Iatrogenic Hepatitis C Virus Transmission and Safe Injection Practices.

Science.gov (United States)

Defendorf, Charles M; Paul, Sindy; Scott, George J

2018-05-01

Hepatitis C virus (HCV) infection poses significant adverse health effects. Improper use of vials, needles, syringes, intravenous bags, tubing, and connectors for injections and infusions is a current preventable cause of iatrogenic HCV transmission. Numerous cases have demonstrated the need for continued vigilance and the widespread nature of this iatrogenic infection risk across a variety of medical practice settings in the United States. Failure to implement the evidence-based Centers for Disease Control and Prevention (CDC) infection prevention guidelines exposes patients to preventable harm. The guidelines establish the requirement to notify patients in cases of suspected virus transmission, as well as to screen those patients who would not otherwise have been at risk for HCV seroconversion and other bloodborne pathogens. Legal and regulatory ramifications, including state, criminal, and tort laws, hold physicians and other health care professionals accountable to use safe injection practices. This article reviews the major health risks of HCV infection, significant effects of iatrogenic infection transmission, CDC guidelines for safe injection practices, and legal regulations and ramifications designed to promote safe injection practices.

Manual ward reduction of gastroschisis without anesthesia, a safe procedure – 8 years experience

Directory of Open Access Journals (Sweden)

Kamal Nain Rattan

2017-01-01

Full Text Available Introduction: Gastroschisis is the most common type of abdominal wall defect at birth. Various modalities of treatment have been proposed ranging from primary closure to the staged closure using prosthetic materials under general anesthesia. One of the modalities is manual ward reduction with primary repair of gastroschisis without anesthesia. We are reporting our 8 years of experience with manual ward reduction of gastroschisis with primary repair without anesthesia.Materials and methods: It is a retrospective analysis of all patients of gastroschisis who presented in our institution from January 2008 to June 2016. The data were analyzed for antenatal diagnosis, sex, day of presentation, weight of baby, associated anomalies, management by manual reduction without anesthesia and post reduction morbidity and mortality.Results: Out of a total of 68 patients, 28 were females and 40 were males. Fifty-five cases (80.8% were antenatally diagnosed. Fifty-nine patients (86.7% presented within 24 hours of birth while the rest had delayed presentation. Preterms (< 37 weeks were 18 (26.4%. Cases of simple gastroschisis were 22 while those complicated were 46. The average birth weight was 1.88 kg with the lowest weight of 1 kg who was a 27-week preterm. In 60 patients (88.2%, bedside manual reduction without anesthesia and primary closure was possible while in 8 patients it could not be done owing to delayed presentation and complications. The mortality in these patients was 40%.Conclusion: Manual reduction and primary closure of gastroschisis without anesthesia is a safe procedure. It requires no ventilator support and can be managed with antibiotics, total parenteral nutrition (TPN and continuous positive airway pressure (CPAP in the post-reduction period.

Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices?

Science.gov (United States)

Farag, Amany; Tullai-McGuinness, Susan; Anthony, Mary K; Burant, Christopher

2017-01-01

This study aims at: examining if leadership style and unit climate predict safety climate; and testing the direct, indirect, and total effect of leadership style, unit climate, and safety climate on nurses' safe medication practices. The Institute of Medicine and nursing scholars propose that safety climate is a prerequisite to safety practices. However, there is limited empirical evidence about factors contributing to the development of safety climate and about the association with nurses' safe medication practices. This cross-sectional study used survey data from 246 RNs working in a Magnet® hospital. Leadership style and unit climate predicted 20% to 50% of variance on all safety climate dimensions. Model testing revealed the indirect impact of leadership style and unit climate on nurses' safe medication practices. Our hypothesized model explained small amount of the variance on nurses' safe medication practices. This finding suggests that nurses' safe medication practices are influenced by multiple contextual and personal factors that should be further examined.

Safe Handling of Radioisotopes

International Nuclear Information System (INIS)

1958-01-01

Under its Statute the International Atomic Energy Agency is empowered to provide for the application of standards of safety for protection against radiation to its own operations and to operations making use of assistance provided by it or with which it is otherwise directly associated. To this end authorities receiving such assistance are required to observe relevant health and safety measures prescribed by the Agency. As a first step, it has been considered an urgent task to provide users of radioisotopes with a manual of practice for the safe handling of these substances. Such a manual is presented here and represents the first of a series of manuals and codes to be issued by the Agency. It has been prepared after careful consideration of existing national and international codes of radiation safety, by a group of international experts and in consultation with other international bodies. At the same time it is recommended that the manual be taken into account as a basic reference document by Member States of the Agency in the preparation of national health and safety documents covering the use of radioisotopes.

Manual for operating practice. Handbuch fuer die betriebliche Praxis

Energy Technology Data Exchange (ETDEWEB)

1981-01-01

The manual gives a practical and useful picture of suitable measures of energy conservation and environmental protection in consideration of economic, taxation, and legal aspects. The following are presented: register topical issues (x), dictionary of environment and energy A-Z; waste disposal (x), air pollution abatement (x); protection of water (x); noise abatement (x); energy conservation; legislation/insurance; taxes/financial aids (x); business economy (x); authorities/public. The dictionary is the key part of the manual, taking up 650 pages. Sections marked (x) have been left as blanks and will be supplied later. The loose-leaf collection has been compiled by 52 experts in theoretical and practical environmental protection; it will be updated up to four times a year.

An online community of practice to support evidence-based physiotherapy practice in manual therapy.

Science.gov (United States)

Evans, Cathy; Yeung, Euson; Markoulakis, Roula; Guilcher, Sara

2014-01-01

The purpose of this study was to explore how a community of practice promoted the creation and sharing of new knowledge in evidence-based manual therapy using Wenger's constructs of mutual engagement, joint enterprise, and shared repertoire as a theoretical framework. We used a qualitative approach to analyze the discussion board contributions of the 19 physiotherapists who participated in the 10-week online continuing education course in evidence-based practice (EBP) in manual therapy. The course was founded on community of practice, constructivism, social, and situated learning principles. The 1436 postings on 9 active discussion boards revealed that the community of practice was a social learning environment that supported strong participation and mutual engagement. Design features such as consistent facilitation, weekly guiding questions, and collaborative assignments promoted the creation and sharing of knowledge. Participants applied research evidence to the contexts in which they worked through reflective comparison of what they were reading to its applicability in their everyday practice. Participants' shared goals contributed to the common ground established in developing collective knowledge about different study designs, how to answer research questions, and the difficulties of conducting sound research. An online longitudinal community of practice utilized as a continuing education approach to deliver an online course based on constructivist and social learning principles allowed geographically dispersed physiotherapists to be mutually engaged in a joint enterprise in evidence-based manual therapy. Advantages included opportunity for reflection, modeling, and collaboration. Future studies should examine the impact of participation on clinical practice. © 2014 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on Continuing Medical Education, Association for Hospital

International conference on safe decommissioning for nuclear activities: Assuring the safe termination of practices involving radioactive materials. Contributed papers

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-07-01

Thousands of operations involving the use of radioactive substances will end during the current century. While there is considerable regulatory experience in the 'front end' of the regulatory system for practices, the experience at the back end is more limited as fewer practices have actually been terminated. When a practice is terminated because the facility has reached the end of its useful life, action has to betaken to ensure the safe shutdown of the facility and allow the removal of regulatory controls. There are many issues involved in the safe termination of practices. These include setting criteria for the release of material and sites from regulatory control; determining the suitability of the various options for decommissioning nuclear facilities, managing the waste and material released from control (recycling, reuse or disposal), and the eventual remediation of the site. Some countries have put in place regulatory infrastructures and have developed programmes to manage the associated decommissioning and remediation activities. Other countries are at the stage of assessing what is involved in terminating such practices. The purpose of this Conference is to foster an information exchange on the safe an orderly termination of practices that involve the use of radioactive substances, including both decommissioning and environmental remediation, and to promote improved coherence internationally on strategies and criteria for the safe termination of practices.

International conference on safe decommissioning for nuclear activities: Assuring the safe termination of practices involving radioactive materials. Contributed papers

International Nuclear Information System (INIS)

2002-01-01

Thousands of operations involving the use of radioactive substances will end during the current century. While there is considerable regulatory experience in the 'front end' of the regulatory system for practices, the experience at the back end is more limited as fewer practices have actually been terminated. When a practice is terminated because the facility has reached the end of its useful life, action has to betaken to ensure the safe shutdown of the facility and allow the removal of regulatory controls. There are many issues involved in the safe termination of practices. These include setting criteria for the release of material and sites from regulatory control; determining the suitability of the various options for decommissioning nuclear facilities, managing the waste and material released from control (recycling, reuse or disposal), and the eventual remediation of the site. Some countries have put in place regulatory infrastructures and have developed programmes to manage the associated decommissioning and remediation activities. Other countries are at the stage of assessing what is involved in terminating such practices. The purpose of this Conference is to foster an information exchange on the safe an orderly termination of practices that involve the use of radioactive substances, including both decommissioning and environmental remediation, and to promote improved coherence internationally on strategies and criteria for the safe termination of practices

Safe Operation of Critical Assemblies and Research Reactors

Energy Technology Data Exchange (ETDEWEB)

NONE

1961-05-15

This Manual is provided as a guide to the safe operation of critical assemblies and small research reactors. It is intended that it should be used by all authorities and persons concerned with, or responsible for, the use of such equipment, in addition to the scientists and technologists who are actually working with, or operating it. It is suggested that it will be of use to those wishing to design and manufacture, or purchase, critical assemblies or research reactors, as well as those already in possession of them, and that it will prove particularly helpful to those users who have no direct access to other collected sources of information. This Manual is not a set of rules or a code of practice, but a series of recommendations which must be interpreted with scientific judgement in their application to any particular problem. The guiding principles are given from which good operational procedures may be established and improved. The promulgation of rigid standards is both impossible and undesirable at the present time, since the topics discussed form part of a rapidly growing science and technology. Therefore, any recommendations made should not be used to restrict or inhibit future developments. The Manual is intended mainly for use in those Member States where there has been little experience in the operation of critical assemblies and research reactors. It has been compounded from the best practices which exist in Member States having a large amount of such experience, so that nothing in it should conflict with the best practices to be encountered in the field of safe operation.

Safe Operation of Critical Assemblies and Research Reactors

International Nuclear Information System (INIS)

1961-01-01

This Manual is provided as a guide to the safe operation of critical assemblies and small research reactors. It is intended that it should be used by all authorities and persons concerned with, or responsible for, the use of such equipment, in addition to the scientists and technologists who are actually working with, or operating it. It is suggested that it will be of use to those wishing to design and manufacture, or purchase, critical assemblies or research reactors, as well as those already in possession of them, and that it will prove particularly helpful to those users who have no direct access to other collected sources of information. This Manual is not a set of rules or a code of practice, but a series of recommendations which must be interpreted with scientific judgement in their application to any particular problem. The guiding principles are given from which good operational procedures may be established and improved. The promulgation of rigid standards is both impossible and undesirable at the present time, since the topics discussed form part of a rapidly growing science and technology. Therefore, any recommendations made should not be used to restrict or inhibit future developments. The Manual is intended mainly for use in those Member States where there has been little experience in the operation of critical assemblies and research reactors. It has been compounded from the best practices which exist in Member States having a large amount of such experience, so that nothing in it should conflict with the best practices to be encountered in the field of safe operation.

Landfill gas operation and maintenance manual of practice

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-03-01

This manual has the following objectives: (1) compile and present key portions of the general body of knowledge about operating and maintaining LFG control systems; (2) present information in an easy to understand format useful for hands-on practical use in the field; (3) present accepted practices and procedures for LFG control practices; (4) highlight key points, common mistakes and lessons learned from more than 20 years of industry experience, point out areas of controversy and indicate alternative practices where applicable; (5) compile key reference information; and (6) provide theory and discussion needed to develop a deeper understanding of LFG control and recovery.

Safe injection procedures, injection practices, and needlestick ...

African Journals Online (AJOL)

Nermine Mohamed Tawfik Foda

2017-01-10

Jan 10, 2017 ... Background: Of the estimated 384,000 needle-stick injuries occurring in hospitals each year, 23% occur in surgical settings. This study was conducted to assess safe injection procedures, injection practices, and circumstances contributing to needlestick and sharps injures (NSSIs) in operating rooms.

Health and Safety Procedures Manual for hazardous waste sites

Energy Technology Data Exchange (ETDEWEB)

Thate, J.E.

1992-09-01

The Oak Ridge National Laboratory Chemical Assessments Team (ORNL/CAT) has developed this Health and Safety Procedures Manual for the guidance, instruction, and protection of ORNL/CAT personnel expected to be involved in hazardous waste site assessments and remedial actions. This manual addresses general and site-specific concerns for protecting personnel, the general public, and the environment from any possible hazardous exposures. The components of this manual include: medical surveillance, guidance for determination and monitoring of hazards, personnel and training requirements, protective clothing and equipment requirements, procedures for controlling work functions, procedures for handling emergency response situations, decontamination procedures for personnel and equipment, associated legal requirements, and safe drilling practices.

Manual for the operation of research reactors

International Nuclear Information System (INIS)

1965-01-01

The great majority of the research reactors in newly established centres are light-water cooled and are often also light-water moderated. Consequently, the IAEA has decided to publish in its Technical Reports Series a manual dealing with the technical and practical problems associated with the safe and efficient operation of this type of reactor. Even though this manual is limited to light-water reactors in its direct application and presents the practices and experience at one specific reactor centre, it may also be useful for other reactor types because of the general relevance of the problems discussed and the long experience upon which it is based. It has, naturally, no regulatory character but it is hoped that it will be found helpful by staff occupied in all phases of the practical operation of research reactors, and also by those responsible for planning their experimental use. 23 refs, tabs

National Best Practices Manual for Building High Performance Schools

Energy Technology Data Exchange (ETDEWEB)

None

2007-10-01

The Best Practices Manual was written as a part of the promotional effort for EnergySmart Schools, provided by the US Department of Energy, to educate school districts around the country about energy efficiency and renewable energy.

Safe Re-use Practices in Wastewater-Irrigated Urban Vegetable Farming in Ghana

DEFF Research Database (Denmark)

Keraita, Bernard; Abaidoo, R.C; Beernaerts, I.

2012-01-01

of stakeholders at different levels along the food chain. This paper presents an overview of safe re-use practices including farm-based water treatment methods, water application techniques, post-harvest handling practices, and washing methods. The overview is based on a comprehensive analysis of the literature......Irrigation using untreated wastewater poses health risks to farmers and consumers of crop products, especially vegetables. With hardly any wastewater treatment in Ghana, a multiple-barrier approach was adopted and safe re-use practices were developed through action research involving a number...... and our own specific studies, which used data from a broad range of research methods and approaches. Identifying, testing, and assessment of safe practices were done with the active participation of key actors using observations, extensive microbiological laboratory assessments, and field...

The metadata manual a practical workbook

CERN Document Server

Lubas, Rebecca; Schneider, Ingrid

2013-01-01

Cultural heritage professionals have high levels of training in metadata. However, the institutions in which they practice often depend on support staff, volunteers, and students in order to function. With limited time and funding for training in metadata creation for digital collections, there are often many questions about metadata without a reliable, direct source for answers. The Metadata Manual provides such a resource, answering basic metadata questions that may appear, and exploring metadata from a beginner's perspective. This title covers metadata basics, XML basics, Dublin Core, VRA C

Manual vs. computer-assisted sperm analysis: can CASA replace manual assessment of human semen in clinical practice?

Science.gov (United States)

Talarczyk-Desole, Joanna; Berger, Anna; Taszarek-Hauke, Grażyna; Hauke, Jan; Pawelczyk, Leszek; Jedrzejczak, Piotr

2017-01-01

The aim of the study was to check the quality of computer-assisted sperm analysis (CASA) system in comparison to the reference manual method as well as standardization of the computer-assisted semen assessment. The study was conducted between January and June 2015 at the Andrology Laboratory of the Division of Infertility and Reproductive Endocrinology, Poznań University of Medical Sciences, Poland. The study group consisted of 230 men who gave sperm samples for the first time in our center as part of an infertility investigation. The samples underwent manual and computer-assisted assessment of concentration, motility and morphology. A total of 184 samples were examined twice: manually, according to the 2010 WHO recommendations, and with CASA, using the program set-tings provided by the manufacturer. Additionally, 46 samples underwent two manual analyses and two computer-assisted analyses. The p-value of p CASA and manually. In the group of patients where all analyses with each method were performed twice on the same sample we found no significant differences between both assessments of the same probe, neither in the samples analyzed manually nor with CASA, although standard deviation was higher in the CASA group. Our results suggest that computer-assisted sperm analysis requires further improvement for a wider application in clinical practice.

Manual fire fighting tactics at Nuclear Power Plant

International Nuclear Information System (INIS)

Jee, Moon Hak; Moon, Chan Kook

2012-01-01

The general requirements of fire protection at nuclear power plant (NPP) are fire protection program, fire hazard analysis, and fire prevention features. In addition, specific fire protection requirements such as water supplies, fire detection, fire protection of safe related equipment, and safe shutdown capabilities must be provided. Particularly, manual fire fighting is required as specific requirements with the provisions to secure manual fire suppression, fire brigade and its training, and administrative controls for manual fire fighting. If a fire is alarmed and confirmed to be a real fire, the fire brigade must take manual fire fighting activities as requested at fire protection program. According to the present requirements in itself, there is not any specific manual fire fighting ways or practical strategies. In general, fire zones or compartments at NPPs are built in a confined condition. In theory, the fire condition will change from a combustible-controlled fire to a ventilation-governing fire with the time duration. In case of pool fire with the abundant oxygen and flammable liquid, it can take just a few minutes for the flash-over to occur. For the well-confined fire zone, it will change from a flame fire to a smoldering state before the entrance door is opened by the fire brigade. In this context, the manual fire fighting activities must be based on a quantitative analysis and a fire risk evaluation. At this paper, it was suggested that the fire zones at NPPs should be grouped on the inherent functions and fire characteristics. Based on the fire risk characteristics and the fire zone grouping, the manual fire fighting tactics are suggested as an advanced fire fighting solution

The operation and maintenance manual

International Nuclear Information System (INIS)

Stoll, A.; Krotil, H.; Klein, W.

1976-01-01

The operating manual is one of many technical documents which the nuclear power plant operator needs for ensuring safe operation. For the operating staff, however, there is only one document, namely the operating manual. The operating manual is an essential element in bringing man and machine in harmony. This is necessary for safe and, as far as possible, uninterrupted operation of the power plant. The operating manual is the only document containing binding instructions for plant operation. All the tasks of plant operation which are carried out by plant staff are described in the operating manual in a form which is as clear and comprehensible as possible. A considerable number of these tasks can only be carried out by man, namely: 1) tasks concerning operational organization, 2) all non-automated areas of plant operation. (orig./TK) [de

A manual of recommended practices for hydrogen energy systems

Energy Technology Data Exchange (ETDEWEB)

Hoagland, W.; Leach, S. [W. Hoagland and Associates, Boulder, CO (United States)

1997-12-31

Technologies for the production, distribution, and use of hydrogen are rapidly maturing and the number and size of demonstration programs designed to showcase emerging hydrogen energy systems is expanding. The success of these programs is key to hydrogen commercialization. Currently there is no comprehensive set of widely-accepted codes or standards covering the installation and operation of hydrogen energy systems. This lack of codes or standards is a major obstacle to future hydrogen demonstrations in obtaining the requisite licenses, permits, insurance, and public acceptance. In a project begun in late 1996 to address this problem, W. Hoagland and Associates has been developing a Manual of Recommended Practices for Hydrogen Systems intended to serve as an interim document for the design and operation of hydrogen demonstration projects. It will also serve as a starting point for some of the needed standard-setting processes. The Manual will include design guidelines for hydrogen procedures, case studies of experience at existing hydrogen demonstration projects, a bibliography of information sources, and a compilation of suppliers of hydrogen equipment and hardware. Following extensive professional review, final publication will occur later in 1997. The primary goal is to develop a draft document in the shortest possible time frame. To accomplish this, the input and guidance of technology developers, industrial organizations, government R and D and regulatory organizations and others will be sought to define the organization and content of the draft Manual, gather and evaluate available information, develop a draft document, coordinate reviews and revisions, and develop recommendations for publication, distribution, and update of the final document. The workshop, Development of a Manual of Recommended Practices for Hydrogen Energy Systems, conducted on March 11, 1997 in Alexandria, Virginia, was a first step.

Safe practices and financial considerations in using oral chemotherapeutic agents.

Science.gov (United States)

Bartel, Sylvia B

2007-05-01

Safe handling practices and financial concerns associated with oral chemotherapy in non-traditional settings are discussed. Oral chemotherapy may pose a risk to patients because of a narrow therapeutic index, complex dosing regimen, dispensing by community pharmacists without prescription order review by an oncology pharmacist or nurse, or self-administration in the home or another nontraditional setting, where patient monitoring is infrequent. Errors in prescribing, dispensing, and administration and patient or caregiver misunderstandings are potential problems with the use of oral chemotherapy that need to be addressed when developing safe practices. Changes in Medicare pharmaceutical reimbursement rates and rules need to be monitored because they have the potential to affect patient care and outcomes. Patient assistance programs and advocacy groups can help alleviate financial concerns associated with oral chemotherapy. Consensus guidelines specific to safe handling of oral chemotherapy in the home or other nontraditional setting need to be developed. Also, healthcare providers must understand reimbursement and provide direction to patients when patient assistance programs or advocacy groups can assist with the financial challenges of oral chemotherapy.

Interactive eLearning - a safe place to practice.

Science.gov (United States)

Einarson, Elisabeth; Moen, Anne; Kolberg, Ragnhild; Flingtorp, Gry; Linnerud, Eva

2009-01-01

Interactive web-based learning environment offers refreshing opportunities to create innovative solutions to explore and exploit informatics support on-the-job training. We report from a study where a hospital is created a interactive eLearning resource. The modules are creating a safe place to practice - to be used for introduction to the work and preparation for certification or re-certification of competencies.

Safe injection practice among health-care workers in Gharbiya Governorate, Egypt.

Science.gov (United States)

Ismail, N A; Aboul Ftouh, A M; El-Shoubary, W H; Mahaba, H

2007-01-01

We assessed safe injection practices among 1100 health-care workers in 25 health-care facilities in Gharbiya Governorate. Questionnaires were used to collect information and 278 injections were observed using a standardized checklist. There was a lack of infection control policies in all the facilities and a lack of many supplies needed for safe injection. Proper needle manipulation before disposal was observed in only 41% of injections, safe needle disposal in 47.5% and safe syringe disposal in 0%. Reuse of used syringes and needles was reported by 13.2% of the health-care workers and 66.2% had experienced a needle-stick injury. Only 11.3% had received a full course of hepatitis B vaccination.

Adoption of sun safe workplace practices by local governments.

Science.gov (United States)

Wallis, Allan; Andersen, Peter A; Buller, David B; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D; Jenkins, Rob

2014-01-01

Outdoor workers are especially susceptible to skin cancer--the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Local government managers in Colorado-in municipalities, counties, and special districts-were surveyed to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. The survey consisted of 51 questions assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was composed or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. More than 40% of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting localite communities. Government size and budget do not

Uranium hexafluoride: A manual of good handling practices

International Nuclear Information System (INIS)

1991-10-01

For many years, the US Department of Energy (DOE) and its predecessor agencies have shared with the nuclear industry their experience in the area of uranium hexafluoride (UF 6 ) shipping containers and handling procedures. The information contained in this manual updates information contained in earlier issues. It covers the essential aspects of UF 6 handling, cylinder filling and emptying, general principles of weighing and sampling, shipping, and the use of protective overpacks. The physical and chemical properties of UF 6 are also described and tabulated. The nuclear industry is responsible for furnishing its own shipping cylinders and suitable protective overpacks. A substantial effort has been made by the industry to standardize UF 6 cylinders, samples, and overpacks. The quality of feed materials is important to the safe and efficient operation of the enriching facilities, and the UF 6 product purity from the enriching facilities is equally important to the fuel fabricator, the utilities, the operators of research reactors, and other users. The requirements have been the impetus for an aggressive effort by DOE and its contractors to develop accurate techniques for sampling and for chemical and isotopic analysis. A quality control program is maintained within the DOE enriching facilities to ensure that the proper degree of accuracy and precision are obtained for all the required measurements. The procedures and systems described for safe handling of UF 6 presented in this document have been developed and evaluated in DOE facilities during more than 40 years of handling vast quantities of UF 6 . With proper consideration for its nuclear properties, UF 6 may be safely handled in essentially the same manner as any other corrosive and/or toxic chemical

Uranium hexafluoride: A manual of good handling practices. Revision 7

International Nuclear Information System (INIS)

1995-01-01

The United States Enrichment Corporation (USEC) is continuing the policy of the US Department of Energy (DOE) and its predecessor agencies in sharing with the nuclear industry their experience in the area of uranium hexafluoride (UF 6 ) shipping containers and handling procedures. The USEC has reviewed Revision 6 or ORO-651 and is issuing this new edition to assure that the document includes the most recent information on UF 6 handling procedures and reflects the policies of the USEC. This manual updates the material contained in earlier issues. It covers the essential aspects of UF 6 handling, cylinder filling and emptying, general principles of weighing and sampling, shipping, and the use of protective overpacks. The physical and chemical properties of UF 6 are also described. The procedures and systems described for safe handling of UF 6 presented in this document have been developed and evaluated during more than 40 years of handling vast quantities of UF 6 . With proper consideration for its nuclear properties, UF 6 may be safely handled in essentially the same manner as any other corrosive and/or toxic chemical

Nurses' clinical reasoning practices that support safe medication administration: An integrative review of the literature.

Science.gov (United States)

Rohde, Emily; Domm, Elizabeth

2018-02-01

To review the current literature about nurses' clinical reasoning practices that support safe medication administration. The literature about medication administration frequently focuses on avoiding medication errors. Nurses' clinical reasoning used during medication administration to maintain medication safety receives less attention in the literature. As healthcare professionals, nurses work closely with patients, assessing and intervening to promote mediation safety prior to, during and after medication administration. They also provide discharge teaching about using medication safely. Nurses' clinical reasoning and practices that support medication safety are often invisible when the focus is medication errors avoidance. An integrative literature review was guided by Whittemore and Knafl's (Journal of Advanced Nursing, 5, 2005 and 546) five-stage review of the 11 articles that met review criteria. This review is modelled after Gaffney et al.'s (Journal of Clinical Nursing, 25, 2016 and 906) integrative review on medical error recovery. Health databases were accessed and systematically searched for research reporting nurses' clinical reasoning practices that supported safe medication administration. The level and quality of evidence of the included research articles were assessed using The Johns Hopkins Nursing Evidence-Based Practice Rating Scale©. Nurses have a central role in safe medication administration, including but not limited to risk awareness about the potential for medication errors. Nurses assess patients and their medication and use knowledge and clinical reasoning to administer medication safely. Results indicated nurses' use of clinical reasoning to maintain safe medication administration was inadequately articulated in 10 of 11 studies reviewed. Nurses are primarily responsible for safe medication administration. Nurses draw from their foundational knowledge of patient conditions and organisational processes and use clinical reasoning that

IAEA publishes first health and safety manual

Energy Technology Data Exchange (ETDEWEB)

NONE

1959-01-15

A 'Manual on the Safe Handling of Radioisotopes' was published in English on 15 Dec ember 1958 by the International Atomic Energy Agency. This is a comprehensive handbook of internationally compiled recommendations for users of radioisotopes. It covers organizational, medical and technical aspects of radiation safety practices. It is also the Agency's first technical publication. French, Russian and Spanish editions will appear shortly. The Manual should prove useful to all users of radioisotopes in industry, medicine, research, etc., but is directed mainly to small scale users who may not have access to other sources of information. The recommendations apply only to radioactivity surpassing the limit of 0,002 microcurie concentration per gram of material; or a total activity of more than 0,1 microcuries in the working areas; this limit is based on the most dangerous radioisotopes. The experts state that the limiting level might be higher for less dangerous isotopes, but recommend that all be treated as potentially dangerous. This would have educational value and avoid accidents caused by misidentification. The Manual also stressed that good radiation safety practices depend on effective organization and warns that even very competent workers sometimes ignore or forget important health and safety requirements.

IAEA publishes first health and safety manual

International Nuclear Information System (INIS)

1959-01-01

A 'Manual on the Safe Handling of Radioisotopes' was published in English on 15 Dec ember 1958 by the International Atomic Energy Agency. This is a comprehensive handbook of internationally compiled recommendations for users of radioisotopes. It covers organizational, medical and technical aspects of radiation safety practices. It is also the Agency's first technical publication. French, Russian and Spanish editions will appear shortly. The Manual should prove useful to all users of radioisotopes in industry, medicine, research, etc., but is directed mainly to small scale users who may not have access to other sources of information. The recommendations apply only to radioactivity surpassing the limit of 0,002 microcurie concentration per gram of material; or a total activity of more than 0,1 microcuries in the working areas; this limit is based on the most dangerous radioisotopes. The experts state that the limiting level might be higher for less dangerous isotopes, but recommend that all be treated as potentially dangerous. This would have educational value and avoid accidents caused by misidentification. The Manual also stressed that good radiation safety practices depend on effective organization and warns that even very competent workers sometimes ignore or forget important health and safety requirements

Safe Handling of Radioisotopes. 1973 Edition

International Nuclear Information System (INIS)

1973-01-01

Under its Statute the International Atomic Energy Agency is empowered to provide for the application of standards of safety for protection against radiation to its own operations and to operations making use of assistance provided by it or with which it is otherwise directly associated. To this end authorities receiving such assistance are required to observe relevant health and safety measures prescribed by the Agency. As a first step, it was considered an urgent task to provide users of radionuclides with a manual of practice for the safe handling of these substances. The first edition of such a manual was published in 1958 and represented the first of the ''Safety Series'', a series of manuals and codes on health and safety published by the Agency. It was prepared after careful consideration of existing national and international codes of radiation safety by a group of international experts and in consultation with other international bodies. This edition presents the second revision. In response to the suggestion made by some Member States, the term 'radioisotopes' has been changed to 'radionuclides' in the title and, as appropriate, in the text because the term 'radionuclides' includes the radioactive element itself as well as the isotopes. The series of manuals and codes published in the Safety Series and the Technical Reports Series give more complete advice to the user on specialized topics.

Sound Coiled-Tubing Drilling Practices

Energy Technology Data Exchange (ETDEWEB)

Williams, Thomas; Deskins, Greg (Maurer Technology Inc.); Ward, Stephen L. (Advantage Energy Services Ltd); Hightower, Mel

2001-09-30

This Coiled-Tubing Drilling (CTD) Sound Practices Manual provides tools needed by CTD engineers and supervisors to plan, design and perform safe, successful CTD operations. As emphasized throughout, both careful planning and attention to detail are mandatory for success. A bibliography of many useful CTD references is presented in Chapter 6. This manual is organized according to three processes: 1) Pre-Job Planning Process, 2) Operations Execution Process, and 3) Post-Job Review Process. Each is discussed in a logical and sequential format.

SAFE users manual. Volume 4. Computer programs

International Nuclear Information System (INIS)

Grady, L.M.

1983-06-01

Documentation for the Safeguards Automated Facility Evaluation (SAFE) computer programs is presented. The documentation is in the form of subprogram trees, program abstracts, flowcharts, and listings. Listings are provided on microfiche

Safe sleep practices and sudden infant death syndrome risk reduction: NICU and well-baby nursery graduates.

Science.gov (United States)

Fowler, Aja J; Evans, Patricia W; Etchegaray, Jason M; Ottenbacher, Allison; Arnold, Cody

2013-11-01

Our primary objective was to compare parents of infants cared for in newborn intensive care units (NICUs) and infants cared for in well-baby ("general") nurseries with regard to knowledge and practice of safe sleep practices/sudden infant death syndrome risk reduction measures and guidelines. Our secondary objective was to obtain qualitative data regarding reasons for noncompliance in both populations. Sixty participants (30 from each population) completed our survey measuring safe sleep knowledge and practice. Parents of NICU infants reported using 2 safe sleep practices-(a) always placing baby in crib to sleep and (b) always placing baby on back to sleep-significantly more frequently than parents of well infants. Additional findings and implications for future studies are discussed.

Reconceptualising manual therapy skills in contemporary practice.

Science.gov (United States)

Rabey, Martin; Hall, Toby; Hebron, Clair; Palsson, Thorvaldur Skuli; Christensen, Steffan Wittrup; Moloney, Niamh

2017-06-01

With conflicting evidence regarding the effectiveness of manual therapy calls have arisen within some quarters of the physiotherapy profession challenging the continued use of manual skills for assessment and treatment. A reconceptualisation of the importance of manual examination findings is put forward, based upon a contemporary understanding of pain science, rather than considering these skills only in terms of how they should "guide" manual therapy interventions. The place for manual examination findings within complex, multidimensional presentations is considered using vignettes describing the presentations of five people with low back pain. As part of multidimensional, individualised management, the balance of evidence relating to the effectiveness, mechanisms of action and rationale for manual skills is discussed. It is concluded that if manual examination and therapeutic skills are used in a manner consistent with a contemporary understanding of pain science, multidimensional patient profiles and a person-centred approach, their selective and judicious use still has an important role. Copyright © 2017 Elsevier Ltd. All rights reserved.

BRIT manual after loading brachytherapy kit for intracavitary: initial experience

International Nuclear Information System (INIS)

Aggarwal, Lalit M.; Mandal, Abhijit; Asthana, Anupam K.; Shahi, Uday P.; Pradhan, Satyajit

2007-01-01

Brachytherapy continues to serve as an important and rapidly evolving tool in the management of cancer. Technological developments in the last two decades have dramatic impact on the safe practice of brachytherapy. A wide range of brachytherapy sources and equipment are available for new therapeutic possibilities. However, decision making with regard to new brachytherapy facilities are need based and depend on the patient load, socioeconomic status of the patients, and funds available with the institution. Remote afterloading equipments are fast replacing the Manual After Loading (MAL) systems. However, keeping in view the large number of patients, who can not afford expensive treatment, the utility of manual after loading system which is inexpensive, cannot be ignored

MRI-guided stereotactic neurosurgical procedures in a diagnostic MRI suite: Background and safe practice recommendations.

Science.gov (United States)

Larson, Paul S; Willie, Jon T; Vadivelu, Sudhakar; Azmi-Ghadimi, Hooman; Nichols, Amy; Fauerbach, Loretta Litz; Johnson, Helen Boehm; Graham, Denise

2017-07-01

The development of navigation technology facilitating MRI-guided stereotactic neurosurgery has enabled neurosurgeons to perform a variety of procedures ranging from deep brain stimulation to laser ablation entirely within an intraoperative or diagnostic MRI suite while having real-time visualization of brain anatomy. Prior to this technology, some of these procedures required multisite workflow patterns that presented significant risk to the patient during transport. For those facilities with access to this technology, safe practice guidelines exist only for procedures performed within an intraoperative MRI. There are currently no safe practice guidelines or parameters available for facilities looking to integrate this technology into practice in conventional MRI suites. Performing neurosurgical procedures in a diagnostic MRI suite does require precautionary measures. The relative novelty of technology and workflows for direct MRI-guided procedures requires consideration of safe practice recommendations, including those pertaining to infection control and magnet safety issues. This article proposes a framework of safe practice recommendations designed for assessing readiness and optimization of MRI-guided neurosurgical interventions in the diagnostic MRI suite in an effort to mitigate patient risk. The framework is based on existing clinical evidence, recommendations, and guidelines related to infection control and prevention, health care-associated infections, and magnet safety, as well as the clinical and practical experience of neurosurgeons utilizing this technology. © 2017 American Society for Healthcare Risk Management of the American Hospital Association.

Uranium hexafluoride: A manual of good handling practices. Revision 7

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-01-01

The United States Enrichment Corporation (USEC) is continuing the policy of the US Department of Energy (DOE) and its predecessor agencies in sharing with the nuclear industry their experience in the area of uranium hexafluoride (UF{sub 6}) shipping containers and handling procedures. The USEC has reviewed Revision 6 or ORO-651 and is issuing this new edition to assure that the document includes the most recent information on UF{sub 6} handling procedures and reflects the policies of the USEC. This manual updates the material contained in earlier issues. It covers the essential aspects of UF{sub 6} handling, cylinder filling and emptying, general principles of weighing and sampling, shipping, and the use of protective overpacks. The physical and chemical properties of UF{sub 6} are also described. The procedures and systems described for safe handling of UF{sub 6} presented in this document have been developed and evaluated during more than 40 years of handling vast quantities of UF{sub 6}. With proper consideration for its nuclear properties, UF{sub 6} may be safely handled in essentially the same manner as any other corrosive and/or toxic chemical.

EMSL Operations Manual

Energy Technology Data Exchange (ETDEWEB)

Foster, Nancy S.

2009-06-18

This manual is a general resource tool to assist EMSL users and Laboratory staff within EMSL locate official policy, practice and subject matter experts. It is not intended to replace or amend any formal Battelle policy or practice. Users of this manual should rely only on Battelle’s Standard Based Management System (SBMS) for official policy. No contractual commitment or right of any kind is created by this manual. Battelle management reserves the right to alter, change, or delete any information contained within this manual without prior notice.

EMSL Operations Manual

Energy Technology Data Exchange (ETDEWEB)

Foster, Nancy S.

2009-03-25

This manual is a general resource tool to assist EMSL users and Laboratory staff within EMSL locate official policy, practice and subject matter experts. It is not intended to replace or amend any formal Battelle policy or practice. Users of this manual should rely only on Battelle’s Standard Based Management System (SBMS) for official policy. No contractual commitment or right of any kind is created by this manual. Battelle management reserves the right to alter, change, or delete any information contained within this manual without prior notice.

A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practice in Intensive Care Units

Directory of Open Access Journals (Sweden)

Javad Malekzadeh

2013-08-01

Full Text Available Introduction: For maintaining the continuity of care and improving the quality of care, effective inter-shift information communication is necessary. Any handover error can endanger patient safety. Despite the importance of shift handover, there is no standard handover protocol in our healthcare settings. Methods In this one-group pretest-posttest quasi-experimental study conducted in spring and summer of 2011, we recruited a convenience sample of 56 ICU nurses. The Nurses’ Safe Practice Evaluation Checklist was used for data collection. The Content Validity Index and the inter-rater correlation coefficient of the checklist was 0.92 and 89, respectively. We employed the SPSS 11.5 software and the Mc Nemar and paired-samples t test for data analysis. Results: Study findings revealed that nurses’ mean score on the Safe Practice Evaluation Checklist increased significantly from 11.6 (2.7 to 17.0 (1.8 (P < 0.001. Conclusion: using a standard handover protocol for communicating patient’s needs and information improves nurses’ safe practice in the area of basic nursing care.

Reconceptualising manual therapy skills in contemporary practice

DEFF Research Database (Denmark)

Rabey, Martin; Hall, Toby; Hebron, Clair

2017-01-01

With conflicting evidence regarding the effectiveness of manual therapy calls have arisen within some quarters of the physiotherapy profession challenging the continued use of manual skills for assessment and treatment. A reconceptualisation of the importance of manual examination findings is put...

The development of practice manual for LSC based on job analysis in radiation measurement and analysis

International Nuclear Information System (INIS)

Shin, W H; Park, T J

2017-01-01

Radiation technology is closely related to the industrial growth and the creation of employment in Korea. The techniques as radiation or/and radioactivity measurement, and the practical skills achieving a higher level analysis are required. In this study, practice manual for liquid scintillation counter were developed by job analysis. Raw data applied in job analysis are collected by on/off line survey by 420 workers employed in KOREA. Importance-priority analysis was performed to make duties and competency unit that consists of knowledge, skills as each task. Refined data was reviewed by expert who experienced actual duties on site. Classification was conducted by focus group interview to deduct duties and competency unit. From the radiation devices in measurement and analysis, liquid scintillation counter was preferentially selected because of the high demands for training. Investigation of build-up status to liquid scintillation counter in KOREA was conducted. Then technical specification and operating procedure of 2 main devices were analyzed and integrated by practice manual. Duties and competency unit were applied to integrated materials respectively. To validate effectiveness, test curriculum was designed by the advanced course to workers who engaged in radiation measurement and analysis. The developed manual is structured to take advantage of test training. This manual will be a practical handbook that can improve the knowledge, skills of radiation workers in Korea. (paper)

The development of practice manual for LSC based on job analysis in radiation measurement and analysis

Science.gov (United States)

Shin, W. H.; Park, T. J.

2017-06-01

Radiation technology is closely related to the industrial growth and the creation of employment in Korea. The techniques as radiation or/and radioactivity measurement, and the practical skills achieving a higher level analysis are required. In this study, practice manual for liquid scintillation counter were developed by job analysis. Raw data applied in job analysis are collected by on/off line survey by 420 workers employed in KOREA. Importance-priority analysis was performed to make duties and competency unit that consists of knowledge, skills as each task. Refined data was reviewed by expert who experienced actual duties on site. Classification was conducted by focus group interview to deduct duties and competency unit. From the radiation devices in measurement and analysis, liquid scintillation counter was preferentially selected because of the high demands for training. Investigation of build-up status to liquid scintillation counter in KOREA was conducted. Then technical specification and operating procedure of 2 main devices were analyzed and integrated by practice manual. Duties and competency unit were applied to integrated materials respectively. To validate effectiveness, test curriculum was designed by the advanced course to workers who engaged in radiation measurement and analysis. The developed manual is structured to take advantage of test training. This manual will be a practical handbook that can improve the knowledge, skills of radiation workers in Korea.

I need to know! Timely accessing of perioperative user manuals.

Science.gov (United States)

Landreneau, Raphael

2010-12-01

Ready access to equipment or product information is essential for the safe operation of the many items that a perioperative nurse is asked to use, troubleshoot, or maintain. One institution's solution for making manufacturer information available in the practice setting was to create a facility intranet site dedicated to OR equipment manuals. This site provides information access to perioperative nurses and support staff members and, ultimately, helps improve patient care. Published by Elsevier Inc. All rights reserved.

Manual on theory and practical aspects of bioassay

International Nuclear Information System (INIS)

Nuraini Hambali.

1985-06-01

This manual is set to provide necessary basic guidance on theory and practical aspects of bioassay specially for the newcomer in this field and the man in the laboratory. The first part is a brief information on the entry of radionuclides into the body, the metabolism and the programs of bioassay. All other factors to be considered in assessing internal contamination in man have also been brought up. In the second part, various procedures of radiochemical separations, detection and measurements are abstracted from journals and other revisions. Some methods have been attempted and to be followed where appropriate. (author)

Code of practice for the safe use of industrial radiography equipment (1989)

International Nuclear Information System (INIS)

1989-12-01

This code supersedes the Code of practice for the control and safe handling of sealed radioactive sources used in industrial radiography, published by the National Health and Medical Research Council (NHMRC) in 1968. It differs significantly from the former code because radiation protection practice and recommended standards have changed. The code covers the design, construction and requirements for the safe use of X-radiography equipment and gamma-radiography equipment. It provides illustrative working rules, detailed emergency procedures and comprehensive responsibilities and duties for all personnel involved in supplying and using industrial radiography equipment. The code details those equipment requirements, personnel requirements and work practices that the NHMRC considers necessary to keep exposures to ionizing radiation as low as reasonably achievable. Some equipment and facilities currently in use may not meet all of the mandatory requirements of this code. These requirements have been included in the code to encourage progress towards future compliance in the expectation that, in the interim, statutory authorities will apply them with discretion

Adoption of Sun Safe Work Place Practices by Local Governments

Science.gov (United States)

Wallis, Allan; Andersen, Peter A.; Buller, David B.; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D.; Jenkins, Rob

2014-01-01

Context Outdoor workers are especially susceptible to skin cancer, the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Objective Local government managers in Colorado—in municipalities, counties and special districts—were surveyed in order to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. Design The survey consisted of 51 question assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was comprised or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. Results Over 40 percent of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. Conclusions The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting

Safe Operation of Nuclear Power Plants. Code of Practice and Technical Appendices

International Nuclear Information System (INIS)

1969-01-01

This book is in two parts. The first is a Code of Practice for the Safe Operation of Nuclear Power Plants and the second part is a compilation of technical appendices. Its object is to give information and illustrative examples that would be helpful in implementing the Code of Practice. This second part, although published under the same cover, is not part of the Code. Safe operation of a nuclear power plant postulates suitable siting and proper design, construction and management of the plant. Under the present Code of Practice for the Safe Operation of Nuclear Power Plants, those intending to operate the plant are recommended to prepare documentation which would deal with its operation and include safety analyses. The documentation in question would be reviewed by a regulatory body independent of the operating organization; operation would be authorized on the understanding that it would comply with limits and conditions designed to ensure safety. The Code may be subject to revision in the light of experience. The Appendices provide additional information together with some examples relating to certain topics dealt with in the Code; it must be emphasized that they are included as examples for information only and are not part of any recommendation. Purpose and scope: The recommendations in the Code are designed to protect the general public and the operating personnel from radiation hazards, and the Code forms part of the Agency's Safety Standards. The Code, which should be used in conjunction with the Agency's other Safety Standards, provides guidance and information to persons and authorities responsible for the operation of stationary nuclear power plants whose main function is the generation of thermal, mechanical or electrical power; it is not intended to apply to reactors used solely for experimental or research purposes. It sets forth minimum requirements which, it is believed, in the light of experience, must be met in order to achieve safe operation of a

Manual vacuum aspirator: a safe and effective tool for decentralization of post miscarriage care

International Nuclear Information System (INIS)

Tasnim, N.; Fatima, S.; Mahmud, G.

2014-01-01

Objective: To compare the efficacy and safety of Manual Vacuum Aspiration (MVA) performed as outpatient versus inpatient procedure in terms of success rate, blood loss, hospital stay and procedure related complications. Study Design: A quasi-experimental study. Place and Duration of Study: Maternal and Child Health Centre (MCHC), Unit-I, Pakistan Institute of Medical Sciences (PIMS), Islamabad, from December 2009 to December 2010. Methodology: Cases with early pregnancy failure (incomplete, missed and an embryonic) at gestational age less than 12 weeks were allocated to MVA as outpatient or elective procedure performed in the operation theatre. Studied variables were noted as above. Results: A total of 177 women were eligible for study, out of whom 78 underwent MVA as outpatient procedure and 99 as indoor procedure. The baseline characteristics were comparable in both groups except significantly high multipara in the indoor group. Complete evacuation was achieved in 96.1% in outpatient vs. 79.7% in indoor cases (p=0.001). Outpatient group had a shorter hospital stay (median 3 hours, IQR-1 vs. 10 hours, IQR-4; p = 0.001), though the median hospital cost was less but statistically insignificant (Rs. 800, IQR-25 vs. 735, IQR-1265; p=0.728). Blood loss was comparable in both groups (median 60 ml, IQR-20 vs. 60 ml-IQR-30; p=0.350). There were two uterine perforations noted in the inpatient group (2.02%) vs. none in outpatient setting. Conclusion: Outpatient based manual vacuum aspiration is a safe and effective tool for management of early pregnancy loss. A decentralized approach proved useful in reducing hospital stay. (author)

Safe clinical practice for patients hospitalised in a suicidal crisis: a study protocol for a qualitative case study.

Science.gov (United States)

Berg, Siv Hilde; Rørtveit, Kristine; Walby, Fredrik A; Aase, Karina

2017-01-27

Suicide prevention in psychiatric care is arguably complex and incompletely understood as a patient safety issue. A resilient healthcare approach provides perspectives through which to understand this complexity by understanding everyday clinical practice. By including suicidal patients and healthcare professionals as sources of knowledge, a deeper understanding of what constitutes safe clinical practice can be achieved. This planned study aims to adopt the perspective of resilient healthcare to provide a deeper understanding of safe clinical practice for suicidal patients in psychiatric inpatient care. It will describe the experienced components and conditions of safe clinical practice and the experienced practice of patient safety. The study will apply a descriptive case study approach consisting of qualitative semistructured interviews and focus groups. The data sources are hospitalised patients in a suicidal crisis and healthcare professionals in clinical practice. This study was approved by the Regional Ethics Committee (2016/34). The results will be disseminated through scientific articles, a PhD dissertation, and national and international conferences. These findings can generate knowledge to be integrated into the practice of safety for suicidal inpatients in Norway and to improve the feasibility of patient safety measures. Theoretical generalisations can be drawn regarding safe clinical practice by taking into account the experiences of patients and healthcare professionals. Thus, this study can inform the conceptual development of safe clinical practice for suicidal patients. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Clinical Practice Guideline: Safe Medication Use in the ICU.

