palliative care facilities: Topics by WorldWideScience.org

Networking of Palliative Care at the Corporate Level

Aims:To Study the religious and ideological views and practice of Palliative Care physician towards Euthanasia.Materials and Methods:An...Full Text Available

2009-01-01

2

Paediatric Palliative Care: Theory to Practice

This article is a story of networking of palliative care at the corporate level. This gives an insight that if you have will and dedication then you can imagine and make it true that networking can...Full Text Available

2011-01-01

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Specialized palliative care services are associated with improved short- and long-term caregiver outcomes

Paediatric palliative care is a holistic approach aimed at addressing the complex issues related to the care of children and families facing chronic life limiting illnesses. The needs of children are...Full Text Available

2011-01-01

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Design of the Endobronchial Valve for Emphysema Palliation Trial (VENT): a non-surgical method of lung volume reduction

Goals of workThe goal of this study was to evaluate, at a population level, the association between specialized palliative care services (SPCS) and short- and long-term caregiver...Full Text Available

2008-06-01

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Development of the Palliative Care Parental Self-Efficacy Measure.

BackgroundLung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently,...Full Text Available

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

Caring for a child with a potentially fatal medical condition is a challenge for parents or caregivers. The ability to measure parental self-efficacy in pediatric palliative care may be an important component of targeting supportive services that address individual needs of families. Therefore, the goal was to develop a Pediatric Palliative Care Parental Self-Efficacy Measure (PCPEM). First, a list of questions were generated that asked parents their level of confidence in carrying out tasks involved in caring for a child with a potentially fatal medical condition in 6 palliative care domains: 1) medical discussion/decisions; 2) symptom management/medication; 3) daily activities; 4) feelings/concerns; 5) spirituality; and 6) end-of-life care. The PCPEM was narrowed to 58 questions after expert ...

2011-07-26

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

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 ...

2008-09-01

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Palliation of radiation-related mucositis

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

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Neonatal Sepsis and Neutrophil Insufficiencies

Oral mucositis associated with head and neck radiotherapy can substantially hinder completion of cancer therapy. Alleviation of this often severe stomatitis can provide enhanced patient comfort and facilitate appropriate care. A double-blind format was used in a pilot project to measure, against a control rinse, the effectiveness of an oral rinse consisting of hydrocortisone, nystatin, tetracycline, and diphenhydramine in controlling radiation-related mucositis. A combination of clinical evaluation and patient responses to a questionnaire was used to judge the results of the topical medications. Patients using the experimental medication developed less mucositis than did patients in the control group.

1990-01-01

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Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China

Sepsis has continuously been a leading cause of neonatal morbidity and mortality despite current advances in chemotherapy and patient intensive care facilities. Neonates are at high risk for...Full Text Available

2010-06-01

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

BackgroundChina has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report...Full Text Available

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Extended Spectrum ?-Lactamases among Gram-negative bacteria of nosocomial origin from an Intensive Care Unit of a tertiary health facility in Tanzania

This document presents the results of a review of publicly available information on energy use in health care facilities. The information contained in this document and in the sources cited herein provides the background and context for efforts to reduce energy use and costs in health care. Recognizing the breadth and diversity of relevant information, the author acknowledges that the report is likely not comprehensive. It is intended only to present a broad picture of what is currently known about health care energy use. This review was conducted as part of a 'High Performance Health Care Buildings' research study funded by the California Energy Commission. The study was motivated by the recognition that health care facilities collectively account for a substantial fraction of total commercial building energy use, due in ...

2009-09-08

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Care of military workingn> dogs.

BackgroundResistance to third generation cephalosporins due to acquisition and expression of extended spectrum β-lactamase (ESBL) enzymes among Gram-negative bacteria is...Full Text Available

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A conceptual model for laboratory ventilation greenhouse gas planning

PMID:14756516

2004-01-17

15

British Library Electronic Table of Contents (United Kingdom)

There is increasing pressure to operate laboratory facilities in environmentally and financially sustainable ways. A key factor in achieving this goal is careful consideration of how energy is used by the buildings' ventilation system, both for conditioning air supplied to the laboratories and the energy used moving air through the building. Traditionally, laboratory energy use is treated as an engineering concern within the scope of the building's overall design and operation. However, this approach limits the involvement of key stakeholders in many important decisions and can lead to unexpected safety concerns for the laboratory's users. We believe that a broad view of the parties affected by a laboratory building's operations is necessary to avoid having the various stakeholders working...

2011-01-01

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Analyses of eigenvalue bias and control rod worths in FFTF [Fast Flux Test Facility

Analyses of eigenvalue bias and control rod worths in FFTF (Fast Flux Test Facility)

The Fast Flux Test Facility (FFTF) core loading during its ninth operating cycle was significantly different from that of previous cycles because of the presence of the Core Demonstration Experiment (CDE). The CDE consists of a number of axially blanketed fuel assemblies and internal blankets prototypic of advanced oxide cores in Liquid Metal Reactors (LMR). In preparation for the Cycle 9 reload design effort, a careful assessment of control rod worth and reactivity calculations for Cycles 1 through 8 was made. The goal of this study was to establish calculational biases and reduce uncertainties factored into the reload design calculations. These analyses helped assure that the operational objectives for Cycle 9 were met.

1987-09-13

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An Experimental Study of Oil / Water Flow in Horizontal Pipes

The Fast Flux Test Facility (FFTF) core loading during its ninth operating cycle was significantly different from that of previous cycles because of the presence of the Core Demonstration Experiment (CDE). The CDE consists of a number of axially blanketed fuel assemblies and internal blankets prototypic of advanced oxide cores in Liquid Metal Reactors (LMR). In preparation for the Cycle 9 reload design effort, a careful assessment of control rod worth and reactivity calculations for Cycles 1 through 8 was made. The goal of this study was to establish calculational biases and reduce uncertainties factored into the reload design calculations. These analyses helped assure that the operational objectives for Cycle 9 were met.

1987-01-01

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Transcatheter stent implantation to treat aortic coarctation in infancy.

The purpose of this thesis is to study the behaviour of the simultaneous flow of oil and water in horizontal pipes. In this connection, two test facilities are used. Both facilities have horizontal test sections with inner pipe diameters equal to 2 inches. The largest facility, called the model oil facility, has reservoirs of 1 m{sub 3} of each medium enabling flow rates as high as 30 m{sub 3}/h, which corresponds to mixture velocities as high as 3.35 m/s. The flow rates of oil and water can be varied individually producing different flow patterns according to variations in mixture velocity and input water cut. Two main classes of flows are seen, stratified and dispersed. In this facility, the main focus has been on stratified flows. Pressure drops and local phase fractions are measured for a large number of flow conditions. Among the instruments used are differential pressure ...

2001-07-01

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Quality of life in patients with esophageal stenting for the palliation of malignant dysphagia

A ten week old girl who had previously undergone a palliative procedure for the hypoplastic left heart syndrome had unrelieved aortic coarctation that did not respond to standard balloon dilatation....Full Text Available

1993-01-01

20

Palliation of malignant esophageal obstruction and fistulas with self expandable metallic stents

Incidence of esophageal cancer (EC) is rising more rapidly in the Western world than that of any other cancer. Despite advances in therapy, more than 50% of patients have incurable disease at the time...Full Text Available

2011-01-14

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First line targeted therapies in breast cancer: focus on bevacizumab

AIM: To evaluate the efficacy of self expandable metallic stents (SEMS) in patients with malignant esophageal obstruction and fistulas.METHODS: SEMS were implanted in the presence of fluoroscopic...Full Text Available

2010-12-07

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Alteration of installation of reactors (alteration of No. 1 and No. 2 reactor facilities) in the Sendai Nuclear Power Station, Kyushu Electric Power Co. , Inc

The heterogeneity of metastatic breast cancer mandates the need to select therapies taking into account tumor and patient characteristics. Chemotherapy is indicated in the palliative setting especially...Full Text Available

2007-03-01

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Air conditioning system planning for Kanagawa Science Park (KSP) building. Kanagawa Science Park (KSP) no kuki chowa setsubi

The Nuclear Safety Commission presented the report to the Minister of International Trade and Industry on April 5, 1984, after the careful investigation and deliberation on the alteration of installation of No.1 and No.2 reactor facilities in the Sendai Nuclear Power Station. The technical capability of Kyushu Electric Power Co., Inc., was recognized to be adequate. It was judged that the safety after this alteration of installation of the reactor facilities can be ensured. The main items of examination were as follows. The mechanical, nuclear and thermo-hydraulic designs of 17 x 17 B-type fuel assemblies were regarded as adequate. The coexistence of A-type and B-type fuel assemblies does not cause any problem about the safety. The safety at the time of abnormal transient change and accident in the mixed fuel assembly core was confirmed. In No.2 reactor, the degree of enrichment of the fuel for replacement and the number of ...

1984-08-01

24

NHSnet in Scottish primary care: lessons for the future

Urban type R D (research and development) facilities have research institute functions which are not desirable to coexist in a city as compared with suburban R D facilities. Therefore careful consideration must be given to environmental protection. KSP is the first large scale urban type R D facility in Japan. The planning and construction have been made with the theme of realization of flexibility in architecture and mechanical planning as well as realization of environmental integrity. To achieve the target so-called technical slit is built at the center of the building to provide a void space for securing natural ventilation. It is effective for provision of internal mechanical spaces without spoiling urban View air exhaust from laboratories natural ventilation for underground parking lots and decrease of damage by strong wind on the ground level. Standards are established and organization is formed ...

1991-12-05

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Effects and side-effects of integrating care: the case of mental health care in the Netherlands

ObjectiveTo evaluate the primary care communications initiative, which introduced NHSnet to primary care in Scotland.DesignSemi-structured telephone...Full Text Available

2000-10-07

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[International legal aspects of rendering medical care at sea].

PurposeDescription and analysis of the effects and side-effects of integrated mental health care in the Netherlands.Context of caseDue...Full Text Available

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Using a Computer to Conduct Utilization and Quality of Care Review in a Prepaid Medical Care Network

PMID:3176400

1988-06-01

28

Unique health care utilization patterns in a homeless population in Ghent

This paper describes how a computerized MIS is used to assist HMO management to conduct utilization and quality of care review activities in a prepaid medical care network. The HMO is a ‘network’...Full Text Available

1982-11-02

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Continuity of Care with a Primary Care Physician and Mortality in Older Adults

BackgroundExisting studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary...Full Text Available

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Chronic care, chronic I.T. problems.

BackgroundWe examined whether older adults who had continuity of care with a primary care physician (PCP) had lower mortality.MethodsSecondary analyses...Full Text Available

2010-04-01

31

Veterans Affairs: Health Care and Benefits for Veterans ...

PMID:21877636

2011-08-01

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Causes of morbidity among HIV-infected children on antiretroviral therapy in primary care facilities in Lusaka, Zambia

... Accession Number : ADA535776. Title : Veterans Affairs: Health Care and Benefits for Veterans Exposed to Agent Orange. ...

2010-09-22

33

British Library Electronic Table of Contents (United Kingdom)

Summary Objectives To describe the pattern of incident illness in children after initiation of antiretroviral therapy (ART) in a large public health sector programme in Lusaka, Zambia. Methods Systematic chart review to retrospectively extract data from medical records of children (i.e. <15 years) initiating ART in the Lusaka, Zambia public sector. Incident conditions were listed separately and then grouped according to broad categories. Predictors for incident diagnoses were determined using univariate and multivariable analysis. Results Between May 2004 and June 2006, 1705 HIV-infected children initiated ART. Of these, 1235 (72%) had their medical records reviewed. Median age at ART initiation was 77 months and 554 (45%) were females. Eight hundred and forty-one (68%) children had an inc...

2009-01-01

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The interventional treatment for biliary recurrent obstruction after palliative T tube drainage in patients with obstruction due to cholangiocarcinoma

Improving surgical outcome following the Norwood procedure

Objective: To explore the interventional method to treat biliary recurrent jaundice after T tube drainage in patients with malignant obstructive jaundice due to cholangiocarcinoma. Methods: 7 biliary metallic stents were placed in 7 patients with recurrent jaundice after T-tube drainage in cholangiocarcinoma cases. Results: Stent placement was once successful in all 7 cases with successful rate of 100%. For all cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that of preoperation together with subsidence of jaundice satisfactorily for 100% after the treatment. Conclusions: Percutaneous placement of biliary metallic stents was effective economic, minimal invasive and safe for palliation of biliary recurrent jaundice after T tube drainage in cholangiocarcinoma-induced obstructive jaundice

2002-10-01

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British Library Electronic Table of Contents (United Kingdom)

Background The Norwood procedure consists of three palliative operations, performed in neonates with hypoplastic left heart syndrome. Especially the first stage (Norwood I) is associated with the highest mortality rates in paediatric cardiac surgery (up to 25%). During surgery, the aorta is reconstructed and a systemic-to-pulmonary shunt is applied. Originally the modified Blalock-Taussig shunt was used, but recently the right-ventricle-to-pulmonary-artery shunt is increasingly being employed. We reviewed the results of our operative strategy, where an individualised choice of shunt is made. Furthermore, attempts to reduce interstage mortality (between Norwood I and II) were assessed. Methods All neonates who underwent Norwood stage I palliation from August 2004 until November 2010 were in...

2011-01-01

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Depression among Alumni of Foster Care: Decreasing Rates through Improvement of Experiences in Care

Care programmes and integrated care pathways

The Northwest Foster Care Alumni Study examined the relation between experiences in foster care and depression among young adults who spent at least a year in foster care as adolescents. Results indicate that preparation for leaving foster care, nurturing supports from the foster family, school stability, access to tutoring, access to therapeutic service and support, and a shorter and more stable placement history were associated with a lower probability of depression in young adulthood. Results provide evidence that suggest ways to improve practice to decrease rates of depression among alumni of care. (Contains 2 tables.)

2008-12-01

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British Library Electronic Table of Contents (United Kingdom)

Purpose - The article discusses how care programmes and integrated care pathways can be linked, finding ways to improve healthcare process professional and logistical quality from a supply chain and a network point-of-view. Design/methodology/approach - The authors argue that owing to cost containment goals and increasing healthcare demand, healthcare services systems are challenged to improve service quality, whilst at the same time finding ways to improve delivery processes. It explores if the combination of two instruments, care programmes and integrated care pathways, can meet both goals. This combination is illustrated by an example from the Institute of Mental Health Care Eindhoven en de Kempen. Findings - Analysis suggests that care programmes can be combined with integrated care pa...

2008-01-01

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Most Antidepressant Use in Primary Care Is Justified; Results of the Netherlands Study of Depression and Anxiety

Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study

BackgroundDepression is a common illness, often treated in primary care. Many studies have reported undertreatment with antidepressants in primary care. Recently, some studies also...Full Text Available

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Correctional health care: implications for public health policy.

BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced...Full Text Available

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

"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional...Full Text Available

2002-05-01

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A comparison of the level of care predictions of six long-term care patient assessment systems.

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

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A Patient Survey Assessing the Awareness and Acceptability of the Emergency Care Summary and Its Consent Model in Scotland

Six patient assessment systems that have explicit decision rules for replicating team judgments on level of care patient placement were selected for analysis. The six were selected because of their...Full Text Available

1980-11-01

43

The Confidence in Diabetes Self-Care Scale

BackgroundThe Emergency Care Summary (ECS) was introduced in 2006 to allow aspects of the general practitioner (GP; family doctor, equivalent to primary care physician) medical record...Full Text Available

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Telephone-Based Psychiatric Referral-Care Management Intervention Health Outcomes

OBJECTIVETo examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy...Full Text Available

2003-03-01

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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

46

Nemours Foundation

Costs of ambulatory care related to female pelvic floor disorders in the United States

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

47

Barriers to Initiating Depression Treatment in Primary Care Practice

OBJECTIVETo evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.STUDY DESIGNFull Text Available

2010-05-01

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Key Performance Criteria Affecting the Most the Safety of a Nuclear Waste Long Term Storage : A Case Study Commissioned by CEA

OBJECTIVE AND DESIGNThis study used qualitative and quantitative methods to examine the reasons primary care physicians and nurses offered for their inability to initiate guideline-concordant...Full Text Available

2002-02-01

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Regulatory view of the close-out of the uranium ore mine Zirovski Vrh

As part of the work scope set in the French law on high level long lived waste R&D passed in 1991, CEA is conducting a research program to establish the scientific basis and assess the feasibility of long term storage as an option for the safe management of nuclear waste for periods as long as centuries. This goal is a significant departure from the current industrial practice where storage facilities are usually built to last only a few decades. From a technical viewpoint such an extension in time seems feasible provided care and maintenance is exercised. Considering such long periods of time, the risk for Society of loosing oversight and control of such a facility is real, which triggers the question of whether and how long term storage safety can be actually achieved. Therefore CEA commissioned a study (1) in which MUTADIS Consultants (2) and CEPN (3) were both involved. The case study looks into several past and ...

2003-02-24

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Investigation of Heat Transfer in Supercritical Fluids for Application to the Generation IV

The production of the uranium mine Zirovski Vrh ceased in 1990. The main remaining problem of the remadiation are mine and mill tailings. The uranium mine Zirovski Vrh has one mill tailings site Borst and one waste pile Jazbec. According to the Act on protection against ionising radiation and nuclear safety which was adopted by the Parliament in 2002, they are classified as radiation facilities. Slovenian Nuclear Safety Administration (SNSA) is authorised for issuing a mandatory consent to mining work. The SNSA prepared the initial proposal of content of the safety report for the mine waste pile Jazbec. In 2005, according to the detailed content of this document, the public company Zirovski Vrh Ltd prepared the safety report which was examined by an authorised expert for radiation and nuclear safety. After a careful revision of the safety evaluation report, the consensus for mining work shall be issued by the SNSA. After finishing the mining ...

2005-09-05

51

Detection of concealed mercury with thermal neutrons

Using a facility named SPHINX, which can accommodate a heat transfer test with CO{sub 2} at supercritical pressure, a series of tests was performed. The test geometries include tubes with the inner diameter of 4.4, 6.32 and 9 mm. a concentric annular passages with 8 x 10 mm, and an eccentric annular passages with 9.5 x 12.5 mm. Based on the test results, heat transfer correlations were developed and compared with the existing correlations. The heat transfer deterioration which may occur at certain conditions of heat and mass flux, were carefully studied and the published criteria were reviewed against our test results. Numerical calculation by using commercial CFD code, Fluent, were performed in order to provide the pre-test information for the heat transfer tests. Various turbulence models were evaluated and reliable models were suggested for each case

2007-08-15

52

Controlling federal costs for coal liquefaction program hinges on management and contracting improvements

In the United States today, governments at all levels and the citizenry are paying increasing attention to the effects, both real and hypothetical, of industrial activity on the environment. Responsible modem industries, reflecting this heightened public and regulatory awareness, are either substituting benign materials for hazardous ones, or using hazardous materials only under carefully controlled conditions. In addition, present-day environmental consciousness dictates that we deal responsibly with legacy wastes. The decontamination and decommissioning (D&D) of facilities at which mercury was used or processed presents a variety of challenges. Elemental mercury is a liquid at room temperature and readily evaporates in air. In large mercury-laden buildings, droplets may evaporate from one area only to recondense in other cooler areas. The rate of evaporation is a function of humidity and temperature; consequently, different parts of a ...

1994-08-18

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Validation of the Simplified Acute Physiology Score 3 scoring system in a Korean intensive care unit.

GAO's review of the H-Coal and Exxon projects showed inadequacies in DOE's contracting practices and a failure by DOE to properly plan, manage, and monitor, especially the H-Coal project. The initial Government-industry H-Coal agreements regarding the level of investment by private sponsors and the ceilings imposed on sharing in cost growth were imbalanced. Larger investments by private sponsors and sharing of cost growth provides an incentive to private sponsors to control costs and helps to assure that each party is fully committed to the success of the project. DOE started the H-Coal project prematurely before sufficiently detailed designs were available and without adequate project planning for functions such as construction scheduling, materials handling, inventory systems, and quality control. DOE staffing was inadequate at both projects to effectively monitor progress and contribute to timely decisions. Its contracts for the H-Coal plants were poorly written ...

1981-02-04

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The canine ehrlichiosis (tropical canine pancytopenia) epizootic in Vietnam and its implications for the veterinary care of military workingn> dogs.

Full Text Available

2011-01-01

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The appropriateness of fear appeal use for health care marketing to the elderly: is it OK to scare granny?

PMID:6429572

1984-06-01

56

PMID:11659561

1993-01-01

57

Prenatal Care Visits

Can a mixed health care system be desirable on equity grounds ?

... a test for HIV, the virus that causes AIDS. Do a Pap smear to check for cervical ...

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Norwegian Open Research Archives (NORA)

Full Text Available

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Advance Supply of Emergency Contraception Compared to Routine Postpartum Care in Teens

A medication-estimated health status measure for predicting primary care visits: the Long-Term Therapeutic Groups Index.

Post Partum

2011-08-08

60

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

PMID:19923207

2009-11-18

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Percutaneous Treatment of Malignant Jaundice Due to Extrahepatic Cholangiocarcinoma: Covered Viabil Stent Versus Uncovered Wallstents

Full Text Available

2003-08-01

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Intra-arterial injection of 131-I-Lipiodol in the treatment of hepato-cellular carcinoma; Lipiocis et carcinome hepato-cellulaire

To compare clinical effectiveness of Viabil-covered stents versus uncovered metallic Wallstents, for palliation of malignant jaundice due to extrahepatic cholangiocarcinoma, 60 patients were enrolled in a prospective and randomized study. In half of the patients a bare Wallstent was used, and in the other half a Viabil biliary stent. Patients were followed up until death. Primary patency, survival, complication rates, and mean cost were calculated in both groups. Stent dysfunction occurred in 9 (30%) patients in the bare stent group after a mean period of 133.1 days and in 4 (13.3%) patients in the covered stent group after a mean of 179.5 days. The incidence of stent dysfunction was significantly lower in the covered stent group (P = 0.046). Tumor ingrowth occurred exclusively in the bare stent group (P = 0.007). Median survival was 180.5 days for the Wallstent and 243.5 days for the Viabil group (P = 0.039). Complications and mean cost were similar in the two ...

2010-02-01

63

Breast carcinoma en cuirasse; Pathophysiology and rotational subtotal skin electron beam therapy (SSEBT), a new technique

The incidence of hepatocellular carcinoma (HCC) is increasing in developed countries and the general status of HCC patients is now by far better than a few years ago, allowing physicians to propose some different treatments of these patients. Among these treatments, intra-arterial injection of 131-iodine-labelled Lipiodol could be used in palliative, curative or adjuvant settings. After a brief summary of the modalities of this treatment, requiring the collaboration of Gastro-enterologists, Oncologists, Radiologists and Nuclear Medicine physicians, the different possibilities of therapeutic uses of this new approach are described and an outlook of these developments is proposed. (author)

2001-11-01

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A Covered Nitinol Stent Fracture in a Patient with a Malignant Esophageal Stricture: A Case Report

Carcinoma en cuirasse of the breast, which invades the skin via lymphatics and may encase the entire thorax and abdomen, is poorly controlled by surgery, chemotherapy, or conventional irradiation. Palliation of patients with breast carcinoma en cuirasse is a difficult clinical problem which must be effectively managed over extended periods due to the indolent nature of this disease. The management of three cases is reported, and the new technique of rotational subtotal skin electron-beam therapy (SSEBT) is presented. (author).

