quality assurance health care: Topics by WorldWideScience.org

Health Information Technology and Physician Career Satisfaction

Proper use of quality assurance will provide the basis for an effective management control system for nuclear waste management programs. Control is essential for achieving successful programs free from costly losses and failures and for assuring the public and regulators that the environment and health and safety are being protected. The essence of quality assurance is the conscientious use of planned and systematic actions, based on selecting and applying appropriate requirements from an established quality assurance standard. Developing a quality assurance program consists of using knowledge of the technical and managerial aspects of a project to identify and evaluate risks of loss and failure and then to select appropriate quality ...

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Health and environmental chemistry: Analytical techniques, data management, and quality assurance. Volume 1, Manual

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

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

Analytical procedures are described for the determination of organic compounds, metals and radioisotopes in environmental materials, human tissues, urine, feces, and waste water.

1993-11-01

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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

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

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Usage Patterns of a Personal Health Record by Elderly and Disabled 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

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

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

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Implementing network security guidelines in health care information systems.

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 ...

1996-01-01

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Care programmes and integrated care pathways

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

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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 ...

2008-01-01

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Environmental Restoration Program quality assurance system requirements for the Hanford Site

Quality assurance requirements for the design of nuclear fuel reprocessing facilities

This document defines the quality assurance program requirements for the US Department of Energy, Richland Field Office, Environmental Restoration program at the Hanford Site. This document integrates quality assurance requirements from US Department of Energy Orders, the Hanford Federal Facility Agreement and Consent Order, and applicable industry standards into a single source document for the development of quality assurance programs applicable to the Environmental Restoration program items and activities. This document has been configured into three parts and fifteen criteria to provide user organizations with a workable document that best facilitates line operations. When developing individual user organization quality assurance programs, the document configuration provides each organization with the Flexibility to ...

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

Requirements and guidance are provided for a quality assurance program for the design of nuclear fuel reprocessing facilities involving structures, systems and components whose satisfactory performance is required to prevent accidents that could cause undue risk to the health and safety of the public, or to mitigate the consequences of such accidents if they were to occur. The standard is to be used in conjunction with ANSI N46.2.

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Improving safety and quality: how can education help?

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

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Environmental Restoration Remedial Action quality assurance requirements document

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 ...

2006-05-15

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

This document defines the quality assurance requirements for the US Department of Energy-Richland Operations Office Environmental Restoration Remedial Action program at the Hanford Site. The Environmental Restoration Remedial Action program implements significant commitments made by the US Department of Energy in the Hanford Federal Facility Agreement and Consent Order entered into with the Washington State Department of Ecology and the US Environmental Protection Agency. This document combines quality assurance requirements from various source documents into one set of requirements for use by the US Department of Energy-Richland Operations Office and other Environmental Restoration Remedial Action program participants. This document will serve as the basis for developing Quality Assurance Program Plans and implementing procedures by the participants. The ...

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

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

2009-02-15

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Quality assurance handbook for measurement laboratories

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

2009-02-01

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

This handbook provides guidance in the application of quality assurance to measurement activities. It is intended to help those persons making measurements in applying quality assurance to their work activities by showing how laboratory practices and quality assurance requirements are integrated to provide control within those activities. The use of the guidance found in this handbook should help provide consistency in the interpretation of quality assurance requirements across all types of measurement laboratories. This handbook also can assist quality assurance personnel in understanding the relationships between laboratory practices and quality assurance requirements. The handbook is composed of three chapters and several appendices. ...

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Supplementary quality assurance requirements for installation, inspection and testing of mechanical equipment and systems for the construction phase of nuclear power plants - reaffirmed 1980

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

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

This standard provides requirements and guidelines for installation, inspection and testing activities that assure the quality of important mechanical parts of a nuclear power plant not covered by the ASME Boiler and Pressure Vessel Code, Section III, during construction. These parts include those mechanical systems and components whose satisfactory performance is required: for the plant to operate reliably; to prevent accidents that could cause undue risk to the health and safety of the public; or to mitigate the consequences of such accidents if they were to occur. The requirements of this standard deal with the protection and control necessary to assure that the requisite quality of those important parts of the plant are preserved from the time items are removed from storage or receiving until they are incorporated into the plant up to but not including fuel loading for PWR ...

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Correctional health care: implications for public health policy.

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

2010-09-22

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

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

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

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 ...

2010-12-01

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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

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Quality assurance requirements for nuclear power plants in Hungary

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

In Hungary, legislation for nuclear power plants was developed at the end of the 1970s, among which is the quality assurance code for nuclear power plants. Hungarian practice is presented, including discussion of the requirements for quality assurance, qualification of the suppliers and inspection practices. The general requirements of quality assurance in the course of construction of a nuclear power plant are presented: quality assurance of technological equipment, fuel, electrical equipment, automatic instrumentations, building structures and technology.

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

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

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Unique health care utilization patterns in a homeless population in Ghent

...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

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Telephone-Based Psychiatric Referral-Care Management Intervention Health Outcomes

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

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

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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

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

...Agriculture Analysis of food supply chains and linkages in relation to quality and safety assurances Dept of Primary Industries, Australia Impact of food chain quality assurance requirements on farmer adoption and competitiveness UK Research Councils Review of environmental certification through farm assurance followed by industry developmental workshop Agriculture & ...

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

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

1996-05-01

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Quality assurance requirements in various codes and standards

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

2010-10-01

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Quality assurance requirements in nuclear systems

The quality assurance requirements in various countries and according to various international codes and standards are presented, compared and critically discussed. Cases of developing countries are also discussed, and the use of IAEA code of practice and other codes for quality assurance in these countries is reviewed. Recommendations are made regarding the quality assurance system to be applied for Egypt's nuclear power plants.

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Quality assurance requirements for the design of nuclear power plants

(1974). United States Lingafelter, JW Nuclear Services Corp., Campbell, CA

1974-09-23

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Quality assurance during operation of nuclear power plants

1973. 43 p. United States Anon. American Society of Mechanical

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Quality Assurance of Intensity Modulated Radiation Therapy: Site-Specific Results of Eulji University Hospital

The general requirements applicable to the quality assurance of the Finnish nuclear power plants are presented in the Council of State Decision (395/91) and in the guide YVL 1.4. This guide specifies the quality assurance requirements to be applied during the operation of the nuclear power plants as well as of the other nuclear facilities. Quality assurance applies to all the activities and organizations with a bearing on the safe operation of the nuclear power plants. (5 refs.).

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Quality Assurance in Safeguards: Indonesian Document Control and Records Management System

Full Text Available

2011-06-01

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FFTF driver fuel pellets: typical pellet lot data

No abstract prepared.

2010-07-01

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Demands on quality assurance in operation

Quality assurance data for FFTF reactor fuel pellets are presented.

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

The present code requirements on quality assurance as well as the present praxice of quality assurance procedures in the operation of nuclear power plants are presented. On the example of recurring inspections the organizational and technical complications are shown with respect to the code and licensing requirements. Taking the present experiences into account suggestions are given how to transform the general requirements of KTA 1401 to quality assurance requirements during plant operation. (orig.).

1981-03-01

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Cost-effectiveness of a barrier-strengthening moisturizing cream as maintenance therapy vs. no treatment after an initial steroid course in patients with atopic dermatitis in Sweden - with model applications for Denmark, Norway and Finland

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

43

British Library Electronic Table of Contents (United Kingdom)

Abstract Background Atopic dermatitis (AD) affects health and quality of life and it has great impact on both health-care costs and costs to the society. Objectives The objective of this study was to develop a model to analyse the cost-effectiveness of a barrier-strengthening moisturizing cream as maintenance therapy compared with no treatment after initial treatment with betamethasone valerate in adult patients with AD in Sweden. A further aim was to apply a similar health-economic analysis for Denmark, Norway and Finland. Methods A Markov simulation model was developed including data from three sources: (i) efficacy data from a randomized controlled trial including patients with moderate AD treated with either a moisturizing cream or no treatment, (ii) resource utilization and quality of...

2010-01-01

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Amazon.com: The Art of Application Performance Testing: Help for Programmers and Quality Assurance (9780596520663): Ian Molyneaux: Books

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

...com: The Art of Application Performance Testing : Help for Programmers and Quality Assurance (9780596520663): Ian Molyneaux: Books Amazon.com:...The Art of Application Performance Testing : Help for Programmers and Quality Assurance (9780596520663): Ian Molyneaux: Books Ian Molyneaux,The ...Art of Application Performance Testing : Help for Programmers and Quality Assurance,O'Reilly Media,0596520662,LA9780596520663,Computer Books: General,Application software,Computer software,...com: The Art of Application Performance Testing : Help for Programmers and Quality Assurance (9780596520663): Ian Molyneaux: Books ...

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

PMID:11659561

1993-01-01

46

Norwegian Open Research Archives (NORA)

Full Text Available

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

Facial reconstruction in the developing world: a complicated matter

PMID:19923207

2009-11-18

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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

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Lyophilized human whole blood for internal and external quality assurance of lead in blood assays

The Mission, Organization, and Functions of US Army Rear ...

Lyophilized human whole blood control material containing lead was prepared for internal and external quality assurance to evaluate and improve the analytical performance of lead. The samples were prepared in four different concentrations from outdated human whole blood stabilized with glucose and a citrate/phosphate buffer and provided under clean room conditions to avoid contamination. The lyophilized samples are easy to reconstitute with water. The materials were evaluated according to a statistical model. The lead concentrations in the specimens are close to blood lead levels usually following environmental and industrial exposure, particular in occupational health to the control of lead exposure at work regulations. The materials are available to the commercial as well as the scientific community. The Danish External Quality Assessment Scheme (DEQAS) for lead in blood is intended to complement the ...

1990-10-01

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

... counseling, some training, and assure the general health and welfare of the command. ... publications, promotions, OERs/NCOER's (Officer Efficiency ...

1992-06-07

51

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

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

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

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

53

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

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

54

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

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

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

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

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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

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Development of quality assurance requirements as part of the regulatory framework in the United Kingdom

...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

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Supplementary quality assurance requirements for subsurface investigations for nuclear power plants

Within the United Kingdom, the regulatory body having responsibility for the licensing of nuclear installations is the Health and Safety Executive (HSE). The Nuclear Installations Inspectorate (NII) is that part of HSE which administers this function. Discussions on the applicability of quality assurance (QA) to licensed sites began in 1974, and an internal report was published in 1975. In parallel with work going on at the International Atomic Energy Agency (IAEA) to prepare Quality Assurance for Safety in Nuclear Power Plants: A Code of Practice, Safety Series No. 50-C-QA, NII published a second report in 1978 entitled A Guide to the Quality Assurance Programme for Nuclear Power Plants. In 1980, the construction of advanced gas cooled reactors at Heysham 2 and at Torness was licensed, and a condition was attached to the licences requiring ...

1988-11-07

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Supplementary quality assurance requirements for installation, inspection, and testing of mechanical equipment and systems for the construction phase of nuclear power plants

Intended to be used in conjunction with ANSI N45.2 and addresses the quality assurance requirements related to subsurface investigations performed prior to the construction of safety related structures of nuclear power plants.

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Quality assurance requirements for packaging, shipping, receiving, storage, and handling of items for water-cooled nuclear power plants (Revision 1) - October 1976

Requirements for the installation, inspection, and testing that assure the quality of important components of a nuclear power plant during construction are presented.

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Quality assurance requirements for installation, inspection, and testing of mechanical equipment and systems

This guide describes an acceptable method of complying with the Commission's regulations with regard to the quality assurance requirements for the packaging, shipping, receiving, storage, and handling of items for water-cooled nuclear power plants.

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Quality assurance requirements for high-level waste form production

The guide describes a method acceptable to the NRC staff for complying with the Commission's regulations with regard to quality assurance requirements for installation, inspection, and testing of mechanical equipment and systems for water-cooled and high-temperature gas-cooled nuclear power plants.

63

Quality Assurance Program Plan for spent fuel handling and packaging

This paper discusses the quality assurance requirements for high-level canistered waste form products which would be acceptable for disposal in a deep geologic repository. A review plan and guidelines are provided.

1989-04-02

64

Quality assurance requirements in the engineer/constructor organization

This plan describes the Quality Assurance Program which will be applied to spent fuel handling and packaging tests conducted at the Area 25 E-MAD facility, Nevada Test Site (NTS).

1979-01-31

65

Quality assurance requirements in a clinical heavy ion therapy unit

(Jun 1975). United States Bernsen, SA Bechtel Corp., San Francisco New

1975-06-08

66

Quality assurance requirements for the design of nuclear power plants

German 2006 [1 p.] Germany Karger, Christian Heeg, Peter Jaekel, Oliver

2006-03-13

67

Quality assurance requirements for the design of nuclear power plants

1974. 19 p. United States Anon. American Society of Mechanical Engineers.;

68

Quality assurance requirements for control of procurement of items and services for nuclear power plants

Oct 1973. 1 p. United States USAEC Directorate of Regulatory Standards,

69

Quality assurance requirements for certification of TRU waste for shipment to the WIPP

Oct 1976. 2 p. United States Nuclear Regulatory Commission, Washington,

70

Quality assurance requirements associated with a spare parts program

This document presents the basic Quality Assurance (QA) requirements which shall be included in the Quality Assurance Program established by sites planning to certify Transuranic (TRU) Waste to Waste Isolation Pilot Plant (WIPP) Waste Acceptance Criteria. These QA requirements were modeled after ANSI/ASME NQA-1-1979. The application of quality assurance to Waste Certification Programs is required by WIPP-DOE-069 and DOE Order 5700.6A, as implemented by DOE Order AL 5700.6A.

71

Guidance on quality assurance requirements during the operations phase of nuclear power plants

(1974). United States Ramsett, LO Wisconsin Public Service Corp., Green

1974-10-27

72

Quality assurance program requirements (operation)

26 Oct 1973. 140 p. United States USAEC, Washington, DC

73

Quality assurance program requirements (design and construction)

Apppendix B of 10 CFR Part 50 establishes quality assurance requirements for the operation of nuclear power plant safety-related structures, systems and components. This Guide describes an acceptable method for complying with these regulations with regard to overall quality assurance program requirements for the operation phase of nuclear power plants. Input to this Guide has been provided by the Advisory Committee on Reactor Safeguards.

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

Appendix B to 10 CFR Part 50 establishes overall quality assurance requirements for the design, construction and operation of safety-related structures, systems, and components. This guide presents a method acceptable to the Commission for complying with these regulations with regard to overall quality assurance program requirements during design and construction of nuclear power plants. Input to this guide has been provided by the Advisory Committee on Reactor Safeguards.

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

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.

76

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

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

77

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

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

78

Using data warehousing and OLAP in public health care.

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

79

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

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

80

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

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

Lessons learned in developing community mental health care in Africa

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

82

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

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

83

Glocalisation or globalisation? Travelling discourses of child poverty policy in South Korea

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

84

British Library Electronic Table of Contents (United Kingdom)

This article examines the interplay between globalising and localising forces occurring in a child welfare reform project in South Korea. Focusing especially on care and education services for children and families provided by the Korean 'Dream Start' programme, which provides comprehensive health, parental involvement and welfare services to low-income children and their families, I discuss its involvement in the process of 'glocalisation'. Drawing on Foucaultian ideas, I conducted a critical discourse analysis of the policy documents of Dream Start. The article concludes by discussing local resistance to the creation of a cosmopolitan child and the dual qualities of inclusion/exclusion inscribed in the Dream Start project.

2011-01-01

85

Environmental Restoration Project quality system requirements for the Hanford Site. Revision 3

Read Code Quality Assurance

This document defines the quality system requirements for the US Department of Energy, Richland Operations Office (DOE-RL), Environmental Restoration (ER) Project at the Hanford Site. The Environmental Restoration Project Quality System Requirements for the Hanford Site integrates quality assurance requirements from the DOE Orders, the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement), the Hanford Facility Resource Conservation and Recovery Act of 1976 (RCRA) Permit, and applicable Federal and Washington State regulations. This document, based on ten criteria, provides user organizations with the flexibility to incorporate only those criteria and paragraphs applicable to their specific scopes of work. The requirements of this document are to be applied based on a graded approach that takes into consideration the risk inherent in, as well as the importance of, specific items, ...

86

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

As controlled clinical vocabularies assume an increasing role in modern clinical information systems, so the issue of their quality demands greater attention. In order to meet the resulting stringent...Full Text Available

1998-07-01

87

Contact Lenses

Medline Plus

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

88

Quality assurance requirements and description for the Civilian Radioactive Waste Management Program

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

89

The ECOS-16 questionnaire for the evaluation of health related quality of life in post-menopausal women with osteoporosis

The Quality Assurance Requirements and Description (QARD) is the principal quality assurance document for the Civilian Radioactive Waste Management Program (Program). It establishes the minimum requirements for the Quality Assurance Program. The QARD contains regulatory requirements and program commitments necessary for the development of an effective quality assurance program. Quality assurance implementing documents must be based on, and consistent with, QARD requirements. The QARD applies to the following: (1) acceptance of spent nuclear fuel and high-level radioactive waste; (2) transport of spent nuclear fuel and high-level radioactive waste; (3) the Monitored Retrievable Storage (MRS) facility through application for an operating license; (4) Mined Geologic Disposal System ...

90

Research and development quality assurance planning

BackgroundThe aim of this study is to validate the questionnaire ECOS-16 (Assessment of health related quality of life in osteoporosis) for the evaluation of health related quality...Full Text Available

91

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

Planning for quality assurance (QA) in research and development (R D) is like stealing eggs without waking up the chickens. The QA program should be as unobtrusive as possible. Researchers require a QA program that affords them an environment capable of supporting repeatable experiments with accurate data without unduly stifling their creative abilities. Careful advance planning ensures that the intensity of control provided by quality-related systems is commensurate with the importance and scope of the activities being performed. Good scientific practices applied to small bench-scale projects may require minimal additional controls. As projects increase in size and complexity the controls imposed through planning must, by necessity, be increased. Research and development QA planning, just like any other planning, involves all affected individuals. The application of control systems is determined by ...

1990-05-14

92

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, ...

1995-02-01

93

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

...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 | ...

94

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

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

95

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

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

96

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

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

97

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

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 ...

2011-07-01

98

Impact of an Electronic Medical Record on Diabetes Quality of Care

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

99

Roles of the operator and the safety services in nuclear power plant quality assurance

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

100

Quality assurance requirements for packaging and transportation of radioactive materials

With regard to the operation of nuclear power plants, Electricite de France formally recognized in 1973 that it was necessary for safety reasons and economically acceptable to adopt organizational principles of quality assurance that would be applicable both to its own activities and to those of its suppliers. Generally speaking, the form and spirit of the quality assurance programme chosen is based largely on the Code of Practice No. 50-C-QA. In particular, the programme focuses on the flexible character of quality assurance requirements and stresses that in the final analysis product quality depends above all on those to whom the project has been assigned, because it is they who are responsible for meeting the quality objectives set. Ten years of experience with the suppliers of Electricite de France has shown that ...

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101

Grading of quality assurance requirements

This paper discusses the new quality assurance regulations of the Nuclear Regulatory Commission (NRC) for packaging and transportation of radioactive materials. These regulations became effective on October 18, 1977. Background information concerning these regulations and packaging and transportation history is included. The quality assurance program is described with indications of how it is composed of general (administrative) provisions which must meet the 18 quality assurance criteria and be approved by the NRC; specific provisions which appear in the DOT and NRC regulations and in the individual package design approval; and other specific procedures which are not required by regulations but which are necessary for the proper control of quality. The quality assurance program is to be developed ...

102

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

The present Manual provides guidance and illustrative examples for applying a method by which graded quality assurance requirements may be determined and adapted to the items and services of a nuclear power plant in conformance with the requirements of the IAEA Nuclear Safety Standards (NUSS) Code and Safety Guides on quality assurance. The Manual replaces the previous publication IAEA-TECDOC-303 on the same subject. Various methods of grading quality assurance are available in a number of Member States. During the development of the present Manual it was not considered practical to attempt to resolve the differences between those methods and it was preferred to identify and benefit from the good practices available in all the methods. The method presented in this Manual deals with the aspects of management, documentation, control, verification and ...

103

Study on quality assurance for high-level radioactive waste disposal project

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 ...

1996-01-01

104

How does one develop the right quality assurance program for waste management projects?

The U.S. Department of Energy (DOE) has developed comparatively detailed quality assurance requirements for the high-level radioactive waste disposal systems. Quality assurance is recognized as a key issue for confidence building and smooth implementation of the HLW program in Japan, and Japan is at an initial phase of repository development. Then the quality assurance requirements at site research and site selection, site characterization, and site suitability analysis used in the Yucca Mountain project were examined in detail and comprehensive descriptions were developed using flow charts. Additionally, the applicability to the Japan high-level radioactive waste disposal project was studied. The examination and study were performed for the following QA requirements: The requirements that have the relative importance at site research and site selection, site ...

2005-03-01

105

Development of quality assurance requirements - an international comparison

The quality assurance requirements in use today for radioactive waste facilities, geologic repositories and hazardous waste projects were developed initially for the nuclear power plant industry, and their intent is being applied by regulations and guidance documents to radioactive and hazardous waste programs. The wording of the NRC quality assurance requirements in Appendix B of 10CFR50, the related guidance documents and the industry's ANSI/ASME NQA-1 were developed over a period of several years to address quality assurance for the design and construction of the complex and interactive systems to produce electrical power using nuclear fuel. Now, those same documents are the basis for the quality assurance requirements and guidance for waste management facilities and repositories. The intent of Appendix B of 10CFR50 ...

1988-10-03

106

Quality assurance on the Idaho National Engineering Laboratory Buried Waste Program

Total quality management strategy and the worldwide introduction of the DIN/ISO 9000 (EN 29 000) series of standards have given new impetus to traditional quality assurance. The most important change must surely be seen in the holistic approach of total quality management and its strict orientation towards customer requirements and satisfaction. International codes and standards for the nuclear industry will also have to be brought into line as part of the process of harmonizing quality assurance system standards. One possible approach is simply to specify a supplementary 'delta' of nuclear-specific requirements to be appended to the broad range of conventional requirements. It is a particular feature of quality-assured procedures in Germany that product and/or component related quality requirements and ...

107

This paper discusses the clean-up of an Idaho National Engineering Laboratory (INEL) site utilized for disposal of transuranic contaminated waste from 1954 until 1970. The author presents requirements of the environmental protection statutes that have generated quality assurance requirements in addition to those historically implemented as a part of facility design, construction and operation. A hierarchy of program guidance quality documentation and procedures is discussed. Data qualification and computer database management are identified as requirements.