Science.gov (United States)

Kane-Gill, Sandra L; Dasta, Joseph F; Buckley, Mitchell S; Devabhakthuni, Sandeep; Liu, Michael; Cohen, Henry; George, Elisabeth L; Pohlman, Anne S; Agarwal, Swati; Henneman, Elizabeth A; Bejian, Sharon M; Berenholtz, Sean M; Pepin, Jodie L; Scanlon, Mathew C; Smith, Brian S

2017-09-01

To provide ICU clinicians with evidence-based guidance on safe medication use practices for the critically ill. PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, Scopus, and ISI Web of Science for relevant material to December 2015. Based on three key components: 1) environment and patients, 2) the medication use process, and 3) the patient safety surveillance system. The committee collectively developed Population, Intervention, Comparator, Outcome questions and quality of evidence statements pertaining to medication errors and adverse drug events addressing the key components. A total of 34 Population, Intervention, Comparator, Outcome questions, five quality of evidence statements, and one commentary on disclosure was developed. Subcommittee members were assigned selected Population, Intervention, Comparator, Outcome questions or quality of evidence statements. Subcommittee members completed their Grading of Recommendations Assessment, Development, and Evaluation of the question with his/her quality of evidence assessment and proposed strength of recommendation, then the draft was reviewed by the relevant subcommittee. The subcommittee collectively reviewed the evidence profiles for each question they developed. After the draft was discussed and approved by the entire committee, then the document was circulated among all members for voting on the quality of evidence and strength of recommendation. The committee followed the principles of the Grading of Recommendations Assessment, Development, and Evaluation system to determine quality of evidence and strength of recommendations. This guideline evaluates the ICU environment as a risk for medication-related events and the environmental changes that are possible to improve safe medication use. Prevention strategies for medication-related events are reviewed by medication use process node (prescribing, distribution, administration, monitoring). Detailed

Nuclear medicine resources manual

International Nuclear Information System (INIS)

2006-02-01

Over the past decade many IAEA programmes have significantly enhanced the capabilities of numerous Member States in the field of nuclear medicine. Functional imaging using nuclear medicine procedures has become an indispensable tool for the diagnosis, treatment planning and management of patients. However, due to the heterogeneous growth and development of nuclear medicine in the IAEA's Member States, the operating standards of practice vary considerably from country to country and region to region. This publication is the result of the work of over 30 international professionals who have assisted the IAEA in the process of standardization and harmonization. This manual sets out the prerequisites for the establishment of a nuclear medicine service, including basic infrastructure, suitable premises, reliable supply of electricity, maintenance of a steady temperature, dust exclusion for gamma cameras and radiopharmacy dispensaries. It offers clear guidance on human resources and training needs for medical doctors, technologists, radiopharmaceutical scientists, physicists and specialist nurses in the practice of nuclear medicine. The manual describes the requirements for safe preparation and quality control of radiopharmaceuticals. In addition, it contains essential requirements for maintenance of facilities and instruments, for radiation hygiene and for optimization of nuclear medicine operational performance with the use of working clinical protocols. The result is a comprehensive guide at an international level that contains practical suggestions based on the experience of professionals around the globe. This publication will be of interest to nuclear medicine physicians, radiologists, medical educationalists, diagnostic centre managers, medical physicists, medical technologists, radiopharmacists, specialist nurses, clinical scientists and those engaged in quality assurance and control systems in public health in both developed and developing countries

Code of practice for the safe use of industrial radiography equipment (1989)

International Nuclear Information System (INIS)

1989-12-01

This code supersedes the Code of Practice for the control and safe handling of sealed radioactive sources use din industrial radiography, published by the National Health and Medical Research Council (NHMRC) in 1968. It differs significantly from the former code because radiation protection practice and recommended standards have changed. The code covers the design, construction and requirements for the safe use of X-radiography equipment and gamma-radiography equipment. It provides illustrative working rules, detailed emergency procedures and comprehensive responsibilities and duties for all personnel involved in supplying and using industrial radiography equipment. The code details those equipment requirements, personnel requirements and work practices that the NHMRC considers necessary to keep exposures to ionizing radiation as low as reasonably achievable. Some equipment and facilities currently in use may not meet all of the mandatory requirements of this code. These requirements have been included in the code to encourage progress towards future compliance in the expectation that, in the interim, statutory authorities will apply them with discretion. 9 refs., tabs., ills

Astute and safe use of topical ocular corticosteroids in general practice

African Journals Online (AJOL)

Astute and safe use of topical ocular corticosteroids in general practice: ... is often contact-lens associated) and fungal keratitis. ... for 1 week in acute follicular conjunctivitis presumed to be ... Steroidal anti-inflammatory drugs. In: Rhee DJ. Ophthalmic Drug Guide. London: ... Cataract – by performing a red reflex test. • Herpes ...

Regulation in the electric power industry. A practical manual. 2. ed.

International Nuclear Information System (INIS)

Salje, Peter; Schmidt-Preuss, Matthias; Baur, Juergen F.

2016-01-01

The energy transition is taking place with dynamism and breakneck pace. The legislation and process of regulations, European legislation and the practice of FNA and courts form a regulatory framework, which means growing challenges for all players in the energy sector. the cutting-edge issues and developments of practice and theory discussed Edition - After the encouraging uptake of the 1st edition of the best practice manual ''regulation in the energy sector'' the current questions and developments for practice and theory are dealed in a new - second edition. The specifics of the work to be maintained: On the one hand the interdisciplinary - regulatory economic as well as economic - anchoring and on the other hand taking into account the European requirements which are becoming more and more important. Against this background, in particular, the problems raised by the energy transition issues of excellent writers are explained. Here numerous additional topics are included in the manual, such as the investment stimulatory instruments (as the decommissioning ban). Moreover, in the last part, the energy of civil law has been newly added to its width. The same applies to the increasingly important topic of metrology. Other highly topical - in the new edition treated first - Topics include among others the easement agreements and the 20-year time limit and re-allocation of concession contracts, customer equipment, and closed distribution systems. As part of the energy transition the EEG 2014 with conceptual new approaches is a reason for a significant expansion of the relevant chapter. Finally is pointed to the entirely new network planning - from network development plan over the federal requirements planning to final project approval -, which will now be discussed in depth. Authors: Proven experts from science and practice Audience: courts, public authorities and institutions in the energy sector, energy businesses, advocacy and science. [de

The use of collaboration to implement evidence-based safe practices.

Science.gov (United States)

Clarke, John R

2013-12-01

The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with institutions to identify local barriers to and incentives for adopting best practices and redesigning the delivery system to make desired behaviour easy and undesirable behaviour more difficult. Collaborations, where institutions can learn from the experiences of others, have show decreases in harmful events. The Pennsylvania Program to Prevent Wrong-Site Surgery is used as an example. Two collaborations to prevent wrong-site surgery have been completed, one with 30 institutions in eastern Pennsylvania and one with 19 in western Pennsylvania. The first collaboration achieved a 73% decrease in the rolling average of wrong-site events over 18 months. The second collaboration experienced no wrong-site operating room procedures over more than one year. Significance for public healthSince the Institute of Medicine's To Err is Human identified medical errors as a major cause of death, the public has been interested in the recommendations for reporting of medical errors and implementing safe systems for the delivery of healthcare. The Commonwealth of Pennsylvania has followed those recommendations and found that an essential intermediate step between analysing reports and implementing safe systems is collaborative learning among healthcare institutions. The experience in Pennsylvania should be useful to other public organizations wishing to improve safety.

Gender difference in safe and unsafe practice of pesticide handling in tobacco farmers of malaysia.

Science.gov (United States)

Bin Nordin, R; Araki, S; Sato, H; Yokoyama, K; Bin Wan Muda, W A; Win Kyi, D

2001-01-01

To identify gender difference in safe and unsafe practice of pesticide handling in tobacco farmers of Malaysia, we conducted a 20-item questionnaire interview on storage of pesticide (4 questions), mixing of pesticide (3 questions), use of personal protective equipment and clothing while spraying pesticide (7 questions), activities during and after spraying of pesticide (5 questions), and maintenance of pesticide sprayer (1 question) in 496 tobacco farmers (395 males and 101 females) in Bachok District, Kelantan, Malaysia. Duration of employment was significantly longer in females than those in males (pwork habit, (3) reading and following instructions on pesticide label, (4) security, storage and disposal of pesticide container, (5) safe work habit, (6) proper handling of pesticide and maintenance of pesticide sprayer, (7) use of personal protective clothing, and (8) safe handling of pesticide. Results of analysis of covariance for the eight factor scores of all male and female farmers, controlling for educational level and duration of employment, showed that: (1) factor scores for use of personal protective equipment (pwork habit (p0.05). We therefore conclude that: (1) for female tobacco farmers, choice of personal attire tend to result in lower scores on use of personal protective equipment and personal protective clothing while personal hygiene practices result in lower score on safe work habit; and, (2) for male tobacco farmers, the lower scores on reading and following instruction on pesticide label and mixing pesticide and maintenance of pesticide sprayer in good condition suggests that they were not primarily involved in these activities. It is postulated that these differences in safe and unsafe practices of pesticide handling across gender is related to the choice of personal attire, personal hygiene practices and division of labour within farming households which in turn is influenced by prevailing sociocultural norms in the community.

Formwork a practical guide

CERN Document Server

Lee, Geoffrey

1997-01-01

To optimise formwork costs and minimise the time for its construction, the contractor needs to understand the guiding principles of safe and efficient formwork construction. He must also have some insight into the relative merits of the various methods, and should appreciate the practical details of formwork construction. This is a practical, heavily illustrated and comprehensive manual for the construction industry. It is equally useful as a text for building students and teachers and trainees. Its large format, and extensive use of line drawings make it clear and straightforward to use.

Safe transport of radioactive material. Second edition

International Nuclear Information System (INIS)

1991-01-01

The transport of radioactive material embraces the carriage of radioisotopes for industrial, medical and research uses, and the movement of waste, in addition to consignments of nuclear fuel cycle material. It has been estimated that between eighteen and thirty-eight million package shipments take place each year. On the recommendation of the Standing Advisory Group on the Safe Transport of Radioactive Material (SAGSTRAM), which enjoys wide representations from the Agency's Member States and international organizations, the Secretariat is preparing a training kit comprising this training manual and complementary visual aids. The kit is intended to be the basis for an extensive course on the subject and can be used in whole or in part for inter-regional, regional and even national training purposes. Member States can thus benefit from the material either through training courses sponsored by the Agency, or, alternatively, organized by themselves. As a step towards achieving that goal, the current training manual was compiled using material from the first Inter-Regional Training Course on the Safe Transport of Radioactive material that was held in co-operation with the Nuclear Power Training Centre of the then Central Electricity Generating Board at Bristol, United Kingdom. This Manual was initially published in 1990. On the recommendation of the Agency's Standing Advisory Group on the Safe Transport of Radioactive Material (SAGSTRAM), the Manual has since been expanded and updated in time for the second Inter-Regional Training Course, that will in 1991 similarly be held in Bristol. Refs, figs, tabs

Interaction between HIV awareness, knowledge, safe sex practice and HIV prevalence: evidence from Botswana.

Science.gov (United States)

Ray, Ranjan; Sinha, Kompal

2012-05-01

This paper makes methodological and empirical contributions to the study of HIV in the context of Botswana, a country with high HIV prevalence. Comparable evidence is presented from India to put the Botswana results in perspective. The results point to the strong role played by affluence and education in increasing HIV knowledge, promoting safe sex and reducing HIV prevalence. The study presents African evidence on the role played by the empowerment of women in promoting safe sex practices such as condom use. The lack of significant association between HIV prevalence and safe sex practice points to the danger of HIV-infected individuals spreading the disease through multiple sex partners and unprotected sex. This danger is underlined by the finding that females with multiple sex partners are at higher risk of being infected with HIV. These results take on special policy significance in the context of Botswana, where the issue of multiple sex partners has not been adequately addressed in the programme to contain the spread of HIV.

Quantitative and statistical approaches to geography a practical manual

CERN Document Server

Matthews, John A

2013-01-01

Quantitative and Statistical Approaches to Geography: A Practical Manual is a practical introduction to some quantitative and statistical techniques of use to geographers and related scientists. This book is composed of 15 chapters, each begins with an outline of the purpose and necessary mechanics of a technique or group of techniques and is concluded with exercises and the particular approach adopted. These exercises aim to enhance student's ability to use the techniques as part of the process by which sound judgments are made according to scientific standards while tackling complex problems. After a brief introduction to the principles of quantitative and statistical geography, this book goes on dealing with the topics of measures of central tendency; probability statements and maps; the problem of time-dependence, time-series analysis, non-normality, and data transformations; and the elements of sampling methodology. Other chapters cover the confidence intervals and estimation from samples, statistical hy...

Biosafety Manual

Energy Technology Data Exchange (ETDEWEB)

King, Bruce W.

2010-05-18

Work with or potential exposure to biological materials in the course of performing research or other work activities at Lawrence Berkeley National Laboratory (LBNL) must be conducted in a safe, ethical, environmentally sound, and compliant manner. Work must be conducted in accordance with established biosafety standards, the principles and functions of Integrated Safety Management (ISM), this Biosafety Manual, Chapter 26 (Biosafety) of the Health and Safety Manual (PUB-3000), and applicable standards and LBNL policies. The purpose of the Biosafety Program is to protect workers, the public, agriculture, and the environment from exposure to biological agents or materials that may cause disease or other detrimental effects in humans, animals, or plants. This manual provides workers; line management; Environment, Health, and Safety (EH&S) Division staff; Institutional Biosafety Committee (IBC) members; and others with a comprehensive overview of biosafety principles, requirements from biosafety standards, and measures needed to control biological risks in work activities and facilities at LBNL.

Sodium safety manual

International Nuclear Information System (INIS)

Hayes, D.J.; Gardiner, R.L.

1980-09-01

The sodium safety manual is based upon more than a decade of experience with liquid sodium at Berkeley Nuclear Laboratories (BNL). It draws particularly from the expertise and experience developed in the course of research work into sodium fires and sodium water reactions. It draws also on information obtained from the UKAEA and other sodium users. Many of the broad principles will apply to other Establishments but much of the detail is specific to BNL and as a consequence its application at other sites may well be limited. Accidents with sodium are at best unpleasant and at worst lethal in an extremely painful way. The object of this manual is to help prevent sodium accidents. It is not intended to give detailed advice on specific precautions for particular situations, but rather to set out the overall strategy which will ensure that sodium activities will be pursued safely. More detail is generally conveyed to staff by the use of local instructions known as Sodium Working Procedures (SWP's) which are not reproduced in this manual although a list of current SWP's is included. Much attention is properly given to the safe design and operation of larger facilities; nevertheless evidence suggests that sodium accidents most frequently occur in small-scale work particularly in operations associated with sodium cleaning and special care is needed in all such cases. (U.K.)

12 CFR 1.5 - Safe and sound banking practices; credit information required.

Science.gov (United States)

2010-01-01

... interest rate, credit, liquidity, price, foreign exchange, transaction, compliance, strategic, and... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Safe and sound banking practices; credit information required. 1.5 Section 1.5 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE...

Safe transport of radioactive material

International Nuclear Information System (INIS)

1990-01-01

Recently the Agency redefined its policy for education and training in radiation safety. The emphasis is now on long-term strategic planning of general education and training programmes. In line with this general policy the Agency's Standing Advisory Group for the Safe Transport of Radioactive Material (SAGSTRAM) in its 7th meeting (April 1989) agreed that increased training activity should be deployed in the area of transport. SAGSTRAM specifically recommended the development of a standard training programme on this subject area, including audio-visual aids, in order to assist Member States in the implementation of the Agency's Regulations for the Safe Transport of Radioactive Material. This training programme should be substantiated by a biennial training course which is thought to be held either as an Interregional or a Regional Course depending on demand. This training manual, issued as a first publication in the Training Course Series, represents the basic text material for future training courses in transport safety. The topic areas covered by this training manual and most of the texts have been developed from the course material used for the 1987 Bristol Interregional Course on Transport Safety. The training manual is intended to give guidance to the lecturers of a course and will be provided to the participants for retention. Refs, figs and tabs

Changes in corticospinal drive to spinal motoneurones following tablet-based practice of manual dexterity

DEFF Research Database (Denmark)

Larsen, Lisbeth Højkjær; Jensen, Thor; Christensen, Mark Schram

2016-01-01

) between EEG-EMG and EMG-EMG activity. Following motor practice performance improved significantly and a significant increase in EEG-EMGAPB and EMGAPB-EMGFDI coherence in the beta band (15-30 Hz) was observed. No changes were observed after the control session. Our results show that tablet-based motor...... practice is associated with changes in the common corticospinal drive to spinal motoneurons involved in manual dexterity. Tablet-based motor practice may be a motivating training tool for stroke patients who struggle with loss of dexterity....

Microbial ecology laboratory procedures manual NASA/MSFC

Science.gov (United States)

Huff, Timothy L.

1990-01-01

An essential part of the efficient operation of any microbiology laboratory involved in sample analysis is a standard procedures manual. The purpose of this manual is to provide concise and well defined instructions on routine technical procedures involving sample analysis and methods for monitoring and maintaining quality control within the laboratory. Of equal importance is the safe operation of the laboratory. This manual outlines detailed procedures to be followed in the microbial ecology laboratory to assure safety, analytical control, and validity of results.

The impact of a good practice manual on professional practice associated with psychotropic PRN in acute mental health wards: an exploratory study.

Science.gov (United States)

Baker, J A; Lovell, K; Harris, N

2008-10-01

As required or pro re nata (PRN) psychotropic medicines are frequently used in acute mental health wards. PRN is known to contribute to polypharmacy and high doses of antipsychotic medication. Few studies have attempted to improve clinician's use of these potentially harmful drugs. The objectives of the study were to determine the impact and acceptability of a good practice manual on prescribing and administration practices of PRN psychotropic medication in acute mental health wards. The study used a pre-post exploratory design with two acute mental health wards in the NW of England. Over the total trial period of 10 weeks, 28 of 35 patients received 484 doses of PRN. Patients had a mean of 3.6 prescriptions of 14 different PRN medications in 34 different dose combinations prescribed. Medication errors beyond poor quality of prescribing occurred in 23 of the 35 patients (65.7%). Prescription quality improved following the introduction of the intervention but quality of nursing notes reduced. Acceptability of the manual to both nursing and medical staff was high. The introduction of the manual appeared to influence some of the practices associated with the prescribing and administration of PRN psychotropic medications. Further, larger, more robust studies are required in this area. In particular research is required to identify the reasons why professionals continue to rely so heavily on using PRN medication.

National Athletic Trainers' Association position statement: safe weight loss and maintenance practices in sport and exercise.

Science.gov (United States)

Turocy, Paula Sammarone; DePalma, Bernard F; Horswill, Craig A; Laquale, Kathleen M; Martin, Thomas J; Perry, Arlette C; Somova, Marla J; Utter, Alan C

2011-01-01

To present athletic trainers with recommendations for safe weight loss and weight maintenance practices for athletes and active clients and to provide athletes, clients, coaches, and parents with safe guidelines that will allow athletes and clients to achieve and maintain weight and body composition goals. Unsafe weight management practices can compromise athletic performance and negatively affect health. Athletes and clients often attempt to lose weight by not eating, limiting caloric or specific nutrients from the diet, engaging in pathogenic weight control behaviors, and restricting fluids. These people often respond to pressures of the sport or activity, coaches, peers, or parents by adopting negative body images and unsafe practices to maintain an ideal body composition for the activity. We provide athletic trainers with recommendations for safe weight loss and weight maintenance in sport and exercise. Although safe weight gain is also a concern for athletic trainers and their athletes and clients, that topic is outside the scope of this position statement. Athletic trainers are often the source of nutrition information for athletes and clients; therefore, they must have knowledge of proper nutrition, weight management practices, and methods to change body composition. Body composition assessments should be done in the most scientifically appropriate manner possible. Reasonable and individualized weight and body composition goals should be identified by appropriately trained health care personnel (eg, athletic trainers, registered dietitians, physicians). In keeping with the American Dietetics Association (ADA) preferred nomenclature, this document uses the terms registered dietitian or dietician when referring to a food and nutrition expert who has met the academic and professional requirements specified by the ADA's Commission on Accreditation for Dietetics Education. In some cases, a registered nutritionist may have equivalent credentials and be the

Guidance notes : safe practice for the use of nuclear density meters

International Nuclear Information System (INIS)

2000-06-01

These 'Guidance notes' have been written to provide information for owners and users on the safe care and use of instruments containing radioactive materials used for the measurement of moisture content and/or density of materials. They give practical guidance on compliance with the requirements of radiation protection legislation and the 'Code of safe practice for the use of nuclear density meters, NRL C15'. Some of these instruments have been known as 'soil moisture gauges' and others as 'nuclear density meters' or just 'NDMs'. For simplicity, these 'Guidance notes' will follow industry terminology and use the term 'nuclear density meter'. Some parts of these 'Guidance notes' and of the 'Code, NRL C15' are relevant for users of asphalt gauges containing radioactive sources. These are normally laboratory bench instruments, and are not portable field instruments. Nevertheless, the radioactive sources used are similar to those used for moisture measurement and the safety implications are similar. The units of measurement of radioactivity and radiation dose are discussed in Appendix 1. Appendix 2 contains consent application forms while sample transport forms can be found in Appendix 3. (author). 10 refs

The operation and maintenance manual

International Nuclear Information System (INIS)

Klein, W.; Krotil, H.; Stoll, A.

1975-01-01

The Operating Manual is one of many technical documents which the nuclear power plant operator needs for ensuring safe operation. For the operating staff, however, there is only one document, namely the Operating Manual. It contains, appropriately arranged, the necessary system and other diagrams, drawings, lists, licensing documents and similar material, which are necessary for understanding the design, for testing, for obtaining the operating licence and for the operation of individual systems and of the entire plant. (orig./RW) [de

Safe Handling of Radioisotopes. First Edition with Revised Appendix I

International Nuclear Information System (INIS)

1966-01-01

Under its Statute the International Atomic Energy Agency is empowered to provide for the application of standards of safety for protection against radiation to its own operations and to operations making use of assistance provided by it or with which it is otherwise directly associated. To this end authorities receiving such assistance are required to observe relevant health and safety measures prescribed by the Agency. As a first step, it was considered an urgent task to provide users of radioisotopes with a manual of practice for the safe handling of these substances. The first edition of such a manual was published in 1958 and represented the first of the 'Safety Series', a series of manuals and codes on health and safety published by the Agency. It was prepared after careful consideration of existing national and international codes of radiation safety by a group of international experts and in consultation with other international bodies. This edition presents the first revision. It incorporates in the Appendices the latest recommendations of the International Commission on Radiological Protection and extracts from the report of the Committee II of the I.C.R.P. on permissible dose for internal radiation. The Health Physics and Medical Addenda to this Manual, published as No. 2 and No. 3 in the Safety Series in 1960, give more complete advice to the user on specialized topics.

Manual of dosimetry in radiotherapy. A practical guide for testing and calibrating equipment used in external beam treatments

International Nuclear Information System (INIS)

Massey, J.B.

1971-01-01

In order to achieve safe and efficient radiotherapy, one should respect a number of technical criteria, meaning that the irradiation facility should be adapted every time to the specific patient and the dose received by the patient should be fixed. If the radio therapist should decide about the characteristics of the treatment, he might not have the technical education needed to ensure that the applied devices are appropriate for obtaining the wanted results. This is the responsibility of the medical radio physicist. Unfortunately many countries lack qualified medical doctors experienced in radiotherapy. Although these countries can supply numerous hospitals with radiotherapeutic devices and x-ray sources they cannon make good use of them. That is why the IAEA, WHO and Pan-American Health Organization organised an experts team to study the problems of dosimetry in the radiotherapeutic centres. The objective of the present manual is to supply specialists in radiotherapy with practical instructions which will enable them to apply precise physical data on the irradiation volume and applied doses

Quality management for nuclear power plant operation: A manual

International Nuclear Information System (INIS)

1990-01-01

The experience from well operated nuclear power plants shows that achievement of safe, reliable and economic performance is closely related to a strong commitment and involvement by the management personnel. A system of controls is necessary to ensure that satisfactory quality in operation is achieved and maintained over the long term. The key to achieving and assuring quality lies in the ability of management to define performance objectives and to ensure that significant safety and reliability problems are prevented or detected early and resolved. This Manual has been developed by the IAEA to assist plant managers in fulfilling their responsibility with regard to the control and direction of quality and of quality assurance activities in nuclear power plant operation. It emphasizes quality objectives for nuclear power plant operation and indicates the way in which a quality system based on quality assurance principles as established in the IAEA NUSS documents can be used by managers to accomplish these objectives. Since the Manual is mainly directed at management personnel, it is presented in the form of short highlighted practices complemented by typical examples of forms and procedures. Since not all the activities under the heading of quality in operation could be covered in a single document, the activities selected for this Manual comprise those where it was felt that practical advice is generally needed. A pragmatic document useful for direct application by plant managers was the envisaged objective

Health physics manual of good practices for plutonium facilities. [Contains glossary

Energy Technology Data Exchange (ETDEWEB)

Brackenbush, L.W.; Heid, K.R.; Herrington, W.N.; Kenoyer, J.L.; Munson, L.F.; Munson, L.H.; Selby, J.M.; Soldat, K.L.; Stoetzel, G.A.; Traub, R.J.

1988-05-01

This manual consists of six sections: Properties of Plutonium, Siting of Plutonium Facilities, Facility Design, Radiation Protection, Emergency Preparedness, and Decontamination and Decommissioning. While not the final authority, the manual is an assemblage of information, rules of thumb, regulations, and good practices to assist those who are intimately involved in plutonium operations. An in-depth understanding of the nuclear, physical, chemical, and biological properties of plutonium is important in establishing a viable radiation protection and control program at a plutonium facility. These properties of plutonium provide the basis and perspective necessary for appreciating the quality of control needed in handling and processing the material. Guidance in selecting the location of a new plutonium facility may not be directly useful to most readers. However, it provides a perspective for the development and implementation of the environmental surveillance program and the in-plant controls required to ensure that the facility is and remains a good neighbor. The criteria, guidance, and good practices for the design of a plutonium facility are also applicable to the operation and modification of existing facilities. The design activity provides many opportunities for implementation of features to promote more effective protection and control. The application of ''as low as reasonably achievable'' (ALARA) principles and optimization analyses are generally most cost-effective during the design phase. 335 refs., 8 figs., 20 tabs.

Radiopharmaceuticals and hospital radiopharmacy practices: course manual for accreditation/certification of hospital radiopharmacists

International Nuclear Information System (INIS)

Ramamoorthy, N.; Shivarudrappa, V.; Bhelose, Amita A.

2000-02-01

This manual on hospital radiopharmaceuticals and hospital radiopharmacy practices contains information and recommendations that could be of use to hospital radiopharmacists while the main focus of the book is to impart adequate exposure to basics of radiopharmaceuticals and purity and safety aspects of formulations to be made in hospital radiopharmacy. Papers relevant to INIS are indexed separately

OSH technical reference manual

Energy Technology Data Exchange (ETDEWEB)

1993-11-01

In an evaluation of the Department of Energy (DOE) Occupational Safety and Health programs for government-owned contractor-operated (GOCO) activities, the Department of Labor`s Occupational Safety and Health Administration (OSHA) recommended a technical information exchange program. The intent was to share written safety and health programs, plans, training manuals, and materials within the entire DOE community. The OSH Technical Reference (OTR) helps support the secretary`s response to the OSHA finding by providing a one-stop resource and referral for technical information that relates to safe operations and practice. It also serves as a technical information exchange tool to reference DOE-wide materials pertinent to specific safety topics and, with some modification, as a training aid. The OTR bridges the gap between general safety documents and very specific requirements documents. It is tailored to the DOE community and incorporates DOE field experience.

Interaction between HIV Awareness, Knowledge, Safe Sex Practice and HIV Incidence: Evidence from Botswana

OpenAIRE

Ranjan Ray; Kompal Sinha

2011-01-01

This paper makes methodological and empirical contributions to the study of HIV awareness, knowledge, incidence and safe sex practice in the context of Botswana, one of the most HIV prone countries in the world. While the focus is on Botswana, the paper presents comparable evidence from India to put the Botswana results in perspective. The results point to the strong role played by affluence and education in increasing HIV knowledge, promoting safe sex and reducing HIV incidence. The study pr...

Manual versus mechanical endodontic glidepath.

Science.gov (United States)

West, John

2011-01-01

This article, the second in a series of 3 articles on the endodontic Glidepath beginning with the September 2010 issue of Dentistry Today (archived articles can be found at dentistrytoday.com), represents an inquiry into the critical distinctions of the endodontic Glidepath. First, we reviewed the need for a confirmed and reproducible Glidepath as prerequisite to rotary or reciprocal shaping. In order to be safe, before rotary shaping, the dentist must always discover that a Glidepath already exists or that one needs to be created. Second, an emphasis was placed on a "finishing checklist" for Glidepath preparation for safe and successful rotary. The checklist is 2 parts: (1) minimum super loose No. 10 file sized k tunnel is verified; (2) the super loose No. 10 file sized tunnel must run from canal orifice through the canal PT to the RT. In this way, patency is preserved and yet the delicate and often fragile cemental anatomy remains undamaged and unchanged, therefore meeting Schilder's fourth mechanical objective of "keeping the foramen as small as practical." Third, we discussed that the question should not be "manual versus mechanical" but rather "manual, then mechanical." Always measure the existence of a Glidepath with manual before mechanical. The key elements for improving your performance of Glidepath mastery include a clear intention of what needs to be accomplished and yet at the same time, restraint; gentleness; copious irrigation with sodium hypochlorite; curved files; randomness; discovery; expecting the unexpected and surrendering to, honoring, and respecting the delicate anatomical structure called the root canal system. After all, nature has been demonstrating how to make a Glidepath for a long time, but we have not been paying attention. We have been too heavy-handed, we have pushed, we have forced, and we have not always been good stewards of nature's fragile framework. She has been giving us and teaching us the Glidepath answer all along. Listen

Common Manual Therapy Practices in the Netherlands for Infants With Upper Cervical Dysfunction: A Prospective Cohort Study.

Science.gov (United States)

Saedt, Eric R I C; Driehuis, Femke; Hoogeboom, Thomas J; van der Woude, Bé H; de Bie, Rob A; Nijhuis-van der Sanden, Maria W G

2018-01-01

The purpose of this study was to describe common clinical practices of manual therapists (MTs) in the Netherlands for infants with indications of upper cervical dysfunction (UCD). A prospective observational cohort study was conducted to gain insight into characteristics, reasons for seeking care, and common clinical practice for infants (<27 weeks) with indications of UCD, referred to MTs. Pre- and posttreatment self-reported questionnaires were used to collect data from parents and MTs. Parents reported on infant characteristics and perceived effect of treatment. Manual therapists reported on diagnostics, therapeutic procedures, and outcomes. Between 2006 and 2007, data regarding 307 referred infants (mean age: 11.2 weeks) were collected by parents and 42 MTs. The most frequent reasons for seeking care were positional preference, restlessness, and/or abnormal head position. Manual therapists observed active, spontaneous, and provoked mobility and passive upper cervical mobility. Of the 307 infants, 295 were diagnosed with UCD based on positive outcomes on the flexion-rotation test and/or lateral flexion test. After treatment with mobilization techniques, positive outcomes on the flexion-rotation test decreased from 78.8% to 6.8%. For the lateral flexion test, the positive outcomes decreased from 91.5% to 6.2%. All parents perceived positive treatment effects. No serious adverse events were reported during this study. This is the first study to describe common clinical practice for infants referred for manual therapy. Infants with UCD were treated mainly with upper cervical mobilization techniques, and the greatest perceived effect was observed after approximately 2 treatment sessions. Copyright © 2018. Published by Elsevier Inc.

Law of the energy economy. A practical manual. 4. new rev. ed.

International Nuclear Information System (INIS)

Schneider, Jens-Peter; Theobald, Christian

2013-01-01

This manual presents the laws governing the electricity and gas markets, a field that has evolved at ever greater speed since the onset of liberalisation. Its content is of practical relevance and well-founded, yet nonetheless readily comprehensible to the layman. Following introductory sections on the technical and economic as well as national and European foundations of energy law are a wealth of contributions offering detailed analyses of the regulation of market structures; planning and licensing of energy infrastructure and energy installations; granting of municipal concessions to energy supply companies; trade in energy and emission permits as well as grid operation and grid utilisation; energy regulatory authorities and procedures; promotion of renewable energy, cogeneration and energy saving. The manual consistently takes account of the relevant regulations of cartel, municipal, environmental, tax, contractual and financial market law. Links to energy law proper are duly covered wherever practically relevant. The following legislation in particular has been incorporated in this new edition: 2011 amendment to the Energy Economy Law (unbundling, transmission system operator, grid development plans, modernisation in metrology, new consumer rights); 2012 amendment to the Nuclear Energy Law; Grid Expansion Acceleration and Transmission System Law of 2011 (NABEG); Renewable Energy Law of 2012; and Cogeneration Law of 2012.

Comparison of manual versus automated data collection method for an evidence-based nursing practice study.

Science.gov (United States)

Byrne, M D; Jordan, T R; Welle, T

2013-01-01

The objective of this study was to investigate and improve the use of automated data collection procedures for nursing research and quality assurance. A descriptive, correlational study analyzed 44 orthopedic surgical patients who were part of an evidence-based practice (EBP) project examining post-operative oxygen therapy at a Midwestern hospital. The automation work attempted to replicate a manually-collected data set from the EBP project. Automation was successful in replicating data collection for study data elements that were available in the clinical data repository. The automation procedures identified 32 "false negative" patients who met the inclusion criteria described in the EBP project but were not selected during the manual data collection. Automating data collection for certain data elements, such as oxygen saturation, proved challenging because of workflow and practice variations and the reliance on disparate sources for data abstraction. Automation also revealed instances of human error including computational and transcription errors as well as incomplete selection of eligible patients. Automated data collection for analysis of nursing-specific phenomenon is potentially superior to manual data collection methods. Creation of automated reports and analysis may require initial up-front investment with collaboration between clinicians, researchers and information technology specialists who can manage the ambiguities and challenges of research and quality assurance work in healthcare.

APIC position paper: Safe injection, infusion, and medication vial practices in health care.

Science.gov (United States)

Dolan, Susan A; Arias, Kathleen Meehan; Felizardo, Gwen; Barnes, Sue; Kraska, Susan; Patrick, Marcia; Bumsted, Amelia

2016-07-01

The transmission of bloodborne viruses and other microbial pathogens to patients during routine health care procedures continues to occur because of the use of improper injection, infusion, medication vial, and point-of-care testing practices by health care personnel. These unsafe practices occur in various clinical settings and result in unacceptable and devastating events for patients. This document updates the Association for Professionals in Infection Control and Epidemiology 2010 position paper on safe injection, infusion, and medication vial practices in health care. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Safe Handling of Radioisotopes. Medical Addendum

International Nuclear Information System (INIS)

Hercik, F.; Jammet, H.

1960-01-01

The International Atomic Energy Agency published in 1958 a Manual entitled ''Safe Handling of Radioisotopes'' (Safety Series No. 1 - STI/PUB/1), based on the work of an international panel convened by the Agency. As recommended by that panel and approved by the Agency's Board of Governors, this Addendum has now been prepared, primarily as a supplement to the Manual. It contains information necessary to medical officers concerned with the implementation of the controls given in the Manual. In addition, it is intended to serve as a brief introduction to the medical problems encountered in radiological protection work and to the methods of resolving them. As in the case of the Manual itself, the information given in this Addendum is particularly relevant to the problems encountered by the small user of radioisotopes. Although the basic principles set forth in it apply to all work with radiation sources, the Addendum is not intended to serve as a radiological protection manual for use in reactor installations or large-scale nuclear industry, where more specialized techniques and information are required.

Access to Safe Water and Personal Hygiene Practices in the Kulandia Refugee Camp (Jerusalem).

Science.gov (United States)

Issa, Mohamad; McHenry, Michael; Issa, Abdul Aziz; Blackwood, R Alexander

2015-12-22

Diarrheal illness, frequently associated with fecal-oral transmission, is one of the leading causes of death worldwide. It is commonly preventable through the implementation of safe water practices. This experiment concerns how to best implement safe water practices in a quasi-permanent refugee camp setting with limited ability for structural changes. Specifically, we explore how health promotion activities that help identify target groups for hygiene interventions can play a role in disease prevention. An anonymous survey was conducted at the United Nations Relief and Works Agency Health Clinic in the Kulandia refugee camp to assess the safe water and personal hygiene practices. Demographic and social characteristics, accessible water and personal hygiene characteristics, and gastrointestinal (GI) burden for individuals and their households were assessed. A total of 96 individuals were enrolled; 62 females and 34 males. Approximately 58% of the sample had soap available and washed hands before and after eating and when preparing food. Piped water was the main source of drinking water (62%), while 31% of our sample utilized tanker-trucks. 93% of participants had access to toilet facilities, with 86% of these facilities being private households. 55% practice extra water hygiene measures on their household drinking water source. 51.3% considered vendor cleanliness when they were buying food. 51% had received formal health education. 68.8% had been taught by their parents, but only 55.2% were teaching their children and 15.6% had consistent access to a health professional for hygiene inquiries. Individual variables and hygiene practices associated with lower rates of diarrheal illnesses included having water piped into the home, proper hand washing, adequate soap availability, proper consideration of vendor cleanliness, higher income, levels of education, health hygiene education, and having access to healthcare professions to discuss hygiene related matters. This is

Study of status of safe injection practice and knowledge regarding injection safety among primary health care workers in Baglung district, western Nepal.

Science.gov (United States)

Gyawali, Sudesh; Rathore, Devendra S; Kc, Bhuvan; Shankar, P Ravi

2013-01-03

Unsafe injection practices and injection overuse are widespread in developing countries harming the patient and inviting risks to the health care workers. In Nepal, there is a dearth of documented information about injection practices so the present study was carried out: a) to determine whether the selected government health facilities satisfy the conditions for safe injections in terms of staff training, availability of sterile injectable equipment and their proper disposal after use and b) to assess knowledge and attitudes of healthcare workers in these health care facilities with regard to injection safety. A descriptive cross-sectional mixed type (qualitative and quantitative) survey was carried out from 18th May to 16th June 2012. In-depth interviews with the in-charges were conducted using a semi-structured questionnaire. Observation of the health facilities using a structured observation tool was done. The data were analysed manually by summarizing, tabulating and presenting in various formats. The in-charges (eight males, two females) who participated in the study ranged in age from 30 to 50 years with a mean age of 37.8 years. Severe infection followed by pain was the most important cause for injection use with injection Gentamicin being most commonly prescribed. New single use (disposable) injections and auto-disable syringes were used to inject curative drugs and vaccines respectively. Sufficient safety boxes were also supplied to dispose the used syringe. All health care workers had received full course of Hepatitis B vaccine and were knowledgeable about at least one pathogen transmitted through unsafe injection practices. Injection safety management policy and waste disposal guideline was not available for viewing in any of the facilities. The office staff who disposed the bio-medical wastes did so without taking any safety measures. Moreover, none of these staff had received any formal training in waste management. Certain safe injection

Study of status of safe injection practice and knowledge regarding injection safety among primary health care workers in Baglung district, western Nepal

Directory of Open Access Journals (Sweden)

Gyawali Sudesh

2013-01-01

Full Text Available Abstract Background Unsafe injection practices and injection overuse are widespread in developing countries harming the patient and inviting risks to the health care workers. In Nepal, there is a dearth of documented information about injection practices so the present study was carried out: a to determine whether the selected government health facilities satisfy the conditions for safe injections in terms of staff training, availability of sterile injectable equipment and their proper disposal after use and b to assess knowledge and attitudes of healthcare workers in these health care facilities with regard to injection safety. Methodology A descriptive cross-sectional mixed type (qualitative and quantitative survey was carried out from 18th May to 16th June 2012. In-depth interviews with the in-charges were conducted using a semi-structured questionnaire. Observation of the health facilities using a structured observation tool was done. The data were analysed manually by summarizing, tabulating and presenting in various formats. Results The in-charges (eight males, two females who participated in the study ranged in age from 30 to 50 years with a mean age of 37.8 years. Severe infection followed by pain was the most important cause for injection use with injection Gentamicin being most commonly prescribed. New single use (disposable injections and auto-disable syringes were used to inject curative drugs and vaccines respectively. Sufficient safety boxes were also supplied to dispose the used syringe. All health care workers had received full course of Hepatitis B vaccine and were knowledgeable about at least one pathogen transmitted through unsafe injection practices. Injection safety management policy and waste disposal guideline was not available for viewing in any of the facilities. The office staff who disposed the bio-medical wastes did so without taking any safety measures. Moreover, none of these staff had received any formal

The use of EORTC measures in daily clinical practice-A synopsis of a newly developed manual.

Science.gov (United States)

Wintner, Lisa M; Sztankay, Monika; Aaronson, Neil; Bottomley, Andrew; Giesinger, Johannes M; Groenvold, Mogens; Petersen, Morten Aa; van de Poll-Franse, Lonneke; Velikova, Galina; Verdonck-de Leeuw, Irma; Holzner, Bernhard

2016-11-01

Cancer has increasingly become a chronic condition and the routine collection of patient-reported outcomes (PROs) like quality of life is widely recommended for clinical practice. Nonetheless, the successful implementation of PROs is still a major challenge, although common barriers to and facilitators of their beneficial use are well known. To support health care professionals and other stakeholders in the implementation of the EORTC PRO measures, the EORTC Quality of Life Group provides guidance on issues considered important for their use in daily clinical practice. Herein, we present an outline of the newly developed "'Manual for the use of EORTC measures in daily clinical practice", covering the following issues: * a rationale for using EORTC measures in routine care *selection of EORTC measures, timing of assessments, scoring and presentation of results * aspects of a strategic implementation * electronic data assessment and telemonitoring, and * further use of EORTC measures and ethical considerations. Next to an extensive overview of currently available literature, the manual specifically focuses on knowledge about EORTC measures to give evidence-based recommendations whenever possible and to encourage readers and end-users of EORTC measures to contribute to further needed high-quality research. The manual will be accessible on the EORTC Quality of Life Group website's homepage and will be periodically updated to take into account any new knowledge due to medical, technical, regulatory and scientific advances. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

SUNRAYCE 1993: Working safely with lead-acid batteries and photovoltaic power systems

Science.gov (United States)

Dephillips, M. P.; Moskowitz, P. D.; Fthenakis, V. M.

1992-11-01

The US Department of Energy (DOE) is sponsoring SUNRAYCE 93 to advance tile technology and use of photovoltaics and electric vehicles. Participants will use cars powered by photovoltaic modules and lead-acid storage batteries. This brochure, prepared for students and faculty participating in this race, outlines the health hazards presented by these electrical systems and gives guidance on strategies for their safe usage. At the outset, it should be noted that working with photovoltaic systems and batteries requires electric vehicle drivers and technicians to have 'hands-on' contact with the car on a daily basis. It is important that no one work near a photovoltaic energy system or battery, either in a vehicle or on the bench, unless they familiarize themselves with the components in use and know and observe safe work practices including the safety precautions described in the manuals provided by the various equipment vendors and this document.

Fully Automated Driving: Impact of Trust and Practice on Manual Control Recovery.

Science.gov (United States)

Payre, William; Cestac, Julien; Delhomme, Patricia

2016-03-01

An experiment was performed in a driving simulator to investigate the impacts of practice, trust, and interaction on manual control recovery (MCR) when employing fully automated driving (FAD). To increase the use of partially or highly automated driving efficiency and to improve safety, some studies have addressed trust in driving automation and training, but few studies have focused on FAD. FAD is an autonomous system that has full control of a vehicle without any need for intervention by the driver. A total of 69 drivers with a valid license practiced with FAD. They were distributed evenly across two conditions: simple practice and elaborate practice. When examining emergency MCR, a correlation was found between trust and reaction time in the simple practice group (i.e., higher trust meant a longer reaction time), but not in the elaborate practice group. This result indicated that to mitigate the negative impact of overtrust on reaction time, more appropriate practice may be needed. Drivers should be trained in how the automated device works so as to improve MCR performance in case of an emergency. The practice format used in this study could be used for the first interaction with an FAD car when acquiring such a vehicle. © 2015, Human Factors and Ergonomics Society.

Code of safe practice for the use of x-rays in dentistry

International Nuclear Information System (INIS)

1991-06-01

The purpose of this Code of Safe Practice for the Use of X-rays in Dentistry is to provide criteria for working procedures, x-ray equipment and protective materials necessary for the use of x-rays in dental diagnosis according to currently accepted standards of safety. Conformity with this code may be taken as a primary indication of compliance with radiation protection legislation. 7 refs., 1 ill

Code of practice for the safe use of ionizing radiation in secondary schools (1986)

International Nuclear Information System (INIS)

1987-01-01

The code of practice is intended for schools and indicates the basic philosophy behind the current approach to the control of hazards associated with the use of ionizing radiation. The purpose of this code is to provide guidance on safe and proper practices in the use of radiation. It covers modes of radiation exposure, shielding, dose limits, responsibility, general rules, x-ray generators, general control of radioactive sources, sealed sources and unsealed sources

Safe meat-handling knowledge, attitudes and practices of private and government meat processing plants' workers: implications for future policy.

Science.gov (United States)

Adesokan, H K; Raji, A O Q

2014-03-01

Food-borne disease outbreaks remain a major global health challenge and cross-contamination from raw meat due to poor handling is a major cause in developing countries. Adequate knowledge of meat handlers is important in limiting these outbreaks. This study evaluated and compared the safe meat-handling knowledge, attitudes and practices (KAP) of private (PMPP) and government meat processing plants' (GMPP) workers in south-western Nigeria. This cross sectional study comprised 190 meat handlers (PMPP = 55; GMPP = 135). Data concerning their safe meat-handling knowledge, attitudes and practices as well as their socio-demographic characteristics, such as age, gender and work experience were collected. A significant association was observed between the type of meat processing plants and their knowledge (p = 0.000), attitudes (p = 0.000) and practices (p = 0.000) of safe meat-handling. Meat handlers in the GMPP were respectively, about 17 times (OR = 0.060, 95% CI: 0.018-0.203), 57 times (OR = 0.019, 95% CI: 0.007-0.054) and 111 times (OR = 0.009, 95% CI: 0.001- 0.067) less likely to obtain good knowledge, attitude and practice level of safe meat-handling than those from PMPP. Further, KAP levels were significantly associated with age group, education and work experience (p < 0.05). Study findings suggest the need for future policy in food industry in developing countries to accommodate increased involvement of private sector for improved food safety and quality delivery. Public health education on safe food handling and hygiene should be on the front burner among food handlers in general.

Safe Handling of Radioisotopes. Health Physics Addendum

Energy Technology Data Exchange (ETDEWEB)

Appleton, G J; Krishnamoorthy, P N

1960-07-15

The International Atomic Energy Agency published in 1958 a Manual entitled ''Safe Handling of Radioisotopes'' (Safety Series No. 1 - STI/PUB/1), based on the work of an international panel convened by the Agency. As recommended by that panel and approved by the Agency's Board of Governors, this Addendum has now been prepared, primarily as a supplement to the Manual. It contains technical information necessary for the implementation of the controls given in the Manual. In addition, it is intended to serve as a brief introduction to the technical problems encountered in radiological protection work and to the methods of resolving them. As in the case of the Manual itself, the information given in this Addendum is particularly relevant to the problems encountered by the small user of radioisotopes. Although the basic principles set forth in it apply to all work with radiation sources, the Addendum is not intended to serve as a radiological protection manual for use in reactor installations or large-scale nuclear industry, where more specialized techniques and information are required.

Safe Handling of Radioisotopes. Health Physics Addendum

International Nuclear Information System (INIS)

Appleton, G.J.; Krishnamoorthy, P.N.

1960-01-01

The International Atomic Energy Agency published in 1958 a Manual entitled ''Safe Handling of Radioisotopes'' (Safety Series No. 1 - STI/PUB/1), based on the work of an international panel convened by the Agency. As recommended by that panel and approved by the Agency's Board of Governors, this Addendum has now been prepared, primarily as a supplement to the Manual. It contains technical information necessary for the implementation of the controls given in the Manual. In addition, it is intended to serve as a brief introduction to the technical problems encountered in radiological protection work and to the methods of resolving them. As in the case of the Manual itself, the information given in this Addendum is particularly relevant to the problems encountered by the small user of radioisotopes. Although the basic principles set forth in it apply to all work with radiation sources, the Addendum is not intended to serve as a radiological protection manual for use in reactor installations or large-scale nuclear industry, where more specialized techniques and information are required.

Implementing AORN recommended practices for a safe environment of care, part II.

Science.gov (United States)

Kennedy, Lynne

2014-09-01

Construction in and around a working perioperative suite is a challenge beyond merely managing traffic patterns and maintaining the sterile field. The AORN "Recommended practices for a safe environment of care, part II" provides guidance on building design; movement of patients, personnel, supplies, and equipment; environmental controls; safety and security; and control of noise and distractions. Whether the OR suite evolves through construction, reconstruction, or remodeling, a multidisciplinary team of construction experts and health care professionals should create a functional plan and communicate at every stage of the project to maintain a safe environment and achieve a well-designed outcome. Emergency preparedness, a facility-wide security plan, and minimization of noise and distractions in the OR also help enhance the safety of the perioperative environment. Copyright © 2014 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Employment and contextual impact of safe and unsafe sexual practices for STI and HIV: the situation in China.

Science.gov (United States)

Wang, S M; Gao, M Y

2000-08-01

China's dual employment system plays a crucial role in sexually transmitted infections (STIs) and HIV-related safe and unsafe sexual practices among young Chinese people. Social and psychological determinants of safe and unsafe sexual practices for HIV infection among young people in Sichuan, China were examined. Our findings indicate that changes in China's social structure and employment system impact upon the social contextual involvement and socio-sexual practice of young Chinese people. The findings in the study suggest that the employment-related contextual involvement was a major predictor in the relationships between demography, information, and psychological risk-taking factors on one hand and the people's safe and unsafe sexual practices on the other. Self-employed people (officially called 'getihu') were more likely than the state-employed people to engage in unprotected sex with casual sexual partners. As China undergoes social restructuring and many state-employed people are laid off, the risk may also extend into the broader non-self-employed population as more state-employed people become involved not only in the self-employed getihu's socioeconomic activities but also in their unconventional socio-sexual practices. Collective vulnerability to STI and HIV, due to the current socio-sexual practices of the getihu young people, has created a new frontier for STI and HIV prevention in today's China, as well as demonstrating the importance of collective action with STI and AIDS prevention strategies within relevant social and sub-cultural contexts.

SUNRAYCE 93: Working safely with lead-acid batteries and photovoltaic power systems

Energy Technology Data Exchange (ETDEWEB)

DePhillips, M.P.; Moskowitz, P.D.; Fthenakis, V.M.

1992-11-03

The US Department of Energy (DOE) is sponsoring SUNRAYCE 93 to advance tile technology and use of photovoltaics and electric vehicles. Participants will use cars powered by photovoltaic modules and lead-acid storage batteries. This brochure, prepared for students and faculty participating in this race, outlines the health hazards presented by these electrical systems, and gives guidance on strategies for their safe usage. At the outset, it should be noted that working with photovoltaic systems and batteries requires electric vehicle drivers and technicians to have {open_quotes}hands-on{close_quotes} contact with the car on a daily basis. It is important that no one work near a photovoltaic energy system or battery, either in a vehicle or on the bench, unless they familiarize themselves with the components in use, and know and observe safe work practices including the safety precautions described in the manuals provided by the various equipment vendors and this document.