1989-04-01

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University of Central Lancashire - Facilities

Self-expanding metallic stent insertion has been widely applied for the palliative treatment of malignant esophageal strictures. Although it is known as an easy, safe, and effective procedure, complications are well known and include things such as stent migration and esophageal stent occlusion caused by tumor in growth. However, metallic stent fractures have been rarely reported in the esophagus, especially for nitinol stents. We report a case of a stent fracture associated with migration in a patient with a malignant esophageal stricture near the gastroesophageal junction. It is highly probable that the stent fracture was due to chemical erosion of the stent caused by gastric juice

2008-11-15

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Transarterial Chemoembolization (TACE) for Inoperable Intrahepatic Cholangiocarcinoma

...specialised laboratories for pharmaceutics, tissue culture and molecular biology Excellent Laboratory Facilities Tissue Culture Facilities Molecular Biology Laboratory ...

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Palliative hepatic intraarterial chemotherapy (HIC) using a novel combination of gemcitabine and mitomycin C: results in hepatic metastases

The aim of this retrospective study was to determine the safety and efficacy of chemoembolization (TACE) as palliative treatment for patients with unresectable intrahepatic cholangiocarcinoma (CCA) and to compare the results with those in the literature. Fifteen patients with histology-proven CCA (5 men, 10 women) had received palliative treatment with TACE over a 6-year period. The treatment protocol comprised repeated TACE at a minimum of 8-week intervals. TACE was performed with a mixture of 10 ml Lipiodol and 10 mg mitomycin C injected into the tumor-supplying vessels. Follow-up investigations after 8-10 weeks comprised contrast-enhanced multislice spiral CT and laboratory control. Statistical evaluation included survival analysis using the Kaplan-Meier method. During the investigation period 58 TACEs (3.9 #+-# 3.8; 1-15) were performed in 15 patients. Mean tumor size was 10.8 #+-# 4.6 cm (range, 2.0-18.0 cm). Unifocal tumor disease was ...

2007-11-01

68

Malignant duodenal obstructions: palliative treatment with covered expandable nitinol stent

To evaluate repeated hepatic intraarterial chemotherapy (HIC) as a palliative treatment option for unresectable cholangiocarcinoma and liver metastases of various origins that were progressive under systemic chemotherapy. Between 2002 and 2006, 55 patients were treated in 4-week intervals (mean five sessions). Combined gemcitabine/mitomycin was administered intraarterially within 1 h. Tumor response was evaluated after the third session according to RECIST. Treated tumor entities were colorectal carcinoma (CRC) (n = 12), breast cancer (BC) (n = 12), cholangiocarcinoma (CCC) (n = 10), pancreatic (n = 4), ovarian (n = 3), gastric, cervical, papillary (each n = 2), prostate, esophageal carcinoma, leiomyosarcoma (each n = 1), cancer of unknown primacy (CUP) (n = 5). All patients tolerated the treatment well without any major side effects or complications. In total, there were 1 complete response (CR), 19 partial responses (PR), 19 stable (SD) and 16 progressive ...

2008-03-01

69

Historical Doses from Tritiated Water and Tritiated Hydrogen Gas Released to the Atmosphere from Lawrence Livermore National Laboratory (LLNL). Part 2. LLNL Annual Site-specific Data, 1953 - 2003

To evaluate the feasibility and clinical effectiveness of using a polyurethane-covered expandable nitinol stent in the palliative treatment of malignant duodenal obstruction. Under fluoroscopic guidance, a polyurethane-covered expandable nitinol stent was placed in 12 consecutive patients with malignant duodenal obstructions. All presented with severe nausea and recurrent vomiting. The underlying causes of obstruction were duodenal carcinoma (n=4), pancreatic carcinoma (n=4), gall bladder carcinoma (n=2), distal CBD carcinoma (n=1), and uterine cervical carcinoma (n=1). The sites of obstruction were part I (n=1), part II (n=8), and III (n=3). Due to pre-existing jaundice, eight patients with part II obstructions underwent biliary decompression prior to stent placement. An introducer sheath with a 6-mm outer diameter and stents 16 mm in diameter were employed, and to place the stent, and after-loading technique was used. Stent placement was technically successful in ...

2002-04-01

70

Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois.

It is planned to use the tritium dose model, DCART (Doses from Chronic Atmospheric Releases of Tritium), to reconstruct dose to the hypothetical maximally exposed individual from annual routine releases of tritiated water (HTO) and tritiated hydrogen gas (HT) from all Lawrence Livermore National Laboratory (LLNL) facilities and from the Sandia National (SNL) Laboratory's Tritium Research Laboratory over the last fifty years. DCART has been described in Part 1 of ''Historical Doses From Tritiated Water And Tritiated Hydrogen Gas Released To The Atmosphere from Lawrence Livermore National Laboratory (LLNL)'' (UCRL-TR-205083). This report (Part 2) summarizes information about annual routine releases of tritium from LLNL (and SNL) since 1953. Historical records were used to derive facility-specific annual data (e.g., source terms, dilution factors, ambient air concentrations, meteorological data, ...

2005-03-07

71

Using data warehousing and OLAP in public health care.

The study examines the question of whether or not civilian marketing practices and principles can be applied in the military care setting. Using the NRMC Great Lakes as a basis, the answer is yes--consumers of military medical care are ready to be the rec...

1983-01-01

72

The management of children with chronic fatigue syndrome-like illness in primary care: a cross-sectional study

The paper describes the possibilities of using data warehousing and OLAP technologies in public health care in general and then our own experience with these technologies gained during the implementation...Full Text Available

2000-01-01

73

The Perceived Care Needs of Breast Cancer Patients in Korea

BackgroundMost studies on children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) have been undertaken in tertiary care and little is known about their management...Full Text Available

2006-01-01

74

Telephone consulting in primary care: a triangulated qualitative study of patients and providers

By analyzing the data of 459 patients who completed the Supportive Care Needs Survey (SCNS), the prevalence, medical and non-medical predictors of unmet needs were investigated. Breast cancer patients...Full Text Available

2006-08-31

75

Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers

BackgroundInternationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of...Full Text Available

2009-06-01

76

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study

BackgroundWith a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing...Full Text Available

77

Should fresh blood be recommended for intensive care patients?

Objectives To evaluate the extent to which intensive care units participating in the initial Keystone ICU project sustained reductions in rates of catheter related bloodstream infections.Design...Full Text Available

2010-01-01

78

Robust parameter extraction for decision support using multimodal intensive care data

Fresh blood has many potential advantages over older blood, but there is no evidence that these properties translate into clinical benefit for intensive care patients. The observational multicenter...Full Text Available

2010-01-01

79

Restructuring Primary Health Care Markets in New Zealand: from Welfare Benefits to Insurance Markets

Digital information flow within the intensive care unit (ICU) continues to grow, with advances in technology and computational biology. Recent developments in the integration and archiving of these...Full Text Available

2009-01-28

80

Psychology and health: contributions of psychology to the improvement of health and health care

BackgroundNew Zealand's Primary Health Care Strategy (NZPHCS) was introduced in 2002. Its features are substantial increases in government funding delivered as capitation payments,...Full Text Available

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81

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

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the present century. Recent advances in health care have...Full Text Available

1987-01-01

82

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

OBJECTIVES:To investigate the prevalence of potential drug interactions at the intensive care unit of a university hospital in Brazil and to analyze their clinical significance.METHODS:This...Full Text Available

2011-01-01

83

Patient-Care Practices Associated With an Increased Prevalence Of Hepatitis C Virus Infection among Chronic Hemodialysis Patients

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

84

Outcome of patients with systemic rheumatic disease admitted to medical intensive care units.

ObjectiveTo identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients.Full Text Available

2011-05-01

85

Outcome of children with life-threatening asthma necessitating pediatric intensive care

The outcome of patients admitted to intensive care units is known to be influenced by such factors as age, previous health status, severity of disease, and diagnosis. To estimate the outcome of such...Full Text Available

1992-05-01

86

Migrant participation in Norwegian health care. A qualitative study using key informants

ObjectiveTo report the outcome of children with life-threatening asthma (LTA) admitted to a university Pediatric Intensive Care Unit (PICU).MethodsRetrospective...Full Text Available

87

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

Background Little is known about how migrants adapt to first-world public health systems. In Norway, patients are assigned a registered general practitioner (RGP) to provide basic care...Full Text Available

2011-03-01

88

Measuring quality of care in psychiatric emergencies: construction and evaluation of a Bayesian index.

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

1989-04-01

89

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

OBJECTIVE. This study was conducted to determine whether an index for measuring quality of care for psychiatric emergencies is reliable and valid. DATA SOURCES/STUDY SETTING. The study used primary...Full Text Available

1993-06-01

90

Lessons learned in developing community mental health care in Africa

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

91

Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system

This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview...Full Text Available

2010-10-01

92

Interference by new-generation mobile phones on critical care medical equipment

BackgroundIntegration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in...Full Text Available

93

Incorporating Patient Perspectives into the Personal Health Record: Implications for Care and Caring

IntroductionThe aim of the study was to assess and classify incidents of electromagnetic interference (EMI) by second-generation and third-generation mobile phones on critical care...Full Text Available

2007-01-01

94

Impact of the Internet on Primary Care Staff in Glasgow

Electronic personal health records (ePHRs) can potentially maximize access and coordination of health information and improve patient/clinician collaboration, patient self-management, and health outcomes....Full Text Available

95

Impact of an Electronic Medical Record on Diabetes Quality of Care

BackgroundThe Government has invested £7 million (approx. $11.5 million) to connect all Primary Care Practices in Scotland to the National Health Service...Full Text Available

96

Impact of Geographical Proximity on Health Care Seeking Behaviour in Northern Oman

PURPOSE This study was designed to evaluate the impact of electronic medical record (EMR) implementation on quality of diabetes care.METHODS We conducted a 5-year longitudinal...Full Text Available

2005-07-01

97

Has general practitioner computing made a difference to patient care? A systematic review of published reports.

Objectives:Despite its impact on health policy, the relationship between geographical proximity and health care seeking has received scant attention in the medical literature. This...Full Text Available

2008-11-01

98

Finding Answers: Information Needs of a Multidisciplinary Patient Care Team in an Emergency Department

OBJECTIVE--To review findings from studies of the influence of desktop computers on primary care consultations. DESIGN--Systematic review of world reports from 1984 to 1994. SETTING--The computerised...Full Text Available

1995-09-30

99

Evaluation of patients' assessment of day hospital care.

Emergency Departments (ED) are fast-paced, information-intensive environments where patient care team members must address their information needs quickly and accurately. We conducted a qualitative...Full Text Available

2006-01-01

100

Evaluation of Croatian Community Pharmacists' Patient Care Competencies Using the General Level Framework

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

1977-09-01

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101

Evaluating Computer Capabilities in a Primary Care Practice-Based Research Network

ObjectivesTo assess Croatian community pharmacists' patient care competencies using the General Level Framework (GLF).MethodsThe competencies of...Full Text Available

2011-03-10

102

Establishing the Irish Critical Care Trials Group: 'who wins in battle makes many calculations before the battle is fought'

PURPOSE We wanted to assess computer capabilities in a primary care practice-based research network and to understand how receptive the practices were to new ideas for automation of practice...Full Text Available

2004-09-01

103

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

Quality research, requiring large numbers of participants, in the intensive care unit (ICU) population requires multicentre collaboration. Although logistically challenging, this methodology reduces...Full Text Available

2008-01-01

104

Devising, Implementing, and Evaluating Interventions to Eliminate Health Care Disparities in Minority Children

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

1995-03-01

105

Demographics, aging and health care: is there a crisis?

Despite an accumulating body of literature addressing racial/ethnic disparities in children’s health and health care, there have been few published studies of interventions that have...Full Text Available

2009-11-01

106

Comparing the Diagnostic Performance of 2 Clinical Decision Rules to Rule Out Deep Vein Thrombosis in Primary Care Patients

Will the aging of Canada's population bankrupt the health care system? In this issue (see pages 1555 to 1560) Dr. Marie Demers reports that the increase in physician service costs for elderly people...Full Text Available

1996-12-01

107

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

PURPOSE The Wells rule is widely used for clinical assessment of patients with suspected deep vein thrombosis (DVT), especially in the secondary care setting. Recently a new clinical decision...Full Text Available

2011-01-01

108

Canadian Emergency DepartmentTriage and Acuity Scale: implementation in a tertiary care center in Saudi Arabia

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

109

Blowing in the Wind: Unanchored Patient Information Work during Cancer Care

BackgroundThe Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness....Full Text Available

110

Advances in the Clinical Care of Burned Patients

Patients do considerable information work. Technologies that help patients manage health information so they can play active roles in their health-care, such as personal health records, provide...Full Text Available

2010-01-01

111

Adjusting for Health Status in Non-Linear Models of Health Care Disparities

Very few areas of medical science have experienced more rapid development of new and beneficial treatment approaches during the past two decades than the disciplines required for total care of patients...Full Text Available

1975-10-01

112

Access Intervention in an Integrated, Prepaid Group Practice: Effects on Primary Care Physician Productivity

This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented...Full Text Available

2009-03-01

113

Accelerated surgical stay programs. A mechanism to reduce health care costs.

ObjectiveTo estimate the joint effect of a multifaceted access intervention on primary care physician (PCP) productivity in a large, integrated prepaid group practice.Data...Full Text Available

2008-10-01

114

45 CFR 162.404 - Compliance dates of the implementation of the standard unique health identifier for health care...

OBJECTIVE: To increase cost-efficiency while maintaining the standard of medical care, an accelerated surgical stay program for patients having breast surgery was instituted. SUMMARY BACKGROUND DATA:...Full Text Available

1994-04-01

115

Decomissioning Strategies for Facilities Using Radioactive Material

...dates of the implementation of the standard unique health identifier for health care providers. 162.404 Section 162.404 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA...

2010-10-01

116

CERN Document Server

Decomissioning Strategies for Facilities Using Radioactive Material

2007-01-01

117

Mental Health and Resilience: Soldiers' Perceptions about ...

... Title : Mental Health and Resilience: Soldiers' Perceptions about Psychotherapy, Medications, and Barriers to Care in the United States Military. ...

2010-10-01

118

Contact Lenses

A b s t r a c t Vo l u m e

... Exercises: Day and Night Classroom Exercises: Pinhole Focusing 3D Vision and Eye Health < Caring for Your Vision ...

119

deodorants and sportswear and silver in washing ma- chines, refrigerators, health care products,

120

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

... Obstructive Pulmonary Disease) Crohn's Disease Cystic Fibrosis Depression Diabetes - Eye Complications Diabetes - Foot Care Diabetes - Introduction Diabetes - ...

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121

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

122

Emergency medicine in Oman: current status and future challenges

British Library Electronic Table of Contents (United Kingdom)

The Sultanate of Oman has a relatively young national health care system that could demonstrate its high performance at an international level. Emergency medicine as a specialty has developed rapidly in the country over the last decade. This has involved the parallel development of local emergency residency training, prehospital emergency care, and emergency nursing programs. This article reviews the progress of emergency care practice in this country from a general primary care system toward becoming an established specialty in hospital, prehospital, and private emergency care settings. It also describes aspects of undergraduate, postgraduate, and continuous emergency medicine education in the country. Further, a glimpse into academic emergency medicine and emergency nursing is provided. ...

2009-01-01

123

Sell lumens, not kilowatts: The future for electric utilities

Radiation therapy in the treatment of hilar cholangiocarcinoma

The key to the future for electric utilities will not be found in legislation or regulation. Title VII of the Energy Policy Act of 1992 will prove to be just as ineffectual in improving the industry's position as was the Public Utility Regulatory Policies Act of 1978. These legislative palliatives, which produced so much commotion and so many reams of heated commentary, are largely irrelevant to a successful future for electric utilities. The key will be found in economics, not in law, and the future will lie in completing Thomas A. Edison's century-old vision for the industry, half of which the industry has heretofore ignored. The industry must embrace the complete vision and evolve from electric utilities into [open quotes]end-use energy utilities.[close quotes

1993-04-01

124

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

The incidence of hilar cholangiocarcinoma is very rare worldwide. Radical resection is the only prognostic factor for long survival in patients with hilar cholangiocarcinoma. Postoperative radiation therapy can improve local control and survival rates for patients with palliative resection, but it remains controversial in patients with radical resection. Biliary drainage can effectively release bile duct obstruction for the majority of patients with locally advanced disease, and may even prolong survival when combined with radiation therapy. Radiation therapy includes extrernal beam therapy alone, external beam therapy with intraluminal brachytheapy and new radiation technique, such as three dimentional conformal therapy and intensity modulated radiation therapy. The propective randomized clinical study is needed for further investigation in the role of combined modality therapy especially for hilar cholangiocarcinoma. (authors)

2007-10-01

125

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

126

Energy concepts and the environment

Aluminium Phosphide-Induced Esophageal Stricture Palliation with Polyflex Stent

The paper discusses a number of recent studies investigating into the energy conservation and environmental impacts of electric heating systems (off-peak storage systems). In future, i.e. in and after 1993, off-peak storage systems will be evaluated through comparative analyses of oil-fired heating systems, pollutant emission analyses, the eventual success of pollution abatement measures designed for power plant emissions to keep within the legal limiting values, and the possible abandonment of pollution abatement measures abroad. Opposing the electric heating studies submitted by the electric power industry the author refutes their favourable results referring to the palliative selection of inadequate or vague parameters. Assuming average power plant pollutant emissions of 180 mg/standard/sup 3/ the nitrogen oxide emissions of oil-fired heating systems (134.1 kg/Tj) are found to be below those of off-peak storage systems (242.5 kg/Tj).

1988-03-01

127

British Library Electronic Table of Contents (United Kingdom)

A 21-year-old woman developed midesophageal stricture two weeks after ingestion of aluminium phosphide (AlP) tablets. Aluminium phosphide is a lethal protoplasmic toxin and is also the most common cause of suicidal poisoning in northern India. Upper gastrointestinal endoscopy (UGIE) showed a tight esophageal stricture 29?cm from the incisors with a circumferential ulcer. Dilatation up to 17?mm was done using Savary-Gilliard dilators. She had repeated dilatations three times at nearly two-week intervals. In view of the resistant stricture, a silicone Polyflex stent was placed across the stricture and removed after 3?months; there was no recurrence of stricture even after three months of follow-up. Patients with recurrent esophageal stricture and those with fistula may benefit from silicone ...

2008-01-01

128

Global positioning automatic vehicle location system

Frontiers of Nuclear Astrophysics

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

1997-03-01

129

Feasibility of /sup 252/Cf source driven neutron noise measurements in water moderated reactors

The main goals of nuclear astrophysics have been to probe the interiors of stars, stellar explosions, the early moments of cosmic expansion, and the formation and evolution of galaxies and cosmic structure by measurement and application of the relevant nuclear physics. The approach to these goals have generally been from three directions: 1) Careful measurements of the relevant nuclear reactions; 2) Detailed computer models of the relevant astrophysical environments; and 3) Observations of the relevant terrestrial and extra-terrestrial atomic and isotopic abundances. These approaches provide not only insight into the formation and evolution of the elements, but are also pillars upon which a variety of cosmological models as well as models for physics beyond the standard model of particle physics can stand or fall. At present there is a very exciting frontier on all three of these approaches. The development and applications of radioactive-ion-beam and ...

2008-06-01

130

F-Area Seepage Basins groundwater monitoring report -- third and fourth quarters 1993. Volume 1

Previous experiments in fast critical assemblies demonstrated a method of determining reactivity from power spectral density measurements with /sup 252/Cf. This method determines reactivity from properties of the reactor only at the subcritical state of interest, thus it does not require a calibration near delayed criticality. The interpretation of the measured data to obtain reactivity does not require knowledge of the relative or absolute values of the source intensity, knowledge of the detection efficiencies, or knowledge of the detection instrumentation frequency responses. An experiment was performed at the Pool Critical Assembly to evaluate the possibility of /sup 252/Cf source driven neutron noise spectral density measurements in light water moderated reactors. This experiment showed that using commercially available detectors, such measurements can be performed in a reasonable time, that is, the measurement of the quantity of interest (the ratio of spectral densities directly ...

1980-01-01

131

The Plan on the Seismic Design of Electrical Facility Installed in the Building

During the second half of 1993, the groundwater at the F-Area Seepage Basins (FASB) was monitored in compliance with Module 3, Section C, of South Carolina Hazardous Waste Permit SC1-890-008-989, effective November 2, 1992. The monitoring well network is composed of 87 FSB wells screened in the three hydrostratigraphic units that make up the uppermost aquifer beneath the FASB. A detailed description of the uppermost aquifer is included in the Resource Conservation and Recovery Act Part B post-closure care permit application for the F-Area Hazardous Waste Management Facility submitted to the South Carolina Department of Health and Environmental Control (SCDHEC) in December 1990. Beginning in the first quarter of 1993, the standard for comparison became the SCDHEC Groundwater Protection Standard (GWPS) specified in the approved F-Area Seepage Basins Part B permit. Currently and historically, gross alpha, nitrate, nonvolatile beta, and tritium are ...

1994-03-01

132

Indian Academy of Sciences (India)

Full Text Available

2009-02-01

133

PPT Slide

central server with search facility involving all partner journals ...

134

Modeling characterization of the National Ignition Facility focal spot

LOS ALAMOS PLUTONIUM FACILITY WASTE MANAGEMENT SYSTEM

No abstract available.

1998-01-16

135

Fast Flux Test Facility (FFTF) Shutdown Activities

No abstract prepared.

2000-01-01

136

Fast Flux Test Facility (FFTF) Background & Status

No abstract prepared.

2001-06-01

137

Facile Route to Laterally Graded Nanotemplate

No abstract prepared.

2001-06-01

138

Developmental Solutions of Commercial Sports Facilities

Full Text Available

2009-05-01

139

Integrated Safeguards proposal for Finland. Final report on Task FIN C 1264 of the Finnish Support Programme to IAEA Safeguards

Full Text Available

2009-08-01

140

Challenges for Lithuania: Ignalina NPP Early Closure

The IAEA has requested several member states to present their proposal of the application of the Integrated Safeguards (IS) system in their nuclear facilities. This report contains a IS proposal for Finland prepared under the Task FIN C 1264 of The Finnish Support Programme to IAEA Safeguards. The comprehensive safeguards system of the International Atomic Energy Agency (IAEA) has been one of the main tools in the fight against nuclear proliferation since the entry-into-force of the Nuclear Non-proliferation Treaty three decades ago. In the 1990s some of the inherent weaknesses of this so-called traditional safeguards system were revealed first in Iraq and then in North Korea. Therefore, the member states of the LAEA decided to give the Agency additional legal authority in order to make its control system more effective as well as more efficient than before. This was accomplished by the approval of the so-called Model Additional Protocol (INFCIRC/540) in 1997. ...