1989-04-02

108

Environmental restoration remedial action quality assurance requirements document

Health surveillance program This article outlines the principal components of quality control of laboratory rodents.

1986-02-01

109

RMIT - Professor named Chair at Epworth Hospital

The environmental Restoration Remedial Action Quality Assurance Requirements Document (DOE/RL 90-28) defines the quality assurance program requirements for the US Department of Energy-Richland Field Office Environmental Restoration Remedial Action Program at the Hanford Site, Richland, Washington. This paper describes the objectives outlined in DOE/RL 90-28. The Environmental Restoration Remedial Action Program implements significant commitments made by the US Department of Energy in the Hanford Federal Facility Agreement and Consent Order entered into with the Washington State Department of Ecology and the US Environmental Protection Agency.

1991-09-08

110

...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 ...

111

Changes in health utilities and health-related quality of life over 12 months following radical prostatectomy

BackgroundMigrants everywhere face several demands for health and maintaining good health and quality of life could be challenging. Iraqis are the second largest refugee group that...Full Text Available

112

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

Introduction:Although radical prostatectomy (RP) is an effective treatment for prostate cancer, it has potentially deleterious effects on health-related quality of life (HRQoL)....Full Text Available

2009-12-01

113

Impact of the Internet on Primary Care Staff in Glasgow

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

114

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

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

115

Supplementary quality assurance requirements for installation, inspection, and testing of structural concrete and structural steel during the construction phase of nuclear power plants

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

116

Supplementary quality assurance requirements for installation, inspection, and testing of mechanical equipment and systems for the construction phase of nuclear power plants. Draft 3, Rev. 0

1974. 20 p. United States Anon. American Society of Mechanical

117

Quality assurance requirements for protective coatings applied to water-cooled nuclear power plants

1973. 27 p. United States Anon. American Society of Mechanical

118

Overall evaluation of training programmes and processes. Role of evaluation in the QA process

Jun 1973. 2 p. United States USAEC Directorate of Regulatory Standards,

119

National waste terminal storage program. Supplementary quality-assurance requirements

Different aspects of overall evaluation of training programmes and processes as well as role of evaluation in the quality assurance process are considered.

1994-03-21

120

N45.2.5: construction phase quality assurance requirements for installation, inspection, and testing of structural concrete

The basic Quality Assurance Program Requirements standard for the National Waste Terminal Storage Program has been developed primarily for nuclear reactors and other fairly well established nuclear facilities. In the case of waste isolation, however, there are many ongoing investigations for which quality assurance practices and requirements have not been well defined. This paper points out these problems which require supplementary requirements. Briefly these are: (1) the language barrier, that is geologists and scientists are not familiar with quality assurance (QA) terminology; (2) earth sciences deal with materials that cannot be characterized as easily as metals or other materials that are reasonably homogeneous; (3) development and control of mathematical models and associated computer programs; (4) research and development.

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121

N45.2.13: supplementary quality assurance requirements for control of procurement of equipment, materials and services for nuclear power plants

(Nov 1973). United States Schierberg, GM San Francisco, California, USA.

1973-11-11

122

Identification and characterization of conservative organic tracers for use as hydrologic tracers for the Yucca Mountain Site Characterization Project: Quality Assurance Project Plan; Quarterly technical progress report, January 1, 1993--March 31, 1993

(Nov 1973). United States Keeley, GS Consumer Power Co., Jackson,

1973-11-11

123

IEEE standard quality assurance program requirements for the design and manufacture of class 1E instrumentation and electric equipment for nuclear power generating station

Studies continued on organic tracers for use as hydrologic tracers as part of the Yucca Mountain Site Characterization project. This subject report for the quarter 01/01/93 through 03/31/93 discusses the following issues: project organization and responsibilities; quality assurance program; design control; procurement document control; instructions, procedures, and drawings; document control; control of purchased items and services; identification and control of items; control of processes; inspection; test control; control of measuring and test equipment; handling, storage, and shipping; inspection, test, and operating status; control of nonconforming items and conditions; corrective action; quality assurance records; audits; software quality assurance; and scientific investigation.

1993-02-25

124

Hanford Waste Vitrification Plant Quality Assurance Program description for high-level waste form development and qualification

The Institute of Electrical and Electronic Engineers (IEEE) standards for the quality assurance requirements for the design and manufacture of Class 1E instrumentation and electric equipment for a nuclear power generating station are presented. This standard establishes Quality Assurance Program requirements for electrical manufacturers. This standard, used in conjunction with ANSI N45.2-1977 and the supplemental standards to the extent referenced in this standard, is intended to meet the requirements of 10CFR50, Appendix B. These requirements are intended to assure that Class 1E instrumentation and electric equipment are responsibly engineered and manufactured from proper materials, that the manufacturing processes and practices are controlled, and that the manufacturing process produces a product of the required quality for Class 1E application.

125

Guidance on quality assurance requirements during the construction phase of nuclear power plants

The Hanford Waste Vitrification Plant Project has been established to convert the high-level radioactive waste associated with nuclear defense production at the Hanford Site into a waste form suitable for disposal in a deep geologic repository. The Hanford Waste Vitrification Plant will mix processed radioactive waste with borosilicate material, then heat the mixture to its melting point (vitrification) to forin a glass-like substance that traps the radionuclides in the glass matrix upon cooling. The Hanford Waste Vitrification Plant Quality Assurance Program has been established to support the mission of the Hanford Waste Vitrification Plant. This Quality Assurance Program Description has been written to document the Hanford Waste Vitrification Plant Quality Assurance Program.

1993-05-06

126

Guidance on quality assurance requirements during design and procurement phase of nuclear power plants

10 May 1974. 234 p. United States USAEC, Washington, DC WASH--1309.

127

Consolidated U.S. nuclear quality assurance standard: present status and application

7 Jun 1973. 110 p. United States USAEC, Washington, DC

128

Cold vacuum drying facility design requirements; FINAL

(1979). United States Bernsen, SA Bechtel Power Corp-USA, Downey, CA

129

CRC manual of nuclear medicine: Procedures. Fourth Edition

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.

130

Report Central: Quality Reporting Tool in an Electronic Health Record

This book discusses the procedures applied for the clinical nuclear medicine laboratory. The procedures are presented as proven guidelines. The chapters are included on quality assurance, radionuclide handling, and radiation safety.

1983-01-01

131

The Use of Quality Benchmarking in Assessing Web Resources for the Dermatology Virtual Branch Library of the National electronic Library for Health (NeLH)

Quality reporting tools, integrated with ambulatory electronic health records, can help clinicians and administrators understand performance, manage populations, and improve quality. Report Central...Full Text Available

2006-01-01

132

Cancer Patients' Self-Reported Attitudes About the Internet

BackgroundIn 1998, the U.K. National Health Service Information for Health Strategy proposed the implementation of a National electronic Library for Health...Full Text Available

133

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

134

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

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

135

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

Full Text Available

2009-06-01

136

Implementation plan: Quality assurance requirements: Hazardous Waste Remedial Actions Program

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 ...

1981-02-04

137

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

This document establishes the Quality Assurance (QA) Program requirements for the Hazards Waste remedial Actions Program (HASWRAP) for ensuring, with a high degree of confidence, that program objectives will be achieved as planned. The QA Program is introduced in Sect. 1. The HAZWRAP Support Contractor Office (SCO) functional organization and QA responsibilities are shown in Sect. 2. QA program requirements are contained in Sect. 3. These requiremens are pased on the American national Standard, American National Standards Institute/American Society of Mechanical Engineers NQA-1 Quality Assurance Program Requirements for Nuclear Facilities. The 18 elements defined in the standard are tailored to HAZWRAP's needs. The QA program requirements are delineated under the major headings: Quality Assurance Program, Organization, and Control of ...

138

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

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

139

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

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

140

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

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

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141

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

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

142

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

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

143

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

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

144

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

145

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

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

146

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

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

147

Basic Principles of Information Technology Organization in Health Care Institutions

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

148

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

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

149

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

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

150

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

151

Supply of medium and small hydropower equipment

Radiotherapy quality assurance review in a multi-center randomized trial of limited-disease small cell lung cancer: the Japan Clinical Oncology Group (JCOG) trial 0202

This paper presents a brief account of Lingling Hydroelectric Power Equipment General Works, the capacity of equipment production, the organization body, the quality assurance system and supervision of government department on its product quality.

1995-07-01

152

Quality assurance requirements for the computer software and safety analyses

BackgroundThe purpose of this study was to analyze the radiotherapy (RT) quality assurance (QA) assessment in Japan Clinical Oncology Group (JCOG) 0202, which was the first trial...Full Text Available

153

Quality assurance plan for the Basic Environmental Compliance and Monitoring Program (BECAMP). Revision 1

The requirements are given as placed on the development, procurement, maintenance, and application of software for the creation or processing of data during the design, construction, operation, repair, maintenance and safety-related upgrading of nuclear power plants. The verification and validation processes are highlighted, and the requirements put on the software documentation are outlined. The general quality assurance principles applied to safety analyses are characterized. (J.B.). 1 ref.

154

Quality assurance and classification performance testing of 125I - brachytherapy seeds

This quality assurance plan (QAP) is designed ensure that the methodologies and the data used for environmental cleanup and treatment studies at the Nevada Test Site are both usable and defensible. The QAP serves two purposes in this regard: (1) to guide the preparation of procedures for carrying out the tasks of the Basic Environmental compliance and Monitoring program (BECAMP); and (2) to help management track the progress of those tasks.

1993-11-01

155

DOE O 414.1 training briefing for 10 CFR 830.120 and DOE O 414.1

125I-seeds are extensively used in ocular and interstitial brachytherapy for the treatment of various malignant lesions. Quality assurance and classification performance testing of indigenously produced 125I-seeds were carried out for ensuring their safety in different brachytherapy applications. The sources were found to qualify Class -43211 specifications, in accordance with AERB SS-3 and ISO-2919. (author)

2008-11-26

156

An approach to software quality assurance for robotic inspection systems

This booklet familiarizes the reader with DOE's Quality Assurance Rule and Order. Underlying this Training Briefing is the premise that the Rule and Order have antecedents going back to the original Quality Assurance Programs that were written when nuclear power was just being developed for commercial purposes. While a lot has changed since then, much has not.

1998-11-20

157

The influence of scattered radiation on recording systems and quality-assurance test parameters

Software quality assurance (SQA) for robotic systems used in nuclear waste applications is vital to ensure that the systems operate safely and reliably and pose a minimum risk to humans and the environment. This paper describes the SQA approach for the control and data acquisition system for a robotic system being developed for remote surveillance and inspection of underground storage tanks (UST) at the Hanford Site.

1993-11-14

158

The influence of scattered radiation on recording systems and quality-assurance test parameters

Scattered radiation generated in patient and imaging system has to be considered when quality-assurance tests involve dose detection or image-quality estimations. Measurement of automatic-exposure control dose can be altered by backscattering from intensifying screens of more than 10% and the equipment transmission factor can be overestimated up to a factor of 10 when only primary radiation is used. The sensitivity of intensifying screens depends on the angle of incidence of the radiation and so primary and scattered radiation are detected differently. The quality-control aspects of anti-scatter grids are discussed. (author).

1988-02-23

159

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

Scattered radiation generated in patient and imaging system has to be considered when quality-assurance tests involve dose detection or image-quality estimations. Measurement of automatic-exposure control dose can be altered by backscattering from intensifying screens of more than 10% and the equipment transmission factor can be overestimated up to a factor of 10 when only primary radiation is used. The sensitivity of intensifying screens depends on the angle of incidence of the radiation and so primary and scattered radiation are detected differently. The quality-control aspects of anti-scatter grids are discussed. (author).

160

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

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

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161

Health effects of indoor odorants.

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

162

ECONOMICS OF HEALTH ADMINISTRATION

People assess the quality of the air indoors primarily on the basis of its odors and on their perception of associated health risk. The major current contributors to indoor odorants are human occupant...Full Text Available

1991-11-01

163

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

Health administration lies at the foundation of economic prosperity. It is a business and like other business is subject to commercial laws. Quality, whether of brain or brawn may be appraised by the...Full Text Available

1920-02-01

164

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

165

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

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

166

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

167

QOI10/477: The medCERTAIN Project: Rating and certification of Internet health information using medPICS

ObjectivesThe objective of this paper is to describe the complex mixed-methods design of a study conducted to assess health-related quality of life (HRQOL) outcomes...Full Text Available

2008-07-01

168

Improved Long-term Health Related Quality of Life after Islet Transplantation

IntroductionHealth information on the Internet undergoes no quality control at the stage of production, thus its quality is highly variable, making it difficult...Full Text Available

169

Estimating a preference-based index for a menopause specific health quality of life questionnaire

BackgroundHealth related quality of life (HRQoL) is one of the most important outcomes to measure effectiveness of an intervention, especially for islet transplantation...Full Text Available

2008-11-15

170

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

BackgroundThe aim of the study was to develop a menopause-specific, preference-based health-related quality-of-life (HRQoL) index reflecting both menopausal symptoms and potential...Full Text Available

171

The 10 basic requirements for a scientific paper reporting antioxidant, antimutagenic or anticarcinogenic potential of test substances in in vitro experiments and animal studies in vivo

BackgroundThe effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients...Full Text Available

172

DEFF Research Database (Denmark)

There is increasing evidence that chemicals/test substances cannot only have adverse effects, but that there are many substances that can (also) have a beneficial effect on health. As this journal regularly publishes papers in this area and has every intention in continuing to do so in the near future, it has become essential that studies reported in this journal reflect an adequate level of scientific scrutiny. Therefore a set of essential characteristics of studies has been defined. These basic requirements are default properties rather than non-negotiables: deviations are possible and useful, provided they can be justified on scientific grounds. The 10 basic requirements for a scientific paper reporting antioxidant, antimutagenic or anticarcinogenic potential of test substances in in vitro experiments and animal studies in vivo concern the following areas: (1) Hypothesis-driven study design; (2) The nature of the test substance; (3) Valid and invalid test ...

2003-01-01

173

Radiological protection. Textbook for radiographers and reference book for radiological safety officers

Importance of health and environment as quality traits in the buying decision of organic products

The textbook is primarily intended for radiologic staff and radiologic safety officers and gives information on the current regulatory provisions of the German X-ray Ordinance, applications of X-rays, quality assurance, organisational aspects of film processing and quality requirements of X-rays. An annex lists the guidelines of the Bundesaerztekammer (German National Chamber of Physicians) relating to quality assurance aspects, and further useful information on commercially available film-screen systems, the various associations of physicians in Germany, and requirements and performance of radiation surveys. (vhe).

174

British Library Electronic Table of Contents (United Kingdom)

This paper aims to explore consumer preference for fresh vegetables labelled as organic in combination with health and environment related quality traits. The study decomposes organic farming into its main quality aspects and measures consumers' preference structure for organic, in general, and for specific organic quality traits in particular. By means of stated choice preference modelling, the following hypotheses are tested: consumers prefer health over environment related quality traits; the organic label plays a significant role in consumers' choice for organic products; organic farming is perceived as healthier and more environmentally friendly than conventional farming; purchase intention is mainly driven by health related quality traits; both health and environmental concerns influ...

2009-01-01

175

Assuring both quality and creativity in basic research

Coordination of health behavior counseling in primary care.

How does one assure that both quality and creativity are obtained in basic research environments QA theoreticians have attempted to develop workable definitions of quality, but in more reflective moments, these definitions often fail to capture the deeper essence of the idea of quality.'' This paper asserts that creativity (as a product of the human mind) is a concrete interface between perfunctory definitions of quality (conformance to specifications) and more philosophical speculations about the nature of quality- related ultimates'' like elegance or beauty. In addition, we describe the distinction between creative ideas and creative acts and highlight one of the major inhibitors of creativity, fear. Finally we show that highly creative people often have an irreverent attitude toward boundaries and established authority, and ...

1990-04-12

176

Coming together, moving apart: a history of the term allied health in education, accreditation, and practice.

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 ...

177

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

In recent years, several groups, including the physician assistant, health information management, ophthalmic medical technician/technologist, and athletic training review committees, have left the Commission on Accreditation of Allied Health Education Programs (CAAHEP) system to form their own, profession-specific accrediting bodies. Their motivation was typically a desire for greater professional visibility and autonomy. Combined, these professions represented one third of the CAAHEP's programs. This article reviews the history of allied health and examines current attempts to bring cohesion and identity to this increasingly fractured segment of the U.S. health care system. PMID:18444439

2008-01-01

178

Experience in complying with quality assurance requirements for cask lifting devices

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

179

The IAEA Code of Practice on quality assurance, and quality assurance requirements and practices in Member States

The Nuclear Assurance Corporation (NAC) owns and operates four NAC-1 truck casks. These casks are used to ship spent reactor fuel assemblies and radioactive reactor-core components. The casks have been loaded or unloaded at a total of fifteen nuclear facilities in the United States. In addition, NAC has used another large, overweight-truck cask to ship radioactive reactor core components from a reactor to a waste burial site. There are many individual differences in the cask handling facilities at each of the reactor stations, nuclear research facilities and the storage and burial sites serviced. Various types of auxiliary lifting and handling devices for on-site cask operations have been required. The quality assurance requirements for the equipment used in interfacing casks with nuclear power plant facilities have become more stringent. This paper presents details on the type of special equipment being employed, the ...

180

RMIT - Improving health and lifestyle

The IAEA Code of Practice on Quality Assurance for Safety in Nuclear Power Plants and the corresponding Safety Guides are reviewed and compared with quality assurance (QA) practices in the IAEA Member States. The QA requirements stipulated by the Code place on the nuclear power plant owner the responsibility to establish an overall QA programme for the plant. In selecting the QA programme level for specific activities, the Code allows of a flexible approach but does not specify gradation in programme requirements. The Code is placing the burden of quality-achieving and quality-assuring functions on the task-performing organizations, namely the designers, manufacturers, constructors and plant operators. The plant owner provides for the management of the overall QA programme, surveillance of activities and verifications of the effectiveness of the constituent ...

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181

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

... 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 ...

182

To talk or not to talk: exploring culturally diverse patients' health information communication choices.

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

183

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

As care shifts from institutional to home- and community-based settings, consumer health information technology (IT) must be designed to support patients' new health information management responsibilities. We developed and piloted a new methodology grounded in social network analysis and human factors engineering to explore two often overlooked aspects of this phenomenon: the task of health information communication with members of the social network and the context of culture. Such knowledge is necessary to inform the appropriate design of consumer health IT. We asked a culturally diverse sample of participants to describe what, to whom, why, and how they communicate health information and to provide direct feedback about the methodology. The methodology was acceptable to all participants and able to capture similarities and differences in their ...

2010-11-13

184

UNS YMSCP QA support task: Quarterly technical progress report, January 1, 1991--June 30, 1991

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 ...

2009-09-08

185

The impact of linac output variations on dose distributions in helical tomotherapy

This report describes a quality assurance program plan for the Yucca Mountain Project. Aspects of the plan include: document control, equipment maintenance and calibration, process control, audits, computer software, and inspections. (CBS)

1991-07-30

186

Technical support of regulatory authority in Ukraine

It has been suggested for quality assurance purposes that linac output variations for helical tomotherapy (HT) be within ±2% of the long-term average. Due to cancellation of systematic...Full Text Available

2008-01-21

187

Supplementary quality assurance requirements for installation, inspection, and testing of structural concrete and structural steel during the construction phase of nuclear power plants. Draft 3, Rev. 0

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

2007-08-01

188

N45.2.8: quality assurance requirements during installation, inspection, and testing of mechanical equipment and piping for the construction phase of nuclear power plants

1973. 27 p. United States American Society of Mechanical Engineers.;

189

Advances in metallography. Fortschritte in der Metallographie

(Nov 1973). United States Basile, G. US Testing Co., Inc., Hoboken,

1973-11-11

190

Quality controls in radiotherapy. From experiences of the first course-debate

The 52 papers discuss the following subjects: 1. Preparation and structural development; 2. Structural constitution; 3. Structural formation and phase transition; 4. Structure and mechanical properties; 5. Structural formation of metallic and nonmetallic materials; 6. Quantitative metallography, and 7. Quality assurance.

1983-01-01

191

Quality control in Nuclear Magnetic Resonance Imaging. Indications et strategies pour le controle de qualite en IRM

The document reports the main issues discussed during the first course-debate on quality controls in radiotherapy, held in Rome in December 3-4, 1998 and May 3-5 1999 in collaboration between the Istituto Superiore di Sanita' and the Istituto Regina Elena. The points considered critical to the quality assurance in radiotherapy by the participants are presented in relation to the total radiotherapy procedure.

1998-12-03

192

Emergency medicine in Oman: current status and future challenges

In this article, the authors recall the factors apt to influence image quality in NMR Imaging and present the european works that have been developed in MRIQA to set 5 quality assurance tests: EUROSPIN 1 to 5.

1993-01-01

193

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

194

Thai Family Health Routines: scale development and psychometric testing.

How to start a utility TQM program

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 ...

2009-05-01

195

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

Huntsville, Alabama Utilities has successfully provided services for over 53 years. However, the quality of service demands from customers are changing every day! Part of this demand is due to updated digital appliances, home and business computers, and automated systems. A quality program was initiated in 1992 as a result of an internal assessment. The Malcolm Baldrige approach was selected which includes seven areas: (1) Leadership; (2) Information and Analysis; (3) Strategic Planning; (4) Human Resource Utilization; (5) Quality Assurance of Products and Services: (6) Quality Results: (7) Customer Satisfaction. Training for and implementation of the Quality program is discussed in detail.

1994-12-31

196

What is the next step in patient decision support?

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

197

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

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

198

Technology architecture guidelines for a health care system.

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

199

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

200

Skin Cancer in Skin of Color

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

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201

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

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

202

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

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

203

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

204

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

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

205

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

206

Oral cancer awareness amongst hospital nursing staff: a pilot study

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

207

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

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

208

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

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

209

Diabetes: An Investor's Perspective

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

210

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

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

211

Content validity of manual spinal palpatory exams - A systematic review

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

212

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

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

213

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

214

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

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

215

Quality assurance requirements for high-level waste form production

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

216

Assurance and assessment techniques for nuclear weapon related software

The Department of Energy has issued a Quality Assurance (QA) specification for organizations involved in making a canistered high-level waste form product that is acceptable for storage in a deep geologic federal repository. The logic for the waste form acceptance process is described. In addition to NQA-1 requirements, fourteen supplemental QA requirements have been drafted to fit the waste form production process. A review plan for assuring complicance with the QA specification is provided. Guidelines for preparation of a waste form producer QA program are also presented. It is expected that the QA program description that result will be influential in supporting the acceptybility of the product to OCRWM and for ultimate disposal of the high-level waste in a deep geologic repository. (author) 3 figs., 4 refs.