Safe transport of radioactive material. 3. ed

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-12-01

The IAEA has developed a standardized approach to transport safety training as a means of helping Member States to implement the Transport Regulations. The training manual is an anchor of this standardized approach to training: it contains all the topics presented in the sequential order recommended by the IAEA for the student to gain a thorough understanding of the body of knowledge that is needed to ensure that radioactive material ranked as Class 7 in the United Nations' nomenclature for dangerous goods - is transported safely. The explanations in the text refer, where needed, to the appropriate requirements in the IAEA's Transport Regulations; additional useful information is also provided. Thus, the training manual in addition to the Transport Regulations and their supporting documents is used by the IAEA as the basis for delivering all of its training courses on the safe transport of radioactive material. Enclosed with the training manual is a CD-ROM that contains the text of the manual as well as the visual aids that are used at the IAEA's training courses. The following topics are covered: review of radioactivity and radiation; review of radiation protection principles; regulatory terminology; basic safety concepts: materials and packages; activity limits and material restrictions; selection of optimal package type; test procedures: material and packages; requirements for transport; control of material in transport; fissile material: regulatory requirements and operational aspects; quality assurance; national competent authority; additional regulatory constraints for transport; international liability and insurance; emergency planning and preparedness; training; services provided by the IAEA.

Safe transport of radioactive material. 3. ed

International Nuclear Information System (INIS)

2002-01-01

The IAEA has developed a standardized approach to transport safety training as a means of helping Member States to implement the Transport Regulations. The training manual is an anchor of this standardized approach to training: it contains all the topics presented in the sequential order recommended by the IAEA for the student to gain a thorough understanding of the body of knowledge that is needed to ensure that radioactive material ranked as Class 7 in the United Nations' nomenclature for dangerous goods - is transported safely. The explanations in the text refer, where needed, to the appropriate requirements in the IAEA's Transport Regulations; additional useful information is also provided. Thus, the training manual in addition to the Transport Regulations and their supporting documents is used by the IAEA as the basis for delivering all of its training courses on the safe transport of radioactive material. Enclosed with the training manual is a CD-ROM that contains the text of the manual as well as the visual aids that are used at the IAEA's training courses. The following topics are covered: review of radioactivity and radiation; review of radiation protection principles; regulatory terminology; basic safety concepts: materials and packages; activity limits and material restrictions; selection of optimal package type; test procedures: material and packages; requirements for transport; control of material in transport; fissile material: regulatory requirements and operational aspects; quality assurance; national competent authority; additional regulatory constraints for transport; international liability and insurance; emergency planning and preparedness; training; services provided by the IAEA

TAP 2: Performance-Based Training Manual

International Nuclear Information System (INIS)

1993-08-01

Cornerstone of safe operation of DOE nuclear facilities is personnel performing day-to-day functions which accomplish the facility mission. Performance-based training is fundamental to the safe operation. This manual has been developed to support the Training Accreditation Program (TAP) and assist contractors in efforts to develop performance-based training programs. It provides contractors with narrative procedures on performance-based training that can be modified and incorporated for facility-specific application. It is divided into sections dealing with analysis, design, development, implementation, and evaluation

Security electronics circuits manual

CERN Document Server

MARSTON, R M

1998-01-01

Security Electronics Circuits Manual is an invaluable guide for engineers and technicians in the security industry. It will also prove to be a useful guide for students and experimenters, as well as providing experienced amateurs and DIY enthusiasts with numerous ideas to protect their homes, businesses and properties.As with all Ray Marston's Circuits Manuals, the style is easy-to-read and non-mathematical, with the emphasis firmly on practical applications, circuits and design ideas. The ICs and other devices used in the practical circuits are modestly priced and readily available ty

Model Code of Safe Practice in the Petroleum Industry: Pt. 8

Energy Technology Data Exchange (ETDEWEB)

1991-01-01

This code has been prepared for use on a worldwide basis as a guide to safe practice for those concerned with drilling and production operations for oil and gas in offshore areas. It is intended to provide information and guidance on those offshore drilling, production and support activities which have an impact on safety and therefore require detailed care and attention. Each chapter of the Code covers an important drilling, production or support activity and has an introduction which describes the part each activity plays in the overall offshore operation. (author).

Indoor Air Quality Manual.

Science.gov (United States)

Baldwin Union Free School District, NY.

This manual identifies ways to improve a school's indoor air quality (IAQ) and discusses practical actions that can be carried out by school staff in managing air quality. The manual includes discussions of the many sources contributing to school indoor air pollution and the preventive planning for each including renovation and repair work,…

Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial.

Science.gov (United States)

Hoyer, Jürgen; Čolić, Jasmin; Pittig, Andre; Crawcour, Stephen; Moeser, Manuela; Ginzburg, Denise; Lin, Jihong; Wiltink, Joerg; Leibing, Eric; Stangier, Ulrich

2017-08-01

This study examined the effectiveness of manualized cognitive therapy (mCT) following the Clark-Wells approach versus non-manualized cognitive-behavioral treatment-as-usual (CBTAU) for social anxiety disorder (SAD) in routine practice. Forty-eight private practitioners were recruited within a multi-center trial and either received training in manualized CT for SAD or no such training. Practitioners treated 162 patients with SAD in routine practice (N = 107 completers, n = 57 for mCT, n = 50 for CBTAU). Social anxiety symptoms (Liebowitz Social Anxiety Scale; LSAS) and secondary measures were assessed before treatment, at treatment-hour 8, 15, and 25, at end of treatment, as well as 6 and 12 months after treatment. Patients in both groups showed significant reductions of SAD severity after treatment (d = 1.91 [mCT] and d = 1.80 [CBTAU], within-group effect sizes, intent-to-treat analyses, LSAS observer ratings), which remained stable at follow-up. There were no differences between groups in terms of symptom reduction and treatment duration. The present trial confirms the high effectiveness of CBTAU and mCT for SAD when practitioners conduct the treatments in routine practice. Additional training in the CT manual did not result in significant between-group effects on therapy outcome. Explanations for this unexpected result are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

GRACE manual

International Nuclear Information System (INIS)

Ishikawa, T.; Kawabata, S.; Shimizu, Y.; Kaneko, T.; Kato, K.; Tanaka, H.

1993-02-01

This manual is composed of three kinds of objects, theoretical background for calculating the cross section of elementary process, usage and technical details of the GRACE system. Throughout this manual we take the tree level process e + e - → W + W - γ as an example, including the e ± -scalar boson interactions. The real FORTRAN source code for this process is attached in the relevant sections as well as the results of calculation, which might be a great help for understanding the practical use of the system. (J.P.N.)

Guide of good practices for occupational radiological protection in plutonium facilities

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-06-01

This Technical Standard (TS) does not contain any new requirements. Its purpose is to provide guides to good practice, update existing reference material, and discuss practical lessons learned relevant to the safe handling of plutonium. the technical rationale is given to allow US Department of Energy (DOE) health physicists to adapt the recommendations to similar situations throughout the DOE complex. Generally, DOE contractor health physicists will be responsible to implement radiation protection activities at DOE facilities and DOE health physicists will be responsible for oversight of those activities. This guidance is meant to be useful for both efforts. This TS replaces PNL-6534, Health Physics Manual of Good Practices for Plutonium Facilities, by providing more complete and current information and by emphasizing the situations that are typical of DOE`s current plutonium operations; safe storage, decontamination, and decommissioning (environmental restoration); and weapons disassembly.

Tank waste remediation system process engineering instruction manual

International Nuclear Information System (INIS)

ADAMS, M.R.

1998-01-01

The purpose of the Tank Waste Remediation System (TWRS) Process Engineering Instruction Manual is to provide guidance and direction to TWRS Process Engineering staff regarding conduct of business. The objective is to establish a disciplined and consistent approach to business such that the work processes within TWRS Process Engineering are safe, high quality, disciplined, efficient, and consistent with Lockheed Martin Hanford Corporation Policies and Procedures. The sections within this manual are of two types: for compliance and for guidance. For compliance sections are intended to be followed per-the-letter until such time as they are formally changed per Section 2.0 of this manual. For guidance sections are intended to be used by the staff for guidance in the conduct of work where technical judgment and discernment are required. The guidance sections shall also be changed per Section 2.0 of this manual. The required header for each manual section is illustrated in Section 2.0, Manual Change Control procedure. It is intended that this manual be used as a training and indoctrination resource for employees of the TWRS Process Engineering organization. The manual shall be required reading for all TWRS Process Engineering staff, matrixed, and subcontracted employees

Safe Injection Practices in Primary Health Care Settings of Naxalbari Block, Darjeeling District, West Bengal.

Science.gov (United States)

Chaudhuri, Sudip Banik; Ray, Kuntala

2016-01-01

Unsafe injection can transmit many diseases to patients, injection providers and healthy people of community. To find out critical steps whether executed according to recommended best practice methods, availability of equipments in health facilities for safe injection practices and some important steps of waste disposal methods. This facility-based cross-sectional observational study was conducted among 30 Auxiliary nurse midwives (ANM) & 27 nursing staffs (NS) to assess certain aspects of their practice while administrating injection and disposal of the disposables. Health facilities were also observed to asses necessary equipments of safe injection and waste disposal methods. Among the health workers 93.3% ANM and 100% NS took sterile syringe from sterile unopened packet, all of the study subjects washed hand before giving injection, 13.3% of ANMs and 8% of NS are fully vaccinated against Hep B, 53.3% of ANM and all NS are practices non recapping. Only 13.33% sub centres along with PHC & BPHC had at least one puncture resistant leak proof container, 86.7% sub centres, PHC are free from loose needles. Transport for off side treatment is the method of waste disposal in case of 73.3% cases sub centres, PHC & BPHC. There is need to educate, train and motivate service providers in proper methods of giving injection along with improve the adequacy of supply of required equipments.

Comparison of Two Educational Methods on Nurses' Adoption of Safe Patient Handling Techniques

Science.gov (United States)

Folami, Florence

2010-01-01

Musculoskeletal injuries caused by patient lifting and transfers are a concern to health care workers. The Safe Patient Handling Act calls for all health care organizations to move to mechanical assistance from previous manual methods of transfers. This research analyzed two different educational programs that addressed safe patient handling for…

US Department of Energy Radiological Control Manual

International Nuclear Information System (INIS)

1992-06-01

This manual establishes practices for the conduct of radiological control activities. The Manual states DOE's positions and views on the best courses of action currently available in the area of radiological controls. Accordingly, the provisions in the Manual should be viewed by contractors as an acceptable technique, method or solution for fulfilling their duties and responsibilities. This Manual shall be used by DOE in evaluating the performance of its contractors. (VC)

FINAS. Example manual. 2

International Nuclear Information System (INIS)

Iwata, Koji; Tsukimori, Kazuyuki; Ueno, Mutsuo

2003-12-01

FINAS is a general purpose structural analysis computer program which was developed by Japan Nuclear Cycle Development Institute for the analysis of static, dynamic and thermal responses of elastic and inelastic structures by the finite element method. This manual contains typical analysis examples that illustrate applications of FINAS to a variety of structural engineering problems. The first part of this manual presents fundamental examples in which numerical solutions by FINAS are compared with some analytical reference solutions, and the second part of this manual presents more complex examples intended for practical application. All the input data images and principal results for each problem are included in this manual for beginners' convenience. All the analyses are performed by using the FINAS Version 13.0. (author)

Void Fraction Instrument operation and maintenance manual

International Nuclear Information System (INIS)

Borgonovi, G.; Stokes, T.I.; Pearce, K.L.; Martin, J.D.; Gimera, M.; Graves, D.B.

1994-09-01

This Operations and Maintenance Manual (O ampersand MM) addresses riser installation, equipment and personnel hazards, operating instructions, calibration, maintenance, removal, and other pertinent information necessary to safely operate and store the Void Fraction Instrument. Final decontamination and decommissioning of the Void Fraction Instrument are not covered in this document

Varying influences of motivation factors on employees' likelihood to perform safe food handling practices because of demographic differences.

Science.gov (United States)

Ellis, Jason D; Arendt, Susan W; Strohbehn, Catherine H; Meyer, Janell; Paez, Paola

2010-11-01

Food safety training has been the primary avenue for ensuring food workers are performing proper food handling practices and thus, serving safe food. Yet, knowledge of safe food handling practices does not necessarily result in actual performance of these practices. This research identified participating food service employees' level of agreement with four factors of motivation (internal motivations, communication, reward-punishment, and resources) and determined if respondents with different demographic characteristics reported different motivating factors. Data were collected from 311 food service employees who did not have any supervisory responsibilities. Intrinsic motivation agreement scores were consistently the highest of all four motivational factors evaluated and did not differ across any of the demographic characteristics considered. In contrast, motivation agreement scores for communication, reward-punishment, and resources did differ based on respondents' gender, age, place of employment, job status, food service experience, completion of food handler course, or possession of a food safety certification. In general, respondents agreed that these motivation factors influenced their likelihood to perform various safe food handling procedures. This research begins to illustrate how employees' demographic characteristics influence their responses to various motivators, helping to clarify the complex situation of ensuring safe food in retail establishments. Future research into why employee willingness to perform varies more for extrinsic motivation than for intrinsic motivation could assist food service managers in structuring employee development programs and the work environment, in a manner that aids in improving external motivation (communication, reward-punishment, and resources) and capitalizing on internal motivation.

Development of Safe Food Handling Guidelines for Korean Consumers.

Science.gov (United States)

Kang, Hee-Jin; Lee, Min-Woo; Hwang, In-Kyeong; Kim, Jeong-Weon

2015-08-01

The purpose of this study was to develop guidelines for Korean consumers with regard to safe food handling practices at home by identifying current food handling issues. Korean consumers' behaviors regarding their safe food handling were identified via survey questionnaires that included items on individual hygiene practices, prepreparation steps when cooking, the cooking process, and the storage of leftover foods. The subjects were 417 Korean parents with elementary school children living in Seoul and Gyeonggi Province in the central area of Korea. The survey results revealed gaps between the knowledge or practices of Korean consumers and scientific evidence pertaining to safe food handling practices. Based on these findings, a leaflet on safe food handling guidelines was developed in accordance with Korean food culture. These guidelines suggest personal hygiene practices as well as fundamental principles and procedures for safe food handling from the stage of food purchase to that of keeping leftover dishes. A pilot application study with 50 consumers revealed that the guidelines effectively improved Korean consumers' safe food handling practices, suggesting that they can serve as practical educational material suitable for Korean consumers.

Safe use of ionizing radiations

Energy Technology Data Exchange (ETDEWEB)

1973-01-01

Based on the ''Code of Practice for the protection of persons against ionizing radiations arising from medical and dental use'' (CIS 74-423), this handbook shows how hospital staff can avoid exposing themselves and others to these hazards. It is designed particularly for junior and student nurses. Contents: ionizing radiations, their types and characteristics; their uses and dangers; basic principles in their safe use; safe use in practice; explanation of terms.

Safety manual for civil engineering and building works of nuclear power plants

International Nuclear Information System (INIS)

1988-01-01

This manual lays down the various important considerations that go into safe design of civil structures for nuclear power plants. This manual identifies the design approach, quality assurance requirements and acceptance criteria that need to be observed to assure safety. Considerations on civil design having bearing on safety, during decommissioning are also indicated. (original). 37 refs., tabs

Canadian East Coast offshore petroleum industry safe lifting practices respecting offshore pedestal cranes, offshore containers, loose gear, other lifting devices, and operational best practices : standard practices

Energy Technology Data Exchange (ETDEWEB)

NONE

2007-11-15

This document was developed by a working group with representatives from the petroleum industry, the Offshore Petroleum Boards and Certifying Authorities. It outlines industry best practices for operators responsible for the management, planning and execution of offshore lifting operations. Its purpose is to assist in the interpretation of applicable legislation and standards. Considered within the practice are safe design requirements, manufacture, certification, testing, maintenance and inspection requirements for pedestal cranes, offshore containers, loose gear and lifting devices. Operational best practices for lifting operations are also included along with a section that identifies additional requirements for personnel lifting operations, including personnel transfers by crane and man-riding operations. 82 refs., 2 tabs., 4 figs., 3 appendices.

The safe use of radiation sources

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-12-01

of Sealed Sources', and 'Safety and Regulation of Radiation Sources', were held at Argonne National Laboratory, Argonne, Illinois, in 1989 and 1990, respectively. Two regional courses on 'Safety and Regulation of Radiation Sources', were held in 1991, one in Mexico City, in Spanish, for the Latin American Region, and the other in Kuala Lumpur, Malaysia, for the Asian Region. In order to encourage training in radiation safety, the IAEA developed a new series on training courses, the first of which is the Manual on Safe Transport of Radioactive Material, issued in 1991. Because of the success of this manual and of the five training courses held in 1989, 1990 and 1991 on the safety of radiation sources, it was decided to develop a hotline on the safe useand regulation of radiation sources. This manual may also be used at other such courses that individual Member States may wish to sponsor.

The safe use of radiation sources

International Nuclear Information System (INIS)

1995-01-01

of Sealed Sources', and 'Safety and Regulation of Radiation Sources', were held at Argonne National Laboratory, Argonne, Illinois, in 1989 and 1990, respectively. Two regional courses on 'Safety and Regulation of Radiation Sources', were held in 1991, one in Mexico City, in Spanish, for the Latin American Region, and the other in Kuala Lumpur, Malaysia, for the Asian Region. In order to encourage training in radiation safety, the IAEA developed a new series on training courses, the first of which is the Manual on Safe Transport of Radioactive Material, issued in 1991. Because of the success of this manual and of the five training courses held in 1989, 1990 and 1991 on the safety of radiation sources, it was decided to develop a hotline on the safe use and regulation of radiation sources. This manual may also be used at other such courses that individual Member States may wish to sponsor

Amplification in Technical Manuals: Theory and Practice.

Science.gov (United States)

Killingsworth, M. Jimmie; And Others

1989-01-01

Examines how amplification (rhetorical techniques by which discourse is extended to enhance its appeal and information value) tends to increase and improve the coverage, rationale, warnings, behavioral alternatives, examples, previews, and general emphasis of technical manuals. Shows how classical and modern rhetorical theories can be applied to…

Systematic review of efficacy for manual lymphatic drainage techniques in sports medicine and rehabilitation: an evidence-based practice approach.

Science.gov (United States)

Vairo, Giampietro L; Miller, Sayers John; McBrier, Nicole M; Buckley, William E

2009-01-01

Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as well as to critique the evidence for efficacy of this method in sports medicine. We surveyed English-language publications from 1998 to 2008 by searching PubMed, PEDro, CINAHL, the Cochrane Library, and SPORTDiscus databases using the terms lymphatic system, lymph drainage, lymphatic therapy, manual lymph drainage, and lymphatic pump techniques. We selected articles investigating the effects of MLDTs on orthopaedic and athletic injury outcomes. Nine articles met inclusion criteria, of which 3 were randomized controlled trials (RCTs). We evaluated the 3 RCTs using a validity score (PEDro scale). Due to differences in experimental design, data could not be collapsed for meta-analysis. Animal model experiments reinforce theoretical principles for application of MLDTs. When combined with concomitant musculoskeletal therapy, pilot and case studies demonstrate MLDT effectiveness. The best evidence suggests that efficacy of MLDT in sports medicine and rehabilitation is specific to resolution of enzyme serum levels associated with acute skeletal muscle cell damage as well as reduction of edema following acute ankle joint sprain and radial wrist fracture. Currently, there is limited high-ranking evidence available. Well-designed RCTs assessing outcome variables following implementation of MLDTs in treating athletic injuries may provide conclusive evidence for establishing applicable clinical practice guidelines in sports medicine and rehabilitation.

The stormwater management manual for Malaysia

International Nuclear Information System (INIS)

Md Nasir Md Noh

2006-01-01

The government of Malaysia considers land and water as two very important natural resources. Consequently, the conservation practice of these natural resources remain top priority agenda with various laws and policies apart from manuals and guidelines available for practitioners to follow right from planning, design and implementation stages. Among the laws and regulations are national land code, land conservation act, local government act, street, drainage and building act, town and country planning act, and environmental quality act among others. In addition, stormwater management manual for Malaysia developed by department of irrigation and drainage, guidelines on the prevention and control of soil erosion and siltation in Malaysia developed by department of environment, standard specification for road works established by public works department, use of flood detention ponds as part of open space set up by department of town and country planning, and guideline for agricultural development at slope terrain published by department of agriculture are some of the established manuals and guidelines utilized around the country. The stormwater management manual for malaysia (msma) is the latest of the series of guidelines available in the country for inculcating up to date stormwater management apart from ensuring sustainable soil and water conservation practice in Malaysia. This manual has been published in 2000 and started to be utilized since 1 January 2001. Ever since msma has been widely used for the planning, design and implementation of various land development activities in the country. Among the key points highlighted in this manual are water quantity control and water quality control. Water quantity control focuses on the flash flood control technique due to the increase rate of water flowing out of developed areas while water quality control meant for the controlled of non-point source pollution generated by developed areas by contemplating on the best

Level of awareness of cervical and breast cancer risk factors and safe practices among college teachers of different states in india: do awareness programmes have an impact on adoption of safe practices?

Science.gov (United States)

Shankar, Abhishek; Rath, Gk; Roy, Shubham; Malik, Abhidha; Bhandari, Ruchir; Kishor, Kunal; Barnwal, Keshav; Upadyaya, Sneha; Srivastava, Vivek; Singh, Rajan

2015-01-01

Breast and cervical cancers are the most common causes of cancer mortality among women in India, but actually they are largely preventable diseases. Although early detection is the only way to reduce morbidity and mortality, there are limited data on breast and cervical cancer knowledge, safe practices and attitudes of teachers in India. The purpose of this study is to assess the level of awareness and impact of awareness programs in adoption of safe practices in prevention and early detection. This assessment was part of a pink chain campaign on cancer awareness. During cancer awareness events in 2011 at various women colleges in different parts in India, a pre-test related to cervical cancer and breast cancer was followed by an awareness program. Post-tests using the same questionnaire were conducted at the end of the interactive session, at 6 months and 1 year. A total of 156 out of 182 teachers participated in the study (overall response rate was 85.7 %). Mean age of the study population was 42.4 years (range- 28-59 yrs). There was a significant increase in level of knowledge regarding cervical and breast cancer at 6 months and this was sustained at 1 year. Adoption of breast self examination (BSE) was significantly more frequent in comparison to CBE, mammography and the Pap test. Magazines and newspapers were sources for knowledge regarding screening tests for breast cancer in more than 60% of teachers where as more than 75% were educated by doctors regarding the Pap test. Post awareness at 6 months and 1 year, there was a significant change in alcohol and smoking habits. Major reasons for not doing screening test were found to be ignorance (50%), lethargic attitude (44.8%) and lack of time (34.6%). Level of knowledge of breast cancer risk factors, symptoms and screening methods was high as compared to cervical cancer. There was a significant increase in level of knowledge regarding cervical and breast cancer at 6 months and this was sustained at 1 year

Adapting Infrastructure and Civil Engineering Practice to a Changing Climate: Developing a Manual of Practice

Science.gov (United States)

Walker, D.; Ayyub, B. M.

2017-12-01

According to U.S. Census, new construction spending in the U.S. for 2014 was $993 Billion (roughly 6 percent of U.S. GDP). Informing the development of standards of engineering practice related to design and maintenance thus represents a significant opportunity to promote climate adaptation and mitigation, as well as community resilience. The climate science community informs us that extremes of climate and weather are changing from historical values and that the changes are driven substantially by emissions of greenhouse gases caused by human activities. Civil infrastructure systems traditionally have been designed, constructed, operated and maintained for appropriate probabilities of functionality, durability and safety while exposed to climate and weather extremes during their full service lives. Because of uncertainties in future greenhouse gas emissions and in the models for future climate and weather extremes, neither the climate science community nor the engineering community presently can define the statistics of future climate and weather extremes. The American Society for Civil Engineering's (ASCE) Committee on Adapting to a Changing Climate is actively involved in efforts internal and external to ASCE to promote understanding of the challenges climate change represents in engineering practice and to promote a re-examination of those practices that may need to change in light of changing climate. In addition to producing an ASCE e-book, as well as number of ASCE webinars, the Committee is currently developing a Manual of Practice intended to provide guidance for the development or enhancement of standards for infrastructure analysis and design in a world in which risk profiles are changing (non-stationarity) and climate change is a reality, but cannot be projected with a high degree of certainty. This presentation will explore both the need for such guidance as well as some of the challenges and opportunities facing its implementation.

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet One.

Science.gov (United States)

Occupational Safety and Health Administration, Washington, DC.

The manual is the first of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 1-3 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 1 (three…

Principles and Practices of Occupational Safety and Health: Student Manual: Booklet Five.

Science.gov (United States)

Occupational Safety and Health Administration, Washington, DC.

The manual is the fifth of six student manuals for use in a course on occupational health and safety for supervisory personnel. The manual contains lessons 14 and 15 of the 15 consecutively-numbered lessons, each of which contains study questions (and answers) interwoven with the text and review questions at the end of each section. Lesson 14…

Law of the energy economy. A practical manual. 4. new rev. ed.; Recht der Energiewirtschaft. Praxishandbuch

Energy Technology Data Exchange (ETDEWEB)

Schneider, Jens-Peter [Freiburg Univ. (Germany); Theobald, Christian (ed.)

2013-07-01

This manual presents the laws governing the electricity and gas markets, a field that has evolved at ever greater speed since the onset of liberalisation. Its content is of practical relevance and well-founded, yet nonetheless readily comprehensible to the layman. Following introductory sections on the technical and economic as well as national and European foundations of energy law are a wealth of contributions offering detailed analyses of the regulation of market structures; planning and licensing of energy infrastructure and energy installations; granting of municipal concessions to energy supply companies; trade in energy and emission permits as well as grid operation and grid utilisation; energy regulatory authorities and procedures; promotion of renewable energy, cogeneration and energy saving. The manual consistently takes account of the relevant regulations of cartel, municipal, environmental, tax, contractual and financial market law. Links to energy law proper are duly covered wherever practically relevant. The following legislation in particular has been incorporated in this new edition: 2011 amendment to the Energy Economy Law (unbundling, transmission system operator, grid development plans, modernisation in metrology, new consumer rights); 2012 amendment to the Nuclear Energy Law; Grid Expansion Acceleration and Transmission System Law of 2011 (NABEG); Renewable Energy Law of 2012; and Cogeneration Law of 2012.

Doorways I: Student Training Manual on School-Related Gender-Based Violence Prevention and Response

Science.gov (United States)

US Agency for International Development, 2009

2009-01-01

The Doorways training program was designed by the U.S. Agency for International Development (USAID)-funded Safe Schools Program (Safe Schools) to enable teachers, community members and students to prevent and respond to school-related gender-based violence (SRGBV). "Doorways I: Student Training Manual on School-Related Gender-Based Violence…

Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments.

Science.gov (United States)

Pagano, Joshua; Kyle, Brandon N; Johnson, Toni L; Saeed, Sy Atezaz

2017-06-01

Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

US Department of Energy radiological control manual

International Nuclear Information System (INIS)

1994-04-01

This manual establishes practices for the conduct of Department of Energy radiological control activities. The Manual states DOE's positions and views on the best courses of action currently available in the area of radiological controls. Accordingly, the provisions in the Manual should be viewed by contractors as an acceptable technique, method or solution for fulfilling their duties and responsibilities. This Manual shall be used by DOE in evaluating the performance of its contractors. This Manual is not a substitute for Regulations; it is intended to be consistent with all relevant statutory and regulatory requirements and shall be revised whenever necessary to ensure such consistency. Some of the Manual provisions, however, challenge the user to go well beyond minimum requirements. Following the course of action delineated in the Manual will result in achieving and surpassing related statutory or regulatory requirements

Safe transport of radioactive material. 4. ed

International Nuclear Information System (INIS)

2006-01-01

The IAEA has been publishing Regulations for the Safe Transport of Radioactive Material since 1961. Meeting its statutory obligation to foster the exchange and training of scientists and experts in the field of peaceful uses of atomic energy, the IAEA has developed a standardized approach to transport safety training. This training manual is an anchor of the standardized approach to training. It is a compendium of training modules for courses related to the different aspects of safety of transport of radioactive material. Keeping in view the specific needs of the potential users, the manual includes material that can be used for a variety of training programmes of duration ranging from half-a-day to ten days, for specific audiences such as competent authority personnel, public authorities, emergency response personnel and cargo handlers

Is a structured, manualized, evidence-based treatment protocol culturally competent and equivalently effective among American Indian parents in child welfare?

Science.gov (United States)

Chaffin, Mark; Bard, David; Bigfoot, Dolores Subia; Maher, Erin J

2012-08-01

In a statewide implementation, the manualized SafeCare home-based model was effective in reducing child welfare recidivism and producing high client satisfaction. Concerns about the effectiveness and acceptability of structured, manualized models with American Indians have been raised in the literature, but have rarely been directly tested. This study tests recidivism reduction equivalency and acceptability among American Indian parents. A subpopulation of 354 American Indian parents was drawn from a larger trial that compared services with versus without modules of the SafeCare model. Outcomes were 6-year recidivism, pre/post/follow-up measures of depression and child abuse potential, and posttreatment consumer ratings of working alliance, service satisfaction, and cultural competency. Recidivism reduction among American Indian parents was found to be equivalent for cases falling within customary SafeCare inclusion criteria. When extended to cases outside customary inclusion boundaries, there was no apparent recidivism advantage or disadvantage. Contrary to concerns, SafeCare had higher consumer ratings of cultural competency, working alliance, service quality, and service benefit. Findings support using SafeCare with American Indians parents who meet customary SafeCare inclusion criteria. Findings do not support concerns in the literature that a manualized, structured, evidence-based model might be less effective or culturally unacceptable for American Indians.

Radar and ARPA manual

CERN Document Server

Bole, A G

2013-01-01

Radar and ARPA Manual focuses on the theoretical and practical aspects of electronic navigation. The manual first discusses basic radar principles, including principles of range and bearing measurements and picture orientation and presentation. The text then looks at the operational principles of radar systems. Function of units; aerial, receiver, and display principles; transmitter principles; and sitting of units on board ships are discussed. The book also describes target detection, Automatic Radar Plotting Aids (ARPA), and operational controls of radar systems, and then discusses radar plo

A Manual for Teachers of Indochinese Students.

Science.gov (United States)

Phap, Dam Trung

This is a manual for teachers of Indochinese students. The manual begins with brief cultural, linguistic, and historical descriptions of Vietnam, Laos, and Cambodian people. The tenets of animism, Buddhism, Taoism, Confucianism, and Christianity, as practiced in Indochina are reviewed. Also discussed are Indochinese attitudes toward learning and…

Guidelines for safe practice of stereotactic body (ablative) radiation therapy

International Nuclear Information System (INIS)

Foote, Matthew; Barry, Tamara; Bailey, Michael; Smith, Leigh; Seeley, Anna; Siva, Shankar; Hegi-Johnson, Fiona; Booth, Jeremy; Ball, David; Thwaites, David

2015-01-01

The uptake of stereotactic ablative body radiation therapy (SABR) / stereotactic body radiation therapy (SBRT) worldwide has been rapid. The Australian and New Zealand Faculty of Radiation Oncology (FRO) assembled an expert panel of radiation oncologists, radiation oncology medical physicists and radiation therapists to establish guidelines for safe practice of SABR. Draft guidelines were reviewed by a number of international experts in the field and then distributed through the membership of the FRO. Members of the Australian Institute of Radiography and the Australasian College of Physical Scientists and Engineers in Medicine were also asked to comment on the draft. Evidence-based recommendations (where applicable) address aspects of departmental staffing, procedures and equipment, quality assurance measures, as well as organisational considerations for delivery of SABR treatments. Central to the guidelines is a set of key recommendations for departments undertaking SABR. These guidelines were developed collaboratively to provide an educational guide and reference for radiation therapy service providers to ensure appropriate care of patients receiving SABR.

Cuerpo de Paz Manual de Sistema de Programacion y Capacitacion (Peace Corps Programming and Training System Manual): T0063.

Science.gov (United States)

Peace Corps, Washington, DC.

This Spanish version of the Peace Corps Programming and Training System Manual is designed to help field staff members of the Peace Corps train volunteers. Its task descriptions, guidelines, examples, and definitions are intended to be practical and informative rather than restrictive. The manual is divided into six major sections: (1)…

SNAP operating system reference manual

International Nuclear Information System (INIS)

Sabuda, J.D.; Polito, J.; Walker, J.L.; Grant, F.H. III.

1982-03-01

The SNAP Operating System (SOS) is a FORTRAN 77 program which provides assistance to the safeguards analyst who uses the Safeguards Automated Facility Evaluation (SAFE) and the Safeguards Network Analysis Procedure (SNAP) techniques. Features offered by SOS are a data base system for storing a library of SNAP applications, computer graphics representation of SNAP models, a computer graphics editor to develop and modify SNAP models, a SAFE-to-SNAP interface, automatic generation of SNAP input data, and a computer graphic post-processor for SNAP. The SOS Reference Manual provides detailed application information concerning SOS as well as a detailed discussion of all SOS components and their associated command input formats. SOS was developed for the US Nuclear Regulatory Commission's Office of Nuclear Regulatory Research and the US Naval Surface Weapons Center by Pritsker and Associates, Inc., under contract to Sandia National Laboratories

UMTRA [Uranium Mill Tailings Remedial Action] Project site management manual

International Nuclear Information System (INIS)

1990-10-01

The purpose of this manual is to summarize the organizational interfaces and the technical approach used to manage the planning, design development, National Environmental Policy Act (NEPA) compliance, engineering, and remedial action required to stabilize and control the designated Uranium Mill Tailings Remedial Action (UMTRA) Project sites. This manual describes the Project's objective, participants' roles and responsibilities, technical approach for accomplishing the objective, and planning and managerial controls to be used in performing the site work. The narrative follows the flow of activities depicted in Figure 1.1, which provides the typical sequence of key Project activities. A list of acronyms used is presented at the end of the manual. The comparable manual for UMTRA Project vicinity properties is the ''Vicinity Properties Management and Implementation Manual'' (VPMIM) (UMTRA-DOE/AL-050601). Together, the two manuals cover the remedial action activities associated with UMTRA Project sites. The UMTRA Project's objective is to stabilize and control the uranium mill tailings, vicinity property materials, and other residual radioactive materials at the designated sites (Figure 1.2) in a safe and environmentally sound manner in order to minimize radiation health hazards to the public. 26 figs., 6 tabs

Regulations and Procedures Manual

Energy Technology Data Exchange (ETDEWEB)

Young, Lydia J. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2011-07-25

The purpose of the Regulations and Procedures Manual (RPM) is to provide LBNL personnel with a reference to University and Lawrence Berkeley National Laboratory (LBNL or Laboratory) policies and regulations by outlining normal practices and answering most policy questions that arise in the day-to-day operations of Laboratory organizations. Much of the information in this manual has been condensed from detail provided in LBNL procedure manuals, Department of Energy (DOE) directives, and Contract DE-AC02-05CH11231. This manual is not intended, however, to replace any of those documents. RPM sections on personnel apply only to employees who are not represented by unions. Personnel policies pertaining to employees represented by unions may be found in their labor agreements. Questions concerning policy interpretation should be directed to the LBNL organization responsible for the particular policy. A link to the Managers Responsible for RPM Sections is available on the RPM home page. If it is not clear which organization is responsible for a policy, please contact Requirements Manager Lydia Young or the RPM Editor.

Regulations and Procedures Manual

Energy Technology Data Exchange (ETDEWEB)

Young, Lydia [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

2010-09-30

The purpose of the Regulations and Procedures Manual (RPM) is to provide Laboratory personnel with a reference to University and Lawrence Berkeley National Laboratory policies and regulations by outlining the normal practices and answering most policy questions that arise in the day-to-day operations of Laboratory departments. Much of the information in this manual has been condensed from detail provided in Laboratory procedure manuals, Department of Energy (DOE) directives, and Contract DE-AC02-05CH11231. This manual is not intended, however, to replace any of those documents. The sections on personnel apply only to employees who are not represented by unions. Personnel policies pertaining to employees represented by unions may be found in their labor agreements. Questions concerning policy interpretation should be directed to the department responsible for the particular policy. A link to the Managers Responsible for RPM Sections is available on the RPM home page. If it is not clear which department should be called, please contact the Associate Laboratory Director of Operations.

The design process of a reading comprehension manual

Directory of Open Access Journals (Sweden)

Sergio Alonso Lopera Medina

2015-05-01

Full Text Available Material design is an important part in the teaching practices. This article describes the process of material design of a foreign language (FL reading manual for undergraduate students at Universidad de Antioquia (Medellín – Colombia. A case study was used as a research method. Four in-service English teachers based their inquiry following the reflective approach of professional development. They also took into account the guidelines to design teaching materials proposed by Howard and Major (2004.  Some of the results of their inquiry for the design of the manual involve contextualization, personalization, and students’ needs. A sample of a reading strategy is given in order to illustrate how teachers worked and designed the manual as a product of their inquiry. Conclusions suggest that this professional development practice helped teachers become more aware of their own teaching realities and also helped them to understand their beliefs and practice in teaching reading as a foreign language.

Nuclear material operations manual

International Nuclear Information System (INIS)

Tyler, R.P.

1981-02-01

This manual provides a concise and comprehensive documentation of the operating procedures currently practiced at Sandia National Laboratories with regard to the management, control, and accountability of nuclear materials. The manual is divided into chapters which are devoted to the separate functions performed in nuclear material operations-management, control, accountability, and safeguards, and the final two chapters comprise a document which is also issued separately to provide a summary of the information and operating procedures relevant to custodians and users of radioactive and nuclear materials. The manual also contains samples of the forms utilized in carrying out nuclear material activities. To enhance the clarity of presentation, operating procedures are presented in the form of playscripts in which the responsible organizations and necessary actions are clearly delineated in a chronological fashion from the initiation of a transaction to its completion

Nuclear material operations manuals

International Nuclear Information System (INIS)

Tyler, R.P.

1979-06-01

This manual is intended to provide a concise and comprehensive documentation of the operating procedures currently practiced at Sandia Laboratories with regard to the management, control, and accountability of radioactive and nuclear materials. The manual is divided into chapters which are devoted to the separate functions performed in nuclear material operations-management, control, accountability, and safeguards, and the final two chapters comprise a document which is also issued separately to provide a summary of the information and operating procedures relevant to custodians and users of radioactive and nuclear materials. The manual also contains samples of the forms utilized in carrying out nuclear material activities. To enhance the clarity of presentation, operating procedures are presented in the form of playscripts in which the responsible organizations and necessary actions are clearly delineated in a chronological fashion from the initiation of a transaction to its completion

Optoelectronics circuits manual

CERN Document Server

Marston, R M

2013-01-01

Optoelectronics Circuits Manual covers the basic principles and characteristics of the best known types of optoelectronic devices, as well as the practical applications of many of these optoelectronic devices. The book describes LED display circuits and LED dot- and bar-graph circuits and discusses the applications of seven-segment displays, light-sensitive devices, optocouplers, and a variety of brightness control techniques. The text also tackles infrared light-beam alarms and multichannel remote control systems. The book provides practical user information and circuitry and illustrations.

Construction inspection manual of procedures

Science.gov (United States)

2009-01-01

This manual provides highway construction personnel with relevant, practical information in order to perform accurate inspections and provide relevant construction procedural information for the various roadway and structures items of work. It is the...

Karate: Keep It Safe.

Science.gov (United States)

Jordan, David

1981-01-01

Safety guidelines for each phase of a karate practice session are presented to provide an accident-free and safe environment for teaching karate in a physical education or traditional karate training program. (JMF)

Creating Safe Spaces for Music Learning

Science.gov (United States)

Hendricks, Karin S.; Smith, Tawnya D.; Stanuch, Jennifer

2014-01-01

This article offers a practical model for fostering emotionally safe learning environments that instill in music students a positive sense of self-belief, freedom, and purpose. The authors examine the implications for music educators of creating effective learning environments and present recommendations for creating a safe space for learning,…

DOE explosives safety manual. Revision 7

Energy Technology Data Exchange (ETDEWEB)

1994-08-01

This manual prescribes the Department of Energy (DOE) safety rules used to implement the DOE safety policy for operations involving explosives. This manual is applicable to all DOE facilities engaged in operations of development, manufacturing, handling, storage, transportation, processing, or testing of explosives, pyrotechnics and propellants, or assemblies containing these materials. The standards of this manual deal with the operations involving explosives, pyrotechnics and propellants, and the safe management of such operations. The design of all new explosives facilities shall conform to the requirements established in this manual and implemented in DOE 6430.1A, ``General Design Criteria Manual.`` It is not intended that existing physical facilities be changed arbitrarily to comply with these provisions, except as required by law. Existing facilities that do not comply with these standards may continue to be used for the balance of their functional life, as long as the current operation presents no significantly greater risk than that assumed when the facility was originally designed and it can be demonstrated clearly that a modification to bring the facility into compliance is not feasible. However, in the case of a major renovation, the facility must be brought into compliance with current standards. The standards are presented as either mandatory or advisory. Mandatory standards, denoted by the words ``shall,`` ``must,`` or ``will,`` are requirements that must be followed unless written authority for deviation is granted as an exemption by the DOE. Advisory standards denoted by ``should`` or ``may`` are standards that may be deviated from with a waiver granted by facility management.

Comparing the level of dexterity offered by latex and nitrile SafeSkin gloves.

Science.gov (United States)

Sawyer, Jo; Bennett, Allan

2006-04-01

An increase in the occurrence of latex allergy has been concurrent with the increasing use of latex gloves by laboratory and healthcare workers. In recent years nitrile gloves have been used to replace latex gloves to prevent latex allergy. Nitrile gloves offer a comparable level of protection against chemical and biological agents and are more puncture resistant. However, if manual dexterity is compromised by nitrile gloves to a greater degree than latex then this may increase the risk of sharps injuries. The Purdue pegboard test, which measures both gross and fine finger dexterity, was used to test the dexterity levels of two glove types used at HPA CEPR; Kimberly-Clark SafeSkin nitrile and latex laboratory gloves. There was a statistically significant 8.6% increase in fine finger dexterity provided by latex compared with nitrile SafeSkin laboratory gloves but no difference in gross dexterity between the glove types. There was no significant relationship between glove dexterity and age or gender. The selection of glove size was influenced by the digit length of participants. Moreover, those with longer, thinner fingers appeared to have an advantage when using nitrile SafeSkin gloves. The level of dexterity provided by latex and nitrile SafeSkin gloves for tasks on a gross dexterity level are comparable and health workers will benefit from the non-allergenic properties of nitrile. For tasks requiring fine finger dexterity nitrile SafeSkin gloves may impede dexterity. Despite this, the degree of restriction appears to have a negligible impact on safety in this study when compared with the risk of latex sensitization and subsequent allergy. In addition to glove material, working practices must also take into account glove size, fit, grip and thickness, as these factors can all influence dexterity.

Timergenerator circuits manual

CERN Document Server

Marston, R M

2013-01-01

Timer/Generator Circuits Manual is an 11-chapter text that deals mainly with waveform generator techniques and circuits. Each chapter starts with an explanation of the basic principles of its subject followed by a wide range of practical circuit designs. This work presents a total of over 300 practical circuits, diagrams, and tables.Chapter 1 outlines the basic principles and the different types of generator. Chapters 2 to 9 deal with a specific type of waveform generator, including sine, square, triangular, sawtooth, and special waveform generators pulse. These chapters also include pulse gen

Optoelectronics circuits manual

CERN Document Server

Marston, R M

1999-01-01

This manual is a useful single-volume guide specifically aimed at the practical design engineer, technician, and experimenter, as well as the electronics student and amateur. It deals with the subject in an easy to read, down to earth, and non-mathematical yet comprehensive manner, explaining the basic principles and characteristics of the best known devices, and presenting the reader with many practical applications and over 200 circuits. Most of the ICs and other devices used are inexpensive and readily available types, with universally recognised type numbers.The second edition

Safe operation of critical assemblies and research reactors

Energy Technology Data Exchange (ETDEWEB)

NONE

1960-09-15

Some countries have accumulated considerable experience in the operation of these reactors and have in the process developed safe practices. On the other hand, other countries which have recently acquired, or will soon acquire, such reactors do not have sufficient background of experience with them to have developed full knowledge regarding their safe operation. In this situation, the International Atomic Energy Agency has considered that it would be useful to make available to all its Member States a set of recommendations on the safe operation of these reactors, based on the accumulated experience and best practices. The Director General accordingly nominated a Pane Ion Safe Operation of Critical Assemblies and Research Reactors to assist the Agency's Secretariat in drafting such recommendations

Manualization of Occupational Therapy Using Ayres Sensory Integration® for Autism.

Science.gov (United States)

Hunt, Joanne; van Hooydonk, Elke; Faller, Patricia; Mailloux, Zoe; Schaaf, Roseann

2017-07-01

This article reports on the development of a Stage 3 manual (following pilot effectiveness study) for implementing occupational therapy using Ayres Sensory Integration® (OT/ASI) for children with autism spectrum disorders to enhance participation in daily occupations. Three stakeholder groups were surveyed to aid in translation of manual from research to practice (i.e., Stage 3 manual) and an expert consensus meeting was held to finalize recommendations. Data indicated that the manuals usability could be improved by including a section on frequently encountered problems and solutions, and by including video case examples. Also recommended were greater chapter uniformity, improved clarity of forms and charts, and inclusion of a glossary. Changes were made and subject to expert review and consensus using modified Delphi process. The Stage 3 manual has been rigorously vetted and is ready for practice and research replication.

Hanford Waste Vitrification Plant technical manual

Energy Technology Data Exchange (ETDEWEB)

Larson, D.E. [ed.; Watrous, R.A.; Kruger, O.L. [and others

1996-03-01

A key element of the Hanford waste management strategy is the construction of a new facility, the Hanford Waste Vitrification Plant (HWVP), to vitrify existing and future liquid high-level waste produced by defense activities at the Hanford Site. The HWVP mission is to vitrify pretreated waste in borosilicate glass, cast the glass into stainless steel canisters, and store the canisters at the Hanford Site until they are shipped to a federal geological repository. The HWVP Technical Manual (Manual) documents the technical bases of the current HWVP process and provides a physical description of the related equipment and the plant. The immediate purpose of the document is to provide the technical bases for preparation of project baseline documents that will be used to direct the Title 1 and Title 2 design by the A/E, Fluor. The content of the Manual is organized in the following manner. Chapter 1.0 contains the background and context within which the HWVP was designed. Chapter 2.0 describes the site, plant, equipment and supporting services and provides the context for application of the process information in the Manual. Chapter 3.0 provides plant feed and product requirements, which are primary process bases for plant operation. Chapter 4.0 summarizes the technology for each plant process. Chapter 5.0 describes the engineering principles for designing major types of HWVP equipment. Chapter 6.0 describes the general safety aspects of the plant and process to assist in safe and prudent facility operation. Chapter 7.0 includes a description of the waste form qualification program and data. Chapter 8.0 indicates the current status of quality assurance requirements for the Manual. The Appendices provide data that are too extensive to be placed in the main text, such as extensive tables and sets of figures. The Manual is a revision of the 1987 version.

Hanford Waste Vitrification Plant technical manual

International Nuclear Information System (INIS)

Larson, D.E.; Watrous, R.A.; Kruger, O.L.

1996-03-01

A key element of the Hanford waste management strategy is the construction of a new facility, the Hanford Waste Vitrification Plant (HWVP), to vitrify existing and future liquid high-level waste produced by defense activities at the Hanford Site. The HWVP mission is to vitrify pretreated waste in borosilicate glass, cast the glass into stainless steel canisters, and store the canisters at the Hanford Site until they are shipped to a federal geological repository. The HWVP Technical Manual (Manual) documents the technical bases of the current HWVP process and provides a physical description of the related equipment and the plant. The immediate purpose of the document is to provide the technical bases for preparation of project baseline documents that will be used to direct the Title 1 and Title 2 design by the A/E, Fluor. The content of the Manual is organized in the following manner. Chapter 1.0 contains the background and context within which the HWVP was designed. Chapter 2.0 describes the site, plant, equipment and supporting services and provides the context for application of the process information in the Manual. Chapter 3.0 provides plant feed and product requirements, which are primary process bases for plant operation. Chapter 4.0 summarizes the technology for each plant process. Chapter 5.0 describes the engineering principles for designing major types of HWVP equipment. Chapter 6.0 describes the general safety aspects of the plant and process to assist in safe and prudent facility operation. Chapter 7.0 includes a description of the waste form qualification program and data. Chapter 8.0 indicates the current status of quality assurance requirements for the Manual. The Appendices provide data that are too extensive to be placed in the main text, such as extensive tables and sets of figures. The Manual is a revision of the 1987 version

Surface Moisture Measurement System Operation and Maintenance Manual

International Nuclear Information System (INIS)

Ritter, G.A.; Pearce, K.L.; Stokes, T.L.

1995-12-01

This operations and maintenance manual addresses deployment, equipment and field hazards, operating instructions, calibration verification, removal, maintenance, and other pertinent information necessary to safely operate and store the Surface Moisture Measurement System (SMMS) and Liquid Observation Well Moisture Measurement System (LOWMMS). These systems were developed primarily in support of Tank Waste Remediation System (TWRS) Safety Programs for moisture measurement in organic and ferrocyanide watch list tanks

Using mobile technology to promote safe sex and sexual health in adolescents: current practices and future recommendations

Directory of Open Access Journals (Sweden)

Cornelius JB

2016-04-01

Full Text Available Judith B Cornelius,1 Josephine A Appiah2 1School of Nursing, 2Health Services Research Doctoral Program, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC, USA Abstract: Youth and young adults (19–24 years of age shoulder the burden of sexually transmitted infections accounting for nearly half of all new infections annually. Mobile technology is one way that we have reached this population with safer sex information but challenges exist with the delivery process. The literature between 2010 and 2015 was reviewed for data on safe sex and sexual health information delivered using mobile cell phone devices. A search for relevant databases revealed that 17 articles met our inclusion criteria. Findings suggest that mobile cell phone interventions are an effective mode for delivering safe sex and sexual health information to youth; those at the highest risk may not be able to access cell phones based on availability and cost of the text messages or data plans. Keywords: mobile, safe sex, sexual health, practices, recommendations

Nuclear material operations manual

International Nuclear Information System (INIS)

Tyler, R.P.; Gassman, L.D.