2000-08-01

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141

Treatment of Malignant Biliary Obstruction with a PTFE-Covered Self-Expandable Nitinol Stent

As a condition of accession into the European Union (EU), Lithuania is committed to the closure and decommissioning of Ignalina NPP comprising two RBMK-1500 reactor units (Fig. 1). It was agreed in a special protocol to the Accession Treaty that, in return for adequate EU financial assistance, Unit 1 would be closed before 2005 and Unit 2 by the end of 2009. The first unit was duly shut down on December 31, 2004. Lithuania, which has borders with Russia (Kaliningrad territory), Poland, Latvia and Belarus, spent fifty years as part of the Soviet Union and was deeply integrated into its economy and electrical infrastructure. At the break-up of the USSR, Lithuania inherited electricity generating capacity designed to supply the north-west region including ownership of Ignalina NPP located in the north-east of the country. Ignalina NPP Unit 1 was commissioned in 1983, Unit 2 in 1987; the planned lifespan of each unit was 30 years. Construction of a third unit was started but never ...

2008-01-01

142

Self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent for the palliative treatment of malignant biliary obstruction

We wanted to determine the technical and clinical efficacy of using a PTFE-covered self-expandable nitinol stent for the palliative treatment of malignant biliary obstruction. Thirty-seven patients with common bile duct strictures caused by malignant disease were treated by placing a total of 37 nitinol PTFE stents. These stents were covered with PTFE with the exception of the last 5 mm at each end; the stent had an unconstrained diameter of 10 mm and a total length of 50 80 mm. The patient survival rate and stent patency rate were calculated by performing Kaplan-Meier survival analysis. The bilirubin, serum amylase and lipase levels before and after stent placement were measured and then compared using a Wilcoxon signed-rank test. The average follow-up duration was 27.9 weeks (range: 2 81 weeks). Placement was successful in all cases. Seventy-six percent of the patients (28/37) experienced adequate palliative drainage for the remainder of ...

2007-10-15

143

Endovascular treatment of intrahepatic inferior vena cava obstruction from malignant hepatocellular tumor thrombus utilizing Luminexx self-expanding nitinol stents

We wanted to determine the technical and clinical efficacy of placing a self-expandable PTFE-covered nitinol stent for the management of inoperable malignant biliary obstruction. Thirty six patients with inoperable malignant biliary obstructions were treated by placement of self-expandable PTFE-covered nitinol stents (S and G Biotech Corporation, Seongnam, Korea). Clinical evaluation was done with assessment of the serum bilirubin and alkaline phosphatase levels, which were measured before and after stent placement within 1 week, at 1 month and at 3 months. The patient survival rate and stent patency rate were calculated with performing Kaplan-Meier survival analysis. Successful stent placement was achieved in all the patients without procedure-related complication. Pancreatitis as an early complication occurred in two cases. The serum bilirubin and alkaline phosphatase levels were significantly decreased after the procedure. During the follow-up, recurrent obstructive jaundice ...

2008-06-15

144

A Dual Expandable Nitinol Stent: The Long-term Results in Patients with Malignant Gastroduodenal Strictures

Inferior vena cava (IVC) obstruction is a well-described clinical entity. Most IVC obstructions from malignant neoplasms are a direct result of tumor compression [Oviedo J, Cerda S. Vascular invasion by hepatocellular carcinoma. Arch Pathol Lab Med 2001;125: 454-5; Furui S, Sawada S, et al. Gianturco stent placement in malignant caval obstruction: analysis of factors for predicting the outcome. Radiology 1995;195:147-52; Fletcher WS, Lakin PC, et al. Results of treatment of inferior vena cava syndrome with expandable metallic stents. Arch Surg 1998;133:935-8]. The symptoms of IVC obstruction include progressive ascites, scrotal edema and lower body edema. These constellations of symptoms are described as IVC syndrome and are devastating to a patient with end-stage cancer. We describe a palliative therapy utilizing Luminexx nitinol self-expanding stents to treat intracaval hepatoma thrombus obstructing the IVC. The procedure is rapidly performed, technically ...

2008-05-15

145

Update on well-baby and well-child care from 0 to 5 years

We wanted to evaluate the long-term results of a dual expandable nitinol stent for the palliative treatment of malignant gastroduodenal strictures. The dual stent consists of two stents; an outer partially nylon covered stent and an inner bare nitinol stent. The outer stent was placed into the stricture and this was followed by coaxial placement of the inner bare stent. Using fluoroscopic guidance, dual expandable stents were placed in 86 patients with inoperable malignant gastroduodenal strictures. The technical and clinical success, the complication, survival and the stent patency were evaluated during the follow-up period. Stent placement was technically successful in 83 of the 86 patients. After stent placement, 74 of the 85 patients showed improvement of their symptoms. During the mean follow-up period of 133 days, 24 patients (28%) developed recurrent symptoms due to incomplete expansion (n=1), stent migration (n=4), food impaction (n=2), granulation tissue ...

2009-12-15

146

Americans' political participation in the 1993-94 national health care reform debate.

AbstractOBJECTIVETo provide an overview of the 2009 edition of the Rourke Baby Record (RBR), which incorporates recent research in the literature relating to preventive health care for children aged 0 to 5 years.QUALITY OF EVIDENCERecommendations are identified as supported by good, fair, or consensus evidence, according to the classification of the Canadian Task Force on Preventive Health Care.MAIN MESSAGENew information and recommendations are given for growth monitoring, nutrition, developmental surveillance, physical examination maneuvers, immunization schedules, and advice for parents. Anticipatory guidance updates relate to injury prevention, infant swaddling, literacy facilitation, nonparental child care, parenting skills programs, serum lead levels, over-the-counter cough and cold medications, pacifiers, antipyretics, insect repellents, and dental care and oral health. The 2009 RBR is available ...

2010-12-01

147

A T-2 translational research perspective on interventions to improve post-fracture osteoporosis care

The health politics and policy communities are still struggling with the question of "what went wrong" in the 1993-94 health care reform effort. Here I identify which Americans were politically active and inactive during the health care reform debate to explore the role political participation may have had in determining the outcome of the debate. Using data from a national and California random-sample telephone surveys, and controlling for other demographic attributes, I found that those who engaged in political activity specifically related to health care reform were disproportionately more likely to be self-identified conservatives, less likely to favor an employer mandate plan, more likely to be fifty to sixty-four years old, more likely to be men, and more likely to have greater interest in and knowledge of the health care issue. Even in California, where a single-payer proposal was on the November ...

1996-01-01

148

British Library Electronic Table of Contents (United Kingdom)

The objectives of this paper are to: quickly outline the extent of the care gap in osteoporosis; define T-2 (knowledge) translation and its relationship to quality improvement; discuss the barriers to best practice in osteoporosis care after a fracture; convey the importance of rigor in design and evaluation of translational interventions by drawing upon examples from the broader literature; describe in some detail a series of post-fracture intervention trials conducted in Alberta, Canada; and make some conclusions specifically about osteoporosis interventions and more generally about T-2 translational research.

2011-01-01

149

Wiswell, Thomas CV

Update on Medications With Adverse Skeletal Effects

... Ashton WS, Puntel RA, Wiswell TE. A rapid and readily available repair of the peripherally inserted central catheter in the nursery. NEONATAL INTENSIVE CARE 11 ...

150

Trimethoprim sulphamethoxazole in neonatal Flavobacterium meningosepticum infection.

Patients rely on their primary care physician to manage multiple, often chronic medical conditions that require prescription medications. Balancing the risk to benefit of treatments can be challenging...Full Text Available

2011-04-01

151

Treatment of persons exposed in radiation accidents or nuclear explosions. Omhaendertagande av skadade vid radiakolyckor och kaernvapenexplosioner

During an outbreak of Flavobacterium meningosepticum septicaemia in a neonatal intensive care unit 9 infants were treated with intravenous trimethoprim sulphamethoxazole. Bacteriological cure was achieved...Full Text Available

1984-06-01

152

Tightly-Coupled Image-Aided Inertial Navigation Using the ...

The report gives general principles of treatment and care of casualties caused by radiation accidents or nuclear explosions.

1991-01-01

153

Specialist clinics: a better way to care?

... The unscented "sigma-point" Kalman filter "UKF ... set of carefully chosen sample points. ... Descriptors : *KALMAN FILTERING, *INERTIAL NAVIGATION ...

154

Practices for caring in nursing: Brazilian research groups

A questionnaire on the development of specialist clinics was distributed to the members of the Association of British Neurologists and completed by 104 members (85 consultants). Half of the respondents...Full Text Available

1992-03-01

155

British Library Electronic Table of Contents (United Kingdom)

ERDMANN A.L., DE ANDRADE S.R., FERREIRA DE MELLO A.L., KLOCK P., DO NASCIMENTO K.C., SANTOS KOERICH M. & STEIN BACKES D. (2011) Practices for caring in nursing: Brazilian research groups. International Nursing Review58, 379-385 Background:- The present study considers the production of knowledge and the interactions in the environment of research and their relationships in the system of caring in nursing and health. Aim:- To elaborate a theoretical model of the organization of the practices used for caring, based on the experiences made by the research groups of administration and management in nursing, in Brazil. Methods:- The study is based on grounded theory. Twelve leaders of research groups, working as professors in public universities in the south and the south-east of Brazil, distri...

2011-01-01

156

Polymorbidity in diabetes in older people: consequences for care and vocational training

Medical Conditions of Nursing Home Admissions

ObjectiveTo investigate the prevalence of complicating and concurrent morbidities in older diabetic patients and to evaluate to what extent their occurrence affects the burden of...Full Text Available

2007-12-01

157

Long wave cares for cost optimization during smart-meter-services. New application of rf systems; Langwelle sorgt fuer Kostenoptimierung bei Smart-Meter-Diensten. Neue Anwendungen der Funk-Rundsteuerung

BackgroundAs long-term nursing home care is likely to increase with the aging of the population, identifying chronic medical conditions is of particular interest. Although need factors...Full Text Available

158

Issues of security and network security in Health Care Information Systems.

No abstract prepared.

2011-02-14

159

Insurgency in Ancient Times: The Jewish Revolts Against the ...

A Health Care Establishment (HCE) is an establishment where medical services are rendered. The above services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. Previously, IT equipment consisted solely of stand-alone systems, whereas in recent years, the trend has been towards computer networks and distributed systems in HCEs. The spread of distributed information technology in HCEs have necessitated the implementation of Security in HCISs, to assure confidentiality, integrity and availability of HCE information. This paper discusses the issues of Security and Network Security in Health Care Information Systems (HCISs). It also suggests a method in establishing Network Security Guidelines and describes Principles for the provision of Network Security in HCEs. PMID:10163736

1996-01-01

160

Implementing network security guidelines in health care information systems.

... 82 Ibid, 200. 83 Ibid, 200. 84 Ibid, 201. 43 Page 49. care to hunt down and execute all that claimed to be from the house of David. They considered ...

2005-05-26

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

161

Implementation of an Intravenous/Phlebotomy Team at Walter ...

A Health Care Establishment (HCE) is an establishment where medical services are rendered. These services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. The spread of distributed information technology in HCEs have necessitated the implementation of Network Security in Health Care Information System (HCISs), to assure confidentiality, integrity and availability of HC information being transmitted across HC networks. This paper presents a road map in implementing Network Security guidelines for the provision of Network Security in HCEs, work carried out within the Secure Environment for Information Systems in Medicine (SEISMED) project under the Advanced Informatics in Medicine (AIM) programme. PMID:8591295

1995-01-01

162

Healthy Nutrition: Breastfeeding

... dressing changes and site care, mid-line placement, placement of peripherally inserted central catheters, heparin locks, and patient education. ...

1993-08-01

163

Health Information Technology and Physician Career Satisfaction

Ages & Stages Prenatal Delivery & Beyond Decisions to Make Baby: 0-12 mos. Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie ...

164

FIVE YEAR REPORT ON THE MEDICAL FOLLOW UP OF MARSHALLESE RECEIVING SPECIAL MEDICAL CARE RELATED TO 1954 BRAVO FALLOUT RADIATION (JANUARY 1992-1996).

PurposeHealth information technology (HIT) and physician career satisfaction are associated with higher-quality medical care. However, the link between HIT and physician...Full Text Available

165

Distributed Computer Networks in Support of Complex Group Practices

No abstract prepared.

1999-06-01

166

Cost-effectiveness of educational outreach to primary care nurses to increase tuberculosis case detection and improve respiratory care: economic evaluation alongside a randomised trial

The economics of medical computer networks are presented in context with the patient care and administrative goals of medical networks. Design alternatives and network topologies are discussed with...Full Text Available

1978-11-09

167

British Library Electronic Table of Contents (United Kingdom)

Summary Objective To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses. Methods Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases. The study included 1999 patients aged 15 or over with cough or difficult breathing, attending 40 primary care clinics staffed by nurses in the Free State province. They were interviewed at first presentation, and 1856 (93%) were interviewed 3 months late...

2010-01-01

168

Controlling Endemic Cholera with Oral Vaccines

Chronic kidney disease in children: the global perspective

BackgroundAlthough advances in rehydration therapy have made cholera a treatable disease with low case-fatality in settings with appropriate medical care, cholera continues...Full Text Available

2007-11-01

169

Care of the diabetic child in the community.

In contrast to the increasing availability of information pertaining to the care of children with chronic kidney disease (CKD) from large-scale observational and interventional studies, epidemiological...Full Text Available

2007-12-01

170

Cancer Patients' Self-Reported Attitudes About the Internet

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

1980-12-06

171

CDC - Injury - FOA CE01-015

Background Increasing numbers of cancer patients are using the Internet, but little is known about their attitudes toward online health care.Full Text Available

172

Ambulatory Care Data Base (ACDB) Data Dictionary ...

of injuries, disabilities, and deaths; and 3. Encourage professionals from a wide spectrum of disciplines such as engineering, bioengineering, medicine, health care, public...

2011-08-20

173

Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in predicting hospital mortality of neurosurgical intensive care unit patients.

... DATA ELEMENT NAME MNEZONIC M codes MCODE DATA ELEMENT NUMBER FORMAT RECORD POSITION 34 Char 172-177 6 ...

1989-11-01

174

A Bookshelf in Public Health, Medical Care, and Allied Fields

Full Text Available

2009-06-01

175

This bibliography of nonserial publications consists of 610 annotations. It is intended as a guide to the development of a collection for librarians and for health professionals in research and education....Full Text Available

1972-01-01

176

Urinary and air phthalate concentrations and self-reported use of personal care products among minority pregnant women in New York City

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

1994-10-01

177

How to become a publishing groupie: Establishing a successful local area network for your publications organization

Diethyl phthalate (DEP) and di-n-butyl phthalate (DnBP) are used extensively in personal care products, including fragrances (DEP) and nail polish (DnBP). Between May 2003 and...Full Text Available

2010-11-01

178

How to become a publishing groupie: Establishing a successful local area network for your publications organization

Implementing a successful local area network for a publications work-group isn't as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group's patterns of working together, and carefully managing the human and technological resources.

1991-01-01

179

How do patient characteristics influence informal payments for inpatient and outpatient health care in Albania: Results of logit and OLS models using Albanian LSMS 2005

Implementing a successful local area network for a publications work-group isn`t as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group`s patterns of working together, and carefully managing the human and technological resources.

1991-12-31

180

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

BackgroundInformal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the...Full Text Available

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

181

Does monitoring need for care in patients diagnosed with severe mental illness impact on Psychiatric Service Use? Comparison of monitored patients with matched controls

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

1980-03-29

182

The "Caring" Role in a Child Care Center. Staff Development Series, Military Child Care Project. Part II: Relating to Parents.

BackgroundEffectiveness of services for patients diagnosed with severe mental illness (SMI) may improve when treatment plans are needs based. A regional Cumulative Needs for Care...Full Text Available

183

Interim safety basis for fuel supply shutdown facility

Material related to routine as well as sensitive aspects of parent/day care center relationships is presented in this training module, one of a series providing staff development information for programs operated for dependents of military personnel. The module offers a brief discussion of ways caregivers can help parents feel at ease about leaving their children in child care and presents a set of multiple-choice skill-building exercises for effectively working with parents. Exercises focus on various topics, including how parents can be approached when their child may have a health problem, when child abuse or neglect is suspected, and when parental cooperation is needed to stop a child's undesirable or disruptive behavior. Exercises are also devoted to the questions of whether or not caregivers should act as advisors to parents or tell parents about their child's behavior at the center. Concluding exercises indicate how caregivers can ...

1982-04-01

184

Decommissioning of facility for use of radioisotopes on waste management and disposal facility

This ISB in conjunction with the new TSRs, will provide the required basis for interim operation or restrictions on interim operations and administrative controls for the Facility until a SAR is prepared in accordance with the new requirements. It is concluded that the risk associated with the current operational mode of the Facility, uranium closure, clean up, and transition activities required for permanent closure, are within Risk Acceptance Guidelines. The Facility is classified as a Moderate Hazard Facility because of the potential for an unmitigated fire associated with the uranium storage buildings.

1995-05-23

185

The interventional treatment for biliary re-stenosis after metallic stents placement in patients with malignant obstruction due to cholangiocarcinoma

All the tests have been finished up in the Waste Management and Disposal Facility which has been used for the safety tests of solidified radioactive waste on sea dumping disposal. The decommissioning of this facility was performed for use of radioisotopes. This report describes the plan on decommissioning of facility for use of radioisotopes, the contamination checking methods and measurement of radioactivity, the fore case and practice for amount of generated radioactive wastes, the operation procedures for dismantlement, the safety measures, the expenses for decommissioning and so on. (author)

1999-09-01

186

Percutaneous drainage of abdominal abcess

Objective: To explore the interventional treatment for biliary re-stenosis after metallic stents placement in patients due to cholangiocarcinoma and evaluate its therapeutic effect. Methods: Percutaneous metallic stents placement or combined with continuously infusion arterial chemotherapeutic and chemotherapeutic embolization were performed in 12 patients with biliary re-stenosis using 12 metallic stents. Results: Once stent placement was 100% successful in all 12 cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that in preoperation. Jaundice was reduced satisfactorily in 12 patients. 3 patients were undergone continuously arterial chemotherapeutics infusion and chemotherapeutic embolization 4 weeks after stents placement. Conclusions: Percutaneous replacement of biliary metallic stents was effective and safe for palliation of malignant biliary re-stenosis and would be much better when combined with continuously arterial ...

2002-10-01

187

Pancreatic endocrine tumours: an out-matching field of cooperation with nuclear medicine; Les tumeurs endocrines du pancreas: un domaine privilegie de la cooperation avec la medecine nucleaire

The mortality in undrained abdominal abscesses is high with a mortality rate ranging between 45 and 100%. The outcome in abdominal abscesses, however, has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, like pancreatic pseudocele or lymphocele. The single liver abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters. The pancreatic abscesses are generally drained routinely and urgently. Non-infected pancreatic pseudocysts may be simply observed unless they are symptomatic or cause problems such as pain or obstruction of the biliary or the gastrointestinal tract. Percutaneous routes that ...

2002-09-01

188

MRI of congenital heart disease in childhood

The Zollinger-Ellison syndrome (ZES) is taken as an example of the diagnostic and therapeutic strategy in gastro-entero-pancreatic endocrine tumours, given the standard characteristics of this procedure, whatever the nature of the primitive tumour. Management of ZES includes: anatomical localization of gastrinoma and of possible metastases, in 60 % of cases this step conditioning therapeutic indications and chances of cure; search of a type 1-multiple endocrine neoplasia (MEN A), in 25 % of cases; therapeutic indications: ablative surgery with curative intent in case of gastrinoma and of resectable liver metastases, palliative treatment otherwise: anti-secretory drugs, somatostatin analogues, chemotherapy and interferon {alpha}; long-term follow-up of patients with resected tumour. At each step, somatostatin receptor scintigraphy with indium 111-pentetreotide does play a pivotal role. (author). 110 refs.

1996-12-31

189

Carbon steel corrosion rates and mechanisms in aqueous nickel chloride at 300C

MRI provides a non-invasive diagnostic tool complementing echocardiography on one hand, and showing advantages over echocardiography, on the other hand, especially after corrective procedures. The multiple different MRI sequences need to be adapted to examinations of children and patients with congenital heart disease (CHD), and can be used to detect morphologic changes, blood-flow in the heart and thoracic vessels and diastolic or systolic function of myocardium. Several factors determine the success of the examination of a complex congenital heart disease or a postoperative situs. Pediatric radiologists and radiologists experienced in congenital heart diseases have to work in close cooperation. Echocardiography should be performed before MRI. The results of prior examinations and the clinical history of the patients, including possible palliative or reconstructive operations, must be available before MRI to guide the planning of the examination. With a systematic ...

2004-02-01

190

Occurrence of fecal indicator bacteria in surface waters and the subsurface aquifer in Key Largo, Florida.

Rapid corrosion of PWR steam generator carbon steel support structures and consequential denting of steam generator tubes led to considerable investigation of the mechanism of corrosion and for palliatives. The basic mechanism is now fairly well understood. Chloride present in the boiler feedwater from condenser leakage is concentrated in the support plate crevice as a result of the superheat present. This leads to the formation of a low pH acid ferrous chloride environment either through the hydrolysis of a weak base chloride such as MgCl_2 or the combined action of a neutral chloride with an oxidizing agent. Rapid attack of the carbon steel ensues with the Fe_3O_4 corrosion product forming at the metal/oxide interface. This oxide has a volume approximately twice that of the steel consumed and thus eventually fills the crevice between the tube and the support plate. Oxide growth continues leading to compression of the Alloy 600 primary tube and to distortion and ...

1985-03-01

191

Minimizing energy consumption of accelerators and storage ring facilities

Sewage waste disposal facilities in the Florida Keys include septic tanks and individual package plants in place of municipal collection facilities in most locations. In Key Largo, both facilities discharge...Full Text Available

1995-06-01

192

The efficacy of metallic stent placement in the treatment of colorectal obstruction

The discussion of energy usage falls naturally into three parts. The first is a review of what the problem is, the second is a description of steps that can be taken to conserve energy at existing facilities, and the third is a review of the implications of energy consumption on future facilities.

193

Evaluation of the residual radiation field in the proton accelerator facility of the Proton Engineering Frontier Project (PEFP) in Korea

To evaluate the efficacy of newly designed covered and non-covered coated colorectal stents for colonic decompression. Twenty-six patients, (15 palliative cases and 11 preoperative) underwent treatment for the relief of colorectal obstruction using metallic stents positioned under fluoroscopic guidance. In 24 of the 26, primary colorectal carcinoma was diagnosed, and in the remaining two, recurrent colorectal carcinoma. Twenty-one patients were randomly selected to receive either a type A or type B stent; for the remaining five, type C was used. Type A, an uncovered nitinol wire stent, was lightly coated to ensure structural integrity. Type B (flare type) and C (shoulder type) stents were polyurethane covered and their diameter was 24 and 26mm, respectively. The rates of technical success, clinical success, and complications were analyzed using the chi-square test, and to analyse the mean period of patency, the Kaplan-Meier method was used. Thirty of 31 attempted ...