217

`Procurement quality engineering`: A measurement driven system to assure quality at each step in the procurement process

Sandia National Laboratories has the qualification evaluation responsibility for the design of certain components intended for use in nuclear weapons. Specific techniques in assurance and assessment have been developed to provide the quality evidence that the software has been properly qualified for use. Qualification Evaluation is a process for assessing the suitability of either a process used to develop or manufacture the product, or the product itself The qualification process uses a team approach to evaluating a product or process, chaired by a Quality Assurance professional, with other members representing the design organization, the systems organization, and the production agency. Suitable for use implies that adequate and appropriate definition and documentation has been produced and formally released, adequate verification and validation activities have taken place to ensure proper operation, ...

1993-12-31

218

Benchmarking of RESRAD-OFFSITE : transition from RESRAD (onsite) toRESRAD-OFFSITE and comparison of the RESRAD-OFFSITE predictions with peercodes.

The `Procurement Quality Function` is an element of the Body of Knowledge of Quality Engineering, as defined by the American Society for Quality Control (ASQC). This paper describes the Procurement Quality function which has been installed as an integral part of the Quality Engineering group of the Technical and Management Support Services (T&MSS) contractor to the United States Department of Energy (DOE) Yucca Mountain Site Characterization Project. Each of the elements of the T&MSS Procurement Quality Engineering (PQE) system is discussed along with the measurements obtained. With the installation and development of the PQE system we have attained more meaningful evaluation of supplier capability, reduction of procurement document review reject ratios from 31% to less than 2% per quarter, more effective measurement and control of supplier performance, ...

1993-12-31

219

Savannah River Site production reactor safety analysis report. K production reactor

The main purpose of this report is to document the benchmarking results and verification of the RESRAD-OFFSITE code as part of the quality assurance requirements of the RESRAD development program. This documentation will enable the U.S. Department of Energy (DOE) and its contractors, and the U.S. Nuclear Regulatory Commission (NRC) and its licensees and other stakeholders to use the quality-assured version of the code to perform dose analysis in a risk-informed and technically defensible manner to demonstrate compliance with the NRC's License Termination Rule, Title 10, Part 20, Subpart E, of the Code of Federal Regulations (10 CFR Part 20, Subpart E); DOE's 10 CFR Part 834, Order 5400.5, ''Radiation Protection of the Public and the Environment''; and other Federal and State regulatory requirements as appropriate. The other purpose of this report is to document the ...

2006-05-22

220

Full scale heavily reinforced concrete beam-column joints of NPP structures-quality assurance and construction in the laboratory

Nuclear facilities of the Department of Energy (DOE) located at the Savannah River Site must comply with DOE orders as implemented at DOE-SR. The DOE orders cover safety criteria, design criteria, environmental protection, occupational health and safety. The program applies to DOE and contractors. In this section, the Nuclear Regulatory Commission (NRC) criteria and industry codes and standards are addressed as well as DOE orders. Specific DOE orders which add additional criteria have also been noted. A program for assessing and implementing contractor applicable DOE orders has been established. This program ensures that compliance is achieved through developing and implementing policies, programs, and procedures. The primary emphasis is placed on safe, efficient reactor restart and operation. DOE has classified orders applicable to restart as Level I, Category I while those applicable to post-restart are classified as Level I, Category II. Category I and II orders ...

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221

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

Under the current design philosophy, reactor structures are to be designed to withstand large inelastic deformation caused by strong and severe ground motion. The design of the main structural elements and their connections are to be such that they always fail in ductile mode. This will ensure large energy absorption capacity of the structures under seismic excitation and avoid sudden and brittle failure of the structure. Over the years, a number of experimental investigations have been carried out on RC beam- column joints to study their behaviour and strength. However, these studies mostly pertain to small scale joints of moment resisting frame of residential buildings and commercial complexes. Information on full scale joints existing in NPP structures are scanty. Therefore, experimental programme was planned in the laboratory to construct identical large sized joints with the same reinforcement percentage and detail as that of the existing joints in NPP structures built in 1960's. ...

2003-02-01

222

Fiber optic quality assurance at the Nevada Test Site

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 ...

2011-09-01

223

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

A large number of fiber optic cables were used in support of a neutron imaging experiment at the Nevada Test Site. This paper describes the quality control testing of fiber components used on this experiment. The principal reason for quality control testing was to ensure reliable, high transmission fibers; a secondary reason was to gain data on a large sample of fiber cables in the field. Also described is the instrumentation developed for carrying out these field measurements. The design of the quality control instrumentation was a compromise between accuracy and simplicity of use.

1981-01-01

224

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

225

Fuzzy theory applied in quality management of distributed manufacturing system: A literature review and classification

British Library Electronic Table of Contents (United Kingdom)

Fuzzy theory has been regarded as a very important technique for quality management (QM) of distributed manufacturing system and attracts the attentions of academic and industry; however, there is a lack of a comprehensive literature review and a classification scheme for it. This paper is the first academic literature review of the fuzzy theory applied in quality management of distributed manufacturing system. It involves five most popular databases in this research area and covers more than 20 journals, proposes a classification scheme using clustering analysis method. Sixty-one journal articles were finally selected, reviewed and classified. Each selected article was classified firstly based on four QM dimensions (quality planning, quality control, quality assurance and quality improvem...

2011-01-01

226

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

Adapting developing country epidemiological assessment techniques to improve the quality of health needs assessments in developed countries

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

227

A Wireless Health Outcomes Monitoring System (WHOMS): development and field testing with cancer patients using mobile phones

BackgroundWe were commissioned to carry out three health assessments in urban areas of Dublin in Ireland. We required an epidemiologically robust method that could collect data rapidly...Full Text Available

228

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

BackgroundHealth-Related Quality of Life assessment is widely used in clinical research, but rarely in clinical practice. Barriers including practical difficulties administering...Full Text Available

229

Practices for caring in nursing: Brazilian research groups

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

230

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

231

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

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

232

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

Standard review plan for the review of environmental restoration remedial action quality assurance program plans

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

2009-06-21

233

Recommendations and quality control in brachytherapy; Recommandations pour le controle de qualite en curietherapie

This plan establishes both the scope of the review and the acceptance criteria to be utilized for the review of Quality Assurance Program Plans (QAPPs) developed in accordance with the requirements of DOE/RL-90-28. DOE/RL-90-28, the Environmental Restoration Remedial Action Quality Assurance Requirements Document (QARD) defines all quality assurance (QA) requirements governing activities that affect the quality of the Environmental Restoration Remedial Action (ERRA) program at the Hanford Site. These requirements are defined in three parts, Part 1 of Quality Management and Administration tasks, Part 2 for Environmental Data Operations, and Part 3 of the Design and Construction of items, systems, and facilities. The purpose of this document is to identify the scope of the review by the DOE Field Office, Richland staff, ...

234

Radiation doses in adults and children in standardized diagnostic radiology

Brachytherapy consists of sealed radioactive source implantation. The diversity in the nature of radioelements, in their energy and activity requires strict implantation and utilization rules. These rules include radioactive source physical parameters check, after-loading machine and treatment planning system quality assurance and safe and reproducible dosimetric systems. Patient and medical workers information guarantee radioprotection and prevention of accidental exposures. (authors)

2002-11-01

235

Quality assurance requirements for control of procurement of items and services for nuclear power plants - approved 1976

For comparison of radiation exposure and risk in different diagnostic procedures for adults and children dose measurements and calculations of organs with special risk were carried out. Parameters of image formation influencing image quality as well as of exposure concerning infants and children are recorded and discussed as to radiation exposure and protection. Conclusions are drawn with respect to systems of image formation and to standards of examination and quality assurance.

1987-01-01

236

Quality assurance requirements for control of procurement items and services for nuclear fuel reprocessing facilities

This standard describes requirements and provides guidelines for the control of activities to be exercised during procurement of items and services which affect the quality of nuclear power plants. These requirements and guidelines apply to procurement activities for items and services such as designing, purchasing, fabricating, handling, shipping, storage, cleaning, constructing, erecting, installing, inspecting, testing, maintaining, repairing, initial fueling, refueling, and modifying.

237

Healthy buildings '88. Volume 1. State-of-the-art reviews (Revue de l'etat de la technique)

Requirements and guidelines are provided for the control of activities to be exercised during procurement of items and services which affect the quality of nuclear facilities. These requirements and guidelines apply to procurement activities for items and services such as designing, purchasing, fabricating, handling, shipping, storing, cleaning, constructing, erecting, installing, inspecting, texting, maintaining and modifying.

238

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

The Conference on Building Design and Architecture organized by Swedish Council for Building Research Contents included articles on building physics, thermal-climate technology, indoor-air-quality technology, construction materials, quality assurance, and building policy and regulation.

1988-06-01

239

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

240

Quality-of-Life and Surgical Treatments for Rectal Cancer-a Longitudinal Analysis Using the California Cancer Registry

Quality of life in the Iranian Blind War Survivors in 2007: a cross-sectional study

BackgroundHeterogeneous results for research investigating health-related quality of life (HRQL) in patients undergoing sphincter-ablating procedures for rectal cancer...Full Text Available

2010-08-01

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241

Data Quality of General Practice Electronic Health Records: The Impact of a Program of Assessments, Feedback, and Training

BackgroundQuality of Life measurements are necessary tools for effectively evaluating health services. In the population of patients afflicted with war-related blindness in Iran,...Full Text Available

242

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

Objective: The aim of this study was to investigate the impact of a program of repeated assessments, feedback, and training on the quality of coded clinical data in general practice.Design:...Full Text Available

2004-01-01

243

Is your andrology service up to scratch?

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

244

British Library Electronic Table of Contents (United Kingdom)

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

2010-01-01

245

The 300 Area Integrated Field Research Challenge Quality Assurance Project Plan

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

Pacific Northwest National Laboratory and a group of expert collaborators are using the U.S. Department of Energy Hanford Site 300 Area uranium plume within the footprint of the 300-FF-5 groundwater operable unit as a site for an Integrated Field-Scale Subsurface Research Challenge (IFRC). The IFRC is entitled Multi-Scale Mass Transfer Processes Controlling Natural Attenuation and Engineered Remediation: An IFRC Focused on the Hanford Site 300 Area Uranium Plume Project. The theme is investigation of multi-scale mass transfer processes. A series of forefront science questions on mass transfer are posed for research that relate to the effect of spatial heterogeneities; the importance of scale; coupled interactions between biogeochemical, hydrologic, and mass transfer processes; and measurements/approaches needed to characterize and model a mass transfer-dominated system. This Quality Assurance Project Plan provides the ...

2009-04-29

246

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

247

Implementation of an inclusive radiation monitoring system in the Bragin district in Belarus

Performance objectives for the Hanford immobilized low-activity waste (ILAW) performance assessment

This paper presents results from one of the projects developed within the general framework of the international Programme 'CORE' (Cooperation for Rehabilitation in Belarus). The overall objective of the programme is to make sustainable improvements to the living conditions of the inhabitants of the territories affected by the Chernobyl disaster. The CORE Programme is currently developed in four contaminated districts of Belarus (Bragin, Cherchersk, Slavgorod and Stolyn) in the following four areas: economic and social development; health care and surveillance; education and culture; and radiological quality. The project that is presented here refers specifically to the field of 'radiological quality' and will last until the end of 2008. The project named 'implementation of an inclusive radiation monitoring system' was launched in April 2004 in the ...

2006-07-01

248

Alopecia associated with unexpected leakage from electron cone

Before low-level waste may be disposed of, a performance assessment must be written and then approved by the DOE (DOE 1988a DOE 1999a). The performance assessment is to determine whether ''reasonable assurance'' exists that the performance objectives of the disposal facility will be met. The DOE requirements for waste disposal (DOE 1988a DOE 1999a) require the protection of public health and safety; and the protection of the environment. Although quantitative limits are sometimes stated (for example, the all-pathways exposure limit is 25 mrem/year), usually the requirements are stated in a general nature. Quantitative limits were established by: investigating all potentially applicable regulations as well as interpretations of the review panels which DOE has established to review performance assessments, interacting with program management to establish the additional requirements of the program, and ...

1999-09-09

249

The work of the CONRAD task group 5.2: research studies on biokinetic models.

Excessive irradiation due to unexpected leakage was found on a patient receiving electron beam therapy. The cause of this leakage was analyzed and the amount of leakage was measured for different electron beam energies. The highest leakage occurred with a 6 x 6 cm cone using a 12 MeV electron beam. The leakage dose measured along the side of the cone could be as great as 40%. Until the cones are modified or redesigned, it is advised that all patient setups be carefully reviewed to assure that no significant patient areas are in the side scatter region.

1989-06-01

250

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

The objective of this Task Group is the coordination of research studies on biokinetic models and the evaluation of the implications of new biokinetic models on dose assessment and safety standards. For this the new ICRP models, which will be used for a revision of ICRP Publications 30, 54, 68 and 78, are implemented into six different computer codes in five European countries and quality assured by intercomparison procedures. The work has started with the implementation of the new ICRP Alimentary Tract Model. New systemic models and the new NCRP wound model will follow. The work also includes the evaluation of experimental results in terms of formulation by the new model structures and a quality assurance of model formulation. PMID:17556343

2007-06-07

251

Nondestructive techniques for the control of conditioned radioactive wastes

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 any, that is required by the amendment

2005-10-27

252

Continuous emission monitoring and quality assurance requirements for new power plants

The final product of the radwaste conditioning process must satisfy certain requirments and physico-chemical properties in order to assure its safe long-term behaviour. Of course, the foreseen quality assurance and quality control should be conducted by means of non-destructive techniques. This work presents an over-view of various applicable non-destructive methods of analysis, showing their fields of investigation in testing waste packages, together with some arising practical problems. The most promising methods, such as eddy current testing, ultrasonic testing, #gamma#-scanning, #gamma#-spectroscopy, neutron counting and computerized tomography, are treated more deeply and some applications are presented. Particular attention is devoted to the development of a device based on computerized tomography; its essential components are reported and some design problems are also discussed.

2005-09-01

253

Electric utility plants, for which construction commenced after September 18, 1978, must install and operate continuous emission monitoring (CEM) systems to demonstrate compliance with SO_2 and NO_x emission standards. Furthermore, effective December 4, 1987, each plant must develop and implement a CEM quality assurance (QA) program. This paper reviews the CEM and QA requirements set forth by new source performance standards (NSPS) promulgated by the Environmental Protection Agency. The paper summarizes operating characteristics of the 32 power plants currently subject to NSPS and describes the types of CEM systems used by these plants. Also, to the extent available, the paper presents the results of initial (i.e., first quarter 1988) QA activities (e.g., audits and calibration drift assessments) conducted by these plants.

1988-09-25

254

The Effects of Capitation on Outpatient Mental Health Episodes of Children

This study was performed to assess the possibility that patient age may independently affect improvements in health-related quality of life following percutaneous coronary intervention. One hundred five patients undergoing elective percutaneous coronary intervention at a single tertiary referral center between January 10, 2001 and January 6, 2002 were enrolled and prospectively evaluated. Health-related quality of life was assessed before and 1 year following percutaneous coronary intervention using Short Form-12 and the Seattle Angina Questionnaire. For the purpose of analysis, patients were divided according to age (younger than 60, 60-70, and older than 70 years). One hundred patients (95%) completed both questionnaires. Baseline characteristics among the age groups were similar in terms of gender, cardiac risk factors, and procedural details. All health-related ...

255

Quality of drinking water in Italy in relation to WHO guidelines and European community and national regulations; Stato di qualita` delle acque potabili in Italia in relazione alle linee guida dell`Organizzazione Mondiale della Sanita` e alla normativa comunitaria e nazionale

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 ...

2006-02-01

256

New aspects for the evaluation of radioactive waste disposal methods

The causes and processes of contamination, as well as the possible human health implications for the main contaminants of drinking water are described. The quality of drinking water in Italy is defined through the comparison of the pollutant levels with the World Health Organization guidelines published in 1993 and the USEPA HAs (Health Advisories) of 1994 (annexed to the report).

1995-09-01

257

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

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

258

British Library Electronic Table of Contents (United Kingdom)

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

2007-01-01

259

Help-Seeking for Children with Mental Health Problems: Parents? Efforts and Experiences

British Library Electronic Table of Contents (United Kingdom)

Parents who contacted 1 of 15 children?s mental health agencies in Ontario, Canada reported on where and why they were seeking mental health services for their 4- to 17-year-old children. Parents contacted?an average of four agencies (?1.7; range?=?1?14) in the previous year. Approximately one-half of parents were looking for either multiple types of treatment, or help for different problems, across agencies. The complex pattern of help-seeking evidenced in our study likely increases the burden on the mental health care system and on families, and may reduce the likelihood that families will connect with the most appropriate treatment.

2011-01-01

260

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

Usage pattern of personal care products in California households

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 ...

1982-04-01

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261

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

262

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

263

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

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

264

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

VGB guidelines on the consideration of noise emission in ordering power plant equipment

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 ...

2001-11-01

265

Measurement of reactor tube cladding thickness by x-ray fluorescence spectrometry

The present guidelines supplement the 'VGB guidelines for the reduction of noise in thermal power plants' with indications for the ordering and quality assurance of the individual noise-producing machines and equipment of power plant operation. These guides are to simplify the commissioning and delivering for the orderer and deliverer. In addition, these guidelines are to lead to a successful cooperation of all parties in the reduction of the sound radiation. A precondition for this is an explanation of the sound technical demands which must be made on the single machines or mechanical equipment in power plant systems. A protection of the neighbourhood as well as operational personnel against noise according to the state of technology is to be achieved by a clear form of ordering and quality assurance. The ordering and assurance procedure for all aggregates in the region of the ...

266

Quality assurance (QA) training at Westinghouse including innovative approaches for achieving an effective QA programme and establishing constructive interaction

An x-ray fluorescence spectrometer was designed and fabricated which nondestructively determines the thickness of aluminum cladding at small suspected thin spots in the inner or outer surface of actinide reactor tubes. The analysis method is based on the difference in absorption of actinide L/sub #alpha#/ and L/sub #beta#/ fluorescent x-rays in passing through the cladding. Calibration plots of the logarithm of the L/sub #beta#//L/sub #alpha#/ x-ray intensity ratio versus cladding thickness are linear to at least 40 mils for U-Al, U_3O_8-Al, and PuO_2-Al substrates. Accuracy and precision of the experimentally determined cladding thickness and evaluated for both uranium and plutonium substrates. Experimental thickness data are reported for 618 quality assurance analyses on six Mark 41 PuO_2-Al target tubes. An x-ray fluorescence cladding thickness monitor operated with a computer-controlled fluoroscope holds considerable promise for ...

1978-01-01

267

A PDA-Based ECG Beat Detector for Home Cardiac Care.

Experience of the Westinghouse Water Reactors Division with indoctrination and training of quality engineers includes training of personnel from Westinghouse divisions in the USA and overseas as well as of customers' personnel. A written plan is prepared for each trainee in order to fit the training to the individual's needs, and to cover the full range of information and activities. The trainee is also given work assignments, working closely with experienced quality engineers. He may prepare inspection plans and audit check lists, assist in the preparation of QA training modules, write procedures, and perform supplier surveillance and data analyses, or make special studies of operating systems. The trainee attends seminars and special courses on work-related technical subjects. Throughout the training period, emphasis is placed on inculcating an attitude of team work in the trainee so that the result of the training is the achievement of both ...

268

SO2 Emission Reductions from Acid Rain Program Sources and Improvements in Air Quality | Cap and Trade | US EPA

Recent rapid growth in mobile computing technologies enables telemedicine applications to operate on mobile devices. Our focus is on the design of an integrated electrocardiogram (ECG) beat detector on a Personal Digital Assistant (PDA) platform for the health screening process. The ECG beat detector module will be supported by the PDA version of Personal Health Information Management System (PHIMS) and Facilitated Accurate Referral Management System (FARMS) through wireless network infrastructure as a home-based mobile cardiac monitoring solution. PMID:17282192

2005-01-01

269

Use of BWR/6 PRA to assess the effect of proposed new QA requirements

... The colored background is an isopleth map showing change in sulfate concentrations as measured by the CASTNET rural air quality monitoring network , leading to significant improvements in air quality and human health. Wet sulfate deposition decreased 43 percent in the Northeast and 44 percent in the ...

270

Radiation exposure of the population of the GDR by X-ray diagnostics

The probabilistic risk assessment (PRA) of the General Electric BWR/6 Mark III standard plant has been used to assess the effect of proposed new quality assurance requirements on the off-site plant risk. This work was performed by General Electric Company under contract to the Electric Power Research Institute. First, the potential changes in the reliability of structures, systems and components were estimated. Then those changes that could affect the event tree and fault tree results were identified. Finally these changes were propagated through the probabilistic risk assessment fault trees and event trees to determine the effect upon off-site plant risk. The results show that applying quality assurance requirements, very nearly equal to those of 10CFR50, Appendix B (3), to nearly all nonsafety-related structures, systems, and components would have a negligible effect on off-site plant risk. In this ...

1985-02-01

271

Quality assurance requirements for the reliability of nuclear power plants in developing countries

The radiation burden of the people of the GDR in relation to biomedical radiography altogether as well as organ doses, gonad doses and genetically significant doses in detail are outlined. The concepts of radiation protection and standards of radiographic examination are demonstrated. Possibilities of influencing radiation exposure by scientifically based indication of X-ray examination, application of new and improvement of usual examination techniques are discussed with regard to quality assurance and control. Proposals concerning the reduction of radiation exposure of the GDR population are presented.

1986-01-01

272

Quality assurance in radiotherapy: Proposal of guidelines concerning clinical and technological aspects; Assicurazione di qualita` in radioterapia: Proposta di linee guida in relazione agli aspetti clinici e tecnologici

Quality Assurance (QA) has not been taken very seriously in developing countries despite their having significant nuclear power programmes. This may affect plant reliability and demands that urgent and serious attention be given to the development and implementation of Quality Assurance programmes according to local conditions. Confusion has been created by the differences in definitions and interpretations of terminologies of Quality Assurance and Control. Problems have been aggravated by the lack of clearly defined responsibilities and accountabilities during the projects execution phases of site selection, data collection, design, equipment fabrication and construction, etc. Therefore, reliability of nuclear power plants in developing countries is relatively low. But whenever some programme of QA has been implemented it has helped to improve the plant ...

