WorldWideScience

Sample records for safety information leaflets

  1. Advertising, expectations and informed consent: the contents and functions of acupuncture leaflets.

    Science.gov (United States)

    Bishop, Felicity L; Salmon, Cathy

    2013-12-01

    To evaluate the content of patient information leaflets about acupuncture. 401 patient information leaflets were obtained from practising UK acupuncturists and subjected to content and thematic analysis. 59% of included leaflets were from NHS physiotherapists. Almost all the leaflets defined acupuncture and the majority explained how it might work, described the treatment process and placed it in a historical context. Most described possible benefits and risks of acupuncture and discussed contraindications and safety. Just under a third of leaflets (120, 30%) suggested conditions that might be helped by acupuncture, most commonly musculoskeletal pain, arthritis and injuries. By emphasising differences between individuals in acupuncture treatments and responsiveness, the leaflets fostered hope for positive effects without making any guarantees. Information leaflets are broadly consistent with the evidence for acupuncture, but some claims are inconsistent with official advice from advertising regulators. An ethically sound, scientifically grounded and psychologically effective leaflet should accurately convey both benefits and risks of treatment, optimise patients' expectations and allay concerns about needling. This study suggests that acupuncture leaflets might achieve these multiple functions but care should be taken to ensure adequate coverage of risks.

  2. Patients’ views on electronic patient information leaflets

    Directory of Open Access Journals (Sweden)

    Hammar T

    2016-06-01

    Full Text Available Background: Information in society and in health care is currently undergoing a transition from paper to digital formats, and the main source of information will probably be electronic in the future. Objective: To explore patients’ use and perceptions of the patient information leaflet included in the medication package, and their attitude towards a transition to an electronic version. Methods: The data was collected during October to November 2014 among individuals in South-Eastern Sweden, using a questionnaire (n=406, response rate 78% and interviews (n=15. Results: The questionnaire showed that the majority of the respondents (52% occasionally read the patient information leaflet, 37% always read it, and 11% never read it. Almost half of the patients (41% were positive towards reading the patient information leaflet electronically while 32% were hesitant and 26% neutral. A majority of the patients would request to get the patient information leaflet printed at the pharmacy if it was not included in the package. There were differences in attitude related to age and gender. The interviews showed that patients had mixed views on a transition to an electronic patient information leaflet. The patients perceived several positive aspects with an electronic patient information leaflet but were concerned about elderly patients. Conclusion: Although many were positive towards reading the patient information leaflet electronically, the majority prefer the patient information leaflet in paper form. Providing appropriate and useful eHealth services for patients to access the patient information leaflet electronically, along with education, could prepare patients for a transition to electronic patient information leaflet.

  3. Consent information leaflets - readable or unreadable?

    Science.gov (United States)

    Graham, Caroline; Reynard, John M; Turney, Benjamin W

    2015-05-01

    The objective of this article is to assess the readability of leaflets about urological procedures provided by the British Association of Urological Surgeons (BAUS) to evaluate their suitability for providing information. Information leaflets were assessed using three measures of readability: Flesch Reading Ease, Flesch-Kincaid and Simple Measure of Gobbledygook (SMOG) grade formulae. The scores were compared with national literacy statistics. Relatively good readability was demonstrated using the Flesch Reading Ease (53.4-60.1) and Flesch-Kincaid Grade Level (6.5-7.6) methods. However, the average SMOG index (14.0-15.0) for each category suggests that the majority of the leaflets are written above the reading level of an 18-year-old. Using national literacy statistics, at least 43% of the population will have significant difficultly understanding the majority of these leaflets. The results suggest that comprehension of the leaflets provided by the BAUS is likely to be poor. These leaflets may be used as an adjunct to discussion but it is essential to ensure that all the information necessary to make an informed decision has been conveyed in a way that can be understood by the patient.

  4. Low literacy and written drug information: information-seeking, leaflet evaluation and preferences, and roles for images.

    Science.gov (United States)

    van Beusekom, Mara M; Grootens-Wiegers, Petronella; Bos, Mark J W; Guchelaar, Henk-Jan; van den Broek, Jos M

    2016-12-01

    Background Low-literate patients are at risk to misinterpret written drug information. For the (co-) design of targeted patient information, it is key to involve this group in determining their communication barriers and information needs. Objective To gain insight into how people with low literacy use and evaluate written drug information, and to identify ways in which they feel the patient leaflet can be improved, and in particular how images could be used. Setting Food banks and an education institution for Dutch language training in the Netherlands. Method Semi-structured focus groups and individual interviews were held with low-literate participants (n = 45). The thematic framework approach was used for analysis to identify themes in the data. Main outcome measure Low-literate people's experience with patient information leaflets, ideas for improvements, and perceptions on possible uses for visuals. Results Patient information leaflets were considered discouraging to use, and information difficult to find and understand. Many rely on alternative information sources. The leaflet should be shorter, and improved in terms of organisation, legibility and readability. Participants thought images could increase the leaflet's appeal, help ask questions, provide an overview, help understand textual information, aid recall, reassure, and even lead to increased confidence, empowerment and feeling of safety. Conclusion Already at the stages of paying attention to the leaflet and maintaining interest in the message, low-literate patients experience barriers in the communication process through written drug information. Short, structured, visual/textual explanations can lower the motivational threshold to use the leaflet, improve understanding, and empower the low-literate target group.

  5. Consent information leaflets – readable or unreadable?

    Science.gov (United States)

    Graham, Caroline; Reynard, John M; Turney, Benjamin W

    2016-01-01

    Objective The objective of this article is to assess the readability of leaflets about urological procedures provided by the British Association of Urological Surgeons (BAUS) to evaluate their suitability for providing information. Methods Information leaflets were assessed using three measures of readability: Flesch Reading Ease, Flesch-Kincaid and Simple Measure of Gobbledygook (SMOG) grade formulae. The scores were compared with national literacy statistics. Results Relatively good readability was demonstrated using the Flesch Reading Ease (53.4–60.1) and Flesch-Kincaid Grade Level (6.5–7.6) methods. However, the average SMOG index (14.0–15.0) for each category suggests that the majority of the leaflets are written above the reading level of an 18-year-old. Using national literacy statistics, at least 43% of the population will have significant difficultly understanding the majority of these leaflets. Conclusions The results suggest that comprehension of the leaflets provided by the BAUS is likely to be poor. These leaflets may be used as an adjunct to discussion but it is essential to ensure that all the information necessary to make an informed decision has been conveyed in a way that can be understood by the patient. PMID:27867520

  6. Creation New Patient Information Leaflets with Diabetes by Pharmacists and Assesment Conducted by Patients.

    Science.gov (United States)

    Arai, Motoharu; Maeda, Kazuto; Satoh, Hiroki; Miki, Akiko; Sawada, Yasufumi

    2016-10-01

    We created a draft of new patient information leaflets to ensure patients' proper use of drugs and to highlight safety issues and improvement plans extracted and proposed by small group discussions (SGD) with pharmacists. A total of 3 SGDs (participants: 15 pharmacists) were conducted with the aim of improving patient information leaflets for oral diabetes drugs. First, the disadvantages and advantages of the current instructions as well as requests for ideal patient information leaflets were obtained from participants. Conventional patient information leaflets that could be improved were useful to understand drug efficacy, adverse effects, and instructions for daily consumption of medicines, and to encourage patients to re-check drugs at home and inform their family of the measures to be taken in the case of adverse effects from the standpoint of patients. However, some disadvantages arose; for example, the instructions were difficult to read because of small lettering and illustrations and too much text. It was not tailored for individual patients, and descriptions about serious adverse effects caused patients much anxiety. Therefore, we have created a draft of new patient information leaflets with diabetes that are simpler and easier to understand and use concise wording and illustrations that are impactful.

  7. Package leaflets of the most consumed medicines in Portugal: safety and regulatory compliance issues. A descriptive study

    Directory of Open Access Journals (Sweden)

    Carla Pires

    Full Text Available CONTEXT AND OBJECTIVES: Package leaflets are necessary for safe use of medicines. The aims of the present study were: 1 to assess the compliance between the content of the package leaflets and the specifications of the pharmaceutical regulations; and 2 to identify potential safety issues for patients. DESIGN AND SETTING: Qualitative descriptive study, involving all the package leaflets of branded medicines from the three most consumed therapeutic groups in Portugal, analyzed in the Department of Pharmacoepidemiology, School of Pharmacy, University of Lisbon. METHODS: A checklist validated through an expert consensus process was used to gather the data. The content of each package leaflet in the sample was classified as compliant or non-compliant with compulsory regulatory issues (i.e. stated dosage and descriptions of adverse reactions and optional regulatory issues (i.e. adverse reaction frequency, symptoms and procedures in cases of overdose. RESULTS: A total of 651 package leaflets were identified. Overall, the package leaflets were found to be compliant with the compulsory regulatory issues. However, the optional regulatory issues were only addressed in around half of the sample of package leaflets, which made it possible to identify some situations of potentially compromised drug safety. CONCLUSION: Ideally, the methodologies for package leaflet approval should be reviewed and optimized as a way of ensuring the inclusion of the minimum essential information for safe use of medicines.

  8. Readability of Malaria Medicine Information Leaflets in Nigeria ...

    African Journals Online (AJOL)

    Purpose: To assess the readability of malaria medicines information leaflets available in Nigeria. Methods: Fourty five leaflets were assessed using the Simplified Measure of Gobbledygook (SMOG) readability test and by examining them for paper type, font size type, use of symbols and pictograms, and bilingual information ...

  9. Role of Information Anxiety and Information Load on Processing of Prescription Drug Information Leaflets.

    Science.gov (United States)

    Bapat, Shweta S; Patel, Harshali K; Sansgiry, Sujit S

    2017-10-16

    In this study, we evaluate the role of information anxiety and information load on the intention to read information from prescription drug information leaflets (PILs). These PILs were developed based on the principals of information load and consumer information processing. This was an experimental prospective repeated measures study conducted in the United States where 360 (62% response rate) university students (>18 years old) participated. Participants were presented with a scenario followed by exposure to the three drug product information sources used to operationalize information load. The three sources were: (i) current practice; (ii) pre-existing one-page text only; and (iii) interventional one-page prototype PILs designed for the study. Information anxiety was measured as anxiety experienced by the individual when encountering information. The outcome variable of intention to read PILs was defined as the likelihood that the patient will read the information provided in the leaflets. A survey questionnaire was used to capture the data and the objectives were analyzed by performing a repeated measures MANOVA using SAS version 9.3. When compared to current practice and one-page text only leaflets, one-page PILs had significantly lower scores on information anxiety ( p information load ( p Information anxiety and information load significantly impacted intention to read ( p < 0.001). Newly developed PILs increased patient's intention to read and can help in improving the counseling services provided by pharmacists.

  10. Danglers in Patient Information Leaflets and Technical Manuals

    DEFF Research Database (Denmark)

    Køhler Simonsen, Henrik

    2014-01-01

    in fact been proved. The analysis and the discussion showed that dangling participles are not very frequent in PILs, but much more common in technical manuals. The data showed that there were no “ludicrous” danglers,(see Matthews and Matthews 2008:146), in PILcorp. However, the analysis showed that both......Dangling participles and other types of ambiguous or unclear sentence constructions in directive and informative medical and technical texts, such as patient information leaflets (PILs) and technical manuals, render instructions unclear and potentially dangerous for the layman reader, i......, and readability on the basis of two corpora: a corpus of PILs (PILcorp) and a corpus of technical manuals (TECHcorp). The hypothesis is that patient information leaflets will contain fewer dangling constructions than technical manuals because of the strict regulations on product information texts including PILs...

  11. Preparation, validation and user-testing of pictogram-based patient information leaflets for hemodialysis patients.

    Science.gov (United States)

    Mateti, Uday Venkat; Nagappa, Anantha Naik; Attur, Ravindra Prabhu; Bairy, Manohar; Nagaraju, Shankar Prasad; Mallayasamy, Surulivelrajan; Vilakkathala, Rajesh; Guddattu, Vasudev; Balkrishnan, Rajesh

    2015-11-01

    Patient information leaflets are universally-accepted resources to educate the patients/users about their medications, disease and lifestyle modification. The objective of the study was to prepare, validate and perform user-testing of pictogram-based patient information leaflets (P-PILs) among hemodialysis (HD) patients. The P-PILs are prepared by referring to the primary, secondary and tertiary resources. The content and pictograms of the leaflet have been validated by an expert committee consisting of three nephrologists and two academic pharmacists. The Baker Able Leaflet Design has been applied to develop the layout and design of the P-PILs. Quasi-experimental pre- and post-test design without control group was conducted on 81 HD patients for user-testing of P-PILs. The mean Baker Able Leaflet Design assessment score for English version of the leaflet was 28, and 26 for Kannada version. The overall user-testing knowledge assessment mean scores were observed to have significantly improved from 44.25 to 69.62 with p value information leaflets can be considered an effective educational tool for HD patients.

  12. The usefulness and scientific accuracy of private sector Arabic language patient drug information leaflets.

    Science.gov (United States)

    Sukkari, Sana R; Al Humaidan, Abdullah S; Sasich, Larry D

    2012-07-01

    Inadequate access to useful scientifically accurate patient information is a major cause of the inappropriate use of drugs resulting in serious personal injury and related costs to the health care system. The definition of useful scientifically accurate patient information for prescription drugs was accepted by the US Secretary of the Department of Health and Human Services in 1996 as that derived from or consistent with the US FDA approved professional product label for a drug. Previous quality content studies found that English language patient drug information leaflets distributed by US pharmacies failed to meet minimum criteria defining useful and scientifically accurate information. Evaluation forms containing the explicit elements that define useful scientifically accurate information for three drugs with known serious adverse drug reactions were created based on the current US FDA approved professional product labels. The Arabic language patient drug information leaflets for celecoxib, paroxetine, and lamotrigine were obtained locally and evaluated using a methodology similar to that used in previous quality content patient drug information studies in the US. The Arabic leaflets failed to meet the definition of useful scientifically accurate information. The celecoxib leaflet contained 30% of the required information and the paroxetine and lamotrigine leaflets contained 24% and 20%, respectively. There are several limitations to this study. The Arabic leaflets from only one commercial North American vendor were evaluated and the evaluation included a limited number of drugs. A larger study is necessary to be able to generalize these results. The study results are consistent with those of previous quality content studies of commercially available English patient drug information leaflets. The results have important implications for patients as access to a reliable source of drug information may prevent harm or limit the suffering from serious adverse drug

  13. Readability of Malaria Medicine Information Leaflets in Nigeria

    African Journals Online (AJOL)

    Erah

    2010-12-18

    Dec 18, 2010 ... for malaria medicines information leaflets available in Nigeria was 13.69 ± 1.70. This value is equivalent ... Health promotion and behaviour change communication ... their rational use at the community level. Readability is the ...

  14. Development of Prescription Drug Information Leaflets: Impact of Cognitive Effort and Patient Involvement on Prescription Medication Information Processing.

    Science.gov (United States)

    Patel, Harshali K; Bapat, Shweta S; Bhansali, Archita H; Sansgiry, Sujit S

    2018-01-01

    The objective of this study was to develop a one-page (1-page) prescription drug information leaflet (PILs) and assess their impact on the information processing variables, across 2 levels of patient involvement. One-page PILs were developed using cognitive principles to lower mental effort and improve comprehension. An experimental, 3 × 2 repeated measures study was conducted to determine the impact of cognitive effort, manipulated using leaflet type on comprehension across 2 levels (high/low) of patient involvement. Adults (≥18 years) in a university setting in Houston were recruited for the study. Each participant was exposed to 3 different types of prescription drug information leaflet (the current practice, preexisting 1-page text-only, and 1-page PILs) for the 3 drugs (Celebrex, Ventolin HFA, Prezista) for a given involvement scenario. A prevalidated survey instrument was used to measure product knowledge, attitude toward leaflet, and intention to read. Multivariate analysis of variance indicated significant positive effect of cognitive effort, involvement, and their interaction effect across all measured variables. Mean scores for product knowledge, attitude toward leaflet, and intention to read were highest for PILs ( P information processing for consumers by reducing their cognitive effort.

  15. Practitioner and lay perspectives of the service provision of nutrition information leaflets in primary care.

    Science.gov (United States)

    McClinchy, Jane; Dickinson, Angela; Barron, Duncan; Thomas, Hilary

    2011-12-01

    In primary care, leaflets are often used to communicate health information. Increasingly, primary healthcare practitioners need to provide dietary advice. There is limited research exploring how nutrition information leaflets are used in primary care. The present study explored practitioner and lay experiences with respect to providing and receiving nutrition information in primary care, focusing in particular on the use of leaflets for nutrition information. A qualitative design was used incorporating focus groups with 57 practitioners based at seven general practitioner practices and a purposive sample of 30 lay participants attending six Consumer Health Organisations within one primary care trust. Focus groups were taped and transcribed verbatim and data were analysed thematically, assisted by computer software n6® (QSR International Pty Ltd, Melbourne, Australia). Practitioners discussed barriers to giving nutritional advice, access to leaflets, lay receptiveness to advice and their perceptions about the value of leaflets to lay people. Food was not considered in terms of its nutritional components by lay participants and the need for nutritional information was not perceived to be relevant until they had received a medical diagnosis. Lay participants discussed the importance of receiving nutritional advice relating to their medical diagnosis and the altered status of written information that was delivered personally. Practitioner and lay groups suggested improvements to ensure that nutritional advice be supported by relevant and appropriate written information. This research has underlined the continuing importance of nutrition information leaflets and concludes that there is particular value in involving lay participants in the development of nutrition information leaflets. © 2011 The Authors. Journal of Human Nutrition and Dietetics © 2011 The British Dietetic Association Ltd.

  16. Readability Statistics of Patient Information Leaflets in a Speech and Language Therapy Department

    Science.gov (United States)

    Pothier, Louise; Day, Rachael; Harris, Catherine; Pothier, David D.

    2008-01-01

    Background: Information leaflets are commonly used in Speech and Language Therapy Departments. Despite widespread use, they can be of variable quality. Aims: To revise current departmental leaflets using the National Health Service (NHS) Toolkit for Producing Patient Information and to test the effect that this has on the readability scores of the…

  17. Constructing osteoarthritis through discourse – a qualitative analysis of six patient information leaflets on osteoarthritis

    Directory of Open Access Journals (Sweden)

    Ong Bie

    2007-04-01

    Full Text Available Abstract Background Health service policy in the United Kingdom emphasises the importance of self-care by patients with chronic conditions. Written information for patients about their condition is seen as an important aid to help patients look after themselves. From a discourse analysis perspective written texts such as patient information leaflets do not simply describe the reality of a medical condition and its management but by drawing on some sorts of knowledge and evidence rather than others help construct the reality of that condition. This study explored patient information leaflets on osteoarthritis (OA to see how OA was constructed and to consider the implications for self-care. Methods Systematic and repeated readings of six patient information leaflets on osteoarthritis to look for similarities and differences across leaflets, contradictions within leaflets and the resources called on to make claims about the nature of OA and its management. Results Biomedical discourse of OA as a joint disease dominated. Only one leaflet included an illness discourse albeit limited, and was also the only one to feature patient experiences of living with OA. The leaflets had different views on the causes of OA including the role of lifestyle and ageing. Most emphasised patient responsibility for preventing the progression of OA. Advice about changing behaviour such as diet and exercise was not grounded in lived experience. There were inconsistent messages about using painkillers, exercise and the need to involve professionals when making changes to lifestyle. Conclusion The nature of the discourse impacted on how OA and the respective roles of patients and professionals were depicted. Limited discourse on illness meant that the complexity of living with OA and its consequences was underestimated. Written information needs to shift from joint biology to helping patients live with osteoarthritis. Written information should incorporate patient

  18. Wikis to facilitate patient participation in developing information leaflets: first experiences

    NARCIS (Netherlands)

    Belt, T.H. van de; Faber, M.J.; Knijnenburg, J.M.; Duijnhoven, N.T.L. van; Nelen, W.L.D.M.; Kremer, J.A.M.

