk management of safety-related control and monitoring systems, currently applied in the industry. These techniques not only enable to manage safety and reliability issues but they also help in the control of quality and economic factors affected by the availability and maintenance of the system. The method includes an unambiguous definition of the system in terms of functions and a systematic analysis of hazardous situations, undesired events and possible malfunctions. It also includes the identification and quantification of the risk associated to the system. The required risk reduction is specified in terms of safety integrity levels. The safety integrity level results in requirements, preventive measures, possible improvements and recommendations to assure the satisfactory management of the risk.

2001-01-01

173

The Contribution of Sympathetic Mechanisms to Postamputation Phantom and Residual Limb Pain: A Pilot Study

This paper reported on a life cycle assessment (LCA) study that compared the environmental impacts of business-as-usual manure management with those of a manure management operation incorporating anaerobic digestion with combined heat and power generation. The case study was based on a medium sized dairy farm in northern New York State. The study identified the benefits resulting from the displacement of fossil fuels, and reduction of related emissions. Although anaerobic digestion of dairy manure with energy recovery through biogas combustion is viewed as a positive environmental approach to increase the use of renewable energy, there are potential negative impacts that can counteract the environmental benefits. The negative impacts are associated with emissions of methane and nitrogen species during digestion and after spreading of digester effluent. The environmental impacts and their causes should be evaluated in order ...

2010-07-01

174

British Library Electronic Table of Contents (United Kingdom)

Postamputation pain (PAP) affects over 60% of major limb amputees. One of the main challenges in treating PAP is the difficulty involved in identifying pain mechanism(s), which pertains to both residual limb pain (RLP) and phantom limb pain (PLP). In this study, sympathetic blocks were performed on 17 major limb amputees refractory to treatment, including 2 placebo-controlled blocks done for bilateral amputations. One hour postinjection, mean RLP scores at rest declined from 5.2 (SD 2.8) to 2.8 (SD 2.6) (P = .0002), and PLP decreased from 5.3 (SD 3.1) to 2.3 (SD 2.1) (P = .0009). By 1 week, mean pain scores for RLP and PLP were 4.3 (SD 2.9) and 4.2 (SD 3.0), respectively. Overall, 8 of 16 (50%) patients experienced ?50% reduction in RLP 1-hour postinjection, with the beneficial effects ...

2011-01-01

175

Safe ageing management of nuclear power plants: An European synthesis

Radial keratoneuritis as a presenting sign in acanthamoeba keratitis.

Ageing of nuclear power plants means evolution of material or equipment properties on one side, and evolution of personnel skill and procedure adequacy on the other side, both of which, after a certain time, may not be compatible with the required safety provisions, or with an economic operation of the plant. Repair or replacement of components, as well as change in service conditions for a better compatibility with component reduced capabilities can be used to mitigate ageing effects. The paper summarises the results of a study conducted in this field with the support of the European Commission. It presents: the synthesis of the work done under international auspices, and in the European context; the comparison of ageing management approaches used in several European countries with international recommendations; the summary of the various potential phenomena and their governing parameters, the methods of in-service ageing identification and ...

2002-11-04

176

Role of nuclear medicine bone scans in evaluating pain in athletic injuries

The visual outcomes of Acanthamoeba keratitis, a rare cause of corneal infection, can be devastating. This paper reports two contact lens wearers with severe pain and photophobia who presented to the emergency room. Biomicroscopy revealed radial keratoneuritis in both individuals. Tissue culture on a nonnutrient agar plate with Escherichia coli overlay resulted in a heavy growth of Acanthamoeba. The inpatient treatment included 0.02% polyhexamethylene biguanide, chlorhexidine, neomycin/polymyxin B/bacitracin (Neosporin), and oral fluconazole, which successfully controlled the corneal infection and improvement in the best corrected visual acuity in both patients. Infection did not recur during the 12-month follow-up period. Acanthamoeba keratitis can present as radial keratoneuritis, mimicking other common corneal infections resulting in diagnostic and treatment delays. Early diagnosis and prudent treatment of Acanthamoeba ...

2011-07-01

177

Seabrook Station Level 2 PRA Update to Include Accident Management

The utilization of nuclear medicine bone scanning examinations early in the diagnostic process allows physicians to render prompt and correct treatment in urgent or difficult athletic cases. Bone scanning should be performed for athletic injuries whenever (1) x-rays are normal but bone or joint pain persists; (2) x-rays are positive but it cannot be determined if the findings are acute or chronic; (3) soft-tissue injuries present and x-rays are not useful; and (4) bone pain or joint impairment present without a history of trauma.89 references.

1987-10-01

178

Seabrook Station Level 2 PRA Update to Include Accident Management

A ground-breaking study was recently completed as part of the Seabrook Level 2 PRA update. This study updates the post-core damage phenomena to be consistent with the most recent information and includes accident management activities that should be modeled in the Level 2 PRA. Overall, the result is a Level 2 PRA that fully meets the requirements of the ASME PRA Standard with respect to modeling accident management in the LERF assessment and NRC requirements in Regulatory Guide 1.174 for considering late containment failures. This technical paper deals only with the incorporation of operator actions into the Level 2 PRA based on a comprehensive study of the Seabrook Station accident response procedures and guidance. The paper describes the process used to identify the key operator actions that can influence the Level 2 PRA results and the development of success criteria for these key operator actions. ...

2006-07-01

179

[Transdermal opioid administration: the pain plaster].

A ground-breaking study was recently completed as part of the Seabrook Level 2 PRA update. This study updates the post-core damage phenomena to be consistent with the most recent information and includes accident management activities that should be modeled in the Level 2 PRA. Overall, the result is a Level 2 PRA that fully meets the requirements of the ASME PRA Standard with respect to modeling accident management in the LERF assessment and NRC requirements in Regulatory Guide 1.174 for considering late containment failures. This technical paper deals only with the incorporation of operator actions into the Level 2 PRA based on a comprehensive study of the Seabrook Station accident response procedures and guidance. The paper describes the process used to identify the key operator actions that can influence the Level 2 PRA results and the development of success criteria for these key operator actions. ...

2006-06-04

180

A new method of administration of an opioid was recently registered: fentanyl transdermal (brand name: Durogesic), intended particularly for the indication range 'pain in cancer'. Fentanyl is lipid-soluble so that deposition in the skin takes place and the biological half-life is approximately 20 hours after removal of the plaster. It is safe to start on a basis of an equianalgesic conversion of 100:1 in relation to oral morphine, although this may entail some risk of fentanyl under dosage. The dose adjustment time is 12-24 hours before a constant fentanyl level is reached; therefore, after attaching the first sticking plaster, the original morphine dose should be continued for another 12 hours. In addition, the patient may, if necessary, be given supplementary morphine preferably as a short-acting drug. There seems to be no clear indication for transdermal fentanyl either in neuropathic pain or in chronic benign pain. ...

1997-04-26

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181

The dengue viruses.

Neuroradiologic and Neurophysiologic Findings of Neuralgic Amyotrophy

Dengue, a major public health problem throughout subtropical and tropical regions, is an acute infectious disease characterized by biphasic fever, headache, pain in various parts of the body, prostration,...Full Text Available

1990-10-01

182

Medical problems affecting musicians.

ObjectiveNeuralgic amyotrophy (NA) is a distinct clinical syndrome that is characterized by the acute onset of shoulder and arm pain, weakness, and sensory loss. The purpose of this...Full Text Available

2010-11-01

183

Cutaneous Scarring: A Clinical Review

The physical demands of performing on musical instruments can cause pain, sensory loss, and lack of coordination. Five cases illustrate common problems. Knowledge of the interaction between the technique...Full Text Available

1995-12-01

184

Cutaneous scarring can cause patients symptoms ranging from the psychological to physical pain. Although the process of normal scarring is well described the ultimate cause of pathological scarring...Full Text Available

2009-01-01

185

Critical Limb Ischemia

Antinociceptive actions of honokiol and magnolol on glutamatergic and inflammatory pain

Opinion statementCritical limb ischemia (CLI), defined as chronic ischemic rest pain, ulcers, or gangrene attributable to objectively proven arterial occlusive disease, is the most advanced...Full Text Available

2010-06-01

186

The Use of a Mobile Laboratory Unit in Support of Patient Management and Epidemiological Surveillance during the 2005 Marburg Outbreak in Angola

The antinociceptive effects of honokiol and magnolol, two major bioactive constituents of the bark of Magnolia officinalis, were investigated on animal paw licking responses and thermal...Full Text Available

187

Technical support of regulatory authority in Ukraine

BackgroundMarburg virus (MARV), a zoonotic pathogen causing severe hemorrhagic fever in man, has emerged in Angola resulting in the largest outbreak of Marburg hemorrhagic fever...Full Text Available

188

Report of the Department of Energy, Office of Environmental Management, Quality Assessment Program, inorganic intercomparison study

Main results of 15-year SSTC NRS activity in the field of technical support of regulatory authority are presented. The article also described management policy, quality assurance system, personnel training system and international co-operation of SSTC. (author)

2007-08-01

189

Percutaneous Management of a Long Saphenous Vein Graft Aneurysm: A Case Report and Review of Literature

This report presents results from the soil inorganic analysis of the 44th set of environmental quality assessment samples, of the quality assessment program, that were received on or before June 3, 1996. The samples were analyzed for RCRA metals.

1996-07-01

190

New frontiers in ovarian cancer diagnosis and management.

Aneurysms of saphenous vein grafts are rare but can result in complications such as myocardial infarction or death. Percutaneous treatment has included a variety of approaches, including covered stents....Full Text Available

2009-01-01

191

Management of nucleus loss into the vitreous: long term follow up in 63 patients

Ovarian carcinoma is now the leading cause of death among women. Surgery has reached its limits, and further aggressive surgery will result in an inordinate morbidity and mortality. Ovarian carcinoma...Full Text Available

1991-03-01

192

Kenai Peninsula Caribou Management Plan.

Background:The aim of present study is to determine the long-term results of patients who undergo pars plana vitrectomy after retained nucleus into the vitreous.Setting:Service...Full Text Available

2007-12-01

193

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

Caribou were extirpated from the Kenai Peninsula by 1912 and reintroduced via transplants from the Nelchina Herd in the mid 1960's and again in the mid 1980's. The reintroductions resulted in the establishment of five herds: the Kenai Mountains Herd, Kena...

1994-01-01

194

Auditing the Management of Vaccine-Preventable Disease Outbreaks: The Need for a Tool

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

195

Anaesthetic management of post-burn contractures, a recurrent challenge from oil pipeline vandalization in Nigeria: a case report

Public health activities, especially infectious disease control, depend on effective teamwork. We present the results of a pilot audit questionnaire aimed at assessing the quality of public health services...Full Text Available

196

Burnup analysis and in-core fuel management study of the 3MW TRIGA MARK II research reactor

A 13 year- old girl presented to the department with sternomental contractures as a result of facial burns from kerosene explosion. Difficult airway was envisaged. Over the period of time she developed...Full Text Available

197

British Library Electronic Table of Contents (United Kingdom)

The principal objective of this study is to formulate an effective optimal fuel management strategy for the TRIGA MARK II research reactor at AERE, Savar. The core management study has been performed by utilizing four basic types of information calculated for the reactor: criticality, power peaking, neutron flux and burnup calculation. This paper presents the results of the burnup calculations for TRIGA LEU fuel elements. The fuel element burnup for approximately 20 years of operation was calculated using the TRIGAP compute code. The calculation is performed in one-dimensional radial geometry in TRIGAP. Inter-comparison of TRIGAP results with other two calculations performed by MVP-BURN and MCNP4C-ORIGEN2.1 show very good agreement. Reshuffling at 20,000MWh step provides the highest core l...

2008-01-01

198

Application of probabilistic methods to accident analysis at waste management facilities

Site Environmental Report for 2007 Volume I

Probabilistic risk assessment is a technique used to systematically analyze complex technical systems, such as nuclear waste management facilities, in order to identify and measure their public health, environmental, and economic risks. Probabilistic techniques have been utilized at the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico, to evaluate the probability of a catastrophic waste hoist accident. A probability model was developed to represent the hoisting system, and fault trees were constructed to identify potential sequences of events that could result in a hoist accident. Quantification of the fault trees using statistics compiled by the Mine Safety and Health Administration (MSHA) indicated that the annual probability of a catastrophic hoist accident at WIPP is less than one in 60 million. This result allowed classification of a catastrophic hoist accident as ''not credible'' at WIPP per DOE ...

199

Mathematical programming and manufacturing management

The Site Environmental Report is an integrated report on Berkeley Lab's environmental programs to satisfy the requirements of DOE Order 231.1A, Environment, Safety, and Health Reporting. It summarizes Berkeley Lab's environmental management performance, presents environmental monitoring results, and describes significant programs for calendar year 2007. Volume I is organized into an executive summary followed by six chapters that contain an overview of the Laboratory, a discussion of the Laboratory's environmental management system, the status of environmental programs, and summarized results from surveillance and monitoring activities.

200

A NEM diffusion code for fuel management and time average core calculation

This talk will present an overview of the use of mathematical programming techniques in manufacturing management practice. The emphasis is on applied contributions in three areas: conceptual and qualitative results, modelling, and algorithms. The discussion will be limited to methods that have found or are likely to find application in practice. Overall the picture is not heartening and many promising directions have not resulted in practical applications. Yet there are several areas where significant opportunities exist, though they seem to be better for heuristics than for highly structured traditional models. Time will be available for discussion of topics that interest the participants.

1994-12-31

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201

Distinguishing benign notochordal cell tumors from vertebral chordoma

A computer code based on Nodal expansion method has been developed for solving two groups three dimensional diffusion equation. This code can be used for fuel management and time average core calculation. Explicit Xenon and fuel temperature estimation are also incorporated in this code. TAPP-4 phase-B physics experimental results were analyzed using this code and a code based on FD method. This paper gives the comparison of the observed data and the results obtained with this code and FD code. (author)

2005-11-01

202

Position of nuclear-medical techniques for evaluation of loosened total hip endroprostheses

The objective was to characterize imaging findings of benign notochordal cell tumors (BNCTs). Clinical and imaging data for 9 benign notochordal cell tumors in 7 patients were reviewed retrospectively. Conventional radiographs (n = 9), bone scintigrams (n = 2), computed tomographic images (n = 7), and magnetic resonance images (n = 8) were reviewed. Eight of the 9 lesions were stained with hematoxylin-eosin and microscopically examined. There were 3 male and 4 female patients with an age range of 22 to 55 years (average age, 44 years). Two patients had two lesions at different sites. The lesions involved the cervical spine in 4 patients, the lumbar spine in 2, the sacrum in 2, and the coccyx in 1. The most common symptom was mild pain. The lesions of 2 patients were found incidentally during imaging studies for unrelated conditions. Five patients underwent surgical procedures. One patient died of surgical complications. All other patients have been well without ...

2008-04-15

203

Diagnostic possibilities following implantation of carbon-fibre-reinforced plastic (CFRP) total hip arthroplasty

For diagnosis of loosening or infection after implantation of a single-side or double-side total hip endoprosthesis 59 patients being in pain were investigated by a combination of bone scan (Technetium-99m DPD) and leucocyte scan (Indium-111 labelled leucocytes). The correlation between clinical results and scintigraphic findings revealed: bone scintigraphy detects loosening of prostheses with 95% sensitivity (45/47); bone scintigraphy excludes an instable prosthesis with 89% specificity (3/27). 45% of the loosened prostheses revealed an infection (21/47): leucocyte scintigraphy could detect 17 correct positive. Three leucocyte scans of 53 prostheses without clinical signs of infection were false positive. Therefore, leucocyte scintigraphy had a sensitivity of 91% and a specificity of 94% for detecting infection. Bone scintigraphy can detect loosening of prostheses with 93% accuracy, Indium-111 labelled leucocyte scintigraphy can detect ...

1985-10-01

204

Aggressive Ewing's sarcoma appearing as a cold lesion on bone scan

Introduction: There are many problems in the radiological diagnosis of aseptic loosening in total hip arthroplasty. Computed tomography (CT) and magnetic resonance tomography (MRT) are not usable for metallic implants (stainless steel, cobalt alloy, titanium alloy). Material and Methods: From April 1993 to December 1993 15 CFRP non-cemented hip prostheses have been implanted. In a prospective clinical study plane radiographs, CT and MRT have been analysed. Results: Three stems were revised (1 femoral fracture, 1 severe thigh pain, 1 aseptic loosening). CFRP are not visible in plane radiographs. There was a complete (two-third of the cases) or nearly complete (one-third of the cases) small sclerotic interface between the prosthesis and the bone, these were apparent in CT and MRT in stable implant cases and did not have any clinical correlations. Discussion: The small sclerotic interface is quite different in comparison to so called 'Reactive ...

205

Reliability engineering in aerospace technology. Approach to the assurance of high reliability; Eisei uchu rocket no shinraisei. Koshinraisei eno torikumi

Ewing's sarcoma classically presents as a hot spot on bone scan as a result of increased vascularity of the tumor and new bone formation. Purpose We report and analyze an uncommon pattern of a 'cold' lesion in Ewing's sarcoma on bone scan and its pathophysiologic significance. Case report A 15-year-old boy complaining of thigh pain. CT scan evoked Ewing's sarcoma or osteitis. MRI evoked chronic osteitis. Scintigraphy showed a fairly intense and heterogeneous uptake on the femoral lesion and no abnormal uptake elsewhere. Biopsy showed none pathologic pattern. Three months later, a second biopsy concluded to Ewing's sarcoma. Bone scan showed a larger lesion with peripheral intense uptake centered by enlarged 'cold' area in the left femoral diaphysis and no evident bone metastasis. The patient underwent chemotherapy and surgery. Three months later, bone scan showed extensive skeletal metastasis. Conclusion Ewing's sarcoma appears usually as an ...

2009-10-01

206

Evaluating technologies for tactical information management in net-centric systems

This paper describes an approach to the reliability engineering in aerospace technology. To promote development, configuration management (clarifies the base line of technology), reliability management, quality control, safety management, progress management, and cost management are very important. The following example related to reliability was contained for the development of an N-1 rocket in Japan. A timer and amplifier that are old-fashioned but have actual results were supplied from abroad. The induction system that was purchased from abroad contained faulty components in quality control. The improvement in reliability has priority and the first-stage tank was changed to a home-made aluminum alloy that is superior in stress-resistant corrosiveness. An H-II rocket was completely developed in Japan by self-technology. The number of faults to be generated in ...

1995-02-05

207

A Robust and Efficient Trust Management Scheme for Peer-to-Peer Networks

Recent trends in distributed real-time and embedded (DRE) systems motivate the development of tactical information management capabilities that ensure the right information is delivered to the right place at the right time to satisfy quality of service (QoS) requirements in heterogeneous environments. A promising approach to building and evolving large-scale and long-lived tactical information management systems are standards-based QoS-enabled publish/subscribe (pub/sub) platforms that enable applications to communicate by publishing information they have and subscribing to information they need in a timely manner. Since there is little existing evaluation of how well these platforms meet the performance needs of tactical information management, this paper provides two contributions: (1) it describes three common architectures for the OMG Data Distribution Service (DDS), which is a QoS-enabled pub/sub platform standard, and ...

2007-05-01

208

Functional impairment related to painful physical symptoms in patients with generalized anxiety disorder with or without comorbid major depressive disorder: post hoc analysis of a cross-sectional study

Studies on the large scale peer-to-peer (P2P) network like Gnutella have shown the presence of large number of free riders. Moreover, the open and decentralized nature of P2P network is exploited by malicious users who distribute unauthentic or harmful contents. Despite the existence of a number of trust management schemes in the literature for combating against free riding and distribution of malicious files, these mechanisms are not scalable due to their high computational, communication and storage overhead. These schemes also do not consider effect of trust management on quality-of-service (QoS) of the search. This paper presents a trust management scheme for P2P networks that minimizes distribution of spurious files by a novel technique called topology adaptation. It also reduces search time since most of the queries are resolved within the community of trustworthy peers. Simulation results ...

2010-01-01

209

Effects of graded oral doses of a new 5-hydroxytryptamine/noradrenaline uptake inhibitor (Ro 15-8081) in comparison with 60 mg codeine and placebo on experimentally induced pain and side effect profile in healthy men.