273

Lessons learned from accidents investigations

The document, based on European guidelines, was jointly developed by radiation oncologists, radiation physicists and radiation technologists. It contains the aims of the guidelines, professional profiles, roles and responsibilities, personnel and equipment requirements, procedures.

1996-12-01

274

High-level waste storage tank farms/242-A evaporator Standards/Requirements Identification Document (S/RID), Volume 2

Accidents from three main practices: medical applications, industrial radiography and industrial irradiators are used to illustrate some common causes of accidents and the main lessons to be learned. A brief description of some of these accidents is given. Lessons learned from the described accidents are approached by subjects covering: safety culture, quality assurance, human factors, good engineering practice, defence in depth, security of sources, safety assessment and monitoring and verification compliance. (author)

1997-10-26

275

Dose specification and quality assurance of RTOG protocol 95-17; a cooperative group study of ¹⁹²Ir breast implants as sole therapy

The High-Level Waste Storage Tank Farms/242-A Evaporator Standards/Requirements Document (S/RID) is contained in multiple volumes. This document (Volume 2) presents the standards and requirements for the following sections: Quality Assurance, Training and Qualification, Emergency Planning and Preparedness, and Construction.

1994-04-01

276

A database for QA/QC in neutron activation analysis and gamma-ray spectrometry

PurposeRTOG protocol 95-17 was a phase I/II trial to evaluate multi-catheter brachytherapy as the sole method of adjuvant breast radiotherapy for stage I/II breast...Full Text Available

2007-12-01

277

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

A database has been designed for storing, retrieving and analyzing information about samples, experimental conditions and results obtained by neutron activation analysis and gamma-ray spectrometry. It has been created using Microsoft ACCESS 2002 under a Windows operating system. The database has been designed not only for saving information but also for quality assurance and quality control purposes. The structure of the relational design has been discussed and demonstrated with a new graphical feature of ACCESS 2002 called PIVOTCHART. (author)

2007-04-01

278

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

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

279

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?

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

280

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

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

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281

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

282

Areva in Niger

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

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

283

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

284

Impact of Cannabis Use on Male Sexual Health

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction.- Cannabis (marijuana) is the most widely used illicit drug globally. Given the prevalence of nonprescription illicit drug abuse, there is a growing interest in the study of its potential effects on male sexual health. In this review, we discuss the effects of cannabis on male sexual health. Objective.- In this review, we discuss the effects of cannabis on male sexual health. Methods and Main Outcome Measure.- Critical review of scientific literature examining the impact of cannabis use on male sexual health. Results.- Studies examining the effects of cannabis use on male sexual function have been limited in both quality and quantity. Most results of these studies are conflicting and contradictory. While some did outline the beneficial effects of cannabis in enhancing...

2011-01-01

285

Outdoor air quality and health effects : a case study

Quality assurance program for LR 115 based radon concentration measurements in a case-control study: description and results

This paper presents the results of a study carried out at three sites in Madurai, India in order to assess ambient air quality levels and their impact on public health in urban areas. Indicators of public health were sought through primary and secondary health data and blood lead concentrations of male and female inhabitants and shopkeepers. Lean concentrations in blood samples were examined according to distance from the road, age, smoking status, hours of stay per day in the city, and period of stay in years in Madurai. Ambient air quality level indicators included the level of gaseous and particulate pollution using Central Pollution Control Board standard estimation methods. Observed atmospheric conditions across the three sites are examined according to mean solar insolation, mean temperature, mean relative humidity and mean wind velocity. The study concluded that pollution ...

2005-07-01

286

Qualifying codes under software quality assurance: Two examples as guidelines for codes that are existing or under development

A case-control study on lung cancer and radon exposure in dwellings has been carried out in Lazio, a high indoor radon region of Central Italy. A total of about 400 cases and 400 controls were recruited and radon concentration was measured in a total of about 1850 dwellings. In each dwelling, radon concentration measurement devices were placed in both the main bedroom and living room for two consecutive six-month periods. Each radon device, enclosed in a sealed polyethylene bag, contains two LR 115 detectors, each being covered by a thin absorber to reduce the alpha-energy within the detector sensitive range. A quality assurance program, described in this paper, was applied in order to reduce radon concentration measurement uncertainty, which have a significant impact on the results of an epidemiological study. The reported internal quality control and intercomparison results are compared with the results of other studies, ...

2003-06-01

287

The future of dentistry: new challenges, new directions.

Software quality assurance is an area of concern for DOE, EPA, and other agencies due to the poor quality of software and its documentation they have received in the past. This report briefly summarizes the software development concepts and terminology increasingly employed by these agencies and provides a workable approach to scientific programming under the new requirements. Following this is a practical description of how to qualify a simulation code, based on a software QA plan that has been reviewed and officially accepted by DOE/OCRWM. Two codes have recently been baselined and qualified, so that they can be officially used for QA Level 1 work under the DOE/OCRWM QA requirements. One of them was baselined and qualified within one week. The first of the codes was the multi-phase multi-component flow code TOUGH version 1, an already existing code, and the other was a geochemistry transport code STATEQ that was under ...

1993-04-25

288

The BEACHES Study: health effects and exposures from non-point source microbial contaminants in subtropical recreational marine waters

The challenge to our profession today is to improve the quality of oral health while overcoming both extrinsic and intrinsic factors which may adversely affect our progress toward this goal. The combined...Full Text Available

1990-05-01

289

Symptom Burden, Depression, and Quality of Life in Chronic and End-Stage Kidney Disease

Background Microbial water-quality indicators, in high concentrations in sewage, are used to determine whether water is safe for recreational purposes. Recently, the use of these indicators...Full Text Available

2010-10-01

290

Background and objectives: While many patients with end-stage renal disease (ESRD) have impaired physical and psychologic well-being, less is known about these health domains in patients with advanced...Full Text Available

2009-06-01

291

Exercise training for systolic heart failure: Cochrane systematic review and meta-analysis

PurposeIntestinal stomas can pose significant challenges for long-term (≥ 5 years) rectal cancer (RC) survivors. Specifying common challenges and sociodemographic or clinical...Full Text Available

2009-10-01

292

Bacterial indicators of risk of diarrhoeal disease from drinking-water in the Philippines.

AimsTo determine the effect of exercise training on clinical events and health-related quality of life (HRQoL) of patients with systolic heart failure.Methods...Full Text Available

2010-07-01

293

Savannah River Site dose control

Inadequate measures of water quality have been used in many studies of the health effects associated with water supplies in developing countries. The present 1-year epidemiological-microbiological study...Full Text Available

1991-01-01

294

Savannah River Site dose control

Health physicists from the Brookhaven National Laboratory (BNL) visited the Savannah River Site (SRS) as one of 12 facilities operated by the Department of Energy (DOE) contractors with annual collective dose equivalents greater than 100 person-rem (100 person-cSv). Their charter was to review, evaluate and summarize as low as reasonably achievable (ALARA) techniques, methods and practices as implemented. This presentation gives an overview of the two selected ALARA practices implemented at the SRS: Administrative Exposure Limits and Goal Setting. These dose control methods are used to assure that individual and collective occupational doses are ALARA and within regulatory limits.

1992-01-01

295

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

Health physicists from the Brookhaven National Laboratory (BNL) visited the Savannah River Site (SRS) as one of 12 facilities operated by the Department of Energy (DOE) contractors with annual collective dose equivalents greater than 100 person-rem (100 person-cSv). Their charter was to review, evaluate and summarize as low as reasonably achievable (ALARA) techniques, methods and practices as implemented. This presentation gives an overview of the two selected ALARA practices implemented at the SRS: Administrative Exposure Limits and Goal Setting. These dose control methods are used to assure that individual and collective occupational doses are ALARA and within regulatory limits.

1992-06-01

296

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

297

Photovoltaic mini power plants for integration in the third world and Eastern Europe. Market analysis aimed at health and education

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

298

Development of QA/QC technology in Korea

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

1994-12-01

299

Quality assurance requirements for high-level waste form production

KAERI (Korea Advanced Energy Research Institute) has performed research to develop the fabrication technology of CANDU nuclear fuel since 1981. Based on the satisfactory results of in-pile and out-of-pile tests of prototype nuclear fuel and the outstanding performance of 48 KAERI-made nuclear fuels in Wolsung(CANDU) power reactor, Korean government decided KAERI to supply all the nuclear fuels for Wolsung from 1988. In order to guarantee the safety and performance of nuclear fuel manufactured in mass production scale, well-organized quality assurance system and appropriate quality control techniques should be established. To establish the QA system, KAERI reviewed various QA standards and decided to establish QA system based on the 10 CFR 50 Appendix B. Quality control techniques was also revised to fit the mass production even though quality inspection techniques have already been ...

1986-10-06

300

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

The US Department of Energy (DOE) Defense Waste Management Plan has the objective of final disposal for high-level waste (HLW) generated from defense programs. The DOE sites that generate HLW are located at the Savannah River Operations Office in Aiken, South Carolina, the Hanford site in Richland, Washington, and the Idaho Operations Office in Idaho Falls, Idaho. The purpose in the development of a quality assurance (QA) specification for organizations involved in HLW production is to establish uniform requirements that ensure that radioactive waste is converted to a waste form and canistered in such a way that it is acceptable in a federal repository licensed by the US Nuclear Regulatory Commission (NRC). A QA specification has been developed that will be applied to those activities important to certification of the product. The basic requirements are defined in national consensus standards and DOE directives. The supplemental requirements ...

1988-06-12

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

301

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

302

Modification of NPL-CRC secondary standards radionuclide calibrator holder to suit for IPEN vials

Facility Safety Plan B360 Complex Biohazardous Operations CMLS-412r0

The procedure followed by the Laboratorio de Metrologia Nuclear (LMN) at the IPEN - CNEN/SP, in Sao Paulo, for modifying the NPL-CRC radionuclide sample holder in order to adapt for IPEN vials is presented. For the quality assurance of the results using the IPEN vials, the influence of variation in dimensions and volume of solution has been investigated and suitable correction factors were applied. The solutions used in the present work were "5"1Cr "9"9"mTc "1"5"3Sm, and "2"0"1Tl. (author)

2000-10-05

303

FFTF reactor immersion heaters. Revision 1

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

304

Environmental Measurements Laboratory fiscal year 1998: Accomplishments and technical activities

This specification establishes requirements for design, testing, and quality assurance for electric heaters that will be used to maintain primary Sodium temperature in the Fast Test Facility (FFTF) reactor vessel. The Test Specification (WHC-SD-FF-SDS-003) has been revised to Rev. 1. This change modifies the fabrication of approximately 25 feet of the subject heater using ceramic insulators over the heater lead wire rather than compressed magnesium oxide. Also, 304 or 316 stainless steel can be used for the heater sheath. This change should simplify fabrication and improve the heater operational reliability.

1994-08-26

305

Case studies of hazardous-waste treatment to remove volatile organics. Volume 2

The Environmental Measurements Laboratory (EML) is government-owned, government-operated, and programmatically under the DOE Office of Environmental Management. The Laboratory is administered by the Chicago Operations Office. EML provides program management, technical assistance and data quality assurance for measurements of radiation and radioactivity relating to environmental restoration, global nuclear nonproliferation, and other priority issues for the Department of Energy, as well as for other government, national, and international organizations. This report presents the technical activities and accomplishments of EML for Fiscal Year 1998.

1999-01-01

306

Case studies of hazardous-waste treatment to remove volatile organics. Volume 1

Case studies are presented for treatment of refinery wastes in a pilot-scale thin-film evaporator, the removal of volatiles from industrial wastewater for two steam strippers, and the removal of semivolatiles from water by steam stripping followed by liquid-phase carbon adsorption. The report provides data on removal efficiency, air emissions, process residuals, treatment costs, and process limitations. Details on sampling and analytical procedures, quality assurance, and process data are contained in the Appendixes (Volume II).

1987-11-01

307

3. forum solar practice. Proceedings; 3. Forum Solarpraxis. Solartechnik: Markt + Finanzen, Marketing + Verkauf. Tagungsband

Case studies are presented for treatment of refinery wastes in a pilot-scale thin-film evaporator, the removal of volatiles from industrial wastewater for two steam strippers, and the removal of semivolatiles from water by steam stripping followed by liquid-phase carbon adsorption. The report provides data on removal efficiency, air emissions, process residuals, treatment costs, and process limitations. Details on sampling and analytical procedures, quality assurance, and process data are contained in the Appendixes (Volume II).

1987-11-01

308

35 years of Thermoluminescence Dosimetry (TLD) in personnel and environmental monitoring in India - a tribute to Dr. K G Vohra

This proceedings volume contains contributions by about 70 authors on market trends, funding, marketing, boundary conditions and sales promotion of thermal solar energy and photovoltaic systems. The contributions reflect the diversity of authors, e.g. consultants, advocates and agents of solar technology producers and financial organisations. Central issues were markets in and outside Europe, quality assurance, interdepartmental cooperations, and marketing strategies of the solar industry. The proceedings volume also contains the conference schedule and self-descriptions of the authors' institutions. (orig.)

2002-07-01

309

Physics and quality assurance of low dose rate brachytherapy

Full text: Thermoluminescence (TL) is a phenomenon of light emission caused by heating a pre-irradiated material. When ionizing radiation hits a TL material, electrons are freed from some atoms and moved in the material, leaving behind 'holes' of positive charge. Subsequently when the TL material is heated, the electrons and the 'holes' re-combine, and release the extra energy in the form of light. The light intensity can be measured, and related to the amount of energy initially absorbed through exposure to the ionizing radiation. In nineteen sixties thermoluminescence dosimeters (TLD) became popular for dosimetric applications in view of their small size, sensitivity and accuracy. Consequently, in early seventies, several countries started adopting of TLD for personnel monitoring. The idea of introducing TLD to replace the then prevalent film dosimeter for personnel monitoring in India was mooted and successfully implemented by Dr. K G Vohra. Limitations of prevalent film dosimeters ...

310

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

Purpose: The purpose of this course is to review the physical principles underlying design, clinical application and execution of interstitial and intracavitary implants in the classical low dose-rate (LDR) range. This year, the course will focus on quality assurance of sources, applicators and treatment planning software. In addition, development of procedures and QA checks designed optimize treatment delivery accuracy and patient safety during each individual procedure will be reviewed. The level of presentation will be designed to accommodate both physicists and physicians. Implementation of recently published AAPM Task Group reports (no. 40, 'Comprehensive Quality Assurance' and No. 43, 'Dosimetry of Interstitial Brachytherapy Sources') will be reviewed. Outline: (A) General Principles (1) QA endpoints: temporal accuracy, positional accuracy, dose delivery accuracy, and safety of the patient, ...

311

RESRAD model presentation

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

2008-01-01

312

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

RESRAD was one of the multimedia models selected by the US Nuclear Regulatory Commission (NRC) to include in its workshop on radiation dose modeling and demonstration of compliance with the radiological criteria for license termination. This paper is a summary of the presentation made at the workshop and focuses on the 10 questions the NRC distributed to all participants prior to the workshop. The code selection criteria, which were solicited by the NRC, for demonstrating compliance with the license termination rule are also included. Among the RESRAD family of codes, RESRAD and RESRAD-BUILD are designed for evaluating radiological contamination in soils and in buildings. Many documents have been published to support the use of these codes. This paper focuses on these two codes. The pathways considered, the databases and parameters used, quality control and quality assurance, benchmarking, verification and validation of ...

1998-05-01

313

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

314

Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed

British Library Electronic Table of Contents (United Kingdom)

Objective: Results of reliability and agreement studies are intended to provide information about the amount of error inherent in any diagnosis, score, or measurement. The level of reliability and agreement among users of scales, instruments, or classifications is widely unknown. Therefore, there is a need for rigorously conducted interrater and intrarater reliability and agreement studies. Information about sample selection, study design, and statistical analysis is often incomplete. Because of inadequate reporting, interpretation and synthesis of study results are often difficult. Widely accepted criteria, standards, or guidelines for reporting reliability and agreement in the health care and medical field are lacking. The objective was to develop guidelines for reporting reliability and...

2011-01-01

315

The control of radioactive wastes and the quality assurance requirements

Assessment of the effects of pixel loss on image quality in direct digital radiography

For prolonged storage and eventual disposal radioactive wastes will be solidified to reduce the problems which accompany liquid waste whilst solid wastes will be encapsulated in an immobilising matrix. In the solidification and encapsulation process it will be important to produce a material in a form which is chemically stable, mechanically strong and which will not react with or allow free passage of groundwater. To this end a continuous check will be required to ensure that the various wastes are chemically compatible with the solidifying and binding matrices and that the associated processes are performed against a strict Quality Programme. The Quality Programme will be extensive requiring the specification of procedures for assessing the quality and nature of the wastes, the detailed operation of the solidification and/or encapsulation, the overpack requirements for transportation and the routines to be adopted with ...

316

Assessment of the effects of pixel loss on image quality in direct digital radiography

Modern digital radiographic 'flat panel' detectors can exhibit a progressive form of image degradation arising from non-functioning pixels. The effect of these 'dead pixels' on the quantitative image quality measures of modulation transfer function (MTF), noise power spectrum (NPS) and detective quantum efficiency (DQE) is investigated by a simulated degradation of images obtained from an Hologic EPEX system. The effects on the semi-quantitive measures obtained from contrast threshold test objects and resolution gratings are also investigated. Results suggest that the contrast-detail tests often employed in quality assurance measures are not sufficient to reveal the presence of dead pixels until well beyond the recommended replacement point for the flat panel detector. However, measurements of spatial resolution using a line pairs phantom were found to be more sensitive to pixel loss. ...

2004-03-21

317

Regional inventory of environmental health: experience in Southeastern France; Tableau de bord regional sante-environnement en Provence-Alpes-Cotes d'Azur: retour d'experience

Modern digital radiographic 'flat panel' detectors can exhibit a progressive form of image degradation arising from non-functioning pixels. The effect of these 'dead pixels' on the quantitative image quality measures of modulation transfer function (MTF), noise power spectrum (NPS) and detective quantum efficiency (DQE) is investigated by a simulated degradation of images obtained from an Hologic EPEX system. The effects on the semi-quantitive measures obtained from contrast threshold test objects and resolution gratings are also investigated. Results suggest that the contrast-detail tests often employed in quality assurance measures are not sufficient to reveal the presence of dead pixels until well beyond the recommended replacement point for the flat panel detector. However, measurements of spatial resolution using a line pairs phantom were found to be more sensitive to pixel loss. Measurement of the MTF, NPS and DQE can ...

2004-03-21

318

Care of military workingn> dogs.

In 2004, the Southeastern France regional council asked the regional health observatory to conduct an environmental health inventory to i) identify environmental health problems in this area; ii) examine the relations between environmental exposure to pollutants and human health; and iii) help public officials to identify priorities in this area. We collected and validated data from national, regional and local institutions, constructed environmental (levels of emissions and pollutants), health (mortality, incidence, prevalence) and behavioral indicators (e.g., complaints about odors), and compared these over time and between places when possible. For each topic, we summarized current knowledge about the links between environment and health. In southeastern France, as in other French areas, indoor air pollution, home and leisure injuries and other home-related ...

2005-07-15

319

Klickitat Cogeneration Project : Final Environmental Assessment.

PMID:14756516

2004-01-17

320

Constitution of a centralised data base for the internal quality control in radiotherapy; Constitution d'une base de donnees centralisee pour le controle de qualite interne en radiotherapie

To meet BPA`s contractual obligation to supply electrical power to its customers, BPA proposes to acquire power generated by Klickitat Cogeneration Project. BPA has prepared an environmental assessment evaluating the proposed project. Based on the EA analysis, BPA`s proposed action is not a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 for the following reasons: (1)it will not have a significant impact land use, upland vegetation, wetlands, water quality, geology, soils, public health and safety, visual quality, historical and cultural resources, recreation and socioeconomics, and (2) impacts to fisheries, wildlife resources, air quality, and noise will be temporary, minor, or sufficiently offset by mitigation. Therefore, the preparation of an environmental impact statement is not ...

1994-09-01

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

321

Prevalence and Associations of Anxiety Disorders in Adults with Intellectual Disabilities

The objective of this project was to implement a centralised data base of internal quality control in radiotherapy according to the criteria of the decree of A.f.s.s.a.p.s. (French agency of sanitary safety of health products on 27 july 2007, about the internal quality control of external radiotherapy facilities. The software on one year meets the objectives: compliance by comparison with A.f.s.s.a.p.s. criteria but particularly optimization of the centralisation and analysis of the internal quality controls. (N.C.)

2009-10-15

322

Sound climate installations. Gezonde klimaatinstallaties

Background: Anxiety disorders are known to be common in the general population. Previous studies with adults with intellectual disabilities (IDs) report a prevalence of general anxiety disorder ranging from less than 2% to 17.4%. Little is known about associated factors in this population. This study investigates point prevalence of anxiety disorders and determines the factors independently associated with them. Methods: Information was collected with 1023 adults with IDs who participated in a large-scale, population-based study. All had a comprehensive physical and mental health assessment. The point prevalence of anxiety disorders according to different diagnostic criteria was determined, as were independently associated factors by using logistic regression analysis. Results: Three point eight per cent (95% CI = 2.7-5.2%) of the cohort had an anxiety disorder at the time of assessment. Generalised anxiety disorder was the most common (1.7%), then agoraphobia ...

2011-02-01

323

Providing better indoor environmental quality brings economicbenefits

An uncomfortable thermal climate, draft complaints and a bad airquality are often related to the climate installation. To avoid badfunctioning of the system a number of preconditions has to be fulfilledwith regard to design, planning and execution, adjustments, completion,control, maintenance and management of the installations. First threetypes of health problems in buildings are shortly discussed: buildingrelated illness, sick building syndrome and building or installationrelated complaints. Then some functions of the climate installationsare described: air filtration, filter classes and filter quality, aswell as investment costs for better filters. Next the causes for thecomplaints are dealt with: air conditioning, ventilation, air quality,and temperatures. Subsequently health affecting aspects in relation tothe climate systems are discussed: outdoor air pollution,microorganisms, bacteria (legionella ...

1989-10-01

324

Awareness of Rabies Risks and Knowledge About Preventive Measures Among Experienced German Travel Health Advisors

This paper summarizes the current scientific evidence that improved indoor environmental quality can improve work performance and health. The review indicates that work and school work performance is affected by indoor temperature and ventilation rate. Pollutant source removal can sometimes improve work performance. Based on formal statistical analyses of existing research results, quantitative relationships are provided for the linkages of work performance with indoor temperature and outdoor air ventilation rate. The review also indicates that improved health and related financial savings are obtainable from reduced indoor tobacco smoking, prevention and remediation of building dampness, and increased ventilation. Example cost-benefit analyses indicate that many measures to improve indoor temperature control and increase ventilation rates will be highly cost effective, with benefit-cost ratios as high as 80 and annual ...