2002-06-01

194

British Library Electronic Table of Contents (United Kingdom)

In Korea, the Proton Engineering Frontier Project (PEFP) is building a proton linear accelerator facility with energy up to 100MeV and a beam current of 20mA. In this study, a radiation field after shutdown in the accelerator facility of the PEFP was evaluated for the purpose of the radiation shielding by using MCNPX code. A facility modeling was performed for the accelerator tunnel building, accelerator chain, target rooms and beam experiment hall. And radiation source terms were evaluated in the facility. With this facility, model and radiation source terms, the concentration of 41Ar was evaluated and the cooling time satisfying regulation in Korea was calculated.

2007-01-01

195

Report on progress of researches by common utilization of JAERI nuclear facilities, for fiscal 1996

Foodstuff Concentrations and Relocation Considerations Following a Tritium Oxide Release from SRS Tritium Facilities

This issue is the collection of the papers on progress of researches by common utilization of JAERI nuclear facilities. The 43 of the papers are indexed individually. (J.P.N.)

1998-01-01

196

Evaluation of the Cask Transportation Facility Modifications (CTFM) compliance to DOE order 6430.1A; FINAL

The ingestion pathway consequences following an accidental tritium release from the Savannah River Site Tritium Facilities are evaluated.

1999-05-18

197

Cold vacuum drying facility design requirements; FINAL

This report was prepared to evaluate the compliance of Cask Transportation Facility Modifications (CTFM) to DOE Order 6430.1A.

198

Conversion of biomass, prediction and solution methods for ash agglomeration and related problems

This document provides the detailed design requirements for the Spent Nuclear Fuel Project Cold Vacuum Drying Facility. Process, safety, and quality assurance requirements and interfaces are specified.

199

Who is giving up the free lunch? The insured patients' decision to access health insurance benefits and its determinants: Evidence from a low-income country

When biomass is used as fuel for thermal conversion plants, minerals from the fuel can be responsible for major problems. Generally, these problems are associated with the existence and development of low melting compounds or eutectics, which form sticky layers. In a fluidised bed, this can result in bed-agglomeration and defluidisation. This causes local high temperature, which often accelerates the process. It ultimately can lead to a completely sintered bed content with a glassy phase gluing the bed particles together and shut-down of the plant. The main objective of the title project is to develop a methodology to predict ash/bed agglomeration and sintering problems, to indicate related problems and, furthermore, to identify solution methods to make different types of biomass streams more viable for energy production. Within the present study, selected fuels are subjected to different existing methods together with some new ones, in order to determine the agglomeration temperature. ...

1999-11-01

200

British Library Electronic Table of Contents (United Kingdom)

Objectives This paper examines the determinants of the insureds decision to use their health insurance card when seeking outpatient and inpatient health care in Vietnam. Methods Uses Vietnams latest Household Living Standard Survey data and random-intercept logistic regression to assess the influence of the observed individual, household and commune/ward factors on the insureds decision to access health insurance benefits while controlling for the unobserved commune/ward-specific factors. Results Compared to the compulsory enrollees, the voluntary enrollees and the beneficiaries of the Health Care Fund for the Poor are less likely to use their card when seeking inpatient care. An individuals likelihood of accessing insurance benefits varies inversely with income and the level of education,...

2009-01-01

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

201

Usage pattern of personal care products in California households

British Library Electronic Table of Contents (United Kingdom)

Given the concern over the potential for health risks associated with certain ingredients (e.g., phthalates) in personal care products, usage patterns of 30 types of personal care products (e.g., shampoo, sunscreen, fragrance, etc.) were collected in 604 California households through a telephone interview. Preferences in selecting products, e.g., scented or unscented, aerosol, and brand loyalty, were also investigated. Participants were recruited in three age groups, children (mostly preschoolers), their parents, and adults age 55 or older. Use frequencies of various product types varied by sex, age group, race, education, and climatic region. Product use by parent and child from the same household were correlated. Use frequencies of products in the same class (e.g., skincare) were moderat...

2010-01-01

202

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

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

203

Perioperative Care of a Child with Transposition of the Great Arteries

British Library Electronic Table of Contents (United Kingdom)

Opinion statement Because a minority of patients with D-transposition of the great arteries are diagnosed in utero by ultrasound, most present after delivery with cyanosis. In the absence of apparent lung disease, cyanotic neonates suspected of having a cardiac lesion should be immediately transferred to an intensive care unit at a pediatric tertiary care center for monitoring, resuscitation, and to define the cardiac anatomy and physiology. A prostaglandin E-1 infusion is usually initiated to maintain ductal patency and promote intra-cardiac mixing. In the past, balloon atrial septostomy (BAS) was routinely performed to enlarge the atrial septal defect and improve intra-cardiac mixing while the infants awaited surgery. Recent literature has reported an increase risk of stroke in neonates ...

2011-01-01

204

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

205

Patterns of preventive health services in rheumatoid arthritis patients compared to a primary care patient population

British Library Electronic Table of Contents (United Kingdom)

To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disease (CVD) in RA patients. Patients with RA (ICD-9 code 714.0 at ?2 office visits with a rheumatologist) and a primary care physician (PCP) at the Geisinger Health System (GHS) were identified through electronic health records. The records were searched back from 3/31/08 for the length of time required to satisfy each outcome measure. Percentages were compared with population testing rates using the Pearson Chi-square test. Eight hundred and thirty-one RA patients were compared to 169,476 subjects...

2011-01-01

206

Mannose-binding lectin codon 54 gene polymorphism in relation to risk of nosocomial invasive fungal infection in preterm neonates in the neonatal intensive care unit

British Library Electronic Table of Contents (United Kingdom)

Objective. Preterm neonates are susceptible to infection due to a combination of sub-optimal immunity and increased exposure to invasive organisms. Invasive fungal infections are associated with significant morbidity and mortality among preterm infants cared for in the neonatal intensive care unit (NICU). Mannose-binding lectin (MBL) is a component of the innate immune system, which may be especially important in the neonatal setting. The objective of this study was to investigate the presence of any association between MBL gene polymorphism and nosocomial invasive fungal infection in preterm neonates. Methods. Codon 54 (B allele) polymorphism in exon 1 of the MBL gene was investigated in 31 patients diagnosed as nosocomial invasive fungal infection and 30 control preterm neonates. Results...

2011-01-01

207

Improving osteoporosis care through multimodal interventions: insights from the University of Alabama at Birmingham Center for Education and Research on Therapeutics

British Library Electronic Table of Contents (United Kingdom)

Despite the many advances in scientific research over the last several decades, cutting edge technologies and therapeutics often take many years to find their way into widespread use. The dissemination and uptake of best practices into clinical care is sometimes a neglected component of research that is essential to improve the population?s health. Type 2 translational research, sometimes called ?Proof in Practice Research,? seeks to maximize the yield of what has been learned from the bench and from carefully controlled clinical trials and to extend those benefits to a larger population. One aspect of type 2 translational research, sometimes called evidence implementation or implementation science, applies what has been learned about clinical medicine to achieve best practices across prov...

2011-01-01

208

Exposure data for personal care products: Hairspray, spray perfume, liquid foundation, shampoo, body wash, and solid antiperspirant

British Library Electronic Table of Contents (United Kingdom)

Reliable exposure information for cosmetic and other personal care products and ingredients is needed in order to conduct safety assessments. Essential information includes both the amount of product applied, and the frequency of use. To obtain current data, studies to assess consumer use practices were undertaken. Six widely used personal care product types were included in the studies. Five of the products were cosmetics (spray perfume, hairspray, liquid foundation, shampoo, body wash) and one product was a cosmetic/over-the-counter drug product (solid antiperspirant). Three hundred and sixty women, ages 19-65 years, who regularly use the products of interest, were recruited at 10 different geographical locations within the US. The number of recruits was chosen to ensure a minimum of thr...

2006-01-01

209

Association of area sociodemographic characteristics and capacity for treatment with disparities in colorectal cancer care and mortality

British Library Electronic Table of Contents (United Kingdom)

AbstractBACKGROUND: Disparities in treatment and mortality for colorectal cancer (CRC) may reflect differences in access to specialized care or other characteristics of the area where an individual lives. METHODS: Surveillance, Epidemiology and End Results Program-Medicare data for seniors diagnosed with CRC were linked to area measures of the sociodemographic characteristics and the capacity of surgeons, medical oncologists, and radiation oncologists. Outcomes included receipt of stage-appropriate CRC care and mortality. RESULTS: After adjustment, blacks and Hispanics were less likely than whites to undergo surgery (odds ratio [OR] 0.57, 95% confidence interval (CI) 0.52-0.63 and OR 0.82, 95% CI 0.70-0.95, respectively). Individuals who lived in areas with the highest tertile of surgeon c...

2011-01-01

210

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

British Library Electronic Table of Contents (United Kingdom)

The objective of this study was to evaluate the association between the number of blood cultures collected and the appropriateness of care for suspected bacteremic community-acquired urinary tract infection (UTI) in the elderly. We retrospectively evaluated the medical records of 129 patients with UTI >65?years old admitted to a large community-based training hospital in Japan from 1 January 2006 to 31 December 2009. We assessed the association between the number of blood cultures collected and the appropriateness of care received, as well as other factors. Two-thirds of the patients were women, and patients >85?years old accounted for 45.0% of the cases. Most of the organisms isolated from the urine and blood were Escherichia coli (65.4?67.0%). More than two blood cultures were collected ...

2011-01-01

211

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

British Library Electronic Table of Contents (United Kingdom)

Background ?Guidelines for safe and effective management and use of point of care testing? have been recently launched in Ireland. Aims To survey point of care testing (POCT) services in the Republic of Ireland. Methods A questionnaire covering accreditation status, existence of POCT committees, quality management systems, and staff resources was distributed by the Irish External Quality Assessment Scheme (IEQAS). Results Of those that returned completed questionnaires, 56% had assigned specific POCT responsibilities to designated staff. Most support was for blood gases and glucose analysis. Compared with other published studies, Irish laboratories gave similar support for blood gases, less for glucose and much less for urinalysis. Conclusions This survey demonstrated poor IT support for P...

2011-01-01

212

Facility Effluent Monitoring Plan for Pacific Northwest National Laboratory Balance-of-Plant Facilities

Women's autonomy in household decision-making: a demographic study in Nepal

The Pacific Northwest National Laboratory (PNNL) operates a number of research and development (R and D) facilities for the Department of Energy on the Hanford Site. According to DOE Order 5400.1, a Facility Effluent Monitoring Plan is required for each site, facility, or process that uses, generates, releases, or manages significant pollutants or hazardous materials. Three of the R and D facilities: the 325, 331, and 3720 Buildings, are considered major emission points for radionuclide air sampling and thus individual Facility Effluent Monitoring Plans (FEMPs) have been developed for them. Because no definition of ''significant'' is provided in DOE Order 5400.1 or the accompanying regulatory guide DOE/EH-0173T, this FEMP was developed to describe monitoring requirements in the DOE-owned, PNNL-operated facilities that do not ...

1999-04-02

213

Who Should Receive Life Support During a Public Health Emergency? Using Ethical Principles to Improve Allocation Decisions

BackgroundHow socio-demographic factors influence women's autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly...Full Text Available

214

Whipple Procedure for Pancreatic Cancer

A public health emergency such as an influenza pandemic will lead to shortages of mechanical ventilators, critical care beds, and other potentially life saving treatments. This will raise difficult...Full Text Available

2009-01-20

215

What is the next step in patient decision support?

... be able to watch the many intricate steps Dr. Richard Alexander must accomplish to remove the cancer. ... door to informed medical care. Now let's join Dr. Richard Alexander at the University of Maryland Medical ...

216

Validation of the treatment identification strategy of the HEDIS addiction quality measures: concordance with medical record review

Patient decision support systems have a promising role in the delivery of health care. However, the best approach for further development of these systems is a matter of speculation. To help chart a...Full Text Available

2000-01-01

217

Use of an Orientation Clinic to Reduce Failed New Patient Appointments in Primary Care

BackgroundStrategies to accurately identify the occurrence of specific health care events in administrative data is central to many quality improvement and research efforts. Many...Full Text Available

218

Use of Read codes in diabetes management in a south London primary care group: implications for establishing disease registers

Patients who fail to attend initial appointments reduce clinic efficiency. To maximize attendance by newly referred outpatients, we introduced a mandatory group orientation clinic for all new patients...Full Text Available

2000-12-01

219

Usage Patterns of a Personal Health Record by Elderly and Disabled Users

Objective To establish current practice in the use of Read codes for diabetes.Design Cross sectional study.Setting 17 practices in the Battersea...Full Text Available

2003-05-24

220

Update of acute kidney injury: intensive care nephrology

Personal Health Records (PHRs) are increasingly recognized as a strategy to improve patient-provider communication, availability of health information, and quality of care, by making the delivery of...Full Text Available

2007-01-01

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

221

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

Albeit the considerable progress that has been made both in our understanding of the pathophysiology of acute renal failure (ARF) and in its treatment (continuous renal replacement therapies), the morbidity...Full Text Available

2011-01-01

222

Trial of early nifedipine in acute myocardial infarction: the Trent study.

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

223

Trauma service cost: the real story.

Over 30 months 9292 consecutive patients admitted to nine coronary care units with suspected myocardial infarction were considered for admission to a randomised double blind study comparing the effect...Full Text Available

1986-11-08

224

The Promise of Prevention: The Effects of Four Preventable Risk Factors on National Life Expectancy and Life Expectancy Disparities by Race and County in the United States

OBJECTIVE: The objective was to define and characterize the costs associated with trauma care at a level I trauma center. Once the costs were identified, attending physician-led teams were designed...Full Text Available

1998-05-01

225

The Nigerian national blindness and visual impairment survey: Rationale, objectives and detailed methodology

BackgroundThere has been substantial research on psychosocial and health care determinants of health disparities in the United States (US) but less on the role of modifiable risk...Full Text Available

2010-03-01

226

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

BackgroundDespite having the largest population in Africa, Nigeria has no accurate population based data to plan and evaluate eye care services. A national survey was undertaken...Full Text Available

227

The Medical Home Concept and Congenital Adrenal Hyperplasia: A Comfortable Habitat!

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

1980-02-01

228

The Distributed Processing Approach to Providing a Combined Staffing and Word Processing System for Nursing Service

Patient-centered interdisciplinary health care for children with chronic medical disorders represents an evolution from the traditional “stop and go” treatment for acute illnesses. This...Full Text Available

2010-01-01

229

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

This Mini-Computer-Assisted Nursing Management System allows nursing to control staffing costs and more effectively relate staffing to patient care requirements. Nursing resources are prospectively...Full Text Available

1981-11-04

230

Temporal changes in key maternal and fetal factors affecting birth outcomes: A 32-year population-based study in an industrial city

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

231

Technology architecture guidelines for a health care system.

BackgroundThe link between maternal factors and birth outcomes is well established. Substantial changes in society and medical care over time have influenced women's reproductive...Full Text Available

232

Symbolic Anatomic Knowledge Representation in the Read Codes Version 3

Although the demand for use of information technology within the healthcare industry is intensifying, relatively little has been written about guidelines to optimize IT investments. A technology architecture...Full Text Available

2000-01-01

233

Survival of HIV-Infected Adolescents on Antiretroviral Therapy in Uganda: Findings from a Nationally Representative Cohort in Uganda

Abstract The Read Thesaurus (Version 3 of the Read Codes) is a controlled medical vocabulary produced during the Clinical Terms Projects with the involvement of over 2,000 health care...Full Text Available

1997-01-01

234

Skin Cancer in Skin of Color

BackgroundAdolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes...Full Text Available

235

Shedding New Light on Early Caries Detection

Skin cancers in skin of color often present atypically or with advanced stage in comparison to Caucasian patients. Health care providers must maintain a high index of suspicion when examining...Full Text Available

2009-01-01

236

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

Dental caries continues to be a common chronic disease among various population groups. Patient care can be improved with detection at the earliest stage. However, current techniques do not...Full Text Available

2008-12-01

237

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

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

238

Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy

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

2011-04-11

239

Randomized controlled trial comparing four strategies for delivering e-curriculum to health care professionals [ISRCTN88148532

Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic...Full Text Available

2010-01-01

240

Randomised controlled trial of disclosure of emotionally important events in somatisation in primary care

BackgroundInternet education is increasingly provided to health professionals, but little is known about the most effective strategies for delivering the content. The purpose of...Full Text Available

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241

Quantitative and Qualitative Usage Data of an Internet-Based Asthma Monitoring Tool

ObjectiveTo test whether a disclosure intervention improves subjective health and reduces medical consumption and sick leave in somatising patients in general practice.DesignNon-blind...Full Text Available

2001-07-14

242

Prototype Web-based continuing medical education using FlashPix images.

Background In May 2000, AstraZeneca launched a Web service for asthma patients and health-care providers called LinkMedica, which includes an asthma diary for...Full Text Available

243

Proof-of-concept Design and Development of an EN13606-based Electronic Health Care Record Service

Continuing Medical Education (CME) is a requirement among practicing physicians to promote continuous enhancement of clinical knowledge to reflect new developments in medical care. Previous research...Full Text Available

2000-01-01

244

Prevention of cardiovascular disease: Obesity, diabetes and the metabolic syndrome

ObjectiveThe authors present an Electronic Healthcare Record (EHR) server, designed and developed as a proof of concept of the revised prEN13606:2005 European standard concerning...Full Text Available

2007-01-01

245

Prevalence of contraindications to mefloquine use among USA military personnel deployed to Afghanistan

The current obesity pandemic is expected to result in considerable downstream morbidity, mortality and incremental costs to health care systems around the world. The major metabolic complications of...Full Text Available

2010-08-01

246

Prescribers' Responses to Alerts During Medication Ordering in the Long Term Care Setting

BackgroundMefloquine has historically been considered safe and well-tolerated for long-term malaria chemoprophylaxis, but its prescribing requires careful attention to rule out contraindications...Full Text Available

247

Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit

ObjectiveComputerized physician order entry with clinical decision support has been shown to improve medication safety in adult inpatients, but few data are available regarding its...Full Text Available

2006-07-01

248

Practice Leaders Programme: Entrusting and Enabling General Practitioners to Lead Change to Improve Patient Experience

ObjectivesPericardial tamponade after cardiac surgery is difficult to diagnose, thereby rendering timing of rethoracotomy hard. We aimed at identifying factors predicting the outcome...Full Text Available

249

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

This program focused on practice-level service change as a means of improving patient care and developing leadership skills of 19 general practitioners (GPs) and aimed to: promote and support change...Full Text Available

2011-01-01

250

Personalized healthcare in clotting disorders

AimsTo describe nurse burnout, job dissatisfaction, and quality of care in Japanese hospitals, and to determine how these outcomes are associated with work environment...Full Text Available

2008-12-01

251

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

In terms of managing thrombotic disorders, genotype-based individualized patient care emerged as early as 1994 when the association of factor V Leiden (G1691A), and later, prothrombin (G20210A),...Full Text Available

2010-01-01

252

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

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

253

Oral cancer awareness amongst hospital nursing staff: a pilot study

An outbreak with a multiresistant Klebsiella pneumoniae (MRKP) strain among seven patients admitted to the adult intensive care unit (ICU) of a regional teaching hospital in The Netherlands...Full Text Available

2005-10-01

254

Older hip fracture patients: three groups with different needs

BackgroundOral cancer is as prevalent as cervical and testicular cancer in the United Kingdom. Nursing staff provide the oral health care for the patient population in hospital....Full Text Available

255

BackgroundNorway, and particularly Oslo, has the highest reported incidence of hip fractures in the world. It is increasingly common to care for older hip fracture patients in orthogeriatric...Full Text Available

256

NAME=\\

...Programme Manager Interests Multilevel Statistical Modelling Geography of Health and Health Care Geographical Data Analysis Census Data Analysis Health Services Research (in particular Research Design, Statistical Analysis and Epidemiology) people/mgould.html Homepage | Contacts | Site Map | Privacy Statement | Webmaster | ...

257

NAME=\\

Misdiagnosed HIV infection in pregnant women: implications for clinical care.

...research and publications and some who are accredited by the British Association of Sport and Exercise Sciences (BASES), which enables them to work with high performance athletes . We care about your progress and welfare. As our recent QAA review noted \\

258

Minimally invasive surgery for rectal cancer: Are we there yet?

Out of nearly 900 women in a research study of human immunodeficiency virus infection in pregnancy, 8 were subsequently found not to be infected. Misdiagnoses could have resulted from (a) laboratory...Full Text Available

1994-09-01

259

Mesh repair of a coccygeal hernia via an abdominal approach.

Laparoscopic colon surgery for select cancers is slowly evolving as the standard of care but minimally invasive approaches for rectal cancer have been viewed with significant skepticism. This procedure...Full Text Available

2011-02-21

260

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

We report on the presentation and management of a patient with herniation of the rectum following a coccygectomy. We used an abdominal approach and careful pelvic dissection to define the defect in...Full Text Available

2000-03-01

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261

Litter Size Influences Maternal but not Paternal Care in Three Species of Voles, as Measured by Nest Attendance

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

2011-01-01

262

Lack of Osteoradionecrosis of the Mandible after IMRT for Head and Neck Cancer: Likely Contributions of both Dental Care and Improved Dose Distributions

... the nest with young when the female left (male meadow voles were in the nest with young too infrequently ... prairie voles, whereas the number of checks that male meadow voles were in the nest increased s...

263

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

PurposeTo assess the prevalence and the dosimetric and clinical predictors of mandibular osteoradionecrosis (ORN) in patients with head and neck (HN) cancer who underwent...Full Text Available

2007-06-01

264

Is the operative delivery rate in low-risk women dependent on the level of birth care? A randomised controlled trial

Background and ObjectiveCervical cancer is one of the leading causes of morbidity and mortality amongst the gynecological cancers worldwide, especially in developing countries. It...Full Text Available

265

Incidence and Determinants of Birth Defects and Enzyme Deficiencies among Live Births in Oman

ObjectiveTo investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within...Full Text Available

2011-10-01

266

In the shadow of a new smoke free policy: A discourse analysis of health care providers' engagement in tobacco control in community mental health

ObjectivesIn 2003, the Omani Ministry of Health Child Health Care Program initiated a national Birth Defects (BD) Register. This paper reviews the magnitude and risk factors of birth...Full Text Available

2010-04-01

267

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

BackgroundThe prevalence of tobacco use among individuals with mental illness remains a serious public health concern. Tobacco control has received little attention in community...Full Text Available

268

Implementation and use of a web-based interface for confidential communication of data between the clinical and research environments

The Clinical Summary is a Web-based application for accessing the clinical database at the Massachusetts General Hospital. The application has been developed to give physicians in our health care community...Full Text Available

1996-01-01

269

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

Policies and regulations in the current health care environment have impacted the manner in which patient data - especially protected health information (PHI) - are handled in the clinical and...Full Text Available

2008-02-20

270

Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial

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

2006-07-01

271

Hemodynamics and Axial Strain Additively Increase Matrix Remodeling and MMP-9, But Not MMP-2, Expression in Arteries Engineered by Directed Remodeling

PURPOSE We wanted to assess the impact of an electronic health record–based diabetes clinical decision support system on control of hemoglobin A_1c (glycated hemoglobin),...Full Text Available

2011-01-01

272

From Leningrad to the day-care center. The ubiquitous Giardia lamblia.