    2014-01-01

    OBJECTIVE: Although patients have gained a wealth of experienced based knowledge they are usually not involved in the development of patient information. We sought to determine the technical feasibility of wikis in generating dynamic patient information leaflets with participation from patients and

  19. Information meeting on the AD leaflets of the HP series

    International Nuclear Information System (INIS)

    1976-05-01

    The present brochure contains discussions and summaries of papers from an information meeting on new leaflets issued by the Arbeitsgemeinschaft Druckbehaelter, Reihe Herstellung und Pruefung (task group pressure vessels, production and testing section), organized by the TUEV of Bavaria. (RW) [de

  20. Including patients’ perspectives in patient information leaflets: A polyocular approach

    DEFF Research Database (Denmark)

    Fage-Butler, Antoinette Mary

    2013-01-01

    Existing research reveals that patients’ perspectives are missing from mandatory patient information leaflets (PILs). At the same time, there is overwhelming consensus that they should be included in this genre, and a corresponding need for potential approaches to tackle this problem. This paper ...

  1. Lay-friendliness in translated Patient Information Leaflets

    DEFF Research Database (Denmark)

    Jensen, Matilde Nisbeth; Zethsen, Karen Korning

    This paper seeks to empirically explore the claim that translated Danish Patient Information Leaflets (PILs) are less lay-friendly than their English source texts. The last two decades have seen an increased focus on providing patients with lay-friendly, easily understood information, enabling them...... to make informed decisions concerning their health. For this purpose, many new genres have been created, one such genre being the PIL, a mandatory text which in an EU context has to accompany all medication informing patients about dosage, side effects etc. Legally, the PIL genre is required to ensure lay......-friendly information as it must be “written and designed to be clear and understandable, enabling the users to act appropriately” (Article 63(2) of EU Directive 2001/83/EC). Despite the legal requirements and the intensified focus on lay-friendly health communication, many studies have shown that PILs are often...

  2. The value of an information leaflet for patients having nuclear medicine investigations

    International Nuclear Information System (INIS)

    Ahmed, Susan Mohamed; Mohammed, Nada Yousif; Elhasseen, Amna Elnour

    2001-01-01

    This research aimed at design an information leaflet about nuclear medicine investigations usually done at the radiation and isotopes centre of Khartoum (RICK). The objectives are: to confirm lack of knowledge among patients attending hospital, to find out kind of information required and to improve service quality

  3. Promotion of family planning services in practice leaflets.

    Science.gov (United States)

    Marshall, M N; Gray, D J; Pearson, V; Phillips, D R; Owen, M

    1994-10-08

    Providing 75% of family planning services in the United Kingdom, general practitioners are required to produce leaflets which describe the contraceptive services they provide. The authors analyzed information about family planning provided to clients through practice leaflets. 88% of practice leaflets from the 198 practices in Devon were available from the Devon Family Health Services Authority for analysis. It was determined that the leaflets are not being best used to advertise the range and potential of family planning services. Although all practices in Devon offer contraceptive services, only 90% of leaflets mentioned that the services are available. Reference to postcoital contraception and information about services outside the practice for people who might not want to see their family doctor are also sorely lacking. A clear need exists to provide patients with more information. Finally, the authors found that group practices and those with female partners are most likely to give high priority to family planning issues in their leaflets.

  4. 'BeSAFE', effect-evaluation of internet-based, tailored safety information combined with personal counselling on parents' child safety behaviours: study design of a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    van Beeck Eduard F

    2010-08-01

    Full Text Available Abstract Background Injuries in or around the home are the most important cause of death among children aged 0-4 years old. It is also a major source of morbidity and loss of quality of life. In order to reduce the number of injuries, the Consumer Safety Institute introduced the use of Safety Information Leaflets in the Netherlands to provide safety education to parents of children aged 0-4 years. Despite current safety education, necessary safety behaviours are still not taken by a large number of parents, causing unnecessary risk of injury among young children. In an earlier study an E-health module with internet-based, tailored safety information was developed and applied. It concerns an advice for parents on safety behaviours in their homes regarding their child. The aim of this study is to evaluate the effect of this safety information combined with personal counselling on parents' child safety behaviours. Methods/Design Parents who are eligible for the regular well-child visit with their child at child age 5-8 months are invited to participate in this study. Participating parents are randomized into one of two groups: 1 internet-based, tailored safety information combined with personal counselling (intervention group, or 2 personal counselling using the Safety Information Leaflets of the Consumer Safety Institute in the Netherlands for children aged 12 to 24 months (control group. All parents receive safety information on safety topics regarding the prevention of falling, poisoning, drowning and burning. Parents of the intervention group will access the internet-based, tailored safety information module when their child is approximately 10 months old. After completion of the assessment questions, the program compiles a tailored safety advice. The parents are asked to devise and inscribe a personal implementation intention. During the next well-child visit, the Child Health Clinic professional will discuss this tailored safety information

  5. Consumer's Perception on Design and Layout of Consumer Medical Information Leaflets on Obesity and Lipid Lowering Drugs.

    Science.gov (United States)

    Mathew, Elizabeth M; Rajiah, Kingston; Sharma, Krishana Kumar

    2013-12-01

    Printed education materials are often used to augment healthcare professional's verbal information to consumers so it serves as an important component of symptom management. They also enhance the teaching process and can be used by consumers as a home reference. This study was aimed to interpret consumers' perception on Consumer Medical Information Leaflets (CMILs) on obesity and lipid lowering drugs, on design and layout using the standard method such as Baker Able Leaflet Design (BALD). Convenience sampling was done. The study was conducted over a period of 3 years in community pharmacy settings in Tamil Nadu, India. The Consumer Medical Information Leaflets (CMILs) were randomly collected from different community pharmacies. Total of 19 CMILs which are commonly used by the consumers were collected and CMILs were assessed using BALD assessment tool Results: According to BALD assessment (46.28%) leaflets were rated as 'above standard' and (53.72) leaflets were rated as 'standard or poor' in layout and design since their scores were less than 25. This shows that this issue may be important from the patient's perspective, which may discourage patient from actually reading the CMILs. In India, generally CMILs are continued to be prepared in English and with higher proportion of consumers with English illiteracy. CMILs, which are prepared without taking consideration of reading level of consumers and proper layout and design, may not achieve the intended purpose. This is an important aspect that any company has to reckon while preparing leaflets and at least in some major local languages in which CMILs have to be prepared.

  6. Iodine leaflets in chapter D5 'Distribution of iodine pills'

    International Nuclear Information System (INIS)

    1981-01-01

    Jodine leaflet A will be distributed together with iodine pills in a nuclear disaster. Iodine leaflet B is suitable for informing the public in advance. Iodine leaflet C informs physicians in a scientific way on the benefits and risk of iodine pills. (orig./HP) [de

  7. Home delivery of medication - the role of a patient information leaflet on maximising service uptake.

    Science.gov (United States)

    Watson, L; Ahmed, N; Mccall, H; Minton, J; Benn, P; Edwards, S; Waters, L

    2014-12-01

    There are currently over 30,000 HIV-positive individuals in London and over 25,000 on anti-retroviral therapy. In 2009/2010, this equated to £170m spent by London's NHS on anti-retroviral drugs. Ways employed to reduce this cost include standardising the drugs patients are on and delivering medication to patients at home. Home delivery (HD) medication is exempt from value-added tax. The savings made from 10 patients using the home delivery service would free up resources to provide anti-retroviral therapy to one further patient. Studies have shown that concerns surrounding potential breaches of confidentiality are a potential barrier to some people using the home delivery service. In order to challenge these concerns, a leaflet was devised highlighting the major benefits to both the patient and the NHS of home delivery and addressing concerns over confidentiality. The leaflet was handed out to patients at the Mortimer Market Centre who were currently on anti-retroviral medication but not on home delivery. They were asked to complete a survey on their views of the service before and after reading the leaflet, whether they had been previously aware of the service and whether their concerns had been addressed. Some 79% felt that the patient information leaflet addressed all of their concerns, and it helped 11% decide whether to consider using home delivery. However, as more patients were opposed to the service after reading the patient information leaflet than those considering it, more work needs to be done to explore patients' concerns and other factors influencing home delivery service uptake. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  8. Consumer’s Perception on Design and Layout of Consumer Medical Information Leaflets on Obesity and Lipid Lowering Drugs

    Science.gov (United States)

    Mathew, Elizabeth M.; Rajiah, Kingston; Sharma, Krishana Kumar

    2013-01-01

    Background: Printed education materials are often used to augment healthcare professional’s verbal information to consumers so it serves as an important component of symptom management. They also enhance the teaching process and can be used by consumers as a home reference. Objective: This study was aimed to interpret consumers’ perception on Consumer Medical Information Leaflets (CMILs) on obesity and lipid lowering drugs, on design and layout using the standard method such as Baker Able Leaflet Design (BALD). Material and Methods: Convenience sampling was done. The study was conducted over a period of 3 years in community pharmacy settings in Tamil Nadu, India. The Consumer Medical Information Leaflets (CMILs) were randomly collected from different community pharmacies. Total of 19 CMILs which are commonly used by the consumers were collected and CMILs were assessed using BALD assessment tool Results: According to BALD assessment (46.28%) leaflets were rated as ‘above standard’ and (53.72) leaflets were rated as ‘standard or poor’ in layout and design since their scores were less than 25. This shows that this issue may be important from the patient’s perspective, which may discourage patient from actually reading the CMILs. Conclusion: In India, generally CMILs are continued to be prepared in English and with higher proportion of consumers with English illiteracy. CMILs, which are prepared without taking consideration of reading level of consumers and proper layout and design, may not achieve the intended purpose. This is an important aspect that any company has to reckon while preparing leaflets and at least in some major local languages in which CMILs have to be prepared. PMID:24551641

  9. Introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety in children.

    Science.gov (United States)

    Kassai, B; Rabilloud, M; Dantony, E; Grousson, S; Revol, O; Malik, S; Ginhoux, T; Touil, N; Chassard, D; Pereira de Souza Neto, E

    2016-07-01

    The aim of the study was to determine whether the introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety levels of children undergoing major surgery. Secondary objectives were to determine whether the level of understanding of participants and other risk factors influence STAIC-S (State-Trait Anxiety Inventory for Children-State subscale) score in children. We performed a randomized controlled parallel-group trial comparing preoperative anxiety between two groups of children aged >6 and comic information leaflet at home in addition to routine information given by the anaesthetist at least 1 day before surgery. The control group received the routine information only. The outcome measure was the difference between STAIC-S scores measured before any intervention and after the anaesthetist's visit. A multiple regression analysis was performed to explore the influence of the level of education, the anxiety of parents, and the childrens' intelligence quotient on STAIC-S scores. One hundred and fifteen children were randomized between April 2009 and April 2013. An intention-to-treat analysis on data from 111 patients showed a significant reduction (P=0.002) in STAIC-S in the intervention group (n=54, mean=-2.2) compared with the control group (n=57, mean=0.90). The multiple regression analysis did not show any influence on STAIC-S scores of the level of education, parental anxiety, or the intelligence quotient of the children. A paediatric anaesthesia comic information leaflet was a cheap and effective means of reducing preoperative anxiety, measured by STAIC-S, in children. NCT 00841022. © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Evaluation of the Readability of Dermatological Postoperative Patient Information Leaflets Across England.

    Science.gov (United States)

    Hunt, William T N; McGrath, Emily J

    2016-06-01

    Postoperative patient information leaflets (PILs) provide important guidance to patients after skin surgery. Readability is a method of evaluating information for text comprehension. The recommended level for PIL readability is US grade ≤6. To evaluate the readability of public English dermatological postoperative PILs. All dermatology departments in England were requested to provide their postoperative PILs. Patient information leaflets were evaluated using Readability Studio (Oleander Software, Vandalia, OH). Two preselected parameters were also noted: whether the PIL was doctor or nurse-written, and whether the PIL was Information Standard hallmarked. Eighty-five of one hundred thirty (65.4%) of PILs were evaluated. Only 29.4% of the PILs were grade level ≤6 with Flesch-Kincaid. The mean readability levels were 7.8 for Flesch-Kincaid, 67 for Flesch reading ease, 10.5 for Simple Measure of Gobbledygook (SMOG), 9.4 for Gunning-Fog, 8 for Fry, and 9.8 for FORCAST. No instruments demonstrated a significant difference between doctor (6) and nurse-written (7) PILs. Two instruments found that the 3 Information Standard hallmarked PILs had a higher (harder) readability than ordinary PILs (n = 82) (Gunning-Fog, p = .029*; SMOG p = .049*). Most English postoperative dermatological PILs' readability levels exceed recommendations (US grade ≤6). Departmental PILs should be reviewed to ensure that they are comprehensible to their patients.

  11. Preparation, validation and user-testing of pictogram-based patient information leaflets for tuberculosis.

    Science.gov (United States)

    Shrestha, Anmol; Rajesh, V; Dessai, Sneha Shamrao; Stanly, Sharon Mary; Mateti, Uday Venkat

    2018-05-25

    Patient education is of paramount importance with regard to the condition of the disease and the treatment given besides lifestyle remodelling in order to get the desired therapeutic outcome. When verbal information is provided to the patients, they often tend to forget it. Pictorial aids or pictograms, as they are commonly known, are tools that are widely used for imparting knowledge to the patients. The aim of the study is to prepare and validate a Pictogram-based Patient Information Leaflet (P-PILs) on Tuberculosis (TB). P-PILs have been prepared from tertiary, secondary and primary sources. The knowledge-based questions are prepared with respect to the P-PILs. The baseline knowledge of the volunteers and patients have been analyzed before administering the P-PILs by using the validated questionnaire. The post-knowledge of the volunteers and patients has been analyzed after administering the P-PILs (20 min) by using the same questionnaire and the user-opinion has also been obtained at the end. The study results show that the mean scores of the overall user-testing knowledge assessment are found to have improved significantly from the pre-P-PILs administration score of 62.67 to the post-P-PILs administration score of 91. The overall user-opinion about the P-PILs has been found to be good (75%) followed by average (25%). The present study shows that there is significant improvement in the knowledge levels of the patients and volunteers after reading the validated leaflets. The Pictogram-based Patient Information Leaflets are found to be an effective educational tool for TB patients. Copyright © 2018. Published by Elsevier Ltd.

  12. Optimal elastomeric scaffold leaflet shape for pulmonary heart valve leaflet replacement.

    Science.gov (United States)

    Fan, Rong; Bayoumi, Ahmed S; Chen, Peter; Hobson, Christopher M; Wagner, William R; Mayer, John E; Sacks, Michael S

    2013-02-22

    Surgical replacement of the pulmonary valve (PV) is a common treatment option for congenital pulmonary valve defects. Engineered tissue approaches to develop novel PV replacements are intrinsically complex, and will require methodical approaches for their development. Single leaflet replacement utilizing an ovine model is an attractive approach in that candidate materials can be evaluated under valve level stresses in blood contact without the confounding effects of a particular valve design. In the present study an approach for optimal leaflet shape design based on finite element (FE) simulation of a mechanically anisotropic, elastomeric scaffold for PV replacement is presented. The scaffold was modeled as an orthotropic hyperelastic material using a generalized Fung-type constitutive model. The optimal shape of the fully loaded PV replacement leaflet was systematically determined by minimizing the difference between the deformed shape obtained from FE simulation and an ex-vivo microCT scan of a native ovine PV leaflet. Effects of material anisotropy, dimensional changes of PV root, and fiber orientation on the resulting leaflet deformation were investigated. In-situ validation demonstrated that the approach could guide the design of the leaflet shape for PV replacement surgery. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. Communicating the benefits and harms of colorectal cancer screening needed for an informed choice: a systematic evaluation of leaflets and booklets.

    Science.gov (United States)

    Dreier, Maren; Borutta, Birgit; Seidel, Gabriele; Münch, Inga; Kramer, Silke; Töppich, Jürgen; Dierks, Marie-Luise; Walter, Ulla

    2014-01-01

    Evidence-based health information (EBHI) can support informed choice regarding whether or not to attend colorectal cancer (CRC) screening. The present study aimed to assess if German leaflets and booklets appropriately inform consumers on the benefits and harms of CRC screening. A systematic search for print media on CRC screening was performed via email enquiry and internet search. The identified documents were assessed for the presence and correctness of information on benefits and harms by two reviewers independently using a comprehensive list of criteria. Many of the 28 leaflets and 13 booklets identified presented unbalanced information on the benefits and harms of CRC screening: one-third did not provide any information on harms. Numeracy information was often lacking. Ten cross-language examples of common misinterpretations or basically false and misleading information were identified. Most of the CRC screening leaflets and booklets in Germany do not meet current EBHI standards. After the study, the publishers of the information materials were provided feedback, including a discussion of our findings. The results can be used to revise existing information materials or to develop new materials that provide correct, balanced, quantified, understandable and unbiased information on CRC screening.

  14. Communicating the benefits and harms of colorectal cancer screening needed for an informed choice: a systematic evaluation of leaflets and booklets.

    Directory of Open Access Journals (Sweden)

    Maren Dreier

    Full Text Available Evidence-based health information (EBHI can support informed choice regarding whether or not to attend colorectal cancer (CRC screening. The present study aimed to assess if German leaflets and booklets appropriately inform consumers on the benefits and harms of CRC screening.A systematic search for print media on CRC screening was performed via email enquiry and internet search. The identified documents were assessed for the presence and correctness of information on benefits and harms by two reviewers independently using a comprehensive list of criteria.Many of the 28 leaflets and 13 booklets identified presented unbalanced information on the benefits and harms of CRC screening: one-third did not provide any information on harms. Numeracy information was often lacking. Ten cross-language examples of common misinterpretations or basically false and misleading information were identified.Most of the CRC screening leaflets and booklets in Germany do not meet current EBHI standards. After the study, the publishers of the information materials were provided feedback, including a discussion of our findings. The results can be used to revise existing information materials or to develop new materials that provide correct, balanced, quantified, understandable and unbiased information on CRC screening.

  15. A quality assessment of patient leaflets on misoprostol induced labour – does written information adhere to international standards for patient involvement and informed consent?