2007-06-01

325

British Library Electronic Table of Contents (United Kingdom)

Background. Every year, millions of people travel to countries where rabies is enzootic. However, the quality of rabies-specific information provided by travel health advisors and the extent of their knowledge about pre- and postexposure prophylaxis have not been examined on a large-scale basis up to now. Methods. 5,780 German physicians and pharmacists, who identified themselves as active travel health advisors, were chosen from a database. The selected providers were asked to complete an Internet-based questionnaire. The form requested both demographic information and the assessment of different concrete scenarios, each of which featured individuals seeking pretravel advice on rabies or appropriate postexposure treatment after returning from abroad. Results. Overall, 496 physicians and p...

2006-01-01

326

Organic farming in the Nordic countries--animal health and production.

Mining in the Alligator Rivers Region, northern Australia: Assessing potential and actual effects on ecosystem and human health

Organic farming (or ecological agriculture) is of growing importance in the agricultural sector worldwide. In the Nordic countries, 1-10% of the arable land was in organic production in 1999. Organic farming can be seen as an approach to agriculture where the aim is to create integrated, humane, environmentally and economically sustainable agricultural production systems. Principles like nutrient recycling, prevention rather than treatment and the precautionary principle are included in aims and standards. Animal welfare is another hallmark of organic livestock production but despite this, several studies have indicated severe health problems e.g. in organic poultry production in Denmark. Also the quality of animal food products in relation to human health, particularly the risk of zoonotic infections, has been debated. For these reasons there is a need for improvement of production methods and animal ...

2001-01-01

327

Supervision of construction, quality assurance, operating experience in the new heating power station II; Bauueberwachung, Qualitaetssicherung, Betriebserfahrungen mit dem neuen Heizkraftwerk II

This paper presents an overview of issues related to surface water contamination arising from uranium mining activities in the Alligator Rivers Region (ARR) of northern Australia, and a program of research and monitoring that must assess the potential and actual effects on ecosystem and human health. The program of assessing effects on aquatic ecosystems involves a four-tiered approach including the derivation of local water quality guideline trigger values, direct toxicity assessment of mine waters prior to their release, creekside or in situ monitoring for early warning of adverse effects during mine water release, and longer-term monitoring of macroinvertebrate and fish communities. Bioaccumulation in aquatic biota is also assessed, and is an issue of importance not only to ecosystem health, but also to the health of local Aboriginal people. The aquatic animals they consume represent potential ...

2002-12-27

328

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

After 3 years of construction the trial run of the heating power station HKW 2 ended in November 1997 on time. No extraordinary damage occured during construction, assembly or commissioning. The plant has been operating according to schedule since November 1997. A brief inspection carried out in the summer of 1998 in order to assess warranty claims showed no damage to any part except one valve. Experience shows that all aforementioned activities were necessary. The paper reports about success and negative experience. Certification according to DIN EN ISO 9000ff., however, affords to guarantee of high-quality construction. Builders of such plants therefore need to set up their own quality assurance centre and ensure its technical competence. If necessary,additional experts should be called in.Quality assurance costs for HKW 2 came to about 0.5-0.6 percent of total costs. In view of ...

1998-07-01

329

Dynamic programming and graph algorithms in computer vision.

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

2001-09-01

330

A study on reliability of electro-hydraulic governor control system for large steam turbine in power plant

Optimization is a powerful paradigm for expressing and solving problems in a wide range of areas, and has been successfully applied to many vision problems. Discrete optimization techniques are especially interesting since, by carefully exploiting problem structure, they often provide nontrivial guarantees concerning solution quality. In this paper, we review dynamic programming and graph algorithms, and discuss representative examples of how these discrete optimization techniques have been applied to some classical vision problems. We focus on the low-level vision problem of stereo, the mid-level problem of interactive object segmentation, and the high-level problem of model-based recognition. PMID:20660950

2011-04-01

331

Quality controls in radiotherapy. From experiences of the first course-debate; Controlli di qualita' in radioterapia. Dalle esperienze del primo corso-dibattito

In this work, the right management procedure for hydraulic power oil will be discussed and suggested. A thermal power plant turbine should respond to the change of load status. However, to satisfy the frequency of alternating current, the revolution per minute should be kept constant. Therefore, by controlling the flow rate of the steam to the turbine, the governor satisfies the load variation without alternating the revolution per minutes of the turbine. To protect the governor, the hydraulic power unit should be managed carefully by controlling the quality and the flow rate of the oil.

2008-07-01

332

On-line measurement and inspection technologies of surface properties of steel sheets; Koban hyomen hinshitsu no onrain keisoku oyobi kensa gijutsu

The document reports the main issues discussed during the first course-debate on quality controls in radiotherapy, held in Rome in December 3-4, 1998 and May 3-5 1999 in collaboration between the Istituto Superiore di Sanita' and the Istituto Regina Elena. The points considered critical to the quality assurance in radiotherapy by the participants are presented in relation to the total radiotherapy procedure. [Italian] Questo documento e' dedicato al primo corso-dibattito sui controlli di qualita' in radioterapia svoltosi a Roma il 3-4 dicembre 1998 e il 3-5 maggio 1999 in collaborazione tra l'Istituto Superiore di Sanita' e l'Istituto Regina Elena. Esso presenta gli argomenti ritenuti critici per l'assicurazione di qualita' in radioterapia in relazione all'intera procedura radioterapica, in base alle esperienze dei partecipanti.

2000-07-01

333

TENSOMAX - a retrofit thermal stress monitoring system for steam turbines; TENSOMAX - Eine nachruestbare Ueberwachung der thermischen Beanspruchung von Dampfturbinen

In steel production lines such as pickling lines, cold rolling mills and coil processing lines, the needs for on-line continuous measurement of surface quality and property of products and on-line inspection of surface defects have become strong. This is because user requirements for the surface quality of various products have become severer than before and besides, expectations are running high on the side of manufacturers for higher speeds of production lines and higher quality by the adoption of automatic inspection. As for the measurement of surface quality, continuous measurements along the full length of a steel strip are required in order to overcome problems derived from off-line, batch measurements that cannot satisfy user's demands for quality assurance. As for surface defects detection, various kinds of methods have been practically applied ...

1999-12-01

334

The development of PHWR fuel fabrication in Korea

TENSOMAX enables on-line monitoring of the thermal stress of the shaft to be performed in steam turbines, for which the TURBOMAX probe cannot be installed near the critical area of the shaft. TENSOMAX provides an alternative to the TURBOMAX with a slightly reduced accuracy of the simulation of the temperature distribution in the shaft. The high value placed on the operational performance of TENSOMAX remains, viz. that even with older turbines, and particularly in the case of turbines rehabilitated with a new shaft, careful and transparent operation is assured. (orig.) [German] Die Einrichtung TENSOMAX ermoeglicht eine Ueberwachung der thermischen Beanspruchung der Welle bei Dampfturbinen, bei denen die TURBOMAX-Sonde in der Turbine nahe der kritischen Stelle der Welle nicht einsetzbar ist. Daher stellt der TENSOMAX unter Beruecksichtigung minimaler Ungenauigkeit aufgrund der Nachbildung der Waermeuebergangszahl eine vorteilhafte Alternative zum ...

2000-07-01

335

Radiological protection. Textbook for radiographers and reference book for radiological safety officers; Strahlenschutz. Lehrbuch fuer Personen, die nach den Bestimmungen der Roentgenverordnung vom 8. Januar 1987 als medizinisch-technische Radiologieassistenten taetig sind und zur Unterweisung fuer Strahlenschutzbeauftragte

Korea Advanced Energy Research Institute (KAERI) started a research project to develop the PHWR (CANDU) nuclear fuel fabrication technology in 1981. Based on the results of the intensive developmental work, several prototype fuel bundles were fabricated and tested in the Hot Test Loop at KAERI continuously in 1983 and 1984. After that, irradiation test and post-irrradiation examination were carried out for two KAERI-made fuel bundles at Chalk River Nuclear Laboratories in Canada in 1984. Since the results of in-pile and out-of-pile tests with prototype fuel bundles proved to be satisfactory, 48 additional fuel bundles were loaded in Wolsung reactor (CANDU) in 1984 and 1985, and all of them were discharged without a defect after excellent performance in the power reactor. In 1985, the Korean government decided that KAERI supplies all the fuel necessary for the Wolsung reactor. For the mass production of nuclear fuel bundle, several process equipment, facilities and automation methods ...

1987-09-07

336

Plume Model Validation and Development field measurements: moderatly complex terrain site. Final report

The textbook is primarily intended for radiologic staff and radiologic safety officers and gives information on the current regulatory provisions of the German X-ray Ordinance, applications of X-rays, quality assurance, organisational aspects of film processing and quality requirements of X-rays. An annex lists the guidelines of the Bundesaerztekammer (German National Chamber of Physicians) relating to quality assurance aspects, and further useful information on commercially available film-screen systems, the various associations of physicians in Germany, and requirements and performance of radiation surveys. (vhe) [Deutsch] Das vorliegende Lehrbuch, das sich vor allem an das technische Personal und an Strahlenschutzbeauftragte wendet, unterrichtet ueber die derzeit gueltigen Bestimmungen der Roentgenverordnung, die Anwendung von Roentgenstrahlen, ueber Qualitaetssicherung, die ...

1996-12-31

337

Methodologies for estimating shipping emissions in the Netherlands. A documentation of currently used emission factors and related activity data

Field data for validating plume models were collected in and around the Bull Run Steam Plant during two four-week periods between July and October, 1982. The field measurements were the second phase of the Plume Model Validation and Development (PMV and D) program. The Bull Run Steam Plant is located near Oak Ridge, Tennessee, and the area is described as the ''Moderately Complex Site'' to distinguish it from the ''Plains Site'' in eastern Illinois, which was the scene of the first phase of the PMV and D study conducted in 1980-81. The measurement program consisted of a set of meteorological, source, aerometric, and tracer measurements to track and characterize the plume. The tracer measurements constituted the largest portion of the total effort, and it involved the release of SF/sub 6/ tracer gas from the stack, and the sampling and analysis of nearly 64,000 air samples collected over a test period of 324 hours. ...

1985-05-01

338

Organic livestock production in Uganda: potentials, challenges and prospects.

Proper estimation of shipping emissions is essential for an impact assessment of shipping on air quality and health in port cities and coastal regions. In the Netherlands shipping is an important source of particulate matter. This report provides an internationally accessible and transparent summary and description of the methodologies used in the Netherlands Pollutant Release and Transfer Register (PRTR) to estimate PM emissions from shipping, including recently implemented updates.

2010-04-15

339

Phenotypic characterization of human pathogenic bacteria in fish from the coastal waters of South West Cameroon: public health implications.

Development in organic farming has been stimulated by farmers and consumers becoming interested in healthy food products and sustainable environment. Organic agriculture is a holistic production management system which is based on the principles of health, ecology, care, and fairness. Organic development in Uganda has focused more on the crop sector than livestock sector and has primarily involved the private sector, like organic products export companies and non-governmental organizations. Agriculture in Uganda and many African countries is predominantly traditional, less mechanized, and is usually associated with minimum use of chemical fertilizers, pesticides, and drugs. This low external input agriculture also referred to as "organic by default" can create basis for organic farming where agroecological methods are introduced and present an alternative in terms of intensification to the current low-input/low-output systems. Traditional ...

2011-01-12

340

British Library Electronic Table of Contents (United Kingdom)

Increasing economic and recreational opportunities, attractive scenery and a perception of a better quality of life are luring people to the coast. Unfortunately, these activities together with the commensurate increase in population in the area inevitably result in pollution of coastal waters with excessive microorganisms and other pollutants. Microbial pollutants not only contaminate the coastal water but also aquatic food sources, thus posing a health risk to consumers. Fish is a major source of protein in Cameroon, especially in the coastal areas. In this study, we investigated the microbiological quality of fish from the Limbe and Tiko beaches in South West Cameroon from May to October 2007. We isolated human pathogenic bacteria from three anatomic sites (skin, gills, intestine) of 50 fish (150 specimens) and investigated their susceptibility patterns to a battery of antibiotics. Data were analyzed statistically using ...

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341

Percutaneous coronary revascularisation [PCR] improves angina and health related quality of life [HRQOL] compared to standard medical therapy. It is unknown whether PCR has the same benefits for patients with a history of CABG. Over a period of 5?years, we assessed HRQOL of patients undergoing PCR using Part 1 of the Nottingham Health Profile [NHP] at baseline 3, 12 and 24?months. We compared HRQOL after PCR in 255 patients with CABG to 2680 without. There were more males [81.1% v 69.6% p?=?0.002] and older patients [mean age 60.1?years v. 58.0 p?=?0.03] in CABG group. Perceived HRQOL improved at 24?months for pain, energy and emotional reaction but the improvement was less in the CABG group. However, mean NHP scores at 24?months for those with CABG had returned to baseline levels for slee...

2011-01-01

342

Clinical-HINTS: integrated intelligent ICU patient monitoring and information management system.

The LSST Data Mining Research Agenda

Clinical-HINTS (Health Intelligence System) is a horizontally integrated decision support system (DSS) designed to meet the requirements for intelligent real-time clinical information management in critical care medical environments and to lay the foundation for the development of the next generation of intelligent medical instrumentation. The system presented was developed to refine and complement the information yielded by clinical laboratory investigations, thereby benefiting the management of the intensive care unit (ICU) patient. More specifically, Clinical-HINTS was developed to provide computer-based assistance with the acquisition, organisation and display, storage and retrieval, communication and generation of real-time patient-specific clinical information in an ICU. Clinical-HINTS is an object-oriented system developed in C+2 to run under Microsoft Windows as an embryo intelligent agent. Current generic reasoning ...

1997-01-01

343

Testing of abrasion materials

We describe features of the LSST science database that are amenable to scientific data mining, object classification, outlier identification, anomaly detection, image quality assurance, and survey science validation. The data mining research agenda includes: scalability (at petabytes scales) of existing machine learning and data mining algorithms; development of grid-enabled parallel data mining algorithms; designing a robust system for brokering classifications from the LSST event pipeline (which may produce 10,000 or more event alerts per night); multi-resolution methods for exploration of petascale databases; indexing of multi-attribute multi-dimensional astronomical databases (beyond spatial indexing) for rapid querying of petabyte databases; and more.

2008-01-01

344

Safety, Efficacy, and Performance of Implanted Recycled Cardiac Rhythm Management (CRM) Devices in Underprivileged Patients

A method of abrasion testing according to ASTM C 704-76 a is presented for steel fibre concrete mortar, fusion-cast basalt and a surface coating material and results of practical interest are mentioned. Due to the high technical demands on these materials and their specific fields of application, the very first test already supplied interesting findings. From the user's point of view, the method is an interesting alternative to the common test methods, e.g. according to DIN 52 108 (wheel test according to Boehme). In English-speaking countries, testing according to ASTM is often mandatory in the refractory industry in order to assure constant quality of refractory materials after setting. The method is characterized by good comparability and high accuracy of measurement. Only the test piece is exchanged while the test conditions remain constant, so that accurate information on the material studied is obtained.

1983-06-01

345

British Library Electronic Table of Contents (United Kingdom)

Introduction: Patients in underdeveloped nations have limited access to life-saving medical technology including cardiac rhythm management (CRM) devices. We evaluated alternative means to provide such technology to this patient population while assessing the safety and efficacy of such a practice. Methods: Patients in the United States with clinical indications for extraction of CRM devices were consented. Antemortem CRM devices were cleaned and sterilized following a protocol established at our institution. Surveillance in vitro cultures were performed for quality assurance. The functional status of pulse generators was tested with a pacing system analyzer to confirm at least 70% battery life. Most generators were transported, in person, to an implanting institution in Nicaragua. Recipien...

2011-01-01

346

Portal localization images using computed radiography for high-energy electron beam therapy

Investment casting technology for production of TiAl low pressure turbine blades ??" Process engineering and parameter analysis

Portal localization images for high-energy electron beam therapy are necessary to confirm the treatment field by comparing them with a simulation image obtained before treatment or portal verification images after treatment. In this study, portal localization images were acquired using the computed radiography (CR) system and bremsstrahlung X-rays generated in the electron beam irradiations. All images obtained with phantom and the irradiations of in the electron energy of 8, 10, 12 and 15 MeV were feasible for clinical use. The CR system used in this study included general diagnostic imaging cassette and storage phosphor plate, but none of other special devices. The system can usually supply portal localization images, which maintains the quality assurance of high-energy electron beam therapy. (author)

2002-09-01

347

British Library Electronic Table of Contents (United Kingdom)

Low pressure turbine blades (LPT) made by investment casting from intermetallic titanium aluminide alloys for aero-engine applications in lengths between 200 and 400 mm require very demanding and sophisticated process for their manufacturing. Middle line shrinkage porosity along the airfoil and dimensional tolerances by near-net-shape casting are especially sensitive issues concerning Quality assurance. Nevertheless the urgency to manufacture safer environmental-friendly high performance aero-engines requires the introduction of new high performance components like LPT blades made of TiAl, which are about 50% lighter than their nickel-based counterparts. The present work is based on process engineering taking into account different melting and casting technologies in order to develop a dep...

2011-01-01

348

Development of standard solutions for the Minergie standard; Standardloesungen - Entwicklung von Standardloesungen fuer den Minergie-Standard

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

This final report for the Swiss Federal Office of Energy (SFOE) examines a project that aimed to define standard solutions for use in buildings built to meet Minergie low energy consumption standards. These standard solutions are to provide a way of meeting Minergie standards in an easy way and thus further the use of the standard and also assure quality at the same time. The report describes how the solutions were developed on the basis of a selection of existing Minergie buildings. For various combinations of heating systems - wood, wood/solar, heat pumps (brine-water and air-water), gas/solar and oil/solar - the appropriate U-values for various building elements are listed. The resulting Minergie forms and guides are listed.

2003-07-01

349

Automation techniques for fully automated coil transport; Kanzen jido koiru hanso wo jitsugen shita jidoka gijutsu

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

1988-01-01

350

Application of Risk Management for Control and Monitoring Systems

Kawasaki Steel started the construction of an automatic steel strip coil transportation system in the 1980's. Presently, most of the in-plant transportation of hot-rolled or cold-rolled coils are automated. For establishing the automatic transportation, there were developed various technologies, such as, the optimum handling technology using artificial intelligence, the technology of preventing additional piling of coils on existing coils by using an ultrasonic wave and a laser beam. Through the improvements of these technologies, a full-automated transportation system has been achieved and the system has contributed substantially toward product quality assurance and cost reduction. This paper gives the changes in the automation technology of coil transportation in the automation of No. 3 finishing hot rolling mill, now having the latest automatic system, in Chiba Works. (author)

1999-12-01

351

An MS-DOS-based program for analyzing plutonium gamma-ray spectra

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

2001-01-01

352

Adaptive Management of Liver Cancer Radiotherapy

A plutonium gamma-ray analysis system that operates on MS-DOS-based computers has been developed for the International Atomic Energy Agency (IAEA) to perform in-field analysis of plutonium gamma-ray spectra for plutonium isotopics. The program titled IAEAPU consists of three separate applications: a data-transfer application for transferring spectral data from a CICERO multichannel analyzer to a binary data file, a data-analysis application to analyze plutonium gamma-ray spectra, for plutonium isotopic ratios and weight percents of total plutonium, and a data-quality assurance application to check spectral data for proper data-acquisition setup and performance. Volume 3 contains the software listings for these applications.

1989-09-07

353

British Library Electronic Table of Contents (United Kingdom)

Adaptive radiation therapy for liver cancer has the potential to reduce normal tissue complications and enable dose escalation, allowing the potential for tumor control in this challenging site. Using adaptive techniques to tailor treatment margins to reflect patient-specific breathing motions and image-guidance techniques can reduce the high dose delivered to surrounding normal tissues while ensuring that the prescription dose is delivered to the tumor. Several treatment planning and delivery techniques have been developed for use in the liver, including a margin to encompass the full breathing motion, mean position techniques, which evaluate the probability of tumor location during breathing, breath hold, gating, and tracking. Patient selection, clinical workflow, and quality assurance m...

2010-01-01

354

Electronic Health Records An Audit and Internal Control Guide

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

Electronic Health Records

2008-01-01

355

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

356

Detection of 36 antibiotics in coastal waters using high performance liquid chromatography-tandem mass spectrometry

British Library Electronic Table of Contents (United Kingdom)

Among pharmaceuticals and personal care products released into the aquatic environment, antibiotics are of particular concern, because of their ubiquity and health effects. Although scientists have recently paid more attention to the threat of antibiotics to coastal ecosystems, researchers have often focused on relatively few antibiotics, because of the absence of suitable analytical methods. We have therefore developed a method for the rapid detection of 36 antibiotic residues in coastal waters, including tetracyclines (TCs), sulfanilamides (SAs), and quinolones (QLs). The method consists of solid-phase extraction (SPE) and liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis, using electrospray ionization (ESI) in positive mode. The SPE was performed with Oasis HLB and Oasi...

2011-01-01

357

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

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

358

Health@Home: the work of health information management in the household (HIMH): implications for consumer health informatics (CHI) innovations.

Devolution and human resources in primary healthcare in rural Mali

PMID:16049230

2005-07-27

359

NHSnet in Scottish primary care: lessons for the future

Devolution, as other types of decentralization (e.g. deconcentration, delegation, privatization), profoundly changes governance relations in the health system. Devolution is meant to affect performance of the health system by transferring responsibilities and authority to locally elected governments. The key question of this article is: what does devolution mean for human resources for health in Mali?This article assesses the key advantages and dilemmas associated with devolution such as responsiveness to local needs, downward accountability and health worker retention. Challenges of politics and capacities are also addressed in relation to human resources for health at the local level. Examples are derived from experiences in Mali with a capacity development programme and from case studies of other countries. It is not research findings that are presented, but highlights of key ...

2011-06-08

360

Risks and safety aspects related to PET/MR examinations

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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361

Exploring the concept of climate surprises. A review of the literature on the concept of surprise and how it is related to climate change

The introduction of positron emission tomography (PET)/magnetic resonance (MR) systems into medical practice in the foreseeable future may not only lead to a gain in clinical diagnosis compared to PET/computed tomography (CT) imaging due to the superior soft-tissue contrast of the MR technology but can also substantially reduce exposure of patients to ionizing radiation. On the other hand, there are also risks and health effects associated with the use of diagnostic MR devices that have to be considered carefully. This review article summarizes biophysical and biological aspects, which are of relevance for the assessment of health effects related to the exposure of patients to both ionizing radiation in PET and magnetic and electromagnetic fields in MR. On this basis, some considerations concerning the justification and optimization of PET/MR examinations are presented - as far as this is possible at this very early stage. ...