We previously demonstrated the ability to create engineered arteries by carefully controlling the mechanical environment of intact arteries perfused ex vivo, yielding engineered arteries...Full Text Available

2009-06-01

273

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

Giardiasis is recognized as a worldwide public health problem. Seroprevalence data from both the developing and developed world show high rates of carriage in populations at risk for fecal-oral transmission,...Full Text Available

1990-08-01

274

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

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

275

Extracting medical information from narrative patient records: the case of medication-related information

BackgroundMany interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services...Full Text Available

276

Effect of household and village characteristics on financial catastrophe and impoverishment due to health care spending in Western and Central Rural China: A multilevel analysis

ObjectiveWhile essential for patient care, information related to medication is often written as free text in clinical records and, therefore, difficult to use in computerized systems....Full Text Available

2010-09-01

277

Donor deferral due to anemia: A tertiary care center-based study

ObjectiveThe study aimed to examine the effect of household and community characteristics on financial catastrophe and impoverishment due to health payment in Western and Central...Full Text Available

278

Digital Talking Books: Planning for the Future.

Background:The minimum hemoglobin cutoff for blood donation in India is 12.5 gm% for both male and female donors and the minimum donation interval is 3 months. Donation...Full Text Available

2011-01-01

279

Diabetes: An Investor's Perspective

Ever-changing audio technology requires that National Library Service NLS always be aware of developments and prepare carefully for any systematic changes that may be desired or required. Usefulness, cost effectiveness, thoughtful stewardship, and educate...

1998-01-01

280

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

Total health care expenditure in 2006 was $2.1 trillion. This figure is estimated to double within the next few years as the cost of treating diabetes and other chronic conditions continues to rise....Full Text Available

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281

Development and Validation of the Convalescence And Recovery Evaluation (CARE) for Measuring Quality of Life after Surgery

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

1982-11-02

282

Determinants of antiviral treatment initiation in a hepatitis C-infected population benefiting from universal health care coverage

PurposeTo develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.Full Text Available

2008-08-01

283

Cost-Effectiveness of an Opportunistic Screening Programme and Brief Intervention for Excessive Alcohol Use in Primary Care

BACKGROUND AND AIMS:In view of increasing therapeutic efficacy, the delivery of hepatitis C virus (HCV) antiviral treatment is expected to increase. Yet practical experience reveals...Full Text Available

2007-06-01

284

Content validity of manual spinal palpatory exams - A systematic review

BackgroundEffective prevention of excessive alcohol use has the potential to reduce the public burden of disease considerably. We investigated the cost-effectiveness of Screening...Full Text Available

285

Colorectal Cancer Association of Canada consensus meeting: raising the standards of care for early-stage rectal cancer

BackgroundMany health care professionals use spinal palpatory exams as a primary and well-accepted part of the evaluation of spinal pathology. However, few studies have explored...Full Text Available

286

Close Companions at Church, Health, and Health Care Use in Late Life

The purpose of the meeting reported here was to develop a set of national evidence-based standards for assessing and managing patients with potentially resectable rectal cancer. This report represents...Full Text Available

2009-12-01

287

Chapter 2, A Quick-look at your Pay - NASAPeople

ObjectivesTo see whether there are age variations in the relationships between having a close companion friend at church, health, and outpatient physician visits.Full Text Available

2010-06-01

288

Catalyzing Social Support for Breast Cancer Patients

You receive an annuity if eligible -- requires 18 months service for FERS; and 60 ... You may use up to 104 hours of your accrued sick leave to care for sick family ...

289

CPR - infant - series (image)

Social support is a critical, yet underutilized resource when undergoing cancer care. Underutilization occurs in two conditions: (a) when patients fail to seek out information, material assistance,...Full Text Available

2010-01-01

290

CPR - child 1 to 8 years old - series (image)

... yourself to call 911 until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...

291

CDC - Seasonal Influenza (Flu) - Q & A: 2007-08 Influenza (Flu...

... and retrieve an AED until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...

292

CDC - Seasonal Influenza (Flu) - Q & A: 2006-07 Influenza (Flu...

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

293

CDC - Seasonal Influenza (Flu) - Q & A about the 2010-2011 Flu...

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

294

CDC - Media Relations - MMWR - June 4, 2004

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

295

Bone Disease in HIV Infection: A Practical Review and Recommendations for HIV Care Providers

Drownings in Recreational Water Settings - United States, 2001-2002 While immediate CPR can save someone's life, often medical care in the hospital cannot prevent serious...

2011-09-24

296

Biobank resources for future patient care: developments, principles and concepts

Low bone mineral density (BMD) is prevalent in human immunodeficiency virus (HIV)–infected subjects. Initiation of antiretroviral therapy is associated with a 2%–6% decrease...Full Text Available

2010-10-15

297

Bilateral transtibial amputation with concomitant thoracolumbar vertebral collapse in a Sichuan earthquake survivor

The aim of the overview is to give a perspective of global biobank development is given in a view of positioning biobanking as a key resource for healthcare to identify new potential markers that can...Full Text Available

298

Basic Principles of Information Technology Organization in Health Care Institutions

The devastating earthquake in Sichuan, China on 12 May 2008 left thousands of survivors requiring medical care and intensive rehabilitation. In view of this great demand, the Chinese Speaking Orthopaedic...Full Text Available

299

Association between length of storage of red blood cell units and outcome of critically ill children: a prospective observational study

Abstract This paper focuses on the basic principles of information technology (IT) organization within health sciences centers. The paper considers the placement of the leader of the...Full Text Available

1997-03-01

300

Assessment and management of patients with chronic cough by Certified Respiratory Educators: A randomized controlled trial

IntroductionTransfusion is a common treatment in pediatric intensive care units (PICUs). Studies in adults suggest that prolonged storage of red blood cell units is associated with...Full Text Available

2010-01-01

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301

Assessing Patient Attitudes to Computerized Screening in Primary Care: Psychometric Properties of the Computerized Lifestyle Assessment Scale

BACKGROUND:The value of other health care professionals is increasingly being recognized to compensate for the shortage of physicians in Canada. Chronic cough is one of the most...Full Text Available

2009-02-01

302

Applications of BMI or BSI: Differences and Revisions According to Age and Height

BackgroundComputer-based health-risk assessments are electronic surveys which can be completed by patients privately, for example during their waiting time...Full Text Available

303

Anisotropy of fission of /sup 242//sup m/Am by fast neutrons

Validation of body-mass relationships requires a careful statistical analysis of data of normal weight individuals. BMI (ratio between body mass and square of body height) and BSI values (ratio between...Full Text Available

2010-01-01

304

An Integrated Approach to Computer-Based Decision Support at the Point of Care

Careful measurements do not confirm an anomalous anisotropy in the angular distribution of fission fragments from the fast neutron fission of Americium 242. The energy range covered was 1.60-3.15 MeV. (AIP)

1985-10-01

305

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

Information needs that arise when clinicians use clinical information systems often go unresolved, forcing clinicians to defer decisions or make them with incomplete knowledge. My research characterizes...Full Text Available

2007-01-01

306

Alton Ochsner's Card File: A Profile of Medical History

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

307

After-Hours Information Given by Telephone by Family Physicians in Ontario

Alton Ochsner was a giant of American surgery. His career encompassed patient care, teaching, and research as symbolized on the original seal of the Ochsner Clinic. His ideas were innovative and groundbreaking...Full Text Available

2010-01-01

308

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

This study describes instructions for after-hours care offered by family physicians' offices when patients telephone the practice. Randomly selected (n=1,680) Ontario family physicians and general practitioners...Full Text Available

2009-11-01

309

Abciximab: a reappraisal of its use in coronary care

Acute kidney injury (AKI) is a common clinical problem with significant clinical and economic consequences. A number of studies point to a rising incidence of AKI in the hospital and in the intensive...Full Text Available

2007-01-01

310

A survey of community members' perceptions of medical errors in Oman

Platelet reactivity plays a pivotal role in the pathogenesis of ischemic adverse events during and after acute coronary syndromes (ACS), and percutaneous coronary intervention (PCI). Glycoprotein (GP)...Full Text Available

2008-03-01

311

A randomised clinical trial of intrapartum fetal monitoring with computer analysis and alerts versus previously available monitoring

BackgroundErrors have been the concern of providers and consumers of health care services. However, consumers' perception of medical errors in developing countries is rarely explored....Full Text Available

312

A predictive model of Health Related Quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system

BackgroundIntrapartum fetal hypoxia remains an important cause of death and permanent handicap and in a significant proportion of cases there is evidence of suboptimal care related...Full Text Available

313

A cost-utility analysis of nursing intervention via telephone follow-up for injured road users

BackgroundParents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL). Insight in the dynamics of factors influencing parental HRQoL is necessary...Full Text Available

314

A Web-based Interface for Communication of Data between the Clinical and Research Environments without Revealing Identifying Information

BackgroundTraffic injuries can cause physical, psychological, and economical impairment, and affected individuals may also experience shortcomings in their post-accident care and...Full Text Available

315

45 CFR 146.145 - Special rules relating to group health plans.

Recent health care policies and regulations have impacted the manner in which patient data – especially protected health information (PHI) – are handled in both the clinical...Full Text Available

2007-06-01

316

45 CFR 146.121 - Prohibiting discrimination against participants and beneficiaries based on a health factor.

...2010-10-01 false Special rules relating to group health plans. 146.145 Section 146.145 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

317

Wrap-around pressure mitigation using Kevlar safety netting in high explosive processing facilities

...discrimination against participants and beneficiaries based on a health factor. 146.121 Section 146.121 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

318

The ALPHA programs and thermal-hydraulic facilities at PSI

No abstract prepared.

2008-01-01

319

Study on the Development of Solid Fuel of Animal Wastes for Heating of Agricultural Facilities

... J. DREIER, M. HUGGENBERGER, C. AUBERT, TH BANDURSKI, F. DE

1999-12-01

320

Radiation facility with electron accelerator of the Institute for Nuclear Research of Ukraine, Kiev

Full Text Available

2007-10-01

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321

Optimized Synthetic Making Test Facilities for Estimating the Making Performance of Circuit Breaker

Characteristics of the Ukrainian NSA NRI radiation facility for scientific researches and developments of industrial radiation technology are performed. Parts of the facility, design peculiarities of technical tools are described. Biological protection of the facility and radiation protection system, transport line, systems of technical provision and radiation measurements are discussed

2003-02-01

322

On technical opportunity of use of the pactel facility for investigation of coolant phenomenon in horizontal steam generators

Full Text Available

2005-06-01

323

On technical opportunity of use of the pactel facility for investigation of coolant phenomenon in horizontal steam generators

In this paper the possibility of using the test facility PACTEL concerning the investigations of thermal hydraulic special features of the primary coolant circuit acting under natural circulation is under consideration. It is suggested to study a stratification phenomenon of a coolant in upper plenum of a reactor and also a horizontal steam generator (HSG) hot collector temperature regime. For such investigations the facility must be modified. It is shown that this work is not large and expensive, as the facility is a lightly suitable unit for different researches. (orig.)

2001-07-01

324

Monte Carlo design calculations for a neutron imaging facility collimator

In this paper the possibility of using the test facility PACTEL concerning the investigations of thermal hydraulic special features of the primary coolant circuit acting under natural circulation is under consideration. It is suggested to study a stratification phenomenon of a coolant in upper plenum of a reactor and also a horizontal steam generator (HSG) hot collector temperature regime. For such investigations the facility must be modified. It is shown that this work is not large and expensive, as the facility is a lightly suitable unit for different researches. (orig.)

2001-03-20

325

MANAGING WASTE AT LOS ALAMOS NATIONAL LABORATORY'S PLUTONIUM FACILITIES

A thermal neutron imaging facility for computed tomography and real-time neutron radiography is being developed at the University of Texas at Austin. The TRIGA reactor is a graphite-reflected Mark It pool-type research reactor. The neutron imaging facility will use beam port, which is at one end of a through part. Monte Carlo calculations were used to design the neutron collimator for this facility.

1996-12-31

326

Interim Safety Basis for Fuel Supply Shutdown Facility

No abstract prepared.

2000-01-01

327

Interdisciplinary Mobility Team Approach To Reduction Of Facility-Acquired Pressure Ulcers

This ISB, in conjunction with the IOSR, provides the required basis for interim operation or restrictions on interim operations and administrative controls for the facility until a SAR is prepared in accordance with the new requirements or the facility is shut down. It is concluded that the risks associated with tha current and anticipated mode of the facility, uranium disposition, clean up, and transition activities required for permanent closure, are within risk guidelines.

2000-09-07

328

Pressure Ulcers

2011-03-29

329

FFTF and the ASME Code

FAST FLUX TEST FACILITY (FFTF) FINAL SAFETY ANALYSIS REPORT AMENDMENT 83

Photographs are presented of the FFTF reactor facility, components, and some materials.

1978-01-01

330

Dioxins in the Baltic sea

No abstract prepared.

2003-11-20

331

Development of a Standard Data Base and Computer ...

for municipal waste iron ore sinter plants incinerators for clinical waste facilities of the non-ferrous metal

332

Conduct of Operations Applicability Matrix for CMELS Low Hazard Facilities at LLNL Site 200

... (Author). Descriptors : (*TERMINAL FLIGHT FACILITIES ... PROGRAMMING, HANDLING), QUEUEING THEORY, STOCHASTIC PROCESSES ...

1973-01-01

333

Conduct of Operations Applicability Matrix for CMELS Light Science and Industry and General Industry Facilities at LLNL Site 200

No abstract prepared.

2008-04-22

334

No abstract prepared.

2008-04-22

335

BC

Analysis of Earthquake Countermeasure for Electrical Facility Building on Domestic and Foreign

all Certified ESM facilities capable of receiving used mobile phone waste from non-Annex VII countries.

336

Full Text Available

2008-12-01

337

53672

... numbers of marine mammals during operation of an offshore liquefied natural gas (LNG) facility in the Massachusetts Bay for ... ...

338

21631

... harassment, incidental to construction and operation of an offshore liquefied natural gas (LNG) facility in Massachusetts Bay. Under the ... ...

339

11328

Review of Regulatory Quality Assurance Requirements for the Operation of Nuclear R and D Facilities

... harassment, incidental to construction and operation of an offshore liquefied natural gas (LNG) facility. Under the Marine Mammal Protection ... ...

340

RMIT - Professor named Chair at Epworth Hospital

Korea Atomic Energy Research Institute (KAERI) has many R and D facilities in operation, including HANARO research reactor, radioactive waste treatment facility (RWTF), post-irradiation examination facility (PIEF) and irradiated material test facility (IMEF). Recently, nation-wide interest is focused on the safety and security of major industrial facilities. Safe operation of nuclear facilities is imperative because of the consequence of public disaster by radiological release/ contamination, in case of an accident. Recently, Ministry of Science and Technology (MOST) of the Korean government announced amendments of Atomic Energy laws to enforce requirements of the physical protection and radiological emergency. In this paper, the context of amended Atomic Energy laws were reviewed to confirm quality assurance measures and identify additional QA activities, if ...

2005-10-27

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

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

...named Chair at Epworth Hospital Professor Nilmini Wickramasinghe has been named Chair, Health Information Management , at Epworth HealthCare. Related links School of Business ...the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. Professor Wickramasinghe has more than ... Professor Wickramasinghersquo;s appointment as Epworth Chair, Health Information Management , will help to further strengthen this clinical academic alliance, with RMIT now ...

342

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

343

New aspects for the evaluation of radioactive waste disposal methods

The research agenda in ICU telemedicine: a statement from the Critical Care Societies Collaborative.

For the performance assessment of radioactive and hazardous waste disposal sites, risk assessments are usually performed for the long term, i.e., over an interval in space and time for which one can predict movement and behavior of toxic agents in the environment. This approach is based on at least three implicit assumptions: One, that the engineering layout will take care of the immediate endangerment of potential receptors; two, that one has carefully evaluated just how far out in space and time the models can be extrapolated, and three, that one can evaluate potential health effects for very low exposures. A few of these aspects will be discussed here in the framework of the scientific method.

1996-08-18

344

Coordination of health behavior counseling in primary care.

ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program. This framework will facilitate comparisons across studies and improve generalizability by permitting context-specific interpretation. Research based on this framework ...

2011-07-01

345

Automation in a material processing/storage facility

PURPOSE We wanted to examine how coordinated care is implemented in primary care practices to address patients' health behavior change needs. METHODS Site visit notes, documents, interviews, and online implementation diaries were collected from July 2005 to September 2007 from practice-based research networks (PBRNs) participating in Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks (P4H). An iterative group process was used to conduct a cross-case comparative analysis of 9 interventions. Published patient outcomes reports from P4H interventions were referenced to provide information on intervention effectiveness. RESULTS In-practice health risk assessment (HRA) and brief counseling, coupled with referral and outreach to a valued and known counseling resource, emerged as the best way to consistently coordinate and encourage follow-through for health behavior counseling. Findings from ...

346

Advanced conceptual design report: T Plant secondary containment and leak detection upgrades. Project W-259

The Savannah River Site (SRS) is currently developing a new facility, the Actinide Packaging and Storage Facility (APSF), to process and store legacy materials from the United States nuclear stockpile. A variety of materials, with a variety of properties, packaging and handling/storage requirements, will be processed and stored at the facility. Since these materials are hazardous and radioactive, automation will be used to minimize worker exposure. Other benefits derived from automation of the facility include increased throughput capacity and enhanced security. The diversity of materials and packaging geometries to be handled poses challenges to the automation of facility processes. In addition, the nature of the materials to be processed underscores the need for safety, reliability and serviceability. The application of automation in this facility must, ...

1997-05-01

347

Wind Characteristics at the Vawt Test Facility.

The T Plant facilities in the 200-West Area of the Hanford site were constructed in the early 1940s to produce nuclear materials in support of national defense activities. T Plant includes the 271-T facility, the 221-T facility, and several support facilities (eg, 2706-T), utilities, and tanks/piping systems. T Plant has been recommended as the primary interim decontamination facility for the Hanford site. Project W-259 will provide capital upgrades to the T Plant facilities to comply with Federal and State of Washington environmental regulations for secondary containment and leak detection. This document provides an advanced conceptual design concept that complies with functional requirements for the T Plant Secondary Containment and Leak Detection upgrades.

1995-05-12

348

Use of the fast flux test facility for tritium production

A limited program of field measurements was undertaken in order to define the wind characteristics of the DOE/Sandia vertical axis wind turbine test facility. Because micrometeorological conditions under which a particular wind turbine is tested may have ...

1978-01-01

349

Solar Cogeneration Facility: Cimarron River Station, Central Telephone and Utilities-Western Power. Executive summary

This report provides the results of a JASON review of the technical feasibility of using the Department of Energy`s (DOE`s) Fast Flux Test Facility (FFTF) to generate tritium needed for the enduring United States nuclear weapons stockpile.

1996-10-25

350

Recent Developments in Coal Liquefaction at the Wilsonville Advanced Coal Liquefaction Research and Development Facility.

A brief overview of the conceptual design of a solar central receiver system integrated with an existing cogeneration facility is provided. A synopsis of the performance and economic evaluation, and an assessment of the concept from the site owner's perspective are given.

1981-08-07

351

Pulmonary Alveolar Proteinosis in Workers at an Indium Processing Facility

The results of the two most recently completed runs at the Wilsonville Advanced Coal Liquefaction Research and Development Facility are presented. In Run 255, initial screening of operating conditions for the liquefaction of a Texas lignite was completed....

1991-01-01

352

Heat Cycle Reserch Experimental Program report, FY-84

Two cases of pulmonary alveolar proteinosis, including one death, occurred in workers at a facility producing indium-tin oxide (ITO), a compound used in recent years to make flat panel displays. Both...Full Text Available

2010-03-01

353

HPA - Radon Calibration Facilities

The Heat Cycle Research Facility (HCRF) is an experimental binary-cycle facility used to investigate different concepts and/or components for generating electrical power from a geothermal resource. This report briefly desc

1984-09-01

354

Energy Engineering Analysis Program, Fort Campbell, Kentucky, energy audit of dining facilities; executive summary. Final report

... Radon gas concentrations are measured using instruments with calibrations traceable to the UK National Physical Laboratory and PTB, Germany. The primary facility is a 43 m3 walk-in chamber accessed by an airlock. Radon gas is maintained at a level in this chamber that is ...

355

Decontamination of nuclear facilities

This volume is a summary of the results of the final report of the Energy Engineering Analysis Program (EEAP) Study of 30 selected dining facilities at Fort Campbell, Kentucky.

1986-08-01

356

Computer code analysis of steam generator in thermal-hydraulic test facility simulating nuclear power plant.

Thirty-seven papers were presented at this conference in five sessions. Topics covered include regulation, control and consequences of decontamination; decontamination of components and facilities; chemical and non-chemical methods of decontamination; and TMI decontamination experience.

1982-09-19

357

33 CFR 148.105 - What must I include in my application?

In the study three loss-of-feedwater type experiments which were preformed with the PACTEL facility has been calculated with two computer codes. The purpose of the experiments was to gain information about the behaviour of horizontal steam generator in a ...

1995-01-01

358

Who Should Control the Integrated Management System for Sewerage Facilities in the Upper Reaches of Multi-Purpose Dams in Korea?

...capacity, and ownership of all planned and existing onshore pipelines, storage facilities, refineries, petrochemical...will be served by the port, including: (i) Onshore pipelines; (ii) Storage facilities; (iii)...

2010-07-01

359

The role of CEMs in DOE thermal treatment

Full Text Available

2010-06-01

360

The Application of Simulation Methods to Intra-Airport ...

The Department of Energy (DOE) currently operates four thermal treatment facilities that are permitted under regulations for hazardous waste combustors. As regulations become more stringent and public stakeholders become more influential, permitting these facilities is increasingly difficult. As they become more available, continuous emission monitors (CEMs) may offer the potential to assure regulators and the public of the safe operation of treatment facilities. The Mixed Waste Focus Area (MWFA) has participated in the development and testing of a variety of CEMs that could have application to DOE facilities.

1998-07-01

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

361

Selenium - Global Change Master Directory (GCMD)

... Descriptors : *Terminal flight facilities, *Traffic ... Ground support, Queueing theory, Passengers ... Delay, Assessment, Stochastic processes, Ground ...