BackgroundGeneralized anxiety disorder (GAD) is the most frequent anxiety disorder in primary care patients. It is known that painful physical symptoms (PPS) are associated with...Full Text Available

210

Category III Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Insights from The National Institutes of Health Chronic Prostatitis Collaborative Research Network Studies

1. Ro 15-8081 (Hoffmann-La Roche, Basle, Switzerland) is a novel mixed 5-HT/noradrenaline uptake inhibitor producing potent antinociceptive effects in animal pain models. 2. In healthy man, two models...Full Text Available

1987-11-01

211

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

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) remains an enigmatic medical condition. Creation of the (NIH) Chronic Prostatitis Collaborative Research Network (CPCRN) funded by...Full Text Available

2008-07-01

212

The preliminary success of ALARA implementation in Daya Bay NPP

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 ...

213

An investigation into the profitability of energy management in office buildings

Based on the practical condition of the plant and in reference to advanced management experiences worldwide, Daya Bay Nuclear Power Plant has established its own peculiar management system for radiation protection management and ALARA implementation. The characteristics of the system are: radiation protection training to all workers, active involvement of all managers and staffs, and whole process safety control to maintenance activities. The management philosophy of 'workers are responsible for their own radiation safety' is adopted in the plant. A strict, formalized and systematic whole staff radiation protection training, evaluation, authorization and periodically refreshing mechanism had been established and executed in the plant. In the organizational point of view, the responsibilities of line managers were specified in plant procedures, ALARA coordination ...

2000-05-01

214

Tree fruit IPM programs in the western United States: the challenge of enhancing biological control through intensive management

This thesis examines the costs and benefits of energy management in office buildings and investigates the relationships between operating costs, space lease contracts, and building value. Energy management be building owners and managers begins with monitoring and analysing building energy, use and continues by reducing energy consumption through operating procedure changes, equipment replacement and control personnel training and continued monitoring. The cost to complete energy management projects in 12 British Columbia office buildings is analyzed. The average before-tax internal rate of return for the 12 energy management programs was 22.1% on total expenditures of Canadian $1.2 million. Nine of the buildings are owned and occupied by the provincial government, and the return on investment directly benefits the public. However, in the three prvately owned and tenant-occupied ...

1988-01-01

215

British Library Electronic Table of Contents (United Kingdom)

The seminal work of Stern and his coauthors on integrated control has had a profound and long-lasting effect on the development of IPM programs in western orchard systems. Management systems based solely on pesticides have proven to be unstable, and the success of IPM systems in western orchards has been driven by conservation of natural enemies to control secondary pests, combined with pesticides and mating disruption to suppress the key lepidopteran pests. However, the legislatively mandated changes in pesticide use patterns prompted by the Food Quality Protection Act of 1996 have resulted in an increased instability of pest populations in orchards because of natural enemy destruction. The management system changes have made it necessary to focus efforts on enhancing biological control n...

2009-01-01

216

Participative risk management in the construction of onshore pipelines

Hazardous-waste disposal and the clinical laboratory. Final report, May-December 1989

This paper described a risk control management tool that has been developed by Petrobras Petroleo, the largest Brazilian oil company and one of the world's leading oil companies. The system covers health, safety and environmental (HSE) issues regarding pipeline construction projects. The limitations of traditional safety management systems for coping with the critical problems related to environmental safety issues were discussed. In particular, this paper described how the HSE tool evaluates the risks resulting from the following aspects of onshore pipeline construction and assembly: establishing right-of-way and route locations, transporting pipe, developing the construction site, opening the trench, pipe laying, pipe bending, concrete external coating, welding, external anticorrosive coatings, pipe placement backfilling, hydrostatic testing, maintenance operations, and pipeline commissioning. 6 refs., 1 tab.

2000-07-01

217

Waste management systems model for energy systems sites on the Oak Ridge Reservation

Negligent hazardous waste management has resulted in real threats to public health. The Federal Government has responded to the situation with laws and regulations aimed at the producers of hazardous waste, including clinical laboratories. The Resources Conservation and Recovery Act (RCRA) imposes controls on hazardous waste management through the Code of Federal Regulations (CFR). The Environmental Protection Agency (EPA) and the Department of Transportation (DOT) regulate these activities through 40 CFR and 49 CFR. Most clinical laboratories can operate satellite accumulation points and accumulate, store, transport, and dispose of waste in accordance with EPA and DOT regulations. Regulations pertaining to infectious waste, sure to affect many clinical laboratories, are being developed now by he EPA. The cradle to grave tracking system mandated by the Federal Government can be supplemented by state and local authorities ...

1990-01-01

218

Use of Behaviorally Anchored Rating Scales (BARS) for deep technical knowledge

There is a model on the Oak Ridge Reservation which provides requirements for determining capacities and capabilities related to low-level, hazardous, and mixed wastes. In FY 1987, the model will be sufficiently advanced to provide various waste management scenarios. These scenarios will be compared technically, operationally, and financially by use of waste characterization data and process simulators that are currently under development. The results of the process simulations will be used to help identify waste treatment, storage, and disposal technologies that need to be demonstrated prior to full-scale development for DOE use. The information derived from this effort will be made available to all DOE facilities.

1986-01-01

219

Project scheduling with resources constraints: application in the equipment production for the oil industry; Scheduling de projetos com restricao de recursos: aplicacao na producao de equipamentos para a industria de petroleo

The University of California at Los Angeles (UCLA) participated in a U.S. Nuclear Regulatory Commission research program to investigate methods to measure the effect of management and organization on nuclear plant safety. The UCLA research team focused its efforts on understanding {open_quotes}deep technical knowledge,{close_quotes} and its relation to probabilistic risk assessment. As a result, the research team combined deep technical knowledge with a commonly used rating system for understanding the effectiveness of management and organizations.

1993-12-31

220

Optimization of cleaning timing and load allocation in steam generator management

One of the essential steps in the main scope Project Management is the Time Management made by the planning and control of the project schedule. In this work is presented the resource constrained scheduling problem beyond its mathematical formulation and a review of papers about this issue. In sequence is presented a practical example of this model considering a simplified model of an engineering project schedule of oil production equipment. The results obtained with the model application are shown and the conclusions about the work with resource constrained scheduling problems. (author)

2008-07-01

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221

Comparative Assessment of long-term waste management options for high-level and/or long-lived radioactive waste in Belgium

A method for cleaning timing optimization in a parallel steam generator system is described. The method is based on the minimization of a suitable objective function, and takes into account the load allocation on steam generators. In order to establish appropriate fouling growth models the mechanism of the particle deposition and removal on heat transfer surfaces is analyzed. The objective function is related to the short time management costs which are based on depreciation of steam generators, fuel costs and the costs of cleaning interventions. The optimization problem is described; a direct one level method is compared with a two level method. Some applications and their results are reported and discussed. (author)

1998-03-01

222

[Tax management of graduation costs].

The Belgian radioactive waste management agency NIRAS/ONDRAF has undertaken a comparative assessment study on long-term waste management options for the high-level and/or long-lived radioactive waste that should be managed as a result of the use of nuclear energy in Belgium. This study is one of the supportive documents to a Strategic Environmental Assessment (SEA) process initiated end of 2008 and geared towards a decision in principle by the Belgian Government in 2010 on the long-term management of such radioactive waste. NIRAS/ONDRAF, together with Belgian and international research organisations, has developed a reference option for such high-level and long-lived radioactive waste, called Category B and C Waste, consisting of the disposal of such waste in a clay formation [SAFIR-2]. More than 30 years of R and D have been undertaken resulting, among others, ...

2009-06-01

223

Tax management for exempt providers.

PMID:5354055

1969-10-01

224

Tax management for exempt hospitals.

PMID:3413781

1988-01-01

225

Surgical management of pancreatic cancer

PMID:7444950

1980-01-01

226

Service agreements a management guide

Full Text Available

2008-02-01

227

Server Complexity, A Model for Managing Resources

Service agreements

2006-01-01

228

Exploration of Cloud Computing in the Program Management

No abstract prepared.

1999-12-01

229

Not Available

2011-07-01

230

BOOKMARKS:

Developing a holistic strategy for integrated waste management within municipal planning: Challenges, policies, solutions and perspectives for Hellenic municipalities in the zero-waste, low-cost direction

on practical projects such as woodland management, limestone grassland management, cattle management, conflict management and education. ...Cathy Heaton Telephone 01772 892400 Email cenquiries@uclan.ac.uk www.uclan.ac.uk/schoolbne

231

Prospects and future of conservative management of beta thalassemia major in a developing country

The present position paper addresses contemporary waste management options, weaknesses and opportunities faced by Hellenic local authorities. It focuses on state-of-the-art, tested as well as innovative, environmental management tools on a municipal scale and identifies a range of different collaboration schemes between local authorities and related service providers. Currently, a policy implementation gap is still experienced among Hellenic local authorities; it appears that administration at the local level is inadequate to manage and implement many of the general policies proposed; identify, collect, monitor and assess relevant data; and safeguard efficient and effective implementation of MSWM practices in the framework of integrated environmental management as well. This shortfall is partly due to the decentralisation of waste management issues to local authorities without a ...

2009-05-01

232

Operational simulation, design and management of decentralized energy systems; Betriebliche Modellierung, Auslegung und Management von dezentralen Energiesystemen

Objective: To assess the efficacy, prospects and future of conservative management of beta thalassemia major patients in a developing country. Design: Patients registered at IHBTS were studied over a period of three years. They consented to being managed on moderate transfusion regimen, aiming to maintain a pre-transfusion haemoglobin(Hgb) level of 9.0 plus minus 1.0 g per dL. We studied their transfusion requirements, status for transfusion transmitted infections (TTls), serum ferritin levels and complications developing as a result of iron overload. Subjects: Initially all registered patients were included in this study. Sporadic patients as well as dropouts occurring due to any reason, (patients concurrently seeking treatment at other centres as well, or complying poorly to advised chelation therapy) were excluded from the study. The data presented here conforms to a cohort of 60 regular patients who adhered best to our ...

2004-01-01

233

Oral intake of purple passion fruit peel extract reduces pain and stiffness and improves physical function in adult patients with knee osteoarthritis

Chapter 2 describes the worldwide increase of primary energy consumption, which is expected in coming decades and results in possible solutions of a decentralised energy supply that is mainly based upon renewable energy carriers and the use of cogeneration systems. Chapter 3 shows the characteristics of decentralised system components that have been investigated in the frame of this research work as well as the resulting model library to depict the operational performance of the individual components and their mutual influence. A detailed dynamic simulation of a complete fuel cell system based on a steam reformer including the concept of local and superordinate control circuits is presented in chapter 4. Chapter 5 includes the integrated concepts for the intelligent and adaptable management of complex decentralised energy systems as well as a description of their implementation. Apart from the applied metaheuristic ...

2007-06-28

234

British Library Electronic Table of Contents (United Kingdom)

Knee osteoarthritis (OA) is a common degenerative joint disorder and a major cause of pain and disability. The hypothesis tested in this study was that the passion fruit peel extract (PFP), a flavonoid-rich dietary supplement, would reduce symptoms due to knee OA. Thirty-three OA patients were enrolled in a randomized, double-blind, placebo-controlled trial with parallel-group design. Patients received either placebo or PFP pills (150 mg, daily) in a double-blinded fashion for 2 months. The OA clinical symptoms were evaluated monthly with Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. In the PFP group, there was a significant improvement in total WOMAC score and WOMAC subscale score of physical function after 30 days and pain after 60 days. At 60 days, reductions o...

2010-01-01

235

Tiger Team assessment of the Brookhaven National Laboratory

SLFP: A stochastic linear fractional programming approach for sustainable waste management.

This report documents the results of the Department of Energy's (DOE's) Tiger Team Assessment conducted at Brookhaven National Laboratory (BNL) in Upton, New York, between March 26 and April 27, 1990. The BNL is a multiprogram laboratory operated by the Associated Universities, Inc., (AUI) for DOE. The purpose of the assessment was to provide the status of environment, safety, and health (ES H) programs at the laboratory. The scope of the assessment included a review of management systems and operating procedures and records; observations of facility operations; and interviews at the facilities. Subteams in four areas performed the review: ES H, Occupational Safety and Health, and Management and Organization. The assessment was comprehensive, covering all areas of ES H activities and waste management operations. Compliance with applicable Federal, State, and local regulations; ...

1990-06-01

236

IGENPRO knowledge-based digital system for process transient diagnostics and management

A stochastic linear fractional programming (SLFP) approach is developed for supporting sustainable municipal solid waste management under uncertainty. The SLFP method can solve ratio optimization problems associated with random information, where chance-constrained programming is integrated into a linear fractional programming framework. It has advantages in: (1) comparing objectives of two aspects, (2) reflecting system efficiency, (3) dealing with uncertainty expressed as probability distributions, and (4) providing optimal-ratio solutions under different system-reliability conditions. The method is applied to a case study of waste flow allocation within a municipal solid waste (MSW) management system. The obtained solutions are useful for identifying sustainable MSW management schemes with maximized system efficiency under various constraint-violation risks. The results indicate that SLFP can support ...

2011-09-01

237

Energy Efficiency: The New Holy Grail of Data Management Systems Research

Verification and validation issues have been perceived as important factors in the large scale deployment of knowledge-based digital systems for plant transient diagnostics and management. Research and development (R&D) is being performed on the IGENPRO package to resolve knowledge base issues. The IGENPRO approach is to structure the knowledge bases on generic thermal-hydraulic (T-H) first principles and not use the conventional event-basis structure. This allows for generic comprehensive knowledge, relatively small knowledge bases and above all the possibility of T-H system/plant independence. To demonstrate concept feasibility the knowledge structure has been implemented in the diagnostic module PRODIAG. Promising laboratory testing results have been obtained using data from the full scope Braidwood PWR operator training simulator. This knowledge structure is now being implemented in the transient management module ...

1997-12-31

238

A PC-based software package for modeling DOE mixed-waste management options

Energy costs are quickly rising in large-scale data centers and are soon projected to overtake the cost of hardware. As a result, data center operators have recently started turning into using more energy-friendly hardware. Despite the growing body of research in power management techniques, there has been little work to date on energy efficiency from a data management software perspective. In this paper, we argue that hardware-only approaches are only part of the solution, and that data management software will be key in optimizing for energy efficiency. We discuss the problems arising from growing energy use in data centers and the trends that point to an increasing set of opportunities for software-level optimizations. Using two simple experiments, we illustrate the potential of such optimizations, and, motivated by these examples, we discuss general approaches for reducing energy waste. Lastly, we ...

2009-01-01

239

Wall thinning trend analyses for secondary side piping of Korean NPPs

The U.S. Department of Energy (DOE) Headquarters and associated contractors have developed an IBM PC-based software package that estimates costs, schedules, and public and occupational health risks for a range of mixed-waste management options. A key application of the software package is the comparison of various waste-treatment options documented in the draft Site Treatment Plans prepared in accordance with the requirements of the Federal Facility Compliance Act of 1992. This automated Systems Analysis Methodology consists of a user interface for configuring complexwide or site-specific waste-management options; calculational algorithms for cost, schedule and risk; and user-selected graphical or tabular output of results. The mixed-waste management activities modeled in the automated Systems Analysis Methodology include waste storage, characterization, handling, transportation, treatment, and ...

1995-02-01

240

The Seismic Risk Explorer - A Scenario Tool for Assessing Seismic Risk

Since the mid-1990s, nuclear power plants in Korea have experienced wall thinning, leaks, and ruptures of secondary side piping caused by flow-accelerated corrosion (FAC). The pipe failures have increased as operating time progresses. In order to prevent the FAC-induced pipe failures and to develop an effective FAC management strategy, KEPRI and KOPEC have conducted a study for developing systematic FAC management technology for secondary side piping of all Korean nuclear power plants. As a part of the study, FAC analyses were performed using the CHECWORKS code. The analysis results were used to select components for inspection and to determine inspection intervals on each nuclear power plant. This paper describes the introduction of the FAC analysis method and the wall thinning trend analysis results by reactor type, system, and water treatment amine. This paper also represents the site application ...

2003-08-17

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241

Results of cycling with battery charging management; Resultats de cyclage avec gestion de charge au niveau batterie

The Seismic Risk Explorer, an extension for ArcGIS Desktop developed by cedim AG, is a tool for computing the seismic risk, i.e. damage on residential buildings and thereby caused monetary losses for earthquake scenarios. It is based on the research results of the CEDIM (Center for Disaster Management and Risk Reduction Technology) research center, located at the Karlsruhe Institute of Technology (KIT) and the GeoForschungsZentrum (GFZ) in Potsdam. With this software tool seismic scenarios can be simulated for a given magnitude, depths and location. The seismic intensity, the resulting mean damage ratio for residential buildings and the seismic risk, expressed as the monetary loss caused by an earthquake can be computed downscaled to communities, postcode areas or even single buildings. Interested end-users are especially insurance companies, but also public authorities which may use the tool for risk ...

2009-04-01

242

Reducing barriers to energy efficiency in the German higher education sector. Final report

In order to investigate the charging mode of an in-series assembly of lithium-carbon battery cells, a test has been performed on 5 commercial cells (18650) of 0.95 Ah nominal capacity. Results show that it is possible to cycle the cells at 80% of their output capacities during more than 2000 cycles. The management of the battery consists in maintaining a constant battery voltage as soon as a cell reaches its limit voltage during constant current charging. The initial dispersion of cells has been maintained practically constant during the cycling and the charge state of all cells has decreased progressively. (J.S.)

1996-12-31

243

A risk calculator for glyphosate resistance in Lolium rigidum (Gaud.)

This report describes the empirical research into barriers to energy efficiency in the German higher education (HE) sector. It is one of nine such reports in the BARRIERS project. The report contains description and analysis of six case studies of energy management in German universities. The results are analysed using the theoretical framework developed for the BARRIERS project (Sorrell et al., 2000). The report also provides brief recommendations on how these barriers to the rational use of energy (RUE) may be overcome and how energy efficiency within the sector may be improved. The results of the study for the higher education sector in Germany are summarised in this executive summary under the following headings: - Characterising the higher education sector; - Case studies of energy management in the German higher education sector; - Evidence of barriers in the German higher education sector; - The ...

2000-12-01

244

British Library Electronic Table of Contents (United Kingdom)

BACKGROUND: Glyphosate resistance has been confirmed in 58 populations of Lolium rigidum (Gaud.), a major weed of crops in southern Australia. Extensive use of glyphosate in conjunction with minimal soil disturbance has been identified as high risk for resistance to that herbicide. Land managers need a simple method for rapid assessment of the risk of resistance occurring as a result of past and proposed future management practices. Modelled on risk assessment nomographs, a simple calculator for indicating the risk of evolved glyphosate resistance in L. rigidum is described.RESULTS: The calculator uses the generations since first use and the frequency of use of glyphosate in combination with historical cultivation levels as critical factors for determining the risk of glyphosate resistance...

2008-01-01

245

Safety performance indicators. Topical issues paper no. 5

The ecology of software configuration management

Since its creation the nuclear industry has been struggling with the question of how safe is safe enough. Safety is a common goal to all involved in the design, operation and regulation of a nuclear installation. As a concept safety is not easy to define. However, there is a general understanding of what attributes a nuclear power plant should have in order to operate safely. The challenge lies in measuring the attributes. The new competitive open electricity market, in many countries throughout the world, is increasing the economic pressure on operators to lower operating costs without jeopardizing safety. Challenges are occurring at a rate that is unprecedented in the nuclear industry: competitiveness; downsizing; ageing; policy changes; reorganization; restructuring; mergers; globalization; and takeovers demand increasing attention to the management of safety. There are various means to measure safety performance, some of which are more qualitative in nature and ...