1978-04-01

This manual is intended to provide a concise and comprehensive documentation of the operating procedures currently practiced at Sandia Laboratories with regard to the management, control, and accountability of radioactive and nuclear materials. The manual is divided into chapters which are devoted to the separate functions performed in nuclear material operations--management, control, accountability, and safeguards, and the final two chapters comprise a document which is also issued separately to provide a summary of the information and operating procedures relevant to custodians and users of radioactive and nuclear materials. The manual also contains samples of the forms utilized in carrying out nuclear material activities. To enhance the clarity of presentation, operating procedures are presented in the form of ''play-scripts'' in which the responsible organizations and necessary actions are clearly delineated in a chronological fashion from the initiation of a transaction to its completion

Reliability and Validity of a Questionnaire to Measure Consumer Knowledge regarding Safe Practices to Prevent Microbiological Contamination in Restaurants

Science.gov (United States)

Uggioni, Paula Lazzarin; Salay, Elisabette

2013-01-01

Objective: The objective of this study was to develop a validated and reliable questionnaire to measure consumer knowledge regarding safe practices to prevent microbiological contamination in restaurants and commercial kitchens. Methods: Non-probabilistic samples of individuals were interviewed in the city of Campinas, Brazil. Questionnaire items…

Exploring the APA Fifth Edition "Publication Manual"'s Impact on the Analytic Preferences of Journal Editorial Board Members.

Science.gov (United States)

Capraro, Mary Margaret; Capraro, Robert M.

2003-01-01

Studied the reporting preferences of editorial board members of four scholarly journals in education and psychology with regard to analytic practices in the fifth edition of the American Psychological Association "Publication Manual." Responses of 106 board members show the movement toward reform in research reporting practices. (SLD)

77 FR 19077 - Adoption of Updated EDGAR Filer Manual

Science.gov (United States)

2012-03-30

... practice, publication for notice and comment is not required under the Administrative Procedure Act (APA...-30008] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual to reflect updates to the...

76 FR 73506 - Adoption of Updated EDGAR Filer Manual

Science.gov (United States)

2011-11-29

... practice, publication for notice and comment is not required under the Administrative Procedure Act (APA...-29868] Adoption of Updated EDGAR Filer Manual AGENCY: Securities and Exchange Commission. ACTION: Final... Electronic Data Gathering, Analysis, and Retrieval System (EDGAR) Filer Manual to reflect updates to the...

Do treatment manuals undermine youth–therapist alliance in community clinical practice?

OpenAIRE

Langer, David A.; McLeod, Bryce D.; Weisz, John R

2011-01-01

Objective: Some critics of treatment manuals have argued that their use may undermine the quality of the client–therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. Method: Seventy-six clinically referred youths (57% female, age 8–15 years, 34% Caucasian) were randomly assigned to receive nonmanualized usual care or manual-guided treatment to address anxiety or depressive disorders. Treatment was provided in community c...

Safe Driving in Illinois. A Manual to Accompany the Illinois Rules of the Road.

Science.gov (United States)

Rice, Gail; Nowack, Linda

Designed to accompany and supplement the Illinois Rules of the Road manual, this book is intended to better prepare future drivers for the written test for the instruction permit or driver's license. It includes many pictures and shows and describes driving situations a driver will probably face when behind the wheel. Parts dealing with important…

Power: A Repossesion Manual: Organizing Strategies for Citizens.

Science.gov (United States)

Speeter, Greg

The purpose of this manual is to encourage the growth of community organization and to make the process of mobilizing a community and the skills involved known to those who participate in the organizing process. It offers practical suggestions on understanding the organizing process, diagnosing, and improving it. The manual is written with the…

Washington Manual: A New Tool for Local School Accounting

Science.gov (United States)

Federal Aid Planner, 1972

1972-01-01

An advance glimpse of the revised financial accounting methods for school districts recommended in a new manual from the U. S. Office of Education. The manual is designed to help school districts modernize their financial accounting procedures and their entire range of fiscal management practices. (Author/DN)

An Automated Safe-to-Mate (ASTM) Tester

Science.gov (United States)

Nguyen, Phuc; Scott, Michelle; Leung, Alan; Lin, Michael; Johnson, Thomas

2013-01-01

Safe-to-mate testing is a common hardware safety practice where impedance measurements are made on unpowered hardware to verify isolation, continuity, or impedance between pins of an interface connector. A computer-based instrumentation solution has been developed to resolve issues. The ASTM is connected to the circuit under test, and can then quickly, safely, and reliably safe-to-mate the entire connector, or even multiple connectors, at the same time.

US Department of Energy radiological control manual. Revision 1

Energy Technology Data Exchange (ETDEWEB)

1994-04-01

This manual establishes practices for the conduct of Department of Energy radiological control activities. The Manual states DOE`s positions and views on the best courses of action currently available in the area of radiological controls. Accordingly, the provisions in the Manual should be viewed by contractors as an acceptable technique, method or solution for fulfilling their duties and responsibilities. This Manual shall be used by DOE in evaluating the performance of its contractors. This Manual is not a substitute for Regulations; it is intended to be consistent with all relevant statutory and regulatory requirements and shall be revised whenever necessary to ensure such consistency. Some of the Manual provisions, however, challenge the user to go well beyond minimum requirements. Following the course of action delineated in the Manual will result in achieving and surpassing related statutory or regulatory requirements.

Safe injections and waste management at a Sub-Saharan regional ...

African Journals Online (AJOL)

Objective: To assess the knowledge and practice of safe injections and health care waste management among healthcare workers at a regional hospital in Northern Tanzania. Design: A cross sectional descriptive study with additional observations was conducted to assess the knowledge and practice of safe injections and ...

Rescue Manual. Module 6.

Science.gov (United States)

Ohio State Univ., Columbus. Instructional Materials Lab.

This learner manual for rescuers covers the current techniques or practices required in the rescue service. The sixth of 10 modules contains 4 chapters: (1) industrial rescue; (2) rescue from a confined space; (3) extrication from heavy equipment; and (4) rescue operations involving elevators. Key points, an introduction, and conclusion accompany…

Code of practice for the control and safe handling of radioactive sources used for therapeutic purposes (1988)

International Nuclear Information System (INIS)

1988-01-01

This Code is intended as a guide to safe practices in the use of sealed and unsealed radioactive sources and in the management of patients being treated with them. It covers the procedures for the handling, preparation and use of radioactive sources, precautions to be taken for patients undergoing treatment, storage and transport of radioactive sources within a hospital or clinic, and routine testing of sealed sources [fr

An Early Survey of Best Practices for the Use of Small Unmanned Aerial Systems by the Electric Utility Industry

Energy Technology Data Exchange (ETDEWEB)

Lusk, Rick M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Monday, William [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2017-02-01

This technical manual is about doing things safely. It isn’t so much a how-to guide as it is a collection of best practices from unmanned aerial system (UAS) operators from all over the world. The desired end state is to provide a touchstone for utility businesses, directors, managers, and operators that will inform them as they begin to strategize, plan, and incorporate this technology into day-to-day operations.

Finnie's notes on fracture mechanics fundamental and practical lessons

CERN Document Server

Dharan, C K H; Finnie, Iain

2016-01-01

This textbook consists primarily of notes by Iain Finnie who taught a popular course on fracture mechanics at the University of California at Berkeley. It presents a comprehensive and detailed exposition of fracture, the fundamentals of fracture mechanics and procedures for the safe design of engineering components made from metal alloys, brittle materials like glasses and ceramics, and composites. Interesting and practical problems are listed at the end of most chapters to give the student practice in applying the theory. A solutions manual is provided to the instructor. The text presents a unified perspective of fracture with a strong fundamental foundation and practical applications. In addition to its role as a text, this reference would be invaluable for the practicing engineer who is involved in the design and evaluation of components that are fracture critical. This book also: Presents details of derivations of the basic equations of fracture mechanics and the historical context of the development of f...

Transmission pipeline calculations and simulations manual

CERN Document Server

Menon, E Shashi

2014-01-01

Transmission Pipeline Calculations and Simulations Manual is a valuable time- and money-saving tool to quickly pinpoint the essential formulae, equations, and calculations needed for transmission pipeline routing and construction decisions. The manual's three-part treatment starts with gas and petroleum data tables, followed by self-contained chapters concerning applications. Case studies at the end of each chapter provide practical experience for problem solving. Topics in this book include pressure and temperature profile of natural gas pipelines, how to size pipelines for specified f

Manual for reactor produced radioisotopes

International Nuclear Information System (INIS)

2003-01-01

Radioisotopes find extensive applications in several fields including medicine, industry, agriculture and research. Radioisotope production to service different sectors of economic significance constitutes an important ongoing activity of many national nuclear programmes. Radioisotopes, formed by nuclear reactions on targets in a reactor or cyclotron, require further processing in almost all cases to obtain them in a form suitable for use. Specifications for final products and testing procedures for ensuring quality are also an essential part of a radioisotope production programme. The International Atomic Energy Agency (IAEA) has compiled and published such information before for the benefit of laboratories of Member States. The first compilation, entitled Manual of Radioisotope Production, was published in 1966 (Technical Reports Series No. 63). A more elaborate and comprehensive compilation, entitled Radioisotope Production and Quality Control, was published in 1971 (Technical Reports Series No. 128). Both served as useful reference sources for scientists working in radioisotope production worldwide. The 1971 publication has been out of print for quite some time. The IAEA convened a consultants meeting to consider the need for compiling an updated manual. The consultants recommended the publication of an updated manual taking the following into consideration: significant changes have taken place since 1971 in many aspects of radioisotope production; many radioisotopes have been newly introduced while many others have become gradually obsolete; considerable experience and knowledge have been gained in production of important radioisotopes over the years, which can be preserved through compilation of the manual; there is still a need for a comprehensive manual on radioisotope production methods for new entrants to the field, and as a reference. It was also felt that updating all the subjects covered in the 1971 manual at a time may not be practical considering the

Elaboration of Safe Community Assessment System

Directory of Open Access Journals (Sweden)

Birutė Mikulskienė

2013-08-01

Full Text Available The paper aims to design an assessment system to monitor and evaluate safety parameters and administrative efforts with the purpose to increase safety in municipalities. The safety monitoring system considered is to be the most important tool for creation and development of safe communities in Lithuania. Several methods were applied to achieve this purpose. In order to determine the role of local government in ensuring the safety of people, property and environment at the local level of a meta-analysis of research reports, the Lithuanian national legislation, strategic planning documents of the state and local government were carried out. Analysis of statistical data, structural analysis, comparative analysis and synthesis methods were used while investigating the areas of safety uncertainty, risk groups, identifying safety risk factors, determining their relationship, and creating a safe community assessment system. A safe community assessment system, which consists of two types of criteria, has been elaborated. The assessment system is based on the multi-level criteria for safety monitoring and the multi-level criteria for the evaluation of municipal activities in the field of building safety. Links between the criteria, peculiarities of their application and advantages in the process of safe community creation and development are analyzed. Design and implementation of the safe community assessment system is one of the most important stages to implement the idea of safe communities. The proposed system integrates a variety of risk areas, the safety achievement criteria are linked to the criteria used in the strategic planning. Periodic assessment of the safety situation using the proposed system ensures possibility to monitor current local safety conditions and assess the changes and the trends. A safe community assessment system is proposed to be used as a tool to unified municipalities safety comprehensiveness and compare safety level in

Elaboration of Safe Community Assessment System

Directory of Open Access Journals (Sweden)

Algirdas Astrauskas

2011-12-01

Full Text Available The paper aims to design an assessment system to monitor and evaluate safety parameters and administrative efforts with the purpose to increase safety in municipalities. The safety monitoring system considered is to be the most important tool for creation anddevelopment of safe communities in Lithuania. Several methods were applied to achieve this purpose. In order to determine the role of local government in ensuring the safety of people, property and environment at the local level of a meta-analysis of research reports,the Lithuanian national legislation, strategic planning documents of the state and local government were carried out. Analysis of statistical data, structural analysis, comparative analysis and synthesis methods were used while investigating the areas of safety uncertainty, risk groups, identifying safety risk factors, determining their relationship, and creating a safe community assessment system.A safe community assessment system, which consists of two types of criteria, has been elaborated. The assessment system is based on the multi-level criteria for safety monitoring and the multi-level criteria for the evaluation of municipal activities in the field of building safety. Links between the criteria, peculiarities of their application and advantages in the process of safe community creation and development are analyzed.Design and implementation of the safe community assessment system is one of the most important stages to implement the idea of safe communities. The proposed system integrates a variety of risk areas, the safety achievement criteria are linked to the criteria used in thestrategic planning. Periodic assessment of the safety situation using the proposed system ensures possibility to monitor current local safety conditions and assess the changes and the trends. A safe community assessment system is proposed to be used as a tool to unified municipalities safety comprehensiveness and compare safety level in

Contents Development of Library Signage Manual in Korea

Directory of Open Access Journals (Sweden)

In-Ja Ahn

2011-12-01

Full Text Available There is an increase in the need of an unified manual for library signage system, due to recent increase in library construction or remodeling. This paper, therefore, can be a basic research to develop library signage system manual. Based on an anual released from KLA and the sum of opinions of expert groups, this research proposes a concrete list of contents for library signage system manual as follows. First, there is a need of theoretical basis of library signage system. Second, for the actual practices of signage system, planning, check list, and standard terms shall be necessary.

Experience with the EPA manual for waste minimization opportunity assessments

International Nuclear Information System (INIS)

Bridges, J.S.

1990-01-01

The EPA Waste Minimization Opportunity Assessment Manual (EPA/625/788/003) was published to assist those responsible for managing waste minimization activities at the waste generating facility and at corporate levels. The Manual sets forth a procedure that incorporates technical and managerial principles and motivates people to develop and implement pollution prevention concepts and ideas. Environmental management has increasingly become one of cooperative endeavor whereby whether in government, industry, or other forms of enterprise, the effectiveness with whirl, people work together toward the attainment of a clean environment is largely determined by the ability of those who hold managerial position. This paper offers a description of the EPA Waste Minimization Opportunity Assessment Manual procedure which supports the waste minimization assessment as a systematic planned procedure with the objective of identifying ways to reduce or eliminate waste generation. The Manual is a management tool that blends science and management principles. The practice of managing waste minimization/pollution prevention makes use of the underlying organized science and engineering knowledge and applies it in the light of realities to gain a desired, practical result. The early stages of EPA's Pollution Prevention Research Program centered on the development of the Manual and its use at a number of facilities within the private and public sectors. This paper identifies a number of case studies and waste minimization opportunity assessment reports that demonstrate the value of using the Manual's approach. Several industry-specific waste minimization assessment manuals have resulted from the Manual's generic approach to waste minimization. There were some modifications to the Manual's generic approach when the waste stream has been other than industrial hazardous waste

Assessment of the Problems of Manual Automobile Tyre Bead ...

African Journals Online (AJOL)

The tyre-rim bead bond must be broken to carry out repairs on a failed automobile tyre. The use of the locally fabricated manual bead breaking equipment as it is being practiced today by commercial tyre repair artisans in Nigeria is characterized by drudgery. This article reports a study of the local manual bead breaking ...

The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication Errors and Unintentional Poisonings.

Science.gov (United States)

Vaida, Allen J

2015-06-01

This article provides an overview on the Institute for Safe Medication Practices (ISMP), the only independent nonprofit organization in the USA devoted to the prevention of medication errors. ISMP developed the national Medication Errors Reporting Program (MERP) and investigates and analyzes errors in order to formulate recommendations to prevent further occurrences. ISMP works closely with the US Food and Drug Administration (FDA), drug manufacturers, professional organizations, and others to promote changes in package design, practice standards, and healthcare practitioner and consumer education. By collaborating with ISMP to share and disseminate information, Poison Control centers, emergency departments, and toxicologists can help decrease unintentional and accidental poisonings.

Safe, Effective Use of Pesticides, A Manual for Commercial Applicators: Right-of-Way Pest Control.

Science.gov (United States)

Extension Service (USDA), Washington, DC.

This manual is intended to assist pesticide applicators who are engaged in right-of-way pest control to meet the requirements of the Michigan Department of Agriculture for certification. While the majority of material in this guide pertains to vegetation management, the guide also addresses right-of-way insect and fungus control. An introduction…

Manual on decontamination of surfaces

International Nuclear Information System (INIS)

1979-01-01

The manual is intended for those who are responsible for the organization and implementation of decontamination programmes for facilities where radioactive materials are handled mainly on a laboratory scale. It contains information and guidelines on practical methods for decontaminating working spaces, equipment, laboratory benches and protective clothing. Useful information is also provided on the removal of loose skin contamination from personnel by mild, non-medical processes. Methods of removing skin contamination needing medical supervision, or of internal decontamination, which is entirely a medical process, are not covered in this manual. Large-scale decontamination of big nuclear facilities is also considered as outside its scope

Online Training and Practice Manual for ERIC Data Base Searchers. 2nd Edition.

Science.gov (United States)

Markey, Karen; Cochrane, Pauline A.

Revised to reflect changes in both DIALOG and ERIC, this second edition of a self-improvement manual for online searchers who wish to refine their skills presents three basic approaches to searching and provides illustrations from DIALOG's ERIC ONTAP database. The manual is divided into two parts: an 8-step model of the total search process which…

Diode, transistor & fet circuits manual

CERN Document Server

Marston, R M

2013-01-01

Diode, Transistor and FET Circuits Manual is a handbook of circuits based on discrete semiconductor components such as diodes, transistors, and FETS. The book also includes diagrams and practical circuits. The book describes basic and special diode characteristics, heat wave-rectifier circuits, transformers, filter capacitors, and rectifier ratings. The text also presents practical applications of associated devices, for example, zeners, varicaps, photodiodes, or LEDs, as well as it describes bipolar transistor characteristics. The transistor can be used in three basic amplifier configuration

Proposed quality assurance manual for the Office of Waste Isolation

International Nuclear Information System (INIS)

1977-01-01

The manual provides guidelines for assuring safe and reliable siting, design, procurement and construction, operation, and decommissioning of a radioactive waste repository. The organization of the program is given and the program itself is defined. The program includes the site evaluation, site selection, design, procurement, fabrication, installation, and testing of any system or component that is safety related. It also included all necessary documentation and auditing

Digital Device Architecture and the Safe Use of Flash Devices in Munitions

Science.gov (United States)

Katz, Richard B.; Flowers, David; Bergevin, Keith

2017-01-01

Flash technology is being utilized in fuzed munition applications and, based on the development of digital logic devices in the commercial world, usage of flash technology will increase. Digital devices of interest to designers include flash-based microcontrollers and field programmable gate arrays (FPGAs). Almost a decade ago, a study was undertaken to determine if flash-based microcontrollers could be safely used in fuzes and, if so, how should such devices be applied. The results were documented in the Technical Manual for the Use of Logic Devices in Safety Features. This paper will first review the Technical Manual and discuss the rationale behind the suggested architectures for microcontrollers and a brief review of the concern about data retention in flash cells. An architectural feature in the microcontroller under study will be discussed and its use will show how to screen for weak or failed cells during manufacture, storage, or immediately prior to use. As was done for microcontrollers a decade ago, architectures for a flash-based FPGA will be discussed, showing how it can be safely used in fuzes. Additionally, architectures for using non-volatile (including flash-based) storage will be discussed for SRAM-based FPGAs.

Feeling safe and motivated to achieve better health: Experiences with a partnership-based nursing practice programme for in-home patients with chronic obstructive pulmonary disease.

Science.gov (United States)

Leine, Marit; Wahl, Astrid Klopstad; Borge, Christine Råheim; Hustavenes, Magne; Bondevik, Hilde

2017-09-01

To explore chronic obstructive pulmonary disease patients' experiences with a partnership-based nursing practice programme in the home setting. Patients with chronic obstructive pulmonary disease suffer from psychological and physiological problems, especially when they return home after hospitalisation from exacerbation. Many express a need for information and knowledge about chronic obstructive pulmonary disease. Partnership as practice is a patient-centred framework providing an individualised practice for each patient. This study intends to achieve a nuanced and improved understanding of chronic obstructive pulmonary disease patients' experiences with a partnership-based nursing practice programme comprising home visits from a respiratory nurse after hospital discharge, alongside interdisciplinary collaboration. This study has a qualitative design with interviews. Six individual semi-structured interviews collected in 2012-2013 constitute the material. Interviews were recorded, transcribed to written text and analysed using systematic text condensation. Three key themes were identified: to be seen, talked with and understood; healthcare support at home-continuity, practical support and facilitation; and exchange of knowledge. However, there were two generic themes that permeated the material: feeling safe and comforted, and motivation to achieve better health. Patients with chronic obstructive pulmonary disease can experience feeling safe and comforted, and be motivated to make changes in order to achieve better health after participating in a partnership-based nursing practice programme that includes home visits from a respiratory nurse and interdisciplinary cooperation after hospital discharge. To feel safe is of great importance, and how this relates to the patient's ability to cope with illness should be explored in further research. The results suggest that the partnership-based nursing practice programme that includes home visits and interdisciplinary

Eddy current manual, volume 2

International Nuclear Information System (INIS)

Cecco, V.S.; Van Drunen, G.; Sharp, F.L.

1984-09-01

This report on eddy current testing is divided into three sections: (a) Demonstration of Basic Principles, (b) Practical (Laboratory) Tests and, (c) Typical Certification Questions. It is intended to be used as a supplement to ΣEddy Current Manual, Volume 1Σ (AECL-7523) during CSNDT Foundation Level II and III courses

Developing a Manualized Occupational Therapy Diabetes Management Intervention: Resilient, Empowered, Active Living With Diabetes.

Science.gov (United States)

Pyatak, Elizabeth A; Carandang, Kristine; Davis, Shain

2015-07-01

This article reports on the development of a manualized occupational therapy intervention for diabetes management. An initial theoretical framework and core content areas for a Stage I intervention manual were developed based on an in-depth needs assessment and review of existing literature. After evaluation by a panel of experts and completion of a feasibility study, the intervention was revised into a Stage 2 manual in preparation for a randomized study evaluating the intervention's efficacy. In developing the initial manual, we delineated core theoretical principles to allow for flexible application and tailoring of the intervention's content areas. Expert panel feedback and feasibility study results led to changes to the intervention structure and content as we developed the Stage 2 manual. Through describing this process, we illustrate the dynamic evolution of intervention manuals, which undergo revisions due to both theoretical and practical considerations at each stage of the research-to-clinical practice pipeline.

Manual small incision extracapsular cataract surgery in Australia.

Science.gov (United States)

van Zyl, Lourens; Kahawita, Shyalle; Goggin, Michael

2014-11-01

Examination of the results and describing the technique of manual small incision extracapsular cataract extraction on patients with advanced cataracts in urban Australia. A descriptive case series. Thirty-eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban Australia. Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco-emulsification. Postoperative visual aquity, surgically induced astigmatism and complications. Seventy-eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty-three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°. Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco-emulsification in suitable cases in a first-world setting. © 2014 Royal Australian and New Zealand College of Ophthalmologists.

Treatment for Abused and Neglected Children. The User Manual Series.

Science.gov (United States)

Martin, Harold P.

This manual brings current knowledge about the needs of abused and neglected children together with practical ideas about what can be done to meet those needs. Designed primarily for use by child protective service (CPS) workers, the manual may also be used by other professionals dealing with child abuse and neglect. Chapter 1 briefly discusses…

Developing a manual for strengthening mental health nurses' clinical supervision

DEFF Research Database (Denmark)

Buus, Niels; Cassedy, Paul; Gonge, Henrik

2013-01-01

In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through...... educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual....... The effects of implementing the manual will subsequently be analysed in an independent randomised controlled trial....

Manual on best practices

DEFF Research Database (Denmark)

Oxlund, Bjarke

Der er mange måder at imødegå den globale hiv/aids epidemi på, men ikke alle tilgange virker lige godt. 'Best practices' er blevet lanceret af UNAIDS og andre som et værktøj til at sikre, at kun de mest effektive og virkningsfulde interventioner bliver promoveret i hiv/aids forebyggelse, behandling...

California School Accounting Manual. 1984 Edition.

Science.gov (United States)

Lundin, Janet, Ed.

California's official school accounting procedures, amended in 1984 to clarify definitions and improve program cost accounting, are presented. Following an introduction that discusses general characteristics of school accounting, the manual explains the following areas of accounting practice: (1) financial reporting; (2) income; (3) expenditures;…

Nutrition and Feeding for the Developmentally Disabled: "A How-To Manual."

Science.gov (United States)

Heinrichs, Eberhard; Rokusek, Cecilia

This educational manual, an interdisciplinary effort of professionals throughout South Dakota, is intended to serve as a practical guidebook of ideas to better serve the nutritional needs of the developmentally disabled population. The manual addresses: dietary aids for specific disorders; appropriate foods or supplements for optimal nutrition;…

Quality assurance manual: Volume 1

International Nuclear Information System (INIS)

Oijala, J.E.

1988-06-01

Stanford Linear Accelerator Center (SLAC) is a DOE-supported research facility that carries out experimental and theoretical research in high energy physics and developmental work in new techniques for particle acceleration and experimental instrumentation. The purpose of this manual is to describe SLAC quality assurance policies and practices in various parts of the Laboratory

Safe injection practices for administration of propofol.

Science.gov (United States)

King, Cecil A; Ogg, Mary

2012-03-01

Sepsis and postoperative infection can occur as a result of unsafe practices in the administration of propofol and other injectable medications. Investigations of infection outbreaks have revealed the causes to be related to bacterial growth in or contamination of propofol and unsafe medication practices, including reuse of syringes on multiple patients, use of single-use medication vials for multiple patients, and failure to practice aseptic technique and adhere to infection control practices. Surveys conducted by AORN and other researchers have provided additional information on perioperative practices related to injectable medications. In 2009, the US Food and Drug Administration and the Centers for Disease Control and Prevention convened a group of clinicians to gain a better understanding of the issues related to infection outbreaks and injectable medications. The meeting participants proposed collecting data to persuade clinicians to adopt new practices, developing guiding principles for propofol use, and describing propofol-specific, site-specific, and practitioner-specific injection techniques. AORN provides resources to help perioperative nurses reduce the incidence of postoperative infection related to medication administration. Copyright © 2012 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Understanding and Using the New Guided-Inquiry AP Chemistry Laboratory Manual

Science.gov (United States)

Cacciatore, Kristen L.

2014-01-01

To support teaching and learning in the advanced placement (AP) chemistry laboratory, the College Board published a laboratory manual, "AP Chemistry Guided-Inquiry Experiments: Applying the Science Practices," in 2013 as part of the redesigned course. This article provides a discussion of the rationale for the existence of the manual as…

Practical Poultry Raising. Appropriate Technologies for Development. Manual M-11.

Science.gov (United States)

French, Kenneth M.

This manual is designed to provide development workers with the information and tools needed to begin or to improve poultry production. Covered in the individual chapters are the following topics: the nature and scope of poultry production, assessment of local poultry selections, basic information about chickens, country chickens, poultry…

European Model Code of safe practice in the storage and handling of petroleum products. Part I. Operations

Energy Technology Data Exchange (ETDEWEB)

1973-01-01

This safe practice code was prepared by a working group consisting of experts from 10 Western European countries. It consists of short guidelines and technical advice on general precautions, injuries and medical services, permits to work, fire prevention and fighting, jetties, pipework, storage tanks, static electricity, electrical equipment, road vehicles, tank cars, handling of bitumen products, liquefied petroleum gases, packed products and training of personnel. The code is supplemented by 10 appendices, including a suggested syllabus for a 2-day course on fire prevention and emergency action for managers of oil installations.

Stepping motor control processor reference manual. Volume I

International Nuclear Information System (INIS)

Holloway, F.W.; VanArsdall, P.J.; Suski, G.J.; Gant, R.G.; Rash, M.

1980-01-01

This manual is intended to serve several purposes. The first goal is to describe the capabilities and operation of the SMC processor package from an operator or user point of view. Secondly, the manual will describe in some detail the basic hardware elements and how they can be used effectively to implement a step motor control system. Practical information on the use, installation and checkout of the hardware set is presented in the following sections along with programming suggestions. Available related system software is described in this manual for reference and as an aid in understanding the system architecture. Section two presents an overview and operations manual of the SMC processor describing its composition and functional capabilities. Section three contains hardware descriptions in some detail for the LLL-designed hardware used in the SMC processor. Basic theory of operation and important features are explained

Nuclear medicine. 1 part. Manual

International Nuclear Information System (INIS)

Shlygina, O.E.; Borisenko, A.R.

2006-01-01

Current manual is urged to give wide-scale readers a submission on a key principles and methods of nuclear medicine, and it opportunities and restrictions in diagnostics and treatment of different diseases. Nuclear medicine is differing first of all by combination of diverse knowledge fields: special knowledge of a doctor, knowledge of physical processes bases, related with radiation, grounds of radiopharmaceutics, dosimetry. In the base of the book the 5th edition of 'Nuclear medicine' manual in 2 parts of German authors - Schicha, G.; Schober, O. is applied. In the book publishing the stuff of the Institute of Nuclear Physics of the National Nuclear Center of Republic of Kazakhstan has been worked. Modifications undergo practically all chapters: especially the second one, forth and sixth was enlarged. The 1 part of the book was published due to support of IAEA within the Technical cooperation project 'Implementation of Nuclear Medicine and Biophysics Center' (KAZ/6/007). The manual second part - devoted to applications of nuclear medicine methods for diagnostics and treatment - will be published in 2007

Mediation in Special Education: A Resource Manual for Mediators. Revised and Updated.

Science.gov (United States)

Schrag, Judy A.

This resource manual presents information on mediation practices in special education disagreements between the school and parents. The manual provides an overview of requirements in the Individuals with Disabilities Education Act (IDEA) and gives definitions for alternative dispute resolution processes, such as arbitration and litigation. A chart…

Regulatory control for safe usage of radiation sources in India

International Nuclear Information System (INIS)

Ghosh, P.K.; Sonawane, A.U.

1998-01-01

The widespread applications of radioactive materials and radiation generating equipment in the field of industry, medicine agriculture and research in India necessitated the establishment of an efficient regulatory framework and consequently the Atomic Energy Regulatory Board (AERB) was constituted to exercise regulatory control over the safe usage of the radioactive materials and the radiation generating equipment. The Atomic Energy Act, 1962 and the Radiation Protection Rules, 1971 promulgated under the Act forms the basis of radiation safety in India and Chairman, AERB is the Competent Authority to enforce the regulatory provisions of the Radiation Protection Rules, 1971, for safe use of radiation source in the country. AERB has published a number of documents such as Radiation Surveillance Procedures, Standards, Codes, Guides and Manuals for safe use and handling of radioactive materials and radiation generating equipment. Apart from nuclear fuel cycle documents, these publications pertain to industrial radiography, medical application of radiation, transport of radioactive material, industrial gamma irradiators, X-ray units etc. AERB safety related publications are based on international standards e.g. BSS, IAEA, ICRP, ISO etc. This paper outlines the methodology of regulatory control exercised by AERB for safe use of the radioactive materials and the radiation generating equipment in the country. (author)

Implicit attitudes towards risky and safe driving

DEFF Research Database (Denmark)

Martinussen, Laila Marianne; Sømhovd, Mikael Julius; Møller, Mette

; further, self-reports of the intention to drive safely (or not) are socially sensitive. Therefore, we examined automatic preferences towards safe and risky driving with a Go/No-go Association Task (GNAT). The results suggest that (1) implicit attitudes towards driving behavior can be measured reliably...... with the GNAT; (2) implicit attitudes towards safe driving versus towards risky driving may be separable constructs. We propose that research on driving behavior may benefit from routinely including measures of implicit cognition. A practical advantage is a lesser susceptibility to social desirability biases......, compared to self-report methods. Pending replication in future research, the apparent dissociation between implicit attitudes towards safe versus risky driving that we observed may contribute to a greater theoretical understanding of the causes of unsafe and risky driving behavior....

Manual on panoramic gamma irradiators (categories 2 and 4). Incorporating: Applications guide, procedures guide, basics guide

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-03-01

The document is the first revision of a previous one published in 1993 to provide guidance on the safe use and regulation of self-contained gamma irradiators (Co-60 or Cs-137 sources) in different fields of application. It includes three parts: Applications Guide, which describes the main applications of self-contained gamma irradiators, the type of equipment, including safety systems, operation and maintenance, and how to deal with incidents. Procedures Guide, which gives step by step instructions on how to carry out the practice. Basics Guide, which explains the fundamentals of radiation, the system of units, interaction of radiation with matter radiation detection, etc. The manual is aimed primarily at persons handling such radiation sources on a daily routine basis, as well as at the competent authorities for training of workers in radiation protection or for setting up local radiation protection rules.

Manual on panoramic gamma irradiators (categories 2 and 4). Incorporating: Applications guide, procedures guide, basics guide

International Nuclear Information System (INIS)

1996-01-01

The document is the first revision of a previous one published in 1993 to provide guidance on the safe use and regulation of self-contained gamma irradiators (Co-60 or Cs-137 sources) in different fields of application. It includes three parts: Applications Guide, which describes the main applications of self-contained gamma irradiators, the type of equipment, including safety systems, operation and maintenance, and how to deal with incidents. Procedures Guide, which gives step by step instructions on how to carry out the practice. Basics Guide, which explains the fundamentals of radiation, the system of units, interaction of radiation with matter radiation detection, etc. The manual is aimed primarily at persons handling such radiation sources on a daily routine basis, as well as at the competent authorities for training of workers in radiation protection or for setting up local radiation protection rules

Instrumentation and test gear circuits manual

CERN Document Server

Marston, R M

2013-01-01

Instrumentation and Test Gear Circuits Manual provides diagrams, graphs, tables, and discussions of several types of practical circuits. The practical circuits covered in this book include attenuators, bridges, scope trace doublers, timebases, and digital frequency meters. Chapter 1 discusses the basic instrumentation and test gear principles. Chapter 2 deals with the design of passive attenuators, and Chapter 3 with passive and active filter circuits. The subsequent chapters tackle 'bridge' circuits, analogue and digital metering techniques and circuitry, signal and waveform generation, and p

Manual for guided home exercises for osteoarthritis of the knee

Directory of Open Access Journals (Sweden)

Nilza Aparecida de Almeida Carvalho

2010-06-01

Full Text Available INTRODUCTION: Physiotherapy is one of the most important components of therapy for osteoarthritis of the knee. The objective of this prospective case series was to assess the efficiency of a guidance manual for patients with osteoarthritis of the knee in relation to pain, range of movement , muscle strength and function, active goniometry, manual strength test and function. METHODS: Thirty-eight adults with osteoarthritis of the knee (> 45 years old who were referred to the physiotherapy service at the university hospital (Santa Casa de Misericórdia de São Paulo were studied. Patients received guidance for the practice of specific physical exercises and a manual with instructions on how to perform the exercises at home. They were evaluated for pain, range of movement, muscle strength and function. These evaluations were performed before they received the manual and three months later. Patients were seen monthly regarding improvements in their exercising abilities. RESULTS: The program was effective for improving muscle strength, controlling pain, maintaining range of movement of the knee joint, and reducing functional incapacity. DISCUSSION: A review of the literature showed that there are numerous clinical benefits to the regular practice of physical therapy exercises by patients with osteoarthritis of the knee(s in a program with appropriate guidance. This study shows that this guidance can be attained at home with the use of a proper manual. CONCLUSIONS: Even when performed at home without constant supervision, the use of the printed manual for orientation makes the exercises for osteoarthritis of the knee beneficial.

Field manual for reclamation of salt contaminated soils

International Nuclear Information System (INIS)

Burley, M.J.; Lesky, M.; Warren, R.J.

1988-01-01

Saltwater is often produced with crude oil and must be separated from it at a processing facility prior to deep-well injection. Increasing volumes of saltwater have led to pipeline corrosion and an increasing frequency of saltwater spills. A field manual for treating saltwater-contaminated soil was prepared by the Production Research Department of Esso Resources Canada Limited and Husky Oil Operations Limited. The purpose of the manual is to provide field and plant operations with a practical guide for reclaiming brine spills on mineral (agricultural) soil. The manual covers background scientific theory about how saltwater affects the soil, initial steps for treating new spills, site assessment, and reclamation program design, implementation and monitoring. A sample spill site assessment form is included. 8 refs

Principles and Practices of Occupational Safety and Health: Administrator's Manual.

Science.gov (United States)

Occupational Safety and Health Administration, Washington, DC.

The manual guides an instructor in conducting a training course for first-line supervisors to familiarize them with six aspects relating to the Occupational Safety and Health Act of 1970: (1) requirements of the Act, (2) compliance with its standards, (3) identification of health and safety hazards, (4) correction of adverse conditions, (5) record…

Child Abuse and Neglect: A Manual for the Pastoral Counselor.

Science.gov (United States)

This manual was developed to help the pastor identify, evaluate, and counsel families experiencing child abuse situations. Precise data is presented...agencies involved in treating child abuse . The causal factors - parent, child, and environment are discussed. A practical viewpoint and analysis of the legal...ramifications of child abuse are presented. This manual presents a biblical bases for the counseling model which determine intervention strategies

Field manual for identifying and preserving high-water mark data

Science.gov (United States)

Feaster, Toby D.; Koenig, Todd A.

2017-09-26

This field manual provides general guidance for identifying and collecting high-water marks and is meant to be used by field personnel as a quick reference. The field manual describes purposes for collecting and documenting high-water marks along with the most common types of high-water marks. The manual provides a list of suggested field equipment, describes rules of thumb and best practices for finding high-water marks, and describes the importance of evaluating each high-water mark and assigning a numeric uncertainty value as part of the flagging process. The manual also includes an appendix of photographs of a variety of high-water marks obtained from various U.S. Geological Survey field investigations along with general comments about the logic for the assigned uncertainty values.

Ergonomics: safe patient handling and mobility.

Science.gov (United States)

Hallmark, Beth; Mechan, Patricia; Shores, Lynne

2015-03-01

This article reviews and investigates the issues surrounding ergonomics, with a specific focus on safe patient handling and mobility. The health care worker of today faces many challenges, one of which is related to the safety of patients. Safe patient handling and mobility is on the forefront of the movement to improve patient safety. This article reviews the risks associated with patient handling and mobility, and informs the reader of current evidence-based practice relevant to this area of care. Copyright © 2015 Elsevier Inc. All rights reserved.

Safe handling of tritium

International Nuclear Information System (INIS)

1991-01-01

The main objective of this publication is to provide practical guidance and recommendations on operational radiation protection aspects related to the safe handling of tritium in laboratories, industrial-scale nuclear facilities such as heavy-water reactors, tritium removal plants and fission fuel reprocessing plants, and facilities for manufacturing commercial tritium-containing devices and radiochemicals. The requirements of nuclear fusion reactors are not addressed specifically, since there is as yet no tritium handling experience with them. However, much of the material covered is expected to be relevant to them as well. Annex III briefly addresses problems in the comparatively small-scale use of tritium at universities, medical research centres and similar establishments. However, the main subject of this publication is the handling of larger quantities of tritium. Operational aspects include designing for tritium safety, safe handling practice, the selection of tritium-compatible materials and equipment, exposure assessment, monitoring, contamination control and the design and use of personal protective equipment. This publication does not address the technologies involved in tritium control and cleanup of effluents, tritium removal, or immobilization and disposal of tritium wastes, nor does it address the environmental behaviour of tritium. Refs, figs and tabs

Manual for investigation and correction of feedwater heater failures

International Nuclear Information System (INIS)

Bell, R.J.; Diaz-Tous, I.A.; Bartz, J.A.

1993-01-01

The Electric Power Research Institute (EPRI) has sponsored the development of a recently published manual which is designed to assist utility personnel in identifying and correcting closed feedwater heater problems. The main portion of the manual describes common failure modes, probable means of identifying root causes and appropriate corrective actions. These include materials selection, fabrication practices, design, normal/abnormal operation and maintenance. The manual appendices include various data, intended to aid those involved in monitoring and condition assessment of feedwater heaters. This paper contains a detailed overview of the manual content and suggested means for its efficient use by utility engineers and operations and maintenance personnel who are charged with the responsibilities of performing investigations to identify the root cause(s) of closed feedwater problems/failures and to provide appropriate corrective actions. 4 refs., 3 figs., 2 tabs

I spy with my little eye: Analysis of airline pilots' gaze patterns in a manual instrument flight scenario.

Science.gov (United States)

Haslbeck, Andreas; Zhang, Bo

2017-09-01

The aim of this study was to analyze pilots' visual scanning in a manual approach and landing scenario. Manual flying skills suffer from increasing use of automation. In addition, predominantly long-haul pilots with only a few opportunities to practice these skills experience this decline. Airline pilots representing different levels of practice (short-haul vs. long-haul) had to perform a manual raw data precision approach while their visual scanning was recorded by an eye-tracking device. The analysis of gaze patterns, which are based on predominant saccades, revealed one main group of saccades among long-haul pilots. In contrast, short-haul pilots showed more balanced scanning using two different groups of saccades. Short-haul pilots generally demonstrated better manual flight performance and within this group, one type of scan pattern was found to facilitate the manual landing task more. Long-haul pilots tend to utilize visual scanning behaviors that are inappropriate for the manual ILS landing task. This lack of skills needs to be addressed by providing specific training and more practice. Copyright © 2017 Elsevier Ltd. All rights reserved.

TAP 1, Training Program Manual

International Nuclear Information System (INIS)

1991-01-01

Training programs at DOE nuclear facilities should provide well-trained, qualified personnel to safely and efficiently operate the facilities in accordance with DOE requirements. A need has been identified for guidance regarding analysis, design, development, implementation, and evaluation of consistent and reliable performance-based training programs. Accreditation of training programs at Category A reactors and high-hazard and selected moderate-hazard nonreactor nuclear facilities will assure consistent, appropriate, and cost-effective training of personnel responsible for the operation, maintenance, and technical support of these facilities. Training programs that are designed and based on systematically determined job requirements, instead of subjective estimation of trainee needs, yield training activities that are consistent and develop or improve knowledge, skills, and abilities that can be directly related to the work setting. Because the training is job-related, the content of these programs more efficiently meets the needs of the employee. Besides a better trained work force, a greater level of operational reactor safety can be realized. This manual is intended to provide an overview of the accreditation process and a brief description of the elements necessary to construct and maintain training programs that are based on the requirements of the job. Two companion manuals provide additional information to assist contractors in their efforts to accredit training programs

Peace Corps Aquaculture Training Manual. Training Manual T0057.

Science.gov (United States)

Peace Corps, Washington, DC. Information Collection and Exchange Div.

This Peace Corps training manual was developed from two existing manuals to provide a comprehensive training program in fish production for Peace Corps volunteers. The manual encompasses the essential elements of the University of Oklahoma program that has been training volunteers in aquaculture for 25 years. The 22 chapters of the manual are…

A Clinical Study on Management of Incomplete Abortion by Manual Vacuum Aspiration (MVA

Directory of Open Access Journals (Sweden)

Arifa Akter Jahan

2012-07-01

Full Text Available Background: Abortion is an important social and public health issue. In Bangladesh complication from unsafe abortion is one of the leading causes of maternal mortality. It is a serious health problem. World Health Organisation estimates that 14% of maternal deaths which occur every year in the countries of South Asia including Bangladesh are due to abortion. Study shows manual vacuum aspiration procedure is safe and effective in incomplete abortion. Very few clinical trials were carried out in Bangladesh to assess the safety and effectivity of manual vacuum aspiration in managing incomplete abortion. Objective: To find out the outcome of manual vacuum aspiration in the management of patients of incomplete abortion. Materials and Methods: This observational descriptive study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College & Hospital from June to December, 2004. One hundred cases of diagnosed incomplete abortion up to 12 weeks of gestation were managed by manual vacuum aspiration during this period. A data recording sheet was designed for this purpose. Haemodynamically stable patients with no history of induced abortion and fever were enrolled. Results: Procedure time of manual vacuum aspiration was short, average duration was 7 minutes. Bleeding was minimum (20-30 mL in 67% cases and weighted mean was 29.80 mL. Eighty three percent patients were stable during the procedure and only 3% needed blood transfusion. Nonnarcotic analgesics were used in 59% cases and 33% needed only proper counselling. Average duration of hospital stay was 2 hours. Effectiveness of the procedure was about 98% with very low post procedure complication rate (2%. Conclusion: MVA procedure is a safe and effective technique of uterine evacuation in incomplete abortion. It is quick, less expensive, effective and less painful. Hospital stay and chance of perforation of uterus is less. So this procedure should be considered by health care

How safe is GP obstetrics? An assessment of antenatal risk factors and perinatal outcomes in one rural practice.

Science.gov (United States)

Kirke, Andrew B

2010-01-01

Approximately one-fifth of Western Australian women deliver their babies in rural and remote regions of the state. The medical workforce caring for these women is predominantly non-specialist GP obstetricians. This article explores how safe is rural GP obstetrics. It reviews one rural obstetric practice in detail. In particular it asks these questions: What are the antenatal risk factors? What are the obstetric outcomes for the mother? What are the obstetric outcomes for the baby? This study is an audit of the author's obstetric practice over a two-year period from July 2007 to June 2009. The audit criteria included all obstetric patients managed by the author through to delivery and immediate post-partum care. Hospital and practice notes for 195 singleton pregnancies were reviewed. Antenatal risk factors, intrapartum events and immediate post-partum events for all patients cared for by the author through to delivery were recorded and compared with averages for Western Australia from published 2007 figures. The maternal population had mean age of 28.5 years, 2.1% were Aboriginal. Body mass index (BMI) at booking was a mean of 27.1 (range 18-40). Those with a BMI > 40 were referred elsewhere. Significant antenatal risks included smoking (14.9%), previous caesarean section (14.4%), hypertension (13.3%), pre-eclampsia (5.1%) and gestational diabetes (8.2%). Intrapartum there were high rates of induction (33.5%), epidural/spinal (34.7%) and shoulder dystocia (3.6%). Type of delivery was predominantly spontaneous vaginal (65.6%), vacuum (14.9%), forceps (2.6%), elective caesarean (9.7%) and non-elective caesarean (8.7%). Post-partum events included post-partum haemorrhage (10.3%), transfusion (1.5%), retained placenta (2.1%), neonatal jaundice (21.1%), neonatal seizures (1.5%) neonatal sepsis (1.5%) and neonatal special care or intensive care (SCU/NICU) admission (9.8%). The audit population was a group of relatively low risk pregnant women. Despite referral of more

CMOS circuits manual

CERN Document Server

Marston, R M

1995-01-01

CMOS Circuits Manual is a user's guide for CMOS. The book emphasizes the practical aspects of CMOS and provides circuits, tables, and graphs to further relate the fundamentals with the applications. The text first discusses the basic principles and characteristics of the CMOS devices. The succeeding chapters detail the types of CMOS IC, including simple inverter, gate and logic ICs and circuits, and complex counters and decoders. The last chapter presents a miscellaneous collection of two dozen useful CMOS circuits. The book will be useful to researchers and professionals who employ CMOS circu

Timber designers' manual

CERN Document Server

Ozelton, E C

2008-01-01

This major reference manual covers both overall and detail design of structural timber, including aspects such as shear deflection, creep, dynamic and lateral stability considerations for flexural members.Available for the first time in paperback, the Third Edition was substantially revised to take account of the many changes since the previous edition was published in 1984. It is based on British Standard BS 5268-2: 2002, which brought design concepts closer to European practice and Eurocode 5.Features of the Third Edition include:* information on bolt values including

Occupational safety manual. 4. rev. ed.

International Nuclear Information System (INIS)

Skiba, R.

1979-01-01

With the rapid technical development and increasing life expectancy, protection against occupational hazards has become a central economic and social problem. Consultants and others responsible for occupational safety should not only be interested in their work but also have sufficient basic knowledge. The complex subject is presented in a simplified and easily comprehensible manner, with particular regard to the practical side. The book is at the same time a textbook for basic training and a reference manual for the working practice. (orig./HP) [de

Evaluation of the CDC safe water-storage intervention to improve ...

African Journals Online (AJOL)

Evaluation of the CDC safe water-storage intervention to improve the microbiological quality of point-of-use drinking water in rural communities in South Africa. ... use of safe household water-storage devices and water treatment processes and improvement of hygiene and sanitation practices in these rural households.

Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice.

Science.gov (United States)

Ghanim, A; Silva, M J; Elfrink, M E C; Lygidakis, N A; Mariño, R J; Weerheijm, K L; Manton, D J

2017-08-01

Despite clear assessment criteria, studies of molar incisor hypomineralisation (MIH) and hypomineralised second primary molars (HSPM) are marked by inconsistency in outcome measurements. This has detracted from meaningful comparisons between studies and limited interpretation. To provide a comprehensive manual as a companion to assist researchers in planning epidemiological studies of MIH and HSPM, with particular reference to outcome measurement. This manual begins with a succinct review of the clinical problems and evidence for management of the conditions. The subsequent sections guide researchers through diagnosis of MIH and HSPM and implementation of both the long and short forms of a recently proposed grading system. MIH and HSPM can often be confused with fluorosis, enamel hypoplasia, amelogenesis imperfecta, and white spot lesions but can be distinguished by a number of unique clinical features. Based on the grading system, a standardised protocol is proposed for clinical examinations. Intra and inter-examiner reliability is of key importance when outcome measurement is subjective and should be reported in all epidemiological studies of MIH. The manual concludes with an exercise forum aimed to train examiners in the use of the grading system, with answers provided. The use of a standardised protocol, diagnostic and grading criteria will greatly enhance the quality of epidemiological studies of MIH.

Think Before You Ink: Are Tattoos Safe?

Science.gov (United States)

... Consumers Consumer Updates Think Before You Ink: Are Tattoos Safe? Share Tweet Linkedin Pin it More sharing ... I be concerned about unsafe practices, or the tattoo ink itself? Both. While you can get serious ...

The safe home project.