1975-09-01

362

Seismic evaluation of underground facilities for a nuclear waste repository

This study is an evaluation of the potential environmental impacts of contaminated groundwater from the ASARCO metals refining facility adjacent to the ...

363

Review of ion accelerators

(1981). United States Chen, SW Wise, RD Wu, CL Bechtel, Downey, CA 90241

364

Results of the 2nd periodical inspection of the asphalt solidification facility and the incinerator in Unit 2 of the Sendai Nuclear Power Station

The field of ion acceleration to higher energies has grown rapidly in the last years. Many new facilities as well as substantial upgrades of existing facilities have extended the mass and energy range of available beams. Perhaps more significant for the long-term development of the field has been the expansion in the applications of these beams, and the building of facilities dedicated to areas outside of nuclear physics. This review will cover many of these new developments. Emphasis will be placed on accelerators with final energies above 50 MeV/amu. Facilities such as superconducting cyclotrons and storage rings are adequately covered in other review papers, and so will not be covered here.

1990-06-01

365

Results of regular inspection of No.2 plant in Sendai Nuclear Power Station, Kyushu Electric Power Co., Inc

The 2nd periodical inspection was carried out on the asphalt solidification facility and the incinerator in Unit 2 of the Sendai Nuclear Power Station from November 5 to 28, 1985. Inspection was made in radiation control facility and disposal facility. By external appearance, disassembly, function and performance tests there were observed no abnormalities. The personnel exposure doses during the inspection were below the permissible level. In the inspection, improvement etc. works were not done. (Mori, K.).

1986-01-01

366

The regular inspection of No.2 plant in Sendai Nuclear Power Station was carried out from January 7 to February 8, 1985. The summary of the results of this regular inspection is as follows. The facilities as the object of inspection were radiation control facilities and waste facilities. On these facilities as the object of inspection, the appearance, disassembling, functional, performance and other inspections were carried out, and as the results, abnormality was not found at all. The works related to this regular inspection were accomplished within the range of the allowable radiation dose based on the relevant laws. (Kako, I.).

1986-01-01

367

PowerPoint Presentation

National Ignition Facility Management Descriptions Revision 4

facilities, building hygienic latrines and introducing regular solid waste collection systems . These methods are constantly being developed and

368

Modernisation of technical facilities - freshwater systems. Ticking corrosion bombs; Sanierung von sanitaertechnischen Anlagen - Trinkwasser. Wenn die Korrosionsbombe tickt

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

369

Medical Isotope Production in the Fast Flux Test Facility and the High Flux Isotope Reactor and Isotope Production Software Users Guides

No abstract prepared.

2005-02-01

370

Mastery of risks: we build the memory of radioactive waste disposal facilities

No abstract prepared.

2000-08-23

371

Los Alamos DP West Plutonium Facility decontamination project

The ANDRA, the French national agency of radioactive wastes, is organizing today the information needs of tomorrow. The aim is to allow the future generations to have access to the knowledge of the existence of subsurface radioactive waste facilities and to understand the context and technologies of such facilities. The storage of this information is made on 'permanent paper', a high resistant paper with a lifetime of 600 to 1000 years. An updating of these data is made every 5 years for each waste disposal center. Another project, still in progress, concerns the memory management of deep geologic waste disposal facilities for which the time scale to be considered is of the order of millennia. (J.S.)

372

Handbook: Approaches for the Remediation of Federal Facility ...

The DP West Plutonium Facility operated by the Los Alamos National Laboratory, Los Alamos, New Mexico, was decontaminated between April 1978 and April 1981. The facility was constructed in 1944 to 1945 to produce plutonium metal and fabricate parts for nuclear weapons. It was continually used as a plutonium processing and research facility until mid-1978. Decontamination operations included dismantling and removing gloveboxes and conveyor tunnels; removing process systems, utilities, and exhaust ducts; and decontaminating all remaining surfaces. This report describes glovebox and conveyor tunnel separations, decontamination techniques, health and safety considerations, waste management procedures, and costs of the operation.

1982-01-01

373

Energy and Water Conservation

... 4-4 UXO disposal operations ... testing of sequencing batch reactor treatment of ... and lead toward the anode compartment ..... ...

1993-09-01

374

Energy Engineering Analysis Program (EEAP), Cornhusker ...

Jet Propulsion Laboratory. California Institute of Technology. Pasadena, California. Energy and Water Conservation. Steve Rigdon. Facilities Energy Manager ...

375

Energy Engineering Analysis (EEA) Program, Europe. ...

... is to develop a systematic program of energy consumption reductions in compliance with the stated goals of the Army Facilities Energy Plan (AFEP ...

1984-03-01

376

Details - Night Sky Network - NASA

... projects that will result in the reduction of energy consumption in compliance with the objectives set forth in the Army Facilities Energy Plan, without ...

1983-07-01

377

DOE reports on feasibility of generic oil shale test facility

General Meeting: NASA's biggest challenge: Education ... Turn right into the Police Association Facility at the crest of the first hill. ...

378

Crisis communication on nuclear facilities and addressing media

In order to assess whether an oil shale test facility would be of significant use to private sector oil shale developers, the US DOE has studied the past history of oil shale development and its potential for replacing petroleum supplies. A generic test facility's primary function would be to test concepts of mining, retorting, upgrading, and environmental aspects at the engineering scale. This paper summarizes the US oil shale resources, gives a technology analysis, and discusses the potential for a test facility.

1987-03-01

379

Treatment of malignant gastroduodenal obstruction with using a newly designed complex expandable nitinol stent: initial experiences

Japanese May 2009 p. 386-390 Japan Mitani, Shinji Japan Nuclear Energy

2009-05-01

380

Total skin electron beam therapy for cutaneous lymphomas and leukemias

We wanted to evaluate the usefulness of a new type of a complex expandable nitinol stent that was designed to reduce the stent's propensity to migration during the treatment of malignant gastroduodenal obstructions. Two types of expandable nitinol stent were constructed by weaving a single thread of 0.2mm nitinol wire in a tubular configuration: an uncovered stent 18mm in diameter and a covered stent 16mm in diameter. Both ends of the covered stent were fabricated by coaxially inserting the covered stent into the tubular uncovered stent and then attaching the two stents together with using nylon monofilament. Under fluoroscopic guidance, the stent was placed in 29 consecutive patients (20 men and 9 women, mean age: 65 years) who were suffering with malignant gastric outlet obstruction (n=20), duodenal obstruction (n=6) or combined obstruction (n=3). Clinical improvement was assessed by comparing the food intake capacity before and after the procedure. The complications were ...

2005-12-15

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

Stent insertion in patients with malignant biliary obstruction: problems of the Hanaro stent

Total skin electron beam therapy (TSEB) was used in the treatment of 33 patients with lymphoma and 13 patients with leukemia involving extensive segments of the skin surface. Twenty-two of 23 had lesions as a primary manifestation of lymphoma (primary cutaneous lymphoma-PCL) and 11 developed cutaneous lesions following disseminated nodal lymphoma (secondary cutaneous lymphoma-SCL). A once weekly fractionation scheme was employed to irradiate the entire skin surface with 3.5 to 4 MeV electron beam from a 6 MeV linear accelerator. During each weekly session, 400 rad were delivered to the entire skin and a complete course consisted of 4-6 consecutive weekly sessions. The majority of patients have been previously treated elsewhere for various periods and all patients have been at risk for a median of 12 months, range from 12-117 months following TSEB. Striking predominance of the diffuse pattern (76%) was demonstrated in both the PCL and SCL. There was extracutaneous involvement in 63% ...

382

The prevalence, management and outcome for acute wounds identified in a wound care survey within one English health care district

To investigate the problems of the Hanaro stent (Solco Intermed, Seoul, Korea) when used in the palliative treatment of patients with inoperable malignant biliary obstruction. Between January 2000 and May 2001, the treatment of 46 patients with malignant biliary obstruction involved percutaneous placement of the Hanaro stent. Five patients encountered problems during removal of the stent's introduction system. The causes of obstruction were pancreatic carcinoma (n=2), cholangiocarcinoma (n=2), and gastric carcinoma with biliary invasion (n=1). In one patient, percutaneous transhepatic cholangiography and stent insertion were performed as a one-step procedure, while the others underwent conventional percutaneous transhepatic biliary drainage for at least two days prior to stent insertion. A self-expandable Hanaro stent, 8-10 mm in deameter and 50-100 mm in lengh, and made from a strand of nitinol wire, was used in all cases. Among the five patients who ...

2002-07-01

383

British Library Electronic Table of Contents (United Kingdom)

This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n=62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 weeks or longer duration, only 3 had...

2009-01-01

384

The Effects of Capitation on Outpatient Mental Health Episodes of Children

Thai Family Health Routines: scale development and psychometric testing.

We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on changes in episode duration and service ...

2006-02-01

385

Improving safety and quality: how can education help?

The aims of the study were to develop and test the psychometric properties of the Thai Family Health Routines (TFHR) scale, a 70-item self-report questionnaire used to measure the health of Thai families through their routine behaviors in daily life. Development of the TFHR was based on the structural domains of Denham's Family Health Model. The TFHR scale was initially composed of 85 items and tested on 1,040 families living in the central region of Thailand. The confirmatory factor analysis, with an acceptable factor structure model, yielded 70 items aligned with six factors: self-care, safety and prevention, mental health behavior, family care, family caregiving, and illness care routines. The preliminary psychometric properties demonstrated that the TFHR scale had satisfactory internal consistency, criterion validity, and construct validity. The test results suggested that the TFHR scale has potential benefits for ...

2009-05-01

386

An enhanced primary health care role following psychological trauma: the Christchurch earthquakes.

National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and experience) can do to demonstrate competencies in a range of quality and safety activities. Medical schools, vocational ...

2006-05-15

387

Project quality assurance plant: Sodium storage facility, project F-031

Following the February 2011 earthquake in Christchurch, New Zealand (NZ), the authors participated in counselling local residents, and debriefing and supervising support teams. Indications were that risk for mental health disorders, including Post-Traumatic Stress Disorder (PTSD), may be elevated in residents, and that this risk may continue for some time. Patients may be de-prioritising their mental health issues when these become normalised throughout the city's population. The authors recommend that primary care patients are assessed using a brief, comprehensive tool (for example, the Case-finding and Help Assessment Tool) that targets many health and behavioural issues identified as increasing in the city following the earthquake. Anxiety and mood disorder symptoms may indicate assessment is appropriate to reduce harm arising from increased risk for PTSD. Concern also is raised for primary health care providers who may have experienced the ...

2011-09-01

388

Neptunium storage at Hanford

The Sodium Storage Facility Project Quality Assurance Plan delineates the quality assurance requirements for construction of a new facility, modifications to the sodium storage tanks, and tie-ins to the FFTF Plant. This plan provides direction for the types of verifications necessary to satisfy the functional requirements within the project scope and applicable regulatory requirements determined in the Project Functional Design Criteria (FDC), WHC-SD-FF-FDC-009.

389

Natural radioactive materials occurrence in oil facilities

A decision must be made regarding whether the United State`s stockpile of neptunium should be discarded into the waste stream or kept for the production of Pu-238. Although the cost of long term storage is not inconsequential, to dispose of the material means the closing of our option to maintain control over our Pu-238 stockpile. Within the Fuels and Materials Examination Facility at Hanford there exists a remotely operated facility that can be converted for neptunium storage. This paper describes the facility and the anticipated handling requirements.

1993-06-01

390

High-explosives test facility

This work presents and describes the natural radioactive occurrence in oil facilities. The origins of the detected radioactivity and the reasons of its settlement are discussed. The measurements results carried out in oil facilities in the Neuquina basin (Argentine) are shown in this work. The aim is to describe the actual situation and to evaluate the magnitude of the problem. Finally, recommendations are proposed to protect the health of the workers, especially of those who carry out the cleaning of the equipment, and to guarantee an appropriate final disposal for the generated radioactive residuals. (author)

2001-06-01

391

FLASH-the first soft x-ray free electron laser (FEL) user facility

This report describes a high explosives test facility that makes efficient use of equipment and combines utility, convenience, and safety in a modest amount of space. It is a dedicated facility for exploratory development efforts that previously were conducted in a single room having very limited capabilities. Two explosives testing areas are now available and several projects are supported concurrently.

1982-08-01

392

Demonstration of neutron radiography and computed tomography at the University of Texas thermal neutron imaging facility

The free electron laser (FEL) FLASH at DESY in Hamburg is the first x-ray FEL ever built. Many new developments were necessary in order to exploit the unique properties of this novel light source for scientific experiments. The facility has constantly been improved and several major upgrades have been made or are currently underway. This paper reviews the main characteristics of the user facility as well as the major developments and upgrades.

2010-10-14

393

Demonstration of neutron radiography and computed tomography at the University of Texas thermal neutron imaging facility

A thermal neutron imaging facility for real-time neutron radiography and computed tomography has recently been developed and built at the University of Texas TRIGA reactor. Herein the authors present preliminary results of radiography and tomography test experiments. These preliminary results showed that the beam is of high quality and is suitable for radiography and tomography applications. A more detailed description of the facility is given elsewhere.

1999-09-01

394

Cold regions hydrology and hydraulics

A thermal neutron imaging facility for real-time neutron radiography and computed tomography has recently been developed and built at the University of Texas TRIGA reactor. Herein the authors present preliminary results of radiography and tomography test experiments. These preliminary results showed that the beam is of high quality and is suitable for radiography and tomography applications. A more detailed description of the facility is given elsewhere

1999-06-06

395

About technical possibility to use VEERA facility for investigation of coolant stratification phenomenon in horizontal steam generators

This monograph addresses a narrow aspect of cold regions engineering, namely the effects of cold weather on the traditional civil engineering disciplines of hydrology and hydraulics. Hydrologic and hydraulic considerations in the design, construction, and operation of civil works are very important. Many of the problems encountered in the design and construction of buildings, transportation systems, water supply facilities, waste treatment facilities, and hazardous waste disposal facilities, for example are closely tied to the characteristics of the site hydrology.

1990-01-01

396

Use of a point-of-care beta-hydroxybutyrate sensor for detection of ketonemia in dogs.

The presentation gives a brief insight on possibility of using the VEERA facility in studying the stratification phenomenon. The idea for such experiments is to use the facility upper plenum part to simulate the conditions in upper part of horizontal steam generator hot collector. The upper part of steam generator hot collector is one of the locations where the stratification can take part during natural circulation mode. 4 refs.

1997-12-31

397

Upsetting categories? The consequences of pharmacogenomics for making knowledge-based reimbursement decisions in Sweden

The urine test strip is the most common test used to detect ketones in veterinary patients, but it can underestimate the degree of ketonuria and hence, ketonemia. Additionally, adequate urine samples for analysis may be difficult to obtain from dehydrated animals. The standard method used to detect and monitor ketonemia in human medicine is measurement of serum or whole blood beta-hydroxybutyrate (?HOB). A point-of-care (POC) analyzer has been validated for this purpose in humans. This study compared the accuracy of the POC device to an enzymatic reaction laboratory method for measurement of ?HOB in dogs. Although the POC sensor tended to overestimate ?HOB concentrations, there was good correlation (R(2) = 0.96) and good agreement between the 2 methods with a bias +/- precision of 0.0860 +/- 0.3410 mmol/L ?HOB. The POC ?HOB sensor can be useful for assessing ketonemia in dogs. PMID:21119867

2010-09-01

398

British Library Electronic Table of Contents (United Kingdom)

This paper contributes to an understanding of pharmacogenomics-in-the-making by foregrounding a regulatory setting in which these technologies must be situated: decision-making about pharmaceutical reimbursement. Health care assessment organizations have been introduced in many countries to systematically address the issue of health care coverage. Using the example of Sweden, the process of deciding reimbursement status is shown to hinge on the creation of stable and clinically feasible categories of patients, diseases and drug responses. Through a series of analogous examples concerning conventional pharmaceuticals, it is argued that current mechanisms for categorizing reimbursable drugs could be upset when pharmacogenomic advances provide a means of making patients more specific objects ...

2010-01-01

399

Simulation-based training improves applied clinical placement of ultrasound-guided PICCs

British Library Electronic Table of Contents (United Kingdom)

Purpose Skilled placement of peripherally inserted central catheters (PICC) has a profound impact on patient well-being and costs of care. The use of ultrasound-guided methods and prescribed training for cannulation skills are evidence-based practice recommendations. The purpose of this study was to compare two methods of PICC instruction on the acquisition of applied skills. Methods Residents were randomly assigned to one of two groups (N?=?16/16) of this blind-rater study and were trained to perform ultrasound-guided PICC cannulation using either simulation or apprenticeship methods. All residents were assessed placing a PICC in applied clinical patient care. Results Residents who completed simulation training had significantly better transfer of skills to applied clinical practice than ...

2011-01-01

400

PREVENTION OF INFECTION IN PATIENTS WITH CHRONIC KIDNEY DISEASE PART III: SURVEILLANCE AND AUDITING IN A RENAL CARE ENVIRONMENT

British Library Electronic Table of Contents (United Kingdom)

Summary This third paper, in a three-part CE series on the preventions of infection in patients with chronic kidney disease, focuses on surveillance and auditing of healthcare-associated infections within the renal care environment. The last decade has seen an increased awareness of the threat to patient safety from healthcare-associated infection (HCAI) and the emergence of multi-drug resistance organisms. Effective HCAI prevention strategies include adequate governance structures, access to expert advice, adherence to standard and transmission-based precautions, minimising the use of invasive medical devices, and surveillance. Surveillance data can be collected using outcome (e.g. infection) and/or process (e.g. hand hygiene compliance audit) measures. Establishing a surveillance program...

2011-01-01

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

401

Outcome of peripherally inserted central venous catheters in surgical and medical neonates

British Library Electronic Table of Contents (United Kingdom)

Background/Purpose: Peripherally inserted central venous catheters (PICCs) are commonly used for neonatal vascular access. The aim of this study was to look at PICC line complication rates and possible predictors of PICC infection in a neonatal intensive care unit. Method: This was a prospective study of 226 neonates who had PICCs on our neonatal intensive care unit between January 2006 and June 2009. Complete data was available on 218 neonates who had 294 PICC lines. Criteria for catheter-related sepsis was positive blood cultures (peripheral/central) and/or a positive catheter tip culture after removal in the presence of a clinical suspicion of line sepsis. Results: Of 218 neonates, 132 (169 lines) were medical, and 86 (125 lines) were surgical. Our PICC line infection rate was 17 infect...

2011-01-01

402

Facial reconstruction in the developing world: a complicated matter

British Library Electronic Table of Contents (United Kingdom)

Around the world there is a small industry of non-governmental organisations that provide health care in niche areas that cannot be met by national health care provision. One topic is facial deformity that can have a dramatic effect on quality of life. In this study we investigate the morbidity and outcome of a British surgical team working for a 2-week period in Ethiopia. Thirty-five patients who presented with facial deformities had 47 operations during a 2-week period. Data were recorded for a minimum of 3 weeks postoperatively. Operative techniques were classified as simple or complex. Postoperative complications were assessed and classified as major, intermediate, and minor. In addition, the character of each complication was recorded and the cause elucidated. After 3 weeks the clinic...

2011-01-01

403

FIN 48: headaches for hedge fund tax compliance function

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

404

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

British Library Electronic Table of Contents (United Kingdom)

Abstract Background: This study involves a multicentre surveillance of tigecycline and tetracycline activity against Gram-negative and Gram-positive bacteria from primary care centres (PCCs), general hospital wards (GHWs) and intensive care units (ICUs) in Denmark (n == 9), Finland (n == 10), Norway (n == 7) and Sweden (n == 19). Methods: The hospitals were each asked to test 30 consecutive Gram-positive and 30 Gram-negative clinical isolates. Supportive information accompanying each isolate included the study centre, ward level (PCC, GHW, or ICU), patient identification and source of the isolate. Minimum inhibitory concentrations (MICs) for tetracycline and tigecycline were determined with the Etest. Results: The isolates collected comprised 1610 Gram-negative and 1767 Gram-positive clini...

2011-01-01

405

Waste Receiving and Processing Facility Module 2A: Advanced Conceptual Design Report. Volume 1

High-energy x-ray microscopy techniques for laser-fusion plasma research at the National Ignition Facility

This ACDR was performed following completed of the Conceptual Design Report in July 1992; the work encompassed August 1992 to January 1994. Mission of the WRAP Module 2A facility is to receive, process, package, certify, and ship for permanent burial at the Hanford site disposal facilities the Category 1 and 3 contact handled low-level radioactive mixed wastes that are currently in retrievable storage at Hanford and are forecast to be generated over the next 30 years by Hanford, and waste to be shipped to Hanford from about DOE sites. This volume provides an introduction to the ACDR process and the scope of the task along with a project summary of the facility, treatment technologies, cost, and schedule. Major areas of departure from the CDR are highlighted. Descriptions of the facility layout and operations are included.

1994-03-01

406

Economic analysis of effluent limitation guidelines and standards for the centralized waste treatment industry

Multi-kilo-electron-volt x-ray microscopy will be an important laser-produced plasma diagnostic at future megajoule facilities such as the National Ignition Facility (NIF). However, laser energies and plasma characteristics imply that x-ray microscopy will be more challenging at NIF than at existing facilities. We use analytical estimates and numerical ray tracing to investigate several instrumentation options in detail, and we conclude that near-normal-incidence single spherical or toroidal crystals may offer the best general solution for high-energy x-ray microscopy at NIF and similar large facilities. Apertured Kirkpatrick{endash}Baez microscopes using multilayer mirrors may also be good options, particularly for applications requiring one-dimensional imaging over narrow fields of view. {copyright} 1998 Optical Society of America

1998-04-01

407

Development of electronic imaging system for real time neutron radiography at TRIGA MK-II research reactor of AERE, Savar, Dhaka and utilization for research and industrial applications

This report estimates the economic and financial effects and the benefits of compliance with the proposed effluent limitations guidelines and standards for the Centralized Waste Treatment (CWT) industry. The Environmental Protection Agency (EPA) has measured these impacts in terms of changes in the profitability of waste treatment operations at CWT facilities, changes in market prices to CWT services, and changes in the quantities of waste management at CWT facilities in six geographic regions. EPA has also examined the impacts on companies owning CWT facilities (including impacts on small entities), on communities in which CWT facilities are located, and on environmental justice. EPA examined the benefits to society of the CWT effluent limitations guidelines and standards by examining cancer and non-cancer health effects of the regulation, recreational benefits, and cost savings to publicly owned ...