2001-09-03

246

Regulatory Control of Radioactive Waste Management Overview of 15 NEA Member Countries

This paper discusses how to overcome failures and pitfalls in software configuration management. (LSP)

1988-01-01

247

Radiation protection and the management of radioactive waste in the oil and gas industry

Regulatory Control of Radioactive Waste Management

2004-01-01

248

Managing far-flung knowledge Alan Cane reports on a breakthrough in the way companies utilise databases

Radiation protection and the management of radioactive waste in the oil and gas industry

2003-01-01

249

Biology-inspired Architecture for Situation Management

Managing far-flung knowledge

1989-01-01

250

Vertebroplasty and Kyphoplasty Can Restore Normal Spine Mechanics following Osteoporotic Vertebral Fracture

Situation Management is a rapidly developing science combining new techniques for data collection

2006-01-01

251

Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures

Osteoporotic vertebral fractures often lead to pain and disability. They can be successfully treated, and possibly prevented, by injecting cement into the vertebral body, a procedure known as vertebroplasty....Full Text Available

252

Treatment of Frozen Shoulder Using Distension Arthrography (Hydrodilatation)

Femur fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular...Full Text Available

2010-09-01

253

Therapeutic potential of RNA interference in pain medicine

Frozen shoulder (adhesive capsulitis) is a common, painful and disabling condition which is typically slow to resolve. Patients with this condition will be seen in every musculoskeletal practitioner’s...Full Text Available

2004-07-01

254

The use of etoricoxib to treat an idiopathic stabbing headache: a case report

In recent years RNA interference (RNAi) has rapidly become the most widely used tool for gene knockdown due to its high specificity and potency. RNAi is an evolutionarily conserved mechanism...Full Text Available

2009-01-01

255

Tarlov cyst: Case report and review of literature

According to the International Headache Society, idiopathic stabbing headache (ISH), an indomethacin-responsive headache syndrome, is a paroxysmal disorder of short duration manifested as head pain...Full Text Available

256

THE ROLE OF SALIVA IN TICK FEEDING

We describe a case of sacral perineural cyst presenting with complaints of low back pain with neurological claudication. The patient was treated by laminectomy and excision of the cyst. Tarlov cysts...Full Text Available

2007-10-01

257

Rome II Versus Rome III Classification of Functional Gastrointestinal Disorders in Pediatric Chronic Abdominal Pain

When attempting to feed on their hosts, ticks face the problem of host hemostasis (the vertebrate mechanisms that prevent blood loss), inflammation (that can produce itching or pain and thus...Full Text Available

258

Radionuclide imaging of the acutely painful scrotum

ObjectivesThe updated Rome III criteria for pediatric functional gastrointestinal disorders (FGIDs) include new FGID categories and changes to the Rome II criteria...Full Text Available

2008-09-01

259

This paper discusses the clinical application and main objective of testicular imaging. The authors present cases that represent a spectrum of the abnormalities which might be detected by testicular imaging, with special attention given to testicular torsion and the acute diseases which may mimic it clinically. Accuracy of the test is noted.

260

Prostheses

Preparation and In Vivo Evaluation of Indomethacin Loaded True Nanoemulsions

... Previous Topic Pain Next Topic Scars and wounds Prostheses Prostheses (pross-THEE-sees) are man-made substitutes ... covered by medical insurance (this includes wigs). Breast prostheses: Contact your local chapter of the American Cancer ...

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261

Osteoid osteoma near the intervertebral foramen may induce radiculopathy through tumorous inflammation

Indomethacin, a potent nonsteroidal anti-inflammatory drug, has been used in the treatment of various kinds of pains, inflammation and arthritis. However, oral administration of indomethacin produces...Full Text Available

2010-03-30

262

Novel Analogs and Stereoisomers of the Marine Toxin Neodysiherbaine with Specificity for Kainate Receptors

Osteoid osteoma of the spine is a relatively rare bone-forming tumor. Pain that is worse at night and relieved by aspirin and muscle contracture are the most characteristic symptoms of spinal osteoid...Full Text Available

263

Nonsteroidal Anti-Inflammatory Drugs for Wounds: Pain Relief or Excessive Scar Formation?

Antagonists for kainate receptors (KARs), a family of glutamate-gated ion channels, are efficacious in a number of animal models of neuropathologies, including epilepsy, migraine pain, and anxiety....Full Text Available

2008-02-01

264

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

The inflammatory process has direct effects on normal and abnormal wound healing. Hypertrophic scar formation is an aberrant form of wound healing and is an indication of an exaggerated function of...Full Text Available

2010-01-01

265

MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement

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

266

MRI Findings of Pericardial Fat Necrosis: Case Report

Posterior spinal ligament pathology is becoming increasingly recognized as a significant cause of low back pain. Despite the growing clinical importance of interspinous ligament degeneration in low...Full Text Available

2010-10-01

267

Lack of impact of intravenous lidocaine on analgesia, functional recovery, and nociceptive pain threshold after total hip arthroplasty

Pericardial fat necrosis is an infrequent cause of acute chest pain and this can mimic acute myocardial infarction and acute pericarditis. We describe here a patient with the magnetic resonance imaging...Full Text Available

2011-05-01

268

Labeled lines meet and talk: population coding of somatic sensations

BackgroundThe analgesic effect of perioperative low doses intravenous lidocaine has been demonstrated after abdominal surgery. This study aimed to evaluate whether...Full Text Available

2008-07-01

269

Intravenous immunoglobulin in the treatment of primary trigeminal neuralgia refractory to carbamazepine: a study protocol[ISRCTN33042138

The somatic sensory system responds to stimuli of distinct modalities, including touch, pain, itch, and temperature sensitivity. In the past century, great progress has been made in understanding the...Full Text Available

2010-11-01

270

Initial Development and Characterization of PLGA Nanospheres Containing Ropivacaine

BackgroundWe have recently reported successful treatment of patients with chronic pain syndromes using human pooled intravenous immunoglobulin (IVIG) in a prospective, open-label...Full Text Available

271

Imported sparganosis in Canada

Local anesthetics are able to induce pain relief by binding to the sodium channels of excitable membranes, blocking the influx of sodium ions and the propagation of the nervous impulse. Ropivacaine...Full Text Available

2007-12-01

272

Gender differences in the incidence and prevalence of patellofemoral pain syndrome.

The first case of human sparganosis in Canada is reported in a 23-year-old woman who emigrated from Greece in 1969. Examination of a ribbon-like worm removed from a painful swelling in the neighbourhood...Full Text Available

1973-03-03

273

Fluorescence amplified fragment length polymorphism for subtyping of genotypes of Acanthamoeba isolated from patients with keratitis

The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending stairs, hopping/jogging, prolonged sitting, kneeling, and squatting, negative findings on examination of knee ligament, menisci, bursa, and synovial plica, and pain on palpation of either the patellar facets or femoral condyles. Poisson and logistic regressions were performed to determine the association between gender and the incidence and prevalence of PFPS, respectively. The incidence rate for PFPS was 22/1000 person-years. Females ...

2010-10-01

274

Expression of leukotriene receptors in the rat dorsal root ganglion and the effects on pain behaviors

Background & objectives:Acanthamoeba keratitis (AK) is a painful and vision-threatening ocular infection. The differentiation of Acanthamoeba...Full Text Available

2011-01-01

275

Ewing's sarcoma presenting as a solitary cyst

BackgroundLeukotrienes (LTs) belong to the large family of lipid mediators implicated in various inflammatory conditions such as asthma and rheumatoid arthritis. Four distinct types...Full Text Available

276

Evaluation of the Hip: History and Physical Examination

This case describes a 10-year-old girl who developed a Ewing's sarcoma in her proximal fibula. The radiologic features mimicked those of a unicameral bone cyst. The presence of pain and the atypical location led to a prompt biopsy and the correct diagnosis. The mechanism of this unusual radiographic presentation is discussed. (orig.)

2006-07-01

277

Endoscopic Discectomy for the Cauda Equina Syndrome During Third Trimester of Pregnancy

Examination of a painful hip is fairly concise and reliable at detecting the presence of a hip joint problem. Hip joint disorders often go undetected, leading to the development of secondary disorders....Full Text Available

2007-11-01

278

Effectiveness of Manual Physical Therapy for Painful Shoulder Conditions: A Systematic Review

Low back pain is common during pregnancy. However, the prevalence of symtomatic lumbar disc herniation is rare, and cauda equina syndrome due to disc herniation during pregnancy is even rarer. We report...Full Text Available

2007-11-01

279

Dobutamine stress test and beta-agonist - a potential concern for nuclear cardiology testing: a case report

Multiple disease-specific systematic reviews on the effectiveness of physical therapy intervention for shoulder dysfunction have been inconclusive. To date, there have been two systematic reviews that...Full Text Available

2009-01-01

280

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

IntroductionChest pain with ST-segment elevation is a rare clinical problem during dobutamine stress testing. Although beta-agonists treatment prior to dobutamine stress testing...Full Text Available

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281

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

Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze...Full Text Available

2011-06-01

282

Convective burn from use of hairdryer for heel warming prior to the heel prick test - a case report

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

283

Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov cyst: Case report

BackgroundBlood sampling through heel lancing is the most common invasive painful procedure performed on newborn infants.Case PresentationWe report...Full Text Available

284

Cognitive Expertise, Emotional Development and Reflective Capacity: Clinical Skills for Improved Pain Care

BackgroundAcute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology.Case...Full Text Available

285

Is your andrology service up to scratch?

The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available

2008-11-01

286

British Library Electronic Table of Contents (United Kingdom)

The quality of the end product from andrology services continues to lack consistency and in some cases fails to meet the needs of the end users (patients or clinicians). Results of external quality assessment (EQA) schemes continue to show unacceptably wide variation for the results of a single specimen. Some laboratories are able to show that the results of semen analyses relate to both natural and assisted pregnancy and are therefore useful in the management of the infertile couple, whereas others claim that their value is limited to the identification of severe male factor infertility. With wide variation in standardisation of methodology, levels of staff training and quality assurance, it is entirely understandable that such discrepancies persist. The following article proposes that Qu...

2010-01-01

287

The value of computed tomography in the diagnosis of grating scapula

Foraminal stenosis complicating retained broken epidural needle tip -A case report-.

Snapping or grating scapula is a condition of the shoulder girdle in which the patient complains of pain and an audible snapping sound which may be associated with pain. We evaluated the diagnostic value of the computed tomography (CT) scans using the clinical diagnosis of a grating scapula as the gold standard. This retrospective study reports the sensitivity, specificity, likelihood ratio and receiver operator characteristic curve for the CT scans and the k value as a measure of the interobserver agreement. None of the parameters validated the examination. We therefore concluded that CT scans are inappropriate for differentiation between a grating scapula and a normally functioning shoulder except in cases where bony abnormalities are present. (orig.)

1994-07-01

288

SRS Public Involvement in Waste Management Has Resulted in Effective Decisions Supported by the Public Including Disposal Changes and Top-to-Bottom Review Initiative Consensus

Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given the increased number of epidural nerve blocks being performed, some have reported unexplained complications of a transient or permanent nature and with varying degrees of severity. However, no case has been reported of a broken epidural needle tip retained in the lumbar facet joint area. This represents the first reported case presentation of foraminal stenosis developing in a patient after a retained epidural needle tip. PMID:21286465

2010-12-31

289

Allocation of risks in a competitive electric market

In the Savannah River Site's (SRS') Solid Waste Management Program, a key to success is the Public Involvement Program. The Solid Waste Division at SRS manages the site's transuranic, low-level, mixed, and hazardous wastes. All decisions associated with management of this waste are of interest to the public and successful program implementation would be impossible without a vigorous public involvement program. The SRS Solid Waste Division (SWD) and its Department of Energy (DOE) customer developed, implemented, and maintain a comprehensive public participation and communications program. It is staffed by public participation and technical specialists to ensure information is presented in a manner that is technically accurate while being tailored for understanding by people without a technical background. The program provides the public with accurate, complete, timely information and early ...

2003-02-27

290

Implementation Plan. Environmental Restoration and Waste Management Programmatic Environmental Impact Statement

To many, recent developments in electric markets are perplexing. Competition has appeared, often in the form of new players who do not own and operate generation or transmission facilities. Yet, these players happily enter into contracts obliging them to make or take delivery of power at set prices for months or even years into the future. They seem unconcerned about predicted capacity shortages, fuel price uncertainty or unpredictable plant outages. For the most part, these new players understand these risks quite well. They simply believe in the efficacy of markets. Until recently, price ensured recovery of cost. They foresee a true market where price makes supply equal demand and cost is not a factor in the short term at least. The appearance of such players is an augury of the new industry structure, one in which specialists in taking and managing distinct business risks evolve from within or enter from outside. They take and manage price ...

1996-03-01

291

Final report on testing of ACONF technology for the US Coast Guard National Distress Systems : a study for the DOE Energy Storage Systems Program.

In accordance with the Department of Energy`s National Environmental Policy Act implementing procedures in Volume 10 of the Code of Federal Regulations, Section 1021,312, the Environmental Restoration and Waste Management Programmatic Environmental Impact Statement Implementation Plan has two primary purposes: to provide guidance for the preparation of the Programmatic Environmental Impact Statement and to record the issues resulting from the scoping and the extended public participation process. The Implementation Plan identifies and discusses the following: background of Environmental Restoration and Waste Management activities, the purpose of the Programmatic Environmental Impact Statement, and the relationship of the Programmatic Environmental Impact Statement to other Departmental initiatives (Chapter 1); need and purposes for action (Chapter 2); scoping process and results of the public ...

1994-01-01

292

Establishment of Database Program for In-service Test Management in Nuclear Power Plants

This report documents the results of a six month test program of an Alternative Configuration (ACONF) power management system design for a typical United States Coast Guard (USCG) National Distress System (NDS) site. The USCG/USDOE funded work was performed at Sandia National Laboratories to evaluate the effect of a Sandia developed battery management technology known as ACONF on the performance of energy storage systems at NDS sites. This report demonstrates the savings of propane gas, and the improvement of battery performance when utilizing the new ACONF designs. The fuel savings and battery performance improvements resulting from ACONF use would be applicable to all current NDS sites in the field. The inherent savings realized when using the ACONF battery management design was found to be significant when compared to battery replacement and propane refueling at the remote NDS ...

2005-08-01

293

Anticipated climate change impacts on flood characteristics : Moisie River application

In-service Test (IST) of the nuclear power plant is very important to maintain the safety of the plants. The safety features of nuclear power plant are based on the operation of pumps and valves. Therefore, it is an essential basis for the safety of nuclear power plant to keep operational readiness of pumps and valves. Because of the importance of the IST, most of nuclear power plants should designate the IST department and personnel. Because the nuclear power plants of Korea have several types and the designs and operations are different from each other, the methods and experiences are various for the management of the IST program. However, there are no medium to communicate with each other and exchange the tips and information about IST program and education and discussion would be required to apply a consistent code. The nature of the IST Standardization Management Data Base (SMDB) is to exchange opinions and documents about IST program and ...

2010-10-01

294

A novel approach to personal photo album representation and management

The issue of global warming was discussed with particular reference to the changes that may occur in the hydrological regime within the coming decades in response to predicted changes in climate. Flood events for the 2050 time horizon were investigated along with the consequences on water management and dam safety. Dams operated by Hydro-Quebec are used for flood control, water supply, recreational activities and hydroelectricity. As such, the electric utility relies on methods to evaluate the adaptability of current management plans to climate change. This paper presented the results of a study conducted at the Moisie River watershed, located in northern Quebec. The HSAMI hydrologic model was used to evaluate and compare the occurrences where stream flows and water levels exceed critical values in order to assess the effectiveness of management plans in both current and climate change scenarios. The ...

295

Oleoresin Capsicum toxicology evaluation and hazard review

In this paper we present a novel approach to personal photo album management allowing the end user to efficiently access the collection without any need for tedious manual annotation or indexing of the photos. The proposed work exploits methods and technology from the field of computer vision and pattern recognition for face detection, face representation and image annotation to automatically create description of images useful for content-based searching and retrieval. In fact, even if most of the used techniques are not reliable enough to address the general problem of content-based image retrieval, we show that, in a limited domain such as the one of personal photo album, it is possible to obtain results that improve the browsing capabilities of current photo album management systems. In particular, starting from the observation that most personal photos depict a usually small number of people in a relatively small ...

2008-01-01

296

Intravertebral body reconstruction with an injectable in situ-setting carbonated apatite: biomechanical evaluation of a minimally invasive technique.

Oleoresin Capsicum (OC) is an extract of the pepper plant used for centuries as a culinary spice (hot peppers). This material has been identified as a safe and effective Less-Than- Lethal weapon for use by Law enforcement and security professionals against assault. The National Institute of Justice (NIJ) is currently also evaluating its use in conjunction with other Less-Than-Lethal agents such as aqueous foam for use in corrections applications. Therefore, a comprehensive toxicological review of the literature was performed for the National Institute of Justice Less-Than-Lethal Force program to review and update the information available on the toxicity and adverse health effects associated with OC exposure. The results of this evaluation indicate that exposure to OC can result in dermatitis, as well as adverse nasal, pulmonary, and gastrointestinal effects in humans. The primary effects of OC exposure include pain and ...

1995-10-01

297

Possible global environmental impacts of solid waste practices

The ability to mechanically reinforce an osteoporotic vertebral body could impede spinal compression fracture and the associated pain and complications. Previous studies have shown that reinforcement of fractured vertebrae with conventional acrylic cement can relieve symptoms and avoid further collapse. In this study, we explored the use of a carbonated apatite cement combined with a minimally invasive injection technique to improve the compressive mechanical properties of cadaveric vertebral bodies. After establishing the biomechanical characteristics of cement formulations intended to have appropriate viscosities, we evaluated the infiltration of the cements into thoracic vertebral bodies using a combined suction-injection technique. The energy-absorption capabilities of the reinforced vertebral bodies were then measured during axial compressive tests and compared with those of nonreinforced vertebrae. The ultimate compressive strength of the cement formulations ...

1999-01-01

298

Waste management and degradability

Pollutants resulting from the management of solid waste have been shown to affect the air, land, oceans, and waterways. In addition, solid wastes have other, more indirect impacts such as reduction in feedstocks of natural resources, because useful materials are disposed of rather than recycled. The objective of this study is to evaluate solid waste management practices that have negative implications on the global environment and develop recommendations for reducing such impacts. Recommendations identifying needed changes are identified that will reduce global impacts of solid waste practices in the future. The scope of this study includes the range of non-hazardous solid wastes produced within our society, including municipal solid waste (MSW) and industrial solid waste (ISW), as well as industry-specific wastes from activities such as construction, demolition, and landclearing. Most solid waste ...

1994-09-01

299

Recent developments in two-stage coal liquefaction at Wilsonville

Landscape visive pollution due to photo-biodegradable plastic bags is assessed in an ideal case, the most favorable to their use. The result is that mean permanent visive pollution is 100 times higher than established norms. Both photo and biodegradability of plastic bags in the real world are discussed. The conclusion is that photo-biodegradability does not solve the problem of landscape visive pollution due to plastic bags.

1987-01-01

300

OCETA ENVIRONMENTAL TECHNOLOGY PROFILES CATALOGUE

This paper presents results from the Advanced Coal Liquefaction R and D Facility at Wilsonville, Alabama. The primary sponsors are the US Department of Energy (DOE) and the Electric Power Research Institute (EPRI). Amoco Corporation became a sponsor in 1984 through an agreement with EPRI. The facility is operated by Catalytic, Inc., under the management of Southern Company Services, Inc.

1986-04-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

301

Conference on climate and water. Volume 2

... The short residence time ensures that no temperature increase occurs. The pattern of entrainment, along with natural currents results in oxygenation of the entire hypolimnion. Figure 4 is a simplified schematic of the Lake LungTM. Built in circulators allow the lake manager to adjust the depth of the epilimnion, and to elect whether or not to destratify the lake to prolong the spring and autumn turnover. ...

302

Conference on climate and water

This book contains the Proceedings of the Conference on Climate and Water under the following groupings: Impacts of climatic variability and change-resulting from the changes in hydrological variables; Aquatic environment; Terrestrial environment; Coastal zones and navigation; Urban and industrial water supply and drainage; Energy production; Intropogenic changes of climate and water management problems; Flood potential; Irrigation and land drainage.

1989-12-31

303

Biodegradability of polyurethane/polysaccharide blends

This book contains the Proceedings of the Conference on Climate and Water under the following groupings: Impacts of climatic variability and change-resulting from the changes in hydrological variables; Aquatic environment; Terrestrial environment; Coastal zones and navigation; Urban and industrial water supply and drainage; Energy production; Intropogenic changes of climate and water management problems; Flood potential; Irrigation and land drainage.

1989-01-01

304

Air-side flow and heat transfer in compact heat exchangers: A discussion of enhancement mechanisms

Biodegradable polymers for use in environmental waste-management has been the subject of much discussion over the last few years. Polyurethane mixtures with polysaccharide (80/20 and 90/10 w/w ) have been prepared and films obtained. These films were inoculated, according to ASTM G22-76 rule and analysed by thermogravimetry and scanning electronic microscopy (SEM). The results are discussed in terms of thermal degradation and biodegradability. (author)

2001-07-01

305

Water management studies in PEM fuel cells, part III: Dynamic breakthrough and intermittent drainage characteristics from GDLs with and without MPLs

The behavior of air flows in complex heat exchanger passages is reviewed with a focus on the heat transfer effects of boundary-layer development, turbulence, spanwise and streamwise vortices, and wake management. Each of these flow features is discussed for the plain, wavy, and interrupted passages found in contemporary compact heat exchanger designs. Results from the literature are used to help explain the role of these mechanisms in heat transfer enhancement strategies.