2009-03-01

362

Calendar year 1993 groundwater quality report for the Chestnut Ridge Hydrogeologic Regime Y-12 Plant, Oak Ridge, Tennessee. 1993 Groundwater quality data interpretations and proposed program modifications

This report examines the concept of climate surprise and its implications for environmental policymaking. Although most integrated assessment models of climate change deal with average values of change, it is usually the extreme events or surprises that cause the most damage to human health and property. Current models do not help the policymaker decide how to deal with climate surprises. This report examines the literature of surprise in many aspects of human society: psychology, military, health care, humor, agriculture, etc. It draws together various ways to consider the concept of surprise and examines different taxonomies of surprise that have been proposed. In many ways, surprise is revealed to be a subjective concept, triggered by such factors as prior experience, belief system, and level of education. How policymakers have reacted to specific instances of climate change or climate surprise in the past is considered, ...

1998-01-01

363

Verification of safety critical software

This groundwater quality report (GWQR) contains an evaluation of the groundwater quality data obtained during the 1993 calendar year (CY) at several hazardous and non-hazardous waste management facilities associated with the US DOE Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. The groundwater quality data are presented in Part 1 of the GWQR submitted by Martin Marietta Energy Systems, Inc. to the Tennessee Department of Environment and Conservation (TDEC) in February 1994. Groundwater quality data evaluated in this report were obtained at several hazardous and non-hazardous waste management sites located within the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime). The Chestnut Ridge Regime encompasses a section of Chestnut Ridge south of the Y-12 Plant and is one of three hydrogeologic regimes defined for the purposes of groundwater ...

1994-09-01

364

Verification of safety critical software

To assure quality of safety critical software, software should be developed in accordance with software development procedures and rigorous software verification and validation should be performed. Software verification is the formal act of reviewing, testing of checking, and documenting whether software components comply with the specified requirements for a particular stage of the development phase[1]. New software verification methodology was developed and was applied to the Shutdown System No. 1 and 2 (SDS1,2) for Wolsung 2,3 and 4 nuclear power plants by Korea Atomic Energy Research Institute(KAERI) and Atomic Energy of Canada Limited(AECL) in order to satisfy new regulation requirements of Atomic Energy Control Boars(AECB). Software verification methodology applied to SDS1 for Wolsung 2,3 and 4 project will be described in this paper. Some errors were found by this methodology during the software development for SDS1 and were corrected by ...

1996-12-01

365

Validation and verification of the ORNL Monte Carlo codes for nuclear safety analysis

To assure quality of safety critical software, software should be developed in accordance with software development procedures and rigorous software verification and validation should be performed. Software verification is the formal act of reviewing, testing of checking, and documenting whether software components comply with the specified requirements for a particular stage of the development phase[1]. New software verification methodology was developed and was applied to the Shutdown System No. 1 and 2 (SDS1,2) for Wolsung 2,3 and 4 nuclear power plants by Korea Atomic Energy Research Institute(KAERI) and Atomic Energy of Canada Limited(AECL) in order to satisfy new regulation requirements of Atomic Energy Control Boars(AECB). Software verification methodology applied to SDS1 for Wolsung 2,3 and 4 project will be described in this paper. Some errors were found by this methodology during the software development for SDS1 and were corrected by ...

1996-01-01

366

The dosimetric verification of a pencil beam based treatment planning system

The process of ensuring the quality of computer codes can be very time consuming and expensive. The Oak Ridge National Laboratory (ORNL) Monte Carlo codes all predate the existence of quality assurance (QA) standards and configuration control. The number of person-years and the amount of money spent on code development make it impossible to adhere strictly to all the current requirements. At ORNL, the Nuclear Engineering Applications Section of the Computing Applications Division is responsible for the development, maintenance, and application of the Monte Carlo codes MORSE and KENO. The KENO code is used for doing criticality analyses; the MORSE code, which has two official versions, CGA and SGC, is used for radiation transport analyses. Because KENO and MORSE were very thoroughly checked out over the many years of extensive use both in the United States and in the international community, the existing codes were ...

1993-11-14

367

State-of-the-art techniques for internal quality measurements in steel sheets production processes; Hakkoban seizo ni okeru naibu hinshitsu no onrain keisoku oyobi kensa gijutsu

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

368

Robust line width estimation

In this paper, the state-of-the-art ultrasonic and magnetic measuring techniques developed at Kawasaki Steel and used in the production process of steel sheets are described. Representative examples shown here are as follows: (1) Magnetic flux leakage testing system for the detection of nonmetallic inclusions, (2) Nondestructive orientation measurement for secondary re-crystallized grains in grain-oriented electrical steel by ultrasonic interferometry, (3) Immersion testing method for the detection of nonmetallic inclusions, (4) Surface wave probe for the detection of surface flaws in rolls used in rolling mills. Developments of these techniques and their applications to actual steel sheets production processes have contributed to advance in technologies for quality assurance and control. With the help of these techniques, steel sheet products with advanced and uniform properties are being continuously produced to meet customers' ...

1999-12-01

369

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

Fabrication of diffused titanium optical guides on a LiNbO/sub 3/ crystal substrate requires precise quality assurance. Light couplers in particular must be positioned within micron specifications. This requirement is the reason that the width of lines detected during microscopic inspection of the crystal is such an important parameter for quality evaluation. To assist in the inspection of these optical guides, a line width estimation program has been developed for an IBM PC based microscope inspection system. A digital image processing approach is used to develop an algorithm which can be tailored by the user for specific signal and noise characteristics. Default filter parameters, which can be updated and saved interactively by the user, are stored in a file on disk. The final program can be executed stand-alone or through a commercially available, menu-driven, image processing software package. Details concerning the ...

1986-07-01

370

Mechanical properties of an as-cast heavy-sectioned ferritic spheroidal graphite cast iron

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

1995-02-05

371

GENERAL REQUIREMENTS FOR SIMULATION MODELS IN WASTE MANAGEMENT

In the production of heavy-sectioned ferritic spheroidal graphite iron castings for such parts as spent fuel shipping container (cask), undesirable structures like abnormal graphite lamella, pearlite or so-called chinese script type of inclusions tend to appear, deteriorating the mechanical properties at the central part of the section where molten iron freezes last. 500 mm thick cylindrical vessels with bottom, weighing 18 tons and 33 tons, were poured as trial products of casks. Solidification structure and mechanical properties were examined at many portions of the castings. By controlling chemical composition, solidification time and inoculation process the structure and the mechanical properties in the last portion of the section to solidify were improved. Sufficiently homogeneous heavy-sectioned ferritic spheroidal graphite iron castings were successfully produced in the as-cast state. In addition, quality assurance process by using test ...

1987-11-01

372

Evaluation of light-water-moderated, mixed-oxide, hexagonal pitch lattices

Most waste management activities are decided upon and carried out in a public or semi-public arena, typically involving the waste management organization, one or more regulators, and often other stakeholders and members of the public. In these environments, simulation modeling can be a powerful tool in reaching a consensus on the best path forward, but only if the models that are developed are understood and accepted by all of the parties involved. These requirements for understanding and acceptance of the models constrain the appropriate software and model development procedures that are employed. This paper discusses requirements for both simulation software and for the models that are developed using the software. Requirements for the software include transparency, accessibility, flexibility, extensibility, quality assurance, ability to do discrete and/or continuous simulation, and efficiency. Requirements for the models that are developed ...

2003-02-27

373

Development of PHWR fuel fabrication in Korea

The use of previously measured mixed-oxide (MOX) fuel systems as benchmarks can be valuable tool in computational analysis and quality assurance efforts. The Fissile Materials Disposition Program (FMDP) has identified these experiments as potential benchmarks, or standards, for VVER's employing MOX fuel. Standards for the analysis of these benchmark experiments were based on those used in the recent compilation International Handbook of Evaluated Criticality Safety Benchmark Experiments begun in 1992 by the U.S. Department of Energy. The Los Alamos National Laboratory's archives were explored for log-book records of these experiments without success. These experiments were the first to use MOX fuel in light water. Three approach-to-critical experiments were performed using fuel rods at various pitches and different plutonium-oxide concentrations. A parallel program verified the prediction of critical condition as similar materials and ...

1997-11-16

374

Challenges in validating the sterilisation dose for processed human amniotic membranes

Korea Advanced Energy Research Institute (KAERI) started a research project to develop the PHWR (CANDU) nuclear fuel fabrication technology in 1981. Based on the results of the intensive developmental work, several prototype fuel bundles were fabricated and tested in the Hot Test Loop at KAERI continuously in 1983 and 1984. After that, irradiation test and post-irradiation examination were carried out for two KAERI-made fuel bundles at Chalk River Nuclear Laboratories in Canada in 1984. Since the results of in-pile and out-of-pile tests with prototype fuel bundles proved to be satisfactory, 48 additional fuel bundles were loaded in Wolsung reactor (CANDU) in 1984 and 1985, and all of them were discharged without a defect after excellent performance in the power reactor. In 1985, the Korean government decided that KAERI supplies all the fuel necessary for the Wolsung reactor. For the mass production of nuclear fuel bundle, several process equipment, facilities and automation methods ...

1988-01-01

375

A rapid response air quality analysis system for use in projects having stringent quality assurance requirements

Most of the tissue banks in the Asia Pacific region have been using ionising radiation at 25 kGy to sterilise human tissues for save clinical usage. Under tissue banking quality system, any dose employed for sterilisation has to be validated and the validation exercise has to be a part of quality document. Tissue grafts, unlike medical items, are not produced in large number per each processing batch and tissues relatively have a different microbial population. A Code of Practice established by the International Atomic Energy Agency (IAEA) in 2004 offers several validation methods using smaller number of samples compared to ISO 11137 (1995), which is meant for medical products. The methods emphasise on bioburden determination, followed by sterility test on samples after they were exposed to verification dose for attaining of sterility assurance level (SAL) of 10{sup -1}. This paper describes our experience in using the IAEA ...

2007-11-15

376

Health and social impacts of biomass gasification for household energy in rural China: Assessment from three perspectives and emergent insights from their synthesis

This paper describes an approach to solve air quality problems which frequently occur during iterations of the baseline change process. From a schedule standpoint, it is desirable to perform this evaluation in as short a time as possible while budgetary pressures limit the size of the staff available to do the work. Without a method in place to deal with baseline change proposal requests the environment analysts may not be able to produce the analysis results in the time frame expected. Using a concept called the Rapid Response Air Quality Analysis System (RAAS), the problems of timing and cost become tractable. The system could be adapted to assess other atmospheric pathway impacts, e.g., acoustics or visibility. The air quality analysis system used to perform the EA analysis (EA) for the Salt Repository Project (part of the Civilian Radioactive Waste Management Program), and later to evaluate the consequences of proposed ...

377

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

Solid fuels such as coal, wood, and crop straw supply some fraction of household cooking and heating fuel for more than one billion people in China. As these fuels do not generally combust cleanly in household stoves, their use levies large health and environmental burdens, particularly in rural regions. Production of clean-burning fuels from agricultural residue offers one prospect for mitigating health and social burdens imposed by household use of solid fuels. This dissertation explores the question: how might production of clean-burning household fuels from agricultural residues affect human health and social conditions in rural China? I approach this question from three perspectives. First, a technically plausible but currently unproven village-scale energy technology is explored in a scenario bounded by natural resources and substantiated by engineering specifications, estimates of indoor exposures to air pollution, ...

2005-01-01

378

A quality approach to maintain the properties of S235 JR structural carbon steel in Lebanon

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 main law concerning the safety regulation of nuclear installations, and is supplemented by the Enforcement Decree and Enforcement ...

2006-10-15

379

Health Topics beginning with A - National Institutes of Health...

Full text.S235JR carbon steel is one of the most popular steels used in Lebanon. It is imported by steel dealers and is widely used by all fabricators and manufacturers of steels for many structural purposes and applications. This kind of steel has good ductile properties as well as excellent weldability. It is still known by its previous designation St 37-2 or E 24-2. S235JR is produced in many shapes and thicknesses such as steel plates, sheets, angles and different other geometric shapes. Standard chemical and mechanical tests were conducted and reported on S235JR hot-rolled structural low-carbon mild steel specimens collected from Lebanese steel market. The main objective of this work is to assure the compliance of these properties with those set by the steel manufacturer. The above mentioned tests were performed at the laboratories of the Industrial Research Institute (IR) in Lebanon to assure the quality and ...

2004-05-26

380

Lighting in indoor environments: Visual and non-visual effects of light sources with different spectral power distributions

Skip Over Navigation Links U.S. Department of Health & Human Services National Institutes of Health NIH...Turning Discovery into Health For Employees Staff Directory En Español...

2011-08-26

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381

British Library Electronic Table of Contents (United Kingdom)

Since the end of the 1990s, good quality lighting was that which balanced the needs of humans, economic and environmental issues, and architectural design. Recent studies aimed to find a correlation between environmental lighting and human performance and health, with positive results. What is known, is that insufficient or inappropriate light exposure can disrupt standard human rhythms which may result in adverse consequences for performance, safety, health. By studying the relationship between human physiology and light, research in photobiology has advanced to the point where some attempts to foresee what the lighting practice will be in future. The question is if lighting practice and lighting practitioners are ready for changes. This paper has the aim of introducing the recent discove...

2011-01-01

382

45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

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

...2010-10-01 false Standards for health information technology to protect electronic health information...DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2010-10-01

383

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

PMID:3176400

1988-06-01

384

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

385

Use of neutron activation analysis for the control of air pollution of Algiers; Utilisation de l'analyse par activation neutronique pour le controle de la pollution de l'air d'Alger

PMID:21877636

2011-08-01

386

Study on the stability of the Maytenus aquifolium Martius chemical components submitted to ionizing radiation (X-ray and #gamma#)

The urban zone needs clean air to assure public health. To achieve this goal several filter samples were collected in different sites in Algiers city. Toxic elements such as: Na, Mg, Cl, Sc, Cr, Ti, V, Fe, Co, Cu, Zn, Se, Br, Ag, Sb, Ce, La, Hf, Ta and Hg have been measured in the filters using neutron activation analysis technique. Irradiation of filter samples and standards were carried out in Es-Salem reactor. The experimental procedure and the results are discussed. We noted during this work that the upper limit values for suspended dusts and the high concentrations for some toxic elements found are due to the weather conditions and intense road traffic around collecting sites. (authors)

2010-07-15

387

The National Food and Nutrient Analysis Program: A decade of progress

The interest for medicinal plants has raised again in the last decades, after overcoming a declination period caused by the advances in the researches and development of the synthetic drugs industries. This growing interest has been stimulated mainly by searching cheap and accessible alternative therapies. However, in order to have natural products based treatment in an efficient and safety way, it is necessary to guarantee the plant authenticity, finding adulterations and to assure a low level of microbiological contaminations to avoid damages to consumer's health. The decontamination method should be chosen for eliminating or reduce the microorganisms level without loss of the plant active constituents that would destroy its therapeutic action. At the present work, the possibility of using #gamma# and X electromagnetic radiations to sterilize a Brazilian medicinal plant (Maytenus aquifolium Martius, Celastraceae), which shows anti-ulcer ...

388

British Library Electronic Table of Contents (United Kingdom)

The National Food and Nutrient Analysis Program (NFNAP) was designed to expand the quantity and improve the quality of data in the United States Department of Agriculture (USDA) food composition databases through the collection and analysis of nationally representative samples of foods and beverages. This paper describes some of the findings from the NFNAP and its impact on the food composition databases produced by USDA. The NFNAP employs statistically valid sampling plans, comprehensive quality control, and USDA analytical oversight to generate new and updated analytical data for food components. USDA food consumption and composition data were used to target those foods that are major contributors of nutrients of public health significance to the U.S. diet (454 Key Foods). Foods were ran...

2008-01-01

389

Strategies to Promote High School Students’ Healthful Food Choices

British Library Electronic Table of Contents (United Kingdom)

Studies have suggested that skill-building through hands-on cooking as a nutrition education strategy, is effective to improve overall dietary quality among participants. FamilyCook Productions' ''Diet for a Healthy Planet with Teen Battle Chefs(TM)'' curriculum using this approach, was piloted in 2008 in a Brooklyn public high school resulting in a statistically significant improvements in dietary quality as well as attitudinal improvements and efforts by students to support changes in school food service. Program evaluation used the RE-AIM framework and employed both quantitative and qualitative strategies including pre and post program surveys, focus groups, and weekly electronic teacher feedback. The program has since grown to over 85 high schools in 16 states.

2011-01-01

390

Quality of life after surgery for rectal cancer with special reference to pelvic floor dysfunction

British Library Electronic Table of Contents (United Kingdom)

Abstract Aim- Conventional outcomes such as survival, tumour recurrence and complication rates after surgery for rectal cancer have been rigorously assessed, but the importance of maintaining quality of life (QOL) after surgery for rectal cancer has received less attention. The aim of the current study was to analyse QOL and the occurrence of pelvic dysfunction after the surgical treatment of rectal cancer. Method- Between May 2005 and May 2008, 150 patients with rectal cancer underwent abdominoperineal resection (APR) or anterior resection (AR). Seventy-four answered two preoperative questionnaires. At a follow up of 1-year, 65 were alive without sign of recurrence and answered the same questionnaires: (a) validated RAND 36-item health survey QOL questionnaire; and (b) self-administered d...

2011-01-01

391

Mental health in patients with systemic sclerosis: a controlled investigation

British Library Electronic Table of Contents (United Kingdom)

Abstract Background Despite the undeniable impact of systemic sclerosis (SS) on quality of life, only a few studies so far have focused on its psychiatric or psychological aspects. We aimed at assessing psychiatric symptoms and self-image in inpatients with SS and comparing them with patients with either a very mild skin condition or a serious skin condition. Methods Three groups were recruited: (i) 38 consecutive female inpatients with SS; (ii) 38 age-matched female outpatients with melanocytic naevi; (iii) 35 age-matched female inpatients with melanoma. All participants completed the Zung Anxiety Scale, the Zung Depression Scale and a self-report questionnaire measuring self-perceived personal qualities. Patients with SS were also clinically interviewed by a psychologist. Results The cli...

2008-01-01

392

The application of irradiation techniques for food preservation and processing improvement

Overview of the environmental concerns of coal transportation

This project has intended to develop alternative techniques to be used in food industry for food processing and utilization by safe irradiation methods. For improvement of rheology and processing in corn starch by irradiation, the production of modified starch with low viscosity as well as with excellent viscosity stability became feasible by the control of gamma irradiation dose levels and the amount of added inorganic peroxides to starch. Also, this project was developed the improvement methods of hygienic quality and long-term storage of dried red pepper by gamma irradiation. And, in Korean medicinal plants, 10 kGy gamma irradiation was effective for improving sanitary quality and increasing extraction yield of major components. For the sanitization of health and convenience foods, gamma irradiation was more effective than ozone treatment in decontamination of microorganisms, with minimal effect on the physicochemical ...

1997-09-01

393

Are causes knowable? Some consequences of successional versus toxicological interpretations of the Great Lakes water quality agreement

More than 30 environmental concerns were analyzed for the transportation of coal by rail, roads (trucks), high voltage transmission lines (that is, from mine-mouth generating plants to distribution networks), coal slurry pipelines, and barges. The following criteria were used to identify these problems: (1) real physical environmetal impacts for which control technologies must be developed, or regulation made effective where control technologies presently exist; (2) the level of impact is uncertain, although the potential impact may be moderate to high; (3) the concerns identified by the first two criteria are specific to or exacerbated by coal transportation. Generic transportation problems are not included. The significant environmental problems identified as a result of this study are: (1) rail transport - community traffic disruption and human health, safety, and habitat destruction; (2) coal haul roads - road degradation, traffic congestion and safety, air ...

1980-02-01

394

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

The focus of the present Great Lakes water quality agreement between Canada and the United States is on transboundary pollution and particularly the injury to health and property from exposures to persistent toxic substances. Several scientists and policy advisors have suggested, on the basis of the Ecosystem Approach and systems theory, that the agenda should move on to other demanding topics, such as the introduction of exotic species, biodiversity, habitat restoration, fisheries management, sustainable development, and governance of the Great Lakes basin. None of these issues, however, poses the same scale of threat to national sovereignty and bilateral interests as does transboundary pollution. Thus, none warrants the degree of attention that has been and should be paid, despite declining budgets, to assessing and controlling releases of persistent toxic substances that continue to injure fish, wildlife, and human ...

395

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

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

2011-02-23

396

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

397

Digital Audio Sampling for Film and Video.

Development of sample handling procedures for foods under USDA's National Food and Nutrient Analysis Program

Digital audio sampling is explained, and some of its implications in digital sound applications are discussed. Digital sound equipment is rapidly replacing analog recording devices as the state-of-the-art in audio technology. The philosophy of digital recording involves doing away with the continuously variable analog waveforms and turning the patterns into numbers. A digital recording device rapidly samples the incoming sounds, quantifying the signal into a series of numerical values (binary codes). Although digital sound eliminates many of the traditional analog problems, digital signal processing presents key problems in sampling rates and synchronization. Careful control is necessary to check signals through each step in the audio chain. The advantages of digital audio processing include increased signal-to-noise ratio, no flutter, transparent generation of copies, and sound manipulation. These benefits come with increased quality control ...

1993-03-01

398

British Library Electronic Table of Contents (United Kingdom)

The National Food and Nutrient Analysis Program (NFNAP) was implemented in 1997 to update and improve the quality of food composition data maintained by the United States Department of Agriculture (USDA). NFNAP was designed to sample and analyze frequently consumed foods in the U.S. food supply using statistically rigorous sampling plans, established sample handling procedures, and qualified analytical laboratories. Methods for careful handling of food samples from acquisition to analysis were developed to ensure the integrity of the samples and subsequent generation of accurate nutrient values. The infrastructure of NFNAP, under which over 1500 foods have been sampled, mandates tested sample handling protocols for a wide variety of foods. The majority of these foods were categorized into ...