1998-12-01

408

Decree of the Czechoslovak Atomic Energy Commission No. 436/1990 on quality assurance of selected facilities with respect to nuclear safety of nuclear facilities

The neutron radiography facility was installed at the tangential beam port of the 3 MW TRIGA MARK-II research reactor. In the facility only direct film neutron radiography method is being used. The project involves development of electronic imaging system for real time neutron radiography in the existing facility with the aim of utilizing it for research and industrial applications. In establishing the electronic imaging system for real time neutron radiography the improvements of existing facility were almost done during this period. In parallel, the former facility was used for the research: (a) A study of wood and wood plastic composites with and without additive by using film neutron radiography and (b) A study of jute reinforced polymer composites by using film neutron radiography technique. (author)

2008-09-01

409

Facilities Condition and Hazards Assessment for Materials and Fuel Complex Facilities MFC-799, 799A, and 770C

The Decree specifies basic quality assurance requirements applicable to machines, their parts and materials, civil engineering structures, means for automated control of technological processes including hardware and software, and electricity supply systems related to nuclear safety of nuclear facilities, and stipulates binding procedures for the implementation of technical and organizational provisions associated with the quality of selected equipment to ensure nuclear safety of nuclear facilities. Safety classes are defined for selected equipment. Requirements laid on safety assurance documentation are specified, and requirements placed on safety assurance programmes, their preparation, finalization and approval are defined. Quality assurance requirements are also specified with respect to the designing, manufacture, construction, operation, repair, modification and decommissioning of nuclear facilities. The Decree ...

1995-02-01

410

Results of 1st regular inspection of No.2 unit in Sendai Nuclear Power Plant

The Materials & Fuel Complex (MFC) facilities 799 Sodium Processing Facility (a single building consisting of two areas: the Sodium Process Area (SPA) and the Carbonate Process Area (CPA), 799A Caustic Storage Area, and 770C Nuclear Calibration Laboratory have been declared excess to future Department of Energy mission requirements. Transfer of these facilities from Nuclear Energy to Environmental Management, and an associated schedule for doing so, have been agreed upon by the two offices. The prerequisites for this transfer to occur are the removal of nonexcess materials and chemical inventory, deinventory of the calibration source in MFC-770C, and the rerouting and/or isolation of utility and service systems. This report provides a description of the current physical condition and any hazards (material, chemical, nuclear or occupational) that may be associated with past operations of these ...

2009-11-01

411

Results of 1st regular inspection of No. 2 unit in Sendai Nuclear Power Plant

This report presents results of the 1st regular inspection of the No.2 unit of the Sendai Nuclear Power Plant. It was carried out during the period from September 22, 1986, to December 24, 1986. The inspection covered the main unit of the nuclear reactor, facilities for the nuclear reactor cooling system, facilities for the instrumentation control system, fuel facilities, radiation control facilities, disposal facilities, nuclear reactor containment facilities, and emergency power generation system. Checking of appearance, disassemblage, leak and functions-performance of these facilities was conducted and no abnormalities were found. All operations involved in the inspection were performed under conditions within the permissible dose as specified in the applicable laws. No major modification work was carried out during the period of the ...

1987-01-01

412

Preparation of high burnup fuel post-irradiation testing facility

This report presents results of the 1st regular inspection of the No. 2 unit of the Sendai Nuclear Power Plant. It was carried out during the period from September 22, 1986, to December 24, 1986. The inspection covered the main unit of the nuclear reactor, facilities for the nuclear reactor cooling system, facilities for the instrumentation control system, fuel facilities, radiation control facilities, disposal facilities, nuclear reactor containment facilities, and emergency power generation system. Checking of appearance, disassemblage, leak and functions-performance of these facilities was conducted and no abnormalities were found. All operations involved in the inspection were performed under conditions within the permissible dose as specified in the applicable laws. No major modification work was carried out during the period of the ...

1987-09-01

413

Managing system for mounted parts and spare parts of power source facilities

In the fuel testing facilities of Japan Atomic Energy Research Institute, the post-irradiation test of practical fuel used in nuclear power stations was begun in December, 1979, and the soundness of practical fuel has been confirmed, and the valuable post-irradiation test data on the behavior of fuel have been acquired. Recently, the heightening of fuel burnup has been advanced, and also in fuel testing facilities, the development and preparation of the post-irradiation testing facility required for examining in detail high burnup fuel have been carried out. The course of the installation of the post-irradiation testing facility and the outline of the facility are reported. As the preparation of the post-irradiation testing facility for high burnup fuel, a hyperfine hardness tester that measures dynamic hardness, the measuring instrument for pellet thermal ...

1996-05-01

414

Air pollutants emissions from waste treatment and disposal facilities.

The power source facilities of JT-60 consist of poloidal magnetic coil power source, toroidal magnetic coil power source, the power generation facility for heating, operation power distribution facility and secondary cooling facility, and at the time of the experiment operation of JT-60, they supply 1300 MVA of instantaneous maximum power to loads. The component machinery and equipment of the power source facilities are installed in about 20 indoor and outdoor places, and their mounted parts are about 15,000 kinds. About 3,000 kinds of spare parts are preserved in 15 exclusively used stores. The managing system for mounted parts and spare parts of JT-60 power source facilities which possesses the functions of rapidly and efficiently carrying out the storage of large quantity of information, mutual relating and retrieval by making mounted parts and spare parts ...

1995-07-01

415

Thermal treatment of municipal waste by pyrolysis. Thermische Behandlung von Siedlungsabfaellen durch Pyrolyse

This study examined the atmospheric pollution created by some waste treatment and disposal facilities in the State of Kuwait. Air monitoring was conducted in a municipal wastewater treatment plant, an industrial wastewater treatment plant established in a petroleum refinery, and at a landfill site used for disposal of solid wastes. Such plants were selected as models for waste treatment and disposal facilities in the Arabian Gulf region and elsewhere. Air measurements were made over a period of 6 months and included levels of gaseous emissions as well as concentrations of volatile organic compounds (VOCs). Samples of gas and bioaerosols were collected from ambient air surrounding the treatment facilities. The results obtained from this study have indicated the presence of VOCs and other gaseous pollutants such as methane, ammonia, and hydrogen sulphide in air surrounding the waste treatment and disposal ...

2006-01-01

416

The epidemiology and experience of atopic eczema during childhood: a discussion paper on the implications of current knowledge for health care, public health policy and research

As waste disposal methods and long-term precautionary care of the environment are closely related, disposal of non-avoidable and intractable residual products is to be viewed primarily from a safety angle. Also, thermal processes airm mainly at treatment, not utilization. 'Safety' in this context addresses both the environmental compatibility of the products and the process itself. In other words, only mature techniques (i.e., safe, proven ones) are employed. (orig.)

1994-03-01

417

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

Atopic eczema is a chronic skin condition affecting between 5% and 20% of children aged up to 11 years at one time or other. Research suggests that prevalence is increasing and various environmental...Full Text Available

2000-08-01

418

Stress measurement and bolt tensioning by ultrasonic methods

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

419

Radiation protection in the operating room

In the past decade, a new technique has been developed for measuring tensile stresses in solids. This ultrasonic technique has been used thus far primarily for measuring fastener tension. The precision of measurement is routinely to 2-3% and, with special care, to approx. 1%. The method is insensitive to the frictional losses which plague tensioning by torque wrench. Though the approach is relatively new, it promises a wide range of applicability.

1980-01-01

420

RMIT - Improving health and lifestyle

On the basis of legally provided area dose measurements and time records of fluoroscopic examinations during the operation, radiation doses to medical personnel and patients are evaluated. Adequate radiation protection measures and a careful behaviour in the operating room keep the radiation exposure to the personnel below the maximum permissible exposure. Taking into account the continuous personnel radiation monitoring and medical supervision, radiation hazards in the operating room can be considered low.

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421

Planning and operational considerations for units utilizing military workingn> dogs.

... 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 ...

422

Partially-carbonized polyacrylonitrile filter

Military working dogs are rapidly becoming integral to military operations. While they bring many valuable capabilities to the battlefield, it is important that Special Operations leaders consider canine team capabilities and requirements when planning missions. Careful logistical and operational planning can optimize the health, performance, and readiness of the working dog while protecting the safety and well-being of the team members working with them. We also offer recommendations for medical treatment of dog bites. PMID:19813342

2009-01-01

423

New concept to optimize emergency diagnoses in patients with multiple injuries

A filter for extracting solids and liquids from gaseous combustion exhausts comprises a textile filter element formed of polyacrylonitrile fibers oxidized by careful heat treatment and comprising approximately 61% carbon after treatment. The filter may be woven, knitted or formed as a batting of randomly-oriented fibers. Abrasion resistant coatings and lubricants for the fibers are disclosed. The filter material is especially useful as a filter bag.

1984-04-24

424

Monoclonal antibody imaging in malignant and benign gastrointestinal diseases

To optimize the emergency care of patients with multiple injuries, a special emergency room with integrated radiological equipment has been developed. It consists of a linear array of a computed tomography system, a mobile C-arm with an integrated scattered radiation grid for conventional films and a C-arm fluorographic system. The intent is to avoid delay caused by transport and repositioning of the patient. It enables all necessary diagnostic procedures to be performed within a minimal amount of time. (orig./MG).

425

Maggot Therapy Takes Us Back to the Future of Wound Care: New and Improved Maggot Therapy for the 21st Century

The "1"3"1I-labelled monoclonal antibodies 791T/36 and 79IT/36 Fab fragments have been evaluated in the imaging of patients with colorectal cancer, with benign colorectal tumours, and with malignant tumours of other parts of the gastrointestinal tract. The results of clinical imaging have been carefully correlated with clinical findings and direct measurement of the preferential uptake of antibody by the tumours. (UK).

426

Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania

In the 21st century, eighty years after William Baer presented his groundbreaking work treating bone and soft tissue infections with live maggots, thousands of therapists around the globe have rediscovered...Full Text Available

427

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

BackgroundIntermittent preventive treatment of malaria during pregnancy (IPTp) is a key intervention in the national strategy for malaria control in Tanzania. SP, the current drug...Full Text Available

428

Incidents of major damage to steam turbines

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

2001-11-01

429

Ground water modelling in artificial recharge projects

The author furnishes a review of incidents of major damage to high-output steam turbines. At the same time, he thereby underlines the call for an improvement in the exchange of experience on such damage and its causes at international level. Only the careful observance of past damage experience - including that of foreign manufacturers and operators - complete and modern monitoring equipment and the painstaking evaluation of all data furnished by such equipment can keep the risk of new technical development within economically tolerable limits. (orig.).

430

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

Decision-making is strongly based on modelling in two of our water supply projects concerning artificial ground water. The model used is a 2-dimensional flow and transport model using the element method. Due to sharp variations in Finnish soils, the modelling process is based on careful and detailed evaluation of basic hydrogeological data before and during model calibration.

1991-05-09

431

Frequency of conjugative transfer of plasmid-encoded ISEcp1 - bla_CTX-M-15and aac(6')-lb-cr genes in Enterobacteriaceae at a tertiary care center in Lebanon - role of transferases

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

432

First Report of the Emergence of CTX-M-Type Extended-Spectrum ?-Lactamases (ESBLs) as the Predominant ESBL Isolated in a U.S. Health Care System?

BackgroundThe frequency of transfer of genes encoding resistance to antimicrobial agents was determined by conjugation in ESBL-producing and/or fluoroquinolone or aminoglycoside...Full Text Available

433

Evolution of health information management and information technology in emergency medicine.

CTX-M-type extended-spectrum β-lactamases (ESBLs) have become increasingly common worldwide, with the notable exception of the United States, where TEM- and SHV-type ESBLs have appeared to predominate....Full Text Available

2007-11-01

434

Engineering Assistance and sustainable development; Ingenierie conseil et developpement durable

The implementation of information technology will continue to have important effects on the practice of emergency medicine. Patient registration and tracking systems, telemedicine electronic order entry systems, and the advent of electronic health records are some examples of applications that influence patient care in emergency departments. We review the literature regarding information technology advances in emergency medicine and outline the important role that emergency physicians play in developing and implementing a national health information technology strategy. PMID:16712540

2006-06-01

435

Development of a site-specific following accident dose assessment system

Since many years, people take care of hazardous consequences of a non controlled economic growth and the sustainable development concept gains on one. This situation leads to consequences in the building industry and in the energy policy: buildings insulation in consideration, demand of consultants. In this framework, the partnership between Gaz De France and CICF has to be built. (A.L.B.)

2002-07-01

436

Costs Associated with Developing and Implementing a Computerized Clinical Decision Support System for Medication Dosing for Patients with Renal Insufficiency in the Long-term Care Setting

The objectives of this project to interface the site-specific real-time radiological dose assessment system FADAS(Following Accident Dose Assessment System) to CARE. In this study, the results of the field tracer experiments conducted on the Younggwang site have been analysed. And the experimental procedure on Ulchin site has been introduced. The environmental characteristics on Ulchin and Wolsung has been investigated.

1997-12-15

437

A team of physicians, pharmacists, and informatics professionals developed a CDSS added to a commercial electronic medical record system to provide prescribers with patient-specific maximum dosing recommendations...Full Text Available

2008-07-01

438

Areva in Niger

A Laser-Pointer-Based Spectrometer for Endpoint Detection of EDTA Titrations

Niger is the second poorest country in the world but it has natural resources underground in the form of uranium ores deposits. This uranium is currently mined by two companies incorporated under Nigerian law: Somair and Cominak, operated by the principal shareholder Areva (through its subsidiary Cogema). After a presentation of Somair and Cominak key figures, this document details the working conditions and radiological protection, the environmentally friendly operations, the production traceability, the local economic development, the strengthening of the health care system and the development of the infrastructure. (A.L.B.)

2005-02-01

439

Regulatory quality assurance requirements for the operation of nuclear R and D facilities in Korea

A laser spectrometer for the ethylenediaminetetra-acetic acid (EDTA) titration of magnesium or calcium ions that is designed around a handheld laser pointer as the source and a photoresistor as the detector is developed. Findings show that the use of the spectrometer reduces the degree of uncertainty and error in one part of the EDTA titrations, however overall standard deviations depend on the skill of the student and their willingness to be careful and precise.

2004-12-01

440

Sensor test facilities and capabilities at the Nevada Test Site

Full text: Korea Atomic Energy Research Institute (KAERI) has many R and D facilities in operation. including HANARO research reactor, radioactive waste treatment facility (RWTF), post-irradiation examination facility (PIEF) and irradiated material test facility (IMEF). Recently. nation-wide interest is focused on the safety and security of major industrial facilities. Safe operation of nuclear facilities is imperative because of the consequence of public disaster by radiological release/contamination, in case of an accident. Recently, Ministry of Science and Technology (MOST) of the Korean government announced amendments of Atomic Energy laws to enforce requirements of the physical protection and radiological emergency. All provisions on nuclear safety regulation and radiation protection are entrusted to the Atomic Energy Act(AEA). The Act is enacted as the ...

2006-10-15

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441

New neutron simulation capabilities provided by the Sandia Pulse Reactor (SPR-III) and the Upgraded Annular Core Pulse Reactor (ACPR)

Sandia National Laboratories has recently developed two major field test capabilities for unattended ground sensor systems at the Department of energy`s Nevada Test Site (NTS). The first capability utilizes the NTS large area, varied terrain, and intrasite communications systems for testing sensors for detecting and tracking vehicular traffic. Sensor and ground truth data can be collected at either of two secure control centers. This system also includes an automated ground truth capability that consists of differential Global Positioning Satellite (GPS) receivers on test vehicles and live TV coverage of critical road sections. Finally there is a high-speed, secure computer network link between the control centers and the Air Force`s Theater Air Command and Control Simulation Facility in Albuquerque NM. The second capability is Bunker 2-300. It is a facility for evaluating advanced sensor systems for monitoring activities in underground ...

1996-12-31

442

Maintenance implementation plan for the B Plant/WESF. Revision 4

The paper briefly describes the nuclear reactor facilities at Sandia Laboratories which are used for simulating nuclear weapon produced neutron environments. These reactor facilities are used principally in support of continuing R and D programs for the Department of Energy/Office of Military Application (DOE/OMA) in studying the effects of radiation on nuclear weapon systems and components. As such, the reactors are available to DOE and DOD agencies and their contractors responsible for the radiation hardening of advanced nuclear weapon systems. Emphasis is placed upon two new reactor simulation sources; the Sandia Pulse Reactor-III (SPR-III) Facility which enhances the neutron exposure volume capabilities over those presently available with the existing SPR-II Facility, and the Upgraded Annular Core Pulse Reactor (ACPR) Facility which enhances the neutron exposure capabilities ...

1978-07-01

443

Hazard analysis for 300 Area N Reactor Fuel Fabrication and Storage Facilty

This Maintenance Implementation Plan (MIP) has been developed for maintenance functions associated with the B Plant/WESF (Waste Encapsulation Storage Facility) complex. The objective of this plan is to provide baseline information for establishing and identifying WHC conformance programs and policies applicable to implementation of DOE order 4330.4B guidelines. In addition, this maintenance plan identifies the actions necessary to develop a cost-effective and efficient maintenance program at B Plant/WESF. The B Plant WESF facility complex consists of three main facilities and several support structures located in the 200 East Area of the Hanford site. B Plant is a transition facility that is required to ensure safe storage and management of WESF (operating facility) cesium and strontium capsules. B Plant/WESF also contains substantial radiological inventory from previous campaigns. ...

1996-01-01

444

Treatment of prostatic cancer using daily intermittent multiportal therapy (DIMT) technique

This hazard analysis (HA) has been prepared for the 300 Area N Reactor Fuel Fabrication and Storage Facility (Facility), in compliance with the requirements of Westinghouse Hanford Company (Westinghouse Hanford) controlled manual WHC-CM-4-46, Nonreactor Facility Safety Analysis Manual, and to the direction of WHC-IP-0690, Safety Analysis and Regulation Desk Instructions, (WHC 1992). An HA identifies potentially hazardous conditions in a facility and the associated potential accident scenarios. Unlike the Facility hazard classification documented in WHC-SD-NR-HC-004, Hazard Classification for 300 Area N Reactor Fuel Fabrication and Storage Facility, (Huang 1993), which is based on unmitigated consequences, credit is taken in an HA for administrative controls or engineered safety features planned or in place. The HA is the foundation for the accident analysis. The ...

1994-01-25

445

Production and evaluation of labeled bisphosphonates with 153Sm, 166Ho and 177Lu as therapeutic radiopharmaceuticals

In the treatment of prostatic cancer using a newly proposed intermittent multiportal therapy (DIMT), acute reactions, change in tumor marker levels, and complications more than 6 months after treatment were evaluated. From June 1989 to September 1990, 26 patients with prostatic cancer (stage A2, 3 patients; B, 9; C, 2; D, 10; recurrence, 2) were treated. Fifteen patients were followed up for more than one year, with a mean period of 11.6 months. The treatment schedule is 52.5 Gy in 16 fractions in 4 weeks for radical treatment, and 30.0 Gy in 8 fractions in 2 weeks for palliative treatment. The 360 degree rotation about the patient was divided into 16 fractions, and 2 opposing fractions were used in one day as parallel opposed portals to treat the target volume. The fractions were serially treated one per day, so that 8 treatment days produced a total dose of distribution similar to that for conventional conformational therapy. The size of the irradiation field ...

1992-06-01

446

Percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma

Aim: Compounds such "9"9"mTc-MDP and "9"9"mTc-HEDP are used regularly in bone scintigraphy for metastasis detection. The therapeutics properties of beta emitter radionuclides like "1"5"3Sm, "1"6"6Ho and "1"7"7Lu has been widely reported in literature being "1"7"7Lu the less developed for medical applications. With the purpose of study different radiopharmaceuticals alternatives, for metastasis bone palliation, we have evaluated, on a comparative basis, the labeling of "1"5"3Sm-MDP, "1"5"3Sm-HEDP, "1"6"6Ho-MDP, "1"6"6Ho-HEDP, "1"7"7Lu-MDP and "1"7"7Lu-HEDP from the exhibited radionuclidic purity and biological distribution point of view. Material and Methods: The radionuclides were produced at La Reina Research Reactor, Chilean Nuclear Energy Commission. The radionuclidic purity was determined by gamma-Ray spectrometry. The labeling was accomplished with MDP (Plenum) and HEDP synthesized in-house. The in-vitro affinity of labeled compounds to the mineral bone matrix ...

2002-09-01

447

MRI in postoperative assessment of univentricular heart disease: correlation with echocardiography and angiography; MRT in der postoperativen Diagnostik bei funktionell univentrikulaerem Herz: Korrelation zu Echokardiographie und Kardangiographie

Objective: To evaluate the effect of PTBD in treating malignant biliary obstruction caused by hilar cholangiocarcinoma. Methods: We retrospectively analyzed the data of 103 patients(M:62,F:41)with malignant obstructive jaundice caused by hilar cholangiocarcinoma. After taking percutaneous transhepatic cholangiography, metallic stent or plastic external catheter or external-internal catheter for drainage was deployed and then followed up was undertaken with clinical and radiographic evaluation and laboratory. examination. Results: All patients went though PTBD successfully (100%). According to Bismuth classification, all 103 cases consisted of I type(N=30), II type (N=30), III type (N=26) and IV type (N=17). Thirty-nine cases were placed with 47 stents and 64 eases with drainage tubes. 4 cases installed two stems for bilateral drainage, 2 cases installed two stents because of long segmental strictures with stent in stent, 1 case was placed with three stents, and 3 cases installed stent ...

2007-10-01

448

Utilization of the HANARO

Purpose: To determine the value of MRI in the postoperativ evaluation of a singular ventricle compared to echocardiography and cardiac catheterization. Materials and methods: Thirty-one patients (range: 6 months to 30 years) with a functional single ventricle following palliative corrective operations. Five patients had a Blalock-Taussig-Shunt, 8 patients a Glenn-Anastomosis and 18 a cavopulmonary shunt (6 with classic Fontan-Circulation, 12 with modified cavopulmonary anastomosis). The results in terms of postoperative morphologic changes were compared to percutaneous echocardiography (31/31) and cardiac catheterization (6/31). Results: Echocardiography, which was performed on all patients, could not visualize the entire length of the tunnel, the Glenn-Anastomosis or the central pulmonary arteries in 70% of the patients due to an inadequate acoustic window. MRI was able to show the entire tunnel in 11/12 patients and the central pulmonary arteries in 30/31 ...

2002-12-01

449

Universal Basic Education in Nigeria: Availability of Schools' Infrastructure for Effective Program Implementation

Radioisotope facilities were operated to support research, development and production of radioisotopes. Irradiation facilities were operated to offer irradiation service to the clients. Even though intensive periodical checks and some essential maintenance had been carried out the results of RI facility maintenance seemed to be not much satisfactory due mainly to the shortage of skilled manpower and maintenance expenses. High intensity {gamma} irradiator was normally operated 426 times for overall 3,440 hrs, and the low intensity {gamma} irradiator was operated 157 times for overall 11,092 hrs, respectively. (author)

1998-12-01

450

Summary on experimental facilities and future developments at SINQ

This paper examines the availability and adequacy of schools' infrastructural facilities for implementation of the Universal Basic Education program in Nigeria. Adopting the "ex post facto" design, the researchers used existing school data on physical facilities, including a survey of key stakeholders in the education sector. Data analysed revealed inadequacy of physical facilities for effective implementation of the UBE program. It was accordingly recommended that government at the national, state and local levels show better commitment to the implementation of the Universal Basic Education program. (Contains 3 figures and 4 tables.)