Science.gov (United States)

Arphorn, Sara; Jiraniratisai, Sopaphan; Rungtakul, Rungsri; Phutta, Nikom

2011-12-01

The Thai Health Promotion Foundation supported the Improvement of Quality of Life of Informal Workers project in Ban Luang District, Amphur Photaram, Ratchaburi Province. There were many informal workers in Ban Luang District. Sweet-crispy fish producers in Ban Luang were the largest group among the sweet-crispy fish producers in Thailand. This project was aimed at improving living and working conditions of informal workers, with a focus on the sweet-crispy fish group. Good practices of improved living and working conditions were used to help informal workers build safe, healthy and productive work environments. These informal workers often worked in substandard conditions and were exposed to various hazards in the working area. These hazards included risk of exposure to hot work environment, ergonomics-related injuries, chemical hazards, electrical hazards etc. Ergonomics problems were commonly in the sweet-crispy fish group. Unnatural postures such as prolonged sitting were performed dominantly. One hundred and fifty informal workers participated in this project. Occupational health volunteers were selected to encourage occupational health and safety in four groups of informal workers in 2009. The occupational health volunteers trained in 2008 were farmers, beauty salon workers and doll makers. The occupational health and safety knowledge is extended to a new informal worker group: sweet-crispy fish producer, in 2009. The occupational health and safety training for sweet-crispy fish group is conducted by occupational health volunteers. The occupational health volunteers increased their skills and knowledge assist in to make safe home and safe community through participatory oriented training. The improvement of living and working condition is conducted by using a modified WISH, Work Improvement for Safe Home, checklist. The plans of improvement were recorded. The informal workers showed improvement mostly on material handling and storage. The safe uses and safe

Safe Transport of Radioactive Material, Philosophy and Overview

Energy Technology Data Exchange (ETDEWEB)

EL-Shinawy, R M.K. [Radiation Protection Dept., Nuclear Rasearch Center, Atomic Energy Authority, Cairo (Egypt)

2008-07-01

Safe transport of radioactive material regulations issued by IAEA since 1961, provide standards for insuring a high level of safety of people,transport workers, property and environment against radiation, contamination and criticality hazards as well as thermal effects associated with the transport of the radioactive wastes and material. The history ,development, philosophy and scope of these international and national regulations were mentioned as well as the different supporting documents to the regulations for safe transport of radioactive material were identified.The first supporting document , namely TS - G-1.1(ST-2) ,Advisory material is also issued by the IAEA.It contains both the advisory and explanatory materials previously published in safety series Nos 7and 37 and therefore TS-G-1.1 (ST-2) will supersede safety series Nos 7 and 37. The second supporting document namely TS-G-1.2 (ST-3), planning and preparing for emergency response to transport accidents involving radioactive material ,which will supersede safety series No 87. In addition to quality assurance (SS no.113), compliance assurance (SS no. 112), the training manual and others.

Safe Transport of Radioactive Material, Philosophy and Overview

International Nuclear Information System (INIS)

EL-Shinawy, R.M.K.

2008-01-01

Safe transport of radioactive material regulations issued by IAEA since 1961, provide standards for insuring a high level of safety of people,transport workers, property and environment against radiation, contamination and criticality hazards as well as thermal effects associated with the transport of the radioactive wastes and material. The history ,development, philosophy and scope of these international and national regulations were mentioned as well as the different supporting documents to the regulations for safe transport of radioactive material were identified.The first supporting document , namely TS - G-1.1(ST-2) ,Advisory material is also issued by the IAEA.It contains both the advisory and explanatory materials previously published in safety series Nos 7and 37 and therefore TS-G-1.1 (ST-2) will supersede safety series Nos 7 and 37. The second supporting document namely TS-G-1.2 (ST-3), planning and preparing for emergency response to transport accidents involving radioactive material ,which will supersede safety series No 87. In addition to quality assurance (SS no.113), compliance assurance (SS no. 112), the training manual and others

Brownfields and Urban Agriculture: Interim Guidelines for Safe Gardening Practices

Science.gov (United States)

This document is a condensation of the input of experts from the government, the nonprofit sector, and academia who gathered to outline the range of issues which need to be addressed in order to safely grow food on former brownfield sites.

Patient Involvement in Safe Delivery: A Qualitative Study

OpenAIRE

Olfati, Forozun; Asefzadeh, Saeid; Changizi, Nasrin; Keramat, Afsaneh; Yunesian, Masud

2015-01-01

Introduction: Patient involvement in safe delivery planning is considered important yet not widely practiced. The present study aimed at identifythe factors that affect patient involvementin safe delivery, as recommended by parturient women. Methods: This study was part of a qualitative research conducted by content analysis method and purposive sampling in 2013. The data were collected through 63 semi-structured interviews in4 hospitalsand analyzed using thematic content analysis. The partic...

Pengaruh Fundamental Safe Work Practice Terhadap Pencegahan Kecelakaan Kerja Bagian Workover di PT. ACS Duri

Directory of Open Access Journals (Sweden)

M. Saifullah

2012-05-01

Full Text Available PT. Asrindo Citraseni Satria (ACS is a company engaged in oil and gas and is a sub contractor PT.CPI. PT. ACS has implemented FSWP whose objective which is to identify, assess, reduce, control or eliminate the risks associated with the work, but until now there is still a work accident that occurred even in small quantities. The author would like to know about the effect of application of the section Fundamental Safe Work Practice (FSWP can prevent the accident in workover PT. ACS Duri. This research uses quantitative analytical survey, with the design of Cross Sectional conducted from May to June 2012 with a large sample of 122 of the 360 people who work in the workover. Samples were taken by using a system Accidental Sampling, and the data processed using a computer program to analyze the independent variables in the form of application as well as the dependent variable is FSWP occupational accidents and tested using Chi-square. The results showed that, the application of FSWP can prevent accidents which includes Standard Operating Procedure (SOP with the value of P = 0.01 is smaller than the value of α = 0.05 that means there are a significant correlation between the application of SOP with workplace accidents, PTW with a value of P = 0.02 is more smaller than the value of α = 0.05 means that there are significant correlation between the application of Permit To Work (PTW accidents, and tagged with a value of P = 0.01 is smaller than the value of α= 0.05 means there is a significant correlation between the application of Log Out/Tag Out (LOTO by accident. It was concluded that, the application of FSWP can reduce / reduce the number of occupational accidents in the workover, and is expected for the management of HES to improving the knowledge for employee about the aspects of FSWP (SWA, Hazard Analysis, SOP, Access Control, PPE, MSDS, Housekeeping, PTW & Other Safe Work Practices.

Staying Safe While Doing Science in Public: Emerging Best Practices for Social Media

Science.gov (United States)

Jefferson, A.; McKinnon, M.

2016-12-01

Doing science in public has incalculable benefits for professional networking, science advocacy, and public outreach, but it also carries significant risks. Online harassment related to social media use can pose significant emotional hardship, negatively impact professional standing, and even threaten physical welfare. Women, people of color, and other underrepresented people in science are disproportionately targeted for anonymous online harassment. We analyzed our experiences with online harassment, and tactics for managing this harassment. While anecdotal, our experiences cover scientists with differing identities and fields, demonstrating that while the details change the overarching patterns remain the same. Fear of becoming a target poses a significant barrier to engaging in public discourse about science. But it is possible to mitigate this risk. Successful strategies for social media to promote science while staying safe are slowly creating a body of emerging best practices. These tactics include proactively restricting access to personal information, developing strategies for identifying and responding to deliberate antagonists (trolls), and choosing when and how to participate in volatile topics. They also require full-community engagement from creating support networks, partnering with allies to manage sudden floods of hostility, and educating on security practices for protecting colleagues' potentially sensitive personal information. It is our hope that frank and open discussion of the realistic threat passed by harassment and strategies for mitigating that threat will jump start a culture of online safety amongst geoscientists, and encourage our most vulnerable and underrepresented scientists to participate in the public sphere.

Safe China final report. Promoting the EU and German standards and practices of environmental protection and industrial safety in China

Energy Technology Data Exchange (ETDEWEB)

Jovanovic, A.; Guntrum, R.; Liu, Y. (eds.)

2013-07-01

This document presents the results of the international technology transfer and cooperation project SafeChina (''Promoting the EU and German standards and practices of Environmental Protection and Industrial Safety in China'', www.safechina.risk-technologies.com). The purpose of the project was to build an education, training and certification infrastructure and to offer to Chinese engineers and other professionals the possibility to learn about the EU HSE practices and regulation and qualify as Environmental- and Safety engineers according to the EU criteria, guidelines and practice. The main partners in the project have been Steinbeis University Berlin/Steinbeis Transfer Institute Advanced Risk Technologies, and the OEG mbH (Deutsche lnvestitions- und Entwicklungsgesellschaft mbH), subsidiary of KfW Banking Group, Germany. Main Chinese partners were Beijing Municipal Institute of Labour Protection and Capital University of Economics and Business, Beijing.

Safe China final report. Promoting the EU and German standards and practices of environmental protection and industrial safety in China

International Nuclear Information System (INIS)

Jovanovic, A.; Guntrum, R.; Liu, Y.

2013-01-01

This document presents the results of the international technology transfer and cooperation project SafeChina (''Promoting the EU and German standards and practices of Environmental Protection and Industrial Safety in China'', www.safechina.risk-technologies.com). The purpose of the project was to build an education, training and certification infrastructure and to offer to Chinese engineers and other professionals the possibility to learn about the EU HSE practices and regulation and qualify as Environmental- and Safety engineers according to the EU criteria, guidelines and practice. The main partners in the project have been Steinbeis University Berlin/Steinbeis Transfer Institute Advanced Risk Technologies, and the OEG mbH (Deutsche lnvestitions- und Entwicklungsgesellschaft mbH), subsidiary of KfW Banking Group, Germany. Main Chinese partners were Beijing Municipal Institute of Labour Protection and Capital University of Economics and Business, Beijing.

Special study for the manual transfer of process samples from CPP [Chemical Processing Plant] 601 to RAL [Remote Analytical Laboratory

International Nuclear Information System (INIS)

Marts, D.J.

1987-05-01

A study of alternate methods to manually transport radioactive samples from their glove boxes to the Remote Analytical Laboratory (RAL) was conducted at the Idaho National Engineering Laboratory. The study was performed to mitigate the effects of a potential loss of sampling capabilities that could take place if a malfunction in the Pneumatic Transfer System (PTS) occurred. Samples are required to be taken from the cell glove boxes and analyzed at the RAL regardless of the operational status of the PTS. This paper documents the conclusions of the study and how a decision was reached that determined the best handling scenarios for manually transporting 15 mL vials of liquid process samples from the K, W, U, WG, or WH cell glove boxes in the Chemical Processing Plant (CPP) 601 to the RAL. This study of methods to manually remove the samples from the glove boxes, package them for safe shipment, transport them by the safest route, receive them at the RAL, and safely unload them was conducted by EG and G Idaho, Inc., for Westinghouse Idaho Nuclear Company as part of the Glove Box Sampling and Transfer System Project for the Fuel Processing Facilities Upgrade, Task 10, Subtask 2. The study focused on the safest and most reliable scenarios that could be implemented using existing equipment. Hardware modifications and new hardware proposals were identified, and their impact on the handling scenario has been evaluated. A conclusion was reached that by utilizing the existing facility hardware, these samples can be safely transported manually from the sample stations in CPP 601 to the RAL, and that additional hardware could facilitate the transportation process even further

WASTES: Wastes system transportation and economic simulation: Version 2, Programmer's reference manual

International Nuclear Information System (INIS)

Buxbaum, M.E.; Shay, M.R.

1986-11-01

The WASTES Version II (WASTES II) Programmer's Reference Manual was written to document code development activities performed under the Monitored Retrievable Storage (MRS) Program at Pacific Northwest Laboratory (PNL). The manual will also serve as a valuable tool for programmers involved in maintenance of and updates to the WASTES II code. The intended audience for this manual are experienced FORTRAN programmers who have only a limited knowledge of nuclear reactor operation, the nuclear fuel cycle, or nuclear waste management practices. It is assumed that the readers of this manual have previously reviewed the WASTES II Users Guide published as PNL Report 5714. The WASTES II code is written in FORTRAN 77 as an extension to the SLAM commercial simulation package. The model is predominately a FORTRAN based model that makes extensive use of the SLAM file maintenance and time management routines. This manual documents the general manner in which the code is constructed and the interactions between SLAM and the WASTES subroutines. The functionality of each of the major WASTES subroutines is illustrated with ''block flow'' diagrams. The basic function of each of these subroutines, the algorithms used in them, and a discussion of items of particular note in the subroutine are reviewed in this manual. The items of note may include an assumption, a coding practice that particularly applies to a subroutine, or sections of the code that are particularly intricate or whose mastery may be difficult. The appendices to the manual provide extensive detail on the use of arrays, subroutines, included common blocks, parameters, variables, and files

Manual on maintenance of systems and components important to safety

International Nuclear Information System (INIS)

1986-01-01

The Manual should serve as guidance at the plant management level for the maintenance of systems and components important to safety. It includes a detailed description of management systems, administrative controls and procedures. The Annexes contain examples of documents and practices adopted by Operating Organizations of some Member States. It is not the intention of this Manual to address the technical problem of how to maintain a particular component but rather to cover the programmatic aspects of maintenance. It also contains some aspects of surveillance and verification activities. The Manual makes only general statements about radiation protection provisions in connection with maintenance; detailed guidance can be found in other IAEA documents

Manual of Radiation Protection

International Nuclear Information System (INIS)

Gambini, D.J.; Granier, R.; Boisserie, G.

1992-01-01

This manual explains the principles and practice of radiation protection for those whose work in research, in the field of medicine or in the industry requires the use of radiation sources. It provides the information radiation users need to protect themselves and others and to understand and comply with international recommendations, regulations and legislation regarding the use of radionuclides and radiation machines. It is designed to teach a wide audience of doctors, biologists, research scientists, technicians, engineers, students and others

Manual on quality assurance programme auditing

International Nuclear Information System (INIS)

1984-01-01

The objective of this Manual is to provide guidance and illustrative examples of the methodology and techniques of internal and external audits that are consistent with the requirements and recommendations of the Code and the Safety Guide. The methodology and techniques are based on the practices of Member States having considerable experience in auditing QA programmes. This Manual is directed primarily towards QA programme auditors and managers and presents methods and techniques considered appropriate for the preparation and performance of audits and the evaluation of results. Its scope includes the techniques and methods used to carry out QA programme audits variously described as 'System', 'Product' and 'Process' audits. The techniques and methods described here may be used as one approach to the evaluation of suppliers' QA capabilities as defined in 50-SG-QA10. Although the Manual is primarily directed towards purchasers and suppliers, it is also relevant to regulatory organizations, such as government offices responsible for quality assurance, which carry out external audits independent of purchasers and suppliers. In such cases similar methods, procedures and techniques may be used

Building Blocks for School IPM: A Least-Toxic Pest Management Manual.

Science.gov (United States)

Crouse, Becky, Ed.; Owens, Kagan, Ed.

This publication is a compilation of original and republished materials from numerous individuals and organizations working on pesticide reform and integrated pest management (IPM)--using alternatives to prevailing chemical-intensive practices. The manual provides comprehensive information on implementing school IPM, including a practical guide to…

Determinants of knowledge of critical danger signs, safe childbirth and immediate newborn care practices among auxiliary midwives: a cross sectional survey in Myanmar.

Science.gov (United States)

Than, Kyu Kyu; Morgan, Alison; Pham, Minh Duc; Beeson, James G; Luchters, Stanley

2017-07-05

The re-emergence of community-based health workers such as the auxiliary midwives (AMWs) in Myanmar, who are local female volunteers, has been an important strategy to address global health workforce shortages. The Myanmar government recommends one AMW for every village. The aim of this study is to investigate the current knowledge of critical danger signs and practices for safe childbirth and immediate newborn care of AMWs to inform potential task shifting of additional healthcare responsibilities. A cross-sectional survey was conducted from July 2015 to June 2016 in three hard-to-reach areas in Myanmar. Face-to-face interviews were conducted using a pretested questionnaire. Among 262 AMWs participating in the study, only 8% of AMWs were able to identify at least 80% of 20 critical danger signs. Factors associated with greater knowledge of critical danger signs included older age over 35 years (adjusted OR (AOR) 2.19, 95% CI 0.99 to 4.83), having received refresher training within the last year (AOR 2.20, 95% CI 1.21 to 4.01) and receiving adequate supervision (AOR 5.04, 95% CI 2.74 to 9.29). Those who employed all six safe childbirth and immediate newborn care practices were more likely to report greater knowledge of danger signs (AOR 2.81, 95% CI 1.50 to 5.26), adequate work supervision (AOR 3.18 95% CI 1.62 to 6.24) and less education (AOR 0.44, 95% CI 0.23 to 0.88). The low level of knowledge of critical danger signs and reported practices for safe childbirth identified suggest that an evaluation of the current AMW training and supervision programme needs to be revisited to ensure that existing practices, including recognition of danger signs, meet quality care standards before new interventions are introduced or new responsibilities given to AMWs. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Challenges to Safe Injection Practices in Ambulatory Care.

Science.gov (United States)

Anderson, Laura; Weissburg, Benjamin; Rogers, Kelli; Musuuza, Jackson; Safdar, Nasia; Shirley, Daniel

2017-05-01

Most recent infection outbreaks caused by unsafe injection practices in the United States have occurred in ambulatory settings. We utilized direct observation and a survey to assess injection practices at 31 clinics. Improper vial use was observed at 13 clinics (41.9%). Pharmacy support and healthcare worker education may improve injection practices. Infect Control Hosp Epidemiol 2017;38:614-616.

Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain

Directory of Open Access Journals (Sweden)

A. Russell Smith

2007-01-01

Full Text Available Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current literature related to the use of manual techniques (including manipulation, massage, and nerve manipulation, and discusses future research topics. The literature related to manual therapy has historically been anecdotal and theoretical, and current research tends to have a generic approach with broad definitions of manual therapy and inconsistencies in the classification of specific disorders. Systematic reviews of various types of manual therapy have differed on their conclusions regarding the effectiveness of this treatment modality. The current demand in health care for evidence-based practice necessitates a movement towards more specificity in the research of the effectiveness of manual therapy, with emphasis on specific patient signs and symptoms and specific manual techniques that result in effective care.

Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain

Science.gov (United States)

Smith, A. Russell

2007-01-01

Manual therapy has been an approach in the management of patients with various disorders dating back to ancient times and continues to play a significant role in current health care. The future role of manual therapy in health care is an important area of research. This paper reviews the history of manual therapy, examines the current literature related to the use of manual techniques (including manipulation, massage, and nerve manipulation), and discusses future research topics. The literature related to manual therapy has historically been anecdotal and theoretical, and current research tends to have a generic approach with broad definitions of manual therapy and inconsistencies in the classification of specific disorders. Systematic reviews of various types of manual therapy have differed on their conclusions regarding the effectiveness of this treatment modality. The current demand in health care for evidence-based practice necessitates a movement towards more specificity in the research of the effectiveness of manual therapy, with emphasis on specific patient signs and symptoms and specific manual techniques that result in effective care. PMID:17334604

Safe sex

Science.gov (United States)

... sex; Sexually transmitted - safe sex; GC - safe sex; Gonorrhea - safe sex; Herpes - safe sex; HIV - safe sex; ... contact. STIs include: Chlamydia Genital herpes Genital warts Gonorrhea Hepatitis HIV HPV Syphilis STIs are also called ...

Safe operation of research reactors and critical assemblies. Code of practice and annexes. 1984 ed

International Nuclear Information System (INIS)

1984-01-01

The safe operation of research reactors and critical assemblies (hereafter termed 'reactors') requires proper design, construction, management and supervision. This Code of Practice deals mainly with management and supervision. The provisions of the Code apply to the whole life of the reactor, including modification, updating and upgrading. The Code may be subject to revision in the light of experience and the state of technology. The Code is aimed at defining minimum requirements for the safe operation of reactors. Emphasis is placed on which safety requirements should be met rather than on specifying how these requirements may be met. The Code also provides guidance and information to persons and authorities responsible for the operation of reactors. The Code recommends that documents dealing with the operation of reactors and including safety analyses be prepared and submitted for review and approval to a regulatory body. Operation would be authorized on the understanding that it would comply with limits and conditions designed to ensure safety. The Code covers a wide range of reactor types, which gives rise to a variety of safety issues. Safety issues applicable to specific reactor types only (e.g. fast reactors) are not necessarily covered in this Code. Some of the recommendations in the Code are not directly applicable to critical assemblies. A recommendation may therefore be interpreted according to the type of reactor concerned. In such cases the words 'adequate' and 'appropriate' are used to mean 'adequate' or 'appropriate' for the type of reactor under consideration.

Important wheelchair skills for new manual wheelchair users: health care professional and wheelchair user perspectives.

Science.gov (United States)

Morgan, Kerri A; Engsberg, Jack R; Gray, David B

2017-01-01

The purpose of this project was to identify wheelchair skills currently being taught to new manual wheelchair users, identify areas of importance for manual wheelchair skills' training during initial rehabilitation, identify similarities and differences between the perspectives of health care professionals and manual wheelchair users and use the ICF to organize themes related to rehabilitation and learning how to use a manual wheelchair. Focus groups were conducted with health care professionals and experienced manual wheelchair users. ICF codes were used to identify focus group themes. The Activities and Participation codes were more frequently used than Structure, Function and Environment codes. Wheelchair skills identified as important for new manual wheelchair users included propulsion techniques, transfers in an out of the wheelchair, providing maintenance to the wheelchair and navigating barriers such as curbs, ramps and rough terrain. Health care professionals and manual wheelchair users identified the need to incorporate the environment (home and community) into the wheelchair training program. Identifying essential components for training the proper propulsion mechanics and wheelchair skills in new manual wheelchair users is an important step in preventing future health and participation restrictions. Implications for Rehabilitation Wheelchair skills are being addressed frequently during rehabilitation at the activity-dependent level. Propulsion techniques, transfers in an out of the wheelchair, providing maintenance to the wheelchair and navigating barriers such as curbs, ramps and rough terrain are important skills to address during wheelchair training. Environment factors (in the home and community) are important to incorporate into wheelchair training to maximize safe and multiple-environmental-setting uses of manual wheelchairs. The ICF has application to understanding manual wheelchair rehabilitation for wheelchair users and therapists for improving

Do management practices support or constrain safe driving behaviour? A multi-level investigation in a sample of occupational drivers.

Science.gov (United States)

Newnam, Sharon; Warmerdam, Amanda; Sheppard, Dianne; Griffin, Mark; Stevenson, Mark

2017-05-01

It has been estimated that one-third of all work-related deaths occur while driving for work-related purposes. Despite this, many organisations are unaware of the practices, beyond those that identify and control the impact of unforeseen events (i.e., risk management), that predispose drivers to risk. This study addresses the issue by identifying the management practices operationalised as, High Performance Workplace Systems (HPWS) that influence safe driver behaviour. The study also explores the value given to safety by senior level management as a moderator of the relationship between HPWS practices and driver behaviour. Each factor was tested within a two level hierarchical model consisting of 911 drivers, nested within 161 supervisors and 83 organisations. The findings highight that under conditions of high investment in job and work design, communication and selection practices, drivers reported poorer driving behaviour. An interaction effect also demonstrated that under conditions of high investment in remuneration, drivers reported safer behaviour, but only when they perceived that managers valued and prioritised safety. The findings challenge current thinking in the management of workplace road safety. Copyright © 2017 Elsevier Ltd. All rights reserved.

TAP 2, Performance-Based Training Manual

Energy Technology Data Exchange (ETDEWEB)

1991-07-01

Training programs at DOE nuclear facilities should provide well- trained, qualified personnel to safely and efficiently operate the facilities in accordance with DOE requirements. A need has been identified for guidance regarding analysis, design, development, implementation, and evaluation of consistent and reliable performance-based training programs. Accreditation of training programs at Category A reactors and high-hazard and selected moderate-hazard nonreactor facilities will assure consistent, appropriate, and cost-effective training of personnel responsible for the operation, maintenance, and technical support of these facilities. Training programs that are designed and based on systematically job requirements, instead of subjective estimation of trainee needs, yield training activities that are consistent and develop or improve knowledge, skills, and abilities that can be directly related to the work setting. Because the training is job-related, the content of these programs more efficiently and effectively meets the needs of the employee. Besides a better trained work force, a greater level of operational reactor safety can be realized. This manual is intended to provide an overview of the accreditation process and a brief description of the elements necessary to construct and maintain training programs that are based on the requirements of the job. Two comparison manuals provide additional information to assist contractors in their efforts to accredit training programs.

TAP 3, Training Program Support Manual

International Nuclear Information System (INIS)

1991-07-01

Training programs at DOE facilities should provide well-trained, qualified personnel to safely and efficiently operate the facilities in accordance with DOE requirements. A need has been identified for guidance regarding analysis, design, development, implementation, and evaluation of consistent and reliable performance-based training programs. Accreditation of training programs at Category A reactors and high-hazard and selected moderate-hazard nonreactor nuclear facilities will assure consistent, appropriate, and cost-effective training of personnel responsible for the operation, maintenance, and technical support of these facilities. Training programs that are designed and based on systematically determined job requirements, instead of subjective estimation of trainee needs, yield training activities that are consistent and develop or improve knowledge, skills, and abilities that can be directly related to the work setting. Because the training is job-related, the content of these programs more efficiently and effectively meets the needs of the employee. Besides a better trained work force, a greater level of operational reactor safety can be realized. This manual is intended to provide an overview of the accreditation process and a brief description of the elements necessary to construct and maintain training programs that are based on the requirements of the job. Two companion manuals provide additional information to assist contractors in their efforts to accredit training programs

TAP 2, Performance-Based Training Manual

International Nuclear Information System (INIS)

1991-07-01

Training programs at DOE nuclear facilities should provide well- trained, qualified personnel to safely and efficiently operate the facilities in accordance with DOE requirements. A need has been identified for guidance regarding analysis, design, development, implementation, and evaluation of consistent and reliable performance-based training programs. Accreditation of training programs at Category A reactors and high-hazard and selected moderate-hazard nonreactor facilities will assure consistent, appropriate, and cost-effective training of personnel responsible for the operation, maintenance, and technical support of these facilities. Training programs that are designed and based on systematically job requirements, instead of subjective estimation of trainee needs, yield training activities that are consistent and develop or improve knowledge, skills, and abilities that can be directly related to the work setting. Because the training is job-related, the content of these programs more efficiently and effectively meets the needs of the employee. Besides a better trained work force, a greater level of operational reactor safety can be realized. This manual is intended to provide an overview of the accreditation process and a brief description of the elements necessary to construct and maintain training programs that are based on the requirements of the job. Two comparison manuals provide additional information to assist contractors in their efforts to accredit training programs

Combined motor point associative stimulation (MPAS) and transcranial direct current stimulation (tDCS) improves plateaued manual dexterity performance.

Science.gov (United States)

Hoseini, Najmeh; Munoz-Rubke, Felipe; Wan, Hsuan-Yu; Block, Hannah J

2016-10-28

Motor point associative stimulation (MPAS) in hand muscles is known to modify motor cortex excitability and improve learning rate, but not plateau of performance, in manual dexterity tasks. Central stimulation of motor cortex, such as transcranial direct current stimulation (tDCS), can have similar effects if accompanied by motor practice, which can be difficult and tiring for patients. Here we asked whether adding tDCS to MPAS could improve manual dexterity in healthy individuals who are already performing at their plateau, with no motor practice during stimulation. We hypothesized that MPAS could provide enough coordinated muscle activity to make motor practice unnecessary, and that this combination of stimulation techniques could yield improvements even in subjects at or near their peak. If so, this approach could have a substantial effect on patients with impaired dexterity, who are far from their peak. MPAS was applied for 30min to two right hand muscles important for manual dexterity. tDCS was simultaneously applied over left sensorimotor cortex. The motor cortex input/output (I/O) curve was assessed with transcranial magnetic stimulation (TMS), and manual dexterity was assessed with the Purdue Pegboard Test. Compared to sham or cathodal tDCS combined with MPAS, anodal tDCS combined with MPAS significantly increased the plateau of manual dexterity. This result suggests that MPAS has the potential to substitute for motor practice in mediating a beneficial effect of tDCS on manual dexterity. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Recommended Practices for the Safe Design and Operation of Flywheels

Energy Technology Data Exchange (ETDEWEB)

Bender, Donald Arthur [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2015-12-01

Flywheel energy storage systems are in use globally in increasing numbers . No codes pertaining specifically to flywheel energy storage exist. A number of industrial incidents have occurred. This protocol recommends a technical basis for safe flywheel de sign and operation for consideration by flywheel developers, users of flywheel systems and standards setting organizations.

MAN-004 Design Standards Manual

Energy Technology Data Exchange (ETDEWEB)

Peterson, Timothy L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2014-07-01

protection, mechanical, electrical, telecommunications, and security features is expected to ensure compatibility with planned functional equipment and to facilitate constructability. If portions of the design are subcontracted to specialists, delivery of the finished design documents must not be considered complete until the subcontracted portions are also submitted for review. You must, along with support consultants, perform functional analyses and programming in developing design solutions. These solutions must reflect coordination of the competing functional, budgetary, and physical requirements for the project. During design phases, meetings between you and the SNL/NM Project Team to discuss and resolve design issues are required. These meetings are a normal part of the design process. For specific design-review requirements, see the project-specific Design Criteria. In addition to the design requirements described in this manual, instructive information is provided to explain the sustainable building practice goals for design, construction, operation, and maintenance of SNL/NM facilities. Please notify SNL/NM personnel of design best practices not included in this manual, so they can be incorporated in future updates.

Synthetic torpor: A method for safely and practically transporting experimental animals aboard spaceflight missions to deep space

Science.gov (United States)

Griko, Yuri; Regan, Matthew D.

2018-02-01

Animal research aboard the Space Shuttle and International Space Station has provided vital information on the physiological, cellular, and molecular effects of spaceflight. The relevance of this information to human spaceflight is enhanced when it is coupled with information gleaned from human-based research. As NASA and other space agencies initiate plans for human exploration missions beyond low Earth orbit (LEO), incorporating animal research into these missions is vitally important to understanding the biological impacts of deep space. However, new technologies will be required to integrate experimental animals into spacecraft design and transport them beyond LEO in a safe and practical way. In this communication, we propose the use of metabolic control technologies to reversibly depress the metabolic rates of experimental animals while in transit aboard the spacecraft. Compared to holding experimental animals in active metabolic states, the advantages of artificially inducing regulated, depressed metabolic states (called synthetic torpor) include significantly reduced mass, volume, and power requirements within the spacecraft owing to reduced life support requirements, and mitigated radiation- and microgravity-induced negative health effects on the animals owing to intrinsic physiological properties of torpor. In addition to directly benefitting animal research, synthetic torpor-inducing systems will also serve as test beds for systems that may eventually hold human crewmembers in similar metabolic states on long-duration missions. The technologies for inducing synthetic torpor, which we discuss, are at relatively early stages of development, but there is ample evidence to show that this is a viable idea and one with very real benefits to spaceflight programs. The increasingly ambitious goals of world's many spaceflight programs will be most quickly and safely achieved with the help of animal research systems transported beyond LEO; synthetic torpor may

Manual on self-contained gamma irradiators (categories 1 and 3). Incorporating: Applications guide, procedures guide, basics guide

International Nuclear Information System (INIS)

1996-01-01

The document is the first revision of a previous one published in 1993 to provide guidance on the safe use and regulation of panoramic gamma irradiators (Co-60 or Cs-137 sources) in different fields of application. It includes three parts: Applications Guide, which describes the main applications of panoramic gamma irradiators, the type of equipment, including safety systems, operation and maintenance, and how to deal with incidents. Procedures Guide, which gives step by step instructions on how to carry out the practice. Basics Guide, which explains the fundamentals of radiation, the system of units, interaction of radiation with matter radiation detection, etc. and which is common to all documents in the series. The manual is aimed primarily at persons handling such radiation sources on a daily routine basis, as well as at the competent authorities for training of workers in radiation protection or for setting up local radiation protection rules

Health physics manual of good practices for reducing radiation exposure to levels that are as low as reasonably achievable (ALARA)

International Nuclear Information System (INIS)

Herrington, W.N.; Higby, D.P.; Kathren, R.L.; Merwin, S.E.; Stoetzel, G.A.

1988-06-01

A primary objective of the US Department of Energy (DOE) health physics and radiation protection program has been to limit radiation exposures to those levels that are as low as reasonably achievable (ALARA). As a result, the ALARA concept developed into a program and a set of operational principles to ensure that the objective was consistently met. Implementation of these principles required that a guide be produced. The original ALARA guide was issued by DOE in 1980 to promote improved understanding of ALARA concepts within the DOE community and to assist those responsible for operational ALARA activities in attaining their goals. Since 1980, additional guidance has been published by national and international organizations to provide further definition and clarification to ALARA concepts. As basic ALARA experience increased, the value and role of the original guide prompted the DOE Office of Nuclear Safety (ONS) to support a current revision. The revised manual of good practices includes six sections: 1.0 Introduction, 2.0 Administration, 3.0 Optimization, 4.0 Setting and Evaluating ALARA Goals, 5.0 Radiological Design, and 6.0 Conduct of Operations. The manual is directed primarily to contractor and DOE staff who are responsible for conduct and overview of radiation protection and ALARA programs at DOE facilities. The intent is to provide sufficient guidance such that the manual, if followed, will ensure that radiation exposures are maintained as low as reasonably achievable and will establish the basis for a formally structured and auditable program. 118 refs., 16 figs., 3 tabs

Safe sleep practices in a New Zealand community and development of a Sudden Unexpected Death in Infancy (SUDI) risk assessment instrument.

Science.gov (United States)

Galland, Barbara C; Gray, Andrew; Sayers, Rachel M; Heath, Anne-Louise M; Lawrence, Julie; Taylor, Rachael; Taylor, Barry J

2014-10-13

Interventions to prevent sudden unexpected death in infancy (SUDI) have generally been population wide interventions instituted after case-control studies identified specific childcare practices associated with sudden death. While successful overall, in New Zealand (NZ), the rates are still relatively high by international comparison. This study aims to describe childcare practices related to SUDI prevention messages in a New Zealand community, and to develop and explore the utility of a risk assessment instrument based on international guidelines and evidence. Prospective longitudinal study of 209 infants recruited antenatally. Participant characteristics and infant care data were collected by questionnaire at: baseline (third trimester), and monthly from infant age 3 weeks through 23 weeks. Published meta-analyses data were used to estimate individual risk ratios for 6 important SUDI risk factors which, when combined, yielded a "SUDI risk score". Most infants were at low risk for SUDI with 72% at the lowest or slightly elevated risk (combined risk ratio ≤1.5). There was a high prevalence of the safe practices: supine sleeping (86-89% over 3-19 weeks), mother not smoking (90-92% over 3-19 weeks), and not bed sharing at a young age (87% at 3 weeks). Five independent predictors of a high SUDI risk score were: higher parity (P =0.028), younger age (P =0.030), not working or caring for other children antenatally (P =0.031), higher depression scores antenatally (P =0.036), and lower education (P =0.042). Groups within the community identified as priorities for education about safe sleep practices beyond standard care are mothers who are young, have high parity, low educational levels, and have symptoms of depression antenatally. These findings emphasize the importance of addressing maternal depression as a modifiable risk factor in pregnancy.

Overview of improvements in work practices and instrumentation for CANDU primary heat transport feeders in-service inspections

Energy Technology Data Exchange (ETDEWEB)

Marcotte, O., E-mail: olivier@nucleom.ca [Nucleom Inc., Quebec, Quebec (Canada); Rousseau, G., E-mail: rousseau.gilles.a@hydro.qc.ca [Hydro Quebec, Becancour, Quebec (Canada); Rochefort, E., E-mail: erochfort@zetec.com [Zetec Canada, Quebec, Quebec (Canada)

2013-01-15

The Canadian nuclear industry has developed many advanced non-destructive inspection techniques to be applied safely in hazardous environments in recent years. Automated systems, manual tooling and specialized software modules have been designed since early 2000s to provide complete and very efficient fitness for service inspection of primary heat transport system carbon steel feeder pipes. These techniques deal with complex geometries, difficult access and, radioactive environment. Complementary NDE techniques, namely Ultrasounds, eddy current, phased-array UT and automated scanners are used. This presentation describes the improvements in inspection practices and the advanced data analysis features. (author)

Safe male circumcision in Botswana: tension between traditional practices and biomedical marketing.

Science.gov (United States)

Katisi, Masego; Daniel, Marguerite

2015-01-01

Botswana has been running Safe Male Circumcision (SMC) since 2009 and has not yet met its target. Donors like the US Centers for Disease Control and Prevention and Africa Comprehensive HIV/AIDS Partnership (funded by the Gates Foundation) in collaboration with Botswana's Ministry of Health have invested much to encourage HIV-negative men to circumcise. Demand creation strategies make use of media and celebrities. The objective of this paper is to explore responses to SMC in relation to circumcision as part of traditional initiation practices. More specifically, we present the views of two communities in Botswana on SMC consultation processes, implementation procedures and campaign strategies. The methods used include participant observation, in-depth interviews with key stakeholders (donors, implementers and Ministry officials), community leaders and men in the community. We observe that consultation with traditional leaders was done in a seemingly superficial, non-participatory manner. While SMC implementers reported pressure to deliver numbers to the World Health Organization, traditional leaders promoted circumcision through their routine traditional initiation ceremonies at breaks of two-year intervals. There were conflicting views on public SMC demand creation campaigns in relation to the traditional secrecy of circumcision. In conclusion, initial cooperation of local chiefs and elders turned into resistance.

Safe operation of critical assemblies and research reactors. Code of practice and Technical appendix. 1971 ed

International Nuclear Information System (INIS)

Cox, J.

1971-01-01

This book is in two parts. The first is a Code of Practice for the Safe Operation of Critical Assemblies and Research Reactors, prepared as a result of a meeting of experts which took place in Vienna on 20-24 May 1968. The Code has been prepared by the International Atomic Energy Agency in co-operation with the World Health Organization, and its publication is sponsored by both organizations. In addition, the Code was approved by the Board of Governors of the International Atomic Energy Agency on 16 December 1968 as part of the Agency's safety standards, which are applied to operations undertaken by Member States with the assistance of the Agency. The Board, in approving the publication of the present book, also recommended Member States to take the Code into account in the formulation of national regulations and recommendations. The second part of the book is a Technical Appendix to give information and illustrative samples that would be helpful in implementing the Code of Practice. This second part, although published under the same cover, is not part of the Code. An extensive Bibliography, amplifying the Technical Appendix, is included at the end.

A Simple, Safe Technique for Thorough Seroma Evacuation in the Outpatient Setting

Directory of Open Access Journals (Sweden)

Julie E. Park, MD, FACS

2014-09-01

Full Text Available Summary: Seroma formation, a common postoperative complication in reconstructive cases, can lead to capsular contracture and increased office visits and expenses. The authors present a safe, novel technique for ensuring the thorough removal of serous fluid in the outpatient setting. By relying on access with an angiocatheter, potential injury to permanent implants is minimized. The use of low continuous wall suction obviates the need of manual suction via multiple syringes and offers a rapid and thorough evacuation of all types of seromas.

Manual therapy in the treatment of patients with hemophilia B and inhibitor.

Science.gov (United States)

Cuesta-Barriuso, Rubén; Trelles-Martínez, Roberto O

2018-01-22

The main clinical manifestations of hemophilia are muscle and joint bleeding. Recurrent bleeding leads to a degenerative process known as hemophilic arthropathy. The development of inhibitors (antibodies against FVIII/FIX concentrates) is the main complication in the treatment of hemophilia. The objective was to assess the safety and efficacy of manual therapy treatment in a patient with hemophilia and inhibitor. A 26-year-old patient with hemophilia B and inhibitor received physiotherapy treatment based on manual therapy for 3 months, with a frequency of 2 sessions per week. The joint status was evaluated using the Hemophilia Joint Health Score; pain was assessed with the Visual Analog Scale; and the range of movement was evaluated using a universal goniometer. The patient developed no joint bleeding in the knees or ankles as a result of the physiotherapy treatment. Following treatment, improvements were noted in the range of movement of knees and ankles, the perception of pain in both knees, and ankle functionality. Until now, manual therapy using joint traction was contraindicated in patients with hemophilia and inhibitor, as it was feared to cause possible joint bleeding. This is the first case study to address the safety and efficacy of manual therapy in a patient with hemophilia and an inhibitor. The results of this study may help to establish which manual therapy treatments are indicated in patients with hemophilic arthropathy and inhibitors. Thus, a physiotherapy program based on manual therapy may be safe in patients with hemophilia and inhibitor and such therapy may improve joint condition, pain, and joint range of motion in patients with hemophilia and inhibitor. Randomized clinical trials are needed to confirm the results of this case study.

Piping and pipeline calculations manual construction, design fabrication and examination

CERN Document Server

Ellenberger, Philip

2010-01-01

The lack of commentary, or historical perspective, regarding the codes and standards requirements for piping design and construction is an obstacle to the designer, manufacturer, fabricator, supplier, erector, examiner, inspector, and owner who want to provide a safe and economical piping system. An intensive manual, this book will utilize hundreds of calculation and examples based on of 40 years of personal experiences of the author as both an engineer and instructor. Each example demonstrates how the code and standard has been correctly and incorrectly applied. This book is a ?no non

Manual on oil-gas industry waste utilization radioecological safety

International Nuclear Information System (INIS)

Kudryashev, V.A.; Lukashenko, S.N.; Tuleushev, A.Zh.; Marabaev, Zh.N.; Pasysaev, V.A.; Kayukov, P.G.; Kozhakhmetov, N.B.; Shevtsov, S.P.

2003-01-01

The development of a new document - 'Manual on radio-ecologically safe utilization of waste from oil-and-gas production' is carried out. This document regulates the whole cycle of environment protection measures at waste utilization for the named industry in Kazakhstan and is aimed on lowering the radiation risks and assurance of radioecological safety both at present and for the future. The document presents a set regulations necessary for radioactive wastes handling in the oil-gas industry. The normative document was agreed in both the Ministry of Health of the Republic of Kazakhstan (RK) and Ministry of Environment Protection of RK

Manual on quality assurance for the survey, evaluation and confirmation of nuclear power plant sites

International Nuclear Information System (INIS)

1987-04-01

The present Manual on Quality Assurance for the Survey, Evaluation and Confirmation of Nuclear Power Plant Sites contains supporting material and illustrates examples for implementing the requirements contained in the Code of Practice on Quality Assurance for Safety in Nuclear Power Plants to the activities of survey, evaluation and confirmation of nuclear power plant sites. At the same time the Code of Practice for Safety in Nuclear Power Plant Siting, and Safety Guides in the siting series contain requirements and recommendations to implement a quality assurance programme in selected activities of the siting process. This manual is intended to provide guidance and illustrate examples on this implementation. During preparation and reviews of this Manual it was found out that the methodology of implementation of the quality assurance programme in siting activities is still under development. For these reasons it was considered appropriate to publish this Manual as a temporary publication for trial use

CT-based manual segmentation and evaluation of paranasal sinuses.

Science.gov (United States)

Pirner, S; Tingelhoff, K; Wagner, I; Westphal, R; Rilk, M; Wahl, F M; Bootz, F; Eichhorn, Klaus W G

2009-04-01

Manual segmentation of computed tomography (CT) datasets was performed for robot-assisted endoscope movement during functional endoscopic sinus surgery (FESS). Segmented 3D models are needed for the robots' workspace definition. A total of 50 preselected CT datasets were each segmented in 150-200 coronal slices with 24 landmarks being set. Three different colors for segmentation represent diverse risk areas. Extension and volumetric measurements were performed. Three-dimensional reconstruction was generated after segmentation. Manual segmentation took 8-10 h for each CT dataset. The mean volumes were: right maxillary sinus 17.4 cm(3), left side 17.9 cm(3), right frontal sinus 4.2 cm(3), left side 4.0 cm(3), total frontal sinuses 7.9 cm(3), sphenoid sinus right side 5.3 cm(3), left side 5.5 cm(3), total sphenoid sinus volume 11.2 cm(3). Our manually segmented 3D-models present the patient's individual anatomy with a special focus on structures in danger according to the diverse colored risk areas. For safe robot assistance, the high-accuracy models represent an average of the population for anatomical variations, extension and volumetric measurements. They can be used as a database for automatic model-based segmentation. None of the segmentation methods so far described provide risk segmentation. The robot's maximum distance to the segmented border can be adjusted according to the differently colored areas.

A practical due diligence strategy for managing the safety of contractors

International Nuclear Information System (INIS)

Catton, C.

1998-01-01

Ontario Hydro's Fossil Business has developed and implemented a practical program to ensure that the due diligence requirements for contractors are met, particularly in the health and safety area. Companies in the power generation business are hiring contractors to protect their competitive potential by having them perform specialty work outside the core business of generating electricity. The reasons behind this trend, and the need for companies to develop comprehensive contractor safety management systems to avoid legislative liability and cost overruns, and to have contractors work safely, are examined. The main elements of Ontario Hydro's Fossil Business Contractor Safety Management Program (contractor safety policy, contractor safety manual, contractor safety training, and a contractor safety performance database) are discussed. 2 figs., 2 appendices

Manual Therapy

OpenAIRE

Hakgüder, Aral; Kokino, Siranuş

2002-01-01

Manual therapy has been used in the treatment of pain and dysfunction of spinal and peripheral joints for more than a hundred years. Manual medicine includes manipulation, mobilization, and postisometric relaxation techniques. The aim of manual therapy is to enhance restricted movement caused by blockage of joints keeping postural balance, restore function and maintain optimal body mechanics. Anatomic, biomechanical, and neurophysiological evaluations of the leucomotor system is essential for...

Neuromantic - from semi manual to semi automatic reconstruction of neuron morphology

Directory of Open Access Journals (Sweden)

Darren eMyatt

2012-03-01

Full Text Available The ability to create accurate geometric models of neuronal morphologyis important for understanding the role of shape in informationprocessing. Despite a significant amount of research on automating neuronreconstructions from image stacks obtained via microscopy, in practice mostdata are still collected manually.This paper describes Neuromantic, an open source system for threedimensional digital tracing of neurites. Neuromantic reconstructions arecomparable in quality to those of existing commercial and freeware systemswhile balancing speed and accuracy of manual reconstruction. Thecombination of semi-automatic tracing, intuitive editing, and ability ofvisualising large image stacks on standard computing platforms providesa versatile tool that can help address the reconstructions availabilitybottleneck. Practical considerations for reducing the computational time andspace requirements of the extended algorithm are also discussed.

Design/CPN. A Reference Manual

DEFF Research Database (Denmark)

Jensen et. al, Kurt

/CPN WWW pages. To speed up the access to the Design/CPN manuals we recommend to keep a local copy - which may be shared by all users in your organisation. In this way you do not need to go via our WWW server each time you need to look in a manual. For some of the largest manuals, we also supply files......Note: The manuals are available as PDF files . There are two sets of manuals - one for the Unix platform and another for the Mac platform. Each set of manual consists of: Tutorial (for the Design/CPN editor and simulator) Reference Manual (for the Design/CPN editor and simulator) Programmer......'s Manual (with Design/OA functions and Charts) Occurrence Graph Manual (integrated tutorial and reference manual) OE/OS Graph Manual (integrated tutorial and reference manual) Other Manuals (e.g. a short overview of CPN ML).   The Tutorial, Reference Manual and Programmer's Manual are made for Design...

Caltrans : construction manual

Science.gov (United States)

2009-08-01

Caltrans intends this manual as a resource for all personnel engaged in contract administration. The manual establishes policies and procedures for the construction phase of Caltrans projects. However, this manual is not a contract document. It impos...

[New Scientific Evidence-based Public Health Guidelines and Practical Manual for Prevention of Sick House Syndrome].

Science.gov (United States)

Kishi, Reiko; Yoshino, Hiroshi; Araki, Atsuko; Saijo, Yasuaki; Azuma, Kenichi; Kawai, Toshio; Yamato, Hiroshi; Osawa, Haruki; Shibata, Eiji; Tanaka, Masatoshi; Masuchi, Ayumi; Minatoya, Machiko; Ait Bamai, Yu

2018-01-01

Recently, we have published a book containing evidence-based public health guidelines and a practical manual for the prevention of sick house syndrome. The manual is available through the homepage of the Ministry of Health, Labour and Welfare (http://www.mhlw.go.jp/file/06-Seisakujouhou-11130500-Shokuhinanzenbu/0000155147.pdf). It is an almost completely revised version of the 2009 version. The coauthors are 13 specialists in environmental epidemiology, exposure sciences, architecture, and risk communication. Since the 1970s, health problems caused by indoor chemicals, biological pollution, poor temperature control, humidity, and others in office buildings have been recognized as sick building syndrome (SBS) in Western countries, but in Japan it was not until the 1990s that people living in new or renovated homes started to describe a variety of nonspecific subjective symptoms such as eye, nose, and throat irritation, headache, and general fatigue. These symptoms resembled SBS and were designated "sick house syndrome (SHS)." To determine the strategy for prevention of SHS, we conducted a nationwide epidemiological study in six cities from 2003-2013 by randomly sampling 5,709 newly built houses. As a result 1,479 residents in 425 households agreed to environmental monitoring for indoor aldehydes and volatile organic compounds (VOCs). After adjustment for possible risk factors, some VOCs and formaldehyde were dose-dependently shown to be significant risk factors. We also studied the dampness of the houses, fungi, allergies, and others. This book is fully based on the scientific evidence collected through these studies and other newly obtained information, especially from the aspect of architectural engineering. In addition to SHS, we included chapters on recent information about "multi-chemical sensitivity."

Transfer pricing and safe harbours

Directory of Open Access Journals (Sweden)

Veronika Solilová

2013-01-01

Full Text Available Transfer prices are significant for both taxpayers and tax administrations because they determine in large part taxable profits of associated enterprises in different tax jurisdictions. Moreover, in the context of taxation, transfer prices must be complied with the arm’s length principle. However, Multinational Enterprises have been faced daily by conflicting rules and approaches to applying the arm’s length principle, burdensome documentation requirements, inconsistent audit standards and unpredictable competent authority outcomes. Therefore, the Committee on Fiscal Affairs launched another project on the administrative aspects of transfer pricing in 2010. On 16 May 2013 as a partial solution of this project was approved by the OECD Council the Revised Section E on Safe Harbours in Chapter IV of the Transfer Pricing Guidelines for Multinational Enterprises and Tax Authorities. The paper is focused on significant changes of newly approved chapter IV of the Transfer Pricing Guidelines for Multinational Enterprises and Tax Authorities, further on analysis of practice in this area, on advantages and disadvantages of safe harbours for taxpayers and competent authorities with aim to suggest recommendations on use of safe harbours in the Czech Republic.