    DEFF Research Database (Denmark)

    Clausen, Jette Aaroe; Juul, Mette; Rydahl, Eva

    Objectives: The need for thorough patient information is increasing as maternity care becomes more medicalised. The aim was to assess the quality of written patient information on labour induction. In most Danish hospitals misoprostol is the first-choice drug for induction in low-risk pregnancies......). Design: Patient leaflets were evaluated according to a validated scoring tool (IPDAS), core elements in The Danish Health Act, and items regarding off-label use and non-registered medication. Two of the authors scored all leaflets independently. Outcome measures: Women’s involvement in decision making......, and information on benefits and harms associated with the treatment, other justifiable treatment options, and non-registered treatment. Results: Generally, the hospitals scored low on the IPDAS checklist. No hospitals encouraged women to consider their preferences. Information on side-effects and adverse outcomes...

  16. Readability Analysis of the Package Leaflets for Biological Medicines Available on the Internet Between 2007 and 2013: An Analytical Longitudinal Study.

    Science.gov (United States)

    Piñero-López, María Ángeles; Modamio, Pilar; Lastra, Cecilia F; Mariño, Eduardo L

    2016-05-25

    's perspicuity index: r(2)=.81; Flesch-Kincaid grade level and Szigriszt's perspicuity index: r(2)=.95), but not between the readability indexes and the length (length and SMOG grade: r(2)=.05; length and Flesch-Kincaid grade level: r(2)=.03; length and Szigriszt's perspicuity index: r(2)=.02). There was no improvement in the readability of the package leaflets studied between 2007 and 2013 despite the European Commission's 2009 guideline on the readability of package leaflets. The results obtained from the different readability formulas coincided from a qualitative point of view. Efforts to improve the readability of package leaflets for biological medicines are required to promote the understandability and accessibility of this online health information by patients and thereby contribute to the appropriate use of medicines and medicine safety.

  17. An Experimental Comparison of a Co-Design Visualizing Personal Drug Information and Patient Information Leaflets: Usability Aspects.

    Science.gov (United States)

    Khodambashi, Soudabeh; Haugland, Dagrun; Ellingsberg, Anette; Kottum, Hanne; Sund, Janne Kutschera; Nytrø, Øystein

    2017-01-01

    Providing patients with specific information about their own drugs can reduce unintentional misuse and improve compliance. Searching for information is time-consuming when information is not personalized and is written using medical vocabulary that is difficult for patients to understand. In this study we explored patient information needs regarding visualizing of drug information and interrelationships by conducting a total of four co-design workshops with patients, other users and pharmacists. We developed a prototype and drug ontology to support reasoning about drug interactions. We evaluated individual performance in finding information, understanding the drug interactions, and learning from the provided information in the prototype compared to using patient information leaflets (PILs). We concluded that interactive visualization of drug information helps individuals find information about drugs, their side effects and interactions more quickly and correctly compared to using PILs. Our study is limited to co-morbid patients with transient ischaemic attack with several chronic diseases.

  18. [Evaluation of a self-care leaflet].

    Science.gov (United States)

    Lystad, N; Heian, F

    1989-01-20

    A self care leaflet of 50 pages was distributed in Tingvoll, a municipality with 3,500 inhabitants. The leaflet gives advice about self treatment and prevention of common health problems, and guidelines for contacting the health services. In surveys conducted just before and 10 months after the distribution, we documented -- how the leaflet was accepted and used --changes in knowledge about the health problems mentioned in the leaflet. The leaflet was well accepted. It was characterized as easy to read and to use. 10 months after distribution to read and to use. 10 months after distribution 90% found it within five minutes. 63% used the leaflet when they had a health problem. 90% of those using the leaflet felt more sure that they acted correctly after consulting it, and 60% changed their mind about consulting a general practitioner. We consider the level of knowledge about health problems to be low. The evaluation showed increased knowledge in all groups, except for persons "responsible for caring for elderly relatives". The increase was most marked for "men" and for "persons with health education".

  19. Prosthetic Mitral Valve Leaflet Escape

    Science.gov (United States)

    Kim, Darae; Hun, Sin Sang; Cho, In-Jeong; Shim, Chi-Young; Ha, Jong-Won; Chung, Namsik; Ju, Hyun Chul; Sohn, Jang Won

    2013-01-01

    Leaflet escape of prosthetic valve is rare but potentially life threatening. It is essential to make timely diagnosis in order to avoid mortality. Transesophageal echocardiography and cinefluoroscopy is usually diagnostic and the location of the missing leaflet can be identified by computed tomography (CT). Emergent surgical correction is mandatory. We report a case of fractured escape of Edward-Duromedics mitral valve 27 years after the surgery. The patient presented with symptoms of acute decompensated heart failure and cardiogenic shock. She was instantly intubated and mechanically ventilated. After prompt evaluation including transthoracic echocardiography and CT, the escape of the leaflet was confirmed. The patient underwent emergent surgery for replacement of the damaged prosthetic valves immediately. Eleven days after the surgery, the dislodged leaflet in iliac artery was removed safely and the patient recovered well. PMID:23837121

  20. Fluence of Product Leaflets on Purchasing Behaviour in Times of Crisis

    Directory of Open Access Journals (Sweden)

    Halina Starzyczná

    2015-01-01

    Full Text Available This paper presents partial results of primary research on consumer purchasing behaviour with regards to the utilization of product leaflets. It deals with the consumer reaction on the use of these leaflets. The main goal is to assess the impulse to purchase goods on the basis of promotional leaflets in mailboxes, depending on the personal characteristics of the consumer. Partial goals are a brief theoretical basis of the examined issues and selected results of secondary research on consumer behaviour based on available statistical data and information. Consumer behaviour changes drastically in times of crisis. Czech consumer is addressed daily by a specific communication media of store chains – the leaflets. These appear daily in mailboxes and are generally positively accepted. There are also negative opinions, both from consumers as well as the EU. Respondents were asked about their financial situation, to what extent they change their buying behaviour with respect to the income level of households. It turned out that the impulse to purchase goods on the basis of promotional leaflets in mailboxes does not depend on the age and sex of respondents, but depends on the income level and education. The largest proportion of respondents considers leaflets because of promotional discounts.

  1. Document of the Month: German Propaganda Leaflets

    Science.gov (United States)

    Byers, CeCe; Alexander, Mary

    1978-01-01

    Excerpts from two propaganda leaflets distributed by Germany during World War I to demoralize American soldiers. Teaching suggestions encourage students to examine the leaflets' tone, guess who the authors might have been, and analyze the leaflets as examples of a propaganda technique. (AV)

  2. Overcoming the knowledge-behavior gap: The effect of evidence-based HPV vaccination leaflets on understanding, intention, and actual vaccination decision.

    Science.gov (United States)

    Wegwarth, O; Kurzenhäuser-Carstens, S; Gigerenzer, G

    2014-03-10

    Informed decision making requires transparent and evidence-based (=balanced) information on the potential benefit and harms of medical preventions. An analysis of German HPV vaccination leaflets revealed, however, that none met the standards of balanced risk communication. We surveyed a sample of 225 girl-parent pairs in a before-after design on the effects of balanced and unbalanced risk communication on participants' knowledge about cervical cancer and the HPV vaccination, their perceived risk, their intention to have the vaccine, and their actual vaccination decision. The balanced leaflet increased the number of participants who were correctly informed about cervical cancer and the HPV vaccine by 33 to 66 absolute percentage points. In contrast, the unbalanced leaflet decreased the number of participants who were correctly informed about these facts by 0 to 18 absolute percentage points. Whereas the actual uptake of the HPV vaccination 14 months after the initial study did not differ between the two groups (22% balanced leaflet vs. 23% unbalanced leaflet; p=.93, r=.01), the originally stated intention to have the vaccine reliably predicted the actual vaccination decision for the balanced leaflet group only (concordance between intention and actual uptake: 97% in the balanced leaflet group, rs=.92, p=.00; 60% in the unbalanced leaflet group, rs=.37, p=.08). In contrast to a unbalanced leaflet, a balanced leaflet increased people's knowledge of the HPV vaccination, improved perceived risk judgments, and led to an actual vaccination uptake, which first was robustly predicted by people's intention and second did not differ from the uptake in the unbalanced leaflet group. These findings suggest that balanced reporting about HPV vaccination increases informed decisions about whether to be vaccinated and does not undermine actual uptake. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  3. Comprehension and acceptability of a patient information leaflet (pil for antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Betty Mwingira

    2006-11-01

    Full Text Available The patient information leaflet (PIL is recognised as playing a key role in informing patients about their medicines. The objectives of this research were to evaluate the readability and understanding of a PIL for the first-line ARV (antiretroviral regimen available in the South African public health sector, and investigate its acceptability in the target Xhosa population. Opsomming Daar word algemeen aanvaar dat die pasiëntinligtingsblaadjie (PIB ‘n sleutelrol speel in die oordra van inligting ten opsigte van medikasie aan pasiënte. Die doelwitte van hierdie navorsing was om die leesbaarheid en begrip van ‘n PIB vir die eerste-linie antiretrovirale (ARV regimen wat in die Suid-Afrikaanse openbare gesondheidsektor beskikbaar is, te evalueer, en om die aanvaarbaarheid daarvan in ‘n teiken-Xhosabevolking te ondersoek. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  4. Sexual health-related information delivery - are patient information leaflets still relevant?

    Science.gov (United States)

    Varma, Rick; Chung, Charles; Townsend, Amanda; Power, Melissa

    2016-06-01

    Background Patient information leaflets (PILs) are widely utilised within publically funded sexual health clinics to deliver sexual health-related information (SHRI); however, their continued value to clients in the era of social media is unclear. This study aimed to evaluate clients' opinions on three newly developed PILs and examine client views on other forms of SHRI delivery. An anonymous self-administered questionnaire was completed by clients attending the Western Sydney Sexual Health Centre (WSSHC) in 2012. High-risk population (HRP) vs non-high-risk population (non-HRP) views on PILs vs alternative methods of SHRI delivery were analysed by using Mann-Whitney U, Wilcoxon, McNemar and χ(2) tests. Over half (210/315; (67%)) of the consecutive clients from a culturally diverse population completed the survey. Sex workers (SW) and young people (YP) were significantly likely to have a high school education than non-HRP (PInformation Link (SHIL), a state-wide website and telephone line, were ranked significantly higher as a means of SHRI delivery on a Likert scale than newer technologies including Facebook (P<0.001), email (P<0.001), mobile phone applications (P<0.001), TVs in waiting rooms (P<0.001) and business cards (P<0.001). There was no significant difference in opinion between HRP and non-HRP. This study provides evidence for the ongoing use of PILs to deliver SHRI to clinic attendees, in conjunction with other forms of SHRI delivery such as websites and SHIL. Novel methods may require additional consumer engagement and a greater understanding of specific population's needs.

  5. The readability and suitability of sexual health promotion leaflets.

    Science.gov (United States)

    Corcoran, Nova; Ahmad, Fatuma

    2016-02-01

    To investigate the readability and suitability of sexual health promotion leaflets. Application of SMOG, FRY and SAM tests to assess the readability and suitability of a selection of sexual health leaflets. SMOG and FRY scores illustrate an average reading level of grade 9. SAM scores indicate that 59% of leaflets are superior in design and 41% are average in design. Leaflets generally perform well in the categories of content, literacy demand, typography and layout. They perform poorly in use of graphics, learning stimulation/motivation and cultural appropriateness. Sexual health leaflets have a reading level that is too high. Leaflets perform well on the suitability scores indicating they are reasonably suitable. There are a number of areas where sexual health leaflets could improve their design. Numerous practical techniques are suggested for improving the readability and suitability of sexual health leaflets. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  6. [Effects of using an information leaflet in reducing perioperative anxiety and pain in patients undergoing urological surgery].

    Science.gov (United States)

    Miguel Romeo, M Carmen; Sagardoy Muniesa, Lorena

    2014-01-01

    The preoperative anxiety state is mainly caused by the fear of the circumstances surrounding the intervention. Anxiety causes increased postoperative pain, and a prolonged length of stay in hospital, which directly affect the cost of care. To evaluate the effects of providing an anaesthesia information leaflet on postoperative anxiety and pain in patients undergoing urological surgery in the Miguel Servet Hospital. A prospective quasi-experimental study of 100 cases, 51 of whom made up the intervention group who received the information leaflet, with the remaining 49 cases being in the control group. The Hospital Anxiety and Depression Scale and the visual analogue scale for pain were assessed in both groups, before and after surgery. Of the 100 patients, 72% were male and 28% female, with an average age of 67.3 years (standard deviation, 9.7). In the intervention group, 21.6% showed anxiety before surgery and 0% in the postoperative period. In the control group 30.6% presented anxiety during the preoperative period and 4% in the postoperative period (χ(2) Pearson 5.20, P=.023). The study showed a direct relationship between preoperative anxiety and postoperative pain (χ(2) Pearson 10.519, P=.001). Good information about the surgical process reduces anxiety levels in the postoperative period. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  7. Informed consent and placebo effects: a content analysis of information leaflets to identify what clinical trial participants are told about placebos.

    Directory of Open Access Journals (Sweden)

    Felicity L Bishop

    Full Text Available Placebo groups are used in randomised clinical trials (RCTs to control for placebo effects, which can be large. Participants in trials can misunderstand written information particularly regarding technical aspects of trial design such as randomisation; the adequacy of written information about placebos has not been explored. We aimed to identify what participants in major RCTs in the UK are told about placebos and their effects.We conducted a content analysis of 45 Participant Information Leaflets (PILs using quantitative and qualitative methodologies. PILs were obtained from trials on a major registry of current UK clinical trials (the UKCRN database. Eligible leaflets were received from 44 non-commercial trials but only 1 commercial trial. The main limitation is the low response rate (13.5%, but characteristics of included trials were broadly representative of all non-commercial trials on the database. 84% of PILs were for trials with 50:50 randomisation ratios yet in almost every comparison the target treatments were prioritized over the placebos. Placebos were referred to significantly less frequently than target treatments (7 vs. 27 mentions, p<001 and were significantly less likely than target treatments to be described as triggering either beneficial effects (1 vs. 45, p<001 or adverse effects (4 vs. 39, p<001. 8 PILs (18% explicitly stated that the placebo treatment was either undesirable or ineffective.PILs from recent high quality clinical trials emphasise the benefits and adverse effects of the target treatment, while largely ignoring the possible effects of the placebo. Thus they provide incomplete and at times inaccurate information about placebos. Trial participants should be more fully informed about the health changes that they might experience from a placebo. To do otherwise jeopardises informed consent and is inconsistent with not only the science of placebos but also the fundamental rationale underpinning placebo controlled

  8. [Communication prostheses and behavioral alignment in hospital leaflets].

    Science.gov (United States)

    Vasconcellos-Silva, Paulo Roberto; Rivera, Francisco Javier Uribe; Rozemberg, Brani

    2003-08-01

    Review was made of publications that describe experience with printed material distributed to the lay public in hospital institutions. From the 146 leaflets examined, those aimed at professionals or disabled people, thus leaving 75 papers that illustrate the present pattern for the rationality behind the production, use and evaluation of this type of resource. In a general manner, such leaflets invest in the power of "ideal printed information" to align behavior with the hospital's biomedical agenda. The underlying rationality that permeates them perceives the "perfect information package" as one that efficiently describes its technical content for the purpose of unidirectional persuasion, is up-to-date in relation to readability scales and embellished by graphic design, and emphasizes the priorities defined by the professionals. Such "communication prostheses" should be capable of electronic validation by means of software suitable for proportioning the "doses" to the subject matter. Information as a drug, cognitivism, the lack of research on message reception and the need for communicative action for the deconstruction of systems of closed thinking within the hospital environment have been discussed.

  9. Patient information leaflets: informing or frightening? A focus group study exploring patients' emotional reactions and subsequent behavior towards package leaflets of commonly prescribed medications in family practices.

    Science.gov (United States)

    Herber, Oliver Rudolf; Gies, Verena; Schwappach, David; Thürmann, Petra; Wilm, Stefan

    2014-10-02

    The purpose of patient information leaflets (PILs) is to inform patients about the administration, precautions and potential side effects of their prescribed medication. Despite European Commission guidelines aiming at increasing readability and comprehension of PILs little is known about the potential risk information has on patients. This article explores patients' reactions and subsequent behavior towards risk information conveyed in PILs of commonly prescribed drugs by general practitioners (GPs) for the treatment of Type 2 diabetes, hypertension or hypercholesterolemia; the most frequent cause for consultations in family practices in Germany. We conducted six focus groups comprising 35 patients which were recruited in GP practices. Transcripts were read and coded for themes; categories were created by abstracting data and further refined into a coding framework. Three interrelated categories are presented: (i) The vast amount of side effects and drug interactions commonly described in PILs provoke various emotional reactions in patients which (ii) lead to specific patient behavior of which (iii) consulting the GP for assistance is among the most common. Findings show that current description of potential risk information caused feelings of fear and anxiety in the reader resulting in undesirable behavioral reactions. Future PILs need to convey potential risk information in a language that is less frightening while retaining the information content required to make informed decisions about the prescribed medication. Thus, during the production process greater emphasis needs to be placed on testing the degree of emotional arousal provoked in patients when reading risk information to allow them to undertake a benefit-risk-assessment of their medication that is based on rational rather than emotional (fearful) reactions.

  10. Energy consumption of small refrigerators - Information leaflet; Merkblatt Kleinkuehlschrank

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    In this leaflet published by the Swiss Federal Office of Energy (SFOE), the energy consumption of small refrigerators with a capacity of less than 100 litres is reported on. Such small refrigerators are often used in hotel rooms or in campers. It is noted that, in comparison, a typical, 150 litre class A++ domestic refrigerator uses only a fraction of the amount of energy used by such small refrigerators. The results of measurements made according to EN 153 and ISO 15502 norms are discussed. Recommendations are made on the purchase and operation of these small refrigerators.

  11. Amamentação e uso de antiinflamatórios não esteróides pela nutriz: informações científicas versus conteúdo em bulas de medicamentos comercializados no Brasil Breastfeeding and use of nonsteroidal anti-inflammatory drugs by lactating women: scientific information versus patient information leaflets in medication available in the Brazilian market

    Directory of Open Access Journals (Sweden)

    Roberto Gomes Chaves

    2006-09-01

    -inflammatory drugs commercialized in Brazil, only 14 (51.9% contained safety information related to use during breastfeeding. In the information leaflets of ten non-steroidal anti-inflammatory drugs considered safe for use during breastfeeding, nine (90% had information in their leaflets to avoid use during breastfeeding, or to discontinue breastfeeding. In the information leaflets of 11 of the 13 non-steroidal, anti-inflammatory drugs (84.6% which had no information on the use by lactating women there was a suggestion to either avoid use or discontinue breastfeeding. CONCLUSIONS: information contained in the leaflets is not consistent with the scientific evidence related to non-steroidal anti-inflammatory drugs use and breastfeeding. There's a need of further knowledge related to non-steroidal anti-inflammatory drugs and their use during breastfeeding.