1998-10-01

306

British Library Electronic Table of Contents (United Kingdom)

The transport of liquid water and gaseous reactants through a gas diffusion layer (GDL) is one of the most important water management issues in a proton exchange membrane fuel cell (PEMFC). In this work, the liquid water breakthrough dynamics, characterized by the capillary pressure and water saturation, across GDLs with and without a microporous layer (MPL) are studied in an ex-situ setup which closely simulates a real fuel cell configuration and operating conditions. The results reveal that recurrent breakthroughs are observed for all of the GDL samples tested, indicating the presence of an intermittent water drainage mechanism in the GDL. This is accounted for by the breakdown and redevelopment of the continuous water paths during water drainage as demonstrated by Haines jumps. For GDL ...

2010-01-01

307

Terror management among Taiwanese: Worldview defence or resigning to fate?

British Library Electronic Table of Contents (United Kingdom)

Terror management theory (TMT) proposes that people who are reminded of their mortality should be motivated to defend their cultural worldview. Studies 1 and 2 examined whether the TMT worldview defence-buffering effect found in Western cultures could be generalized to Asians in Taiwan. No such effect was found in the present studies. This non-significant result was robust when either a stronger distraction task was used (study 1) or when a subliminal manipulation of mortality salience was utilized (study 2). A meta-analysis, including 24 TMT experiments in East Asia, was also conducted (study 3). The average effect size (d = 0.11, r = 0.055) of worldview defence among these experiments was not significantly different from zero. Study 4 found that mortality salience manipulation also did n...

2010-01-01

308

Surgical management of osteoradionecrosis of the temporal bone

Roles and challenges of the health information management educator: a national HIM faculty survey.

The surgical management of osteoradionecrosis of the temporal bone has met with limited success because of the difficulty in accurate assessment of the viability of nonnecrotic bone intraoperatively. Failure to resect all nonviable bone results in recurrence of a necrotic focus. With the use of hyperbaric oxygen therapy to stabilize marginal bone and oral tetracycline to label viable bone preoperatively, removal of all nonviable bone can be accomplished. Postoperatively, a second course of hyperbaric therapy enhances wound healing, thus assuring a successful outcome. This article details a successful systematic approach that was developed to resect a necrotic focus in the temporal bone of a 10-year-old boy who had undergone a full course of radiotherapy for treatment of a rhabdomyosarcoma.

1988-03-01

309

Performance-Aware Power Management in Embedded Controllers with Multiple-Voltage Processors

Health information technology initiatives created the framework for a national health information infrastructure that concomitantly fostered a need to build intellectual capacity within our current and future health information management (HIM) work force. Results from the 2008 HIM Educator Survey are discussed. Developed for voluntary electronic participation, the survey comprised a series of questions about educators' professional interests and responsibilities. Summary data from the 402 respondents are provided and highlight areas such as academic rank, teaching status, salary range, levels of interest in various issues, and use of virtual learning tools. Data from this survey provide insights into the concerns and challenges many HIM educators face in today's training institutions and suggest implications for future directions in work force training and professional development within the HIM field. PMID:19424453

2009-04-30

310

Nonverbal Learning Disability explained: the link to shunted hydrocephalus

The goal of this work is to minimize the energy dissipation of embedded controllers without jeopardizing the quality of control (QoC). Taking advantage of the dynamic voltage scaling (DVS) technology, this paper develops a performance-aware power management scheme for embedded controllers with processors that allow multiple voltage levels. The periods of control tasks are adapted online with respect to the current QoC, thus facilitating additional energy reduction over standard DVS. To avoid the waste of CPU resources as a result of the discrete voltage levels, a resource reclaiming mechanism is employed to maximize the CPU utilization and also to improve the QoC. Simulations are conducted to evaluate the performance of the proposed scheme. Compared with the optimal standard DVS scheme, the proposed scheme is shown to be able to save remarkably more energy while maintaining comparable QoC.

2008-01-01

311

British Library Electronic Table of Contents (United Kingdom)

Accessible summary - -Children with a Nonverbal Learning Disability (NLD) resulting from shunted hydrocephalus and spina bifida face many difficulties not experienced by those with a language learning disability. - -As they grow older and more autonomy is expected, friendships became harder to sustain and daily life can be full of fear if the nonverbal learning disability is not identified and managed. - -This paper explains the theorised cause of nonverbal learning disability - damage to right hemisphere white matter or myelin. - -Damage is believed to cause problems with planning, organisation, time management, problem-solving, decision-making and friendships, and the mismatch with articulate speech and a good vocabulary causes a functional profile that is difficult for educationists or ...

2011-01-01

312

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

313

Major roles of water chemistry for safe and reliable nuclear power plant operation. Research committee on water chemistry standard

Index structures for structured documents

The research committee of the Atomic Energy Society of Japan on water chemistry standard aims at establishing the private standard of water chemistry of nuclear power plants. The committee gathers up 'BWR water chemistry management manual', 'PWR primary system water chemistry management manual' and 'PWR water chemical analysis standard method', and furthermore aims at the standardization of those in future. Looking back on the committee's activities for the past four years, latest results of research of water chemistry mainly contributing to safe and reliable nuclear power plants were described with the future perspective of water chemistry and a demanded break-through. (T.T.)

2007-05-01

314

Image-guided percutaneous cryotherapy for the management of gynecologic cancer metastases

Much research has been carried out in order to manage structured documents such as SGML documents and to provide powerful query facilities which exploit document structures as well as document contents. In order to perform structure queries efficiently in a structured document management system, an index structure which supports fast document element access must be provided. However, there has been little research on the index structures for structured documents. In this paper, we propose various kinds of new inverted indexing schemes and signature file schemes for efficient structure query processing. We evaluate the storage requirements and disk access time of our schemes and present the analytical and experimental results.

1996-12-31

315

British Library Electronic Table of Contents (United Kingdom)

Objective To report the clinical response to image-guided percutaneous cryotherapy (IPC) for the palliative management of localized metastases in patients with gynecologic malignancies. Methods Institutional review board approval and patient consent were obtained. Gynecologic oncology patients were identified from our institution's cryotherapy database from August 2003 to August 2007. Cryotherapy was performed with 2.4?mm diameter probes (Endocare, Irvine, CA) with ultrasound or computerized tomography (CT) guidance under conscious sedation and local anesthesia. Follow-up was conducted by imaging studies and clinical encounters, using Response Evaluation Criteria in Solid Tumors (RECIST criteria). Results Twenty-eight ablation sessions were performed for 41 metastatic foci in 15 patients w...

2008-01-01

316

ISR; A database for symbolic processing in computer vision

Gas Research Institute wetland research program

Computer vision imposes unique requirements on the representation and manipulation of image data and knowledge. At a vision system's lowest level are sensors that represent an image with purely numeric image arrays, while at the highest level are semantic world models that provide the final interpretation of the scene. In between are thousands of intermediate descriptions, many of which must be repeatedly accessed and processed during interpretation. In this article, the authors describe a representation and management system for use at the intermediate (symbolic) level of vision. Based on database management methodology, the intermediate symbolic representation (ISR) mediates access to intermediate-level vision data and forms an active interface to the higher-level inference processes that construct an image's interpretation. The system supports important types of data and operations and can be adapted to the changing needs ...

1989-12-01

317

Fuel management study for 0.9% CANFLEX-SEU in Wolsung-1

As part of three ongoing research projects, the Gas Research Institute (GRI) is studying the natural gas industry`s impacts on wetlands and how to manage operations so that impacts can be minimized or eliminated. The objective of the first project is to gain a better understanding of the causes and processes of wetland loss in the Louisiana deltaic plain and what role gas pipeline canals play in wetland loss. On the basis of information gathered from the first projects, management and mitigation implications for pipeline construction and maintenance will be evaluated. The objective of the second project is to assess the floral and faunal communities on existing rights-of-way (ROWs) that pass through numerous types of wetlands across the United States. The emphasis of the project is on pipelines that were installed within the past five years. The objective of the third project is to evaluate the administrative, jurisdictional, technical, and ...

1992-12-01

318

Flexible Session Management in a Distributed Environment

Fuel management simulations have been performed for 0.9% SEU CANFLEX fuel in the Wolsung-1. Based on earlier studies at AECL, the bi-directional, four-bundle-shift fuelling scheme was assumed. Time-averaged simulations resulted in an average discharge burnup of 13.0 MWd/kgU. The derived pin power envelope indicated that the peak linear element rating with CANFLEX fuel is 15% less than that obtained with 0.9% SEU 37-element fuel and there is little power boosting at high burnups. Calculated worths of the reactivity devices are sufficient to provide the control and safety requirements for CANFLEX 0.9% SEU fuel in the Wolsung-1 reactor. (Author).

1993-05-01

319

FIN 48: headaches for hedge fund tax compliance function

Many secure communication libraries used by distributed systems, such as SSL, TLS, and Kerberos, fail to make a clear distinction between the authentication, session, and communication layers. In this paper we introduce CEDAR, the secure communication library used by the Condor High Throughput Computing software, and present the advantages to a distributed computing system resulting from CEDAR's separation of these layers. Regardless of the authentication method used, CEDAR establishes a secure session key, which has the flexibility to be used for multiple capabilities. We demonstrate how a layered approach to security sessions can avoid round-trips and latency inherent in network authentication. The creation of a distinct session management layer allows for optimizations to improve scalability by way of delegating sessions to other components in the system. This session delegation creates a chain of trust that reduces the overhead of ...

2010-01-01

320

British Library Electronic Table of Contents (United Kingdom)

Purpose - The purpose of this paper is to explain some tax management complications for onshore and offshore hedge funds posed by US FIN 48, Uncertain Tax Positions, and to emphasize the hedge fund manager's responsibility for careful tax planning and compliance. Design/methodology/approach - The paper discusses a hedge fund's objective to deliver tax-efficient results to investors, explains the background of FIN 48, and illustrates five types of situations in which conservative auditors following FIN 48 may raise "red flags." Findings - With the advent of FIN 48's standards careful tax planning and compliance are more important than ever for a hedge fund. Significant complications may arise from unwise, tardy, or missed tax elections; filing an IRS Form 8275, Disclosure Statement, stating...

2008-01-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

321

Ensuring GRID resource availability with the SAM framework in LHCb

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

The LHCb experiment has chosen to use the SAM framework (Service Availability Monitoring Environment from EGEE-II) [1] make extensive tests of the LHCb environment at all the accessible grid resources. The availability and the proper definition of the local Computing and Storage Elements, user interfaces as well as the WLCG software environment are checked. The SAM framework is also used to pre-install the LHCb applications in the shared software area provided by each site. The deployment of the LHCb applications is based on a python tool developed inside the experiment. It is used for software management including incremental installation of interdependent packages and clean package removal. After the application software is installed a validation test of the whole MC chain is run. According to the results of the experiment specific SAM tests, the sites are (re)integrated into the LHCb production system managed by DIRAC ...

2008-01-01

322

Comparing the Safety and Efficiency of Conventional Monopolar, Plasmakinetic, and Holmium Laser Transurethral Resection of Primary Non-muscle Invasive Bladder Cancer

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

323

British Library Electronic Table of Contents (United Kingdom)

Abstract Purpose: To compare the safety and efficiency of conventional monopolar, plasmakinetic and holmium laser transurethral resection of bladder tumor (CM-TURBT, PK-TURBT and HoL-TURBT) while managing primary non-muscle invasive bladder cancer. Patients and Methods: From 2005 to 2009, 173 patients with primary non-muscle invasive bladder cancer underwent endoscopic surgery. Among them, 51 patients underwent CM-TURBT, 58 patients underwent PK-TURBT, and 64 patients underwent HoL-TURBT. All patients were divided into three risk groups (low, intermediate, and high) based on the European Association of Urology guidelines and prognostic factors of recurrence. Clinical data, included preoperative, operative, and postoperative management and follow-up, were recorded. Results: Patient demograp...

2010-01-01

324

A variable step-down conversion ratio switched capacitor DC-DC converter for energy harvesting systems working in intermittent mode

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

Energy harvesting systems stimulate the development of power management for low power consumption applications. Improving the converter efficiency of power management circuits has become a significant issue in energy harvesting system design. This paper presents a variable step-down conversion ratio switched capacitor (SC) DC-DC converter to advance the converter efficiency of charge on the stored capacitor in a wireless monitoring system of orthopedic implants. The converter is designed to work at 1 MHz switching frequency and achieves 15 to 2 V conversion. Measurement results show that the converter efficiency can reach 42% including all circuit power consumption, which is much higher than previous work. (semiconductor integrated circuits)

2009-12-01

325

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

326

A playmate robot system for playing the rock-paper-scissors game with humans

British Library Electronic Table of Contents (United Kingdom)

We have developed a playmate robot system for playing the rock-paper-scissors game with humans. The playmate robot recognizes the hand motions of a human using image processing without attaching any additional units to the human. The playmate robot system consists of three parts: a game management part, a hand motion recognition part, and a robot hand control part. The system functions as follows. (1) Before the game is played, the game management part decides on the motion of the robot hand from amongst rock, paper, and scissors. After the game is played, the robot develops a reaction using speech and facial expressions depending on the result of the game. (2) The hand motion recognition part recognizes the hand motion of the human. It does not use any additional units on the human?s body...

2011-01-01

327

A novel domestic electric water heater model for a multi-objective demand side management program

A Danish decision-support GIS tool for management of urban air quality and human exposures

This paper presents a novel domestic hot water heater model to be used in a multi-objective demand side management program. The model incorporates both the thermal losses and the water usage to determine the temperature of the water in the tank. Water heater loads are extracted from household load data and then used to determine the household water usage patterns. The benefits of the model are: (1) the on/off state of the water heater and temperature of the water in the tank can be accurately predicted, and (2) it enables the development of water usage profiles so that users can be classified based on usage behaviour. As a result, the amount of ancillary services and peak shaving that can be achieved are accurately predictable and can be maximized without adversely affecting users. (author)

2010-12-15

328

MANAGEMENT PRE-START REVIEW FINAL REPORT FOR THE BIOSAFETY LEVEL 3 (BSL-3) FACILITY (B368) LAWRENCE LIVERMORE NATIONAL LABORATORY

A new prototype model system named AirGIS has been developed to support local authorities in air quality management for big Danish cities. The system is based on the Danish operational street pollution model (OSPM), technical and cadastral digital maps and Danish national administrative databases on buildings, cadastres and populations. It applies a geographic information system (GIS). AirGIS estimates ambient air pollution levels at high temporal and spatial resolutions. The model system enables mapping of traffic emissions, air quality levels and human exposures at residence addresses, at workplace addresses and in streets. Mapping and scenario results can be compared with air quality limits. Impact assessment of traffic air pollution abatement measures can also be carried out. (author)

2001-07-01

329

Electron beam intraoral cone therapy in carcinoma of tongue. Report of eight cases and review of the literature

A Lawrence Livermore National Laboratory (LLNL) Management Pre-Start Review (MPR) Team was formed to independently verify the operational readiness of Building 368 (B368) Biosafety Level III (BSL-3) Facility to conduct research with biological pathogens and toxins including those considered Select Agents. Review objectives and criteria were developed from the DOE/NNSA and LLNL requirements. These were provided in the Implementation Plan for the Biosafety Level III (BSL-3) Facility Management Pre-Start Review (BSL-3 MPR) at Lawrence Livermore National Laboratory that was reviewed and approved by DOE/NNSA-LSO. The formal part of the LLNL MPR for the BSL-3 Facility was begun in August of 2005 but work on the MPR was stopped in October of 2005 due to the need for LLNL to reassess organizational and operational controls and respond to Centers for Disease Control and Prevention inquiries related to a shipping incident involving select agents. The MPR ...

2006-07-25

330

Dynamic enhanced MRI of the subacromial bursa: correlation with arthroscopic and histological findings

The clinical results of electron beam therapy using intraoral cone in 8 cases of primary and recurrence carcinoma of tongue (T1 and smaller T2) were reported. The primary and recurrence cases were 5 and 3, respectively. In the 5 cases, a total dose of 10-30 Gy external radiation therapy were combined prior to electron beam therapy. The total dose of electron beam therapy varied from 40 to 60 Gy. In all cases, tumor showed good response and disappeared clinically. Radiation stomatitis, pain of the tongue with masticatory disturbance due to tenderness were complicated in all cases. These complications gradually disappeared 2 to 6 months after treatment. However, loss of body weight and bone exposure were not recognized in any case. Intraoral-cone electron beam therapy is thought to be available and has less complications comparing interstitial irradiation therapy from the review of literature. Within 6 months after radiation, submandibular ...

1989-06-01

331

Clinical use of lipiodol in hepatic arteriography

Objective: To assess dynamic MRI with Gd-DTPA enhancement for evaluating inflammatory changes in the subacromial bursa. Design and patients: We detected the signal intensity changes in dynamic MRI of the subacromial bursa, and confirmed these macroscopically by arthroscopy and histologically. The signal intensity was measured using built-in software, and the enhancement ratio (E ratio) was calculated from dynamic MR images. In addition, as a parameter of the rate of the increase in the signal intensity from 0 to 80 s, the mean increase per second in the E ratio was obtained as the coefficient of enhancement (CE). The correlation was studied of the E ratio and CE with the arthroscopic findings (redness, villous formation, thickening and adhesion), and of the E ratio and CE with the histological findings (capillary proliferation, papillary hyperplasia, fibrosis and inflammatory cell infiltration) of the subacromial bursa. Of patients with shoulder pain, this study ...

2003-09-01

332

Chemoembolization (TACE) of Unresectable Intrahepatic Cholangiocarcinoma with Slow-Release Doxorubicin-Eluting Beads: Preliminary Results

Lipiodol, lipid soluble contrast media, was applied to 59 patients, who was clinically suspected to have hepatic tumor, in the Department of Diagnostic Radiology, Seoul National University Hospital. The results of the clinical use of Lipiodol were as follows: 1. The clinical diagnosis was hepatocellular carcinoma (HCC) in 50 cases, cavernous hemangioma in 4 cases, metastasis in one case and others in 4 cases. 2. After hepatic arteriography, Lipiodol only was injected in 28 cases, mixture of Lipiodol and Mitomycin was injected in 22 cases and transcatheter arterial embolization was performed additionally after injection of Lipiodol and Mitomycin in 9 cases. 3. Among the 50 cases of HCC, Lipiodol was accumulated in the lesion in 49 cases. However, similar accumulation of Lipiodol occured in a metastatic cancer and cavernous hemangiomas. 4. Plain radiographic patterns of Lipiodol accumulation could be divided into fine granular type, nodular type and linear or ...

1986-08-15

333

A review on the occupational health and social security of unorganized workers in the construction industry.

The purpose of this study was to evaluate the safety and efficacy of TACE with microspheres preloaded with doxorubicin in unresectable intrahepatic cholangiocarcinoma (UCH). Twenty patients with UCH were observed; 9 refused, preferring other palliative care or chemotherapy, and 11 agreed to be treated with one or more cycles of DC beads loaded with doxorubicin (100-150 mg) in a TACE procedure between February 2006 and September 2007. A total of 29 individual TACE procedures were performed. Follow-up imaging was performed on all patients before, immediately after, and 4 weeks after each TACE procedure to evaluate the response and need for further treatment. Each patient received i.v hydration, antibiotics, and medications against nausea and pain before TACE. Survival rate was calculated using Kaplan-Meier survival curve. A response rate of 100% followed RECIST criteria was observed. Eight of eleven patients are alive, with a median survival of 13 months. TACE was ...

2008-09-01

334

166Ho-HA evaluation as therapeutic agent for rheumatoid arthritis treatment

Construction is one of the important industries employing a large number of people on its workforce. A wide range of activities are involved in it. Due to the advent of industrialization and recent developments, this industry is taking a pivotal role for construction of buildings, roads, bridges, and so forth. The workers engaged in this industry are victims of different occupational disorders and psychosocial stresses. In India, they belong to the organized and unorganized sectors. However, data in respect to occupational health and psychosocial stress are scanty in our country. It is true that a sizable number of the workforce is from the unorganized sectors - the working hours are more than the stipulated hours of work - the work place is not proper - the working conditions are non-congenial in most of the cases and involve risk factors. Their wages are also not adequate, making it difficult for them to run their families. The hazards include handling of different materials required ...