Highway Safety Program Manual: Volume 3: Motorcycle Safety.

Science.gov (United States)

National Highway Traffic Safety Administration (DOT), Washington, DC.

Volume 3 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) concentrates on aspects of motorcycle safety. The purpose and specific objectives of a State motorcycle safety program are outlined. Federal authority in the highway safety area and general policies…

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

International Nuclear Information System (INIS)

Rathbone, Bruce A.

2006-01-01

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at Hanford. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with 10 CFR 835, DOELAP, DOE-RL, ORP, PNSO, and Hanford contractor requirements. The dosimetry system is operated by PNNL's Hanford External Dosimetry Program which provides dosimetry services to all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. Rev. 0 marks the first revision to be released through PNNL's Electronic Records & Information Capture Architecture (ERICA) database

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.

2005-02-25

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at Hanford. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with 10 CFR 835, DOELAP, DOE-RL, ORP, PNSO, and Hanford contractor requirements. The dosimetry system is operated by PNNL’s Hanford External Dosimetry Program which provides dosimetry services to all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. Rev. 0 marks the first revision to be released through PNNL’s Electronic Records & Information Capture Architecture (ERICA) database.

Vessel size measurements in angiograms: Manual measurements

International Nuclear Information System (INIS)

Hoffmann, Kenneth R.; Dmochowski, Jacek; Nazareth, Daryl P.; Miskolczi, Laszlo; Nemes, Balazs; Gopal, Anant; Wang Zhou; Rudin, Stephen; Bednarek, Daniel R.

2003-01-01

Vessel size measurement is perhaps the most often performed quantitative analysis in diagnostic and interventional angiography. Although automated vessel sizing techniques are generally considered to have good accuracy and precision, we have observed that clinicians rarely use these techniques in standard clinical practice, choosing to indicate the edges of vessels and catheters to determine sizes and calibrate magnifications, i.e., manual measurements. Thus, we undertook an investigation of the accuracy and precision of vessel sizes calculated from manually indicated edges of vessels. Manual measurements were performed by three neuroradiologists and three physicists. Vessel sizes ranged from 0.1-3.0 mm in simulation studies and 0.3-6.4 mm in phantom studies. Simulation resolution functions had full-widths-at-half-maximum (FWHM) ranging from 0.0 to 0.5 mm. Phantom studies were performed with 4.5 in., 6 in., 9 in., and 12 in. image intensifier modes, magnification factor = 1, with and without zooming. The accuracy and reproducibility of the measurements ranged from 0.1 to 0.2 mm, depending on vessel size, resolution, and pixel size, and zoom. These results indicate that manual measurements may have accuracies comparable to automated techniques for vessels with sizes greater than 1 mm, but that automated techniques which take into account the resolution function should be used for vessels with sizes smaller than 1 mm

76 FR 81904 - Solicitation of New Safe Harbors and Special Fraud Alerts

Science.gov (United States)

2011-12-29

... Medicaid Patient and Program Protection Act of 1987, Public Law 100-93 Sec. 14, the Act, Sec. 1128B(b), 42...-called ``safe harbor'' provisions, specifying various payment and business practices that, although... basis for administrative sanctions. OIG safe harbor provisions have been developed ``to limit the reach...

Towards an outcome documentation in manual medicine: a first proposal of the International Classification of Functioning, Disability and Health (ICF) intervention categories for manual medicine based on a Delphi survey.

Science.gov (United States)

Kirchberger, I; Stucki, G; Böhni, U; Cieza, A; Kirschneck, M; Dvorak, J

2009-09-01

The International Classification of Functioning, Disability and Health (ICF) provides a useful framework for the comprehensive description of the patients' functional health. The aim of this study was to identify the ICF categories that represent the patients' problems treated by manual medicine practitioners in order to facilitate its application in manual medicine. This selection of ICF categories could be used for assessment, treatment documentation and quality management in manual medicine practice. Swiss manual medicine experts were asked about the patients' problems commonly treated by manual medicine practitioners in a three-round survey using the Delphi technique. Responses were linked to the ICF. Forty-eight manual medicine experts gave a total of 808 responses that were linked to 225 different ICF categories; 106 ICF categories which reached an agreement of at least 50% among the participants in the final Delphi-round were included in the set of ICF Intervention Categories for Manual Medicine; 42 (40%) of the categories are assigned to the ICF component body functions, 36 (34%) represent the ICF component body structures and 28 (26%) the ICF component activities and participation. A first proposal of ICF Intervention Categories for Manual Medicine was defined and needs to be validated in further studies.

Nuclear and related techniques in parasitology: A laboratory manual

Energy Technology Data Exchange (ETDEWEB)

Hayunga, E.G.; Stek, M. Jr. (eds.)

1986-01-01

The course, entitled ''Atomic Energy Applications in Parasitology'', was offered by the Division of Tropical Public Health, Department of Preventive Medicine, and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland. It was an intensive 3-week endeavor during which students attended lectures and acquired practical hands-on experience with the most recent laboratory tools. The course began with an exhaustive introduction to radiation physics, then encompassed a variety of practical applications including irradiation attenuation, radioisotope labeling, tracer techniques and radioimmunoassays. This laboratory manual was written by the faculty in an attempt to document the learning experience of the training course and to provide a detailed description of state-of-the-art technology with up-to-date references. Clearly, the manual has value as a historical document. However, the chapters were written with the explicit intention that they be useful to future investigators who wish to apply these methods to their particular research problem.

Safe injection procedures, injection practices, and needlestick ...

African Journals Online (AJOL)

Nermine Mohamed Tawfik Foda

2017-01-10

Jan 10, 2017 ... sures regarding disposable injection equipment, waste containers, hand hygiene ... injection practices lead to high prevalence of NSSIs in operating rooms. .... guidelines, the availability of training courses to HCWs, and provi-.

Tank farms criticality safety manual

International Nuclear Information System (INIS)

FORT, L.A.

2003-01-01

This document defines the Tank Farms Contractor (TFC) criticality safety program, as required by Title 10 Code of Federal Regulations (CFR-), Subpart 830.204(b)(6), ''Documented Safety Analysis'' (10 CFR- 830.204 (b)(6)), and US Department of Energy (DOE) 0 420.1A, Facility Safety, Section 4.3, ''Criticality Safety.'' In addition, this document contains certain best management practices, adopted by TFC management based on successful Hanford Site facility practices. Requirements in this manual are based on the contractor requirements document (CRD) found in Attachment 2 of DOE 0 420.1A, Section 4.3, ''Nuclear Criticality Safety,'' and the cited revisions of applicable standards published jointly by the American National Standards Institute (ANSI) and the American Nuclear Society (ANS) as listed in Appendix A. As an informational device, requirements directly imposed by the CRD or ANSI/ANS Standards are shown in boldface. Requirements developed as best management practices through experience and maintained consistent with Hanford Site practice are shown in italics. Recommendations and explanatory material are provided in plain type

CSTEM User Manual

Science.gov (United States)

Hartle, M.; McKnight, R. L.

2000-01-01

This manual is a combination of a user manual, theory manual, and programmer manual. The reader is assumed to have some previous exposure to the finite element method. This manual is written with the idea that the CSTEM (Coupled Structural Thermal Electromagnetic-Computer Code) user needs to have a basic understanding of what the code is actually doing in order to properly use the code. For that reason, the underlying theory and methods used in the code are described to a basic level of detail. The manual gives an overview of the CSTEM code: how the code came into existence, a basic description of what the code does, and the order in which it happens (a flowchart). Appendices provide a listing and very brief description of every file used by the CSTEM code, including the type of file it is, what routine regularly accesses the file, and what routine opens the file, as well as special features included in CSTEM.

Human Factors on the Flight Deck Safe Piloting Behaviour in Practice

CERN Document Server

Scheiderer, Joachim

2013-01-01

What is for a professional pilot required to fly as safe as possible? Written by pilots the book gives a detailed introduction into the basics of accident prevention in air traffic. Explicit background knowledge as well as detailed listings of safety relevant features in human behaviour are included.

Ranking of healthcare programmes based on health outcome, health costs and safe delivery of care in hospital pharmacy practice.

Science.gov (United States)

Brisseau, Lionel; Bussières, Jean-François; Bois, Denis; Vallée, Marc; Racine, Marie-Claude; Bonnici, André

2013-02-01

To establish a consensual and coherent ranking of healthcare programmes that involve the presence of ward-based and clinic-based clinical pharmacists, based on health outcome, health costs and safe delivery of care. This descriptive study was derived from a structured dialogue (Delphi technique) among directors of pharmacy department. We established a quantitative profile of healthcare programmes at five sites that involved the provision of ward-based and clinic-based pharmaceutical care. A summary table of evidence established a unique quality rating per inpatient (clinic-based) or outpatient (ward-based) healthcare programme. Each director rated the perceived impact of pharmaceutical care per inpatient or outpatient healthcare programme on three fields: health outcome, health costs and safe delivery of care. They agreed by consensus on the final ranking of healthcare programmes. A ranking was assigned for each of the 18 healthcare programmes for outpatient care and the 17 healthcare programmes for inpatient care involving the presence of pharmacists, based on health outcome, health costs and safe delivery of care. There was a good correlation between ranking based on data from a 2007-2008 Canadian report on hospital pharmacy practice and the ranking proposed by directors of pharmacy department. Given the often limited human and financial resources, managers should consider the best evidence available on a profession's impact to plan healthcare services within an organization. Data are few on ranking healthcare programmes in order to prioritize which healthcare programme would mostly benefit from the delivery of pharmaceutical care by ward-based and clinic-based pharmacists. © 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society.

Critically safe volume vacuum pickup for use in wet or dry cleanup of radioactive enclosures

International Nuclear Information System (INIS)

Zeren, J.D.

1993-01-01

A physical compact vacuum pickup device of critically safe volume and geometric shape is provided for use in radioactive enclosures, such as a small glove box, to facilitate manual cleanup of either wet or dry radioactive material. The device is constructed and arranged so as to remain safe when filled to capacity with plutonium-239 oxide. Two fine mesh filter bags are supported on the exterior of a rigid fine mesh stainless steel cup. This assembly is sealed within, and spaced from, the interior walls of a stainless steel canister. An air inlet communicates with the interior of the canister. A modified conventional vacuum head is physically connected to, and associated with, the interior of the mesh cup. The volume of the canister, as defined by the space between the mesh cup and the interior walls of the canister, forms a critically safe volume and geometric shape for dry radioactive particles that are gathered within the canister. A critically safe liquid volume is maintained by operation of a suction terminating float valve, and/or by operation of redundant vacuum check/liquid drain valves and placement of the air inlet. 5 figures

Instructional maps of safe working methods and practices for separate types of opera-tions conducted in the oil mine

Directory of Open Access Journals (Sweden)

И. В. Климова

2017-06-01

Full Text Available Instructing personnel in the issues of labor protection and industrial safety at hazardous facilities is one of the main tasks that face the employer; the quality with which this procedure is organized and carried out defines not only company’s indicators, but the mere possibility of its normal functioning. The paper contains a detailed overview of the typical content of standard documentation, which is currently used when conducting operations in the oil mines of Yarega high-viscosity oil deposit. Distinct features and unique nature of this oil field require special measures to guarantee safety of personnel and all facilities in general.The author proposes and reviews an additional type of operating guidelines – instructional map of safe working methods and practices. It is more illustrative than existing documentation (charts of inclined shaft development, labor protection regulations, which allows to upgrade the process of instructing personnel in the oil mines, to improve the quality of instructions and to reduce the risk of emergencies, accidents, industrial injuries.The author reviews the structure of suggested instructional map, offers a detailed arrangement diagram for the main thematic sections of the map, as well as their content. Instructional maps are regarded as a type of operating guidelines that include: description and characteristics of equipment, instruments and appliances; general safety requirements; content and execution sequence of operational elements with their graphical images; distribution of responsibilities with an indication of their priority in case the operations are conducted by several workers; specific safety requirements for equipment, materials, instruments, safety clothes and footwear, personal protective gear etc. (prohibitions, warnings.Advantages and disadvantages of proposed instructional maps of safe working methods and practices are highlighted.

Clinical Decision Support and Optional Point of Care Testing of Renal Function for Safe Use of Antibiotics in Elderly Patients : A Retrospective Study in Community Pharmacy Practice

NARCIS (Netherlands)

Heringa, Mette; Floor-Schreudering, Annemieke; De Smet, Peter A G M; Bouvy, Marcel L

2017-01-01

OBJECTIVE: The aim was to investigate the management of drug therapy alerts on safe use of antibiotics in elderly patients with (potential) renal impairment and the contribution of optional creatinine point of care testing (PoCT) in community pharmacy practice. METHODS: Community pharmacists used a

Manual on Safety Aspects of the Design and Equipment of Hot Laboratories

International Nuclear Information System (INIS)

1969-01-01

With the development of atomic energy application and research, hot laboratories are now being constructed in a number of countries. The present publication describes and discusses experience in several countries in designing equipment for these laboratories. The safe handling of highly radioactive substances is the main purpose of hot laboratory design and equipment. The manual aims at helping those persons, particularly in the developing countries, who plan to design and construct a new hot laboratory or modify an existing one. It does not deal in great detail with the engineering design of protective and handling equipment; these matters can be found in the comprehensive list of references. The manual itself covers only basic ideas and different approaches in the design of laboratory building, hot cells, shielded and glove boxes, fume cupboards, and handling and viewing equipment. Systems for transferring materials and main services are also discussed.

Wireless online position monitoring of manual valve types for plant configuration management in nuclear power plants

International Nuclear Information System (INIS)

Agarwal, Vivek; Buttles, John W.; Beaty, Lawrence H.; Naser, Joseph; Hallbert, Bruce P.

2016-01-01

In the current competitive energy market, the nuclear industry is committed to lower the operations and maintenance cost; increase productivity and efficiency while maintaining safe and reliable operation. The present operating model of nuclear power plants is dependent on large technical staffs that put the nuclear industry at long-term economic disadvantage. Technology can play a key role in nuclear power plant configuration management in offsetting labor costs by automating manually performed plant activities. The technology being developed, tested, and demonstrated in this paper will enable the continued safe operation of today’s fleet of light water reactors by providing the technical means to monitor components in plants today that are only routinely monitored through manual activities. The wireless enabled valve position indicators that are the subject of this paper are able to provide a valid position indication available continuously, rather than only periodically. As a result, a real-time (online) availability of valve positions using an affordable technologies are vital to plant configuration when compared with long-term labor rates, and provide information that can be used for a variety of plant engineering, maintenance, and management applications.

Training manual for process operation and management of radioactive waste treatment facility

Energy Technology Data Exchange (ETDEWEB)

Shon, J. S.; Kim, K. J.; Ahn, S. J. [and others

2004-12-01

Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure.

Training manual for process operation and management of radioactive waste treatment facility

International Nuclear Information System (INIS)

Shon, J. S.; Kim, K. J.; Ahn, S. J.

2004-12-01

Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure

Effect of cold conditions on manual performance while wearing petroleum industry protective clothing.

Science.gov (United States)

Wiggen, Øystein Nordrum; Heen, Sigri; Færevik, Hilde; Reinertsen, Randi Eidsmo

2011-01-01

The purpose of this study was to investigate manual performance and thermal responses during low work intensity in persons wearing standard protective clothing in the petroleum industry when they were exposed to a range of temperatures (5, -5, -15 and -25℃) that are relevant to environmental conditions for petroleum industry personnel in northern regions. Twelve men participated in the study. Protective clothing was adjusted for the given cold exposure according to current practices. The subjects performed manual tests five times under each environmental condition. The manual performance test battery consisted of four different tests: tactile sensation (Semmes-Weinstein monofilaments), finger dexterity (Purdue Pegboard), hand dexterity (Complete Minnesota dexterity test) and grip strength (grip dynamometer). We found that exposure to -5℃ or colder lowered skin and body temperatures and reduced manual performance during low work intensity. In conclusion the current protective clothing at a given cold exposure is not adequate to maintain manual performance and thermal balance for petroleum workers in the high north.

INTRA/Mod3.2. Manual and code description. Volume 2 - User's manual

International Nuclear Information System (INIS)

Andersson, Jenny; Edlund, O.; Hermann, J.; Johansson, Lise-Lotte

1999-01-01

The INTRA Manual consists of two volumes. Volume I of the manual is a thorough description of the code INTRA, the physical modelling of INTRA and the ruling numerics, and volume II, the User's Manual is an input description. This document, the User's Manual, Volume II, contains a detailed description of how to use INTRA, how to set up an input file, how to run INTRA and also post-processing

Synoptic meteorology manual of standard practices

Energy Technology Data Exchange (ETDEWEB)

Jenne, D.E.

1954-03-22

This report, dated March 22, 1954 details work procedures for the 200- West Area at HAPO. Topics discussed include emergency procedures, safety and housekeeping practices, policies and procedures, instruments and equipment located at the 622 tower, instruments and equipment located offsite, observational procedures, form entries, and card punching, and weather forecasting.

End-tidal control vs. manually controlled minimal-flow anesthesia: a prospective comparative trial.

Science.gov (United States)

Wetz, A J; Mueller, M M; Walliser, K; Foest, C; Wand, S; Brandes, I F; Waeschle, R M; Bauer, M

2017-11-01

To ensure safe general anesthesia, manually controlled anesthesia requires constant monitoring and numerous manual adjustments of the gas dosage, especially for low- and minimal-flow anesthesia. Oxygen flow-rate and administration of volatile anesthetics can also be controlled automatically by anesthesia machines using the end-tidal control technique, which ensures constant end-tidal concentrations of oxygen and anesthetic gas via feedback and continuous adjustment mechanisms. We investigated the hypothesis that end-tidal control is superior to manually controlled minimal-flow anesthesia (0.5 l/min). In this prospective trial, we included 64 patients undergoing elective surgery under general anesthesia. We analyzed the precision of maintenance of the sevoflurane concentration (1.2-1.4%) and expiratory oxygen (35-40%) and the number of necessary adjustments. Target-concentrations of sevoflurane and oxygen were maintained at more stable levels with the use of end-tidal control (during the first 15 min 28% vs. 51% and from 15 to 60 min 1% vs. 19% deviation from sevoflurane target, P tidal oxygen (5, IQR 3-6). The target-concentrations were reached earlier with the use of end-tidal compared with manual controlled minimal-flow anesthesia but required slightly greater use of anesthetic agents (6.9 vs. 6.0 ml/h). End-tidal control is a superior technique for setting and maintaining oxygen and anesthetic gas concentrations in a stable and rapid manner compared with manual control. Consequently, end-tidal control can effectively support the anesthetist. © 2017 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Structures manual

Science.gov (United States)

2001-01-01

This manual was written as a guide for use by design personnel in the Vermont Agency of Transportation Structures Section. This manual covers the design responsibilities of the Section. It does not cover other functions that are a part of the Structu...

Ciencias 2. Manual do Professor (Science Teacher's Manual).

Science.gov (United States)

Raposo, Lucilia

This is the teacher's manual for Ciencias 2, the second in a series of elementary science textbooks for Portuguese-speaking students. The student textbook contains 10 chapters and 57 activities. The teacher's manual presents an explanation of the educational goals and the organization of the content, Topics included are environment, the human,…

Radiological Control Manual

Energy Technology Data Exchange (ETDEWEB)

1993-04-01

This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

Radiological Control Manual

International Nuclear Information System (INIS)

1993-04-01

This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records

Arkansas People Participating in Lead Education (APPLE): results of a lead-safe training program.

Science.gov (United States)

Ferguson, Alesia; Bursac, Zoran; Kern, David F

2011-06-01

Lead is still seen as one of the most harmful environmental toxins for young children, with the predominant source being deteriorating lead-based paint. Those at continued risk include those living in homes built before 1978, renovators and remodelers, and especially those with limited access to proper healthcare and diets. Proper training on lead-safe work practices focused on preventing and reducing the spread of lead dust can help reduce lead exposure. Presented in this paper are experiences in delivering lead-safe work practices training in six Arkansas cities, and results from pre- and post- surveys delivered before and immediately after the training. Pre- and post-surveys assess strong and weak areas of training. Participants demonstrated positive shifts in attitude and behavior towards lead-safe work practices following training. However, our research found that more emphasis should be focused on clarifying current lead exposure sources and routes for children.

Egyptian Mythological Manuals

DEFF Research Database (Denmark)

Jørgensen, Jens Kristoffer Blach

From the hands of Greek mythographers a great number of myths have survived along with philosophical discussions of their meaning and relevance for the Greeks. It is little known that something similar existed in ancient Egypt where temple libraries and archives held scholarly literature used...... by the native priesthood, much of which has only been published in recent years. As part of this corpus of texts, the ancient Egyptian mythological manuals offer a unique perspective on how the Egyptian priesthood structured and interpreted Egyptian myths. The thesis looks at the different interpretative...... techniques used in the Tebtunis Mythological Manual (Second century CE) and the Mythological Manual of the Delta (Sixth century BCE) and the place of these manuals within the larger corpus of priestly scholarly literature from ancient Egypt. To organize the wealth of local myths the manuals use model...

Manual of head and neck imaging

International Nuclear Information System (INIS)

Raghavan, Prashant; Mukherjee, Sugoto; Jameson, Mark J.; Wintermark, Max

2014-01-01

Easy-to-read short chapters. Tables, checklists, and algorithms to assist in arriving at a quick diagnosis. Clinical pearls that will enable the radiologist to issue a relevant report. One-stop resource when preparing for radiology and otolaryngology exams. Line diagrams to illustrate key concepts. This book is designed as an easily readable manual that will be of great practical value for radiology and otolaryngology residents during their clinical rotations. Key facts on head and neck imaging are presented in short chapters written in an easily readable style. Line drawings are used to illustrate key concepts, and tables, checklists, and algorithms will enable the readers to arrive at a quick diagnosis. In addition, emphasis is placed on clinical pearls that will assist them in preparing suitable reports. The Manual of Head and Neck Imaging is sized to allow residents to read it completely within a matter of days, and it will also serve as an ideal quick reference guide as different clinical situations arise.

Group cognitive-behavioral therapy for depression in Spanish: culture-sensitive manualized treatment in practice.

Science.gov (United States)

Aguilera, Adrian; Garza, Monica J; Muñoz, Ricardo F

2010-08-01

The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (addresses physical health and depression). They illustrated the use of the culture-sensitive treatment manuals by way of the member characteristics and clinical process of a Spanish-language CBT group for depression. They highlighted the challenges and satisfactions of working with a Spanish-speaking population in the public sector, and focused on how culture and socioeconomic status influence patients, and how to adapt treatment to these factors. Last, they demonstrated how technological advances integrate with culture-sensitive, evidence-based treatments to better serve this population and reduce disparities.

76 FR 12719 - Safe Schools/Healthy Students Program; Office of Safe and Drug-Free Schools; Safe Schools/Healthy...

Science.gov (United States)

2011-03-08

... DEPARTMENT OF EDUCATION Safe Schools/Healthy Students Program; Office of Safe and Drug- Free Schools; Safe Schools/Healthy Students Program; Catalog of Federal Domestic Assistance (CFDA) Numbers: 84... priorities, requirements, and definitions under the Safe Schools/Healthy Students (SS/HS) program. Since...

Operating manual for the critical experiments facility

International Nuclear Information System (INIS)

1986-01-01

The operation of the Critical Experiments Facility (CEF) requires careful attention to procedures in order that all safety precautions are observed. Since an accident could release large amounts of radioactivity, careful operation and strict enforcement of procedures are necessary. To provide for safe operation, detailed procedures have been written for all phases of the operation of this facility. The CEF operating procedures are not to be construed to constitute a part ofthe Technical Specifications. In the event of any discrepancy between the information given herein and the Technical Specifications, limits set forth in the Technical Specifications apply. All normal and most emergency operation conditions are covered by procedures presented in this manual. These procedures are designed to be followed by the operating personnel. Strict adherence to these procedures is expected for the following reasons. (1) To provide a standard, safe method of performing all operations, the procedures were written by reactor engineers experienced in supervising the operation of reactors and were reviewed by an organization with over 30 years of reactor operating experience. (2) To have an up-to-date description of operating techniques available at all times for reference and review, it is necessary that the procedures be written

Operating manual for the critical experiments facility

Energy Technology Data Exchange (ETDEWEB)

1986-01-01

The operation of the Critical Experiments Facility (CEF) requires careful attention to procedures in order that all safety precautions are observed. Since an accident could release large amounts of radioactivity, careful operation and strict enforcement of procedures are necessary. To provide for safe operation, detailed procedures have been written for all phases of the operation of this facility. The CEF operating procedures are not to be construed to constitute a part ofthe Technical Specifications. In the event of any discrepancy between the information given herein and the Technical Specifications, limits set forth in the Technical Specifications apply. All normal and most emergency operation conditions are covered by procedures presented in this manual. These procedures are designed to be followed by the operating personnel. Strict adherence to these procedures is expected for the following reasons. (1) To provide a standard, safe method of performing all operations, the procedures were written by reactor engineers experienced in supervising the operation of reactors and were reviewed by an organization with over 30 years of reactor operating experience. (2) To have an up-to-date description of operating techniques available at all times for reference and review, it is necessary that the procedures be written.

Dilemma-focused intervention for unipolar depression: a treatment manual.

Science.gov (United States)

Feixas, Guillem; Compañ, Victoria

2016-07-12

approaches. At its present level of definition, it allows for inclusion in controlled trials (eg, the current RCT combining group CBT with this intervention). Thus, this manual added to the existing resources in psychotherapeutic research and practice for treatment of depression.

Manual Labour, Intellectual Labour and Digital (Academic Labour. The Practice/Theory Debate in the Digital Humanities

Directory of Open Access Journals (Sweden)

Christophe Magis

2018-01-01

Full Text Available Although it hasn’t much been considered as such, the Digital Humanities movements (or at least the most theoretically informed parts of it offers a critique “from within” of the recent mutation of the higher education and research systems. This paper offers an analysis, from a Critical Theory perspective, of a key element of this critique: the theory vs. practice debate, which, in the Digital Humanities, is translated into the famous “hack” versus “yack” motto, where DHers usually call for the pre-eminence of the former over the latter. I show how this debate aims to criticize the social situation of employment in academia in the digital age and can further be interpreted with the Cultural industry theoretical concept, as a continuance of the domination of the intellectual labour (ie. yack in this case over the manual labour (hack. Nevertheless, I argue that, pushing this debate to its very dialectical limit in the post-industrial academic labour situation, one realizes that the two terms aren’t in opposition anymore: the actual theory as well as the actual practice are below their very critical concepts in the academic labour. Therefore, I call for a reconfiguration of this debate, aiming at the rediscovering of an actual theory in the academic production, as well as a rediscovering of a praxis, the latter being outside of the scientific realm and rules: it is political.

Safe Transport of Radioactive Material, International Regulations and its Supporting Documents

International Nuclear Information System (INIS)

El-Shinawy, R.M.K.

2005-01-01

Safe transport of radioactive material regulations issued by IAEA since 1961, provide standards for insuring a high level of safety of people,transport workers, property and environment against radiation, contamination and criticality hazards as well as thermal effects associated with the transport of the radioactive wastes and material. The history ,development, philosophy and scope of these international regulations were mentioned as well as the different supporting documents to the regulations for safe transport of radioactive material were identified.The first supporting document , namely TS - G-1.1 ( ST-2) ,Advisory material is also issued by the IAEA.It contains both the advisory and explanatory materials previously published in safety series No 7 and 37 and therefore TS-G-1.1 (ST-2) will supersede safety series No 7 and 37. The second supporting document namely TS-G-1.2 (ST-3), planning and preparing for emergency response to transport accidents involving radioactive material ,which will supersede safety series No 87. In addition to quality assurance (SS=113), compliance assurance (SS=112), the training manual and other

Safe Transport of Radioactive Material, International Regulations and its Supporting Documents

Energy Technology Data Exchange (ETDEWEB)

El-Shinawy, R M.K. [Radiation Protection Dept., NRC, Atomic Energy Authority, Cairo (Egypt)

2005-04-01

Safe transport of radioactive material regulations issued by IAEA since 1961, provide standards for insuring a high level of safety of people,transport workers, property and environment against radiation, contamination and criticality hazards as well as thermal effects associated with the transport of the radioactive wastes and material. The history ,development, philosophy and scope of these international regulations were mentioned as well as the different supporting documents to the regulations for safe transport of radioactive material were identified.The first supporting document , namely TS - G-1.1 ( ST-2) ,Advisory material is also issued by the IAEA.It contains both the advisory and explanatory materials previously published in safety series No 7 and 37 and therefore TS-G-1.1 (ST-2) will supersede safety series No 7 and 37. The second supporting document namely TS-G-1.2 (ST-3), planning and preparing for emergency response to transport accidents involving radioactive material ,which will supersede safety series No 87. In addition to quality assurance (SS=113), compliance assurance (SS=112), the training manual and other.

Human manual control performance in hyper-gravity.

Science.gov (United States)

Clark, Torin K; Newman, Michael C; Merfeld, Daniel M; Oman, Charles M; Young, Laurence R

2015-05-01

Hyper-gravity provides a unique environment to study how misperceptions impact control of orientation relative to gravity. Previous studies have found that static and dynamic roll tilts are perceptually overestimated in hyper-gravity. The current investigation quantifies how this influences control of orientation. We utilized a long-radius centrifuge to study manual control performance in hyper-gravity. In the dark, subjects were tasked with nulling out a pseudo-random roll disturbance on the cab of the centrifuge using a rotational hand controller to command their roll rate in order to remain perceptually upright. The task was performed in 1, 1.5, and 2 G's of net gravito-inertial acceleration. Initial performance, in terms of root-mean-square deviation from upright, degraded in hyper-gravity relative to 1 G performance levels. In 1.5 G, initial performance degraded by 26 % and in 2 G, by 45 %. With practice, however, performance in hyper-gravity improved to near the 1 G performance level over several minutes. Finally, pre-exposure to one hyper-gravity level reduced initial performance decrements in a different, novel, hyper-gravity level. Perceptual overestimation of roll tilts in hyper-gravity leads to manual control performance errors, which are reduced both with practice and with pre-exposure to alternate hyper-gravity stimuli.

Regulation in the electric power industry. A practical manual. 2. ed.; Regulierung in der Energiewirtschaft. Ein Praxishandbuch

Energy Technology Data Exchange (ETDEWEB)

Salje, Peter [Hannover Univ. (Germany); Schmidt-Preuss, Matthias (ed.) [Bonn Univ. (Germany); Baur, Juergen F.

2016-04-01

The energy transition is taking place with dynamism and breakneck pace. The legislation and process of regulations, European legislation and the practice of FNA and courts form a regulatory framework, which means growing challenges for all players in the energy sector. the cutting-edge issues and developments of practice and theory discussed Edition - After the encouraging uptake of the 1st edition of the best practice manual ''regulation in the energy sector'' the current questions and developments for practice and theory are dealed in a new - second edition. The specifics of the work to be maintained: On the one hand the interdisciplinary - regulatory economic as well as economic - anchoring and on the other hand taking into account the European requirements which are becoming more and more important. Against this background, in particular, the problems raised by the energy transition issues of excellent writers are explained. Here numerous additional topics are included in the manual, such as the investment stimulatory instruments (as the decommissioning ban). Moreover, in the last part, the energy of civil law has been newly added to its width. The same applies to the increasingly important topic of metrology. Other highly topical - in the new edition treated first - Topics include among others the easement agreements and the 20-year time limit and re-allocation of concession contracts, customer equipment, and closed distribution systems. As part of the energy transition the EEG 2014 with conceptual new approaches is a reason for a significant expansion of the relevant chapter. Finally is pointed to the entirely new network planning - from network development plan over the federal requirements planning to final project approval -, which will now be discussed in depth. Authors: Proven experts from science and practice Audience: courts, public authorities and institutions in the energy sector, energy businesses, advocacy and science. [German

Group Cognitive-Behavioral Therapy for Depression in Spanish: Culture-Sensitive Manualized Treatment in Practice

Science.gov (United States)

Aguilera, Adrian; Garza, Monica J.; Muñoz, Ricardo F.

2014-01-01

The authors applied cognitive-behavioral therapy (CBT) for depression using the Healthy Management of Reality treatment manual. This 16-week group treatment comprised four 4-week modules: thoughts (cognitive restructuring), activities (behavioral activation), people (interpersonal skills training), and health (addresses physical health and depression). They illustrated the use of the culture-sensitive treatment manuals by way of the member characteristics and clinical process of a Spanish-language CBT group for depression. They highlighted the challenges and satisfactions of working with a Spanish-speaking population in the public sector, and focused on how culture and socioeconomic status influence patients, and how to adapt treatment to these factors. Last, they demonstrated how technological advances integrate with culture-sensitive, evidence-based treatments to better serve this population and reduce disparities. PMID:20549680

Guidelines for the preparation of a quality manual for external audit groups on dosimetry in radiotherapy

International Nuclear Information System (INIS)

Izewska, Joanna; Arib, M.; Saravi, M.

2002-01-01

This document has been prepared within the framework of a Co-ordinated Research Programme (CRP) on Development of Quality Assurance Programme for Radiation Therapy Dosimetry in Developing Countries, during two Meetings at the IAEA Headquarters in Vienna (11-14 November 1996 and 6-10 October 1997). It is based on the recommendations of ISO 9000 series and ISO/IEC guide No. 25. The document can be used as a guide on how to prepare a quality manual for national External Audit Groups (EAG), i.e., a nationally recognised group in charge of operating external quality audits for radiotherapy dosimetry. The EAG of a given country includes the SSDL, a Measuring Group and a Medical Physics Group, who work in close co-operation at all steps of the audit. The content herein should be considered as a suggestion and additions or deletions can be made in accordance with the specific conditions in each country. It is preferable that the manual itself be as concise as possible, limiting it to the core scope. Detailed working sheets describing the procedures should be included in Appendices together with data sheets, questionnaires and reporting forms. The quality manual of each country should be carefully reviewed by all members of the EAG and, as far as possible, should be approved by relevant professional bodies and supported by health authorities. It has long been recognised that accurate knowledge of the dose in radiotherapy is vital to ensure safe and effective radiation treatments. To achieve this goal, comprehensive quality assurance programmes should be established to cover all steps from dose prescription to dose delivery. These programmes should include internal checks performed by the radiotherapy centres and external audits made by independent external bodies. It is estimated that not more than 50% of radiotherapy facilities world-wide have participated in some level of dose quality audit by an independent expert. Genuine concern exists that some, or even many

Cool and Safe: Multiplicity in Safe Innovation at Unilever

Science.gov (United States)

Penders, Bart

2011-01-01

This article presents the making of a safe innovation: the application of ice structuring protein (ISP) in edible ices. It argues that safety is not the absence of risk but is an active accomplishment; innovations are not "made safe afterward" but "safe innovations are made". Furthermore, there are multiple safeties to be accomplished in the…

Relationships between Safe Pesticide Practice and Perceived Benefits and Subjective Norm, and the Moderation Role of Information Acquisition: Evidence from 971 Farmers in China.

Science.gov (United States)

Wang, Jianhua; Deng, Yuanyuan; Ma, Yuting

2017-08-25

Improper use of pesticides among farmers has caused food safety issues which are serious threats to public health in China. A central question concerns how to motivate farmers to self-regulate their pesticide usage. The paper aims to identify the influence of an internal driving factor, i.e., perceived benefits, and an external driving factor, i.e., subjective norm, on farmers' safe pesticide behaviors, and whether the two factors are moderated by the exposure to information on government policies and the market, based on a sample of 971 farmers selected from 5 Chinese provinces. The results revealed that farmers' safe pesticide usage was predominately driven by perceived benefits whereas external pressure or subjective norm did not play much of a role. Interaction effects were found between the exposure to market information and perceived benefits, and also between subjective norm and exposure to government policy. Extensions agencies are recommended to effectively convey to farmers the benefits to follow safe pesticide practices. Meanwhile, surveillance and monitoring systems should be established so that the prices of their agricultural products are reflected by the quality of the products.

Manual for the energy trade. 3. new rev. and enl. ed.

International Nuclear Information System (INIS)

Schwintowski, Hans-Peter

2014-01-01

This manual sheds a light on the energy trade from both a legal and an empirical economic perspective. Its focus is on those business fields within the energy trade that are of foremost practical relevance, namely the OTC trade and the exchange trade. It also provides concise coverage of risk management systems in the energy trade along with a competent account of their implications with regard to supervisory regulations. In this, its third edition the manual addresses the latest developments in both the national and the international energy trade, including those seen in the gas storage market and its market access regulations; consideration is here also given to market transparency, market distortion and liquidity. The commentary on standard contracts (EFET) has been updated. The manual also addresses the adaptations made in the minimum requirements for risk management.

The Prohibition of Employment as Manual Scavengers and their Rehabilitation Act, 2013: A Review

Directory of Open Access Journals (Sweden)

Aparajita Baruah

2014-02-01

Full Text Available Manual scavenging is a caste-based and hereditary occupation for Dalits (untouchables, which is predominantly linked with forced labour or slavery. In this article, an attempt has been made to trace out the brief history of the practice of manual scavenging in India. The author has also dwelt upon the constitutional commitment as well as measures taken up by the successive governments to improve the conditions of this class of people. The hallmark of the article lies in the detailed analysis along with some suitable suggestions on the Prohibition of Employment as Manual Scav- engers and their Rehabilitation Act, 2013 recently enacted by the Parliament of India.

Manual on mathematical models in isotope hydrogeology

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-10-01

Methodologies based on the use of naturally occurring isotopes are, at present, an integral part of studies being undertaken for water resources assessment and management. Quantitative evaluations based on the temporal and/or spatial distribution of different isotopic species in hydrological systems require conceptual mathematical formulations. Different types of model can be employed depending on the nature of the hydrological system under investigation, the amount and type of data available, and the required accuracy of the parameter to be estimated. This manual provides an overview of the basic concepts of existing modelling approaches, procedures for their application to different hydrological systems, their limitations and data requirements. Guidance in their practical applications, illustrative case studies and information on existing PC software are also included. While the subject matter of isotope transport modelling and improved quantitative evaluations through natural isotopes in water sciences is still at the development stage, this manual summarizes the methodologies available at present, to assist the practitioner in the proper use within the framework of ongoing isotope hydrological field studies. In view of the widespread use of isotope methods in groundwater hydrology, the methodologies covered in the manual are directed towards hydrogeological applications, although most of the conceptual formulations presented would generally be valid. Refs, figs, tabs.

Manual on mathematical models in isotope hydrogeology

International Nuclear Information System (INIS)

1996-10-01

Methodologies based on the use of naturally occurring isotopes are, at present, an integral part of studies being undertaken for water resources assessment and management. Quantitative evaluations based on the temporal and/or spatial distribution of different isotopic species in hydrological systems require conceptual mathematical formulations. Different types of model can be employed depending on the nature of the hydrological system under investigation, the amount and type of data available, and the required accuracy of the parameter to be estimated. This manual provides an overview of the basic concepts of existing modelling approaches, procedures for their application to different hydrological systems, their limitations and data requirements. Guidance in their practical applications, illustrative case studies and information on existing PC software are also included. While the subject matter of isotope transport modelling and improved quantitative evaluations through natural isotopes in water sciences is still at the development stage, this manual summarizes the methodologies available at present, to assist the practitioner in the proper use within the framework of ongoing isotope hydrological field studies. In view of the widespread use of isotope methods in groundwater hydrology, the methodologies covered in the manual are directed towards hydrogeological applications, although most of the conceptual formulations presented would generally be valid. Refs, figs, tabs

On the practice of the clinical implementation of enhanced dynamic wedges

International Nuclear Information System (INIS)

Koken, Phil W.; Heukelom, Stan; Cuijpers, Johan P.

2003-01-01

Practical aspects of the clinical implementation of enhanced dynamic wedges (EDW) replacing manual wedges are presented and discussed extensively. A comparison between measured and calculated data is also presented. Relative dose distributions and wedge factors were calculated with a commercially available treatment planning system and measured in a water-phantom and with an ionization chamber. Wedge factor calculations and measurements were also compared with an independent method of wedge factor calculations available from the literature. Aspects of the clinical implementation, such as safety and quality assurance, were evaluated. Measurements and calculations agreed very well and were slightly better than results of previous studies. Profiles and percentage depth doses (PDDs) agreed within 1% to 1.5% and within 0.5%, respectively. Measured and calculated wedge factors ratios agreed within 0.5% to 1%. Calculated and measured EDW dose distributions showed excellent agreement, both relative and absolute. However, for safe and practical use, specific aspects need to be taken into consideration. Once the treatment planning system is commissioned properly, the clinical implementation of EDW is rather straightforward

Implicit attitudes towards risky and safe driving in a Danish sample

DEFF Research Database (Denmark)

Martinussen, Laila Marianne

; further, self-reports of the intention to drive safely (or not) are socially sensitive. Therefore, we examined automatic preferences towards safe and risky driving with a Go/No-go Association Task (GNAT). The results suggest that (1) implicit attitudes towards driving behavior can be measured reliably...... with the GNAT; (2) implicit attitudes towards safe driving versus towards risky driving may be separable constructs. We propose that research on driving behavior may benefit from routinely including measures of implicit cognition. A practical advantage is a lesser susceptibility to social desirability biases......, compared to self-report methods. Pending replication in future research, the apparent dissociation between implicit attitudes towards safe versus risky driving that we observed may contribute to a greater theoretical understanding of the causes of unsafe and risky driving behavior....

INTRA/Mod3.2. Manual and code description. Volume 2 - User`s manual

Energy Technology Data Exchange (ETDEWEB)

Andersson, Jenny; Edlund, O.; Hermann, J.; Johansson, Lise-Lotte

1999-01-01

The INTRA Manual consists of two volumes. Volume I of the manual is a thorough description of the code INTRA, the physical modelling of INTRA and the ruling numerics, and volume II, the User`s Manual is an input description. This document, the User`s Manual, Volume II, contains a detailed description of how to use INTRA, how to set up an input file, how to run INTRA and also post-processing

Microscopic Analysis of Plankton, Periphyton, and Activated Sludge. Training Manual.

Science.gov (United States)

Environmental Protection Agency, Washington, DC. Office of Water Programs.

This manual is intended for professional personnel in the fields of water pollution control, limnology, water supply and waste treatment. Primary emphasis is given to practice in the identification and enumeration of microscopic organisms which may be encountered in water and activated sludge. Methods for the chemical and instrumental evaluation…

Lessons from Semmelweis:A Social Epidemiologic Update On Safe Motherhood

Directory of Open Access Journals (Sweden)

Julie Cwikel

2008-01-01

Full Text Available In this historical review, Ignaz Semmelweis's study of handwashing to prevent puerperal fever is described and used as a benchmark from which to identify salient issues that are informative to today's women’s health activists working for Safe Motherhood. The epidemiology of contemporary excess maternal mortality is reviewed. Using the conceptual framework of social epidemiology, the paper addresses four issues that were problematic in Semmelweis’ era. New tools in public health are presented that can help to solve critical, still challenging problems to reduce excess maternal mortality, nosocomial infections, and puerperal fever at childbirth: 1 progress in behavioral methods to promote health behavior change, 2 the introduction of participatory action research, 3 the diffusion of evidence-based public health practice and 4 understanding how politics and health interact and present challenges when trying to meet public health goals. Social exclusion and marginality are still key issues in determining who has access to safe motherhood and who risks her life in maternity. Applied social epidemiology allows practitioners to make effective use of the already accumulated evidence and translate it into effective public health practice to promote safe motherhood around the world.

Camp Health Aide Manual = Manual para trabajadores de salud.

Science.gov (United States)

Robinson, June Grube; And Others

This bilingual manual serves as a textbook for migrant Camp Health Aides. Camp Health Aides are members of migrant labor camps enlisted to provide information about health and social services to migrant workers and their families. The manual is divided into 12 tabbed sections representing lessons. Teaching notes printed on contrasting paper…

Manual on laboratory testing for uranium ore processing

International Nuclear Information System (INIS)

1990-01-01

Laboratory testing of uranium ores is an essential step in the economic evaluation of uranium occurrences and in the development of a project for the production of uranium concentrates. Although these tests represent only a small proportion of the total cost of a project, their proper planning, execution and interpretation are of crucial importance. The main purposes of this manual are to discuss the objectives of metallurgical laboratory ore testing, to show the specific role of these tests in the development of a project, and to provide practical instructions for performing the tests and for interpreting their results. Guidelines on the design of a metallurgical laboratory, on the equipment required to perform the tests and on laboratory safety are also given. This manual is part of a series of Technical Reports on uranium ore processing being prepared by the IAEA's Division of Nuclear Fuel Cycle and Waste Management. A report on the Significance of Mineralogy in the Development of Flowsheets for Processing Uranium Ores (Technical Reports Series No. 196, 1980) and an instruction manual on Methods for the Estimation of Uranium Ore Reserves (No. 255, 1985) have already been published. 17 refs, 40 figs, 17 tabs

HVAC system operation manual of IMEF

International Nuclear Information System (INIS)

Baek, Sang Yeol; Park, Dae Kyu; Ahn, Sang Bok; Ju, Yong Sun.

1997-06-01

This manual is operation procedures of the IMEF(Irradiated Material Examination Facility) HVAC(Heating, Ventilation and Air Conditioning) System. General operation procedures and test method of the IMEF HVAC system are described. The manual is as follows; 1. HVAC system operation manual 2. HVAC system management guide 3. HVAC system maintenance manual 4. HVAC system air velocity and flowrate measurement manual 5. HVAC system HEPA filter leak test manual 6. HVAC system charcoal filter leak test manual 7. HVAC system HEPA and charcoal filter exchange manual. (author). 8 tabs

American Nurses Association position statement on elimination of manual patient handling to prevent work-related musculoskeletal disorders.

Science.gov (United States)

In order to establish a safe environment for nurses and patients, the American Nurses Association (ANA) supports actions and policies that result in the elimination of manual patient handling. Patient handling, such as lifting, repositioning, and transferring, has conventionally been performed by nurses. The performance of these tasks exposes nurses to increased risk for work-related musculoskeletal disorders. With the development of assistive equipment, such as lift and transfer devices, the risk of musculoskeletal injury can be significantly reduced. Effective use of assistive equipment and devices for patient handling creates a safe healthcare environment by separating the physical burden from the nurse and ensuring the safety, comfort, and dignity of the patient.

Eddy current manual: v.1

International Nuclear Information System (INIS)

Cecco, V.S.; Van Drunen, G.; Sharp, F.L.

1983-09-01

This training and reference manual was assembled to provide those involved in eddy current testing with both the fundamental principles of the technique as well as the knowledge to deal with often complicated test results. A non-rigorous approach is used to simplify complex physical phenomena. Emphasis is placed on proper choice of test frequency and signal interpretation. Defect detection and diagnosis receive particular attention. Design and construction of probes are covered extensively since probes play a key role in eddy current testing. The advantages and limitations of various probe types are discussed. Electromagnetic theory, instrumentation, test methods and signal analysis are covered. Simplified derivations of probe response to test parameters are presented to develop a basic understanding of eddy current behaviour. Eddy current signals are presented on impedance plane diagrams throughout the manual since this is the most common display on modern, general purpose instruments. The use of Σphase lagΣ in signal analysis is covered in detail. To supplement theory, practical examples are presented to develop proficiency in performing inspections, and to illustrate how basic principles are applied to diagnose real signals

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.

2009-08-28

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at Hanford. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with 10 CFR 835, DOELAP, DOE-RL, ORP, PNSO, and Hanford contractor requirements. The dosimetry system is operated by PNNL’s Hanford External Dosimetry Program (HEDP) which provides dosimetry services to all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee (HPDAC) which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. The first revision to be released through PNNL’s Electronic Records & Information Capture Architecture (ERICA) database was designated Revision 0. Revision numbers that are whole numbers reflect major revisions typically involving changes to all chapters in the document. Revision numbers that include a decimal fraction reflect minor revisions, usually restricted to selected chapters or selected pages in the document.

A Manual of Style.

Science.gov (United States)

Nebraska State Dept. of Education, Lincoln.

This "Manual of Style" is offered as a guide to assist Nebraska State employees in producing quality written communications and in presenting a consistently professional image of government documents. The manual is not designed to be all-inclusive. Sections of the manual discuss formatting documents, memorandums, letters, mailing…

Guidelines on best practice in the X-ray imaging of children. A manual for all X-ray departments

International Nuclear Information System (INIS)

Cook, J.; Pettett, A.; Shah, K.

1998-01-01

When we were first asked to participate in a CEC project looking at best practice in paediatric radiology, we did not appreciate how much our own practice could be improved. The department already had high standards of radiography. However, despite our initial reservations we found that by reassessing all our practices, including choice of screen/film systems, use of filters, grids and exposure factors we were able to standardise our techniques and reduce our doses in many areas by over 50%, while still maintaining diagnostic quality. The published European Guidelines on Quality Criteria for Diagnostic Radiographic Images in Paediatrics (1996) was our initiative. They provide a combination of positioning and visibility criteria. Radiographs which do not meet these criteria are not thought to be diagnostic and alternatively aesthetically high quality radiographs which exceed these criteria are not deemed necessary. The reference dose levels in the European Guidelines are those above which corrective action should be taken. The dose measurements in our guidelines are much lower and represent what is achievable with the available equipment at QMHC, while still meeting the European Quality Criteria. A new age of Digital radiography is replacing conventional radiography. However, as digital techniques can mask high doses, careful observation of quality criteria and recommended technique is even more important to obtain the most benefit from these technical advances. Despite the time consuming nature of the initial study the whole department has benefited and we encourage all those involved in the X-ray imaging of children to consider re-evaluating their own practices using these guidelines as a reference for comparison. We recognise that all the recommendations given are entirely dependent on the range of equipment available and pathology expected but can be modified to meet individual departmental needs. If practices/ techniques; diagnostic quality of radiographs or

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.