2010-01-01

399

Packaging Review Guide for Reviewing Safety Analysis Reports for Packagings

Multilayer reflective coatings for extreme-ultraviolet lithography

This Packaging Review Guide (PRG) provides guidance for Department of Energy (DOE) review and approval of packagings to transport fissile and Type B quantities of radioactive material. It fulfills, in part, the requirements of DOE Order 460.1B for the Headquarters Certifying Official to establish standards and to provide guidance for the preparation of Safety Analysis Reports for Packagings (SARPs). This PRG is intended for use by the Headquarters Certifying Official and his or her review staff, DOE Secretarial offices, operations/field offices, and applicants for DOE packaging approval. This PRG is generally organized at the section level in a format similar to that recommended in Regulatory Guide 7.9 (RG 7.9). One notable exception is the addition of Section 9 (Quality Assurance), which is not included as a separate chapter in RG 7.9. Within each section, this PRG addresses the technical and regulatory bases for the review, the manner in ...

2007-04-12

400

Fundamentals of Inter-cell Overhead Signaling in Heterogeneous Cellular Networks

Multilayer mirror coatings which reflect extreme ultraviolet (EUV) radiation are a key enabling technology for EUV lithography. Mo/Si multilayers with reflectances of 67.5% at 13.4 nm are now routinely achieved and reflectances of 70 2% at 11.4 nm were obtained with MO/Be multilayers. High reflectance is achieved with careful control of substrate quality, layer thicknesses, multilayer materials, interface quality, and surface termination. Reflectance and film stress were found to be stable relative to the requirements for application to EUV lithography. The run-to-run reproducibility of the reflectance peak position was characterized to be better than 0.2%, providing the required wavelength matching among the seven multilayer-coated mirrors used in the present lithography system design. Uniformity of coating was improved to better than 0.5% across 150 mm diameter substrates. These improvements in EUV multilayer mirror ...

1998-03-10

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

42 CFR J - 2-Health Professions Recruitment Program for Indians

Heterogeneous base stations (e.g. picocells, microcells, femtocells and distributed antennas) will become increasingly essential for cellular network capacity and coverage. Up until now, little basic research has been done on the fundamentals of managing so much infrastructure -- much of it unplanned -- together with the carefully planned macro-cellular network. Inter-cell coordination is in principle an effective way of ensuring different infrastructure components behave in a way that increases, rather than decreases, the key quality of service (QoS) metrics. The success of such coordination depends heavily on how the overhead is shared, and the rate and delay of the overhead sharing. We develop a novel framework to quantify overhead signaling for inter-cell coordination, which is usually ignored in traditional 1-tier networks, and assumes even more importance in multi-tier heterogeneous cellular networks (HCNs). We derive the overhead ...

2011-01-01

402

42 CFR 417.102 - Health benefits plan: Supplemental health services.

42 Public Health 1 2010-10-01 2010-10-01 false 2-Health Professions Recruitment Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

2010-10-01

403

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

42 Public Health 3 2010-10-01 2010-10-01 false Health benefits plan: Supplemental health services. 417.102 Section 417.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF...

2010-10-01

404

Expanding the role of the cost engineer

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

405

Changing communities, changing spaces: the challenges of health promotion outreach in cyberspace.

There have been many questions about the costs of providing medical services. These questions have resulted in the development of Resource-Based Relative Values Scale (RBRVS) at the national level. Policymakers view RBRVS as a potential tool to pay physicians. The questions, about the cost of operations of HSE-2 at Los Alamos National Laboratory, revolve around doing routine occupation health physicals for the Laboratory. Generally, these questions are concerned about why the costs appear to be high relative to what private physician suggests the costs should be. There is also an interest in trying to find methods to reduce these costs if possible. Many of the tools developed to help in construction estimating can be applied to estimating medical costs. With the need to perform many thousands of physicals each year the saving of even a few dollars for each exam can quickly add up to a large saving. There are a number of different types of physicals and different ...

1989-01-01

406

The Study on the Health of Aroma Therapeutist

This article is a case study of an Internet chat room outreach project in Perth, Western Australia. The CyberReach project sought to adapt current peer based health promotion outreach, training and supervision frameworks to an online outreach setting in a way that was effective and supported by the online community. It targeted marginalised groups to trial the provision of online mental and sexual health promotion incorporating a participatory action research model into its development and implementation. Three 6-week trial periods were conducted and significant changes were made in response to changes in the online environment and to improve sustainability and effectiveness of the protocols. Four themes arose from CyberReach's experience: online group processes are unique due to the creation of extensive personal networks and occurrence of disclosure without face-to-face contact across potentially large geographic barriers; flexibility is ...

2007-01-01

407

Environment in the European Union 1995. Report for review of the Fifth Environmental Action Programme

Full Text Available

2008-02-01

408

White oils for high voltage cables

This report is an appraisal of the state of the European Union`s environment. It was requested by the European Commission as part of the review process of the Fifth Environmental Action Programme `Toward sustainability`. Main sections of the report are headed: societal developments and driving forces; environmental themes and topics; integration economy and environment. Themes covered are: climate change, ozone depletion, acidification, air pollution and quality, waste management, urban-issues, inland water resources, coastal zones and marine waters, risk management, soil quality, and nature and diversity. The main conclusions of this report are that the European Union is making progress towards reducing certain pressures on the environment, though this is not enough to improve the general quality of the environment and represents even less progress towards sustainability. Without accelerated policies, pressures on the ...

1995-12-31

409

Waste sampling and characterization facility (WSCF)

''S-220'' white oil is used currently to impregnate and fill high voltage cables for 110-500 kilovolts; it has high electrical characteristics and meets production and use standards. High pressure and cooling problems, however, require filling cables with lower viscosity oils, while insulation needs still demand high viscosity. The authors developed a new white oil similar to S-220 using a neutral oil made in producing sulfonate additives. The process involved vacuum distillation, low-temperature paraffination, sulfation with oleum, neutralizing with ammonium hydroxide and simultaneous extraction of sulfo-salts and contact purification. The lowest content of aromatic hydrocarbons was sought. Dielectric qualities varied with viscosity. Satisfactory thermooxidational capability was found at 50/sup 0/C with an oil of no less than 50 mm/sup 2//sec viscosity. The final white oil had no more than 2% aromatic hydrocarbons, thus ...

1982-10-01

410

Trace metal characterization of the U-Al matrix by atomic spectroscopy

The Waste Sampling and Characterization Facility (WSCF) complex consists of the main structure (WSCF) and four support structures located in the 600 Area of the Hanford site east of the 200 West area and south of the Hanford Meterology Station. WSCF is to be used for low level sample analysis, less than 2 mRem. The Laboratory features state-of-the-art analytical and low level radiological counting equipment for gaseous, soil, and liquid sample analysis. In particular, this facility is to be used to perform Resource Conservation and Recovery Act (RCRA) of 1976 and Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 sample analysis in accordance with U.S. Environmental Protection Agency Protocols, room air and stack monitoring sample analysis, waste water treatment process support, and contractor laboratory quality assurance checks. The samples to be analyzed contain very low concentrations of radioisotopes. The ...

1994-10-01

411

Replacement of nickel sealing rings by expanded graphite sealing rings -upgrading of SG primary collector flange connection

Uranium-aluminum alloys with a significant enrichment of uranium with "2"3"3U or "2"3"5U serve as nuclear fuels in research reactors. The quality assurance of this fuel requires, among other things, precise knowledge that all trace metal constituents that affect neutron economy, fuel integrity, and fuel fabrication process parameters are well within the specification limits. Trace metal characterization of "2"3"5U-Al alloy has been carried out by atomic spectrometry. The trace metal constituents of interest are grouped into common metals (silver, boron, calcium, cadmium, cobalt, chromium, copper, iron, magnesium, manganese, molybdenum, sodium, nickel, lead, silicon, tin, titanium, vanadium, tungsten, and zinc) and lanthanides (cerium, dysprosium, europium, gadolinium, holminium, lutetium, samarium, and terbium). The elements yttrium and zirconium are grouped with the latter in view of the chemical separation procedure used. The alloy samples ...

412

Regulatory requirements for design of safety related computer based control Systems in Indian PHWRs: case study of DPHS-PCS for TAPP-3 and 4

One of the most loaded parts of a steam generator of VVER 440 MW type are the bolts and thread holes of the primary collector cover sealing set. The strength calculations and tensometric measurings performed during operation proved the high degree of a load on the bolts. The conditions of the stress limitation are not met in some cases according to the pertinent standards. The untightnesses at nickel rings occurred during putting the units of Jaslovske Bohunice and Dukovany nuclear power stations into operation. With regard to improve the reliability, the producer has taken measures to improve the quality of the rings and users have introduced more strict regulations for bolts tightening. Due to these measures the high reliability of the set has been obtained from point of view of the tightness, but substantial reduction of bolts and holes threads loading have not been obtained. Several years operation experience proved relatively low service of bolts, damage of ...

1997-12-31

413

Proposition for execution control of bearing stratum in bored precast pile method. Umekomi kui koho ni okeru shijiso kakunin no tame no seko kanri hoho no teian

Computer based control systems for safety related applications in nuclear power plants have to meet not only the functional, performance and interface requirements, they in addition, have to meet regulatory requirements like enhanced reliability, safety and security and should provide fault tolerance, diagnostics and self-supervision. The control system architecture, hardware design and software design should meet requirements as specified in design code and guides of AERB. The Dual Processor Hot Standby Process Control System (DPHS-PCS) for TAPP-3 and 4 is a safety related (Class- IB) system. DPHS-PCS regulates PHT pressure, Pressuriser pressure, Pressuriser level, Bleed condenser pressure, Bleed condenser level and Steam generator pressure. The performance, reliability and safety requirements of this control system are met by employing a fault tolerant computer configuration developed for this purpose using hardware designed with facility for on-line diagnostics and software ...

2005-03-01

414

Potential of high-average-power solid state lasers

As a parameter for execution control of confirming a bearing stratum, which is most important in a bored precast pile method, discussions were made on the relativity between the product AT'' of a load current value A'' in an electric motor driving an auger used to drill pit holes with an excavation time T'' and a value N,'' a result of the standard penetration test of the ground. As a result, although the relativity of the N'' value has some variance in the ground of diluvial clay, they correspond well to each other in other kinds of ground. In pile bearing strata in particular, they correspond very well to each other regardless of soil textures of the ground, proving clearly that the AT'' value can be used as an effective parameter for confirmation of and penetration into the bearing stratum. Therefore, tips of all the piles used in one construction site can be driven to about ...

1991-07-25

415

Physics of the {sup 252}Cf-source-driven noise analysis measurement

We discuss the possibility of extending solid state laser technology to high average power and of improving the efficiency of such lasers sufficiently to make them reasonable candidates for a number of demanding applications. A variety of new design concepts, materials, and techniques have emerged over the past decade that, collectively, suggest that the traditional technical limitations on power (a few hundred watts or less) and efficiency (less than 1%) can be removed. The core idea is configuring the laser medium in relatively thin, large-area plates, rather than using the traditional low-aspect-ratio rods or blocks. This presents a large surface area for cooling, and assures that deposited heat is relatively close to a cooled surface. It also minimizes the laser volume distorted by edge effects. The feasibility of such configurations is supported by recent developments in materials, fabrication processes, and optical pumps. Two types of lasers can, in ...

1984-09-25

416

Mine stability evaluation of panel 1 during waste emplacement operations at WIPP

The {sup 252}Cf-source-driven noise analysis method is a versatile measurements tool that has been applied to measurements for initial loading of reactors, quality assurance of reactor fuel elements, fuel processing facilities, fuel reprocessing facilities, fuel storage facilities, zero-power testing of reactors, verification of calculational methods, process monitoring, characterization of storage vaults, and nuclear weapons identification. This method`s broad range of application is due to the wide variety of time- and frequency domain signatures, each with unique properties, obtained from the measurement. The following parameters are obtained from this measurement: average detector count rates, detector multiplicities, detector autocorrelations, cross-correlation between detectors, detector autopower spectral densities, cross-power spectral densities between detectors, coherences, and ratios of spectral densities. All of these measured ...

1997-02-01

417

Intercomparison of soil radon concentration measurements

The specific objectives of the work were defined by the Environmental Evaluation Group (EEG) as follows: (1) assess the stability of panel 1 during the proposed operation of waste emplacement; (2) estimate the amount of time before room closure would be expected to transfer rock loads to the waste packages. The work consisted of (1) an analysis of geotechnical data and a review of the Department of Energy`s (DOE) plans for waste emplacement in panel 1, (2) an evaluation of ground conditions based on data analysis and observations of changes in ground conditions since the first evaluation in 1993 (USBM 1993), and (3) preparation of a report and presentation of the results to EEG staff. Excluded from this study are radiological safety issues and policies. The study is based on data provided by DOE and Westinghouse Electric Corporation (operator of the site) and conversations with DOE and Westinghouse personnel. MTI cannot independently verify the accuracy of the data within the scope of ...

1998-07-01

418

Ecotoxicology of Explosives

In October last year the first intercomparison of measurements of the soil radon concentrations between various laboratories in Slovakia was realised. The organisation of this intercomparison was conducted by the Slovak Legal Metrology in Banska Bystrica together with the Slovak National Accreditation Service in Bratislava (SNAS). The scientific guarantee of the exercise was the State metrological Centre for radon quantities, which is working at the Research base of Slovak Medical University in Bratislava. The main objective of the intercomparison was to verify the correctness of the methods for the soil radon measurements of the authorised laboratories for radon volume activities in soil air. The intercomparison (signed as SLM ILC 3/03) was performed as a 'circular' metrology comparison, in accordance with a methodical directive MSA 0117-98, published by SNAS. Six laboratories were participating on the intercomparison and there have been two stages of the work one in the radon chamber ...

2004-11-01

419

Determination of americium in plutonium based nuclear fuel materials: An assessment of different methodologies

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

2009-04-01

420

Applications of instructional design theory to lesson planning for Superfund incident commander training

Determination of americium (Am) is one of the requirements of chemical quality assurance of plutonium (Pu) bearing fuel materials. Though many methods are published for determining Am at picogram to femtogram levels in environmental and biological matrices, yet a few of them are used routinely for Pu based nuclear fuel samples. This paper gives a brief summary of the different analytical methods available and presents results of our experiments on the determination of Am in Pu bearing fuels using gamma spectroscopy. The methods utilizing gamma emissions from "2"4"1Am and Pu isotopes are fast as they do not involve chemical separation of Pu and Am, do not require an accurate knowledge of the efficiency values of the detector systems and are not dependent on the availability of a radiometric standard for "2"4"1Am. In addition, for aged Pu samples containing large amounts of "2"4"1Am, there is no need for dilution and this reduces the volume of ...

2010-11-15

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

421

AIDE: internal dosimetry software.

The increasing number of hazardous materials accidents in the United States has resulted in new federal regulations addressing the emergency response activities associated with chemical releases. A significant part of these new federal standards (29 CFR 1910.120 and 40 CFR Part 311) requires compliance with specific criteria by all personnel involved in a hazardous material emergency. This study investigated alternative lesson design models applicable to instruction for hazardous material emergencies. A specialized design checklist was created based on the work of Gagne, Briggs, and Wager (1988), Merrill (1987), and Clark (1989). This checklist was used in the development of lesson plan templates for the hazardous materials incident commander course. Qualitative data for establishing learning objectives was collected by conducting a needs assessment and a job analysis of the incident commander position. Incident commanders from 14 public and private organizations participated in the ...

1992-01-01

422

The review of radioactive waste management in the world

AIDE (Activity and Internal Dose Estimates) is a software for calculating activities in compartments and committed doses due to occupational exposures, and for performing intake and dose estimates using bioassay data. It has been continuously developed and tested for more than 20 years. Its calculation core has been applied in several situations, like performing all dose estimates due to (137)Cs intakes, which occurred during the Goiania accident in 1987; performing quality assurance of the ICRP Task Group on Dose Calculations regarding calculations of activities in compartments and generation of dose coefficients for adults due to intakes by inhalation, ingestion and injection of several radionuclides; and producing the tables of activities in compartments and dose coefficients using the NCRP Wound Model for the NCRP report. It provides several capabilities like performing calculations using modified Human Respiratory Tract Model parameters ...

2008-03-12

423

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

Radioactive waste is generally classified on the basis of how much radiation and the type of radiation it emits as well as the length of time over which it will continue to emit radiation. Many activities dealing with radioactive materials produce nuclear wastes, including civilian nuclear power programs (nuclear Power plant operations and nuclear fuel-cycle activities), defense nuclear programs (nuclear weapons production, naval nuclear reactor programs, and related R and D), and industrial and institutional activities (scientific research, medical operations, and other industrial uses of Radioisotopic sources or Radio chemicals). To minimize the potential adverse health and environment impacts to people and other systems including of animals, plant and etc, during the entire lifetime of the radionuclides involved, nuclear waste must be carefully and properly managed. The scope of nuclear - waste management encompasses generation, processing ...

424

Hospital waste management in Lebanon

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

1981-09-01

425

Electromagnetic fields and cancer: how ICNIRP has dealt with the issue

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

1999-06-02

426

Comparison of in vitro disc diffusion and time kill-kinetic assays for the evaluation of antimicrobial wound dressing efficacy.

Whether exposure to electromagnetic fields (EMFs) cause cancer has been vigorously debated for many years and has been the most vexing issue with which ICNIRP has had to deal during its short existence. There have been three parts of the electromagnetic spectrum that the issue of cancer has raised: static (0 Hz) magnetic fields, extremely low frequency (ELF) fields (defined as > 0-300 Hz, but concerns have been raised almost exclusively at the power frequencies of 50/60 Hz), and radiofrequency (RF) fields (300 Hz -300 GHz). By far the major problems have arisen during the construction of new high voltage transmission lines and mobile telephone systems. Actions by protest groups concerned with possible health effects, especially with cancer in children, has now reached such a scale that it is costing electrical utilities and communications companies billions of dollars annually world-wide. With such high stakes, ICNIRP has had to be extremely ...

1996-04-01

427

Behavioral Economics and Regulatory Analysis.

There is a plethora of new silver-containing dressings on the market today. Various manufacturers attempt to show that their dressings are the most efficacious and therefore should be preferentially employed by health care workers based on the results of their in vitro tests. However, there have been no studies that clearly identify which tests are appropriate for comparison purposes. The purpose of this study was to determine which in vitro test is most appropriate for evaluating the antimicrobial efficacy of silver-containing dressings. This was done by testing seven silver-containing dressings and two non-silver-containing topical agents against 17 clinically relevant microorganisms using zone of inhibition assays and time-kill kinetic assays in complex media. The results for the two assays were then correlated to determine whether the methods generated similar results. It was determined that the two methods do not correlate at all. This is ...

428

A Blueprint for Telerehabilitation Guidelines?October 2010

Behavioral economics has captured the interest of scholars and the general public by demonstrating ways in which individuals make decisions that appear irrational. While increasing attention is being focused on the implications of this research for the design of risk-reducing policies, less attention has been paid to how it affects the economic valuation of policy consequences. This article considers the latter issue, reviewing the behavioral economics literature and discussing its implications for the conduct of benefit-cost analysis, particularly in the context of environmental, health, and safety regulations. We explore three concerns: using estimates of willingness to pay or willingness to accept compensation for valuation, considering the psychological aspects of risk when valuing mortality-risk reductions, and discounting future consequences. In each case, we take the perspective that analysts should avoid making judgments about whether values are "rational" ...

2011-08-13

429

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

430

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

Palliative Care Physicians' Religious / World View and Attitude Towards Euthanasia: A Quantitative Study Among Flemish Palliative Care Physicians

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

431

Paediatric Palliative Care: Theory to Practice

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

432

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

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

433

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

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

434

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

435

Testing the Right Question Project (RQP) Health Education Strategy in a Mental Health Setting

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

436

Impact of Complementary Private Health Insurance on Public Health Spending in Korea

Diagnosis, Psychiatric

2010-10-08

437

Global Warming and California's Public Health

Full Text Available

2007-06-01

438

Healthy Buildings and Green Building Rating Systems; Gezond bouwen en duurzaamheidslabels

This fact sheet summarizes the potential impact of climate change as it relates to public health in California....

439

Replacement of the Idaho National Engineering Laboratory Health Physics Instrumentation Laboratory

The awareness of health issues related to buildings has heightened past decades. Indoor Environmental Quality (IEQ) has been addressed in most Green Building Rating Systems nowadays. This article analyses the scope of IEQ (Indoor Environmental Quality) within Rating Systems GPR Gebouw, BREEAM-NL (Dutch version of Building Research Establishment's Environmental Assessment Method) and LEED (Leadership in Energy and Environmental Design). Each Rating System allocates health aspects. However, none of these Rating Systems addresses a complete set of relevant aspects. High ratings do not guarantee healthy buildings. It is concluded that, in general, credits for energy efficiency do not interfere with credits for enhanced indoor environmental quality. [Dutch] Gezondheidsaspecten van gebouwen hebben afgelopen decennia steeds meer en integraler aandacht gekregen. In de instrumenten ...

2010-11-15

440

NO_x emissions from large point sources: variability in ozone production, resulting health damages and economic costs

The DOE-Idaho Operations Office (DOE-ID) has prepared an environmental assessment (EA) on the replacement of the Idaho National Engineering Laboratory Health Physics Instrumentation Laboratory at the Idaho National Engineering Laboratory (INEL). The purpose of this project is to replace the existing Health Physics Instrumentation Laboratory (HPIL) with a new facility to provide a safe environment for maintaining and calibrating radiation detection instruments used at the Idaho National Engineering Laboratory. The existing HPIL facility provides portable health physics monitoring instrumentation and direct reading dosimetry procurement, maintenance and calibration of radiation detection instruments, and research and development support-services to the INEL and others. However, the existing facility was not originally designed for laboratory activities and does not provide an adequate, safe environment for calibration ...

1995-05-01

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

441

The Confidence in Diabetes Self-Care Scale

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

2005-05-01

442

Networking of Palliative Care at the Corporate Level

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

443

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

444

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 - ...

445

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

446

Sensors and instrumentation for atmospheric pollutions control; Capteurs et instrumentation pour le controle des pollutions atmospheriques

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

447

Oral Health in Women During Preconception and Pregnancy: Implications for Birth Outcomes and Infant Oral Health

Reinforcement of the legislation concerning the emission of atmospheric pollutants, aerosols, refrigerants, solvents etc and the reduction of the greenhouse effect, has led to the development of performing instruments for the survey and control of ambient air quality and for the limitation of exhaust gases, combustion products, volatile organic compounds (VOC), particulates and noxious compounds in the atmosphere. This study is divided in 4 main parts. The first part describes the context of the air quality control: the problems linked with the environment and health, the pollutants characteristics, the pollution levels and the detection sensitivity of instruments according to the different type of pollutants (petroleum products, VOCs, ozone compounds, particulates, smells..), the protocols of air pollution measurements and their application (chimney smokes, industrial volatile compounds, indoor and ambient air ...