  12. Movement influences carambola leaflet chlorophyll fluorescence and temperature under sunny conditions

    International Nuclear Information System (INIS)

    Marler, T.E.; Lawton, P.D.

    1995-01-01

    Leaflets of 'Arkin', 'B-10', 'Kary', and 'Sri Kembangan' carambola (Averrhoa carambola L.) trees were restrained in a horizontal position for 3.5 h during midday under full sun conditions to determine the influence of overriding natural leaflet movement on adaxial chlorophyll fluorescence and temperature. Induced chlorophyll fluorescence obtained after 30 minutes of dark adaptation following the period of full sun exposure was affected by leaflet movement. Restrained leaflets exhibited a variable fluorescence (Fv)/peak fluorescence (Fm) of 0.48, while that of unrestrained leaflets was 0.65. Adaxial leaflet temperature of restrained leaflets was 6C higher than that of leaflets that were allowed to move. The influence of leaflet movement on temperature or chlorophyll fluorescence was not different among the four cultivars. However, mean Fv/Fm of 'Kary' and 'Sri Kembangan' was lower than that of 'B-10'. Our results indicate that the ability of carambola to change leaflet angle leads to lower temperature and higher photochemical efficiency than occurs when leaflets are not allowed to move naturally (vertically orient) under full sun conditions

  13. Determination of correlation between backflow volume and mitral valve leaflet young modulus from two dimensional echocardiogram images

    Science.gov (United States)

    Jong, Rudiyanto P.; Osman, Kahar; Adib, M. Azrul Hisham M.

    2012-06-01

    Mitral valve prolapse without proper monitoring might lead to a severe mitral valve failure which eventually leads to a sudden death. Additional information on the mitral valve leaflet condition against the backflow volume would be an added advantage to the medical practitioner for their decision on the patients' treatment. A study on two dimensional echocardiography images has been conducted and the correlations between the backflow volume of the mitral regurgitation and mitral valve leaflet Young modulus have been obtained. Echocardiogram images were analyzed on the aspect of backflow volume percentage and mitral valve leaflet dimensions on different rates of backflow volume. Young modulus values for the mitral valve leaflet were obtained by using the principle of elastic deflection and deformation on the mitral valve leaflet. The results show that the backflow volume increased with the decrease of the mitral valve leaflet Young modulus which also indicate the condition of the mitral valve leaflet approaching failure at high backflow volumes. Mitral valve leaflet Young modulus values obtained in this study agreed with the healthy mitral valve leaflet Young modulus from the literature. This is an initial overview of the trend on the prediction of the behaviour between the fluid and the structure of the blood and the mitral valve which is extendable to a larger system of prediction on the mitral valve leaflet condition based on the available echocardiogram images.

  14. Exploring consumer opinions on the presentation of side-effects information in Australian Consumer Medicine Information leaflets.

    Science.gov (United States)

    Tong, Vivien; Raynor, David K; Blalock, Susan J; Aslani, Parisa

    2016-06-01

    Consumer Medicine Information (CMI) is a brand-specific and standardized source of written medicine information available in Australia for all prescription medicines. Side-effect information is poorly presented in CMI and may not adequately address consumer information needs. To explore consumer opinions on (i) the presentation of side-effect information in existing Australian CMI leaflets and alternative study-designed CMIs and (ii) side-effect risk information and its impact on treatment decision making. Fuzzy trace, affect heuristic, frequency hypothesis and cognitive-experiential theories were applied when revising existing CMI side-effects sections. Together with good information design, functional linguistics and medicine information expertise, alternative ramipril and clopidogrel CMI versions were proposed. Focus groups were then conducted to address the study objectives. Three focus groups (n = 18) were conducted in Sydney, Australia. Mean consumer age was 58 years (range 50-65 years), with equal number of males and females. All consumers preferred the alternative CMIs developed as part of the study, with unequivocal preference for the side-effects presented in a simple tabular format, as it allowed quick and easy access to information. Consumer misunderstandings reflected literacy and numeracy issues inherent in consumer risk appraisal. Many preferred no numerical information and a large proportion preferred natural frequencies. One single method of risk presentation in CMI is unable to cater for all consumers. Consumer misunderstandings are indicative of possible health literacy and numeracy factors that influence consumer risk appraisal, which should be explored further. © 2014 The Authors Health Expectations Published by John Wiley & Sons Ltd.

  15. Randomised trial of mitral valve repair with leaflet resection versus leaflet preservation on functional mitral stenosis (The CAMRA CardioLink-2 Trial).

    Science.gov (United States)

    Chan, Vincent; Chu, Michael W A; Leong-Poi, Howard; Latter, David A; Hall, Judith; Thorpe, Kevin E; de Varennes, Benoit E; Quan, Adrian; Tsang, Wendy; Dhingra, Natasha; Yared, Kibar; Teoh, Hwee; Chu, F Victor; Chan, Kwan-Leung; Mesana, Thierry G; Connelly, Kim A; Ruel, Marc; Jüni, Peter; Mazer, C David; Verma, Subodh

    2017-05-30

    The gold-standard treatment of severe mitral regurgitation (MR) due to degenerative disease is valve repair, which is surgically performed with either a leaflet resection or leaflet preservation approach. Recent data suggest that functional mitral stenosis (MS) may occur following valve repair using a leaflet resection strategy, which adversely affects patient prognosis. A randomised comparison of these two approaches to mitral repair on functional MS has not been conducted. This is a prospective, multicentre randomised controlled trial designed to test the hypothesis that leaflet preservation leads to better preservation of mitral valve geometry, and therefore, will be superior to leaflet resection for the primary outcome of functional MS as assessed by 12-month mean mitral valve gradient at peak exercise. Eighty-eight patients with posterior leaflet prolapse will be randomised intraoperatively once deemed by the operating surgeon to feasibly undergo mitral repair using either a leaflet resection or leaflet preservation approach. Secondary end points include comparison of repair strategies with regard to mitral valve orifice area, leaflet coaptation height, 6 min walk test and a composite major adverse event end point consisting of recurrent MR ≥2+, death or hospital readmission for congestive heart failure within 12 months of surgery. Institutional ethics approval has been obtained from all enrolling sites. Overall, there remains clinical equipoise regarding the mitral valve repair strategy that is associated with the least likelihood of functional MS. This trial hopes to introduce high-quality evidence to help surgical decision making in this context. NCT02552771. © 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.

  16. Possible Subclinical Leaflet Thrombosis in Bioprosthetic Aortic Valves

    DEFF Research Database (Denmark)

    Makkar, Raj R; Fontana, Gregory; Jilaihawi, Hasan

    2015-01-01

    BACKGROUND: A finding of reduced aortic-valve leaflet motion was noted on computed tomography (CT) in a patient who had a stroke after transcatheter aortic-valve replacement (TAVR) during an ongoing clinical trial. This finding raised a concern about possible subclinical leaflet thrombosis...... patients and 1 of 115 patients, respectively; P=0.007). CONCLUSIONS: Reduced aortic-valve leaflet motion was shown in patients with bioprosthetic aortic valves. The condition resolved with therapeutic anticoagulation. The effect of this finding on clinical outcomes including stroke needs further...

  17. A Structural Analysis of a Mechanical Heart Valve Prosthesis with Flat Leaflet

    Science.gov (United States)

    Kwon, Young Joo

    This paper addresses the basic concept of MDO methodology and the structural analysis that should be performed in the design process of a mechanical heart valve prosthesis with flat leaflet using MDO methodology. In the structural design of the mechanical heart valve (MHV) prosthesis, the fluid mechanics analysis is executed for the blood flow passing through the leaflets of a mechanical heart valve prosthesis. Thereafter, the rigid body dynamics analysis of the leaflet motion is performed to obtain the structural condition for the structural mechanics analysis of the deformed leaflet. Then the structural mechanics analysis of the deformed leaflet follows to confirm the minimum thickness of the leaflet for the structural durability of the mechanical heart valve prosthesis. This paper shows that the minimum leaflet thickness can be evaluated to be 0.6mm among the suggested thicknesses.

  18. PIV validation of blood-heart valve leaflet interaction modelling.

    Science.gov (United States)

    Kaminsky, R; Dumont, K; Weber, H; Schroll, M; Verdonck, P

    2007-07-01

    The aim of this study was to validate the 2D computational fluid dynamics (CFD) results of a moving heart valve based on a fluid-structure interaction (FSI) algorithm with experimental measurements. Firstly, a pulsatile laminar flow through a monoleaflet valve model with a stiff leaflet was visualized by means of Particle Image Velocimetry (PIV). The inflow data sets were applied to a CFD simulation including blood-leaflet interaction. The measurement section with a fixed leaflet was enclosed into a standard mock loop in series with a Harvard Apparatus Pulsatile Blood Pump, a compliance chamber and a reservoir. Standard 2D PIV measurements were made at a frequency of 60 bpm. Average velocity magnitude results of 36 phase-locked measurements were evaluated at every 10 degrees of the pump cycle. For the CFD flow simulation, a commercially available package from Fluent Inc. was used in combination with inhouse developed FSI code based on the Arbitrary Lagrangian-Eulerian (ALE) method. Then the CFD code was applied to the leaflet to quantify the shear stress on it. Generally, the CFD results are in agreement with the PIV evaluated data in major flow regions, thereby validating the FSI simulation of a monoleaflet valve with a flexible leaflet. The applicability of the new CFD code for quantifying the shear stress on a flexible leaflet is thus demonstrated.

  19. Diet and Colorectal Cancer Risk: Evaluation of a Nutrition Education Leaflet

    Science.gov (United States)

    Dyer, K. J.; Fearon, K. C. H.; Buckner, K.; Richardson, R. A.

    2005-01-01

    Objective: To evaluate the effect of a needs-based, nutrition education leaflet on nutritional knowledge. Design: Comparison of nutritional knowledge levels before and after exposure to a nutrition education leaflet. Setting: A regional colorectal out-patient clinic in Edinburgh. Method: A nutrition education leaflet, based on an earlier…

  20. Late leaflet fracture and embolization of a Duromedics mitral prosthesis.

    Science.gov (United States)

    Sudo, K; Sasagawa, N; Ide, H; Nunokawa, M; Fujiki, T; Tonari, K

    2000-08-01

    A case of leaflet fracture and embolization of a mitral prosthetic valve is described. A 54-year-old man had received mitral valve replacement with an Edwards-Duromedics 29M prosthetic valve, at 10 years ago. Emergency mitral valve replacement was performed because the patient had severe congestive left heart failure with severe acute mitral regurgitation caused by a fracture in one of the mitral valve leaflets. The leaflet, which was fractured into 2 pieces, was removed from the right common iliac artery at 3 months after valve replacement. Visual inspection revealed that the leaflet contained a midline fracture. The fracture originated within a cavitary erosion pit near the major radius of the leaflet. The patient recovered from acute renal failure, requiring hemodialysis for 80 days, and is currently without complaints. We have used a Duromedics mitral valve in 11 patients, from April 1987 to April 1988. No subsequent valve failure has occurred. The diagnosis, treatment and cause of a mechanical valve fracture are discussed.

  1. Quality assessment of patient leaflets on misoprostol-induced labour

    DEFF Research Database (Denmark)

    Clausen, Jette Aaroe; Juhl, Mette; Rydahl, Eva

    2016-01-01

    =13). Design: Patient leaflets were evaluated according to a validated scoring tool (International Patient Decision Aid Standards instrument, IPDAS), core elements in the Danish Health Act, and items regarding off-label use and non-registered medication. Two of the authors scored all leaflets...

  2. Assessment of the quality of medication information for patients in Spain.

    Science.gov (United States)

    Mira, José Joaquín; Lorenzo, Susana; Pérez-Jover, Virtudes; Navarro, Isabel; Martín de Rosales, Ana María; Lara, Catalina

    2013-01-01

    To analyze the extent to which Spanish leaflets and drug information on the Net met quality criteria. A descriptive study was conducted comparing readability (REA) and comprehensibility (COM) criteria of a random sample of 77 marketed products of the 12 active ingredients most frequently sold in 2010 in Spain. Leaflets were approved by the Spanish Agency for Medication (AEMPS). Flesch index, DISCERN, ELF, MIDAS and CIRF scales were used to evaluate quality criteria. COM assessment yielded between 63 and 77% of the maximum possible scores on the scales. None of the websites or leaflets met all the quality criteria of the DISCERN, CIRF or MIDAS scales. Four (3%) leaflets met all the 22 quality criteria of ELF. The leaflets showed shortcomings regarding: medication benefits (17 required substantial improvements, 31.5%), correct forms of storage (13, 24.1%), contraindications (12, 22.2%), side effects (11, 20.4%) and precautions to be taken (9, 16.7%). The quality of the information approved by the AEMPS is superior to that which can be found by surfing the Net. More specific information on precautions, complications and how to avoid common patient errors would allow patients the best chance to contribute to their own clinical safety.

  3. Crutches, confetti or useful tools? Professionals' views on and use of health education leaflets.

    Science.gov (United States)

    Murphy, S; Smith, C

    1993-06-01

    This paper examines the views on and use of health education leaflets by a number of professional groups: health visitors, midwives, occupational health workers, pharmacists and school health education co-ordinators. Eighty nine percent currently obtain leaflets from health promotion units, with the exception of health visitors, professionals are largely satisfied with the units' service. Seventy six percent use commercial or sponsored leaflets primarily because of the large numbers and topics that are available. The numbers and type of leaflets used were found to vary across the professions. All professionals see an increasingly important role for leaflets in their work. A number of them, pharmacists and occupational health workers in particular, saw the numbers they use rising. These views were accompanied by lower levels of belief in a leaflets ability to increase knowledge and behaviour as well as lower levels of satisfaction with current leaflet use and a concern over the public's reception of leaflets. Methods of leaflet distribution to the public largely reflect the professionals' work contexts. Most popular were handing out leaflets with advice, leaving them in a public place and using them as a back-up to a meeting. A number of contradictions emerge between distribution practices and perceived effectiveness. Few professionals thought leaving leaflets in a public place was effective, and few health visitors and midwives believed giving leaflets to the family of a client was effective despite large numbers doing so. The implications of these findings for health promotion policy and practice are discussed.

  4. Natural history of subclinical leaflet thrombosis affecting motion in bioprosthetic aortic valves

    DEFF Research Database (Denmark)

    Sondergaard, Lars; De Backer, Ole; Kofoed, Klaus F

    2017-01-01

    . No patients developed symptoms of valve dysfunction and leaflet thickening was not clearly associated with any clinical events. Conclusions: Subclinical leaflet thrombosis is a common finding after TAVI and SAVR, and may progress from normal leaflet over HALT to the more severe HAM. The phenomenon can develop...

  5. Adaptation of the European Commission-recommended user testing method to patient medication information leaflets in Japan

    Directory of Open Access Journals (Sweden)

    Yamamoto M

    2017-06-01

    Full Text Available Michiko Yamamoto,1 Hirohisa Doi,1 Ken Yamamoto,2 Kazuhiro Watanabe,2 Tsugumichi Sato,3 Machi Suka,4 Takeo Nakayama,5 Hiroki Sugimori6 1Department of Drug Informatics, Center for Education & Research on Clinical Pharmacy, Showa Pharmaceutical University, Tokyo, Japan; 2Department of Pharmacy Practice, Center for Education & Research on Clinical Pharmacy, Showa Pharmaceutical University, Tokyo, Japan; 3Faculty of Pharmaceutical Sciences, Tokyo University of Science, Chiba, Japan; 4Department of Public Health and Environmental Medicine, The Jikei University School of Medicine, Tokyo, Japan; 5Department of Health Informatics, Kyoto University School of Public, Kyoto, Japan; 6Department of Preventive Medicine, Graduate School of Sports and Health Sciences, Daito Bunka University, Saitama, Japan Background: The safe use of drugs relies on providing accurate drug information to patients. In Japan, patient leaflets called Drug Guide for Patients are officially available; however, their utility has never been verified. This is the first attempt to improve Drug Guide for Patients via user testing in Japan.Purpose: To test and improve communication of drug information to minimize risk for patients via user testing of the current and revised versions of Drug Guide for Patients, and to demonstrate that this method is effective for improving Drug Guide for Patients in Japan.Method: We prepared current and revised versions of the Drug Guide for Patients and performed user testing via semi-structured interviews with consumers to compare these versions for two guides for Mercazole and Strattera. We evenly divided 54 participants into two groups with similar distributions of sex, age, and literacy level to test the differing versions of the Mercazole guide. Another group of 30 participants were divided evenly to test the versions of the Strattera guide. After completing user testing, the participants evaluated both guides in terms of amount of information

  6. Participants' preference for type of leaflet used to feed back the results of a randomised trial: a survey

    Directory of Open Access Journals (Sweden)

    Houston Helen

    2010-12-01

    Full Text Available Abstract Background Hundreds of thousands of volunteers take part in medical research, but many will never hear from researchers about what the study revealed. There is a growing demand for the results of randomised trials to be fed back to research participants both for ethical research practice and for ensuring their co-operation in a trial. This study aims to determine participants' preferences for type of leaflet (short versus long used to summarise the findings of a randomised trial; and to test whether certain characteristics explained participants' preferences. Methods 553 participants in a randomised trial about General Practitioners' access to Magnetic Resonance Imaging for patients presenting with suspected internal derangement of the knee were asked in the final follow-up questionnaire whether they would like to be fed back the results of the trial. Participants who agreed to this were included in a postal questionnaire survey asking about their preference, if any, between a short and a long leaflet and what it was about the leaflet that they preferred. Multinomial logistic regression was used to test whether certain demographics of responding participants along with treatment group explained whether a participant had a preference for type of leaflet or no preference. Results Of the participants who returned the final follow-up questionnaire, 416 (88% agreed to receive the results of the trial. Subsequently 132 (32% participants responded to the survey. Most participants preferred the longer leaflet (55% and the main reasons for this were the use of technical information (94% and diagrams (89%. There was weak evidence to suggest that gender might explain whether participants have a preference for type of leaflet or not (P = 0.084. Conclusions Trial participants want to receive feed back about the results and appear to prefer a longer leaflet. Males and females might require information to be communicated to them differently and should

  7. Participants' preference for type of leaflet used to feed back the results of a randomised trial: a survey.

    Science.gov (United States)

    Brealey, Stephen; Andronis, Lazaros; Dennis, Laura; Atwell, Christine; Bryan, Stirling; Coulton, Simon; Cox, Helen; Cross, Ben; Fylan, Fiona; Garratt, Andrew; Gilbert, Fiona; Gillan, Maureen; Hendry, Maggie; Hood, Kerenza; Houston, Helen; King, David; Morton, Veronica; Robling, Michael; Russell, Ian; Wilkinson, Clare

    2010-12-01

    Hundreds of thousands of volunteers take part in medical research, but many will never hear from researchers about what the study revealed. There is a growing demand for the results of randomised trials to be fed back to research participants both for ethical research practice and for ensuring their co-operation in a trial. This study aims to determine participants' preferences for type of leaflet (short versus long) used to summarise the findings of a randomised trial; and to test whether certain characteristics explained participants' preferences. 553 participants in a randomised trial about General Practitioners' access to Magnetic Resonance Imaging for patients presenting with suspected internal derangement of the knee were asked in the final follow-up questionnaire whether they would like to be fed back the results of the trial. Participants who agreed to this were included in a postal questionnaire survey asking about their preference, if any, between a short and a long leaflet and what it was about the leaflet that they preferred. Multinomial logistic regression was used to test whether certain demographics of responding participants along with treatment group explained whether a participant had a preference for type of leaflet or no preference. Of the participants who returned the final follow-up questionnaire, 416 (88%) agreed to receive the results of the trial. Subsequently 132 (32%) participants responded to the survey. Most participants preferred the longer leaflet (55%) and the main reasons for this were the use of technical information (94%) and diagrams (89%). There was weak evidence to suggest that gender might explain whether participants have a preference for type of leaflet or not (P = 0.084). Trial participants want to receive feed back about the results and appear to prefer a longer leaflet. Males and females might require information to be communicated to them differently and should be the focus of further research. The trial is registered

  8. Readability of medicinal package leaflets: a systematic review.

    Science.gov (United States)

    Pires, Carla; Vigário, Marina; Cavaco, Afonso

    2015-01-01

    OBJECTIVE To review studies on the readability of package leaflets of medicinal products for human use. METHODS We conducted a systematic literature review between 2008 and 2013 using the keywords "Readability and Package Leaflet" and "Readability and Package Insert" in the academic search engine Biblioteca do Conhecimento Online, comprising different bibliographic resources/databases. The preferred reporting items for systematic reviews and meta-analyses criteria were applied to prepare the draft of the report. Quantitative and qualitative original studies were included. Opinion or review studies not written in English, Portuguese, Italian, French, or Spanish were excluded. RESULTS We identified 202 studies, of which 180 were excluded and 22 were enrolled [two enrolling healthcare professionals, 10 enrolling other type of participants (including patients), three focused on adverse reactions, and 7 descriptive studies]. The package leaflets presented various readability problems, such as complex and difficult to understand texts, small font size, or few illustrations. The main methods to assess the readability of the package leaflet were usability tests or legibility formulae. Limitations with these methods included reduced number of participants; lack of readability formulas specifically validated for specific languages (e.g., Portuguese); and absence of an assessment on patients literacy, health knowledge, cognitive skills, levels of satisfaction, and opinions. CONCLUSIONS Overall, the package leaflets presented various readability problems. In this review, some methodological limitations were identified, including the participation of a limited number of patients and healthcare professionals, the absence of prior assessments of participant literacy, humor or sense of satisfaction, or the predominance of studies not based on role-plays about the use of medicines. These limitations should be avoided in future studies and be considered when interpreting the results.