2011-01-01

335

The high level and long lived radioactive wastes; Les dechets radioactifs a haute activite et a vie longue

Aim: Rheumatoid arthritis is a limiting disease having, among its pathological features, the inflammation of synovial tissue with progressive and later destruction of the articulation. This leads to joint deformation and loss of its function, generating pain and reducing the mobility of the affected articulation. The aim was to evaluate "1"6"6Ho-Hydroxyapatite ("1"6"6 Ho-HA) as potential radiopharmaceutical for the symptomatic treatment of chronic and acute arthritis. Materials and Methods: Holmiun-166 was produced by irradiation of Ho_2O_3 at La Reina Research Reactor, Nuclear Chilean Energy Commission. Hydroxyapatite was in-house synthesized. Its labelling and quality controls follows the internationally accepted procedures. An antigen's arthritis was induced to eight New Zealand rabbits with the "1"6"6 Ho-HA radiochemical being administered thereafter in two dosage modalities (single and double). The compound therapeutic efficiency was evaluated based upon ...

2002-09-01

336

Management of obesity in menopause: Diet, exercise, pharmacotherapy and bariatric surgery

This report presents the main conclusions of 15 years of researches managed by the CEA. This report is the preliminary version of the 2005 final report. It presents the main conclusions of the actions on the axis 1 and 3 of the law of the 30 December 1991. The synthesis report on the axis 1 concerns results obtained on the long lived radionuclides separation and transmutation in high level and long lived radioactive wastes. the synthesis report on the axis 3 presents results obtained by the processes of conditioning and of ground and underground long term storage. (A.L.B.)

2005-07-01

337

British Library Electronic Table of Contents (United Kingdom)

Menopause is characterized by the progressive reduction of estrogens resulting to cessation of menses. It is associated with an increase of cardiovascular risk factors such as hyperglycemia, hypertension, dyslipidemia and of abdominal and/or selective visceral fat mass deposition. Obesity, a modern day epidemic, is promoted by an obesogenic environment that interacts with the genetic background. The result is a positive energy balance materialized by the accumulation of the adipose tissue. This process is marked by great individual variation. Obesity is also associated with the presence of cardiovascular risk factors. In this review, the main pathophysiologic processes for the increase of obesity in menopause and the possible effects of pre-menopausal obesity regarding the cessation of ova...

2010-01-01

338

Initial results from 50mm short SSC dipoles at Fermilab

GOLDSIM application in modeling the potential radioactive impact of LILW at Saligny site

Several short model SSC 50 mm bore dipoles are being built and tested at Fermilab. Mechanical design of these magnets has been determined from experience involved in the construction and testing of 40 mm dipoles. Construction experience includes coil winding, curing and measuring, coil end part design and fabrication, ground insulation, instrumentation, collaring and yoke assembly. Fabrication techniques are explained and construction problems are discussed. Similarities and differences from the 40 mm dipole tooling and management components are outlined. Test results from the first models are presented. 19 refs., 12 figs.

1991-03-01

339

The mixed waste management facility: Cost-benefit for the Mixed Waste Management Facility at Lawrence Livermore National Laboratory

This paper presents the results of a model for the impact of potential contamination produced by radionuclide leaking due to long-term physical, chemical and hydrogeological processes occurring in a LILW repository and in the natural environment. The analysis contains a deterministic and also a probabilistic approach for uncertainty assessment. The input function, i.e., the source term was evaluated by using AMBER code and the entire analysis was accomplished by using GOLDSIM, a powerful tool to support probabilistic simulation in management and decision-making in engineering and science. The results obtained were compared to previous simulations and uncertainty analyses (FEHM). (authors)

2009-10-12

340

The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings

The Mixed Waste Management Facility, or MWMF, has been proposed as a national testbed facility for the demonstration and evaluation of technologies that are alternatives to incineration for the treatment of mixed low-level waste. The facility design will enable evaluation of technologies at pilot scale, including all aspects of the processes, from receiving and feed preparation to the preparation of final forms for disposal. The MWMF will reduce the risk of deploying such technologies by addressing the following: (1) Engineering development and scale-up. (2) Process integration and activation of the treatment systems. (3) Permitting and stakeholder issues. In light of the severe financial constraints imposed on the DOE and federal programs, DOE/HQ requested a study to assess the cost benefit for the MWMF given other potential alternatives to meet waste treatment needs. The MVVMF Project was asked to consider alternatives specifically associated with ...

2005-10-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

341

British Library Electronic Table of Contents (United Kingdom)

Abuzakuk T, Coward P, Shenava Y, Kumar VS, Skinner JA. The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings. Abstract Wound care following lower limb arthroplasty has not been subject to in-depth clinical research, primarily because such wounds usually heal without complication. However, when prosthetic implants are used, serious wound problems can be disastrous (Whitehouse et al. Infect Control Hosp Epidemiol 2002;23:183-9; Lindwell OM. Clin Orthop Relat Res 1986;211:91-103). We report the results of a prospective, randomised, controlled trial comparing a hydrofibre (Aquacel) and central pad (Mepore) dressing in the management of acute wounds following primary total hip or knee arthroplasty left ...

2006-01-01

342

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

Solid waste research and development: A perspective from Pacific Northwest Laboratory

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 ...

1981-12-01

343

Risk management in design engineering bids

The need for research and development (R&D) of technologies and approaches for sound, effective solid waste management is unquestionable. While many advances have been made by the government and private sectors, still more are needed. Resources for conducting R&D, even at the federal level, are limited however, and thus it is critical that resources be distributed as wisely as possible. The US Department of Energy has a vested interest in developing technologies and approaches for managing solid waste because solid waste management is strongly linked to energy use and environmental impacts. This federal role is needed to address the national and international impacts that can result from the cumulative effects of decisions being made at local, county, state, and regional levels. At Pacific Northwest Laboratory (PNL), one of DOE`s R&D laboratories, we are developing an integrated solid waste ...

1992-11-01

344

Report two. Safety offshore eastern Canada. Summary of studies and seminars

Accurate engineering cost estimates are critical in developing bids for new work, and for effective resource allocation and project control. This study reports on design estimating methods found in the literature, and on the results of two empirical studies of how estimating techniques are used in professional practice and their accuracy. The study found great reliance on a classic {open_quotes}activity analysis{close_quotes} approach to estimating design resources, and significant hazards in commonly used parametric techniques. The study found that project managers expect their estimates to be accurate (with 80% confidence interval) of between -10% to +25%. The study also found that actual bids between engineering firms had a much greater range (-40% to +45%) than can be explained by accuracy. Perhaps most importantly the study found that none of the sampled design firms used probabilistic techniques to optimize their project bids or to ...

1995-06-01

345

Pollution prevention: Avoiding the need to manage wastes

In 1982 the semi-submersible drilling unit Ocean Ranger capsized and sank off the Grand Banks, resulting in the loss of the entire 84-man crew. A Royal Commission was set up to conduct an enquiry into the incident, and to carry out a process of research and opinion-gathering towards providing recommendations to both federal and Newfoundland governments. The primary purpose of the Commission was to determine why the Ocean Ranger sank, why none of the crew were saved, and how to avoid similar disasters. A number of studies and seminars were held to focus expert knowledge and opinion in several key fields and to update studies and fill gaps in the data base. Summaries of selected study reports and the seminar proceedings are presented in the following areas: the environment, including ice, marine climatology, weather forecasting services, wave climatology, oceanographic information, and seabed information; design, including mobile offshore drilling rig design ...

1984-05-01

346

Management of upper water catchments, especially in dry forests in India with low base flows; forestry and low flows, spatial modelling and open GIS dissemination of the science perception

Today`s industrial processes generate many types of waste products that constitute risks to human health and the surrounding environment. While proper waste management procedures can lower this risk, prevention of the waste`s generation will eliminate the risk. For this reason, the United States has established pollution prevention as a national objective, through the passage of its Pollution Prevention Act of 1990. Pollution prevention involves a wide range of approaches, all with the same objective: to reduce or eliminate the creation of waste at its source in other words, within the process that generates it. This objective, so beneficial to the environment, also coincides with industrial economic interests. Pollution prevention measures and greater process efficiency go hand in hand, and typically result in lower operating costs as well as greatly reduced waste management expenses. The US Environmental Protection Agency ...

1993-12-01

347

Environmental Research Database

SummaryIntended Outputs: Documentation demonstrating an improved biophysical understanding of the role of forests on low flows in the arid zone regions of India through the development and outputs from hydrological models such as Hyluc and SWAT.A documented analysis of the impacts on the poor of historical and current water management policies, including the investigation through PRA techniques of people's perceptions and beliefs of land-use/hydrological interactions, and the implications o [continued...]ObjectivesTo establish a better understanding of forest impacts on low flows and the social impact of water resources management in arid zone regions of India, and to develop tools which allow this improved understanding to be disseminated directly to stakeholders.DescriptionProject Background: Reducing river flows and groundwater tables, especially during the dry season, constitutes a major problem causing great hardship to large numbers of ...

2006-01-30

348

FPSOs - lessons learned

EMS network security applications of the future

Floating Production, Storage and Offloading (FPSO) systems have become a popular choice in recent years for marginal, fast-track or deepwater field developments world wide. However, the majority of these developments have incurred significant project delays and budget overruns as a result of commercial structure, project management and design/operating problems. The Health and Safety Executive (HSE) commissioned IGL Engineering Ltd to perform a study to highlight specific areas where safety concerns have arisen. The study also aims to identity the fundamental causes of problems and identify key lessons to be learned from such projects which can be used to the benefit of future developments. In summary, there are five fundamental areas where weaknesses can and have lead to the problems experienced in FPSO developments. The areas are all interrelated and many problems stem from deficiencies in more than one area. The areas are: commercial ...

2000-07-01

349

Explosives - hazard management

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 ...

1996-04-01

350

Waste management plan for Phase II of the Bear Creek Valley treatability study Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

The management of risks of explosives are described. Administrative and procedural controls are considered. The safety management plan involves hazard identification, risk analysis, assessment and control. The current position of explosives safety is considered. 4 tabs.

1998-12-31

351

Visiatome: The French Discovery and Information Center on Radioactive Waste Management

This Waste Management Plant (WMP) for the Bear Creek Valley Treatability Study addresses waste management requirements for the Oak Ridge Y-12 Plant. The study is intended to produce treatment performance data required to design a treatment system for contaminated groundwater. The treatability study will consist of an evaluation of various treatment media including: continuous column tests, with up to six columns being employed to evaluate the performance of different media in the treatment of groundwater; an evaluation of the denitrifying capacity and metal uptake capacity of a wetland system; and the long-term denitrifying capacity and metal uptake capacity of algal mats. The Sampling and Analysis Plan (SAP) covers the project description, technical objectives, procedures, and planned work activities in greater detail. The Health and Safety Plan (HASP) addresses the health and safety concerns and requirements for the proposed sampling ...

1997-05-01

352

Uranium-233 waste definition: Disposal options, safeguards, criticality control, and arms control

The French radioactive waste management act of December 30, 1991, included two key provisions. It initiated a major research program with three areas of investigation concerning high-level long-lived radioactive waste management routes, and called for the Government to submit a legislative proposal to Parliament within 15 years (by 2006) specifying the policy guidelines adopted. Considering the sensitive nature of the subject, the questions surrounding the issue of radioactive waste, and the social, economic and environmental concerns for present and future generations, the Government has inaugurated, in 2005, a nationwide public debate on these issues between the submittal of the research reports and the parliamentary discussion of the proposed law. In this context, the CEA has decided to concentrate at Marcoule the expertise and experience acquired in the area of radioactive waste management and to make it available to ...

353

The Waste Isolation Pilot Plant: A Success Story with International Cooperation

The US investigated the use of {sup 233}U for weapons, reactors, and other purposes from the 1950s into the 1970s. Based on the results of these investigations, it was decided not to use {sup 233}U on a large scale. Most of the {sup 233}U-containing materials were placed in long-term storage. At the end of the cold war, the US initiated, as part of its arms control policies, a disposition program for excess fissile materials. Other programs were accelerated for disposal of radioactive wastes placed in storage during the cold war. Last, potential safety issues were identified related to the storage of some {sup 233}U-containing materials. Because of these changes, significant activities associated with {sup 233}U-containing materials are expected. This report is one of a series of reports to provide the technical bases for future decisions on how to manage this material. A basis for defining when {sup 233}U-containing materials can be ...

1998-07-07

354

Surgical dislocation of the hip and the management of femoroacetabular impingement: results of the Christchurch experience

The U.S. Department of Energy (DOE) Carlsbad Field Office (CBFO) administers and operates the Waste Isolation Pilot Plant (WIPP) site, which hosts a deep geologic repository for safe disposal of U.S. defense-related TRU waste and is located 42 kilometers (km) east of Carlsbad, New Mexico. CBFO also manages the National Transuranic Waste Program (NTP), which oversees TRU waste management from generation to disposal. The WIPP began receiving waste in March 1999. In some areas of broad international interest, the CBFO has developed a leading expertise through its 25-year WIPP repository and TRU waste characterization activities. In addition to participating in relevant and beneficial experiments, the CBFO will provide the international community convenient access to this information by sponsoring and hosting symposia and workshops on relevant topics and by participation in international waste management organizations and ...

2002-02-26

355

British Library Electronic Table of Contents (United Kingdom)

Abstract Background:- Surgical dislocation of the hip has been developed to deal with the problems causing femoroacetabular impingement (FAI). This is a relatively recent procedure that was historically reserved for larger areas specializing in hip surgery. Methods:- We hypothesized that surgical dislocation can be used for symptomatic FAI in a typical Australasian tertiary orthopaedic centre with acceptable results. This prospective study reviews the results of 53 surgical dislocations in this setting, looking particularly at functional outcomes and early complications. Results:- There were significant improvements in the Western Ontario and McMaster University Osteoarthritis Index score at 1, 2, 3 and 4 years post-operatively. Western Ontario and McMaster University Osteoarthritis Index ...

2011-01-01

356

Photovoltaic industry manufacturing technology. Final report

2008 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

This report contains the results of the Photovoltaic (PV) Industry Manufacturing Technology Assessment performed by the Automation and Robotics Research Institute (ARRI) of the University of Texas at Arlington for the National Renewable Energy laboratory. ARRI surveyed eleven companies to determine their state-of-manufacturing in the areas of engineering design, operations management, manufacturing technology, equipment maintenance, quality management, and plant conditions. Interviews with company personnel and plant tours at each of the facilities were conducted and the information compiled. The report is divided into two main segments. The first part of the report presents how the industry as a whole conforms to ``World Class`` manufacturing practices. Conclusions are drawn from the results of a survey as to the areas that the PV industry can improve on to become more competitive in the industry and ...

1998-08-01

357

[Income tax management in compensation for surrender of physician's office space].

This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS) including calendar year 2008 results. Each of the three Pilot Wells was sampled on March 11, 2008, and September 10, 2008. These wells were sampled for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also monitored. Results from all samples collected in 2008 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. Other information in the report includes an updated Cumulative ...

2009-01-13

358

Wound management in military workingn> dogs: a review.

PMID:5600597

1967-06-01

359

Waste management plan for the APT

PMID:6429571

1984-06-01

360

Waste management and producer responsibility: a score behind - a new ahead.

This revision of the APT Waste Management Plan details the waste management requirements and issues specific to the APT plant for design considerations, construction, and operation. The APT Waste Management Plan is by its nature a living document and will be reviewed at least annually and revised as required.

1997-08-22

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

361

U.S. Environmental Protection Agency

PMID:21900358

2011-09-01

362

Terrorism informatics knowledge management and data mining for homeland security

Environmental Protection Agency Energy Management and Conservation Program ...Environmental Protection Agency Office of Administration and Resources Management 1200 Pennsylvania Avenue, NW (3101A) ...MANAGEMENT AND ADMINISTRATION 7 Energy Management Infrastructure 7 Senior Agency Official and Energy Team 7

363

Terrorism informatics

2008-01-01

364

SBNE-Cover1

Redefining the health information management privacy and security role.

on practical projects such as woodland management, limestone grassland management, cattle management, conflict management and education. ...Cathy Heaton Telephone 01772 892400 Email cenquiries@uclan.ac.uk www.uclan.ac.uk/schoolbne

365

On-line plant transient diagnostics and management

PMID:20052319

2009-09-16

366

New technologies for managing oil field wastes.

Short communication.

1994-12-31

367

Management of the early and late presentations of rheumatoid arthritis: a survey of Ontario primary care physicians.

No abstract prepared.

2000-10-25

368

LOS ALAMOS PLUTONIUM FACILITY WASTE MANAGEMENT SYSTEM

OBJECTIVE: To examine primary care physicians' management of rheumatoid arthritis, ascertain the determinants of management and compare management with that recommended by a current practice panel....Full Text Available

1996-09-15

369

Issues of Caribou Management in Northeastern British Columbia

No abstract prepared.

2000-01-01

370

Norwegian Open Research Archives (NORA)

Full Text Available

371

Initial management of injuries in military workingn> dogs in a combat environment.

FY 2004 Energy Management and Conservation Program Annual Report

PMID:6417569

1983-10-01

372

Energy Management and Conservation Program: Fiscal Year 2005 Annual Report

Title: FY 2004 Energy Management and Conservation Program Annual Report ...Energy Management and Conservation Program ...Environmental Protection Agency Office of Administration and Resources Management 1200 Pennsylvania Avenue, NW (3101A)

373

Different forms of key account management : In a transaction cost perspective

Keywords: energy, management, conservation, program, fiscal, year, 2005, annual, ...S Environmental Protection Agency Energy Management and Conservation Program ...ENVIRONMENTAL P ROTECTION AGENCY Energy Management and Conservation Program Fiscal Year 2005 Annual Report

374

DEFF Research Database (Denmark)

Udgivelsesdato: winter

2002-01-01

375

Development of Storage Management System for Small Dams

Computer model improves real-time management of water quality

Full Text Available

2005-05-01

376

Complementary roles of PET and MR spectroscopy in the management of brain tumors

No abstract prepared.

1999-07-21

377

Beaver management in Norway : a model for continental Europe?

Short communication.

1990-12-01

378

Norwegian Open Research Archives (NORA)

Full Text Available

379

An Effective Grid Resource Management Model Based on Cloud Computing Platform

Resolving issues at the Department of Energy/Oak Ridge Operations Facilities

Not Available

2011-02-01

380

Enterprise energy management : Part 1

Waste management, like many other issues, has experienced major milestones. In 1971, the Calvert Cliff's decision resulted in an entirely different approach to the consideration of environmental impact analysis in reactor siting. The accidents at Three Mile Island and Chernobyl have had profound effects on nuclear power plant design. The high-level waste repository program has had many similar experiences that have modified the course of events. The management of radioactive, hazardous chemical and mixed waste in all of the facilities of the Oak Ridge Operations (ORO) Office of the Department of Energy (DOE) took on an entirely different meaning in 1984. On April 13, 1984, Federal Judge Robert Taylor said that DOE should proceed 'with all deliberate speed' to bring the Y-12 plant into compliance with the Resource Conservation and Recovery Act and the Clean Water Act. This decision ...

1988-01-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

381

2003 Data Report: Groundwater Monitoring Program, Area 5 Radioactive Waste Management Site, Nevada Test Site

The needs of large industrial, commercial, and institutional energy consumers are more closely connected with the needs of power utilities and energy services companies, a result of the evolving global energy environment. Consumer choice, competition amongst energy suppliers, and increased demand are brought about in some regions by deregulation. Increasingly, large energy consumers expect high levels of quality and reliability from the energy delivered. As a result, management of the cost and the quality of the energy product and the energy assets that produce, deliver, control and consume it requires different strategies. Three major challenges must be overcome: (1) requirement to support economic and efficient delivery, purchasing and use of energy, (2) requirement to guarantee higher levels of power quality and reliability, and (3) requirement to supply the growing demand for energy while establishing a market-based ...

2001-09-01

382

Timber Management by Mississippi Tree Farmer

This report is a compilation of the calendar year 2003 groundwater sampling results from the Area 5 Radioactive Waste Management Site, Nevada Test Site. Wells Ue5PW-1, Ue5PW-2, and Ue5PW-3 were sampled semi-annually for the required analytes: pH, specific conductance, total organic carbon (TOC), total organic halides (TOX), tritium, and major cations/anions. Results from all samples collected in 2003 were within established criteria. These data indicate that there has been no measurable impact to the uppermost aquifer from the Resource Conservation and Recovery Act (RCRA) regulated unit within the Area 5 Radioactive Waste Management Site and confirm that any previous detections of TOC and TOX were false positives. Contamination indicator data are presented in control chart and tabular form with investigation levels indicated. Gross water chemistry data are presented in graphical and tabular form. There ...

2004-02-01

383

Safe management of wastes from the mining and milling of Uranium and Thorium ores

Timber Management by Mississippi Tree Farmer Creates Safe Harbor for Tortoises and Red-cockaded Woodpeckers I...