2010-04-01

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at the U.S. Department of Energy (DOE) Hanford site. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with requirements of 10 CFR 835, the DOE Laboratory Accreditation Program, the DOE Richland Operations Office, DOE Office of River Protection, DOE Pacific Northwest Office of Science, and Hanford’s DOE contractors. The dosimetry system is operated by the Pacific Northwest National Laboratory (PNNL) Hanford External Dosimetry Program which provides dosimetry services to PNNL and all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since its inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. The first revision to be released through PNNL’s Electronic Records & Information Capture Architecture database was designated Revision 0. Revision numbers that are whole numbers reflect major revisions typically involving significant changes to all chapters in the document. Revision

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.

2011-04-04

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at the U.S. Department of Energy (DOE) Hanford site. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with requirements of 10 CFR 835, the DOE Laboratory Accreditation Program, the DOE Richland Operations Office, DOE Office of River Protection, DOE Pacific Northwest Office of Science, and Hanford’s DOE contractors. The dosimetry system is operated by the Pacific Northwest National Laboratory (PNNL) Hanford External Dosimetry Program which provides dosimetry services to PNNL and all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since its inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. The first revision to be released through PNNL’s Electronic Records & Information Capture Architecture database was designated Revision 0. Revision numbers that are whole numbers reflect major revisions typically involving significant changes to all chapters in the document. Revision

SAFE: A computer code for the steady-state and transient thermal analysis of LMR fuel elements

International Nuclear Information System (INIS)

Hayes, S.L.

1993-12-01

SAFE is a computer code developed for both the steady-state and transient thermal analysis of single LMR fuel elements. The code employs a two-dimensional control-volume based finite difference methodology with fully implicit time marching to calculate the temperatures throughout a fuel element and its associated coolant channel for both the steady-state and transient events. The code makes no structural calculations or predictions whatsoever. It does, however, accept as input structural parameters within the fuel such as the distributions of porosity and fuel composition, as well as heat generation, to allow a thermal analysis to be performed on a user-specified fuel structure. The code was developed with ease of use in mind. An interactive input file generator and material property correlations internal to the code are available to expedite analyses using SAFE. This report serves as a complete design description of the code as well as a user's manual. A sample calculation made with SAFE is included to highlight some of the code's features. Complete input and output files for the sample problem are provided

Procedure of safe handling with cytostatic drugs

Directory of Open Access Journals (Sweden)

Kodžo Dragan

2003-01-01

Full Text Available Working group for safe handling with cytostatic drugs has been formed by the Ministry of Health, and it consists of professionals from IORS, Federal Bureau of Weights and Measures, Industrial Medicine, Institute of Hematology, Military Medical Academy, and Crown Agents. The aim of this working group is to prepare procedures for safe handling with cytostatic drugs, as well as program for educational seminar for nurses, medical technicians, and pharmaceutical technicians. The procedures will serve as a guide of good practice of oncology health care, and will refer to all actions that health care professionals carry out from the moment of drugs arrival to the pharmacy to the moment of their application. In the first segment of this procedure, general rules are given for working with cytotoxic agents, control for risky exposures, safe system of work, control of working environment, monitoring of the employees' health condition adequate protection in the working environment, protective equipment of the employees (gloves, mask, cap, eyeglasses, shoe covers, coats and chambers for vertical laminary air stream. Storing of cytostatics, procedure in case of accident, and waste handling and removal are also described in this segment. Fifty-three standard operational procedures are described in detail in the second segment. Training scheme for preparation of chemotherapy is given in the third segment - education related to various fields and practical part, which would be carried out through workshops, and at the end of the course participants would pass a test and obtain certificate. After the procedures for safe handling with cytostatics are legally regulated employer will have to provide minimum of protective equipment, special rooms for the drugs dissolving, chambers with laminar airflow, 6 hours working time, rotation of the staff working with drugs dissolving in intervals of every five years, higher efficiency, better health control. In conclusion

Improving Safe Sleep Modeling in the Hospital through Policy Implementation.

Science.gov (United States)

Heitmann, Rachel; Nilles, Ester K; Jeans, Ashley; Moreland, Jackie; Clarke, Chris; McDonald, Morgan F; Warren, Michael D

2017-11-01

Introduction Sleep-related infant deaths are major contributors to Tennessee's high infant mortality rate. The purpose of this initiative was to evaluate the impact of policy-based efforts to improve modeling of safe sleep practices by health care providers in hospital settings across Tennessee. Methods Safe sleep policies were developed and implemented at 71 hospitals in Tennessee. Policies, at minimum, were required to address staff training on the American Academy of Pediatrics' safe sleep recommendations, correct modeling of infant safe sleep practices, and parent education. Hospital data on process measures related to training and results of crib audits were compiled for analysis. Results The overall observance of infants who were found with any risk factors for unsafe sleep decreased 45.6% (p ≤ 0.001) from the first crib audit to the last crib audit. Significant decreases were noted for specific risk factors, including infants found asleep not on their back, with a toy or object in the crib, and not sleeping in a crib. Significant improvements were observed at hospitals where printed materials or video were utilized for training staff compared to face-to-face training. Discussion Statewide implementation of the hospital policy intervention resulted in significant reductions in infants found in unsafe sleep situations. The most common risk factors for sleep-related infant deaths can be modeled in hospitals. This effort has the potential to reduce sleep-related infant deaths and ultimately infant mortality.

MARS CODE MANUAL VOLUME III - Programmer's Manual

International Nuclear Information System (INIS)

Chung, Bub Dong; Hwang, Moon Kyu; Jeong, Jae Jun; Kim, Kyung Doo; Bae, Sung Won; Lee, Young Jin; Lee, Won Jae

2010-02-01

Korea Advanced Energy Research Institute (KAERI) conceived and started the development of MARS code with the main objective of producing a state-of-the-art realistic thermal hydraulic systems analysis code with multi-dimensional analysis capability. MARS achieves this objective by very tightly integrating the one dimensional RELAP5/MOD3 with the multi-dimensional COBRA-TF codes. The method of integration of the two codes is based on the dynamic link library techniques, and the system pressure equation matrices of both codes are implicitly integrated and solved simultaneously. In addition, the Equation-Of-State (EOS) for the light water was unified by replacing the EOS of COBRA-TF by that of the RELAP5. This programmer's manual provides a complete list of overall information of code structure and input/output function of MARS. In addition, brief descriptions for each subroutine and major variables used in MARS are also included in this report, so that this report would be very useful for the code maintenance. The overall structure of the manual is modeled on the structure of the RELAP5 and as such the layout of the manual is very similar to that of the RELAP. This similitude to RELAP5 input is intentional as this input scheme will allow minimum modification between the inputs of RELAP5 and MARS3.1. MARS3.1 development team would like to express its appreciation to the RELAP5 Development Team and the USNRC for making this manual possible

Quality Manual

Science.gov (United States)

Koch, Michael

The quality manual is the “heart” of every management system related to quality. Quality assurance in analytical laboratories is most frequently linked with ISO/IEC 17025, which lists the standard requirements for a quality manual. In this chapter examples are used to demonstrate, how these requirements can be met. But, certainly, there are many other ways to do this.

Sustainable concrete pavements : a manual of practice.

Science.gov (United States)

2011-08-01

Developed as a more detailed follow-up to a 2009 briefing document, Building Sustainable Pavement with Concrete, this guide provides a clear, concise, and cohesive discussion of pavement sustainability concepts and of recommended practices for maximi...

Safe Is Not Enough: Better Schools for LGBTQ Students

Science.gov (United States)

Sadowski, Michael

2016-01-01

"Safe Is Not Enough" illustrates how educators can support the positive development of LGBTQ students in a comprehensive way so as to create truly inclusive school communities. Using examples from classrooms, schools, and districts across the country, Michael Sadowski identifies emerging practices such as creating an LGBTQ-inclusive…

Importance of safety review to the safe operation of a nuclear plant

International Nuclear Information System (INIS)

Brinkerhoff, L.C.

1978-01-01

Widely differing standards of construction of nuclear reactors are employed in different countries. Although the reactor vendors, including designers and construction contractors, have a vested interest in safety, the ultimate responsibility for safety rests with the reactor facility operator. Even though governmental agencies, either directly or indirectly, must take a strong lead in developing policies and practices of safe operation, the reactor facility operator must recognize and accept the full responsibility for safe operation of the facility. The policies and practices of safe operation imposed by governmental agencies must help assure the prudent operation and the adequate maintenance of those structures, systems, and components of importance to safety. Since each country has a slightly different philosophy for achieving safety and each vendor utilizes different structures, systems, and components to fulfil this philosophy, it is imperative that the facility operator adequately maintain those engineered safety features and those plant protective systems which have been engineered into achieving the desired levels of safety. An additional method of helping to assure that those structures, systems, and components of importance to safety are prudently operated and adequately maintained is to assign the full safety responsibility for the overall operations of the reactor facility to the operating organization, i.e. assigning a 'line of responsibility' within the reactor facility operator. This assurance can be further strengthened by requiring that the facility operator establish a safety review body that overviews the operation and assures that the operating organization complies with those policies and practices of safe operation which have been imposed on the reactor facility. (author)

Implementation evaluation of steering teens safe: engaging parents to deliver a new parent-based teen driving intervention to their teens.

Science.gov (United States)

Ramirez, Marizen; Yang, Jingzhen; Young, Tracy; Roth, Lisa; Garinger, Anne; Snetselaar, Linda; Peek-Asa, Corinne

2013-08-01

Parents play a fundamental role in teaching their children safe driving skills to reduce risk of motor vehicle crashes, the leading cause of death for teens. Steering Teens Safe is a new parent-based intervention that equips parents with communication skills to talk about, demonstrate, and practice safe driving behaviors and skills with their teens. This implementation evaluation focuses on a sample of 83 parents who delivered Steering Teens Safe to their teens. One-, 2- and 3-month follow-up assessments were conducted with intervention parents to evaluate the self-reported quantity and quality of talking about, demonstrating, and practicing safe driving goals with teens; perceived success and benefit of the program; and barriers to implementation. Over 3 months of follow-up, parents discussed driving goals with their teens for a median of 101.5 minutes. The most frequently addressed topics were general safety principles, including distracted driving, driving in bad weather, wearing a seat belt, and being a safe passenger. Parents spent a median of 30 minutes practicing safe driving skills such as changing lanes. Sixty-seven percent of parents talked to their children about rural road safety, but just 36% demonstrated and half practiced these skills with their teens. Barriers to implementation include time and opportunity barriers and resistant attitudes of their teens. However, barriers neither affected frequency of engagement nor parents' perceived benefit and comfort in delivering the program. Parents with time/opportunity barriers also had higher practice and demonstration times than parents without these barriers. Findings indicate high acceptability among parent implementers and promise for real-world delivery. Future studies are needed to assess intervention impact.

SHARP User Manual

Energy Technology Data Exchange (ETDEWEB)

Yu, Y. Q. [Argonne National Lab. (ANL), Argonne, IL (United States); Shemon, E. R. [Argonne National Lab. (ANL), Argonne, IL (United States); Thomas, J. W. [Argonne National Lab. (ANL), Argonne, IL (United States); Mahadevan, Vijay S. [Argonne National Lab. (ANL), Argonne, IL (United States); Rahaman, Ronald O. [Argonne National Lab. (ANL), Argonne, IL (United States); Solberg, Jerome [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2016-03-31

SHARP is an advanced modeling and simulation toolkit for the analysis of nuclear reactors. It is comprised of several components including physical modeling tools, tools to integrate the physics codes for multi-physics analyses, and a set of tools to couple the codes within the MOAB framework. Physics modules currently include the neutronics code PROTEUS, the thermal-hydraulics code Nek5000, and the structural mechanics code Diablo. This manual focuses on performing multi-physics calculations with the SHARP ToolKit. Manuals for the three individual physics modules are available with the SHARP distribution to help the user to either carry out the primary multi-physics calculation with basic knowledge or perform further advanced development with in-depth knowledge of these codes. This manual provides step-by-step instructions on employing SHARP, including how to download and install the code, how to build the drivers for a test case, how to perform a calculation and how to visualize the results. Since SHARP has some specific library and environment dependencies, it is highly recommended that the user read this manual prior to installing SHARP. Verification tests cases are included to check proper installation of each module. It is suggested that the new user should first follow the step-by-step instructions provided for a test problem in this manual to understand the basic procedure of using SHARP before using SHARP for his/her own analysis. Both reference output and scripts are provided along with the test cases in order to verify correct installation and execution of the SHARP package. At the end of this manual, detailed instructions are provided on how to create a new test case so that user can perform novel multi-physics calculations with SHARP. Frequently asked questions are listed at the end of this manual to help the user to troubleshoot issues.

SHARP User Manual

International Nuclear Information System (INIS)

Yu, Y. Q.; Shemon, E. R.; Thomas, J. W.; Mahadevan, Vijay S.; Rahaman, Ronald O.; Solberg, Jerome

2016-01-01

SHARP is an advanced modeling and simulation toolkit for the analysis of nuclear reactors. It is comprised of several components including physical modeling tools, tools to integrate the physics codes for multi-physics analyses, and a set of tools to couple the codes within the MOAB framework. Physics modules currently include the neutronics code PROTEUS, the thermal-hydraulics code Nek5000, and the structural mechanics code Diablo. This manual focuses on performing multi-physics calculations with the SHARP ToolKit. Manuals for the three individual physics modules are available with the SHARP distribution to help the user to either carry out the primary multi-physics calculation with basic knowledge or perform further advanced development with in-depth knowledge of these codes. This manual provides step-by-step instructions on employing SHARP, including how to download and install the code, how to build the drivers for a test case, how to perform a calculation and how to visualize the results. Since SHARP has some specific library and environment dependencies, it is highly recommended that the user read this manual prior to installing SHARP. Verification tests cases are included to check proper installation of each module. It is suggested that the new user should first follow the step-by-step instructions provided for a test problem in this manual to understand the basic procedure of using SHARP before using SHARP for his/her own analysis. Both reference output and scripts are provided along with the test cases in order to verify correct installation and execution of the SHARP package. At the end of this manual, detailed instructions are provided on how to create a new test case so that user can perform novel multi-physics calculations with SHARP. Frequently asked questions are listed at the end of this manual to help the user to troubleshoot issues.

Pharmacovigilance in oncology: evaluation of current practice and future perspectives.

Science.gov (United States)

Baldo, Paolo; De Paoli, Paolo

2014-10-01

Pharmacovigilance (PV), or drug safety monitoring, aims to improve patient safety through the detection and management of drug-related adverse reactions. It is implemented both by spontaneous reporting of adverse drug reactions (ADRs) and by careful detection of signals suggestive of drug toxicity. PV is an important clinical topic in clinical practice and pharmacotherapy, assuring the maintenance of a safe risk/benefit ratio throughout the commercial life cycle of a drug. We conducted a structured literature search on PubMed, Scopus, Cinahl and the Cochrane Library. We also performed manual searches in international databases of ADR individual reports to outline a structured profile on the topic. Our goal was to review key elements that affect safety monitoring of cancer drugs and their appropriate use, highlighting the strengths and weaknesses of PV in oncology. This paper provides an understanding of the methodologies used by PV in current clinical practice and particularly in cancer drug therapy; a focus upon reporting of ADRs by health professionals and patients; and a focus upon methods used by PV to detect new signals of risk/harm related to medicines utilization. To our knowledge, few articles focus upon the importance of PV and post-marketing surveillance of cancer drug therapies. Structured management of spontaneous reports of ADRs and data collection is essential to monitoring the safe use of drugs in this field in which pharmacotherapy is affected by high incidence of drug-related complications and by a narrow benefit/risk ratio. © 2014 John Wiley & Sons, Ltd.

The Russia Corporate Governance Manual : Part I. Corporate Governance Introduced

OpenAIRE

International Finance Corporation; U.S. Department of Commerce

2004-01-01

The Russia corporate governance manual has been divided into and is published in six parts: (i) corporate governance introduced; (ii) good board practices; (iii) shareholder rights; (iv) information disclosure and transparency; (v) special focus section; and (vi) annexes model corporate governance documents. The first four parts contain chapters that focus on core corporate governance issu...

Manual on training, qualification and certification of quality assurance personnel

International Nuclear Information System (INIS)

1986-01-01

The Manual is applicable to those participants in a nuclear power project who are associated with establishment and implementation of the various quality assurance (QA) programmes during the life cycle of the project. It provides examples of typical QA functions to be undertaken and the associated qualification requirements, training programmes, training techniques and methods of certification of personnel implementing these functions. The necessary qualification and training requirements and practices for QA personnel are dependent primarily on the functions or activities to be performed. The two main functions of the QA unit noted previously as (a) ensuring QA programme establishment and execution and (b) verifying that activities have been correctly performed have been found in practice to require different qualifications and training of personnel. Therefore, for the purpose of this Manual the QA personnel may be classified in two groups who perform: QA programmatic and evaluation functions; Inspection and test functions. These titles do not necessarily represent separate or individual organizational groups or units and may be composed of one or of several different organizations

Design and development of a manual pump for bolus enteral nutrition.

Science.gov (United States)

Romano-García, Judit; Fernández-Morera, Juan Luis

2018-02-01

Enteral nutrition (EN) is based on administration of liquid solutions into the gastrointestinal tract using a tube. After identifying unsolved practical difficulties in administration of EN using volume syringes, a new device to overcome such technical difficulties was proposed. Specific technologies (CAD, 3D printing) were used in collaboration with the PRODINTEC Foundation (Gijón, Asturias). Clarke Modet, a law firm specialized in intellectual property, provided legal advice on formulas for legal protection of the invention. The resulting device is a manual pump for infusion of EN to patients that solves previously identified problems and is highly functional and compact. It would allow for comfortable and safe administration of solutions. Integration of a bottle into the device itself and pump dimensions facilitate transport and patient mobility. According to the described configuration, this invention has many advantages over the previously known procedures, such as a simpler administration within the field of intermittent EN, improving the standard nutritional support technique, which in this case is use of volume syringes. This would facilitate the work of caregivers while promoting patient self-care and autonomy. The pump was accredited novelty of design, inventive activity and industrial exploitation potential by the European Patent Office (EPO), to which a patent has been requested. Copyright © 2017 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

Level of awareness of lung cancer risk factors, signs, symptoms and safe practices among college teachers of different states in India: Do awareness programmes have an impact on adoption of safe practices?

Science.gov (United States)

Shankar, A; Roy, S; Bhandari, R; Malik, A; Rath, G K; Julka, P K; Barnwal, K; Upadhyaya, S; Singh, R; Srivastava, V

2015-09-01

information and effective warnings about cigarette smoking are necessary to increase public awareness. To ensure the adoption of safe practices in the lifestyle of people who smoke and consume alcohol, awareness programmes such as the pink chain campaign should be conducted regularly, frequently and more widely in various areas of India.

Manual hyperinflation and the role of physical therapy in intensive care and emergency units

Directory of Open Access Journals (Sweden)

Rafael Vinícius Santos Cruz

Full Text Available Abstract Introduction: Although manual hyperinflation (MHI is a physical therapy technique commonly used in intensive care and emergency units, there is little consensus about its use. Objective: To investigate the knowledge of physical therapists working in intensive care and emergency units about manual hyperinflation. Methods: Data were collected through self-administered questionnaires on manual hyperinflation. Data collection took place between September 2014 and January 2015, in Itabuna and Ilhéus, Bahia, Brazil. Results: The study sample was composed of 32 physical therapists who had between 4 months and 10 years working experience. All respondents affirmed that they used the technique in their professional practice. However, only 34.4% reported it to be a routine practice. 90.6% stated that the most common patient position during manual hyperinflation is “supine”. Participants were almost unanimous (93.8% in citing secretion removal and cough stimulation as perceived benefits of MHI. High peak airway pressure was identified as being a precaution to treatment with MHI by 84.4% of participants, whilst 100% of the sample agreed that an undrained pneumothorax was a contraindication to MHI. Conclusion: The most common answers to the questionnaire were: supine position during MHI; secretion removal and cough stimulation as perceived benefits; high peak airway pressure as a precaution; and an undrained pneumothorax as a contraindication.

Laboratory training manual on the use of nuclear techniques in animal nutrition

International Nuclear Information System (INIS)

1985-01-01

This Manual is planned to introduce the basic principles of work with radiotracers in a logical order. Each principle is then illustrated by means of practical exercises, which are described in detail so that students can perform them with little tutorial supervision

Learning From Critical Collective Spaces: Reflections on the Community-Diversity Dialectic in Safe Spaces

OpenAIRE

Wallin-Ruschman, Jennifer; Patka, Mazna

2016-01-01

Safe spaces have the potential to become prefigurative groups that aim to create social change. The idea of a safe space as a place separate and sheltered from dominant culture to mobilize for social change has gained traction in a number of academic and practical areas. However, safe spaces have the ability to be both progressive and regressive. To guide our discussion we utilize the concept of community-diversity dialectic to address the tension between these forces within two settings. Fir...

Culturally Safe Health Initiatives for Indigenous Peoples in Canada: A Scoping Review.

Science.gov (United States)

Brooks-Cleator, Lauren; Phillipps, Breanna; Giles, Audrey

2018-01-01

Background Cultural safety has the potential to improve the health disparities between Indigenous and non-Indigenous Canadians, yet practical applications of the concept are lacking in the literature. Purpose This study aims to identify the key components of culturally safe health initiatives for the Indigenous population of Canada to refine its application in health-care settings. Methods We conducted a scoping review of the literature pertaining to culturally safe health promotion programs, initiatives, services, or care for the Indigenous population in Canada. Our initial search yielded 501 publications, but after full review of 44 publications, 30 were included in the review. After charting the data, we used thematic analysis to identify themes in the data. Results We identified six themes: collaboration/partnerships, power sharing, address the broader context of the patient's life, safe environment, organizational and individual level self-reflection, and training for health-care providers. Conclusion While it is important to recognize that the provision of culturally safe initiatives depend on the specific interaction between the health-care provider and the patient, having a common understanding of the components of cultural safety, such as those that we identified through this research, will help in the transition of cultural safety from theory into practice.

Evaluation of manual and automatic manually triggered ventilation performance and ergonomics using a simulation model.

Science.gov (United States)

Marjanovic, Nicolas; Le Floch, Soizig; Jaffrelot, Morgan; L'Her, Erwan

2014-05-01

In the absence of endotracheal intubation, the manual bag-valve-mask (BVM) is the most frequently used ventilation technique during resuscitation. The efficiency of other devices has been poorly studied. The bench-test study described here was designed to evaluate the effectiveness of an automatic, manually triggered system, and to compare it with manual BVM ventilation. A respiratory system bench model was assembled using a lung simulator connected to a manikin to simulate a patient with unprotected airways. Fifty health-care providers from different professional groups (emergency physicians, residents, advanced paramedics, nurses, and paramedics; n = 10 per group) evaluated manual BVM ventilation, and compared it with an automatic manually triggered device (EasyCPR). Three pathological situations were simulated (restrictive, obstructive, normal). Standard ventilation parameters were recorded; the ergonomics of the system were assessed by the health-care professionals using a standard numerical scale once the recordings were completed. The tidal volume fell within the standard range (400-600 mL) for 25.6% of breaths (0.6-45 breaths) using manual BVM ventilation, and for 28.6% of breaths (0.3-80 breaths) using the automatic manually triggered device (EasyCPR) (P < .0002). Peak inspiratory airway pressure was lower using the automatic manually triggered device (EasyCPR) (10.6 ± 5 vs 15.9 ± 10 cm H2O, P < .001). The ventilation rate fell consistently within the guidelines, in the case of the automatic manually triggered device (EasyCPR) only (10.3 ± 2 vs 17.6 ± 6, P < .001). Significant pulmonary overdistention was observed when using the manual BVM device during the normal and obstructive sequences. The nurses and paramedics considered the ergonomics of the automatic manually triggered device (EasyCPR) to be better than those of the manual device. The use of an automatic manually triggered device may improve ventilation efficiency and decrease the risk of

The Use of Collaboration to Implement Evidence-Based Safe Practices

OpenAIRE

Clarke, John R.

2013-01-01

The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with instituti...

METHODOLOGICAL APPROACHES TO ORGANIZATION OF SAFE INFORMATION AND EDUCATIONAL ENVIRONMENT OF THE UNIVERSITY

Directory of Open Access Journals (Sweden)

A. N. Privalov

2017-01-01

Full Text Available Introduction. One of the tendencies of modern higher education is the ubiquitous use of information and communication technologies. At the same time, the functioning of the electronic information and educational environment (IEE of the university should be based on the means of IEE and the condition of its information security.The aim of the research is conceptualization of a problem of the rational organization of the safe information and education environment of higher education institution wherein reliable protection of its infrastructure, the personal and unique information of a pupil and teacher and virtual space of their educational interaction is provided.Methodology and research methods. System-based approach is a key approach to organization of safe educational environment of the university. From the point of view of authors, personal-activity and functional approaches are expedient while designing and development of a safe IEE. Socio-historical and theoretical-methodological analysis, modeling, research and synthesis of experience of effective application of the systems approach in educational professional organizations are used.Results and scientific novelty. The concept «safe information educational environment of the university» is specified wherein the first word has to express a predominant quality of the system. Creating a safe information environment in educational professional organizations provides a convenient and safe educational environment in the process of professional training of university students. The components and directions for the organization of the safe IEE are highlighted. Practical recommendations for its design and successful functioning are given.Practical significance. The materials of the present research can be demanded by managers and administrative employees of educational organizations. 

Fuel Element Technical Manual

Energy Technology Data Exchange (ETDEWEB)

Burley, H.H. [ed.

1956-08-01

It is the purpose of the Fuel Element Technical Manual to Provide a single document describing the fabrication processes used in the manufacture of the fuel element as well as the technical bases for these processes. The manual will be instrumental in the indoctrination of personnel new to the field and will provide a single data reference for all personnel involved in the design or manufacture of the fuel element. The material contained in this manual was assembled by members of the Engineering Department and the Manufacturing Department at the Hanford Atomic Products Operation between the dates October, 1955 and June, 1956. Arrangement of the manual. The manual is divided into six parts: Part I--introduction; Part II--technical bases; Part III--process; Part IV--plant and equipment; Part V--process control and improvement; and VI--safety.

The SafeCOP ECSEL Project: Safe Cooperating Cyber-Physical Systems Using Wireless Communication

DEFF Research Database (Denmark)

Pop, Paul; Scholle, Detlef; Hansson, Hans

2016-01-01

This paper presents an overview of the ECSEL project entitled "Safe Cooperating Cyber-Physical Systems using Wireless Communication" (SafeCOP), which runs during the period 2016 -- 2019. SafeCOP targets safety-related Cooperating Cyber-Physical Systems (CO-CPS) characterised by use of wireless...... detection of abnormal behaviour, triggering if needed a safe degraded mode. SafeCOP will also develop methods and tools, which will be used to produce safety assurance evidence needed to certify cooperative functions. SafeCOP will extend current wireless technologies to ensure safe and secure cooperation...

How do clinicians actually use the Diagnostic and Statistical Manual of Mental Disorders in clinical practice and why we need to know more.

Science.gov (United States)

First, Michael B; Bhat, Venkat; Adler, David; Dixon, Lisa; Goldman, Beth; Koh, Steve; Levine, Bruce; Oslin, David; Siris, Sam

2014-12-01

The clinical use of the Diagnostic and Statistical Manual of Mental Disorders (DSM) is explicitly stated as a goal for both the DSM Fourth Edition and DSM Fifth Edition (DSM-5) revisions. Many uses assume a relatively faithful application of the DSM diagnostic definitions. However, studies demonstrate significant discrepancies between clinical psychiatric diagnoses with those made using structured interviews suggesting that clinicians do not systematically apply the diagnostic criteria. The limited information regarding how clinicians actually use the DSM raises important questions: a) How can the clinical use be improved without first having a baseline assessment? b) How can potentially significant shifts in practice patterns based on wording changes be assessed without knowing the extent to which the criteria are used as written? Given the American Psychiatric Association's plans for interim revisions to the DSM-5, the value of a detailed exploration of its actual use in clinical practice remains a significant ongoing concern and deserves further study including a number of survey and in vivo studies.

Management for nuclear power plants for safe operation

International Nuclear Information System (INIS)

Kueffer, K.

1981-01-01

This lecture covers management aspects which have an immediate bearing on safety and identifies the objectives and tasks of management which are required for safe operation of a nuclear power plant and is based on the Codes of Practice and Safety Guides of the IAEA as well as arrangements in use at the Swiss Nuclear Power Station Beznau. (orig./RW)

Radiological control manual. Revision 1

Energy Technology Data Exchange (ETDEWEB)

Kloepping, R.

1996-05-01

This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPP and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP.

Radiological control manual. Revision 1

International Nuclear Information System (INIS)

Kloepping, R.

1996-05-01

This Lawrence Berkeley National Laboratory Radiological Control Manual (LBNL RCM) has been prepared to provide guidance for site-specific additions, supplements and interpretation of the DOE Radiological Control Manual. The guidance provided in this manual is one methodology to implement the requirements given in Title 10 Code of Federal Regulations Part 835 (10 CFR 835) and the DOE Radiological Control Manual. Information given in this manual is also intended to provide demonstration of compliance to specific requirements in 10 CFR 835. The LBNL RCM (Publication 3113) and LBNL Health and Safety Manual Publication-3000 form the technical basis for the LBNL RPP and will be revised as necessary to ensure that current requirements from Rules and Orders are represented. The LBNL RCM will form the standard for excellence in the implementation of the LBNL RPP

CRISP instrument manual

International Nuclear Information System (INIS)

Bucknall, D.G.; Langridge, Sean

1997-05-01

This document is a user manual for CRISP, one of the two neutron reflectomers at ISIS. CRISP is highly automated allowing precision reproducible measurements. The manual provides detailed instructions for the setting-up and running of the instrument and advice on data analysis. (UK)

THE CONCEPT OF MANUAL SKILL EDUCATION IN STOMATOLOGY AT “APOLLONIA” UNIVERSITY OF IASI

Directory of Open Access Journals (Sweden)

V. BURLUI

2013-03-01

Full Text Available In the usual university curricula of stomatology, the aspects related to the education and preservation of manual skills are not thoroughly and sufficiently studied, which explains the theme of the present study, dedicated to the reorganization of the curricula content of the disciplines involved in the development of practical competences in the field. Each student possesses a certain individual manual skill, understood by the teacher only superficially, which is also the case of his natural aptitudes and deficiencies. That is why, the training developed during student years should be prolongued along the whole professional career of the stomatologist, which requires changing of one’s usual attitude versus his own performances, along with a conscious and continuous education for maintaining and developing the expected practical competences. Special attention should be paid to avoiding physical and psychic fatigue, by a corresponding dosage of the intensity of one’s activity, along with a suitable prophylaxy of occupational pathology by practising of relaxation exercises adapted to such a specific profession. An important premise of the implementation of the concept of manual skill refers to the fact that instrumentalized parctising of dental medicine, always influenced by the continuous technological development, assumes the utilization of a large range of medical apparata and devices, in the absence of which stomatology would be a wholly different thing. Organization of an ergonomic stomatological system represents another important objective of the program of skill education as, in itself, it does not cover the shortcomings of a disordered activity. Essential in such situations is the sequential knowledge of the execution times for the various restorative dental, endodontic, periodontal, surgical, prosthetic procedures, on categories of age, the realization of which maintains the manual skills, by their execution on electro-mechanical and

Salinas : theory manual.

Energy Technology Data Exchange (ETDEWEB)

Walsh, Timothy Francis; Reese, Garth M.; Bhardwaj, Manoj Kumar

2004-08-01

This manual describes the theory behind many of the constructs in Salinas. For a more detailed description of how to use Salinas , we refer the reader to Salinas, User's Notes. Many of the constructs in Salinas are pulled directly from published material. Where possible, these materials are referenced herein. However, certain functions in Salinas are specific to our implementation. We try to be far more complete in those areas. The theory manual was developed from several sources including general notes, a programer-notes manual, the user's notes and of course the material in the open literature.

Safe Kids Worldwide

Science.gov (United States)

... Blog Videos Newsletter facebook twitter instagram pinterest gplus youtube Search Menu Why It Matters Who We Are What We Do Find Your Safe Kids Safe Kids Day Main menu Keeping All Kids Safe Safety Tips Get Involved 4 Star Charity Donate Text Burns and Scalds 4 tips ...

PCs The Missing Manual

CERN Document Server

Karp, David

2005-01-01

Your vacuum comes with one. Even your blender comes with one. But your PC--something that costs a whole lot more and is likely to be used daily and for tasks of far greater importance and complexity--doesn't come with a printed manual. Thankfully, that's not a problem any longer: PCs: The Missing Manual explains everything you need to know about PCs, both inside and out, and how to keep them running smoothly and working the way you want them to work. A complete PC manual for both beginners and power users, PCs: The Missing Manual has something for everyone. PC novices will appreciate the una

EMG Processing Based Measures of Fatigue Assessment during Manual Lifting

Directory of Open Access Journals (Sweden)

E. F. Shair

2017-01-01

Full Text Available Manual lifting is one of the common practices used in the industries to transport or move objects to a desired place. Nowadays, even though mechanized equipment is widely available, manual lifting is still considered as an essential way to perform material handling task. Improper lifting strategies may contribute to musculoskeletal disorders (MSDs, where overexertion contributes as the highest factor. To overcome this problem, electromyography (EMG signal is used to monitor the workers’ muscle condition and to find maximum lifting load, lifting height and number of repetitions that the workers are able to handle before experiencing fatigue to avoid overexertion. Past researchers have introduced several EMG processing techniques and different EMG features that represent fatigue indices in time, frequency, and time-frequency domain. The impact of EMG processing based measures in fatigue assessment during manual lifting are reviewed in this paper. It is believed that this paper will greatly benefit researchers who need a bird’s eye view of the biosignal processing which are currently available, thus determining the best possible techniques for lifting applications.

EMG Processing Based Measures of Fatigue Assessment during Manual Lifting

Science.gov (United States)

Marhaban, M. H.; Abdullah, A. R.

2017-01-01

Manual lifting is one of the common practices used in the industries to transport or move objects to a desired place. Nowadays, even though mechanized equipment is widely available, manual lifting is still considered as an essential way to perform material handling task. Improper lifting strategies may contribute to musculoskeletal disorders (MSDs), where overexertion contributes as the highest factor. To overcome this problem, electromyography (EMG) signal is used to monitor the workers' muscle condition and to find maximum lifting load, lifting height and number of repetitions that the workers are able to handle before experiencing fatigue to avoid overexertion. Past researchers have introduced several EMG processing techniques and different EMG features that represent fatigue indices in time, frequency, and time-frequency domain. The impact of EMG processing based measures in fatigue assessment during manual lifting are reviewed in this paper. It is believed that this paper will greatly benefit researchers who need a bird's eye view of the biosignal processing which are currently available, thus determining the best possible techniques for lifting applications. PMID:28303251

Training manual on food irradiation technology and techniques. 2. ed.

International Nuclear Information System (INIS)

1982-01-01

The objective of the revised Training Manual is to help scientists to acquire the necessary knowledge needed for performing proper research and development work in the field of food irradiation. The Manual presents an up-to-date picture of the current state of food irradiation and reflects the important advances made in the technology of food irradiation, in the radiation chemistry of foods, in the microbiology of irradiated foods, in wholesomeness and standardization. It contains the following chapters: (1) Radionuclides and radiation; (2) Radiation detection and measurement; (3) Radiation protection; (4) Radiation chemistry; (5) Effects of radiation on living organisms; (6) Preservation of foods; (7) Radiation preservation of foods; (8) Packaging; (9) Combination processes; (10) Limitations of food irradiation; (11) Wholesomeness of irradiated foods; (12) Government regulation of irradiated foods; (13) Food irradiation facilities; (14) Commercial aspects of food irradiation; (15) Literature sources. The practical part of the Manual contains a revised and expanded series of detailed laboratory exercises in the use of ionizing radiation for food processing

Are nursing students safe when choosing gluteal intramuscular injection locations?

Science.gov (United States)

Cornwall, J

2011-01-01

Nurses are required to perform gluteal intramuscular (IM) injections in practice. There are dangers associated with erroneous performance of this task, particularly with dorsogluteal injections. Knowledge regarding safe injection practice is therefore vital for nursing students. Fifty-eight second year students at a New Zealand Nursing School were given schematic drawings of the posterior and lateral aspects of the gluteal region. They were asked to mark and justify the safest location for gluteal IM injections. Fifty-seven students marked the dorsal schematic and one the lateral, with 38 (66.7%) marking in the upper outer quadrant (UOQ). Twenty indicating the UOQ (52.6%) wrote 'sciatic' or 'nerve' in justifying their location. Nineteen (33.3%) marked a location outside the UOQ; nine (47.4%) of these mentioned 'sciatic' or 'nerve' as reasons for injection safety. Overall, 50% of students mentioned 'sciatic' or 'nerve' in justifying the safety of their chosen injection location. Results suggest some second year nursing students do not understand safe gluteal IM injection locations and rationale. Current teaching practices and IM injection techniques could be revisited to prepare students more effectively; this may help prevent pathologies arising from this procedure.

Infant Safe Sleep Interventions, 1990-2015: A Review.

Science.gov (United States)

Salm Ward, Trina C; Balfour, Giselle M

2016-02-01

Sleep-related infant deaths remain a major public health issue. Multiple interventions have been implemented in efforts to increase adherence to safe sleep recommendations. We conducted a systematic review of the international research literature to synthesize research on interventions to reduce the risk of sleep-related deaths and their effectiveness in changing infant sleep practices. We searched PubMed, CINAHL, PsycINFO, and Google Scholar for peer-reviewed articles published between 1990 and 2015 which described an intervention and reported results. Twenty-nine articles were included for review. Studies focused on infant caregivers, health care professionals, peers, and child care professionals. Targeted behaviors included sleep position, location, removing items from the crib, breastfeeding, smoke exposure, clothing, pacifier use, and knowledge of Sudden Infant Death Syndrome. Most articles described multi-faceted interventions, including: one-on-one or group education, printed materials, visual displays, videos, and providing resources such as cribs, pacifiers, wearable blankets, and infant t-shirts. Two described public education campaigns, one used an educative questionnaire, and one encouraged maternal note taking. Health professional interventions included implementing safe sleep policies, in-service training, printed provider materials, eliciting agreement on a Declaration of Safe Sleep Practice, and sharing adherence data. Data collection methods included self-report via surveys and observational crib audits. Over half of the studies utilized comparison groups which helped determine effectiveness. Most articles reported some degree of success in changing some of the targeted behaviors; no studies reported complete adherence to recommendations. Future studies should incorporate rigorous evaluation plans, utilize comparison groups, and collect demographic and collect follow-up data.

PCR evaluation : considering transition from manual to semi-automated pavement distress collection and analysis.

Science.gov (United States)

2013-07-01

This study is designed to assist the Ohio Department of Transportation (ODOT) in determining : whether transitioning from manual to state-of the-practice semi-automated pavement distress : data collection is feasible and recommended. Statistical and ...

Dreamweaver CS55 The Missing Manual

CERN Document Server

McFarland, David

2011-01-01

Dreamweaver is the tool most widely used for designing and managing professional-looking websites, but it's a complex program. That's where Dreamweaver CS5.5: The Missing Manual comes in. With its jargon-free explanations, 13 hands-on tutorials, and savvy advice from Dreamweaver expert Dave McFarland, you'll master this versatile program with ease. Get A to Z guidance. Go from building your first web page to creating interactive, database-driven sites.Build skills as you learn. Apply your knowledge through tutorials and downloadable practice files.Create a state-of-the-art website. Use powerf

Stock Photographs Do Not Comply With Infant Safe Sleep Guidelines.

Science.gov (United States)

Goodstein, Michael H; Lagon, Elena; Bell, Theodore; Joyner, Brandi L; Moon, Rachel Y

2018-04-01

We evaluated images in popular stock photography websites for adherence with American Academy of Pediatrics (AAP) guidelines for safe infant sleep practices. Three top stock photo websites were used to collect photographs generated from key phrases. All images depicting an infant sleep environment were analyzed for consistency with AAP guidelines. Descriptive statistics, chi-square and z test of proportions, were conducted. A total of 1233 of 1947 stock photographs showed sleeping infants on a flat surface. In all, 627 (50.8%) photographs showed the infant in the supine position and 79 (5%) of all infant sleep environments were adherent with AAP recommendations. Bedding inconsistent with safe sleep recommendations was identified in 1133 images (71.3%), with blankets noted in 49.5%. Images depicting sleeping infants on stock photography sites do not routinely adhere to AAP recommendations. Media messages inconsistent with health care messages create confusion and misinformation about infant sleep safety and may lead inadvertently to unsafe practices.

Traditional birth attendants lack basic information on HIV and safe delivery practices in rural Mysore, India.

Science.gov (United States)

Madhivanan, Purnima; Kumar, Bhavana N; Adamson, Paul; Krupp, Karl

2010-09-22

There is little research on HIV awareness and practices of traditional birth attendants (TBA) in India. This study investigated knowledge and attitudes among rural TBA in Karnataka as part of a project examining how traditional birth attendants could be integrated into prevention-of-mother-to-child transmission of HIV (PMTCT) programs in India. A cross-sectional survey was conducted between March 2008 and January 2009 among TBA in 144 villages in Mysore Taluk, Karnataka. Following informed consent, TBA underwent an interviewer-administered questionnaire in the local language of Kannada on practices and knowledge around birthing and HIV/PMTCT. Of the 417 TBA surveyed, the median age was 52 years and 96% were Hindus. A majority (324, 77.7%) had no formal schooling, 88 (21.1%) had up to 7 years and 5 (1%) had more than 7 yrs of education. Only 51 of the 417 TBA (12%) reported hearing about HIV/AIDS. Of those who had heard about HIV/AIDS, only 36 (72%) correctly reported that the virus could be spread from mother to child; 37 (74%) identified unprotected sex as a mode of transmission; and 26 (51%) correctly said healthy looking people could spread HIV. Just 22 (44%) knew that infected mothers could lower the risk of transmitting the virus to their infants. An overwhelming majority of TBA (401, 96.2%) did not provide antenatal care to their clients. Over half (254, 61%) said they would refer the woman to a hospital if she bled before delivery, and only 53 (13%) felt referral was necessary if excessive bleeding occurred after birth. Traditional birth attendants will continue to play an important role in maternal child health in India for the foreseeable future. This study demonstrates that a majority of TBA lack basic information about HIV/AIDS and safe delivery practices. Given the ongoing shortage of skilled birth attendance in rural areas, more studies are needed to examine whether TBA should be trained and integrated into PMTCT and maternal child health programs in

Eco-Innovation Manual

DEFF Research Database (Denmark)

O'Hare, Jamie Alexander; McAloone, Tim C.; Pigosso, Daniela Cristina Antelmi

Aim of this manual is to introduce a methodology for the implementation of eco‐innovation within small and medium sized companies in developing and emerging economies. The intended audience of this manual is organizations that provide professional services to guide and support manufacturing compa...... companies to improve their sustainability performance....

How to use current practice, risk analysis and standards to define hospital-wide policies on the safe use of infusion technology.

Science.gov (United States)

Timmerman, Annemoon M; Oliveira-Martens, Suzanne M; Snijder, Roland A; Nieman, Anders K; Egberts, Toine C

2015-08-01

Infusion therapy is widely used in hospitals. It is well known that medication errors constitute one of the highest risks to patient safety, leading to numerous adverse events concerning incorrect application of infusion technology. Both clinical practice and in vitro studies show that infusion of multiple medications via one access point induces unwanted phenomena such as backflow and an incorrect system response to interventions. Within the Metrology for Drug Delivery project, we addressed the role of infusion devices in drug delivery. We surveyed current practices for application in hospitals to provide input to standards and quality norms for the materials used in infusion technology. Furthermore, we organized meetings with clinicians and other relevant stakeholders to set up a risk analysis-based infusion policy, accompanied by easy to access operating procedures on infusion technology. It was found difficult to establish clear-cut infusion safety guidelines based on quantitative data because of the many different application areas and stakeholders. However, both the expert team and the survey indicated the value of multidisciplinary qualitative discussion for defining best practices. We advise to incorporate specific requirements on infusion devices in protocols and standards, adjusted to specific applications, to ensure safe use of infusion technology.

Safe transport of radioactive material. Second edition

International Nuclear Information System (INIS)

1996-01-01

In 1991, the International Atomic Energy Agency published Training Course Series No. 1 (TCS-1), a training manual that provides in 20 chapters a detailed discussion of the background, philosophy, technical bases and requirements and implementation aspects of the Regulations for the Safe Transport of Radioactive Material. The Transport Regulations are widely implemented by the IAEA's Member States and are also used as the bases for radioactive material transport requirements of modal organisations such as the International Maritime Organization and the International Civil Aviation Organization. This document is a supplement of TCS-1 to provide additional material in the form of learning aids and new exercises, that have been developed with the use of TCS-1 at succeeding IAEA training courses. The learning aids in the first part of the supplement are hitherto unpublished material that provide detailed guidance useful in solving the exercises presented in the second part. Solutions to the exercises are on field at the IAEA Secretariat and are available by arrangement to lectures presenting IAEA training courses. 4 refs, 1 fig., 6 tabs

"Same Room, Safe Place".

Science.gov (United States)

Keene Woods, Nikki

2017-04-01

There are many different professional stances on safe sleep and then there is the reality of caring for a newborn. There is a debate among professionals regarding safe sleep recommendations. The continum of recommendations vary from the American Academy of Pediatrics (AAP) Safe Sleep Guidelines to the bed-sharing recommendations from the Mother-Baby Behavioral Sleep Laboratory. The lack of consistent and uniform safe sleep recommendations from health professionals has been confusing for families but has more recently raised a real professional ethical dilemma. Despite years of focused safe sleep community education and interventions, sleep-related infant deaths are on the rise in many communities. This commentary calls for a united safe sleep message from all health professionals to improve health for mothers and infants most at-risk, "Same Room, Safe Place."

Manual Manipulation of Engine Throttles for Emergency Flight Control

Science.gov (United States)

Burcham, Frank W., Jr.; Fullerton, C. Gordon; Maine, Trindel A.

2004-01-01

If normal aircraft flight controls are lost, emergency flight control may be attempted using only engines thrust. Collective thrust is used to control flightpath, and differential thrust is used to control bank angle. Flight test and simulation results on many airplanes have shown that pilot manipulation of throttles is usually adequate to maintain up-and-away flight, but is most often not capable of providing safe landings. There are techniques that will improve control and increase the chances of a survivable landing. This paper reviews the principles of throttles-only control (TOC), a history of accidents or incidents in which some or all flight controls were lost, manual TOC results for a wide range of airplanes from simulation and flight, and suggested techniques for flying with throttles only and making a survivable landing.

Manual for the energy trade. 3. new rev. and enl. ed.; Handbuch Energiehandel

Energy Technology Data Exchange (ETDEWEB)

Schwintowski, Hans-Peter (ed.) [Humboldt-Universitaet, Berlin (Germany)

2014-07-01

This manual sheds a light on the energy trade from both a legal and an empirical economic perspective. Its focus is on those business fields within the energy trade that are of foremost practical relevance, namely the OTC trade and the exchange trade. It also provides concise coverage of risk management systems in the energy trade along with a competent account of their implications with regard to supervisory regulations. In this, its third edition the manual addresses the latest developments in both the national and the international energy trade, including those seen in the gas storage market and its market access regulations; consideration is here also given to market transparency, market distortion and liquidity. The commentary on standard contracts (EFET) has been updated. The manual also addresses the adaptations made in the minimum requirements for risk management.

Esomeprazole: a safe alternative to lansoprazole allergy?

Science.gov (United States)

Kara, Muammer; Tanoglu, Alpaslan; Kutlu, Ali; Sirkeci, Ozgur; Kekilli, Murat

2014-08-01

Proton pump inhibitors (PPIs) are widely prescribed drugs in daily practice. Allergic reactions, even small number of anaphylactic reactions to PPIs have been reported. Omeprazole, lansoprazole, pantoprazole, rapeprazol and esomeprazole are classified in the same group. Despite the similarity of biochemical structures among these drugs, presence of cross-reactivity between PPIs is controversial.1,2 In this letter, we present 3 lansoprazole allergy cases, who were prescribed and took esomeprazole safely after allergic reactions to lansoprazole.

Manual for WSPEEDI international data communication network

Energy Technology Data Exchange (ETDEWEB)

Takahashi, Masatoshi; Nagai, Haruyasu; Chino, Masamichi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

2000-09-01

Japan Atomic Energy Research Institute has developed a computer-based dose prediction system WSPEEDI (System for Prediction of Environmental Emergency Dose Information) for predicting the radiological impacts on the Japanese people of a nuclear accident abroad to meet the requirement caused by the Chernobyl accident. Because WSPEEDI reached on the practical stage through several verification studies, the development of international data communication network is started to exchange modeling products and environmental data quickly. This manual describes registration, search and management of modeling products and environmental data and handling of tele-conference tool. (author)

Structural elements design manual working with Eurocodes

CERN Document Server

Draycott, Trevor

2009-01-01

Structural Elements Design Manual: Working With Eurocodes is the structural engineers 'companion volume' to the four Eurocodes on the structural use of timber, concrete, masonry and steelwork. For the student at higher technician or first degree level it provides a single source of information on the behaviour and practical design of the main elements of the building structure. With plenty of worked examples and diagrams, it is a useful textbook not only for students of structural and civil engineering, but also for those on courses in related subjects such as

An Instrumented Glove to Assess Manual Dexterity in Simulation-Based Neurosurgical Education

Directory of Open Access Journals (Sweden)

Juan Diego Lemos

2017-04-01

Full Text Available The traditional neurosurgical apprenticeship scheme includes the assessment of trainee’s manual skills carried out by experienced surgeons. However, the introduction of surgical simulation technology presents a new paradigm where residents can refine surgical techniques on a simulator before putting them into practice in real patients. Unfortunately, in this new scheme, an experienced surgeon will not always be available to evaluate trainee’s performance. For this reason, it is necessary to develop automatic mechanisms to estimate metrics for assessing manual dexterity in a quantitative way. Authors have proposed some hardware-software approaches to evaluate manual dexterity on surgical simulators. This paper presents IGlove, a wearable device that uses inertial sensors embedded on an elastic glove to capture hand movements. Metrics to assess manual dexterity are estimated from sensors signals using data processing and information analysis algorithms. It has been designed to be used with a neurosurgical simulator called Daubara NS Trainer, but can be easily adapted to another benchtop- and manikin-based medical simulators. The system was tested with a sample of 14 volunteers who performed a test that was designed to simultaneously evaluate their fine motor skills and the IGlove’s functionalities. Metrics obtained by each of the participants are presented as results in this work; it is also shown how these metrics are used to automatically evaluate the level of manual dexterity of each volunteer.