2008-02-01

451

Statement of Work (SOW) for services provided by the Waste Sampling and Characterization Facility for the Effluent and Environmental Monitoring Program during calendar year 1998

With 13 experimental facilities under construction to become available during the first year of SINQ operation, a nearly complete suite of options for users will be made available to carry out research with neutrons at PSI. Three more facilities are under design and will come on line somewhat later. To complete the suite, three more specialized instruments are being evaluated. SINQ being a novel neutron source concept, significant scope for improvement is also seen on the source side. It is a major goal of PSI to exploit these opportunities and to make - among others - use of neutron instruments to carry out the necessary research. (author) 9 figs., 1 tab., 11 refs.

1996-11-01

452

Risk evaluation system for facility safeguards and security planning

This document defines the services the Waste Sampling and Characterization Facility (WSCF) shall provide the Effluent and Environmental Monitoring Program (EEM) throughout the calendar year for analysis. The purpose of the EEM Program is to monitor liquid and gaseous effluents, and the environment immediately around the facilities which may contain radioactive and hazardous materials. Monitoring data are collected, evaluated, and reported to determine their degree of compliance with applicable federal and state regulations and permits.

1998-10-22

453

Radiological performance assessment for the E-Area Vaults Disposal Facility

The Risk Evaluation System (RES) is an integrated approach to determining safeguards and security effectiveness and risk. RES combines the planning and technical analysis into a format that promotes an orderly development of protection strategies, planning assumptions, facility targets, vulnerability and risk determination, enhancement planning, and implementation. In addition, the RES computer database program enhances the capability of the analyst to perform a risk evaluation of the facility. The computer database is menu driven using data input screens and contains an algorithm for determining the probability of adversary defeat and risk. Also, base case and adjusted risk data records can be maintained and accessed easily.

1987-07-12

454

Neutron radiography at the University of Michigan's Phoenix Memorial Laboratory

This report is the first revision to ``Radiological Performance Assessment for the E-Area Vaults Disposal Facility, Revision 0'', which was issued in April 1994 and received conditional DOE approval in September 1994. The title of this report has been changed to conform to the current name of the facility. The revision incorporates improved groundwater modeling methodology, which includes a large data base of site specific geotechnical data, and special Analyses on disposal of cement-based wasteforms and naval wastes, issued after publication of Revision 0.

2000-04-11

455

Maintenance implementation plan for T Plant. Revision 2

Real-time neutron radiography (RTNR) is rapidly becoming a valuable tool for nondestructive testing and basic research with a wide variety of applications. The Phoenix Memorial Laboratory (PML) at the University of Michigan has developed an RTNR facility and has been using this facility to study several phenomena of interest to researchers in many areas. These phenomena include imaging of the internal fluid flow in gas turbine engine nozzles and coking and debris deposition in several gas turbine nozzles. This paper presents a summary of the technique and facilities involved in these applications.

1990-06-10

456

Low-level and transuranic waste transportation, disposal, and facility decommissioning cost sensitivity analysis

This document is a Maintenance Implementation Plan (MIP) for the T Plant Facility complex located in the 200 West Area of the Hanford Reservation in Washington state. This plan has been developed to provide a disciplined approach to maintenance functions and to describe how the T Plant facility will implement and comply with the regulations according to US DOE order 4330.4B, entitled Maintenance Management Program, Chapter 2.0 {open_quotes}Nuclear Facilities{close_quotes}. Physical structures, systems, processes, as well as all associated equipment specifically assigned to these groups are included in the MIP.

1995-05-01

457

Low-level and transuranic waste transportation, disposal, and facility decommissioning cost sensitivity analysis

The Systems Design Study (SDS) identified technologies available for the remediation of low-level and transuranic waste stored at the Radioactive Waste Management Complex's Subsurface Disposal Area at the Idaho National Engineering Laboratory. The SDS study intentionally omitted the costs of transportation and disposal of the processed waste and the cost of decommissioning the processing facility. This report provides a follow-on analysis of the SDS to explore the basis for life-cycle cost segments of transportation, disposal, and facility decommissioning; to determine the sensitivity of the cost segments; and to quantify the life-cycle costs of the 10 ex situ concepts of the Systems Design Study.

1992-05-01

458

Interim explosives detection alternatives

The Systems Design Study (SDS) identified technologies available for the remediation of low-level and transuranic waste stored at the Radioactive Waste Management Complex`s Subsurface Disposal Area at the Idaho National Engineering Laboratory. The SDS study intentionally omitted the costs of transportation and disposal of the processed waste and the cost of decommissioning the processing facility. This report provides a follow-on analysis of the SDS to explore the basis for life-cycle cost segments of transportation, disposal, and facility decommissioning; to determine the sensitivity of the cost segments; and to quantify the life-cycle costs of the 10 ex situ concepts of the Systems Design Study.

1992-05-01

459

Initial electron-beam characterizations for the Los Alamos APEX Facility

There is a general concern with insiders smuggling bomb quantities of explosives into sensitive facilities such as nuclear facilities. At this time, there is no single explosives detection device that is suitable for monitoring personnel and their packages for explosives in an operational facility environment. However, there are techniques combining available commercial technologies with procedures and threat analysis that can significantly increase the insiders risk and reduce the population of adversaries. This paper describes the available applicable explosives detection technologies and discusses the techniques that could be implemented on an interim basis. It is important that these techniques be considered, so that some interim level of security against the explosives threat can be established until more sophisticated equipment that is under development becomes available.

1991-01-01

460

Initial electron-beam characterizations for the Los Alamos APEX Facility

The ongoing upgrade of the Los Alamos Free-Electron Laser (FEL) Facility involves the addition of a photoelectric injector (PEI) and acceleration capability to about 40 MeV. The electron-beam and high-speed diagnostics provide key measurements of charge, beam position and profile, divergence emittance, energy (centroid, spread, slew, and extraction efficiency), micropulse duration, and phase stability. Preliminary results on the facility include optical transition radiation interferometer measurements of divergence (1 to 2 mrad), FEL extraction efficiency (0.6 {plus minus} 0.2%), and drive laser phase stability (< 2 ps (rms)). 10 refs.

1991-01-01

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

461

Imaging Automation and Volume Tomographic Visualization at Texas Neutron Imaging Facility

The ongoing upgrade of the Los Alamos Free-Electron Laser (FEL) Facility involves the addition of a photoelectric injector (PEI) and acceleration capability to about 40 MeV. The electron-beam and high-speed diagnostics provide key measurements of charge, beam position and profile, divergence emittance, energy (centroid, spread, slew, and extraction efficiency), micropulse duration, and phase stability. Preliminary results on the facility include optical transition radiation interferometer measurements of divergence (1 to 2 mrad), FEL extraction efficiency (0.6 {plus_minus} 0.2%), and drive laser phase stability (< 2 ps [rms]). 10 refs.

1991-12-31

462

ICDF Complex Operations Waste Management Plan

A thermal neutron imaging facility for real-time neutron radiography and computed tomography has been developed at the University of Texas reactor. The facility produced good-quality radiographs and two-dimensional tomograms. Further developments have been recently accomplished. A computer software has been developed to automate and expedite the data acquisition and reconstruction processes. Volume tomographic visualization using Interactive Data Language (IDL) software has been demonstrated and will be further developed. Volume tomography provides the additional flexibility of producing slices of the object using software and thus avoids redoing the measurements.

1999-11-14

463

High Exposure Facility Technical Description

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

464

Gamma Radiation Detectors of the TA-55 Waste Line Monitoring System

The High Exposure Facility is a collimated high-level gamma irradiator that is located in the basement of the 318 building. It was custom developed by PNNL back in 1982 to meet the needs for high range radiological instrument calibrations and dosimeter irradiations. At the time no commercially available product existed that could create exposure rates up to 20,000 R/h. This document is intended to pass on the design criteria that was employed to create this unique facility, while maintaining compliance with ANSI N543-1974, "General Safety Standard for Installations Using Non-Medical X-Ray and Sealed Gamma-Ray Sources, Energies up to 10 MeV."

2008-02-12

465

Facility Safety Plan B360 Complex Biohazardous Operations CMLS-412r0

This report covers the gamma detectors, measurement instrumentation, and testing results of a system developed at Los Alamos National Laboratory. This system monitors the process liquid waste streams at the Plutonium Facility (TA-55) for the presence of radioactive contamination. The detectors are at various points on the acid, caustic, and industrial waste lines. Two of the detectors are on the sanitary sewer lines from the facility. A custom interface unit associated with these two detectors furnishes the facility operation center with a notification of the detection of material. All of the detectors furnish measurement information to a central computer system for storage and trending.

1999-06-01

466

Department of Nuclear Safety Research and Nuclear Facilities annual report 1995

This Addendum to the Facility Safety Plan (FSP) 360 Complex describes the safety requirements for the safe conduct of all biohazardous research operations in all buildings within the 360 complex program areas. These requirements include all the responsibilities and authorities of building personnel, operational hazards, and environmental concerns and their controls. In addition, this Addendum prescribes facility-specific training requirements and emergency controls, as well as maintenance and quality assurance requirements for ES&H-related building systems.

2007-01-08

467

An overview of FFTF [Fast Flux Test Facility] contributions to Liquid Metal Reactor Safety

The report presents a summary of the work of the Department of Nuclear Safety Research and Nuclear Facilities in 1995. The department`s research and development activities are organized in three research programmes: Radiation Protection, Reactor Safety, and Radioanalytical Chemistry. The nuclear facilities operated by the department include the Research Reactor DR3, the Isotope Laboratory, the Waste Treatment Plant, and the Educational Reactor DR1. Lists of staff and publications are included together with a summary of the staff`s participation in national and international committees. (au) 5 tabs., 21 ills.

1996-03-01

468

A study on the design method of multi tunnels in geological disposal facility

The Fast Flux Test Facility has provided a very useful framework for testing the advances in Liquid Metal Reactor Safety Technology. During the licensing phase, the switch from a nonmechanistic bounding technique to the mechanistic approach was developed and implemented. During the operational phase, the consideration of new tests and core configurations led to use of the anticipated-transients-without-scram approach for beyond design basis events and the move towards passive safety. The future role of the Fast Flux Test Facility may involve additional passive safety and waste transmutation tests. 26 refs.

1990-11-11

469

Using the CFD code FLUENT for simulation of decay heat removal from spent fuel interim storage facilities; Berechnung der Abfuhr der Nachzerfallswaerme aus Zwischenlagern mit dem CFD-Programm FLUENT

In the geological disposal facility of the high-level radioactive waste, a group of galleries is designed in parallel at the depth of more than 300 m below surface. This is an unprecedented structure in the field of conventional engineering, and it is necessary to take this characteristic into consideration in the design of the galleries. In the geological disposal facility, as well as ensuring the dynamic stability of the gallery during construction and operational periods, it is necessary to evaluate the EDZ adequately for long-term stability after the closure. In this study, analysis of the 'multi tunnels model' which represents the whole gallery group was performed and the results about the outbreak behavior of EDZ were summarized. (author)

2008-01-01

470

Using the CFD code FLUENT for simulation of decay heat removal from spent fuel interim storage facilities

No abstract prepared.

2001-07-01

471

United States Domestic Research Reactor Infrastrucutre TRIGA Reactor Fuel Support

German 2001 p. 253-258 Germany Hages, P. Stratmann, W. STEAG encotec

2001-05-15

472

The duke XUV FEL storage ring facility

The United State Domestic Research Reactor Infrastructure Program at the Idaho National Laboratory manages and provides project management, technical, quality engineering, quality inspection and nuclear material support for the United States Department of Energy sponsored University Reactor Fuels Program. This program provides fresh, unirradiated nuclear fuel to Domestic University Research Reactor Facilities and is responsible for the return of the DOE-owned, irradiated nuclear fuel over the life of the program. This presentation will introduce the program management team, the universities supported by the program, the status of the program and focus on the return process of irradiated nuclear fuel for long term storage at DOE managed receipt facilities. It will include lessons learned from research reactor facilities that have successfully shipped spent fuel elements to DOE receipt facilities.

2011-03-01

473

The PANDA facility and first test results

In this paper we present status and developments of the Duke storage ring facility. The Duke storage ring facility provides the unique combination of phase-locked light sources ranging from high power OK-4 XUV FEL to quasimonochromatic {gamma}-ray beam and IR/X-ray spontaneous radiation. The XUV OK-4 FEL, which is collaborative project with BlNP, Novosibirsk, is in operation since November, 1996. The OK-4 UV FEL is also used for production of nearly monochromatic {gamma}-ray s with tunable energy. We present the results of UV lasing with the OK4 FEL and selected results of its applications. We will discuss our future plans for extension of this source and status of the construction of dedicated used facility adjacent to the FEL building. (author)

1998-11-01

474

The Global Biodiversity Information Facility (GBIF): Infrastructure, standards, access to data and tools to forecast climate change impacts on marine resources

The PANDA test facility at the Paul Scherrer Institute is used to study the long-term performance of the Simplified Boiling Water Reactor's passive containment cooling system. The PANDA tests demonstrate performance on a larger scale than previous tests and examine the effects of any non-uniform spatial distributions of steam and non-condensable gases in the system. The facility is in 1:1 vertical scale and 1:25 scale for volume, power etc. Extensive facility characterization tests and steady-state passive containment condenser performance tests are presented. The results of the base case test of a series of transient system behaviour tests are reviewed. The first PANDA tests exhibited reproducibility, and indicated that the Simplified Boiling Water Reactor's containment is likely to be favorably responsive and highly robust to changes in the thermal transport patterns. (orig.).

475

Status of PACTEL facility

English 1 Feb 2009 [1 p.] United Kingdom Andelman, S Kins, Nick

2009-02-01

476

Robotic complex control system with copying manipulator for radioactive waste storage facility

Since 1976, the Nuclear Engineering Laboratory of the Technical Research Centre of Finland and Lappeenranta University of Technology have cooperated in the field of nuclear reactor thermal-hydraulics. During these years, a series of experimental facilities (REWET-I, -II, -III, VEERA) simulating pressurized water reactors (PWRs) have been built. The newest facility, PACTEL (Parallel Channel Test Loop), is an experimental out-of-pile facility designed to simulate the major components and system behaviour of a commercial PWR during postulated small and medium size break loss-of-coolant accidents (LOCAs), natural circulation and operational transients. A PACTEL natural circulation experiment has been carried out as an OECD/NEA international standard problem ISP 33. (2 refs., 3 figs., 2 tabs.).

1993-12-31

477

Operation of the Wilsonville Advanced Coal Liquefaction R and D Facility, 1981. Annual report

... Russian Federation) 978-5-85855-125-6 246 p. ENGINEERING adaptive

478

Mixed waste disposal facility at the Nevada Test Site

This report summarizes the 1981 operating and test data obtained at the six ton per day Advanced Coal Liquefaction Research and Development Facility in Wilsonville, Alabama. Special emphasis is placed on data accumulated during the fourth quarter of 1981. The Wilsonville R and D Facility was in operation 71% of 1981 (70% of the fourth quarter) with scheduled shutdowns accounting for 23% of the downtime (28% during the fourth quarter). Kentucky 9 coal from the Fies mine was processed in all runs conducted during 1981 (Runs 222 through 235). The hydrotreater (HTR) unit was brought on stream successfully in May 1981. The three process units of the Wilsonville facility were operated in a non-integrated mode during the second half of 1981. Significant data was obtained and is summarized.

1984-08-01

479

Is It Time To Give The US Engineer Battalion (Combat) (Heavy ...

This report provides a brief overview of the history and planning for a proposed mixed waste disposal site on the Nevada Test Site. 8 figs.

1987-01-01

480

Hot Cell Facility (HCF) Safety Analysis Report

... revetment construction, water well drilling, mobile facility assets construction using ... five days, and establish site layout for the follow-on RH ... modules. ...

2001-02-01

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

481

This Safety Analysis Report (SAR) is prepared in compliance with the requirements of DOE Order 5480.23, Nuclear Safety Analysis Reports, and has been written to the format and content guide of DOE-STD-3009-94 Preparation Guide for U. S. Department of Energy Nonreactor Nuclear Safety Analysis Reports. The Hot Cell Facility is a Hazard Category 2 nonreactor nuclear facility, and is operated by Sandia National Laboratories for the Department of Energy. This SAR provides a description of the HCF and its operations, an assessment of the hazards and potential accidents which may occur in the facility. The potential consequences and likelihood of these accidents are analyzed and described. Using the process and criteria described in DOE-STD-3009-94, safety-related structures, systems and components are identified, and the important safety functions of each SSC are described. Additionally, information which describes the safety ...

2000-11-01

482

Greening EPA | US EPA

Federal Energy Management Program: Interagency Coordination

strives to reduce our "environmental footprint" in the following areas: EPA Facilities Energy Conservation Requirements | Goals and Strategies | Results | Reports Green Power...

2011-08-16

483

Experiences of simulated tracer dispersal studies using effluent discharges at Tarapur aquatic environment

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

2011-08-21

484

Evaluation of Commercial Magnetic Descalers.

The nuclear complex in Tarapur, Maharashtra is a multi facility nuclear site comprising of power reactors and research facilities. Each facility has independent liquid effluent discharge line to Arabian Sea. Experimental studies were conducted to evaluate dilution factors in the aquatic environment using liquid effluent releases as tracer from one of the facilities. 3H and 137Cs radioisotopes present in the routine releases were used as simulated tracer nuclides. The dilution factors(D.F) observed for tritium were in the range of 20-20000 in a distance range of 10 m to 1500 m respectively and for 137Cs the D.F. were in the range of 50 to 900 over a distance range of 10-200 m. The paper describes the analytical methodology and sampling scenarios and the results of dilution factors obtained for Tarapur aquatic environment. (author)

2007-06-05

485

Energy Engineering Analysis Program (EEAP), limited energy study, Watervliet Arsenal, Watervliet, New York, site survey forms-ancillary facilities. Volume IIIA. Final report

With the increased costs of maintaining boilers and chillers entrepreneurs around the country have offered magnetic and similar devices to facilities as viable alternatives to their maintenance program. This report gives a brief history of some of the pre...

1984-01-01

486

Emergencies > Oil Spills > Facility Response Plan | Browse EPA...

No abstract available.

1992-04-01

487

Development of calibration facility for radiation protection monitoring instruments

Accidents Accident Preparedness, Accident Prevention, Chemical Accidents, Radiation Accidents Characterization Contingency Plans National Contingency Plan (NCP), Oil Removal...

2011-01-20

488

Cost Sensitivity Analysis for Radiology Department Planning

Exposure control at the operating Nuclear Power Station is a major concern. The challenging task of meeting the International standards in the field of radiation protection is the calibration of the radiation monitoring instruments and interpretation of personnel and area monitoring results. Correct interpretation is based on accurate calibration of radiation measuring instruments. The reliability and accuracy of the measurements are also partly based on the procedures applied in calibration. Inadequate calibration can cause large errors in dose estimation in complete dose rate range and energy range. Semiautomatic calibration facility established at TAPS 3 and 4 for radiation monitoring instruments. Objective of calibration facility is (a) Ensure instruments are working properly (b) calibration adjustment and (c) in case without calibration adjustment to reveal the error involved. The calibration facility and calibration ...

2008-11-19

489

Two complementary computer programs have been developed for forecasting the demands and evaluating the costs of proposed radiographic facilities. The models are employed here in analyses of the sensitivity...Full Text Available

1971-01-01

490

Bioremediation

Assessment of RELAP5/MOD2 against natural circulation experiments performed with the REWET-III facility

from a military fuel storage facility released about 80,000 gallons of kerosine-based jet fuel. Immediate and extensive recovery measures managed to contain the spill, but...

2011-08-27

491

Assessment of RELAP5/MOD2 against natural circulation experiments performed with the REWET-III facility

Natural circulation experiments carried out in the REWET-III facility in 1985 have been used for RELAP5/MOD2 assessment. The REWET-III facility is a scaled-down model of VVER-440 type reactors. The facility consists of a pressure vessel in which the downcomer is simulated with an external pipe assembly, hot and cold legs with loop seals and a horizontal steam generator. The volume scaling factor compared to the reference reactor is 1:2333. The present paper summarizes the experiences gained in the RELAP5/MOD2 calculations of selected REWET-III single- and two-phase natural circulation experiments. The code's ability to represent the main phenomena of experiments in both cases was satisfactory.

1992-04-01

492

Assessment of RELAP5/MOD2 against natural circulation experiments performed with the REWET-III facility

Natural circulation experiments carried out in the REWET-III facility in 1985 have been used for RELAP5/MOD2 assessment. The REWET-III facility is a scaled-down model of VVER-440 type reactors. The facility consists of a pressure vessel in which the downcomer is simulated with an external pipe assembly, hot and cold legs with loop seals and a horizontal steam generator. The volume scaling factor compared to the reference reactor is 1:2333. The present paper summarizes the experiences gained in the RELAP5/MOD2 calculations of selected REWET-III single- and two-phase natural circulation experiments. The code`s ability to represent the main phenomena of experiments in both cases was satisfactory.

1992-04-01

493

Advanced Neutron Source: Plant Design Requirements

Natural circulation experiments carried out in the REWET-III facility in 1985 have been used for RELAP5/MOD2 assessment. The REWET-III facility is a scaled-down model of VVER-440 type reactors. The facility consists of a pressure vessel in which the downcomer is simulated with an external pipe assembly, hot and cold legs with loop seals and a horizontal steam generator. The volume scaling factor compared to the reference reactor is 1:2333. The present paper summarizes the experiences gained in the RELAP5/MOD2 calculations of selected REWET-III single- and two-phase natural circulation experiments. The code's ability to represent the main phenomena of experiments in both cases was satisfactory.

1992-01-01

494

A Study of Airbase Facility/Utility Energy R and D ...

The Advanced Neutron Source will be a new world-class facility for research using hot, thermal, cold, and ultra-cold neutrons. The heart of the facility will be a 330-MW (fission), heavy-water cooled and heavy-water moderated reactor. The reactor will be housed in a central reactor building, with supporting equipment located in an adjoining reactor support building. An array of cold neutron guides will fan out into a large guide hall, housing about 30 neutron research stations. Appropriate office, laboratory, and shop facilities will be included to provide a complete facility for users. The ANS is scheduled to begin operation at the Oak Ridge National Laboratory early in the next decade. This PDR document defines the plant-level requirements for the design, construction, and operation of ANS. It also defines and provides input to the individual System Design Description (SDD) documents. Together, this ...

1990-07-01

495

A - Z Index : Environmental Energy Technologies Division

... 73 DOE/SANDIA 34-Meter VAWT Test Bed ..... ... 8 OPERATING CHARACTERISTICS OF DOE/SANDIA 34 METER VAWT ..... ...

1992-04-01

496

-!23(!,, - The Marshall Star - NASA

Buildings Energy-Efficient Research Laboratories Energy Efficiency in Federal Facilities Energy Efficiency Standards Group Energy Efficient Windows Collaborative Energy &...

2011-07-15

497