384

National Ignition Facility Management Descriptions Revision 4

Safe management of wastes from the mining and milling of Uranium and Thorium ores

1987-01-01

385

Managing the Army National Guard Full-Time Force

The purpose of this document is to describe the NIF Project Organization and the roles and responsibilities of the managers charged with executing the Project.

2000-08-01

386

Lifting the Fog of Corporate Information Management

... Evaluation Report (NCOER). The 360-Degree Assessment will be utilized by the leader/manager in conjunction with the counseling form and ...

2003-02-14

387

Information Technology (IT) Management: The Clinger-Cohen ...

... forces. These small forces must have the same information management capabilities as are currently 32 Page 40. available ...

1993-04-01

388

Hazardous Waste Management on the Farm

... Information Technology (IT) Management: ... The role of information technology figures prominently in the Homeland Security Act of 2002. ...

2005-02-03

389

CERN earns "Nature & Economie" label for green land management

Sep 2, 2008 ... Abstract: This tutorial is intended to serve as a guide towards proper hazardous waste management. Knowing the regulations, different ...

390

Battery Thermal Management System Design Modeling

CERN earns "Nature & Economie" label for green land management

2009-01-01

391

Advanced Thermal Management for Military Application

Looks at the impact of cooling strategies with air and both direct and indirect liquid cooling for battery thermal management.

2006-11-01

392

A Program Manager's Guide for Software Cost Estimating

... management. 5.3 Decreased Emissions Changes in engine emission regulations are driving engine technology development. A ...

2004-12-01

393

... A PROGRAM MANAGER'S GUIDE FOR SOFTWARE COST ESTIMATING ... This thesis provides a broad view of the software cost estimating process. ...

2002-12-01

394

Energy management

State and development of uterine myoma embolization in Germany; Stand und Entwicklung der Uterusmyomembolisation in Deutschland

This document deals with energy management in buildings. It presents the conditions for a good implementation of energy management. These conditions include the total involvement of the management and the training of the staff. The structure of this implementation is presented together with the tools for an efficient energy management. Eventually, information on air quality and comfort in buildings is provided, as well as the management of complaints linked to them. (TEC). 1 tab.

1993-12-31

395

Character and Effective Leadership of the Knowledge Worker

To evaluate the current situation and implementation of embolization of uterine leiomyomas into the treatment concept in women with symptomatic uterine leiomyomas in Germany. A questionnaire addressing the clinical background of uterine myomas, recommended treatment concepts, preclinical evaluation, technical approach and complications was sent to 164 departments of gynecology and radiology in Germany. 33 radiological departments and 19 gynecological departments submitted a completed questionnaire. Only 7 departments of radiology reported to have own experience with embolization of uterine leiomyomas, while only 2 departments of gynecology considered embolization as an alternative treatment option in patients with symptomatic leiomyomas. 18/33 radiological departments offer this treatment option but get no patient referrals. Agreement was found concerning the indications for treatment, preclinical evaluation by ultrasound and MRI, preferable location of treatable fibroids, technical ...

2003-08-01

396

Adrenal incidentaloma: Does an adequate workup rule out surprises?

Ulrich in the forward to the Zenger and Folkman (2002) book, ''The Extraordinary Leader'', wrote about the importance of character in leadership stating, ''Everything about great leaders radiates from character. Character improves the probability of exhibiting strong interpersonal skill. Some of this perceived character is innate . . . but more is driven by the leader's self-awareness and interactions with others'' (p. ix). The purpose of this study was to explore the relationship between leadership effectiveness and character using leader-managers of knowledge workers as the subject sample. Findings indicated that character, particularly those factors associated with honesty, setting the example, and valuing and strengthening others, were what set the most effective leader-managers apart from their peers. Technical competence and self-efficacy were found to be ...

2005-04-20

397

British Library Electronic Table of Contents (United Kingdom)

Background Adrenal incidentaloma remains a diagnostic challenge. Despite well-established management guidelines, the long-term results of following these guidelines are unknown. We sought to determine how accurately these guidelines identify functioning incidentalomas and how often these guidelines result in adrenalectomy for benign tumors. Methods We catalogued adrenal incidentalomas from a retrospective review of 500 consecutive adrenalectomies at a single institution. The outcome measures studied were patient demographics, preoperative biochemical analysis, imaging characteristics, tumor size, type of operation performed, and postoperative histologic diagnosis. Results Eighty-one of the 500 adrenalectomies performed were for incidentalomas. Size was the only significant characteristic t...

2010-01-01

398

The effect of lidocaine, bupivacaine and ropivacaine in nasal packs on pain and hemorrhage after septoplasty

British Library Electronic Table of Contents (United Kingdom)

We aimed to investigate the effects of local anesthetics soaked in Merocel nasal packs on hemorrhage and pain after septoplasty. The methodology includes a prospective double-blind study that was conducted in patients undergoing septoplasty because of nasal septal deviation. The study included 143 patients. The patients were divided into four groups. Each group received 1% lidocaine?+?0.000625% adrenalin, 0.375% ropivacaine, 0.25% bupivacaine as study groups or 0.9% sodium chloride as a control group in their Merocel packs postoperatively. The local anesthetics or sodium chloride were reapplied at the eighth postoperative hour. Each patient was given a questionnaire where verbal analog score and amount of postoperative hemorrhage was noted. The statistical analysis was performed using two ...

2011-01-01

399

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

400

Laparoscopic Transduodenal Ampullectomy for Benign Ampullary Tumors

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction: Transduodenal ampullectomy (TDA) can be performed for benign and premalignant tumors of the ampulla of Vater (AOV) as an alternative to pancreaticoduodenectomy. However, the laparoscopic approach has rarely been attempted. In this report 2 cases of benign ampullary tumor that were treated by totally laparoscopic TDA. Patients and Methods: Case 1 was of a 75-year-old female who was admitted with left knee pain and underwent arthroscopic debridement. On postoperative day 6, she showed elevated levels of alkaline phosphatase, aspirate aminotransferase, alanine transaminase, and gamma-glutamyl transpeptidase, without any other laboratory test abnormality. She had no complaint of abdominal pain, and physical examinations were unremarkable. Computed tomography (CT), magnet...

2010-01-01

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401

Effects of prophylactic misoprostol administration prior to intrauterine device insertion in nulliparous women

British Library Electronic Table of Contents (United Kingdom)

Background: This study was conducted to examine the effects of prophylactic misoprostol prior to intrauterine device (IUD) placement in nulliparous women. Study Design: Nulliparous, reproductive-aged women desiring an IUD for contraception were randomized to receive 400 mcg of buccal misoprostol or placebo 90 min prior to IUD insertion. Subjects completed a series of 100-mm visual analogue scales (VAS, anchors: 0=none, 100 mm=worst imaginable) to measure their perceived pain at several times points (anticipated pain, leg positioning, speculum placement, tenaculum placement, IUD insertion, equipment removal and 5 min postinsertion). Secondary outcomes included provider ''ease of placement'' (100-mm VAS, anchors: 0=easy, 100 mm=extremely difficult), side effects and retention of the IUD afte...

2011-01-01

402

Clinical trials validate the severity of persistent Lyme disease symptoms

British Library Electronic Table of Contents (United Kingdom)

SummaryBackground Persistent Lyme Disease Symptoms (PLDS) have included fatigue, headaches, poor concentration and memory, lightheadedness, joint pain, and mood disturbances. Evidence-based guidelines committees disagree over the severity of PLDS. The 2004 International Lyme and Associated Diseases Society (ILADS) concluded that PLDS are severe. The 2006 Infectious Disease Society of America (IDSA) guidelines committee concluded that PLDS are nothing more than the "aches and pains of daily living" and an ad hoc International Lyme group concluded that PLDS are "symptoms common in persons who have never had Lyme disease." Hypothesis Clinical trials validate the severity of persistent Lyme disease symptoms. Evaluation of the Hypothesis There are 22 standardized instruments used to measure the...

2009-01-01

403

Ambulatory open Bankart repair under a single general anesthesia: A prospective study of the immediate outcome

British Library Electronic Table of Contents (United Kingdom)

The interscalenic block technique is widely used for ambulatory shoulder surgery despite a substantial number of failures and adverse effects. We prospectively evaluated satisfaction in 40 consecutive patients who underwent open Bankart repair under a single general anesthesic performed in an ambulatory care unit. The mean age of the patients was 23 years. There were 29 men and 11 women. Patients were evaluated postoperatively with a visual analog scale of pain (in the recovery room, at the time of discharge, and the day after and 1 week after surgery) via a home assessment questionnaire that included the following: effectiveness of oral pain medication, ability to perform activities of daily life, and overall satisfaction. One patient failed to be discharged because of a feeling of faintn...

2006-01-01

404

Thailand's natural rubber economy in an international setting: an econometric investigation

RCRA Facilities Assessment (RFA)---Oak Ridge National Laboratory

The Thai natural rubber economy is described in the context of the world rubber market. An econometric model is estimated for 15 structural equations; it includes the Thai, US, and rest-of-the-world rubber economies. Several simulation experiments are analyzed for the period from 1984 to 1995. Impact and dynamic multipliers are reported for major endogenous variables in response to changes in US GDP, world crude oil price, Thai replanting cess tax and Thai natural rubber production. A 1%, one-time increase in the US GDP has a positive effect on the Singapore natural rubber price. A world crude oil price decline shock has a negative effect in both the short-run and the long-run. The INRO buffer stock stabilization policy as well as alternative domestic Thai policies of market intervention are analyzed. The simulation results show that buffer stock management which allows a price band of +/-20% around the price target has the most stabilized ...

1986-01-01

405

Fault detection and fault diagnosis system for engine; Engine no kosho yochi shindan system

US Department of Energy (DOE) facilities are required to be in full compliance with all federal and state regulations. In response to this requirement, the Oak Ridge National Laboratory (ORNL) has established a Remedial Action Program (RAP) to provide comprehensive management of areas where past and current research, development, and waste management activities have resulted in residual contamination of facilities or the environment. This report presents the RCRA Facility Assessment (RFA) required to meet the requirements of RCRA Section 3004(u). Included in the RFA are (1) a listing of all sites identified at ORNL that could be considered sources of releases or potential releases; (2) background information on each of these sites, including location, type, size, period of operation, current operational status, and information on observed or potential releases (as required in Section II.A.1 of the RCRA permit); (3) ...

1987-03-01

406

Actual and future strategies in interdisciplinary treatment of medulloblastomas, supratentorial PNET and intracranial germ cell tumors in childhood

The fault detection and diagnosis system for gas engines was developed to improve the reliability of cogeneration systems (CGS). Most of existing fault detection systems monitor the trend of each part condition of engines and diagnose faults based on trend change, resulting in slow detection. Although early detection systems are available, those are complex, expensive and poor in flexibility and applicability. Since CGSs combined with gas engines increased to 1/3 of the whole CGS, engine troubles cause possible serious faults. The fault diagnosis system was thus developed to prevent serious faults which can early detect, in particular, abnormal conditions of parts around a combustion chamber such as ignition plug, intake valve and exhaust valve by monitoring exhaust pressure waveforms in an exhaust collector. Since this system can detect progressive occurrence frequency of abnormal conditions and degradation of engine parts, it can transfer previous time ...

1996-03-29

407

2006 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

Methods: Systemic irradiation of neuroaxis is an essential part in the management of medulloblastoma, stPNET and intracranial germ cell tumors. The introduction of quality assurance programs in radiooncology assures a precise radiotherapy of target volumes and is a prerequisite to improve survival. Results: Hyperfractionated radiotherapy has the potential of increasing dose to tumor more safely without increasing the risk for late adverse effects. Pilot studies revealed excellent tumor control in medulloblastoma with acceptable acute toxicity and a long-term survival of up to 96%. In medulloblastoma stereotactic radiation techniques reveal an acceptable toxicity and promising results in tumor control in recurrent disease or as primary treatment. They are now part of future treatment protocols in case of persisting residual tumor. Radiotherapy alone in pure germinoma is continuously yielding high cure rates. In secreting ...

2001-09-01

408

Effectively managing nuclear risk through human performance improvement

This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS) for calendar year 2006. Pilot wells UE5PW-1, UE5PW-2, and UE5PW-3 were sampled in April and October 2006 for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also monitored. Results from all samples collected in 2006 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. Other information in the report includes an updated Cumulative Chronology for the Area 5 RWMS Groundwater Monitoring Program and a ...

2007-02-01

409

UK's Sizewell inquiry; funny how time slips away

Full text: The US commercial nuclear industry has just completed an outstanding decade of plant performance. Safety levels and electric production are at unprecedented high levels and continue to exceed even high industry goals. Nuclear energy continues to keep the highest priority on performance improvement programs and highly trained/qualified people that maintain its record setting safety and reliability of operations. While the industry has maintained a consistently high level of performance, the advent of deregulation and the consolidation of NPP ownership, as well as the current climate of concern about both rising energy costs and availability of power, has raised the standard for nuclear energy's level of competitiveness in today's market place. The resulting challenge is how to more effectively manage risk and improve performance even further in a generally high performing organization. Newer technology and more training by themselves ...

410

Comments are made on the Public Inquiry into CEGB's proposal to construct a pressurized water reactor (PWR) at Sizewell, UK. Aspects discussed include: time elapsed and its possible effect on the result; economics of nuclear power plants compared with coal-fired power plants; changes in real sterling/dollar exchange rates; effect of mineworkers' strike; the UK electric power generating system; AGR reactors compared with PWR reactors; extension of Magnox reactor life; radioactive waste management; political decisions.

1985-03-01

411

Thermodynamics &

The river Elbe. A case study for the ecological and economical chain of sediments

... Thermodynamics & Fluid - EA BOOKS About us | My EA Books | Contact us | Authors Home page Currently ...Electronics Environmental Management Mechanical Multi-disciplinary Quality Railways Structural Water CATEGORIES Books Mechanical Thermodynamics & Fluid Thermodynamics & Fluid Display: 10 results ... Display product Add to shopping basket Engineering Thermodynamics: A Computer Approach, 3rd Edition AU$99.09 ex-GST Terms and Conditions A ...textbook for applied or engineering thermodynamics, or as a reference for practicing engineers, the book uses extensive in-text, solved examples and ...

412

Temporary endovascular control of a bleeding aortoenteric fistula by transcatheter coil embolization.

Industrial activities in the river basin of the Elbe have a very long tradition, and have been resulting in the contamination of sediments for centuries. Contamination lasted until the fall of the iron curtain; since then, the situation has improved significantly. In the transition zone between freshwater systems and the marine environment, ports like Hamburg still have to bear this burden of history. An overall (contaminated) management strategy should be developed in the context of the European Water Framework Directive with the emphasis on source control. (orig.)

2002-07-01

413

Stacking the Deck: Idling and Reactivation of Capacity in Offshore Drilling

A 67-year-old man presented with gastrointestinal bleeding resulting from a fistula between the aortic stump and the fourth part of the duodenum 14 months after an axillobifemoral bypass, graft excision, and aortic stump closure for aortic graft infection. The patient initially refused any attempt at definitive surgical treatment so coil embolization of the aortic stump was performed via a brachial approach. Coil embolization may be a useful adjunct in the management of such difficult problems. This approach may buy time and allow careful planning of a definitive treatment or may serve as a palliative procedure in inoperable patients. PMID:15947052

2005-06-01

414

British Library Electronic Table of Contents (United Kingdom)

Independent drilling contractors own all offshore drilling rigs, which they lease to oil and gas companies for use in their pursuit of their exploration and development plans. Oil and gas companies' demand for these rigs can vary quickly and dramatically in response to changes in the world market for oil and natural gas. As a result, drilling contractors often try to manage excess capacity by idling rigs (known in the industry as "stacking" a rig), reactivating them when demand recovers. This paper examines these decisions over the course of a price cycle in 1998-2000 to investigate the role of firm and rig heterogeneity in determining drillers' decisions about idling and reactivating capacity.

2008-01-01

415

Single event effects in the pixel readout chip for BTeV

Scientific reference on the long time evolution of spent fuels; Referentiel scientifique sur l'evolution a long terme des combustibles uses

In future experiments the readout electronics for pixel detectors is required to be resistant to a very high radiation level. In this paper we report on irradiation tests performed on several preFPIX2 prototype pixel readout chips for the BTeV experiment exposed to a 200 MeV proton beam. The prototype chips have been implemented in commercial 0.25 {micro}m CMOS processes following radiation tolerant design rules. The results show that this ASIC design tolerates a large total radiation dose, and that radiation induced Single Event Effects occur at a manageable level.

2001-12-07

416

Resuscitation and monitoring in gastrointestinal bleeding

This report is published in the framework of the 1991 French law for the nuclear waste management. The state of the art reported here concerns the long term evolution of spent fuel in the various environmental conditions corresponding to dry storage and geological disposal: closed system, air and water saturated medium. This review is based on the results of the french PRECCI project (Research Program on Long term Evolution of Spent Nuclear Fuel) and on literature data. (authors)

2005-03-15

417

British Library Electronic Table of Contents (United Kingdom)

Introduction Gastrointestinal bleeding is a common life-threatening problem, causing significant mortality, costs and resource allocation. Its management requires a dynamic multidisciplinary approach that directs diagnostic and therapeutic priorities appropriately. Materials and methods Articles published within the past 15 years, related to gastrointestinal bleeding, were reviewed through MEDLINE search, in addition to current guidelines and standards. Results Decisions of ICU admission and blood transfusion must be individualized based on the extent of bleeding, hemodynamic profile and comorbidities of the patient and the risk of rebleeding. A secure airway may be required to optimize oxygenation and to prevent aspiration. Doses of induction agents must be reduced due to the changes in v...

2011-01-01

418

PNNL FY2005 DOE Voluntary Protection Program (VPP) Program Evaluation

Medical Devices; Managing the Mismatch An Outcome of the Priority Medical Devices Project

This document reports the results of the FY 2005 PNNL VPP Program Evaluation, which is a self-assessment of the operational and programmatic performance of the Laboratory related to worker safety and health. The report was compiled by a team of worker representatives and safety professionals who evaluated the Laboratory's worker safety and health programs on the basis of DOE-VPP criteria. The principle elements of DOE's VPP program are: Management Leadership, Employee Involvement, Worksite Analysis, Hazard Prevention and Control, and Safety and Health Training.

2005-01-31

419

Inborn Errors of Metabolism Presenting in Childhood

Choosing a medical device is complex and requires a transparent process based on reason, evidence and assessment of prioritized public health needs. Poor choices lead to inappropriate use or non-use of medical devices and a waste of resources.This report suggests how an agenda to improve access to appropriate medical devices could be devised from applying the crucial 4 components - Availability, Accessibility, Appropriateness, and Affordability, to the 15 global high-burden diseases and some cross-cutting issues. The results of this exercise suggest several areas of research necessary to help

2010-01-01

420

British Library Electronic Table of Contents (United Kingdom)

Abstract Neurodegenerative and neurometabolic disorders may cause significant morbidity and mortality in children. Imaging is important in early diagnosis of metabolic disorders and in determining the extent of brain injury. Especially after the development of new techniques such as diffusion-weighted magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS), neuroimaging plays more important role in the diagnosis and management of these disorders. In these disorders, usually a mutation causes a clinically significant block in one or more metabolic pathways. This blockage usually results in either a deficiency of the product or in an accumulation of substrate with damage induced by either storage or toxicity. The presenting symptoms are usually nonspecific. In some of the ...

2011-01-01

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421

In situ monitoring of grouted electrolytes

Hanford tanks initiative plan

Cement-based composites are widely used in applications which demand long-term service life. One important example is in immobilization matrices for low-level radioactive and other hazardous wastes, which demands long-term retention and durability. The authors describe conductivity measurements of grouts flooded with water and in contact with a sink that consists of pure water. The conductivity measurements were designed and carried out in parallel with present quality verification methods and standard leach tests of the nuclear waste management industry. For the first time, the authors show that the method of replacing intrusive chemical analysis with conductivity measurements of the leaching samples yields equivalent results.

1996-04-01

422

Factors that influence programming decisions of US symphony orchestras

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

423

British Library Electronic Table of Contents (United Kingdom)

Program decisions by symphony orchestra management are influenced by various factors. To examine these factors, we create an objective index of the propensity of a symphony orchestra to perform the standard repertoire. We use regression analysis to examine factors that influence programming decisions of 64 US symphony orchestras in 2006?2007, including public and private sources of funding. We find that increased funding from ticket sales, endowments, and local government increases the likelihood that an orchestra will perform nonstandard repertoire. In addition, the results suggest that a symphony orchestra?s music director does not have a significant impact on the degree of program conventionality.