1996-11-01

448

Communicating human biomonitoring results to ensure policy coherence with public health recommendations: analysing breastmilk whilst protecting, promoting and supporting breastfeeding

The mouth is an obvious portal of entry to the body, and oral health reflects and influences general health and well being. Maternal oral health has significant implications for birth outcomes and infant...Full Text Available

2006-09-01

449

45 CFR 170.205 - Content exchange standards and implementation specifications for exchanging electronic health...

This article addresses the problem of how to ensure consistency in messages communicating public health recommendations on environmental health and on child health. The World Health Organization states...Full Text Available

450

42 CFR J - 8-Health Professions Pregraduate Scholarship Program for Indians

...standards and implementation specifications for exchanging electronic health information. 170.205 Section 170.205 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY...

2010-10-01

451

42 CFR J - 3-Health Professions Preparatory Scholarship Program for Indians

42 Public Health 1 2010-10-01 2010-10-01 false 8-Health Professions Pregraduate Scholarship Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF...

2010-10-01

452

Closing the loop In Practice to Assure the Desired Performance

42 Public Health 1 2010-10-01 2010-10-01 false 3-Health Professions Preparatory Scholarship Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF...

2010-10-01

453

Codifying Information Assurance Controls for Department of ...

A closed loop control process assures that a system performs within control limits. In closed loop control, the system's output feeds back directly to change the system's inputs. We describe an approach...Full Text Available

2008-01-01

454

Deforestation of Rondonia, Brazil, from 1975 to 2001

... listed certifications are vendor (CCNA) and Server Plus (Server neutral such as the Certified Information S ... CCNA ITIL NET+ GSEC SECURITY+ ...

2010-03-01

455

Topical Report ''Corrosion Evaluation of LLW2 Skid-B Weld Failure Mechanisms (44139-92)

Throughout much of the 1980s, deforestation in Brazil eliminated more than 15,000 square kilometers (9000 square miles) per year. That pace has only increased through the 90s and into the 21st century. Brazil is also home to more than a quarter of Earths tropical forests. Considering that the band of lush green that circles the globe through many equatorial nations is fundamental to the overall health of the whole planets environment, careful monitoring of forest health in the tropics is essential. Tropical forests act as major carbon sinks, places where ambient carbon dioxide in the atmosphere can be absorbed by growing things and sequestered for years. Definitive evidence shows that excess carbon dioxide can contribute to the greenhouse effect and speed global warming. Similarly, tropical forests also act as a primary producer of oxygen. In the respiration process that absorbs gaseous carbon dioxide, trees and other ...

2001-04-19

456

Technical Documentation and Verification for the Buildings Module in the Visual Sample Plan (VSP) Software

An independent investigation of pipe welding leaks from the Low-Level Waste 2 (LLW2) Skid-B System for the possibilities of improper welding (IW), microbiologically influenced corrosion (MIC), sensitization, chloride pitting corrosion (CPC), and intergranular stress corrosion cracking (IGSCC) was conducted. The results show the prevailing mechanisms that caused the leaks are identified as IW, CPC, and the improper selection of weld filler material for the base metals in an environment of the North Plateau underground water. These is no evidence of MIC, sensitization, or IGSCC. The chloride pitting corrosion mechanism that took place at all the welds are also described. All the pipelines were replaced with polyvinyl chloride (PVC) for cost saving and the LLW2 Skid B System has been successfully operating since 1999. This report summarizes the findings and recommendations associated with preventive measures for future operations. The LLW2 Facility is a replacement for an existing waste ...

2001-05-31

457

Simultaneous estimation of trace and toxic metals through drinking water from Tarapur using ICP-AES

Visual Sample Plan (VSP) is an easy-to-use visual and graphic statistically-based software tool being developed by the Pacific Northwest National Laboratory (PNNL) to help determine the appropriate number and location of environmental samples so that environmental decisions can be made with the required confidence. The VSP software, which is available free at http://dqo.pnl.gov/vsp, is a significant aid in developing probability-based sampling designs (number and location of samples and measurements) using the Data Quality Objectives (DQO) planning process developed by the U.S. Environmental Protection Agency (EPA). VSP also has the capability of conducted statistical analyses to provide descriptive statistical summaries of data sets, to test whether data are normally distributed, and to compute upper confidence limits on means. This report is the latest in a series of reports that document the statistical methods used in VSP [Davidson (2001), Gilbert et al. ...

2005-06-30

458

Use of electron beam irradiation to improve the microbiological safety of Hippophae rhamnoides

In the present paper the contamination levels of trace and toxic metals in drinking water collected from Tarapur industrial area, Thane were investigated. The concentrations of trace and toxic metals (Pb, Cd, Cu, Cr, Ni, Se, V, Zn, Mn, Mo, Co, As and Ba) were determined simultaneously using Inductively Coupled Plasma Atomic Emission Spectrometry (ICP-AES). The results were compared with international water quality guidelines (WHO, 2008) and were found within the permissible limits. The quality assurance was checked by standard addition method and spike recovery. The concentration of Pb, Cd, Cu, Cr, Ni, Se, V, Zn, Mn, Mo, Co, As and Ba varies from 4.25-19.62 #mu#g/L, 0.13-1.49 #mu#g/L, 0.60-65.55 #mu#g/L, 0.46-4.15 #mu#g/L, <0.1 #mu#g/L, 0.5- 9.35 #mu#g/L, <0.5 #mu#g/L, 3.41-99.64 #mu#g/L, 0.80-9.62 #mu#g/L, 0.30-1.48 #mu#g/L, <0.1-0.90 #mu#g/L, <0.63 #mu#g/L and 0.71-9.0 #mu#g/L respectively. Similarly Na, K, Ca ...

2010-05-13

459

The impacts and costs of global warming. A review

Sea buckthorn (Hippophae rhamnoides) is increasingly used in food supplements due to its dietary and medicinal compounds with a beneficial role in human diet and health. As many other medicinal plants, sea buckthorn can be contaminated with microorganisms which exerts an important impact on the overall quality of the products. Irradiation is an effective method for food preservation because it is able to destroy pathogenic microorganisms keeping the organoleptic and nutritional characteristics of the foods. The objective of the present study was to investigate the application of electron beam irradiation in order to improve the microbiological safety of sea buckthorn. The experimental results indicated that the electron beam treatment might be a good method to remove undesirable microorganisms from sea buckthorn without significant changes in its active principles.

2007-09-21

460

Studies on application of radiation and radioisotopes -The application of irradiation techniques for food preservation and process improvement-

There is now a scientific consensus that current rates of accumulation of greenhouses gases in the atmosphere will result in significant global warming and climate change. These changes are likely to have important impacts on a wide range of human activities and the natural environment. There has now been a considerable weight of literature published on the impacts of global warming, much of it very recent. This report seeks to summarise the important results, to analyse the uncertainties and to make a preliminary analysis of the feasibility of monetarising these environmental costs. The impacts of global warming are divided into ten major categories: agriculture, forests and forestry, terrestrial ecosystems and biodiversity, hydrology and water resources, sea level rise and coastal zones, energy, infrastructure/transport/industry, human health and air quality, oceans, and cryospheric impacts. The results of major summary reports are analysed, ...

1991-09-01

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

Some significant environmental issues in high-rise residential building design in urban areas

The project was designed to solve the infra structural problem required for commercialization of food irradiation. In improvement of physical properties of corn starch, gamma irradiation was effective for increasing glucose productivity and for substituting traditional modified starches (acid modified starch, oxidized starch). In immobilization of microorganisms, the mass production method of natural red pigment was developed by using immobilized mold pellets. In Korean medicinal plants, 10 kGy gamma irradiation was effective for improving sanitary quality and increasing extraction yield. In evaluation of wholesomeness, gamma irradiated red ginseng could be safe on the genotoxic point of view. And also, six items of irradiated foods approved for human consumption from Korea ministry of health and welfare in May 19, 1995. 30 figs, 20 tabs, 54 refs. (Author).

1995-07-01

462

Short-term impacts of air pollutants in Switzerland: Preliminary scenario calculations for selected Swiss energy systems

Almost in all the major cities in Asian countries, residential buildings are characterized with high-rise and high density. Under this circumstance, achieving comfortable and healthy indoor environment with minimized energy consumption becomes a very challenging engineering and societal issue. While the wide use of air-conditioning helped to improve thermal comfort, health problems associated with poor indoor air qualities have appeared more frequently. The increased energy consumption is also a great concern in view of its impact on the energy economics of the region. Drawn from some of the onsite measurements and survey, and also the author's personal observation, some of the key issues are discussed in this paper. (author)

2004-12-01

463

Personal influence as key for a A+-climate; Persoonlijke beinvloeding als sleutel tot een A+ klimaat

In the frame of the comprehensive assessment of Swiss energy systems, air quality simulations were performed by using a 3-dimensional photo-chemical dispersion model. The objective is to investigate the impacts of pollutants in Switzerland for future options of Swiss energy systems. Four scenarios were investigated: Base Case: simulations with the projected emissions for the year 2030, Scenario 1) all nuclear power plants were replaced by oil-driven combined cycle plants (CCP), Scenarios 2 to 4) traffic emissions were reduced in whole Switzerland as well as in the cities and on the highways separately. Changes in the pollutant concentrations and depositions, and the possible short-term impacts are discussed on the basis of exceedences of critical levels for plants and limits given to protect the public health. (author) 2 figs., 7 refs.

1999-08-01

464

Ozone risk for crops and pastures in present and future climates

Several studies on individual control of the thermal indoor climate and indoor air quality are discussed. A distinction is made between the effect on health, the effect on comfort and the effect on performance. The underlying mechanisms are examined more closely, and concrete recommendations are made for future design norms. [Dutch] Een aantal studies op het gebied van beinvloeding van thermisch binnenklimaat en binnenluchtkwaliteit wordt besproken. Hierbij wordt onderscheid gemaakt tussen invloed op gezondheid, comfort en prestaties. Vervolgens wordt dieper ingegaan op achterliggende mechanismen en worden concrete aanbevelingen gedaan voor toekomstige ontwerpen.

2010-04-15

465

British Library Electronic Table of Contents (United Kingdom)

Ozone is the most important regional-scale air pollutant causing risks for vegetation and human health in many parts of the world. Ozone impacts on yield and quality of crops and pastures depend on precursor emissions, atmospheric transport and leaf uptake and on the plant?s biochemical defence capacity, all of which are influenced by changing climatic conditions, increasing atmospheric CO2 and altered emission patterns. In this article, recent findings about ozone effects under current conditions and trends in regional ozone levels and in climatic factors affecting the plant?s sensitivity to ozone are reviewed in order to assess implications of these developments for future regional ozone risks. Based on pessimistic IPCC emission scenarios for many cropland regions elevated mean ozone lev...

2009-01-01

466

Indoor climate seminar; Sisaeilmastoseminaari

Healthy buildings and installations. Trends at the Healthy Buildings Conference 2003; Gezonde gebouwen en installaties. Trends op Healthy Buildings 2003

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

1989-12-31

467

Child labour: ground realities of Indian labour laws

At the 7th Healthy Buildings Conference, which was held in Singapore, 7-11 December 2003, more than 500 articles to improve public health and productivity of workers in buildings and the performance of installations. Special attention is paid to indoor air quality and thermal comfort in relation to energy efficiency. [Dutch] Op de laatste Healthy Buildings conferentie, december 2003 in Singapore, werden meer dan 500 artikelen gepresenteerd over het creeren van gezonde, productiviteit verhogende gebouwen en installaties. Deze keer lag de nadruk op binnenluchtkwaliteit en thermisch binnenklimaat, onder andere op het aspect energiezuinigheid. Opvallend was ook de aandacht die de problemen met binnenluchtkwaliteit in ontwikkelingslanden kreeg.

2004-02-01

468

British Library Electronic Table of Contents (United Kingdom)

There has been growing international consensus on issues related to child labour - evident in various declarations, platforms, conventions, programmes of action etc. Child labour is the economic exploitation of children, or performance of any work that is likely to be hazardous or to interfere with the child's health or physical, mental, spiritual, moral or social development. Poverty is the principal cause of child labour. Mostly the children work to support their families and also for their own survival. Paradoxically, however, child labour further aggravates the poverty syndrome as it usually deprives the children of education and opportunity to acquire skills for developing earning potentials. Other causes of child labour include family indebtedness, the lack or poor quality of schooli...

2011-01-01

469

Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

British Library Electronic Table of Contents (United Kingdom)

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

2007-01-01

470

Assess Current and Potential Salmonid Production in Rattlesnake Creek Associated with Restoration Efforts; Yakama Indian Nation, Annual Report 2002-2003.

The WHO patient safety curriculum guide for medical schools.

This document represents the FY2002 BPA contract Statement of Work for the Yakama Nation (YN) portion of the project entitled 'Assessment of current and potential salmonid production in Rattlesnake Creek associated with restoration efforts'. The purpose of the project is to complete detailed surveys of water quality, fish populations, habitat conditions and riparian health in the Rattlesnake Creek sub-basin of the White Salmon River in south central Washington. Results of the surveys will be used to establish Rattlesnake Creek sub-basin baseline environmental factors prior to anticipated removal of Condit Dam in 2006 and enable cost-effective formulation of future watershed restoration strategies.

2003-05-01

471

Republished paper: The WHO patient safety curriculum guide for medical schools.

BACKGROUND: The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing ...

2010-12-01

472

Prevention of panic attacks and panic disorder in COPD.

BACKGROUND: The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing ...

2011-04-01

473

Providing clean air to Canadians

This study examined whether cognitive behavioural therapy (CBT) could prevent the development or worsening of panic-spectrum psychopathology and anxiety symptoms in chronic obstructive pulmonary disease (COPD). 41 patients with COPD, who had undergone pulmonary rehabilitation, were randomised to either a four-session CBT intervention condition (n = 21) or a routine care condition (n = 20). Assessments were at baseline, post-intervention, and at 6-, 12- and 18-month follow-ups. Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates. There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic ...

2009-09-09

474

Development of advanced residential cooktop burner with low NOx emissions. Annual report on phase 1, Feb 82-Oct 83

This document provides details on a $120.2 million package of initiatives to implement the Ozone Annex, an agreement signed in December 2000 between Canada and the United States to significantly reduce transboundary smog causing pollutants and to improve air quality. Taking action under the Ozone Annex will address health and environmental challenges by reducing emissions of nitrogen oxides and volatile organic compounds which are precursors to ground-level ozone. This document described the actions that will be taken by the Government of Canada to reduce emissions from vehicles and the fuels that power them. It also described the measures that will be taken to improve air quality monitoring networks. The National Pollutant Release Inventory will be used to meet new reporting commitments contained in the Annex. This document also highlights the initial actions that will be taken to reduce pollution from industrial sources ...

2001-02-01

475

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

This report describes the result of work completed during February, 1982 to October 1983. The aim of the work was to develop a low NO(x) emission range top burner. Discussed is the development of a flame insert modification to an existing burner which reduces NO(x) emission by 45 percent and NO2 emission by 25 percent. This relatively simple burner add-on device appears to be an economically viable low NO(x) burner. It was developed in cooperation with a major range manufacturer. The levels of NO(x) (NO2) reduction achieved should significantly reduce the impact of a gas range to indoor quality. The report also discusses the results of a literature search that preceeded the burner development. The search helped to direct the burner development by reviewing the state-of-the-art of low NO(x) burner design and covered factors which affect the indoor impact of range emissions such as air infiltration and ventilation trends, air quality standards, ...

1983-11-01

476

[Medicine and truth: between science and narrative].

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. Straightforward ...

2000-08-01

477

Review and Understanding of Screen-Printed Contacts and Selective-Emitter Formation: Preprint

To which idea of truth may medicine refer? Evidence-based medicine (EBM) is rooted in the scientific truth. To explain the meaning and to trace the evolution of scientific truth, this article outlines the history of the Scientific Revolution and of the parable of Modernity, up to the arrival of pragmatism and hermeneutics. Here, the concept of truth becomes somehow discomfiting and the momentum leans towards the integration of different points of view. The fuzzy set theory for the definition of disease, as well as the shift from disease to syndrome (which has operational relevance for geriatrics), seems to refer to a more complex perspective on knowledge, albeit one that is less defined as compared to the nosology in use. Supporters of narrative medicine seek the truth in the interpretation of the patients' stories, and take advantage of the medical humanities to find the truth in words, feelings and contact with the patients. Hence, it is possible to mention the parresia, which is the ...

478

Reduction of exhaust pollutants from a direct-injection diesel engine using oxygenated fuels. Fumigation of oxygenates and addition of oxygenated additives to fuel; Gansanso nenryo ni yoru chokusetsu funshashiki diesel kikan no haiki joka. Gansanso nenryo no kyukikan eno hojo funsha to keiyu eno tenka

A comparison of the loss mechanisms in screen-printed solar cells relative to buried contact cells and cells with photolithography-defined contacts is presented in this paper. Model calculations show that emitter recombination accounts for about 0.5% absolute efficiency loss in conventional screen-printed cells with low-sheet-resistance emitters. Ohmic contact to high-sheet-resistance emitters by screen-printing has been investigated to regain this efficiency loss. Our work shows that good quality ohmic contacts to high sheet-resistance emitters can be achieved if the glass frit chemistry and Ag particle size are carefully tailored. The melting characteristics of the glass frit determine the firing scheme suitable for low contact resistance and high fill factors. In addition, small to regular Ag particles were found to help achieve a higher open-circuit voltage and maintain a low contact resistance. This work has resulted in cells with high ...

2004-08-01

479

Laser-assisted solar cell-metallization processing. Quarterly report, June 13-September 12, 1984

The effects on engine emissions resulting from the intake manifold fumigation of oxygenated fuel and the addition of oxygenates to the fuel have been investigated using a direct-injection diesel engine. The results show that carefully selected oxygenated fuels effectively work to increase the ignition delay because of their low ignition quality and to decrease the combustion temperature due to the low compression gas temperature produced from their large heat of vaporization, thereby reducing levels of Bosch smoke and nitrogen oxides simultaneously. However, supplementary injection of the oxygenates into the intake air causes a drastic increase in the levels of exhaust total hydrocarbons and CO; thus, it can be said that the addition of oxygenates to the fuel is more practical and effective than fumigation if phase separation of the blended fuel may not be occurred. In the case of addition of the oxygenates to the fuel, it is clarified that ...

1997-03-25

480

Electron diodes and cavity design for the new 4-MeV injector of the recirculating linear accelerator (RLA)

High-quality solar cells have been fabricated by utilizing localized argon-ion laser decomposition of silver neodecanoate spun onto diffused silicon substrates and subsequent electroplating. Early adhesion problems during electroplating have been carefully studied and finally solved using a novel coating procedure. The laser-metallized solar cells have been characterized using lighted and dark current-voltage measurements and compared with baseline cells metallized using standard photolithographic procedures. Non-AR-coated cell efficiencies ranging from 10 to over 11% have been obtained for the laser-metallized cells, comparable with the best baseline cells. The laser-metallized cells have 30 to 40% lower series resistance than the unsintered baseline cells, indicating that in-situ sintering takes place during laser writing. A dramatic new and simpler laser metallization process on which patent protection is currently being sought has yielded ...

1984-10-30

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481

Digital luminescent radiography: A substitute for conventional chest radiography?

The authors have designed and constructed four types of electron-beam diodes for the new 4-MV RLA injector: a non-immersed foilless diode, a magnetically immersed foilless diode, a foil diode and an ion-focused foilless diode, They are tailored to fit the new injector cavity. The design goals were to produce high quality 10-kA to 20-kA electron beams with a #beta# perpendicular smaller than 0.2 and a beam radius of the order of 2 cm. These beams will be matched to the RLA IFR channel so #beta# perpendicular must be equal to or smaller than the square root of the ratio of the beam current versus Alfven current for f_e = 1. A reentrant anode geometry was selected for the injector cavity design, because it offers substantial savings on the required amount of feromagnetic cores. The inner radius of the outside shell, now only 30 cm, would have been twice as large (60 cm) if a coaxial non-reentrant geometry had been adopted. The shape of the anode and cathode electrodes ...

1991-03-01

482

42 CFR 417.101 - Health benefits plan: Basic health services.

The image quality of digital luminescent radiography (DLR) is sufficient for routine biplane chest radiography and for follow-up studies of heart size, pulmonary congestion, coin lesions, infiltrations, atelectasis, pleural effusions, and mediastinal and hilar lymph node enlargement. Chest radiography in the intensive care unit may in most cases be performed using the DLR technique. there is no need for repeat shots because of incorrect exposure, and the position of catheters, tubes, pacemakers, drains and artificial heart valves, the mediastinum, and the retrocardiac areas of the left lung are more confidently assessed on the edge-enhanced DLR films than on conventional films. Nevertheless, DLR is somewhat inferior to conventional film-screen radiography of the chest as it can demonstrate or rule out subtle pulmonary interstitial disease less confidently. There is no reduction of radiation exposure of the chest in DLR compared with modern ...

483

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

42 Public Health 3 2010-10-01 2010-10-01 false Health benefits plan: Basic health services. 417.101 Section 417.101 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND...

2010-10-01

484

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

485

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

PMID:6429572

1984-06-01

486

Prenatal Care Visits

Medline Plus

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

487

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

Post Partum

2011-08-08

488

Public health implications of environmental exposures.

Full Text Available

2003-08-01

489

Mental Health and Traumatic Events

The Agency for Toxic Substances and Disease Registry (ATSDR) is a public health agency with responsibility for assessing the public health implications associated with uncontrolled releases of hazardous...Full Text Available

1998-02-01

490

Health Information for Travelers to Rwanda - Travelers' Health...

News Jobs Grants/Funding Families Prevention Diseases Regulations Preparedness Mental Health and Traumatic Events Find Local Mental Health Services Information for: Parents and...

2011-08-27

491

Health Information for Travelers to Iran - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Rwanda Regions Vaccinations News & Announcements Travel...

2011-08-28

492

Health Information for Travelers to Gabon - Travelers' Health...

please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Iran Regions Vaccinations News & Announcements Travel Notices Diseases Yellow Book Contents...

2011-09-04

493

Health Information for Travelers to Ethiopia - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Gabon Regions Vaccinations News & Announcements Travel Notices...

2011-08-28

494

Health Information for Travelers to Eritrea - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Ethiopia Regions Vaccinations News & Announcements Travel...

2011-08-28

495

Health Information for Travelers to Antarctica - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Eritrea Regions Vaccinations News & Announcements Travel...

2011-08-28

496