  9. Effect of the Mitral Valve's Anterior Leaflet on Axisymmetry of Transmitral Vortex Ring.

    Science.gov (United States)

    Falahatpisheh, Ahmad; Pahlevan, Niema M; Kheradvar, Arash

    2015-10-01

    The shape and formation of transmitral vortex ring are shown to be associated with diastolic function of the left ventricle (LV). Transmitral vortex ring is a flow feature that is observed to be non-axisymmetric in a healthy heart and its inherent asymmetry in the LV assists in efficient ejection of the blood during systole. This study is a first step towards understanding the effects of the mitral valve's anterior leaflet on transmitral flow. We experimentally study a single-leaflet model of the mitral valve to investigate the effect of the anterior leaflet on the axisymmetry of the generated vortex ring based on the three-dimensional data acquired using defocusing digital particle image velocimetry. Vortex rings form downstream of a D-shaped orifice in presence or absence of the anterior leaflet in various physiological stroke ratios. The results of the statistical analysis indicate that the formed vortex ring downstream of a D-shaped orifice is markedly non-axisymmetric, and presence of the anterior leaflet improves the ring's axisymmetry. This study suggests that the improvement of axisymmetry in presence of the anterior leaflet might be due to coupled dynamic interaction between rolling-up of the shear layer at the edges of the D-shaped orifice and the borders of the anterior leaflet. This interaction can reduce the non-uniformity in vorticity generation, which results in more axisymmetric behavior compared to the D-shaped orifice without the anterior leaflet.

  10. Stress Analysis of Transcatheter Aortic Valve Leaflets Under Dynamic Loading: Effect of Reduced Tissue Thickness.

    Science.gov (United States)

    Abbasi, Mostafa; Azadani, Ali N

    2017-07-01

    In order to accommodate transcatheter valves to miniaturized catheters, the leaflet thickness must be reduced to a value which is typically less than that of surgical bioprostheses. The study aim was to use finite-element simulations to determine the impact of the thickness reduction on stress and strain distribution. A 23 mm transcatheter aortic valve (TAV) was modelled based on the Edwards SAPIEN XT (Edwards Lifesciences, Irvine, CA, USA). Finite-element (FE) analysis was performed using the ABAQUS/Explicit solver. An ensemble-averaged transvalvular pressure waveform measured from in-vitro tests conducted in a pulse duplicator was applied to the leaflets. Through a parametric study, uniform TAV leaflet thickness was reduced from 0.5 to 0.18 mm. By reducing leaflet thickness, significantly higher stress values were found in the leaflet's fixed edge during systole, and in the commissures during diastole. Through dynamic FE simulations, the highest stress values were found during systole in the leaflet fixed edge. In contrast, at the peak of diastole high-stress regions were mainly observed in the commissures. The peak stress was increased by 178% and 507% within the leaflets after reducing the thickness of 0.5 mm to 0.18 mm at the peak of systole and diastole, respectively. The study results indicated that, the smaller the leaflet thickness, the higher the maximum principal stress. Increased mechanical stress on TAV leaflets may lead to accelerated tissue degeneration. By using a thinner leaflet, TAV durability may not atch with that of surgical bioprostheses.

  11. Leaflet escape in a new bileaflet mechanical valve: TRI technologies.

    Science.gov (United States)

    Bottio, Tomaso; Casarotto, Dino; Thiene, Gaetano; Caprili, Luca; Angelini, Annalisa; Gerosa, Gino

    2003-05-13

    Leaflet escape is a mode of structural valve failure for mechanical prostheses. This complication previously has been reported for both monoleaflet and bileaflet valve models. We report 2 leaflet escape occurrences observed in 2 patients who underwent valve replacement with a TRI Technologies valve prosthesis. At the University of Padua, between November 2000 and February 2002, 36 TRI Technologies valve prostheses (26 aortic and 10 mitral) were implanted in 34 patients (12 women and 22 men) with a mean age of 59.9+/-10.3 years (range, 30 to 75 years). There were 5 deaths: 3 in hospital, 1 early after discharge, and 1 late. Two patients experienced a catastrophic prosthetic leaflet escape; the first patient was a 52-year-old man who died 10 days after aortic valve and ascending aorta replacement, and the second was a 58-year-old man who underwent a successful emergency reoperation 20 months after mitral valve replacement. Examination of the explanted prostheses showed in both cases a leaflet escape caused by a leaflet's pivoting system fracture. Prophylactic replacement was then successfully accomplished so far in 12 patients, without evidence of structural valve failure in any of them. Among other significant postoperative complications, we observed 3 major thromboembolisms, 1 hemorrhage, and 1 paravalvular leak. These catastrophes prompted us to interrupt the implantation program, and they cast a shadow on the durability of the TRI Technologies valve prosthesis because of its high risk of structural failure.

  12. 'What do patients want?' Tailoring medicines information to meet patients' needs.

    Science.gov (United States)

    Young, Amber; Tordoff, June; Smith, Alesha

    2017-11-01

    Medicines information leaflets can equip patients to be in control of their own healthcare and support the safe and effective use of medicines. The design and content of leaflets influences patients' willingness to read them, and poor examples can cause patient confusion and anxiety. Researchers examined the literature over the past 8 years to determine the content and design of medicine information leaflets that patients prefer in order to read, understand, and use them effectively. It was found that existing leaflets do not meet patients' needs and appear ineffective. Leaflets lack the information patients seek and may contain non-essential material, affecting patients' perception of, and willingness to read them. Additionally, the acceptable leaflet length varies between patients. Application of good design principles improves readability, comprehension, and ability to locate information. Medicine information leaflets must meet patients' needs and be well designed. Tailoring information leaflets to patient characteristics and requirements would enhance effectiveness. Passive provision of pre-printed leaflets is outdated, unvalued and ineffective. Using automated computer systems for leaflet tailoring with the ability to further adapt patients' information might be the best way forward. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Animal Product Safety Information

    Science.gov (United States)

    ... Home Animal & Veterinary Safety & Health Product Safety Information Product Safety Information Share Tweet Linkedin Pin it More ... to report adverse experiences with veterinary drugs. Additional Product Information Questions and Answers: Evanger’s Dog and Cat ...

  14. Promoting chlamydia screening with posters and leaflets in general practice--a qualitative study.

    Science.gov (United States)

    Freeman, Elaine; Howell-Jones, Rebecca; Oliver, Isabel; Randall, Sarah; Ford-Young, William; Beckwith, Philippa; McNulty, Cliodna

    2009-10-12

    General practice staff are reluctant to discuss sexual health opportunistically in all consultations. Health promotion materials may help alleviate this barrier. Chlamydia screening promotion posters and leaflets, produced by the English National Chlamydia Screening Programme (NCSP), have been available to general practices, through local chlamydia screening offices, since its launch. In this study we explored the attitudes of general practice staff to these screening promotional materials, how they used them, and explored other promotional strategies to encourage chlamydia screening. Twenty-five general practices with a range of screening rates, were purposively selected from six NCSP areas in England. In focus groups doctors, nurses, administrative staff and receptionists were encouraged to discuss candidly their experiences about their use and opinions of posters, leaflets and advertising to promote chlamydia screening. Researchers observed whether posters and leaflets were on display in reception and/or waiting areas. Data were collected and analysed concurrently using a stepwise framework analytical approach. Although two-thirds of screening practices reported that they displayed posters and leaflets, they were not prominently displayed in most practices. Only a minority of practices reported actively using screening promotional materials on an ongoing basis. Most staff in all practices were not following up the advertising in posters and leaflets by routinely offering opportunistic screening to their target population. Some staff in many practices thought posters and leaflets would cause offence or embarrassment to their patients. Distribution of chlamydia leaflets by receptionists was thought to be inappropriate by some practices, as they thought patients would be offended when being offered a leaflet in a public area. Practice staff suggested the development of pocket-sized leaflets. The NCSP should consider developing a range of more discrete but eye

  15. Promoting chlamydia screening with posters and leaflets in general practice - a qualitative study

    Science.gov (United States)

    Freeman, Elaine; Howell-Jones, Rebecca; Oliver, Isabel; Randall, Sarah; Ford-Young, William; Beckwith, Philippa; McNulty, Cliodna

    2009-01-01

    Background General practice staff are reluctant to discuss sexual health opportunistically in all consultations. Health promotion materials may help alleviate this barrier. Chlamydia screening promotion posters and leaflets, produced by the English National Chlamydia Screening Programme (NCSP), have been available to general practices, through local chlamydia screening offices, since its launch. In this study we explored the attitudes of general practice staff to these screening promotional materials, how they used them, and explored other promotional strategies to encourage chlamydia screening. Methods Twenty-five general practices with a range of screening rates, were purposively selected from six NCSP areas in England. In focus groups doctors, nurses, administrative staff and receptionists were encouraged to discuss candidly their experiences about their use and opinions of posters, leaflets and advertising to promote chlamydia screening. Researchers observed whether posters and leaflets were on display in reception and/or waiting areas. Data were collected and analysed concurrently using a stepwise framework analytical approach. Results Although two-thirds of screening practices reported that they displayed posters and leaflets, they were not prominently displayed in most practices. Only a minority of practices reported actively using screening promotional materials on an ongoing basis. Most staff in all practices were not following up the advertising in posters and leaflets by routinely offering opportunistic screening to their target population. Some staff in many practices thought posters and leaflets would cause offence or embarrassment to their patients. Distribution of chlamydia leaflets by receptionists was thought to be inappropriate by some practices, as they thought patients would be offended when being offered a leaflet in a public area. Practice staff suggested the development of pocket-sized leaflets. Conclusion The NCSP should consider developing

  16. Promoting chlamydia screening with posters and leaflets in general practice - a qualitative study

    Directory of Open Access Journals (Sweden)

    Ford-Young William

    2009-10-01

    Full Text Available Abstract Background General practice staff are reluctant to discuss sexual health opportunistically in all consultations. Health promotion materials may help alleviate this barrier. Chlamydia screening promotion posters and leaflets, produced by the English National Chlamydia Screening Programme (NCSP, have been available to general practices, through local chlamydia screening offices, since its launch. In this study we explored the attitudes of general practice staff to these screening promotional materials, how they used them, and explored other promotional strategies to encourage chlamydia screening. Methods Twenty-five general practices with a range of screening rates, were purposively selected from six NCSP areas in England. In focus groups doctors, nurses, administrative staff and receptionists were encouraged to discuss candidly their experiences about their use and opinions of posters, leaflets and advertising to promote chlamydia screening. Researchers observed whether posters and leaflets were on display in reception and/or waiting areas. Data were collected and analysed concurrently using a stepwise framework analytical approach. Results Although two-thirds of screening practices reported that they displayed posters and leaflets, they were not prominently displayed in most practices. Only a minority of practices reported actively using screening promotional materials on an ongoing basis. Most staff in all practices were not following up the advertising in posters and leaflets by routinely offering opportunistic screening to their target population. Some staff in many practices thought posters and leaflets would cause offence or embarrassment to their patients. Distribution of chlamydia leaflets by receptionists was thought to be inappropriate by some practices, as they thought patients would be offended when being offered a leaflet in a public area. Practice staff suggested the development of pocket-sized leaflets. Conclusion The NCSP

  17. Nuclear and radiation safety policy

    International Nuclear Information System (INIS)

    Mikus, T; Strycek, E.

    1998-01-01

    Slovenske elektrarne (SE) is a producer of electricity and heat, including from nuclear fuel source. The board of SE is ultimately responsible for nuclear and radiation safety matters. In this leaflet main principles of maintaining nuclear and radiation safety of the Company SE are explained

  18. E-learning or educational leaflet: does it make a difference in oral health promotion? A clustered randomized trial.

    Science.gov (United States)

    Al Bardaweel, Susan; Dashash, Mayssoon

    2018-05-10

    The early recognition of technology together with great ability to use computers and smart systems have promoted researchers to investigate the possibilities of utilizing technology for improving health care in children. The aim of this study was to compare between the traditional educational leaflets and E-applications in improving oral health knowledge, oral hygiene and gingival health in schoolchildren of Damascus city, Syria. A clustered randomized controlled trial at two public primary schools was performed. About 220 schoolchildren aged 10-11 years were included in this study and grouped into two clusters. Children in Leaflet cluster received oral health education through leaflets, while children in E-learning cluster received oral health education through an E-learning program. A questionnaire was designed to register information related to oral health knowledge and to record Plaque and Gingival indices. Questionnaire administration and clinical assessment were undertaken at baseline, 6 and at 12 weeks of oral health education. Data was analysed using one way repeated measures ANOVA, post hoc Bonferroni test and independent samples t-test. Leaflet cluster (107 participants) had statistically significant better oral health knowledge than E-learning cluster (104 participants) at 6 weeks (P E-learning cluster:100 participants). The mean knowledge gain compared to baseline was higher in Leaflet cluster than in E-learning cluster. A significant reduction in the PI means at 6 weeks and 12 weeks was observed in both clusters (P E-learning cluster at 6 weeks (P E-learning cluster at 6 weeks (P < 0.05) and 12 weeks (P < 0.05). Traditional educational leaflets are an effective tool in the improvement of both oral health knowledge as well as clinical indices of oral hygiene and care among Syrian children. Leaflets can be used in school-based oral health education for a positive outcome. Australian New Zealand Clinical Trials Registry ( ACTRN

  19. A new self-expandable aortic valved stent deployed above native leaflets for aortic insufficiency: an in vitro study.

    Science.gov (United States)

    Huang, H; Zhou, Y; Shao, J; Cai, J; Mei, Y; Wang, Y

    2012-12-01

    The aim of this paper was to develop a new self-expandable aortic valved stent following the shape of the sinus of Valsalva, which can be deployed above native leaflets for aortic regurgitation, and study it's effect on coronary artery flow when orthotopic implantation in and above native leaflets. New self-expandable aortic valved stent consist of nitinol stent and bovine pericardium, and was designed following the shape of the sinus of Valsalva, the bovine pericardium was tailed as native leaflet. Thirty-six swine hearts were divided into three equal groups of twelve. In Group A (N.=12), the new self-expandable aortic valved stents deployed in native leaflets. In Group B (N.=12), the new self-expandable aortic valved stents deployed above native leaflets. In Group C (N.=12), the cylinder-like valved stents deployed only in native leaflets. The measurements of each coronary flow rate and endoscopic inspections were repeated post-implantation. In Group A and C, valve implantation in native leaflets resulted in a significant decrease in both left and right coronary flows. In Group B, no significant change in either right or left coronary flow was found after new self-expandable aortic valved stent placement. Endoscopic inspections showed that in group A and C the native leaflets sandwiched between valved stent and aortic wall, whereas, in group B the native leaflets were under the artificial leaflets. Two kinds of stents deployed in native leaflets affect left and right coronary flows significantly. No significant effect was found when the new self-expandable aortic valved stent deployed above native leaflets. This new self-expandable aortic valved stent can be deployed above the native leaflets, which avoids the obstruction of native leaflets on coronary flow.

  20. Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm

    NARCIS (Netherlands)

    Tomsic, Anton; Li, Wilson W. L.; van Paridon, Marieke; Bindraban, Navin R.; de Mol, Bas A. J. M.