2011-01-01

424

Applications of Cerius2, software of molecular simulation; Aplicaciones de Cerius2, software de simulacion molecular

An analysis of a firm?s capacity in Mazda?s Keiretsu

Most of the investigations have a theoretical sustenance based on molecular simulation. The area of application of molecular simulation is very wide, in the Materials Technology Department assigned to the Applied Sciences Management have been treated problems about metallic nano structures, glasses, interfaces, and molecules, to sustain and to explain some of the experimental results. Energy calculations are carried out to determine minimum energy structures, for later on to carry out calculations of some of their properties; as well as the images simulation of Electron microscopy and X-ray diffraction. (Author)

2007-07-01

425

British Library Electronic Table of Contents (United Kingdom)

Capacity is defined as the power resulting from the specific position of a company in a network organization. This article extends the theory of network organizations to examine Mazda?s Yokokai Keiretsu, and proposes a new approach to calculating a firm?s capacity in a network. Capacity is divided into two categories, take-in capacity and take-out capacity, and the gap between them is called the capacity difference. We analyze the impact of capacity difference as a determinant of corporate performance in network organizations, thus providing a new perspective for successful corporate management.

2011-01-01

426

The Importance of Building and Enhancing Worldwide Industry Cooperation in the Areas of Radiological Protection, Waste Management and Decommissioning

Management of long term radiological liabilities: Stewardship challenges

The slow or stagnant rate of nuclear power generation development in many developed countries over the last two decades has resulted in a significant shortage in the population of mid-career nuclear industry professionals. This shortage is even more pronounced in some specific areas of expertise such as radiological protection, waste management and decommissioning. This situation has occurred at a time when the renaissance of nuclear power and the globalization of the nuclear industry are steadily gaining momentum and when the industry's involvement in international and national debates in these three fields of expertise (and the industry's impact on these debates) is of vital importance. This paper presents the World Nuclear Association (WNA) approach to building and enhancing worldwide industry cooperation in radiological protection, waste management and decommissioning, which is manifested through the activities of the ...

427

Integrated solid waste management of Springfield, Massachusetts

The IAEA attaches great importance to the dissemination of information that can assist Member States with the development, implementation, maintenance and continuous improvement of systems, programmes and activities that support the nuclear fuel cycle and nuclear applications, including management of the legacy of past practices and accidents. In this connection, the IAEA has initiated a comprehensive programme of work covering all aspects of environmental remediation: - Technical and non-technical factors, including costs, that influence environmental remediation strategies and pertinent decision making; - Site characterization techniques and strategies; - Assessment of remediation technologies; - Techniques and strategies for post-remediation compliance monitoring; - Special issues such as the remediation of sites with dispersed radioactive contamination or mixed contamination by hazardous and radioactive substances. Experience in Member States has shown that ...

2006-01-01

428

Incredible Years Parent Training Support for Nursery Staff Working within a Disadvantaged Flying Start Area in Wales: A Feasibility Study

The subject document reports the results of an in-depth investigation of the fiscal year 1993 cost of the city of Springfield, Massachusetts, integrated municipal solid waste management (IMSWM) system, the energy consumed to operate the system, and the environmental performance requirements for each of the system`s waste-processing and disposal facilities. The document reports actual data from records kept by participants. Every effort was made to minimize the use of assumptions, and no attempt is made to interpret the data reported. Analytical approaches are documented so that interested analysts may perform manipulation or further analysis of the data. As such, the report is a reference document for Municipal Solid Waste management professionals who are interested in the actual costs and energy consumption, for a 1-year period, of an operating IMSWM system. The report is organized into two main parts. The first part is ...

1995-11-01

429

Resource Management in Broadband Communication Networks

Parenting programmes are effective interventions for preventing and treating conduct problems in young children. Up to 20% of children in disadvantaged areas have conduct disorder. Recent government initiatives such as targeting early years services to designated disadvantaged Flying Start areas in Wales have resulted in increased nursery-care provision for pre-schoolers, yet little has been done to equip nursery staff with effective child behaviour management strategies. The purpose of this non-randomised trial platform study was to establish the feasibility of delivery and the effectiveness of the new Incredible Years Toddler Parent Programme in supporting nursery staff in managing difficult behaviour in the nursery. The Parent Programme is a 12-session (a two-hour session/week) course for carers/parents of children aged one to three years old, which encourages carers to: establish positive relationships with children ...

2010-12-01

430

DEFF Research Database (Denmark)

This thesis - Resource Management in Broadband Communication Networks - deals with different ways of optimizing the available resources of data- or telecommunication networks. Especially topics like optimal routing, load balancing and fast recovery of routes in case of link failures are covered. The first part gives a brief description of some of the existing protocols for routing and controlling resources, such as RSVP, OSPF, BGP, PNNI, etc. The remaining part concerns the following two fundamentally different approaches to resource management etc.: - Software agents - Simulated ants In the beginning of the part concerning software agents a description of what exactly constitutes software agents, according to the scientists and according to the organization, FIPA is given. After this, the main results from the IMPACT project are presented. The IMPACT project is an EU-project that aimed at developing a demonstration ...

2003-01-01

431

Waste management units - Savannah River Site. Volume 1, Waste management unit worksheets

Distributed-processing radiation management system for nuclear power plants

This report is a compilation of worksheets from the waste management units of Savannah River Plant. Information is presented on the following: Solid Waste Management Units having received hazardous waste or hazardous constituents with a known release to the environment; Solid Waste Management Units having received hazardous waste or hazardous constituents with no known release to the environment; Solid Waste Management Units having received no hazardous waste or hazardous constituents; Waste Management Units having received source; and special nuclear, or byproduct material only.

1989-10-01

432

[sup 99m]Tc albumin nanocolloid scintigraphy as a method off differential diagnosis of ''painful hip'' after total hip replacement. Scyntygrafia z uzyciem nanokoloidu albuminowego znakowanego [sup 99m]Tc jako metoda diagnostyki roznicowej ''biodra bolowego'' po calkowitej endoprotezoplastyce

The importance of radiation management for nuclear facilities including nuclear power plants has increased as the general public understanding has progressed, and necessary information for management must be processed exactly and quickly. In nuclear power plants, radiation management is performed by each individual operation, and collected information is managed by the system of each operation. The distributed-processing radiation management system has been developed aiming to use a general-purpose LAN and make quick and efficient use of information managed by individual operations. This paper describes the system configuration and functions. (author)

1999-06-01

433

The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial

Short communication.

1992-01-01

434

Segmental Neuropathic Pain Does Not Develop in Male Rats with Complete Spinal Transections

BackgroundHamstring injuries are the most common injury in Australian Rules football. It was the aims to investigate whether a sports chiropractic manual therapy intervention protocol...Full Text Available

435

Radiological diagnosis of lesions of intervertebral discs

AbstractIn a previous study using male rats, a correlation was found between the development of “at-level” allodynia in T6-7 dermatomes following severe T8 spinal contusion...Full Text Available

2008-10-01

436

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

During their life, intervertebral discs undergo degenerative changes which need not necessarily become lesions. Conventional X-rays do not provide information on the condition of the intervertebral discs, so MRT or CT are recommended as primary techniques as they are non-invasive. Invasive methods like myelography and especially discography should not be used unless a case is highly problematic. In infants with pains in the back, MRT should be carried out as early as possible as there is nearly always an organic cause. (orig.)

2003-03-01

437

Effect of duration of postherpetic neuralgia on efficacy analyses in a multicenter, randomized, controlled study of NGX-4010, an 8% capsaicin patch evaluated for the treatment of postherpetic neuralgia

An 8-year-old child presented with severe chest pain and respiratory distress after he accidentally bit an automobile tyre tube which burst into his mouth. The chest radiograph revealed left-sided pneumothorax....Full Text Available

2010-01-01

438

CT imaging of a primary malignant mixed mullerian tumor arising from the peritoneum

BackgroundPostherpetic neuralgia (PHN) is a painful and difficult to treat complication of acute herpes zoster. Current treatment options provide only partial relief and are often...Full Text Available

439

British Library Electronic Table of Contents (United Kingdom)

Primary peritoneal malignant mixed mullerian tumors are very rare. We report the case of a patient presenting with pain in the right upper quadrant of the abdomen and in whom the physical examination demonstrated a peritoneal mass. Computed tomography (CT) confirmed the presence of a mass, with invasion of adjacent organs.

2008-01-01

440

Plant life management models with special emphasis to the integration of safety with non-safety related programs

Management of fire and industrial safety - challenges during commissioning of a NPP

Due to current social and economical framework, in last years many nuclear power plant owners started a program for the Long Term Operation (LTO)/PLIM (Plant Life Management) of their older nuclear facilities. PLIM/PLEX has already been implemented in many countries (USA, Russia, etc.). This process has many nuclear safety implications, other than strategic and political ones. The need for tailoring the available safety assessment tools to such applications has become urgent in recent years and triggered many research actions. In particular, a PLIM framework requires both a detailed review of the features of the main safety programs (Maintenance, ISI, Surveillance) and a complete integration of these programs into the general management system of the plant. New external factors, such as: large use of subcontractors, need for efficient management of spare parts, request for heavy plant refurbishment programs demand for ...

2007-10-15

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441

Use of semi-detailed kinetic schemes for a study of the temperature dependence in the reforming of fuels without catalyst; L'utilisation de schemas cinetiques semi-detailles pour une etude de l'influence de la temperature dans le reformage de combustibles sans catalyseur

Construction and commissioning period of NPP are reduced world over drastically by stringent schedule for financial and economic reasons. For meeting the schedule, commissioning of components and systems are started immediate after installation, while construction activities are continued in parallel at the same place. Parallel activities' and 'Time Constraint' have brought new challenges to 'Management of Fire and Industrial Safely' during commissioning. An innovative approach was used during such phase of commissioning of TAPP-3 and 4. This paper outlines challenges encountered during this phase and special approach and measures used to meet those challenges. This paper also outlines problems encountered during implementation of these measures and subsequent change in approach to ensure smooth and safe execution of activities. Primarily, challenges were conflicting requirements by various agencies to carryout commissioning in parallel with construction activities ...

2006-11-13

442

Numerical simulations of nucleate boiling in impinging jets: Applications in power electronics cooling

In order to avoid the use of catalysts in the process of auto-thermal reforming, it is possible to adopt a running at high temperature. In this study are presented the results of simulations of an auto-thermal/recuperator hybrid reforming system; these results are obtained with the oxidation model of alkanes developed by Ranzi and Faravelli. An isothermal configuration at high temperature improves the hydrogen yield and avoids the formation of soots. The analysis of the powers to be furnished to assure such an experimental mode, and the global approach of the fuel cell system show that the management of the heat exchanges is a key parameter in this process. (O.M.)

2000-07-01

443

Measuring capacity development and reform in the Royal Solomon Islands Police Force

Boiling jet impingement cooling is currently being explored to cool power electronics components. In hybrid vehicles, inverters are used for DC-AC conversion. These inverters involve a number of insulated-gate bipolar transistors (IGBTs), which are used as on/off switches. The heat dissipated in these transistors can result in heat fluxes of up to 200 W/cm{sup 2}, which makes the thermal management problem quite important. In this paper, turbulent jet impingement involving nucleate boiling is explored numerically. The framework for these computations is the CFD code FLUENT. For nucleate boiling, the Eulerian multiphase model is used. The numerical results for boiling water and R113 jets (submerged) are validated against existing experimental data in the literature. Some representative IGBT package simulations that use R134a as the cooling fluid are also presented. (author)

2008-01-15

444

British Library Electronic Table of Contents (United Kingdom)

International police have been deployed on a number of peacekeeping missions, but providing capacity development and assisting in reform of local police in war-torn nations are only a relatively recent undertaking. The process of police reform is complicated because of the inherent difficulty in evaluating the impact of a development programme on police service delivery performance. This study reports on the results of a pilot survey of international police managers assessment of the level of competency of the Royal Solomon Islands Police Force following the introduction of a capacity development programme 3 years earlier. The results indicate that although the local police had improved operationally, and in some cases to an international standard, the Force had lower capability in strateg...

2010-01-01

445

Increased capability of Strassy: the decision making aid for the inspection of nuclear materials; Prolongement des capacites de Strassy: systeme d`aide a la decision pour le controle des matieres nucleaires

Die Umsetzung von Studienergebnissen in die klinische Praxis - Beispiel Kardiologie

The paper describes the latest developments in STRASSY (Strategy Assistance System), the strategy assistance system for the inspection of nuclear materials. The user can now select the fuel cycle he wishes to investigate from an initial range of 19 facilities. An inspection interface has been developed to enable the details and dates of inspections to be modified. One of the special features of the application of STRASSY in international safeguards is the taking into account of timeliness of detection; certain aspects of the time manager algorithms are presented and analysed, including the guaranteed existence of a solution. The results of a study of diversion paths in a simplified cycle consisting of our facilities are presented. Finally, the modifications necessary to enable STRASSY to be used for a posterior analysis of inspection results are discussed. (authors). 7 refs., 3 figs.

1994-12-31

446

British Library Electronic Table of Contents (United Kingdom)

Summary A prospective and randomized trial design is of utmost interest when it comes to evaluating new developments in the management of cardiovascular medicine. By defining the primary end point and a profound related statistic new therapeutic options can be tested with an adequate number of patients. The course of the trial is supervised by a Clinical Events Committee and a Data and Safety Monitoring Board. Registries are promising tools for describing how the results of clinical trials are translated into daily practice. Their drawbacks include lack of control of the clinical endpoints and their uniform definition and lack of a control group. There are numerous examples from cardiology of the limited usefulness of data obtained from registry studies with their often unexpected results ...

2009-01-01

447

Cats and goat whey associated with Toxoplasma gondii infection in pigs.

Organisation and training of coke oven management

In organic livestock production systems, farm-management factors are thought to play an important role in the on-farm prevalence of Toxoplasma gondii. Serological results and the results of an HACCP analysis were combined to determine important risk factors for the prevalence of this protozoan parasite. Mathematical analysis demonstrated that feeding goat whey to pigs and the presence of a high number of cats were positively correlated to T. gondii seroprevalence in pigs. Not covering roughage and the farmers' assumption that pigs can come into contact with cat feces also showed a positive relationship. In order to decrease the risk of T. gondii infecting their pigs, farmers should limit the access and number of cats on their farms and refrain from feeding goat whey to their pigs. PMID:16989566

2006-01-01

448

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

Japan`s coke industry was developed as the basic part for iron and steel industry. The paper addresses two factors as a characteristic of Japan-unique management. One topic is operation management and equipment management of coke factory; the second topic is human resource training in a company that lies under each management. The concepts and actual methods of these topics are introduced by showing examples. The paper discusses the improvement of the working environment and measures for future employment caused by the aging problem in Japan. 5 figs.

1994-12-31

449

Integrated Safety Management System Phase I Verification for the Plutonium Finishing Plant (PFP) [VOL 1 & 2

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

450

Achievements and Perspectives of the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management

U.S. Department of Energy (DOE) Policy 450.4, Safety Management System Policy commits to institutionalizing an Integrated Safety Management System (ISMS) throughout the DOE complex as a means of accomplishing its missions safely. DOE Acquisition Regulation 970.5204-2 requires that contractors manage and perform work in accordance with a documented safety management system.

2000-01-10

451

AVLIS production plant waste management plan

The Joint Convention on the Safety of Spent Fuel management and on the Safety of Radioactive Waste Management is the first legal instrument to directly address the safety of spent fuel and radioactive waste management on a global scale. The Joint Convention entered into force in 2001. This paper describes its process and its main achievements to date. The perspectives to establish of a Global Waste Safety Regime based on the Joint Convention are also discussed. (authors)

452

Work plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory

Following the executive summary, this document contains the following: (1) waste management facilities design objectives; (2) AVLIS production plant wastes; (3) waste management design criteria; (4) waste management plan description; and (5) waste management plan implementation. 17 figures, 18 tables.

1984-11-15

453

Time Management in Acute Vertebrobasilar Occlusion

The purpose of the Isotopes Facilities Deactivation Project (IFDP) is to place former isotopes production facilities at the Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition; suitable for an extended period of minimum surveillance and maintenance (S&M) and as quickly and economical as possible. Implementation and completion of the deactivation project will further reduce the risks to the environment and to public safety and health. Furthermore, completion of the project will result in significant S&M cost savings in future years. The IFDP work plan defines the project schedule, the cost estimate, and the technical approach for the project. A companion document, the IFDP management plan, has been prepared to document the project objectives, define organizational relationships and responsibilities, and outline the management control systems to be employed in the ...

1995-05-01

454

Results of the remote sensing feasibility study for the uranium hexafluoride storage cylinder yard program

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

455

Organization and safety in nuclear power plants

The US DOE manages the safe storage of approximately 650,000 tons of depleted uranium hexafluoride remaining from the Cold War. This slightly radioactive, but chemically active, material is contained in more than 46,000 steel storage cylinders that are located at Oak Ridge, Tennessee; Paducah, Kentucky; and Portsmouth, Ohio. Some of the cylinders are more than 40 years old, and approximately 17,500 are considered problem cylinders because their physical integrity is questionable. These cylinders require an annual visual inspection. The remainder of the 46,000-plus cylinders must be visually inspected every four years. Currently, the cylinder inspection program is extremely labor intensive. Because these inspections are accomplished visually, they may not be effective in the early detection of leaking cylinders. The inspection program requires approximately 12--14 full-time-equivalent (FTE) employees. At the cost of approximately $125K per FTE, this translates to ...

1997-02-01

456

Nevada Test Site 2007 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

Perspectives from industry, academe, and the NRC are brought together in this report and used to develop a logical framework that links management and organization factors and safety in nuclear power plant performance. The framework focuses on intermediate outcomes which can be predicted by organizational and management factors, and which are subsequently linked to safety. The intermediate outcomes are efficiency, compliance, quality, and innovation. The organization and management factors can be classified in terms of environment, context, organizational governance, organizational design, and emergent processes. Initial empirical analyses were conducted on a limited set of hypotheses derived from the framework. One set of hypotheses concerned the relationships between one of the intermediate outcome variables, efficiency, as measured by critical hours and outage rate, and safety, as measured by 5 NRC indicators. ...

457

Material flows of mobile phones and accessories in Nigeria: Environmental implications and sound end-of-life management options

This report is a compilation of the groundwater sampling results from three monitoring wells located near the Area 5 Radioactive Waste Management Site (RWMS) at the Nevada Test Site (NTS), Nye County, Nevada, for calendar year 2007. The NTS is an approximately 3,561 square kilometer (1,375 square mile) restricted-access federal installation located approximately 105 kilometers (65 miles) northwest of Las Vegas, Nevada (Figure 1). Pilot wells UE5PW-1, UE5PW-2, and UE5PW-3 are used to monitor the groundwater at the Area 5 RWMS (Figure 2). In addition to groundwater monitoring results, this report includes information regarding site hydrogeology, well construction, sample collection, and meteorological data measured at the Area 5 RWMS. The disposal of low-level radioactive waste and mixed low-level radioactive waste at the Area 5 RWMS is regulated by U.S. Department of Energy (DOE) Order 435.1, 'Radioactive Waste ...

2008-01-01

458

Hawaii demand-side management resource assessment. Final report: DSM opportunity report

Presently, Nigeria is one of the fastest growing Telecom markets in the world. The country's teledensity increased from a mere 0.4 in 1999 to 10 in 2005 following the liberalization of the Telecom sector in 2001. More than 25 million new digital mobile lines have been connected by June 2006. Large quantities of mobile phones and accessories including secondhand and remanufactured products are being imported to meet the pent-up demand. This improvement in mobile telecom services resulted in the preference of mobile telecom services to fixed lines. Consequently, the contribution of fixed lines decreased from about 95% in year 2000 to less than 10% in March 2005. This phenomenal progress in information technology has resulted in the generation of large quantities of electronic waste (e-waste) in the country. Abandoned fixed line telephone sets estimated at 120,000 units are either disposed or stockpiled. Increasing quantities of waste mobile ...

2008-02-01

459

Fuel management optimization in CANDU reactors cooled with light water; Optimisation de la gestion du combustible dans les reacteurs CANDU refroidis a l'eau lege

The Hawaii Demand-Side Management Resource Assessment was the fourth of seven projects in the Hawaii Energy Strategy (HES) program. HES was designed by the Department of Business, Economic Development, and Tourism (DBEDT) to produce an integrated energy strategy for the State of Hawaii. The purpose of Project 4 was to develop a comprehensive assessment of Hawaii`s demand-side management (DSM) resources. To meet this objective, the project was divided into two phases. The first phase included development of a DSM technology database and the identification of Hawaii commercial building characteristics through on-site audits. These Phase 1 products were then used in Phase 2 to identify expected energy impacts from DSM measures in typical residential and commercial buildings in Hawaii. The building energy simulation model DOE-2.1E was utilized to identify the DSM energy impacts. More detailed information on the typical buildings and the DOE-2.1E ...