Welding engineering manual for constructing engineers. Pt. 2

International Nuclear Information System (INIS)

Neumann, A.

1986-01-01

The manual is a real treasure trove of knowledge and experience for the statics expert, the constructing engineer, and the welding engineer, who have to do with design and dimensioning of welding engineering work for steel structures, bridges, boilers, vessels, and pipes. Many practical examples are given together with numerous data that provide helpful information for the task of technical and economic design and dimensioning. Determination of efficient and appropriate cross-sectional dimensions and materials is the main goal of the manual. Structural steel engineering and installations subject to monitoring and inspection such as boilers, pipings, pressure vessels, and nuclear installations are the subject fields dealt with in separate chapters. The dimensioning rules presented are based on the regulations and technical codes valid in the GDR and the FRG. The catalogue of technical rules of the FRG concerning structural steel engineering and installations as above are given in supplementary chapters. (orig./HP) [de

Health physics manual of good practices for tritium facilities

Energy Technology Data Exchange (ETDEWEB)

Blauvelt, R.K.; Deaton, M.R.; Gill, J.T. [and others

1991-12-01

The purpose of this document is to provide written guidance defining the generally accepted good practices in use at Department of Energy (DOE) tritium facilities. A {open_quotes}good practice{close_quotes} is an action, policy, or procedure that enhances the radiation protection program at a DOE site. The information selected for inclusion in this document should help readers achieve an understanding of the key radiation protection issues at tritium facilities and provide guidance as to what characterizes excellence from a radiation protection point of view. The ALARA (As Low as Reasonable Achievable) program at DOE sites should be based, in part, on following the good practices that apply to their operations.

Manual therapy is an effective treatment for frozen shoulder in diabetics: an observational study.

Science.gov (United States)

Düzgün, Irem; Baltaci, Gül; Atay, Ozgür Ahmet

2012-01-01

This study aims to compare the efficacy of manual therapy in the frozen shoulder patients with or without diabetes mellitus. Between May 2006 and January 2008, 50 patients (10 males, 40 females; mean age 52 ± 10 years; range 40 to 65 years) orthopedic surgeons referred to the Sports Physiotherapy Unit were included in the study. The patients were divided into two groups, including patients with primary frozen shoulder with type II diabetes mellitus (n=12) and non diabetics (n=38). All patients underwent a rehabilitation program including cold application, manual therapy and exercises twice a week. A total of 16 treatment sessions were performed. The most important part of the manual therapy included scapular mobilization and posterior capsule stretching. The range of motion was measured by goniometry. Functional activity status was assessed by Constant's score. The pain level was evaluated by visual analog scale, while muscle strength was evaluated by hand-held dynamometer. Student t-test was used to compare between the parameters of groups, while Paired sample t-test was used to compare pre- and post-treatment parameters of the patients. The range of motion, functional activity status and muscular strength were improved and the pain level was reduced after rehabilitation in all of the patients in both groups (p0.05). There were no differences in range of motion, functional activity status, pain level, and muscle strength before and after rehabilitation between the groups (p>0.05). Manual therapy approaches may be safely applied in diabetic patients with frozen shoulder.

Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals.

Science.gov (United States)

Kuhlmann, Stephanie; Ahlers-Schmidt, Carolyn R; Lukasiewicz, Gloria; Truong, Therese Macasiray

2016-02-01

Within hospital pediatric units, there is a lack of consistent application or modeling of the American Academy of Pediatrics recommendations for safe infant sleep. The purpose of this study was to improve safe sleep practices for infants in nonneonatal pediatric units with implementation of specific interventions. This multi-institutional study was conducted by using baseline observations collected for sleep location, position, and environment (collectively, "safe sleep") of infants admitted to pediatric units. Interventions consisted of: (1) staff education, including a commitment to promote safe sleep; (2) implementing site-generated safe sleep policies; (3) designating supply storage in patient rooms; and/or (4) caregiver education. Postintervention observations of safe sleep were collected. Eight hospitals participated from the Inpatient FOCUS Group of the Children's Hospital Association. Each site received institutional review board approval/exemption. Safe sleep was observed for 4.9% of 264 infants at baseline and 31.2% of 234 infants postintervention (Ppresent in 77% of cribs at baseline and 44% postintervention. However, the mean number of unsafe items observed in each sleeping environment was reduced by >50% (P=.001). Implementation of site-specific interventions seems to improve overall safe sleep in inpatient pediatric units, although continued improvement is needed. Specifically, extra items are persistently left in the sleeping environment. Moving forward, hospitals should evaluate their compliance with American Academy of Pediatrics recommendations and embrace initiatives to improve modeling of safe sleep. Copyright © 2016 by the American Academy of Pediatrics.

How does the Augmented Reality Manual enhance cognitive activity while doing complex maintenance tasks?: Augmented Tutorial Overlaid Manual (ATOM)

International Nuclear Information System (INIS)

Yim, Ho Bin; Seong, Poong Hyun

2008-01-01

It has been more than a decade since the concept of Augmented Reality (AR) was introduced. Many related technologies, such as tracking and display, to animate this concept have improved to certain levels. AR is well suited for interaction with the cognitive vision system. In contrast to the virtual reality, AR applications enrich the perceived reality with additional visual information which ranges from text annotation and object highlighting to complex 3D objects. AR has been tested its potentiality in various forms of applications. For example, visitors wear Head Mount Display (HMD) to see virtual guides explaining artifacts in a museum or soldiers are informed geographical features about unfamiliar operation sites. Recently, researchers tried to use AR as a means of teaching or training apparatus; however, there are still some technical obstacles to put this fascinating technology into practice. In this study, we will use Cognitive Load Theory (CLT) to design a manual of pump maintenance and convert it to AR technology to propose a proto type of an on-line AR maintenance manual to prove its possibility as an interactive learning tool

How does the Augmented Reality Manual enhance cognitive activity while doing complex maintenance tasks?: Augmented Tutorial Overlaid Manual (ATOM)

Energy Technology Data Exchange (ETDEWEB)

Yim, Ho Bin; Seong, Poong Hyun [Korea Advanced Institute of Technology and Science, Daejeon (Korea, Republic of)

2008-10-15

It has been more than a decade since the concept of Augmented Reality (AR) was introduced. Many related technologies, such as tracking and display, to animate this concept have improved to certain levels. AR is well suited for interaction with the cognitive vision system. In contrast to the virtual reality, AR applications enrich the perceived reality with additional visual information which ranges from text annotation and object highlighting to complex 3D objects. AR has been tested its potentiality in various forms of applications. For example, visitors wear Head Mount Display (HMD) to see virtual guides explaining artifacts in a museum or soldiers are informed geographical features about unfamiliar operation sites. Recently, researchers tried to use AR as a means of teaching or training apparatus; however, there are still some technical obstacles to put this fascinating technology into practice. In this study, we will use Cognitive Load Theory (CLT) to design a manual of pump maintenance and convert it to AR technology to propose a proto type of an on-line AR maintenance manual to prove its possibility as an interactive learning tool.

ACT Plan: Technical Manual. 2013/2014

Science.gov (United States)

ACT, Inc., 2013

2013-01-01

This manual contains information about the American College Test (ACT) Plan® program. The principal focus of this manual is to document the Plan program's technical adequacy in light of its intended purposes. This manual supersedes the 2011 edition. The content of this manual responds to requirements of the testing industry as established in the…

When do we think it is Safe to Drive after Hand Surgery? – Current Practice and Legal Perspective

LENUS (Irish Health Repository)

Murphy, SF

2016-11-01

Patients recovering from hand surgery frequently ask when it is safe to drive and it is unclear where the responsibility lies; the surgeon, the patient or the insurance company. An eight-question survey looking at various aspects of clinical practice was circulated to consultant and trainee plastic and orthopaedic surgeons in Ireland and the UK. Of the 89 surgeons who replied, (53%) felt the decision when to drive was the patient’s compared with the insurance company (40%) and the surgeon (7%). 80% advised patients to contact their insurance company. 87% were unaware of current regulations or guidelines. National guidelines were vague and left the decision with the treating doctor. Similarly, major insurers advise patients to contact their doctor for advice. From a legal standpoint, the patient has a duty of care to other road users to be in full control of his vehicle prior to driving, regardless of any advice received.

Wisconsin System for Instructional Management: Teachers' Manual for the Unified System. Practical Paper No. 18.

Science.gov (United States)

Bozeman, William C.; And Others

Individualized instruction including continuous progress education and team teaching requires a complexity of organizational structure dissimilar to that of traditional schools. In such systems, teachers must maintain extensive and complex student record systems. This teachers' manual provides an example of a computerized record system developed…

Manual on radiation protection in hospital and general practice. Volume 4. Radiation protection in dentistry

Energy Technology Data Exchange (ETDEWEB)

Koren, K; Wuehrmann, A H

1977-01-01

The nine chapters of this manual on radiation protection in dentistry discuss the following topics: the need for radiation protection; delegation of responsibility; radiographic equipment; radiographic film; radiographic techniques; film processing and handling; patient doses; general radiation protection and monitoring; and educational standards. (HLW)

Manual on public health action in radiation emergencies

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

Over the years, the World Health Organization (WHO) has issued a series of reports and publications providing guidance on the public health aspects of nuclear power production, in line with target 11 of the European policy for health for all, which calls for the reduction of injury, disability and death from accidents. Immediately after the nuclear accident at Chernobyl in April 1986, the WHO Regional Office for Europe established an emergency operation to provide technical cooperation and communication links with Member States. A special project on the public health dimensions of radiation emergencies was subsequently established, which included a series of activities related both directly to the Chernobyl accident and to emergency planning for future accidents. This manual brings together the experience gained in the special project to improve the planning for and response to emergencies. It has been prepared to meet public health needs arising from all types of major radiation emergency in the European Region. The manual describes the guiding principles and advises on the practical application of measures to protect and inform the public in a radiation emergency. It is hoped that the manual will promote close interaction between the WHO Member States in this field. The advice given in earlier WHO publications on radiation emergencies has been examined and revised in the light of recent experience 12 refs, 4 figs, 4 tabs

Manual on public health action in radiation emergencies

International Nuclear Information System (INIS)

1994-01-01

Over the years, the World Health Organization (WHO) has issued a series of reports and publications providing guidance on the public health aspects of nuclear power production, in line with target 11 of the European policy for health for all, which calls for the reduction of injury, disability and death from accidents. Immediately after the nuclear accident at Chernobyl in April 1986, the WHO Regional Office for Europe established an emergency operation to provide technical cooperation and communication links with Member States. A special project on the public health dimensions of radiation emergencies was subsequently established, which included a series of activities related both directly to the Chernobyl accident and to emergency planning for future accidents. This manual brings together the experience gained in the special project to improve the planning for and response to emergencies. It has been prepared to meet public health needs arising from all types of major radiation emergency in the European Region. The manual describes the guiding principles and advises on the practical application of measures to protect and inform the public in a radiation emergency. It is hoped that the manual will promote close interaction between the WHO Member States in this field. The advice given in earlier WHO publications on radiation emergencies has been examined and revised in the light of recent experience

Regulatory Framework and Current Practices of the Radioactive Material Safe and Secure Transport in Albania

International Nuclear Information System (INIS)

Dollani, K.; Grillo, B.; Telhaj, E.

2016-01-01

Attempts for the establishing of a safe and secure radioactive material transport in Albania began a decade ago with formulation of the different regulation in the field of safe and secure handling of the radioactive materials. In 2004 a special regulation for the safe transport of radioactive material was prepared and approved by the National Radiation Protection Commission). This regulation has been based in the IAEA standards for the radioactive material transport and was reviewed periodically. The last regulation of the radioactive material transport was approved by Albanian government through a governmental ordinance. The transport of the radioactive material in Albania is performed by licensed subjects, which fulfill all requirements of the mentioned governmental ordinance. Based in the existing regulation, for each transport of radioactive material, a special permission is issued by NRPC. The issuing of permission allows competent authority to provide necessary information on transport regularity and to have under survey all transports of the radioactive material carried out inside the country. Last year were issued more than 80 permissions for the transport of the different types and categories of the radioactive sources. (author)

DroidSafe

Science.gov (United States)

2016-12-01

Massachusetts Avenue, Build E19-750 Cambridge , MA 02139-4307 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS...Activity objects illustrating the challenges of points-to and information flow analysis...measure how many malicious flows Droid- Safe was able to detect). As these results illustrate , DroidSafe implements an analysis of unprece- dented

EML procedures manual

International Nuclear Information System (INIS)

Volchok, H.L.; de Planque, G.

1982-01-01

This manual contains the procedures that are used currently by the Environmental Measurements Laboratory of the US Department of Energy. In addition a number of analytical methods from other laboratories have been included. These were tested for reliability at the Battelle, Pacific Northwest Laboratory under contract with the Division of Biomedical and Environmental Research of the AEC. These methods are clearly distinguished. The manual is prepared in loose leaf form to facilitate revision of the procedures and inclusion of additional procedures or data sheets. Anyone receiving the manual through EML should receive this additional material automatically. The contents are as follows: (1) general; (2) sampling; (3) field measurements; (4) general analytical chemistry; (5) chemical procedures; (6) data section; (7) specifications

SERA: Simulation Environment for Radiotherapy Applications - Users Manual Version 1CO

International Nuclear Information System (INIS)

Venhuizen, James Robert; Wessol, Daniel Edward; Wemple, Charles Alan; Wheeler, Floyd J; Harkin, G. J.; Frandsen, M. W.; Albright, C. L.; Cohen, M.T.; Rossmeier, M.; Cogliati, J.J.

2002-01-01

This document is the user manual for the Simulation Environment for Radiotherapy Applications (SERA) software program developed for boron-neutron capture therapy (BNCT) patient treatment planning by researchers at the Idaho National Engineering and Environmental Laboratory (INEEL) and students and faculty at Montana State University (MSU) Computer Science Department. This manual corresponds to the final release of the program, Version 1C0, developed to run under the RedHat Linux Operating System (version 7.2 or newer) or the Solaris Operating System (version 2.6 or newer). SERA is a suite of command line or interactively launched software modules, including graphical, geometric reconstruction, and execution interface modules for developing BNCT treatment plans. The program allows the user to develop geometric models of the patient as derived from Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) images, perform dose computation for these geometric models, and display the computed doses on overlays of the original images as three dimensional representations. This manual provides a guide to the practical use of SERA, but is not an exhaustive treatment of each feature of the code

SERA: Simulation Environment for Radiotherapy Applications - Users Manual Version 1CO

Energy Technology Data Exchange (ETDEWEB)

Venhuizen, James Robert; Wessol, Daniel Edward; Wemple, Charles Alan; Wheeler, Floyd J; Harkin, G. J.; Frandsen, M. W.; Albright, C. L.; Cohen, M.T.; Rossmeier, M.; Cogliati, J.J.

2002-06-01

This document is the user manual for the Simulation Environment for Radiotherapy Applications (SERA) software program developed for boron-neutron capture therapy (BNCT) patient treatment planning by researchers at the Idaho National Engineering and Environmental Laboratory (INEEL) and students and faculty at Montana State University (MSU) Computer Science Department. This manual corresponds to the final release of the program, Version 1C0, developed to run under the RedHat Linux Operating System (version 7.2 or newer) or the Solaris™ Operating System (version 2.6 or newer). SERA is a suite of command line or interactively launched software modules, including graphical, geometric reconstruction, and execution interface modules for developing BNCT treatment plans. The program allows the user to develop geometric models of the patient as derived from Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) images, perform dose computation for these geometric models, and display the computed doses on overlays of the original images as three dimensional representations. This manual provides a guide to the practical use of SERA, but is not an exhaustive treatment of each feature of the code.

Facilitating awareness of philosophy of science, ethics and communication through manual skills training in undergraduate education.

Science.gov (United States)

Kordahl, Hilde Lund; Fougner, Marit

2017-03-01

Professional health science education includes a common theoretical basis concerning the theory of science, ethics and communication. Former evaluations by first-year students of the bachelor physiotherapy program at Oslo and Akershus University College of Applied Sciences (HiOA) show that they find it hard to understand the relation between these particular topics and future professional practice. This challenge is the starting point for a pedagogical development project that aims to develop learning contexts that highlight the relevance of these theoretical concepts. The aim of the study is to explore and present findings on the value of using Sykegrep manual skills classes as an arena in which students can be encouraged to think about, reflect on and appreciate the role and value of the philosophical perspectives that inform their practice and contributes to practise knowledge. A qualitative study with data collection through focus groups was performed and analyzed using thematic content analysis. Eighteen first-year undergraduate students, who had completed the manual skills course, participated in the study. Analysis of the data yielded three categories of findings that can be associated with aspects of philosophy of science, ethics and communication. These are as follows: 1) preconceived understanding of physiotherapy; 2) body knowledge perspectives; and 3) relational aspects of interactions. Undergraduate students' understanding and experience of philosophy of science, ethics and communication may be facilitated by peer collaboration, reflection on intimacy and touch and the ethical aspects of interaction during manual skills training. Practical classes in Sykegrep provide a basis for students' discussions about the body as well as their experiences with the body in the collaborative learning context. The students' reflections on their expectations of manual skills in physiotherapy and experiences of touch and being touched can facilitate an awareness of

The use of collaboration to implement evidence-based safe practices

Directory of Open Access Journals (Sweden)

John R. Clarke

2013-12-01

Full Text Available The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to medical staffs are not sufficient for adoption of best practices. Adoption of best practices has required working with institutions to identify local barriers to and incentives for adopting best practices and redesigning the delivery system to make desired behaviour easy and undesirable behaviour more difficult. Collaborations, where institutions can learn from the experiences of others, have show decreases in harmful events. The Pennsylvania Program to Prevent Wrong-Site Surgery is used as an example. Two collaborations to prevent wrong-site surgery have been completed, one with 30 institutions in eastern Pennsylvania and one with 19 in western Pennsylvania. The first collaboration achieved a 73% decrease in the rolling average of wrong-site events over 18 months. The second collaboration experienced no wrong-site operating room procedures over more than one year.

Environmental technology manual. Eisenmann Umwelttechnik

Energy Technology Data Exchange (ETDEWEB)

1983-01-01

One part of the manual is dedicated to the removal of air pollution in the industrial sector, a conspectus of the bases of waste air cleaning is followed by explanations on modern cleaning methods and the pertaining installations. Under the catchword ''practice of waste air cleaning'' solution examples from the most different industrial sectors are presented, hints for planning, operation and maintenance given and some important characteristic data summed up in tables. The chapter on waste water addresses first of all operating personnel from industry and the service sector, providing aids to that group for the solution of waste water problems. A brief conspectus on the bases of waste water treatment is followed by a detailed description of the cleaning methods in use today and the pertaining installations. After practical examples and hints for operating and maintenance of waste water plants, tables on chemicals, pollutants and discharge conditions are given. The technology ''energy from waste material'' concentrates on the utilization of combustible wastes for energy production. The following possibilities are at hand: combustion, pyrolysis, and gasification.

Partners Plus: Families and Caregivers in Partnerships. A Family-Centered Guide to Respite Care. Trainer's Workshop Manual [and] Community Planning Manual [and] A Family Manual [and] Caregiver Manual.

Science.gov (United States)

Ownby, Lisa L.; Hooke, Amanda C.; Moore, Dee Wylie; Garland, Corinne W.; Frank, Adrienne

Four manuals on implementing the Partners Respite Model, which provides respite care for children with disabilities or chronic illnesses, comprise this document. The Community Planning Manual offers a step-by-step guide to replication of the Partners Respite Model and is divided into sections on developing the Partners program, implementing the…

The energy management manual for arena and rink operators

Energy Technology Data Exchange (ETDEWEB)

Raymer, M. [Saskatchewan Parks and Recreation Assoc., Regina, SK (Canada); White, T. [Office of Energy Conservation, Regina, SK (Canada); Kozoriz, D.F. [SaskPower, Regina, SK (Canada); Norman, D. [SaskPower, Saskatoon, SK (Canada)

2006-08-15

In an era when energy costs often rise faster than the community tax base, energy conservation plays a key role in ensuring that skating arenas are able to continue operating. This manual on energy management for arena and rink operators includes current technologies and practices that reduce operating costs. It is meant to help in the training and education of all facility operators. Since fossil fuels are the main source of electrical generation in Saskatchewan, reducing energy consumption directly reduces greenhouse gas emissions to the environment. This manual included a brief introduction to energy calculations for operators of rinks and arenas. The calculations can be performed for the heat loss that occurs in winter and the amount of heat input needed to maintain temperatures. It was recommended that the more difficult calculation of estimating the amount of cooling required for ice making should be done by qualified consultants. The 10 sections of the manual addressed the issues of: (1) electrical and natural gas rates, (2) meters and electrical inventory, (3) making a financial analysis, (4) the building envelope, (5) heating and ventilation, (6) refrigeration, (7) lighting, (8) heating effects of electrical equipment, (9) operation and maintenance, and, (10) project planning. The manual also presented methods to improve the power factor by adding relatively inexpensive components, such as capacitors, to lower electricity bills by as much as 20 per cent. A review of geo-exchange systems for rinks and arenas was included along with heat recovery from refrigeration systems and financial assistance for commercial, institutional and municipal buildings. refs., tabs., figs.

Safe havens in Europe

DEFF Research Database (Denmark)

Paldam, Martin

2013-01-01

Eleven safe havens exist in Europe providing offshore banking and low taxes. Ten of these states are very small while Switzerland is moderately small. All 11 countries are richer than their large neighbors. It is shown that causality is from small to safe haven to wealth, and that theoretically...... equilibriums are likely to exist where a certain regulation is substantially lower in a small country than in its big neighbor. This generates a large capital inflow to the safe havens. The pool of funds that may reach the safe havens is shown to be huge. It is far in excess of the absorptive capacity...... of the safe havens, but it still explains, why they are rich. Microstates offer a veil of anonymity to funds passing through, and Switzerland offers safe storage of funds....

Highway Safety Program Manual: Volume 8: Alcohol in Relation to Highway Safety.

Science.gov (United States)

National Highway Traffic Safety Administration (DOT), Washington, DC.

Volume 8 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) concentrates on alcohol in relation to highway safety. The purpose and objectives of the alcohol program are outlined. Federal authority in the area of highway safety and general policies regarding…

Traveling Safely with Medicines

Science.gov (United States)

... Medications Safely My Medicine List How to Administer Traveling Safely with Medicines Planes, trains, cars – even boats ... your trip, ask your pharmacist about how to travel safely with your medicines. Make sure that you ...

The ISIS Open GENIE user manual

International Nuclear Information System (INIS)

Akeroyd, F.A.; Ashworth, R.L.; Campbell, S.I.; Johnston, S.D.; Martin, J.M.; Moreton-Smith, C.M.; Sivia, D.S.

2000-01-01

This manual should enable you to become familiar with Open GENIE quickly and easily. It therefore complements the Open GENIE Reference Manual which should be used to understand the full meaning of Open GENIE commands. The reference manual is accessible on the ISIS web server at: http://www.isis.rl.ac.uk/GENIEReferenceManual/ and the user manual is planned to be accessible by January '98 at http://www.isis.rl.ac.ukIGENIEUserManual/. The Open GENIE User Manual is separated into two parts: Part A. The User Manual. An introduction to the use of Open GENIE. Part B. The Installation Guide. General information on how to install and run Open GENIE. Assuming that you are new to Open GENIE and have just downloaded a copy you will need to consult the Installation Guide to get Open GENIE installed on your machine. After this we recommend you experiment with some of the example files to get an idea of the capabilities of Open GENIE. For further information, comments, additions of routines that you feel should be included, please contact us at genie at isise.rl.ac.uk

Fire Protection Program Manual

Energy Technology Data Exchange (ETDEWEB)

Sharry, J A

2012-05-18

This manual documents the Lawrence Livermore National Laboratory (LLNL) Fire Protection Program. Department of Energy (DOE) Orders 420.1B, Facility Safety, requires LLNL to have a comprehensive and effective fire protection program that protects LLNL personnel and property, the public and the environment. The manual provides LLNL and its facilities with general information and guidance for meeting DOE 420.1B requirements. The recommended readers for this manual are: fire protection officers, fire protection engineers, fire fighters, facility managers, directorage assurance managers, facility coordinators, and ES and H team members.

Implementation Evaluation of "Steering Teens Safe": Engaging Parents to Deliver a New Parent-Based Teen Driving Intervention to Their Teens

Science.gov (United States)

Ramirez, Marizen; Yang, Jingzhen; Young, Tracy; Roth, Lisa; Garinger, Anne; Snetselaar, Linda; Peek-Asa, Corinne

2013-01-01

Parents play a fundamental role in teaching their children safe driving skills to reduce risk of motor vehicle crashes, the leading cause of death for teens. "Steering Teens Safe" is a new parent-based intervention that equips parents with communication skills to talk about, demonstrate, and practice safe driving behaviors and skills…

Safe management of smoke detectors containing radioactive sources

International Nuclear Information System (INIS)

Salgado, M.; Benitez, J.C.; Castillo, R.A.; Berdellans, A.; Hernandez, J.M.; Pirez, C.J.; Soto, P.G.

2013-01-01

Ionic smoke detectors contain radioactive sources that could be Am-241, Pu-238, Pu-239, Kr-85, etc. According to Cuban regulations (Resolution 96 /2003 of the Minister of Science Technology and Environment), smoke detectors, once become disused, should be managed as radioactive waste. For this reason, disused smoke detectors should be transferred to the Centre for Radiation Protection and Hygiene, the organization responsible for radioactive waste management in the country. More than 20 000 smoke detectors have been collected by the CPHR and stored at the Centralized Waste Management Facility. There are 28 different models of smoke detectors of different origin. They contain between 18 - 37 kBq of Am-241 or between 0.37 - 37 MBq of Plutonium or around 37 MBq of Kr-85. The safe management of ionic smoke detectors consists in dismantling the devices, recovering the radioactive sources and conditioning them for long term storage and disposal. The rest of non-radioactive materials should be segregated (plastic, metal and electronic components) for recycling. A technical manual was developed with specific instructions for dismantling each model of smoke detector and recovering the radioactive sources. Instructions for segregation of non-radioactive components are also included in the manual. Most of smoke detectors contain long lived radioactive sources (Am-241, Pu-238, Pu-239), so especial attention was given to the management of these sources. A methodology was developed for conditioning of radioactive sources, consisting in encapsulating them for long term storage. The retrievability of the sources (sealed capsules with radioactive sources) for future disposal was also considered. A documented procedure was elaborated for these operations. (author)

Manual therapy for unsettled, distressed and excessively crying infants: a systematic review and meta-analyses.

Science.gov (United States)

Carnes, Dawn; Plunkett, Austin; Ellwood, Julie; Miles, Clare

2018-01-24

To conduct a systematic review and meta-analyses to assess the effect of manual therapy interventions for healthy but unsettled, distressed and excessively crying infants and to provide information to help clinicians and parents inform decisions about care. We reviewed published peer-reviewed primary research articles in the last 26 years from nine databases (Medline Ovid, Embase, Web of Science, Physiotherapy Evidence Database, Osteopathic Medicine Digital Repository , Cochrane (all databases), Index of Chiropractic Literature, Open Access Theses and Dissertations and Cumulative Index to Nursing and Allied Health Literature). Our inclusion criteria were: manual therapy (by regulated or registered professionals) of unsettled, distressed and excessively crying infants who were otherwise healthy and treated in a primary care setting. Outcomes of interest were: crying, feeding, sleep, parent-child relations, parent experience/satisfaction and parent-reported global change. Nineteen studies were selected for full review: seven randomised controlled trials, seven case series, three cohort studies, one service evaluation study and one qualitative study.We found moderate strength evidence for the effectiveness of manual therapy on: reduction in crying time (favourable: -1.27 hours per day (95% CI -2.19 to -0.36)), sleep (inconclusive), parent-child relations (inconclusive) and global improvement (no effect). The risk of reported adverse events was low: seven non-serious events per 1000 infants exposed to manual therapy (n=1308) and 110 per 1000 in those not exposed. Some small benefits were found, but whether these are meaningful to parents remains unclear as does the mechanisms of action. Manual therapy appears relatively safe. CRD42016037353. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Manual therapy and exercise for rotator cuff disease.

Science.gov (United States)

Page, Matthew J; Green, Sally; McBain, Brodwen; Surace, Stephen J; Deitch, Jessica; Lyttle, Nicolette; Mrocki, Marshall A; Buchbinder, Rachelle

2016-06-10

12 months, or global treatment success at four to eight years. One trial (low quality evidence) found that manual therapy and exercise may not be as effective as acupuncture plus dietary counselling and Phlogenzym supplement with respect to overall pain, function, active shoulder abduction and quality life at 12 weeks. We are uncertain whether manual therapy and exercise improves function more than oral non-steroidal anti-inflammatory drugs (NSAID), or whether combining manual therapy and exercise with glucocorticoid injection provides additional benefit in function over glucocorticoid injection alone, because of the very low quality evidence in these two trials.Fifty-two trials investigated effects of manual therapy alone or exercise alone, and the evidence was mostly very low quality. There was little or no difference in patient-important outcomes between manual therapy alone and placebo, no treatment, therapeutic ultrasound and kinesiotaping, although manual therapy alone was less effective than glucocorticoid injection. Exercise alone led to less improvement in overall pain, but not function, when compared with surgical repair for rotator cuff tear. There was little or no difference in patient-important outcomes between exercise alone and placebo, radial extracorporeal shockwave treatment, glucocorticoid injection, arthroscopic subacromial decompression and functional brace. Further, manual therapy or exercise provided few or no additional benefits when combined with other physical therapy interventions, and one type of manual therapy or exercise was rarely more effective than another. Despite identifying 60 eligible trials, only one trial compared a combination of manual therapy and exercise reflective of common current practice to placebo. We judged it to be of high quality and found no clinically important differences between groups in any outcome. Effects of manual therapy and exercise may be similar to those of glucocorticoid injection and arthroscopic

SRL process hazards review manual

International Nuclear Information System (INIS)

1980-08-01

The principal objective of the Process Hazards Management Program is to provide a regular, systematic review of each process at the Savannah River Laboratory (SRL) to eliminate injuries and to minimize property damage resulting from process hazards of catastrophic potential. Management effort is directed, through the Du Pont Safety Program, toward those controls and practices that ensure this objective. The Process Hazards Management Program provides an additional dimension to further ensure the health and safety of employees and the public. Du Pont has concluded that an organized approach is essential to obtain an effective and efficient process hazards review. The intent of this manual is to provide guidance in creating such an organized approach to performing process hazards reviews on a continuing basis

ARS-Media for excel instruction manual

Science.gov (United States)

ARS-Media for Excel Instruction Manual is the instruction manual that explains how to use the Excel spreadsheet ARS-Media for Excel application. ARS-Media for Excel Instruction Manual is provided as a pdf file....

Using Nursing Languages in School Nursing Practice. Second Edition

Science.gov (United States)

Denehy, Janice

2010-01-01

The purpose of this updated manual is to define and describe standardized nursing languages, highlight how nursing languages are a part of the nursing process, and illustrate through case examples how nursing languages are used in school nursing practice. This manual also summarizes the history and development of three nursing classifications, the…

IMAGES: Illinois Manual for Assuring Guaranteed Educational Services for Special Education. Fifth Edition.

Science.gov (United States)

Illinois State Board of Education, Springfield. Div. of Specialized Education Services.

This manual lists the procedures followed and presents the checklists used by the Illinois State Board of Education to monitor school districts' special education programs to ensure that the districts meet minimum standards for educational programs, personnel, and fiscal management practices. The first section presents an overview describing the…

Salinas : theory manual.

Energy Technology Data Exchange (ETDEWEB)

Walsh, Timothy Francis; Reese, Garth M.; Bhardwaj, Manoj Kumar

2011-11-01

Salinas provides a massively parallel implementation of structural dynamics finite element analysis, required for high fidelity, validated models used in modal, vibration, static and shock analysis of structural systems. This manual describes the theory behind many of the constructs in Salinas. For a more detailed description of how to use Salinas, we refer the reader to Salinas, User's Notes. Many of the constructs in Salinas are pulled directly from published material. Where possible, these materials are referenced herein. However, certain functions in Salinas are specific to our implementation. We try to be far more complete in those areas. The theory manual was developed from several sources including general notes, a programmer notes manual, the user's notes and of course the material in the open literature.

Educating for a Change. An ANC Skillshop in Popular Education. Workshop Manual.

Science.gov (United States)

Doris Marshall Inst. for Education and Action, Toronto (Ontario).

This manual provides materials for a 6-day workshop to develop skills in democratic learning and teaching practices. Goals of the workshop are as follows: (1) train facilitators to use the methodology; (2) introduce people in the African National Congress (ANC) to the potential of popular education methodology; (3) determine follow-up action to…

A World of Learning: Practical Manual. Enhancing the Multiplier Effect of the Associated Schools Project.

Science.gov (United States)

United Nations Educational, Scientific, and Cultural Organization, Paris (France).

This manual presents the major lessons learned about how national authorities, individual institutions, and individual educators can work to increase the impact of the Associated Schools Project (ASP) schools and spread it to other parts of the educational system. ASP is a project of the United Nations Educational, Scientific and Cultural…

Climate change scenarios for Canada's national parks : a users manual

International Nuclear Information System (INIS)

Jones, B.; Wun, N.; Scott, D.; Barrow, E.

2003-01-01

A screening level impact assessment has shown that the implications of climate change for Canada's national parks are considerable. Climate change scenarios will be an important component in examining the potential climate change impacts and the implications of adaptation strategies. Most climate change scenarios are based on vulnerability, impact and adaptation research. This user's manual describes the development of 3 types of climate change scenarios including scenarios from global climate models (GCMs), bioclimate scenarios and daily scenarios for use by Parks Canada. The manual offers advice to first-time climate change scenario users in choosing and interpreting climate change, bioclimate and daily scenarios. It also addresses the theoretical and practical foundations of each climate scenario and shows how to access data regarding the various scenarios. Hands-on exercises are included as an interpretive aid. 20 refs., 4 tabs., 19 figs

Manual on quality assurance for computer software related to the safety of nuclear power plants

International Nuclear Information System (INIS)

1988-01-01

The objective of the Manual is to provide guidance in the assurance of quality of specification, design, maintenance and use of computer software related to items and activities important to safety (hereinafter referred to as safety related) in nuclear power plants. This guidance is consistent with, and supplements, the requirements and recommendations of Quality Assurance for Safety in Nuclear Power Plants: A Code of Practice, 50-C-QA, and related Safety Guides on quality assurance for nuclear power plants. Annex A identifies the IAEA documents referenced in the Manual. The Manual is intended to be of use to all those who, in any way, are involved with software for safety related applications for nuclear power plants, including auditors who may be called upon to audit management systems and product software. Figs

Consensus shaping and safe space public participation processes

Energy Technology Data Exchange (ETDEWEB)

Andersson, Kjell [Karita Research AB, Taeaby (Sweden)

2015-07-01

Stakeholder involvement and public participation is recognized as a necessary part of nuclear waste management. It is possible to see three driving forces behind this development: (1) a deliberative movement with its roots in the 1960s leftish movement (a philosophical argument), (2) the need for public acceptance of proposed solutions (a practical argument), and (3) the need for awareness and clarity before crucial decisions are made (a practical and democratic argument). Depending on which driving force dominates an initiative for public participation, the initiator is likely to prefer certain public participation processes before others. The initiator has to select among a large number of processes already having been implemented or design a new one tailored for the specific situation. The process choice is crucial for which stakeholders are able to join and which goals can be reached. Much of the debate about public participation has referred to the ''Arnstein ladder'' (Arnstein, 1969) or its modernized versions, such as the participation ladder used in the IPPA Project (Richardson et.al. 2011) building on work by the Netherlands Environmental Assessment Agency (MNP, 2008). The various forms of ladders have in common an increasing level of ambition for participation from low to high. The higher up on the ladder, the better it is often anticipated. However, with this should follow more responsibility and accountability of all participants, which in practice is often lacking. There are also practical problems in using the ladder to map public participation processes. For example the step 'collaboration' is ambiguous as it can mean different things. In the RISCOM Process, participants collaborate to improve clarity and awareness but not for finding common solutions. Therefore, the RISCOM Process (Vojtechova, 2009) does not fit into the ladder structure. To avoid these and other problems it is suggested to use three basic approaches to

Consensus shaping and safe space public participation processes

International Nuclear Information System (INIS)

Andersson, Kjell

2015-01-01

Stakeholder involvement and public participation is recognized as a necessary part of nuclear waste management. It is possible to see three driving forces behind this development: (1) a deliberative movement with its roots in the 1960s leftish movement (a philosophical argument), (2) the need for public acceptance of proposed solutions (a practical argument), and (3) the need for awareness and clarity before crucial decisions are made (a practical and democratic argument). Depending on which driving force dominates an initiative for public participation, the initiator is likely to prefer certain public participation processes before others. The initiator has to select among a large number of processes already having been implemented or design a new one tailored for the specific situation. The process choice is crucial for which stakeholders are able to join and which goals can be reached. Much of the debate about public participation has referred to the ''Arnstein ladder'' (Arnstein, 1969) or its modernized versions, such as the participation ladder used in the IPPA Project (Richardson et.al. 2011) building on work by the Netherlands Environmental Assessment Agency (MNP, 2008). The various forms of ladders have in common an increasing level of ambition for participation from low to high. The higher up on the ladder, the better it is often anticipated. However, with this should follow more responsibility and accountability of all participants, which in practice is often lacking. There are also practical problems in using the ladder to map public participation processes. For example the step 'collaboration' is ambiguous as it can mean different things. In the RISCOM Process, participants collaborate to improve clarity and awareness but not for finding common solutions. Therefore, the RISCOM Process (Vojtechova, 2009) does not fit into the ladder structure. To avoid these and other problems it is suggested to use three basic approaches to

TJ-II Library Manual (Version 2)

International Nuclear Information System (INIS)

Tribaldos, V.; Milligen, B. Ph. van; Lopez-Fraguas, A.

2001-01-01

This is a manual of use of the TJ2 Numerical Library that has been developed for making numerical computations of different TJ-II configurations. This manual is a new version of the earlier manual CIEMAT report 806. (Author)

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

International Nuclear Information System (INIS)

Rathbone, Bruce A.

2007-01-01

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at Hanford. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with 10 CFR 835, DOELAP, DOE-RL, ORP, PNSO, and Hanford contractor requirements. The dosimetry system is operated by PNNL's Hanford External Dosimetry Program (HEDP) which provides dosimetry services to all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee (HPDAC) which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. Rev. 0 marks the first revision to be released through PNNL's Electronic Records and Information Capture Architecture (ERICA) database. Revision numbers that are whole numbers reflect major revisions typically involving changes to all chapters in the document. Revision numbers that include a decimal fraction reflect minor revisions, usually restricted to selected chapters or selected pages in the document. Revision Log: Rev. 0 (2/25/2005) Major revision and expansion. Rev. 0.1 (3/12/2007) Minor

Hanford External Dosimetry Technical Basis Manual PNL-MA-842

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.

2007-03-12

The Hanford External Dosimetry Technical Basis Manual PNL-MA-842 documents the design and implementation of the external dosimetry system used at Hanford. The manual describes the dosimeter design, processing protocols, dose calculation methodology, radiation fields encountered, dosimeter response characteristics, limitations of dosimeter design under field conditions, and makes recommendations for effective use of the dosimeters in the field. The manual describes the technical basis for the dosimetry system in a manner intended to help ensure defensibility of the dose of record at Hanford and to demonstrate compliance with 10 CFR 835, DOELAP, DOE-RL, ORP, PNSO, and Hanford contractor requirements. The dosimetry system is operated by PNNL’s Hanford External Dosimetry Program (HEDP) which provides dosimetry services to all Hanford contractors. The primary users of this manual are DOE and DOE contractors at Hanford using the dosimetry services of PNNL. Development and maintenance of this manual is funded directly by DOE and DOE contractors. Its contents have been reviewed and approved by DOE and DOE contractors at Hanford through the Hanford Personnel Dosimetry Advisory Committee (HPDAC) which is chartered and chaired by DOE-RL and serves as means of coordinating dosimetry practices across contractors at Hanford. This manual was established in 1996. Since inception, it has been revised many times and maintained by PNNL as a controlled document with controlled distribution. Rev. 0 marks the first revision to be released through PNNL’s Electronic Records & Information Capture Architecture (ERICA) database. Revision numbers that are whole numbers reflect major revisions typically involving changes to all chapters in the document. Revision numbers that include a decimal fraction reflect minor revisions, usually restricted to selected chapters or selected pages in the document. Revision Log: Rev. 0 (2/25/2005) Major revision and expansion. Rev. 0.1 (3/12/2007) Minor

Escola segura Safe school

Directory of Open Access Journals (Sweden)

Edson Ferreira Liberal

2005-11-01

growing evidence that intervention has multiple components, focusing on health education practices, with the participation of the whole community. The aim of those interventions is to help students and community members to adopt healthy and safe behaviors. Schools are taking on an increasing role in health promotion, disease prevention, and injury prevention. In the context of prevention of external causes of morbidity and mortality, it is important to recognize a risky environment, places, and risk behaviors as favorable to injury and violence, as well as the concept of accident as something one can avoid. CONCLUSION: Implementation of safe schools represents a promising new direction for school-based preventive work. It is important to note that a safe school should intervene not only in its physical structure, but it should also make it as safe as possible by gathering the school community through health education, and mainly encouraging healthy behavior.

High output stomas: ensuring safe discharge from hospital to home.

Science.gov (United States)

Smith, Lisa

High-output stomas are a challenge for the patient and all health professionals involved. This article discusses safe discharge home for this patient group, encouraging collaborative working practices between acute care trust and the community services. The authors also discuss the management of a high-output stoma and preparation and education of the patient before discharge home.

GERTS GQ User's Manual.

Science.gov (United States)

Akiba, Y.; And Others

This user's manual for the simulation program Graphical Evaluation and Review Technique (GERT) GQ contains sections on nodes, branches, program input description and format, and program output, as well as examples. Also included is a programmer's manual which contains information on scheduling, subroutine descriptions, COMMON Variables, and…

Nuclear electronics laboratory manual

International Nuclear Information System (INIS)

1984-05-01

The Nuclear Electronics Laboratory Manual is a joint product of several electronics experts who have been associated with IAEA activity in this field for many years. The manual does not include experiments of a basic nature, such as characteristics of different active electronics components. It starts by introducing small electronics blocks, employing one or more active components. The most demanding exercises instruct a student in the design and construction of complete circuits, as used in commercial nuclear instruments. It is expected that a student who completes all the experiments in the manual should be in a position to design nuclear electronics units and also to understand the functions of advanced commercial instruments which need to be repaired or maintained. The future tasks of nuclear electronics engineers will be increasingly oriented towards designing and building the interfaces between a nuclear experiment and a computer. The manual pays tribute to this development by introducing a number of experiments which illustrate the principles and the technology of interfacing

Radiological protection in dental practice

Energy Technology Data Exchange (ETDEWEB)

1975-01-01

Intended to be complementary to the more comprehensive document, ''Code of Practice for the protection of persons against ionizing radiations arising from medical and dental use'' (CIS 74-423), the purpose of this booklet is to give dentists some basic information on the safe use of X-rays. Contents: why protection from X-rays; responsibility for radiation protection; protection during a dental examination; ensuring a safe installation; sources of further information. Appendices: maximum permissible doses; useful addresses; summary of relevant recommendations from the Code of Practice; notes on film processing.

14 CFR 121.141 - Airplane flight manual.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Airplane flight manual. 121.141 Section 121... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Manual Requirements § 121.141 Airplane flight manual. (a) Each certificate holder shall keep a current approved airplane flight manual for each type of...

Development of Safe and Effective Botanical Dietary Supplements.

Science.gov (United States)

van Breemen, Richard B

2015-11-12

Regulated differently than drugs or foods, the market for botanical dietary supplements continues to grow worldwide. The recently implemented U.S. FDA regulation that all botanical dietary supplements must be produced using good manufacturing practice is an important step toward enhancing the safety of these products, but additional safeguards could be implemented, and unlike drugs, there are currently no efficacy requirements. To ensure a safe and effective product, botanical dietary supplements should be developed in a manner analogous to pharmaceuticals that involves identification of mechanisms of action and active constituents, chemical standardization based on the active compounds, biological standardization based on pharmacological activity, preclinical evaluation of toxicity and potential for drug-botanical interactions, metabolism of active compounds, and finally, clinical studies of safety and efficacy. Completing these steps will enable the translation of botanicals from the field to safe human use as dietary supplements.

Development of Safe and Effective Botanical Dietary Supplements

Science.gov (United States)

2015-01-01

Regulated differently than drugs or foods, the market for botanical dietary supplements continues to grow worldwide. The recently implemented U.S. FDA regulation that all botanical dietary supplements must be produced using good manufacturing practice is an important step toward enhancing the safety of these products, but additional safeguards could be implemented, and unlike drugs, there are currently no efficacy requirements. To ensure a safe and effective product, botanical dietary supplements should be developed in a manner analogous to pharmaceuticals that involves identification of mechanisms of action and active constituents, chemical standardization based on the active compounds, biological standardization based on pharmacological activity, preclinical evaluation of toxicity and potential for drug–botanical interactions, metabolism of active compounds, and finally, clinical studies of safety and efficacy. Completing these steps will enable the translation of botanicals from the field to safe human use as dietary supplements. PMID:26125082

Code of Practice for the safe transport of radioactive substances 1990

International Nuclear Information System (INIS)

1990-01-01

This Federal Code revises an earlier Code on the same subject issued in 1982 and was formulated under the Environment Protection (Nuclear Codes) Act 1978. The purpose of the Code is to establish uniform safety standards, applicable throughout the Commonwealth of Australia, to provide for the protection of persons and the environment, against any dangers associated with the transport of radioactive substances. The Code uses as a basis the IAEA Regulations for the Safe Transport of Radioactive Materials. This new edition takes into account the 1985 Edition of the Regulations incorporating the 1988 Supplement and provides, furthermore, that radiation protection standards will also be subject to recommendations of the Australian National Health and Medical Research Council [fr

Risk assessments and safe machinery ensuring compliance with the EU directives

CERN Document Server

Jespen, Torben

2016-01-01

This book describes the prerequisites for the placing on the market and the safe use of machinery in compliance with the relevant EU Directives, especially the Machinery Directive 2006/42. It provides readers with high-level knowledge concerning the Essential Health and Safety Requirements (EHSR) that machinery must fulfill. The approach and principles of the Machinery Directive were most recently made worldwide acknowledged in the ILO code of practice on safe machinery, released in 2013. The book addresses that code, as well as providing valuable insight into other EU Product and Workplace legislation. Focusing on the key aspect of safe machinery, the “machinery safety risk assessment”, which allows readers to better understand the more difficult aspects of risk assessments, the book equips readers to tackle problems at the manufacturing stage and in different use scenarios, introducing them to risk reduction techniques and functional safety aspects.

Validation of an educative manual for patients with head and neck cancer submitted to radiation therapy 1

Science.gov (United States)

da Cruz, Flávia Oliveira de Almeida Marques; Ferreira, Elaine Barros; Vasques, Christiane Inocêncio; da Mata, Luciana Regina Ferreira; dos Reis, Paula Elaine Diniz

2016-01-01

Abstract Objective: develop the content and face validation of an educative manual for patients with head and neck cancer submitted to radiation therapy. Method: descriptive methodological research. The Theory of Psychometrics was used for the validation process, developed by 15 experts in the theme area of the educative manual and by two language and publicity professionals. A minimum agreement level of 80% was considered to guarantee the validity of the material. Results: the items addressed in the assessment tool of the educative manual were divided in three blocks: objectives, structure and format, and relevance. Only one item, related to the sociocultural level of the target public, obtained an agreement rate manual proposed were attended to. This can contribute to the understanding of the therapeutic process the head and neck cancer patient is submitted to during the radiation therapy, besides supporting clinical practice through the nursing consultation. PMID:27305178

DBCG hypo trial validation of radiotherapy parameters from a national data bank versus manual reporting.

Science.gov (United States)

Brink, Carsten; Lorenzen, Ebbe L; Krogh, Simon Long; Westberg, Jonas; Berg, Martin; Jensen, Ingelise; Thomsen, Mette Skovhus; Yates, Esben Svitzer; Offersen, Birgitte Vrou

2018-01-01

The current study evaluates the data quality achievable using a national data bank for reporting radiotherapy parameters relative to the classical manual reporting method of selected parameters. The data comparison is based on 1522 Danish patients of the DBCG hypo trial with data stored in the Danish national radiotherapy data bank. In line with standard DBCG trial practice selected parameters were also reported manually to the DBCG database. Categorical variables are compared using contingency tables, and comparison of continuous parameters is presented in scatter plots. For categorical variables 25 differences between the data bank and manual values were located. Of these 23 were related to mistakes in the manual reported value whilst the remaining two were a wrong classification in the data bank. The wrong classification in the data bank was related to lack of dose information, since the two patients had been treated with an electron boost based on a manual calculation, thus data was not exported to the data bank, and this was not detected prior to comparison with the manual data. For a few database fields in the manual data an ambiguity of the parameter definition of the specific field is seen in the data. This was not the case for the data bank, which extract all data consistently. In terms of data quality the data bank is superior to manually reported values. However, there is a need to allocate resources for checking the validity of the available data as well as ensuring that all relevant data is present. The data bank contains more detailed information, and thus facilitates research related to the actual dose distribution in the patients.

Manual on measurement of methane and nitrous oxide emissions from agriculture

International Nuclear Information System (INIS)

1992-11-01

Nitrous oxide and methane are two of the gases primarily responsible for atmospheric warming, or the ''greenhouse effect''. Agricultural activities are an important source of methane and nitrous oxide emissions, but quantitation of these sources is generally lacking. This manual describes techniques to evaluate current emissions from diverse animal and crop production practices and suggests methods for decreasing these emissions. Refs, figs and tabs

Tritium radioluminescent devices, Health and Safety Manual