    2016-01-01

    Mitral valve leaflet aneurysm is a rare and potentially devastating complication of aortic valve endocarditis. We report the case of a 48-year-old man who had endocarditis of the native aortic valve and a concomitant aneurysm of the anterior mitral valve leaflet. Severe mitral regurgitation occurred

  1. Supra-annular Valve-in-Valve implantation reduces blood stasis on the transcatheter aortic valve leaflets.

    Science.gov (United States)

    Vahidkhah, Koohyar; Azadani, Ali N

    2017-06-14

    Leaflet thrombosis following transcatheter aortic valve replacement (TAVR) and Valve-in-Valve (ViV) procedures has been increasingly recognized. This study aimed to investigate the effect of positioning of the transcatheter aortic valve (TAV) in ViV setting on the flow dynamics aspect of post-ViV thrombosis by quantifying the blood stasis in the intra-annular and supra-annular settings. To that end, two idealized computational models, representing ViV intra-annular and supra-annular positioning of a TAV were developed in a patient-specific geometry. Three-dimensional flow fields were then obtained via fluid-solid interaction modeling to study the difference in blood residence time (BRT) on the TAV leaflets in the two settings. At the end of diastole, a strip of high BRT (⩾1.2s) region was observed on the TAV leaflets in the ViV intra-annular positioning at the fixed boundary where the leaflets are attached to the frame. Such a high BRT region was absent on the TAV leaflets in the supra-annular positioning. The maximum value of BRT on the surface of non-, right, and left coronary leaflets of the TAV in the supra-annular positioning were 53%, 11%, and 27% smaller compared to the intra-annular positioning, respectively. It was concluded that the geometric confinement of TAV by the leaflets of the failed bioprosthetic valve in ViV intra-annular positioning increases the BRT on the leaflets and may act as a permissive factor in valvular thrombosis. The absence of such a geometric confinement in the ViV supra-annular positioning leads to smaller BRT and subsequently less likelihood of leaflet thrombosis. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Multiphoton microscopy of ECM proteins in baboon aortic leaflet

    Science.gov (United States)

    Gonzalez, Mariacarla; Saytashev, Ilyas; Luna, Camila; Gonzalez, Brittany; Pinero, Alejandro; Perez, Manuel; Ramaswamy, Sharan; Ramella-Roman, Jessica

    2018-02-01

    The extracellular matrix (ECM) plays crucial role in defining mechanical properties of a heart valve yet the mechanobiological role of the ECM proteins - collagen and elastin - in living heart valve leaflets is still poorly understood. In this study, non-linear microscopy was used to obtain three dimensional images of collagen and elastin arrangement in aortic leaflets under combined steady flow (850 ml/min) and cyclic flexure (1 Hz) mechanical (dynamic) training. A novel bioreactor capable of mimicking the flow conditions in a living heart was used in this study and was optimized for microscopic imagery. A custom made non-linear microscope was used in this study to provide Second Harmonic Generation (SHG) imaging of collagen arrangement and two-photon imaging of elastin. Two control and three trained leaflet samples from static and dynamic tissue culture were imaged to observe protein changes in the tissue for a period of seven days. Dynamic training led to a decrease in alignment index of the protein fibers compared to the static treatment.

  3. Acute Mitral Valve Dysfunction Due to Escape of Prosthetic Mechanical Leaflet and Peripheral Leaftlet Embolization.

    Science.gov (United States)

    Calik, Eyup Serhat; Limandal, Husnu Kamil; Arslan, Umit; Tort, Mehmet; Yildiz, Ziya; Bayram, Ednan; Dag, Ozgur; Kaygin, Mehmet Ali; Erkut, Bilgehan

    2015-12-14

    Leaflet escape of prosthetic valve is rare but potentially life threatening. Early diagnosis is essential on account of avoiding mortality, and emergency surgical correction is compulsory. This complication has previously been reported for both monoleaflet and bileaflet valve models. A 30-year-old man who had undergone mitral valve replacement with a bileaflet valve 8 years prior at another center was admitted with acute-onset with cardiogenic shock as an emergency case. Transthoracic echocardiograms showed acute-starting severe mitral regurgitation associated with prosthetic mitral valve. There was a suspicious finding of a single prosthetic mitral leaflet. But the problem related with the valve wasn't specifically determined. The patient underwent emergent surgery for replacement of the damaged prosthetic valves immediately. There was no tissue impingement and thrombosis, one of the two leaflets was absent, and there were no signs of endocarditis or pannus formation in the prosthetic valve. The missing leaflet could not be found within the cardiac cavity. The abdominal fluoroscopic study and plain radiography were unable to detect the escaped leaflet during surgery. The damaged valve was removed and a replacement 29 mm bileaflet mechanical valve was inserted by right lateral thoracotomy. After post-operative week one, the abdominal computed tomography scan and the ultrasound showed the escaped leaflet in the left femoral artery. Fifteen days after the surgery the escaped leaflet was removed safely from the left femoral artery and the patient made a complete recovery. The escaped leaflet showed a fracture of one of the pivot systems caused by structural failure. Early cardiac surgery should be applied because of life-threatening problems.

  4. Retrieval of a leaflet escaped in a Tri-technologies bileaflet mechanical prosthetic valve.

    Science.gov (United States)

    Cianciulli, Tomás F; Lax, Jorge A; Saccheri, María C; Guidoin, Robert; Salvado, César M; Fernández, Adrián J; Prezioso, Horacio A

    2008-01-01

    The escape of the prosthetic heart valve disc is one of the causes of prosthetic dysfunction that requires emergency surgery. The removal of the embolized disc should be carried out because of the risk of a progressive extrusion on the aortic wall. Several imaging techniques can be used for the detection of the missing disc localization. In this report we describe a 32-year-old man who underwent mitral valve replacement with a Tri-technologies bileaflet valve three years ago, and was admitted in cardiogenic shock. Transesophageal echocardiography showed acute-onset massive mitral regurgitation. The patient underwent emergency replacement of the prosthetic valve. Only one of the two leaflets remained in the removed prosthetic valve. The missing leaflet could not be found within the cardiac cavity. The abdominal fluoroscopic study and plain radiography were unable to detect the escaped leaflet. The abdominal computed tomography scan and the ultrasound showed the escaped leaflet in the terminal portion of the aortic bifurcation. To retrieve the embolized disc laparotomy and aortotomy were performed three months later. The escaped leaflet shows a fracture of one of the pivot systems caused by structural failure. This kind of failure mode is usually the result of high stress concentration.

  5. Transmembrane protein diffusion in gel-supported dual-leaflet membranes.

    Science.gov (United States)

    Wang, Chih-Ying; Hill, Reghan J

    2014-11-18

    Tools to measure transmembrane-protein diffusion in lipid bilayer membranes have advanced in recent decades, providing a need for predictive theoretical models that account for interleaflet leaflet friction on tracer mobility. Here we address the fully three-dimensional flows driven by a (nonprotruding) transmembrane protein embedded in a dual-leaflet membrane that is supported above and below by soft porous supports (e.g., hydrogel or extracellular matrix), each of which has a prescribed permeability and solvent viscosity. For asymmetric configurations, i.e., supports with contrasting permeability, as realized for cells in contact with hydrogel scaffolds or culture media, the diffusion coefficient can reflect interleaflet friction. Reasonable approximations, for sufficiently large tracers on low-permeability supports, are furnished by a recent phenomenological theory from the literature. Interpreting literature data, albeit for hard-supported membranes, provides a theoretical basis for the phenomenological Stokes drag law as well as strengthening assertions that nonhydrodynamic interactions are important in supported bilayer systems, possibly leading to overestimates of the membrane/leaflet viscosity. Our theory provides a theoretical foundation for future experimental studies of tracer diffusion in gel-supported membranes.

  6. Outlet strut fracture and leaflet escape of Bjork-Shiley convexo-concave valve.

    Science.gov (United States)

    Uchino, Gaku; Yoshida, Hideo; Sakoda, Naoya; Hattori, Shigeru; Kawabata, Takuya; Saiki, Munehiro; Fujita, Yasufumi; Yunoki, Keiji; Hisamochi, Kunikazu; Mine, Yoshinari

    2017-06-01

    Prosthetic valve fracture is a serious complication and may arise in patient post-valve replacement. We experienced an outlet strut fracture and leaflet escape of a Bjork-Shiley convexo-concave valve. We performed an emergency redo mitral valve replacement and successfully retrieved the fractured strut and escaped leaflet from superficial femoral artery and the abdominal aorta. The patient showed an uneventful postoperative recovery.

  7. [Instrumental, directive, and affective communication in hospital leaflets].

    Science.gov (United States)

    Vasconcellos-Silva, Paulo Roberto; Uribe Rivera, Francisco Javier; Castiel, Luis David

    2003-01-01

    This study focuses on the typical semantic systems extracted from hospital staff communicative resources which attempt to validate information as an "object" to be transferred to patients. We describe the models of textual communication in 58 patient information leaflets from five hospital units in Brazil, gathered from 1996 to 2002. Three categories were identified, based on the theory of speech acts (Austin, Searle, and Habermas): 1) cognitive-instrumental utterances: descriptions by means of technical terms validated by self-referred, incomplete, or inaccessible argumentation, with an implicit educational function; 2) technical-directive utterances: self-referred (to the context of the source domains), with a shifting of everyday acts to a technical terrain with a disciplinary function and impersonal features; and 3) expressive modulations: need for inter-subjective connections to strengthen bonds of trust and a tendency to use childish arguments. We conclude that the three categories displayed: fragmentary sources; assumption of univocal messages and invariable use of information (idealized motivations and interests, apart from individualized perspectives); and assumption of universal interests as generators of knowledge.

  8. The enigmatic fast leaflet rotation in Desmodium motorium

    Science.gov (United States)

    Lev-Yadun, Simcha

    2013-01-01

    I propose that the enigmatic leaflet movements in elliptical circles every few minutes of the Indian telegraph (semaphore) plant Desmodium motorium ( = D. gyrans = Hedysarum gyrans = Codariocalyx motorius), which has intrigued scientists for centuries, is a new type of butterfly or general winged arthropod mimicry by this plant. Such leaflet movement may deceive a passing butterfly searching for an un-occupied site suitable to deposit its eggs, that the plant is already occupied. It may also attract insectivorous birds, reptiles or arthropods to the plant because it looks as if it is harboring a potential prey and while they patrol there, they can find insects or other invertebrates that indeed attack the plant. The possibility that diurnal mammalian herbivores may also be deterred by these movements should not be dismissed. PMID:23603964

  9. Posterior leaflet preservation during mitral valve replacement for rheumatic mitral stenosis.

    Science.gov (United States)

    Djukić, P L; Obrenović-Kirćanski, B B; Vranes, M R; Kocica, M J; Mikić, A Dj; Velinović, M M; Kacar, S M; Kovacević, N S; Parapid, B J

    2006-01-01

    Mitral valve replacement with posterior leaflet preservation was shown beneficial for postoperative left vetricular (LV) performance in patients with mitral regurgitation. Some authors find it beneficial even for the long term LV function. We investigated a long term effect of this technique in patients with rheumatic mitral stenosis. We studied 20 patents with mitral valve replacement due to rheumatic mitral stenosis, in the period from January 1988 to December 1989. In group A (10 patients) both leaflets and coresponding chordal excision was performed, while in group B (10 patients) the posterior leaflet was preserved. In all patients a Carbomedics valve was inserted. We compared clinical pre and postoperative status, as well as hemodynamic characteristics of the valve and left ventricle in both groups. Control echocardiographyc analysis included: maximal (PG) and mean (MG) gradients; effective valve area (AREA); telediastolic (TDV) and telesystolic (TSV) LV volume; stroke volume (SV); ejection fraction (EF); fractional shortening (FS) and segmental LV motion. The mean size of inserted valve was 26.6 in group A and 27.2 in group B. Hemodynamic data: PG (10.12 vs 11.1); MG (3.57 vs 3.87); AREA (2.35 vs 2.30); TDV 126.0 vs 114.5); TSV (42.2 vs 36.62); SV (83.7 vs 77.75); EF (63.66 vs 67.12); FS (32.66 vs 38.25). Diaphragmal segmental hypokinesis was evident in one patient from group A and in two patients from group B. In patients with rheumatic stenosis, posterior leaflet preservation did not have increased beneficial effect on left ventricular performance during long-term follow-up. An adequate posterior leaflet preservation does not change hemodynamic valvular characteristics even after long-term follow-up.

  10. Safety campaigns. TIS Launches New Safety Information Campaign

    CERN Multimedia

    2001-01-01

    Need to start a new installation and worried about safety aspects? Or are you newly responsible for safety matters in a CERN building? Perhaps you're simply interested in how to make the working environment safer for yourself and your colleagues. Whatever the case, a new information campaign launched by TIS this week can help. The most visible aspects of the new campaign will be posters distributed around the Laboratory treating a different subject each month. The Web site - http://safety.cern.ch/ - which provides all safety related information. But these are not the only aspects of the new campaign. Members of the TIS/GS group, whose contact details can be found on the safety web site, are available to give information and advice on a one-to-one basis at any time. The campaign's launch has been timed to coincide with European Safety Week, organized by the European Agency for Safety and Health at Work and the subject treated in the first posters is safety inspection. This particular topic only concerns thos...

  11. Subclinical leaflet thrombosis in surgical and transcatheter bioprosthetic aortic valves

    DEFF Research Database (Denmark)

    Chakravarty, Tarun; Søndergaard, Lars; Friedman, John

    2017-01-01

    rates of transient ischaemic attacks (TIAs; 4·18 TIAs per 100 person-years vs 0·60 TIAs per 100 person-years; p=0·0005) and all strokes or TIAs (7·85 vs 2·36 per 100 person-years; p=0·001). INTERPRETATION: Subclinical leaflet thrombosis occurred frequently in bioprosthetic aortic valves, more commonly...... outcomes after TAVR with the new-generation valves, prevention and treatment of subclinical leaflet thrombosis might offer a potential opportunity for further improvement in valve haemodynamics and clinical outcomes. FUNDING: RESOLVE (Cedars-Sinai Heart Institute) and SAVORY (Rigshospitalet)....

  12. A Coarse Grained Model for a Lipid Membrane with Physiological Composition and Leaflet Asymmetry.

    Directory of Open Access Journals (Sweden)

    Satyan Sharma

    Full Text Available The resemblance of lipid membrane models to physiological membranes determines how well molecular dynamics (MD simulations imitate the dynamic behavior of cell membranes and membrane proteins. Physiological lipid membranes are composed of multiple types of phospholipids, and the leaflet compositions are generally asymmetric. Here we describe an approach for self-assembly of a Coarse-Grained (CG membrane model with physiological composition and leaflet asymmetry using the MARTINI force field. An initial set-up of two boxes with different types of lipids according to the leaflet asymmetry of mammalian cell membranes stacked with 0.5 nm overlap, reliably resulted in the self-assembly of bilayer membranes with leaflet asymmetry resembling that of physiological mammalian cell membranes. Self-assembly in the presence of a fragment of the plasma membrane protein syntaxin 1A led to spontaneous specific positioning of phosphatidylionositol(4,5bisphosphate at a positively charged stretch of syntaxin consistent with experimental data. An analogous approach choosing an initial set-up with two concentric shells filled with different lipid types results in successful assembly of a spherical vesicle with asymmetric leaflet composition. Self-assembly of the vesicle in the presence of the synaptic vesicle protein synaptobrevin 2 revealed the correct position of the synaptobrevin transmembrane domain. This is the first CG MD method to form a membrane with physiological lipid composition as well as leaflet asymmetry by self-assembly and will enable unbiased studies of the incorporation and dynamics of membrane proteins in more realistic CG membrane models.

  13. Safety Information System Guide

    International Nuclear Information System (INIS)

    Bullock, M.G.

    1977-03-01

    This Guide provides guidelines for the design and evaluation of a working safety information system. For the relatively few safety professionals who have already adopted computer-based programs, this Guide may aid them in the evaluation of their present system. To those who intend to develop an information system, it will, hopefully, inspire new thinking and encourage steps towards systems safety management. For the line manager who is working where the action is, this Guide may provide insight on the importance of accident facts as a tool for moving ideas up the communication ladder where they will be heard and acted upon; where what he has to say will influence beneficial changes among those who plan and control his operations. In the design of a safety information system, it is suggested that the safety manager make friends with a computer expert or someone on the management team who has some feeling for, and understanding of, the art of information storage and retrieval as a new and better means for communication

  14. [EFFECT OF EDUCATIONAL LEAFLETS ON KNOWLEDGE AND ATTITUDE TO TUBERCULOSIS AMONG HOMELESS PERSONS IN TOKYO, JAPAN].

    Science.gov (United States)

    Kawatsu, Lisa; Uchimura, Kazuhiro; Watabe, Hiroyuki; Kaguraoka, Sumi; Kubota, Yuka; Sakakibara, Marie; Ishikawa, Nobukatsu

    2015-08-01

    Delay in seeking care is one of the critical issues in tuberculosis (TB) control among homeless persons in Japan. Yet knowledge of and attitude towards TB among homeless persons have remained unclear and limited efforts have been made to disseminate information related to TB among homeless persons. To evaluate the effect of TB leaflets, produced and distributed to homeless persons by a group of ex-homeless TB patients, and to understand what homeless persons know about TB. Self-administered questionnaire was conducted among homeless persons before and after distribution of the TB leaflets. Changes in the responses to each question were also subjected to principal component analysis to group questions into types according to response patterns and identify constructs of TB-related knowledge. Results of 88 participants were analyzed. TB knowledge score related to risks and symptoms significantly improved after the intervention (from 54.3% to 70.6%, p < 0.05), while knowledge on treatment cost did not. Two components were identified, namely, the "improvement in TB impression" and "improvement in TB knowledge". TB leaflets were effective in improving certain aspects of TB knowledge. However, its effect on knowledge regarding treatment cost, which may be crucial in improving delay, was limited and thus the messages need to be revised.

  15. Tricuspid leaflet resection in an open beating heart for the creation of a canine tricuspid regurgitation model.

    Science.gov (United States)

    Xie, Xu-jing; Liao, Sheng-jie; Wu, Yue-heng; Lu, Cong; Zhu, Ping; Fei, Hong-wen; Xiao, Xue-jun; Huang, Huan-lei

    2016-02-01

    Outcomes of tricuspid valve replacement are poor, partly due to right heart remodelling. The research on its underlying mechanisms is hampered by a lack of animal models of tricuspid regurgitation (TR). Our objective was to create a reproducible and clinically compatible TR animal model to study right heart remodelling caused by TR. Fourteen juvenile male Beagle dogs were divided randomly into an intervention group (n = 11) and a sham-operated control group (n = 3). The intervention group underwent thoracotomy and right atrial incision following superior and inferior vena caval occlusion. The anterior leaflet, together with the chordae, of the tricuspid valve was resected in eight dogs ('one leaflet' group), whereas both anterior and posterior leaflets, together with the chordae, were resected in three dogs ('two leaflets' group). The right atrium and chest were then closed. The control group underwent the same procedure, except leaflet resection. One dog from the 'two leaflets' group and one control dog were sacrificed and autopsy was performed at 12 months post-surgery. All dogs survived over the 1-year observation period postoperatively. TR grade IV occurred immediately postoperatively in the 'one leaflet' group, and TR grade IV plus in the 'two leaflets' group. The overall procedure lasted 30-40 min, and the mean time of vena caval occlusion was 87 ± 10 s. Central venous pressure increased from 6 ± 1.2 at baseline to 13 ± 1.7 mmHg (P heart remodelling. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  16. Comparative study between CardiaMed valves (freely floating valve leaflets versus St. Jude Medical (fixed valve leaflets in mitral valve replacement surgery

    Directory of Open Access Journals (Sweden)

    Mostafa Ahmed

    2017-09-01

    Conclusions: CardiaMed freely floating leaflet prostheses showed good hemodynamic characteristics. The prosthesis adequately corrects hemodynamics and is safe and no worse than the St. Jude Medical valve in the mitral valve position.