1995-08-01

460

Effect of design improvements in heavy water management systems to reduce heavy water losses and tritium releases at Wolsong 2,3 and 4

This research has two main goals. First, we wanted to introduce optimization tools in the diffusion code DONJON, mostly for fuel management. The second objective is more practical. The optimization capabilities are applied to the fuel management problem for different CANDU reactors at refueling equilibrium state. Two kinds of approaches are considered and implemented in this study to solve optimization problems in the code DONJON. The first methods are based on gradients and on the quasi-linear mathematical programming. The method initially developed in the code OPTEX is implemented as a reference approach for the gradient based methods. However, this approach has a major drawback. Indeed, the starting point has to be a feasible point. Then, several approaches have been developed to be more general and not limited by the initial point choice. Among the different methods we developed, two were found to be very efficient: the multi-step method ...

2006-07-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

461

Treatment and recycling of spent nuclear fuel. Actinide partitioning - Application to waste management

Design improvements are being incorporated into the heavy water management systems at Wolsong 2,3 and 4 to reduce the load on the vapour recovery driers and upgraders and the heavy water losses via the stack. There will also be improvements to monitor heavy water and tritium releases. This paper describes the improvements, gives background on heavy water balance mechanism, the historical trends for heavy water recovery/losses and estimated dose to the member of the public critical group resulting from the airborne and waterborne releases. The measured tritium activity levels in the heat transport system (HTS) and moderator system at Wolsong 1 are given. Using these activity levels and heavy water loss data, tritium losses from the dried and ventilated areas are estimated. A qualitative assessment of expected heavy water and tritium releases has been performed for Wolsong 2, 3 and 4. CANDU 6 plants continue to perform well in that heavy water ...

1994-03-01

462

The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings

subsequent to its in-reactor dwell time, spent fuel still contains large amounts of materials that are recoverable, for value-added energy purposes (uranium, plutonium), together with fission products, and minor actinides, making up the residues from nuclear reactions. The treatment and recycling of spent nuclear fuel, as implemented in France, entail that such materials be chemically partitioned. The development of the process involved, and its deployment on an industrial scale stand as a high achievement of French science, and technology. Treatment and recycling allow both a satisfactory management of nuclear waste to be implemented, and substantial savings, in terms of fissile material. Bolstered of late as it has been, due to spectacularly skyrocketing uranium prices, this strategy is bound to become indispensable, with the advent of the next generation of fast reactors. This Monograph surveys the chemical process used for spent fuel treatment, and its ...

2008-01-01

463

British Library Electronic Table of Contents (United Kingdom)

Abuzakuk T, Coward P, Shenava Y, Kumar VS, Skinner JA. The management of wounds following primary lower limb arthroplasty: a prospective, randomised study comparing hydrofibre and central pad dressings. Pris en charge des plaies apres arthroplastie primaire du member inferieur: une etude randomisee prospective comparant hydrofibre et pansements central pad La prise en charge des plaies apres arthroplastie du member inferieur n'a pas fait l'objet de recherches approfondies, essentiellement car ces plaies cicatrisent habituellement sans complications. Cependant, lorsque des implants prothetiques sont utilizes, les serieux problemes de plaies peuvent devenir desastreux. Nous rapportons les resultants d'une etude prospective, randomisee, controlee comparant un hydrofibre et un pasnement centra...

2006-01-01

464

The Efforts to Utilize High-Temperature Melting Technologies for ILLW and the Development of Guidelines for their Technical Assessment

Summary of the Waste Management Programs at uranium recovery facilities as they relate to the 40 CFR Part 192 standards

A couple of domestic institutions have been investigating the application of vitrification technology to treat low- and intermediate-level radioactive wastes in Korea. In the case that such investigations prove to be successful, it is expected that commercial vitrification plants will be constructed. The safety insuring on vitrification plants could not be compatible with criterion on radioactive waste management because the facilities are at high temperature and contain a variety of accommodations for the exhaust gases and residual products. Therefore, it is necessary to suggest a new strategy or modifications of criterion of radioactive waste management on considerations related with the vitrification technology. In order to ensure the safety of vitrification plants, a technical guideline or standard for design and operation of vitrification plants must be established too. A study on the safety assessment of vitrification plants in ...

2003-02-25

465

Soil less culture; I sistemi di coltivazione senza suolo

This study evaluates the degree to which surface impoundments at licensed facilities comply with significant changes in NRC requirements initiated by enactment of EPA's final environmental standards for uranium recovery facilities (40 CFR Part 192). Impoundment liner requirements, ground-water protection standards, ground-water monitoring and corrective action programs, and site closure standards are the most significant regulatory modifications. The compliance status of 30 conventional mills and 31 in-situ mines is determined from a review of Nuclear Regulatory Commission and agreement state docket files through November, 1983. Results of this review show that a majority of conventional uranium mill tailings management systems are deficient with respect to liner requirements for new impoundments or proposed expansions to existing impoundments, as well as with respect to some aspects of ground-water monitoring and compliance programs. ...

466

Reducing CSOs and giving the river back to the public: innovative combined sewer overflow control and riverbanks restoration of the St. Charles River in Quebec City.

The paper gives a general view of techniques and systems related to soil less culture developed in the last years (on substrate in beg; NFT; Ebb-Flood, aeroponic,..) taking into account their management and problems (water quality, control of plant nutrition and irrigation; substrates; pathological aspects,..). The evolution, now in progress, of soil less culture from open to closed system as a way to realized an environmental friendly growing system, is considered. When plants are grown with open cycle techniques a large amount of waste solution, with an a high content of nutrients, are discharged in soil and water. Furthermore, they need an extra-utilization of water and fertilizers. Another aspect is the utilization of low cost substrates, which can be reused for more than one cultural cycle without negative effects on yield, and also finally discharged without negative effects on the environment. The development of soil less culture in countries, such as Italy, ...

1996-01-01

467

Oil coastal tanker maintenance and availability

After the construction of its wastewater treatment plants, the City of Quebec began to implement overflow control in wet weather to ultimately meet the effluent discharge objectives, i.e. no more than two overflows per summer season in the St. Lawrence River and no more than four in the St-Charles River. After several years of studies to determine which management strategies would best suit the purpose, and to propose optimum solutions, a first project to implement optimal and predictive management in real time, called "Pilot", came to life in 1999. Construction in phases soon followed and the work was completed in the fall of 2009. As a result, requirements with regard to environmental rejects were met in two sectors, namely the St-Charles River and the Jacques-Cartier Beach, and aquatic recreational activities could resume. Meanwhile, the City also worked at giving back access to the water courses to the public by ...

2011-01-01

468

Independent oversight review of the Department of Energy Quality Assurance Program for suspect/counterfeit parts. Revision 1

ANCAP (Government's Oil Company of Uruguay) owns a 4000 DWT oil coastal tanker which is mainly used for oil transport in the River Plate, Uruguay and Parana rivers. Availability of the ship is critical because of shortage of available vessels in the region. Full maximum draught of the vessel is 4m , so it can navigate in very shallow waters as it is the case of some places in the Uruguay and Parana rivers. Although the ship was built in 1979, it is a complete double hull, powered by two twin main engines and propellers. Since 1994, several changes in maintenance management have been introduced, in order to increase the availability, thus increasing the total oil volume yearly transported. These changes affected several maintenance items and they also included a modification in the design of part of the cargo tank floors of the ship. As a result of these changes, an increase of 60% of the oil derivatives volume transported yearly was ...

2008-07-01

469

Increase in the number of distributed power generation installations in electricity distribution grids - Project findings; Zunahme der dezentralen Energieerzeugungsanlagen in elektrischen Verteilnetzen: Erkenntnisse aus dem Projekt

To address the potential threat that suspect/counterfeit parts could pose to DOE workers and the public, the Office of the Deputy Assistant Secretary for Oversight initiated a number of activities beginning in mid-1995. Oversight placed increased emphasis on the field`s quality assurance-suspect/counterfeit parts programs during safety management evaluations, in keeping with the Office of Environment, Safety and Health (EH) oversight responsibilities, which include oversight of the Department`s quality assurance (QA) programs. In addition, Oversight reviewed relevant policy documents and occurrence reports to determine the nature and magnitude of the problem within the Department. The results of that review, contained in an Office of Oversight report, Independent Oversight Analysis of Suspect/Counterfeit Parts Within the Department of Energy (November 1995), indicate a lack of consistency and comprehensiveness in the Department`s ...

1996-05-01

470

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

This is the eighth part of a ten-part final report for the Swiss Federal Office of Energy (SFOE) on a project that looked into potential problems relating to the Swiss electricity distribution grid with respect to the increasing number of distributed power generation facilities being put into service. The identification of special conditions for the grid's operation and future development that take increasing decentralised power production into account are discussed. The results of the project activities encompass the analysis and evaluation of various problem areas associated with planning and management of the grid during normal operation and periods of malfunction, as well as required modifications to safety systems and grid configurations. This seventh appendix to the main report summarises and discusses the knowledge gained during the project and attempts to provide answers to various questions posed by the use of distributed ...

2003-07-01

471

Groundwater quality assessment plan for single-shell tank waste management Area U at the Hanford Site

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 ...

1992-01-01

472

Gas Research Institute wetland research program

Waste Management Area U (WMA U) includes the U Tank Farm, is currently regulated under RCRA interim-status regulations, and is scheduled for closure probably post-2030. Groundwater monitoring has been under an evaluation program that compared general contaminant indicator parameters from downgradient wells to background values established from upgradient wells. One of the indicator parameters, specific conductance, exceeded its background value in one downgradient well triggering a change from detection monitoring to a groundwater quality assessment program. The objective of the first phase of this assessment program is to determine whether the increased concentrations of nitrate and chromium in groundwater are from WMA U or from an upgradient source. Based on the results of the first determination, if WMA U is not the source of contamination, then the site will revert to detection monitoring. If WMA U is the source, then a second part of the ...

2000-03-21

473

Enhancing nutrient management through use of isotope techniques

As part of three ongoing research projects, the Gas Research Institute (GRI) is studying the natural gas industry's impacts on wetlands and how to manage operations so that impacts can be minimized or eliminated. The objective of the first project is to gain a better understanding of the causes and processes of wetland loss in the Louisiana deltaic plain and what role gas pipeline canals play in wetland loss. On the basis of information gathered from the first projects, management and mitigation implications for pipeline construction and maintenance will be evaluated. The objective of the second project is to assess the floral and faunal communities on existing rights-of-way (ROWs) that pass through numerous types of wetlands across the United States. The emphasis of the project is on pipelines that were installed within the past five years. The objective of the third project is to evaluate the administrative, jurisdictional, ...

1992-01-01

474

Development of a new tool for predicting water quality. Verification on a stretch of the river Ebro; Desarrollo de una nueva herramienta para la prediccion de la calidad del agua. Verificacion en un tramo del rio Ebro

Enhanced nutrient cycling basically involves close interaction between inorganic and organic sources of nutrients. Contrasting scenarios of nutrient cycling are found under intensive cropping production systems in most industrialized countries and traditional production systems predominant in many developing countries, where there is a net mining of soil nutrients due to crop harvest removal and erosion. Therefore, to enhance nutrient management in marginal tropical soils it is necessary to maximize the efficiency of nutrient uptake from various inorganic and organic sources with minimal environmental impact. It is postulated that one of the main approaches will be the identification and/or selection of plant genotypes for enhanced nutrient acquisition, in particular at low levels of soil available nutrients. In this context, use of various isotope techniques in examining root activity/distribution pattern and plant nutrient uptake is examined. On the other hand, ...

1994-10-17

475

Daya Bay Nuclear Power Station five-year business plan and operating results

The Water Frame work Directive (December 2000) proposes integrated water management in regard to both quality and quality. A mathematical model has therefore been produced at the CEIT and EPTISA research centre, in collaboration with the Ebro Hydrographic. Confederation (CHE), to predict water quality and thus begin integrated management of it in the river basins. A description is given of the characteristics of the simulation tool. The hydraulic model is based on the numerical (weighted, four-point implicit) resolution of the complete Saint Venant equations. The quality model is based on the IWA River Water Quality Model Number 1 which has clear advantages (consistency, mass balance and easy integration with the biological models of the waste water treatment plants and the collector networks compared to traditional models. The experimental validation, which includes calibration in wintertime of the hydraulic and quality models most ...

2004-07-01

476

Conforth Ranch Wildlife Mitigation Feasibility Study, McNary, Oregon : Annual Report.

Guangdong Nuclear Power Joint Venture Company, Ltd. first 5-Year Business Plan (hereinafter referred to as 5-Year Business Plan) serves as guidance of both the operations and management of the company. Continuous performance improvement of the nuclear power station has been achieved through the fulfillment of goals and improvement plan defined by the 5-Year Business Plan, and through standard and systematic management. Daya Bay Nuclear Power Station (GNPS) has made great contributions to sustainable economic developments of both Guangdong and Hong Kong since its commercial operation in 1994. As of the end of 1999, the cumulative off-take electricity generated by GNPS had reached 69.9 billion kWh. Of the WANO indicators universally applied by nuclear power industry throughout the world, 6 indicators of Daya Bay performance entered the world top quartile while 9 the medium level

2000-12-05

477

The Use of Self-Expanding Plastic Stents in the Management of Oesophageal Leaks and Spontaneous Oesophageal Perforations

The 2,860-acre Conforth Ranch near Umatilla, Oregon is being considered for acquisition and management to partially mitigate wildlife losses associated with McNary Hydroelectric Project. The Habitat Evaluation Procedures (HEP) estimated that management for wildlife would result in habitat unit gains of 519 for meadowlark, 420 for quail, 431 for mallard, 466 for Canada goose, 405 for mink, 49 for downy woodpecker, 172 for yellow warbler, and 34 for spotted sandpiper. This amounts to a total combined gain of 2,495 habitat units -- a 110 percent increase over the existing values for these species combined of 2,274 habitat units. Current water delivery costs, estimated at $50,000 per year, are expected to increase to $125,000 per year. A survey of local interest indicated a majority of respondents favored the concept with a minority opposed. No contaminants that would preclude the Fish and Wildlife Service from agreeing to ...

1991-03-01

478

Sugarcane pests and their management

Leakage after oesophageal anastomosis or perforation remains a challenge for the surgeon. Traditional management has been operative repair or intensive conservative management. Both treatments are...Full Text Available

2011-01-01

479

Program Manager (Advanced Materials & Manuf.)), AD-340-4 (ENG/OII) (Closes: 10/06/2005)

This book chapter discusses sugarcane culture and history, describes arthropod biologies and injury, and identifies sugarcane pest management factors to consider for people interested in commercial sugarcane production. Arthropod groups include 10 orders and 40 families. Sugarcane pest management ...

480

Oncology data management in the UK--BODMA's view. British Oncology Data Managers Association.

... POSITION VACANT: Program Manager (Advance Materials and Manufacturing), AD-340-4. Salary ranges from ... POTENTIAL: Program Manager (Advanced Materials and Manufacturing), AD-340-4. LOCATION: Directorate ...

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481

Nuclear waste management: a perspective

Over the past 10 years, the original partnership of clinician and statistician for the running of clinical research projects, especially clinical trials, has come to be supplemented by the data manager...Full Text Available

1994-09-01

482

Food allergy management from the perspective of patients or caregivers, and allergists: a qualitative study

The scope of our problems with nuclear waste management is outlined. Present and future inventories of nuclear wastes are assessed for risk. A discussion of what is presently being done to solve waste management problems and what might be done in the future are presented. (DC)

1980-01-01

483

Executive Order 13514: Federal Leadership in Environmental, Energy, and Economic Performance; Comprehensive Federal Fleet Management Handbook, June 2010, Federal Energy Management Program (FEMP)

BackgroundResearch has shown that the long term management of food allergy is suboptimal. Our study aims to provide direction for improvement, by evaluating food allergy management...Full Text Available

484

Department of Energy low-level waste management strategy

Comprehensive Federal fleet management guide offered as a companion to Executive Order 13514 Section 12 guidance.

2010-06-01

485

Waste Management Project fiscal year 1998 multi-year work plan, WBS 1.2

The DOE strategy recognizes that public perception of low-level waste management practices is not positive. Actions are included that are aimed at opening the system to the public. A better informed public will be able to better assess the performance of the low-level waste management system.

1980-01-01

486

Savannah River Site Interim Waste Management Program Plan FY 1991--1992

The Waste Management Project manages and integrates (non-TWRS) waste management activities at the site. Activities include management of Hanford wastes as well as waste transferred to Hanford from other DOE, Department of Defense, or other facilities. This work includes handling, treatment, storage, and disposal of radioactive, nonradioactive, hazardous, and mixed solid and liquid wastes. Major Waste Management Projects are the Solid Waste Project, Liquid Effluents Project, and Analytical Services. Existing facilities (e.g., grout vaults and canyons) shall be evaluated for reuse for these purposes to the maximum extent possible.

1997-09-23

487

Managing risks and hazardous in industrial operations

The primary purpose of the Waste Management Program Plan is to provide an annual report of how Waste Management's operations are conducted, what facilities are being used to manage wastes, what forces are acting to change current waste management systems, and what plans are in store for the coming fiscal year. In addition, this document projects activities for several years beyond the coming fiscal year in order to adequately plan for safe handling, storage, and disposal of radioactive wastes generated at the Savannah River Site and for developing technology for improved management of wastes. In this document, work descriptions and milestone schedules are current as of December 1991.

1992-05-01

488

Cost-time management: A powerful tool in a new application - cleaning up the weapons complex

The main objective of this paper is to demonstrate that it makes good business sense to identify risks and hazards of an operation and take appropriate steps to manage them effectively. Developing and implementing an effective risk and hazard management plan also contibutes to other industry requirements and standards. Development of a risk management system, key elements of a risk management plan, and hazards and risk analysis methods are outlined. Comparing potential risk to the cost of prevention is also discussed. It is estimated that the cost of developing and preparing the first risk management plan varies between $50,000 to $200,000. 3 refs., 2 figs., 1 tab.

1996-12-31

489

Telephone-Based Psychiatric Referral-Care Management Intervention Health Outcomes

Westinghouse Electric Corporation is aggressively applying cost-time management to bolster timely, cost-effective cleanup and waste management activities at sites it manages for the U.S. Department of Energy (DOE). Cost-time management is a diagnostic technique which is applicable to virtually any process. It identifies opportunities to reduce cycle-times and costs. When applied to cleanup and waste management at DOE facilities, cost-time profile analysis helps identify actions to improve productivity and quality. Moreover, by reducing cycle-times and costs, it achieves significant savings to taxpayers. (author)

1992-03-01

490

Single Manager for DOD Military Working Dog Program.

AbstractObjective: This study examined the effectiveness of a telephone-based referral-care management (TBR-CM) intervention on psychiatric health...Full Text Available

2010-06-01

491

Management of primary sclerosing cholangitis

The Directive establishes a single manager for the Department of Defense Military Working Dog Program, provides policy, prescribes procedures, and assigns responsibilities.

1983-01-01

492

Management of Contaminated Autologous Grafts in Plastic Surgery

Primary sclerosing cholangitis (PSC) is a rare cholestatic liver disease with major morbidity and mortality. Therapeutic management is difficult, due to lack of conclusive data and individual disease...Full Text Available

2011-06-27

493

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Background: Contamination of autologous grafts unfortunately occurs in plastic surgery, but the literature provides no guidance for management of such incidents. Methods: American...Full Text Available

494

Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis,...Full Text Available

495

Journals at IDEAS

Joint Battlespace Infosphere (JBI): Information Management in ...

... Advances in Complex Systems ( ACS) 413 (413) 2001-2011 Springer Advances in Data Analysis and Classification 59 (59) 2008-2011 Advances in Management Advances In Management ...

496

Fast Flux Test Facility performance monitoring management information, April 1988

... In this manner, a JBI-enabled COI would have the full suite of JBI information management capabilities, but would still be based on and have full ...

2006-05-01

497

Development of an Adaptive Tsetse Population Management Scheme for the Luke Community, Ethiopia

The purpose of this report is to provide management with performance data on key performance indicators selected from the FFTF Early Warning System performance indicators.

1988-05-01

498

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

... African agro-pastoral system: Management of tsetse and bovine trypanosomiasis. Ecological Economics 65:1, 125-135Online publication date: ... ...

499