  17. A study of the pulsatile flow and its interaction with rectangular leaflets

    Science.gov (United States)

    Ledesma, Rene; Zenit, Roberto; Pulos, Guillermo

    2009-11-01

    To avoid the complexity and limited understanding of the 3D pulsatile flow field through heart valves, a cardiac-like flow circuit and a test channel were designed to study the behavior of bidimensional leaflets made of hyperelastic materials. We study a simple 2D arrangement to understand the basic physics of the flow-leaflet interaction. Creating a periodic pressure gradient, measurements of leaflet deflection were obtained for different flow conditions, geometries and materials. Using PIV and Phase Locking techniques, we have obtained the leaflet motion and the time-dependent flow velocity fields. The results show that two dimensionless parameters determine the performance of a simple bi-dimensional valve, in accordance with the flow conditions applied: π1=f(sw)^1/2(E/ρ)^1/2 and π2=V/(2slw), where f is the pulsation frequency, V is the stroke volume, s, w and l are the dimensions on the leaftlet and E and ρ are the elastic modulus and density of the material, respectively. Furthermore, we have identified the conditions for which the fluid stresses can be minimized. With these results we propose a new set of parameters to improve the performance of prosthetic heart valves and, in consequence, to reduce blood damage.

  18. Flu Vaccine Safety Information

    Science.gov (United States)

    ... Influenza Types Seasonal Avian Swine Variant Pandemic Other Flu Vaccine Safety Information Questions & Answers Language: English (US) ... safety of flu vaccines monitored? Egg Allergy Are flu vaccines safe? Flu vaccines have good safety record. ...

  19. Analysis of the data on pregnancy and lactation provided by patient information leaflets of anti-rheumatic drugs in Argentina.

    Science.gov (United States)

    Sabando, Miguel Ormaza; Saavedra, Maira Arias; Sequeira, Gabriel; Kerzberg, Eduardo

    2018-04-01

    To analyse the level of consistency and updating of the information on pregnancy and lactation provided by patient information leaflets (PILs) of the antirheumatic drugs approved in Argentina. Inconsistencies between the 2016 EULAR Task Force recommendations on the use of anti-rheumatic drugs during pregnancy and lactation and the information provided by PILs of the same drugs approved in Argentina were analysed along with inconsistencies within the PILs of different registered trademarks of these drugs. Eighty-eight PILs of 32 drugs were analysed. Out of the 88 PILs, 50% presented information inconsistencies as to pregnancy. Medications comprised in this group were: hydroxychloroquine, sulfasalazine, azathioprine, tacrolimus, cyclosporine, NSAIDs (during the first two trimesters), celecoxib, some glucocorticoids, colchicine, and some anti-TNF drugs (etanercept, adalimumab and infliximab) during part of the pregnancy. As for lactation, 56% had information inconsistencies. Medications encompassed in this group were: hydroxychloroquine, chloroquine, sulfasalazine, azathioprine, tacrolimus, cyclosporine, NSAIDs, celecoxib, meprednisone, prednisone, colchicine, and anti-TNF drugs. Out of 17 drugs that had more than one registered trademark, information inconsistencies on pregnancy were found in the PILs of sulfasalazine, diclofenac, ibuprofen and methylprednisolone. Concerning lactation, inconsistencies were present in the PILs of hydroxychloroquine, sulfasalazine, diclofenac, ibuprofen, meprednisone, and colchicine. At least half of the PILs of anti-rheumatic drugs analysed in this study had information inconsistencies on pregnancy and lactation. This is a serious state of affairs because the consensual decision-making process between patient and professional may be compromised, which, in turn, may give rise to medical-legal issues.

  20. Public education in safe use of artificial UV radiation sources by the consumer safety institute in the Netherlands

    International Nuclear Information System (INIS)

    Bruggers, J.H.A.

    1987-01-01

    The Consumer Safety Institute in the Netherlands is a national institute which operates entirely in the field of home safety. Its main aim exists in reducing the possibility and severity of accidents happening in and around the home, at school and recreational areas. To attain this aim the institute is active in research, handling consumer complaints, education, and advising. To inform and educate consumers about product safety, special leaflets and brochures are published. One of these brochures deals with safety and safe use of artificial UV radiation sources, e.g. UV lamps, UV couches etc. This brochure about suntanning equipment and safety was published recently

  1. The Commodity Form of Safety Information

    Directory of Open Access Journals (Sweden)

    Rodrigo Finkelstein

    2015-10-01

    Full Text Available The production of safety information is deemed a vital resource to protect human lives at the work site. The injury rate, lost days, incapacity rate, and fatality rate, are key indicators to prop up labour risk awareness and identify job hazards. However, safety information gets highly distorted because it does not only measure risk but serves as a means of exchange. It determines the amount of money to be swapped between Workers’ Compensation Boards and their client corporations. Moreover, as a depository of exchange value, safety information tends to exert pressure over social reality rather than just being a passive reflection of it. This paper discloses the commodity form of safety information. Based on a political economy of information framework, it identifies, describes, and analyses the safety information commodity in its active role of organizing safety and labour health.

  2. PENGGUNAAN LEAFLET DALAM PENDIDIKAN GIZI DAN PENGARUHNYA TERHADAP TINGKAT PENGETAHUAN IBU

    Directory of Open Access Journals (Sweden)

    Susilowati Herman

    2012-11-01

    Full Text Available Selama ini pendidikan gizi umumnya belum memanfaatkan alat bantu pendidikan gizi secara optimal. Selain itu pesan-pesan pendidikan gizi terkadang belum dirancang dengan seksama, sesuai dengan kebutuhan sasaran. Tidak jarang dijumpai pesan yang terlalu banyak, umum atau tidak terarah. Penyampaian pesan-pesan pendidikan gizi yang dilakukan secara berulang dan disertai penggunaan alat bantu pendidikan yang dirancang dengan baik, dapat mempermudah sasaran pendidikan menangkap dan mengerti isi pesan pendidikan. Penelitian ini bertujuan menilai perubahan tingkat pengetahuan gizi sebagai hasil dari paket pendidikan gizi yang terarah dengan menggunakan alat bantu pendidikan berupa leaflet yana dibawa pulang oleh sasaran pendidikan. Sasaran pendidikan adalah ibu-ibu dari anak Balita penderita gizi buruk (KKP berat pengunjung Klinik Gizi, Puslitbang Gizi, Bogor. Kelompok pembanding adalah juga ibu-ibu dari anak Balita penderita gizi buruk pengunjung Klinik Gizi yang sama dan kepadanya juga diberikan pendidikan gizi dengan isi pesan sama, tetapi tidak diberi alat bantu pendidikan berupa leaflet. Hasil penelitian menunjukkan babwa perubahan tingkat pengetahuan gizi ibu-ibu yang diberi leaflet, lebih baik daripada pengetahuan gizi ibu-ibu kelompok pembanding.

  3. Vent-induced prosthetic leaflet thrombosis treated by open-heart valve-in-valve implantation.

    Science.gov (United States)

    Stamm, Christof; Pasic, Miralem; Buz, Semih; Hetzer, Roland

    2015-09-01

    A patient required emergency mitral valve replacement and extracorporeal membrane oxygenation (ECMO) support for acute biventricular failure. The left ventricular (LV) vent inserted via the left upper pulmonary vein induced thrombotic immobilization of a prosthetic valve leaflet, with significant intra-prosthesis regurgitation after ECMO explantation. Therefore, the left atrium was opened on the beating heart during conventional extracorporeal circulation, all prosthesis leaflets were excised and a 29-mm expandable Edwards Sapien prosthesis was inserted within the scaffold of the original prosthesis under direct vision. This case illustrates the benefits and potential problems of LV venting on ECMO support, and a rapid and safe way of replacing the prosthesis leaflets in a critical situation. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  4. [Micromorphology of pejibaye leaflets Bactris gasipaes (Arecaceae) var. diamonds-10].

    Science.gov (United States)

    Sánchez-Chacón, Ethel; Alvarado-Rodríguez, Olman; Rodríguez-Arrieta, Alexander; Gómez-Alpízar, Luis

    2016-09-01

    Bactris gasipaes is widely cultivated for the consumption of palm hearts and fruits. The present work describes the micro morphological characteristics of leaflets from adult plants of B. gasipaes, thornless variety Diamantes-10, collected in the Diamantes Experimental Station in Guápiles, Costa Rica. We collected 25 leaflets and analyses were performed with a combination of microscopy techniques: light microscopy, scanning electron microscopy and transmission electron microscopy to study their structure. Our results showed that leaflets have abundant epicuticular wax on adaxial and abaxial surfaces. Analyses from the epidermis indicated that it is composed of isodiametric cells, and it is also evident that hypodermis cells have rectangular shape and are larger than the other epidermal cells. We observed stomata on both surfaces, but they were more abundant in the abaxial surface. On the other hand, the epidermis showed the presence of trichomes with three different morphologies. In the parenchyma, cells are large and not well defined, and we observed the presence of astroesclereids, and compact groups of fiber bundles between parenchyma cells. The central vein has several vascular bundles, arranged in a continuous manner, and they are surrounded by sclerotic tissue; some of these fibers presented live protoplasts. All minor veins showed the same anatomy as the central vein. In these veins, the vessel elements of protoxylem and metaxylem showed scalariform ornaments on their walls. Phloem is located towards the adaxial surface of the vein and we observed sieve and companion cells surrounded by fibers and parenchyma cells. The companion cells presented branched plasmodesmata attached to a sieve element, and in these elements we found protein bodies called P-protein. The main anatomical difference in the leaflets of the var. Diamantes-10, compared to the other varieties of B. gasipaes K, is the lack of thorns; the other morphological features seem to be conserved.

  5. Catheter Entrapment During Posterior Mitral Leaflet Pushing Maneuver for MitraClip Implantation.

    Science.gov (United States)

    Castrodeza, Javier; Amat-Santos, Ignacio J; Tobar, Javier; Varela-Falcón, Luis H

    2016-06-01

    MitraClip (Abbott Vascular) therapy has been reported to be an effective procedure for mitral regurgitation, especially in high-risk patients. Recently, the novel pushing maneuver technique has been described for approaching restricted and short posterior leaflets with a pigtail catheter in order to facilitate grasping of the clip. However, complications or unexpected situations may occur. We report the case of an 84-year-old patient who underwent MitraClip implantation wherein the pushing maneuver was complicated by the clip accidentally gripping the pigtail catheter along with the two leaflets.

  6. Comprehensive 4-stage categorization of bicuspid aortic valve leaflet morphology by cardiac MRI in 386 patients.

    Science.gov (United States)

    Murphy, I G; Collins, J; Powell, A; Markl, M; McCarthy, P; Malaisrie, S C; Carr, J C; Barker, A J

    2017-08-01

    Bicuspid aortic valve (BAV) disease is heterogeneous and related to valve dysfunction and aortopathy. Appropriate follow up and surveillance of patients with BAV may depend on correct phenotypic categorization. There are multiple classification schemes, however a need exists to comprehensively capture commissure fusion, leaflet asymmetry, and valve orifice orientation. Our aim was to develop a BAV classification scheme for use at MRI to ascertain the frequency of different phenotypes and the consistency of BAV classification. The BAV classification scheme builds on the Sievers surgical BAV classification, adding valve orifice orientation, partial leaflet fusion and leaflet asymmetry. A single observer successfully applied this classification to 386 of 398 Cardiac MRI studies. Repeatability of categorization was ascertained with intraobserver and interobserver kappa scores. Sensitivity and specificity of MRI findings was determined from operative reports, where available. Fusion of the right and left leaflets accounted for over half of all cases. Partial leaflet fusion was seen in 46% of patients. Good interobserver agreement was seen for orientation of the valve opening (κ = 0.90), type (κ = 0.72) and presence of partial fusion (κ = 0.83, p < 0.0001). Retrospective review of operative notes showed sensitivity and specificity for orientation (90, 93%) and for Sievers type (73, 87%). The proposed BAV classification schema was assessed by MRI for its reliability to classify valve morphology in addition to illustrating the wide heterogeneity of leaflet size, orifice orientation, and commissural fusion. The classification may be helpful in further understanding the relationship between valve morphology, flow derangement and aortopathy.

  7. Efficient replacement of plasma membrane outer leaflet phospholipids and sphingolipids in cells with exogenous lipids.

    Science.gov (United States)

    Li, Guangtao; Kim, JiHyun; Huang, Zhen; St Clair, Johnna R; Brown, Deborah A; London, Erwin

    2016-12-06

    Our understanding of membranes and membrane lipid function has lagged far behind that of nucleic acids and proteins, largely because it is difficult to manipulate cellular membrane lipid composition. To help solve this problem, we show that methyl-α-cyclodextrin (MαCD)-catalyzed lipid exchange can be used to maximally replace the sphingolipids and phospholipids in the outer leaflet of the plasma membrane of living mammalian cells with exogenous lipids, including unnatural lipids. In addition, lipid exchange experiments revealed that 70-80% of cell sphingomyelin resided in the plasma membrane outer leaflet; the asymmetry of metabolically active cells was similar to that previously defined for erythrocytes, as judged by outer leaflet lipid composition; and plasma membrane outer leaflet phosphatidylcholine had a significantly lower level of unsaturation than phosphatidylcholine in the remainder of the cell. The data also provided a rough estimate for the total cellular lipids residing in the plasma membrane (about half). In addition to such lipidomics applications, the exchange method should have wide potential for investigations of lipid function and modification of cellular behavior by modification of lipids.

  8. Subclinical leaflet thickening and stent frame geometry in self-expanding transcatheter heart valves

    DEFF Research Database (Denmark)

    Fuchs, Andreas; De Backer, Ole; Brooks, Matthew

    2017-01-01

    AIMS: This study aimed to assess the potential relationship between subclinical leaflet thickening and stent frame geometry in patients who underwent aortic valve replacement with a self-expanding transcatheter heart valve (THV). METHODS AND RESULTS: Seventy-five patients with a self-expanding THV....... CONCLUSIONS: Regional THV stent frame underexpansion is associated with an increased risk of leaflet thickening. Post-dilatation of self-expanding THV as well as a supra-annular valve position seem to reduce the occurrence of this phenomenon....

  9. Serotonin receptor 2B signaling with interstitial cell activation and leaflet remodeling in degenerative mitral regurgitation.

    Science.gov (United States)

    Driesbaugh, Kathryn H; Branchetti, Emanuela; Grau, Juan B; Keeney, Samuel J; Glass, Kimberly; Oyama, Mark A; Rioux, Nancy; Ayoub, Salma; Sacks, Michael S; Quackenbush, John; Levy, Robert J; Ferrari, Giovanni

    2018-02-01

    Mitral valve interstitial cells (MVIC) play an important role in the pathogenesis of degenerative mitral regurgitation (MR) due to mitral valve prolapse (MVP). Numerous clinical studies have observed serotonin (5HT) dysregulation in cardiac valvulopathies; however, the impact of 5HT-mediated signaling on MVIC activation and leaflet remodeling in MVP have been investigated to a limited extent. Here we test the hypothesis that 5HT receptors (5HTRs) signaling contributes to MVP pathophysiology. Diseased human MV leaflets were obtained during cardiac surgery for MVP; normal MV leaflets were obtained from heart transplants. MV RNA was used for microarray analysis of MVP patients versus control, highlighting genes that indicate the involvement of 5HTR pathways and extracellular matrix remodeling in MVP. Human MV leaflets were also studied in vitro and ex vivo with biomechanical testing to assess remodeling in the presence of a 5HTR2B antagonist (LY272015). MVP leaflets from Cavalier King Charles Spaniels were used as a naturally acquired in vivo model of MVP. These canine MVP leaflets (N=5/group) showed 5HTR2B upregulation. This study also utilized CB57.1ML/6 mice in order to determine the effect of Angiotensin II infusion on MV remodeling. Histological analysis showed that MV thickening due to chronic Angiotensin II remodeling is mitigated by a 5HTR2B antagonist (LY272015) but not by 5HTR2A inhibitors. In humans, MVP is associated with an upregulation in 5HTR2B expression and increased 5HT receptor signaling in the leaflets. Antagonism of 5HTR2B mitigates MVIC activation in vitro and MV remodeling in vivo. These observations support the view that 5HTR signaling is involved not only in previously reported 5HT-related valvulopathies, but it is also involved in the pathological remodeling of MVP. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Restoration of Tricuspid Valve Mechanism at the Level of Displaced Septal and Posterior Leaflets in Ebstein's Anomaly.

    Science.gov (United States)

    Im, Yu-Mi; Park, Chun Soo; Park, Jeong-Jun; Yun, Tae-Jin

    2016-03-01

    Surgical techniques currently used for the repair of Ebstein's anomaly comprise reconstruction of the tricuspid valve mechanism at the level of the true annulus with or without plication of the atrialized right ventricle. However, performing this procedure for patients with a dysmorphic anterior leaflet (i.e., insufficient leaflet tissue and decreased mobility due to tethering) may necessitate technical modifications. A retrospective review was performed of 31 patients (seven males and 24 females, median age at operation 31 years) with Ebstein's anomaly, who underwent tricuspid valve repair between March 2002 and December 2014. The original Hetzer technique (annulus to annulus approximation) was employed for six patients with a well-formed anterior leaflet. In 25 patients, the tricuspid valve mechanism was restored at the displaced septal leaflet by approximating the anterior leaflet attachment in the true annulus to the displaced septal leaflet attachment in the mid-septum. A bidirectional superior cavopulmonary anastomosis was added in 27 of 31 (87%) patients. No early or late death occurred during the median follow-up of 66 months (1-138 months). Immediate postoperative tricuspid regurgitation was trivial to mild in 22 patients, and the median preoperative, immediate postoperative, and last follow-up tricuspid regurgitation jet areas in 21 adult patients were 23.3 cm2, 10.4 cm2, and 7.0 cm2, respectively. Two patients underwent reoperation at 81 and 119 months postoperatively. Five-year freedom from severe tricuspid regurgitation or reoperation was 93.2%. Restoration of the tricuspid valve mechanism at the level of displaced septal leaflet leads to excellent long-term outcomes. The addition of the bidirectional superior cavopulmonary anastomosis has contributed to the success of this technique. © 2016 Wiley Periodicals, Inc.

  11. A scanning electron microscopy study of the invasion of leaflets of a bloat-safe and a bloat-causing legume by rumen microorganisms.

    Science.gov (United States)

    Fay, J P; Cheng, K J; Hanna, M R; Howarth, R E; Costerton, J W

    1981-04-01

    A newly developed technique using ruthenium red to detect foci of bacterial digestion in mounts of whole leaflets that had been incubated with rumen bacteria was used to compare the digestion of alfalfa, a bloat-causing legume, and sainfoin, a bloat-safe legume. When whole leaflets were suspended in an artificial rumen medium and inoculated with rumen bacteria, massive bacterial adhesion and proliferation were noted at the stomata of alfalfa leaflets after 6 h of incubation, whereas only a few isolated bacteria adhered near the stomata of sainfoin leaflets After 22 h of incubation, the epidermal layers of alfalfa leaflets had peeled away in many areas, revealing an extensive bacterial invasion of the underlying mesophyll tissue in which large bacterial microcolonies had formed in intercellular spaces, and in intracellular spaces in several areas where plant cell walls had broken down. After 22 h of incubation, the surface of sainfoin leaflets resembled that of alfalfa leaflets at 6 h, with bacterial microcolonies adhering to the area surrounding the stomata, but without sloughing of the epidermis. Uninoculated control leaflets of both species showed no surface alteration but part of their normal bacterial flora had proliferated to form microcolonies on the surface after 22 h incubation. Dry matter loss due to leaching or bacterial digestion when whole leaflets of legumes were suspended in an artificial rumen medium, alone or with rumen bacteria, was significantly higher in the bloat-causing group. Values of leaching and of bacterial digestion were positively correlated. We conclude that reported differences in plant anatomy, and in cell wall chemistry, produce distinct rates or organic nutrient release from legume leaflets, and that these same differences produce an equally distinct susceptibility of leaflets to bacterial invasion, plant cell rupture, and the consequent release of intracellular plant components. The rate of release of organic nutrients from legume

  12. Informed consent in Sri Lanka: a survey among ethics committee members.

    Science.gov (United States)

    Sumathipala, Athula; Siribaddana, Sisira; Hewage, Suwin; Lekamwattage, Manura; Athukorale, Manjula; Siriwardhana, Chesmal; Murray, Joanna; Prince, Martin

    2008-05-20

    Approval of the research proposal by an ethical review committee from both sponsoring and host countries is a generally agreed requirement in externally sponsored research.However, capacity for ethics review is not universal. Aim of this study was to identify opinions and views of the members serving in ethical review and ethics committees in Sri Lanka on informed consent, essential components in the information leaflet and the consent form. We obtained ethical approval from UK and Sri Lanka. A series of consensus generation meetings on the protocol were conducted. A task oriented interview guide was developed. The interview was based on open-ended questionnaire. Then the participants were given a WHO checklist on informed consent and requested to rate the items on a three point scale ranging from extremely important to not important. Twenty-nine members from ethics committees participated. Majority of participants (23), believed a copy of the information leaflet and consent form, should accompany research proposal. Opinions about the items that should be included in the information leaflets varied. Participants identified 18 criteria as requirements in the information leaflet and 19 for the consent form. The majority, 20 (69%), believed that all research need ethical approval but identified limited human resource, time and inadequate capacity as constraints. Fifteen (52%) believed that written consent is not required for all research. Verbal consent emerged as an alternative to written consent. The majority of participants rated all components of the WHO checklist as important. The number of themes generated for the consent form (N = 18) is as many as for the information leaflet (N = 19) and had several overlaps. This suggests that the consent form should be itemized to reflect the contents covered in the information leaflet. The participants' opinion on components of the information leaflets and consent forms proved to be similar with WHO checklist on informed

  13. Hydrothermal Pretreatment of Date Palm (Phoenix dactylifera L. Leaflets and Rachis to Enhance Enzymatic Digestibility and Bioethanol Potential

    Directory of Open Access Journals (Sweden)

    Chuanji Fang

    2015-01-01

    Full Text Available Date palm residues are one of the most promising lignocellulosic biomass for bioethanol production in the Middle East. In this study, leaflets and rachis were subjected to hydrothermal pretreatment to overcome the recalcitrance of the biomass for enzymatic conversion. Evident morphological, structural, and chemical changes were observed by scanning electron microscopy, X-ray diffraction, and infrared spectroscopy after pretreatment. High glucan (>90% for both leaflets and rachis and xylan (>75% for leaflets and >79% for rachis recovery were achieved. Under the optimal condition of hydrothermal pretreatment (210°C/10 min highly digestible (glucan convertibility, 100% to leaflets, 78% to rachis and fermentable (ethanol yield, 96% to leaflets, 80% to rachis solid fractions were obtained. Fermentability test of the liquid fractions proved that no considerable inhibitors to Saccharomyces cerevisiae were produced in hydrothermal pretreatment. Given the high sugar recovery, enzymatic digestibility, and ethanol yield, production of bioethanol by hydrothermal pretreatment could be a promising way of valorization of date palm residues in this region.

  14. Biomechanical and ultrastructural comparison of cryopreservation and a novel cellular extraction of porcine aortic valve leaflets.

    Science.gov (United States)

    Courtman, D W; Pereira, C A; Omar, S; Langdon, S E; Lee, J M; Wilson, G J

    1995-12-01

    Heart valve substitutes of biological origin often fail by degenerative mechanisms. Many authors have hypothesized that mechanical fatigue and structural degradation are instrumental to in vivo failure. Since the properties of the structural matrix at implantation may predetermine failure, we have examined the ultrastructure, fracture, mechanics, and uniaxial high-strain-rate viscoelastic properties of: (1) fresh, (2) cryopreserved, and (3) cellular extracted porcine aortic valve leaflets. The cellular extraction process is being developed in order to reduce immunological attack and calcification. Cryopreservation causes cellular disruption and necrotic changes throughout the tissue, whereas extraction removes all cells and lipid membranes. Both processes leave an intact collagen and elastin structural matrix and preserve the high-strain-rate viscoelastic characteristics of the fresh leaflets. Extraction does cause a 20% reduction in the fracture tension and increases tissue extensibility, with the percent strain at fracture rising to 45.3 +/- 4 (mean +/- SEM) from 31.5 +/- 3 for fresh leaflets. However, extraction does preserve matrix structure and mechanics over the physiological loading range. Glutaraldehyde fixation produces increased extensibility, increased elastic behavior, and, when applied to extracted leaflets, it causes a marked drop in fracture tension, to 50% of that for fresh leaflets. The combination of extraction and fixation may lead to early degenerative failure. The cellular extraction technique alone may be a useful alternative to glutaraldehyde fixation in preparing bioprosthetic heart valves.

  15. PERAN PENYULUHAN DENGAN MENGGUNAKAN LEAFLET TERHADAP PERUBAHAN PENGETAHUAN DAN SIKAP IBU BALITA GIZI KURANG

    Directory of Open Access Journals (Sweden)

    Salimar Salimar

    2012-11-01

    Full Text Available ABSTRACT Background: Nutrition extension is one of the approach efforts to increase knowledge in order to gain good behavior. Through this extension, we expected mother of under five years child would understood and comprehended as well as had a willing and could implement what she was advised, so that she could took care of under five years child with underweight nutrition to become better nutrition. Purpose: To study about the changing of knowledge and attitude of mother with undernourished of under-five years child after got intervention of extension for 3 months of between two groups got leaflet and didn't get leaflet. Methods: This applied research applied quasi experiment research design. Population is mother having undernourished of under five years child and mother age ranges from 18-45 years, totally 176 samples. Group of treatment got extension package for 3 months and given leaflet to be studied in house. Group of control was participated extension package for 3 months, but they weren’t given leaflet, and leaflet was given after this research completed. Results: After followed extension package during 3 months, samples showed improvement for mother’s knowledge as 11.4% in group of treatment and 10.4% in group of control. Statististically by using Chi quadrate test, there were a significance difference (p=0.00 for mother’s knowledge before and after research in both group of research. There is a changing for mother’s attitude in group of treatment as 28.1% and 16.1% in group of control. By using chi square test we found significance difference (p=0,021 on mother’s attitude in group of treatment before and after extension for 3 month, while in group of control there was no significance difference ( p=0.187. Conclusions: Leaflet is one of the supporting facilities which applicable to change knowledge and attitude of mother. There is no difference of mother’s motivation in participating this research. The role of husband and

  16. Study of accessibility and quality of the patient information about medicines in Latvia

    Directory of Open Access Journals (Sweden)

    Ozolina V.

    2012-10-01

    Full Text Available Receipt of adequate amount of accurate patient information on medicines before their use is one of the main cornerstones of the treatment. Without the information medicines cannot be used safely and effectively. Basically, it can be argued that the information is converting the pharmacologically active substance into the medicinal product. Main source of information for patients in Latvia is Package leaflets. Label of medicines and patient information leaflet are drawn up in compliance with regulatory requirements, but for people it is often difficult to understand information contained in the package leaflets due to the complex language. The readability test – introduced as a mandatory requirement for marketing authorization and renewal of marketing authorization of medicines – improves the quality of package leaflets making them more patient “friendly”.

  17. The effectiveness of a pregnancy leaflet to promote health in ...

    African Journals Online (AJOL)

    2014-11-21

    Nov 21, 2014 ... Method: The research design used was a pre-test post-test design. Two samples of 30 ... Self-report data were gathered with a questionnaire based on the leaflet. ..... scenarios for young adults, whether or not they are infected.

  18. INFORMATION CULTURE AND INFORMATION SAFETY OF SCHOOLCHILDREN

    Directory of Open Access Journals (Sweden)

    E. G. Belyakova

    2017-01-01

    Full Text Available Introduction. The article is devoted to the problem of interaction between schoolchildren and possible informational risks transmitted on the Internet. Considering the lack of external filters on the way of harmful information streams, it is actually necessary to develop information culture of schoolchildren, their abilities to sensibly and critically interpret the information on the Internet, and choice of adequate behaviour models surfing the Web. The aim of the present research is to analyze the state of informational safety of schoolchildren while using the Internet; gaining an understanding of the role of external restrictions and opportunities of intrapersonal filtration of the harmful Internet content depending on children age. Methodology and research methods. The methodology of the research is based on modern methods aimed to consider the problem of personal socialization in modern information society. Thus, the Internet Initiatives Development Fund (IIDF questionnaire let the authors define the level of awareness of recipients on the problem under consideration. Results and scientific novelty. The theoretical analysis helped the authors predict the correlation of basic methods in order to guarantee personal safety of schoolchildren taking into account the process of maturity as well as the decrease of external filters that may stop harmful content. Empirical part of the research has enabled to reveal decrease in external control of staying of a child in network in the process of growing up against the background of restrictive attitudes prevalence among teachers and parents. Therefore, the research supposed to improve information culture of schoolchildren from the earliest ages encouraging them to sensibly and correctly interpret the information on the Internet. Practical significance. The practical recommendations to parents and teachers in order to improve informational personal safety of schoolchildren are proposed. The relevancy

  19. Simulation of Blood flow in Different Configurations Design of Bi-leaflet Mechanical Heart Valve

    Science.gov (United States)

    Hafizah Mokhtar, N.; Abas, Aizat

    2018-05-01

    In this work, two different designs of artificial heart valve were devised and then compared by considering the thrombosis, wear and valve orifice to anatomical orifice ratio of each mechanical heart valve. These different design configurations of bi-leaflet mechanical heart valves model are created through the use of Computer-aided design (CAD) modelling and simulated using Computational fluid dynamic (CFD) software. Design 1 is based on existing conventional bi-leaflet valve and design 2 based on modified bi-leaflet respectively. The flow pattern, velocity, vorticity and stress analysis have been done to justify the best design. Based on results, both of the designs show a Doppler velocity index of less than the allowable standard of 2.2 which is safe to be used as replacement of the human heart valve. However, design 2 shows that it has a lower possibility of cavitation issue which will lead to lower thrombosis and provide good central flow area of blood as compared to design 1.

  20. Informed consent in Sri Lanka: A survey among ethics committee members

    Directory of Open Access Journals (Sweden)

    Siriwardhana Chesmal

    2008-05-01

    Full Text Available Abstract Background Approval of the research proposal by an ethical review committee from both sponsoring and host countries is a generally agreed requirement in externally sponsored research. However, capacity for ethics review is not universal. Aim of this study was to identify opinions and views of the members serving in ethical review and ethics committees in Sri Lanka on informed consent, essential components in the information leaflet and the consent form. Methods We obtained ethical approval from UK and Sri Lanka. A series of consensus generation meetings on the protocol were conducted. A task oriented interview guide was developed. The interview was based on open-ended questionnaire. Then the participants were given a WHO checklist on informed consent and requested to rate the items on a three point scale ranging from extremely important to not important. Results Twenty-nine members from ethics committees participated. Majority of participants (23, believed a copy of the information leaflet and consent form, should accompany research proposal. Opinions about the items that should be included in the information leaflets varied. Participants identified 18 criteria as requirements in the information leaflet and 19 for the consent form. The majority, 20 (69%, believed that all research need ethical approval but identified limited human resource, time and inadequate capacity as constraints. Fifteen (52% believed that written consent is not required for all research. Verbal consent emerged as an alternative to written consent. The majority of participants rated all components of the WHO checklist as important. Conclusion The number of themes generated for the consent form (N = 18 is as many as for the information leaflet (N = 19 and had several overlaps. This suggests that the consent form should be itemized to reflect the contents covered in the information leaflet. The participants' opinion on components of the information leaflets and

  1. 40 CFR 68.65 - Process safety information.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Program 3 Prevention Program § 68.65 Process safety... 40 Protection of Environment 15 2010-07-01 2010-07-01 false Process safety information. 68.65... compilation of written process safety information before conducting any process hazard analysis required by...

  2. Randomised cluster trial to support informed parental decision-making for the MMR vaccine

    Directory of Open Access Journals (Sweden)

    Bekker Hilary

    2011-06-01

    Full Text Available Abstract Background In the UK public concern about the safety of the combined measles, mumps and rubella [MMR] vaccine continues to impact on MMR coverage. Whilst the sharp decline in uptake has begun to level out, first and second dose uptake rates remain short of that required for population immunity. Furthermore, international research consistently shows that some parents lack confidence in making a decision about MMR vaccination for their children. Together, this work suggests that effective interventions are required to support parents to make informed decisions about MMR. This trial assessed the impact of a parent-centred, multi-component intervention (balanced information, group discussion, coaching exercise on informed parental decision-making for MMR. Methods This was a two arm, cluster randomised trial. One hundred and forty two UK parents of children eligible for MMR vaccination were recruited from six primary healthcare centres and six childcare organisations. The intervention arm received an MMR information leaflet and participated in the intervention (parent meeting. The control arm received the leaflet only. The primary outcome was decisional conflict. Secondary outcomes were actual and intended MMR choice, knowledge, attitude, concern and necessity beliefs about MMR and anxiety. Results Decisional conflict decreased for both arms to a level where an 'effective' MMR decision could be made one-week (effect estimate = -0.54, p Conclusions Whilst both the leaflet and the parent meeting reduced parents' decisional conflict, the parent meeting appeared to enable parents to act upon their decision leading to vaccination uptake.

  3. Analysis and design on airport safety information management system

    Directory of Open Access Journals (Sweden)

    Yan Lin

    2017-01-01

    Full Text Available Airport safety information management system is the foundation of implementing safety operation, risk control, safety performance monitor, and safety management decision for the airport. The paper puts forward the architecture of airport safety information management system based on B/S model, focuses on safety information processing flow, designs the functional modules and proposes the supporting conditions for system operation. The system construction is helpful to perfecting the long effect mechanism driven by safety information, continually increasing airport safety management level and control proficiency.

  4. Toward introduction of risk informed safety regulation. Nuclear Safety Commission taskforce's interim report

    International Nuclear Information System (INIS)

    2006-01-01

    Nuclear Safety Commission's taskforce on 'Introduction of Safety Regulation Utilizing Risk Information' completed the interim report on its future subjects and directions in December 2005. Although current safety regulatory activities have been based on deterministic approach, this report shows the risk informed approach is expected to be very useful for making nuclear safety regulation and assurance activities reasonable and also for appropriate allocation of regulatory resources. For introduction of risk informed regulation, it also recommends pileups of experiences with gradual introduction and trial of the risk informed approach, improvement of plant maintenance rules and regulatory requirements utilizing risk information, and establishment of framework to assure quality of risk evaluation. (T. Tanaka)

  5. Does different information disclosure on placebo control affect blinding and trial outcomes? A case study of participant information leaflets of randomized placebo-controlled trials of acupuncture

    Directory of Open Access Journals (Sweden)

    Soyeon Cheon

    2018-01-01

    Full Text Available Abstract Background While full disclosure of information on placebo control in participant information leaflets (PILs in a clinical trial is ethically required during informed consent, there have been concerning voices such complete disclosures may increase unnecessary nocebo responses, breach double-blind designs, and/or affect direction of trial outcomes. Taking an example of acupuncture studies, we aimed to examine what participants are told about placebo controls in randomized, placebo-controlled trials, and how it may affect blinding and trial outcomes. Methods Authors of published randomized, placebo-controlled trials of acupuncture were identified from PubMed search and invited to provide PILs for their trials. The collected PILs were subjected to content analysis and categorized based on degree of information disclosure on placebo. Blinding index (BI as a chance-corrected measurement of blinding was calculated and its association with different information disclosure was examined. The impact of different information disclosure from PILs on primary outcomes was estimated using a random effects model. Results In 65 collected PILs, approximately 57% of trials fully informed the participants of placebo control, i.e. full disclosure, while the rest gave deceitful or no information on placebo, i.e. no disclosure. Placebo groups in the studies with no disclosure tended to make more opposite guesses on the type of received intervention than those with disclosure, which may reflect wishful thinking (BI −0.21 vs. −0.16; p = 0.38. In outcome analysis, studies with no disclosure significantly favored acupuncture than those with full disclosure (standardized mean difference − 0.43 vs. −0.12; p = 0.03, probably due to enhanced expectations. Conclusions How participants are told about placebos can be another potential factor that may influence participant blinding and study outcomes by possibly modulating patient expectation. As we

  6. 49 CFR 211.61 - Informal safety inquiries.

    Science.gov (United States)

    2010-10-01

    ... information on selected topics relating to railroad safety. A notice of each such inquiry will be published in... 49 Transportation 4 2010-10-01 2010-10-01 false Informal safety inquiries. 211.61 Section 211.61..., DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE Miscellaneous Safety-Related Proceedings and Inquiries § 211...

  7. Direct type gerbode defect with cleft in anterior mitral leaflet: A rarest of rare combination

    Directory of Open Access Journals (Sweden)

    Rakesh Jain

    2016-01-01

    Full Text Available A 15-year-old boy was evaluated for the new onset of dyspnea. He had no significant medical or surgical history. On echocardiography, he was found to have a direct communication between the left ventricle and the right atrium through the atrioventricular (AV septum (a rare type of Gerbode defect with an associated cleft in the anterior mitral leaflet. The combination of direct type Gerbode defect with the cleft of the anterior mitral leaflet is extremely rare.

  8. Safety Case Development as an Information Modelling Problem

    Science.gov (United States)

    Lewis, Robert

    This paper considers the benefits from applying information modelling as the basis for creating an electronically-based safety case. It highlights the current difficulties of developing and managing large document-based safety cases for complex systems such as those found in Air Traffic Control systems. After a review of current tools and related literature on this subject, the paper proceeds to examine the many relationships between entities that can exist within a large safety case. The paper considers the benefits to both safety case writers and readers from the future development of an ideal safety case tool that is able to exploit these information models. The paper also introduces the idea that the safety case has formal relationships between entities that directly support the safety case argument using a methodology such as GSN, and informal relationships that provide links to direct and backing evidence and to supporting information.

  9. Discussion about risk-informed regulations on the nuclear safety

    International Nuclear Information System (INIS)

    Gu Yeyi

    2008-01-01

    The article introduces the background and status quo of regulations on the nuclear safety in China, and points out the inadequacies existing with the current regulations. The author explains the risk-informed safety management concerning its development, status quo, and achievements made, in an attempt to make out the trend of improving regulations on the nuclear safety through risk-informed methods. Combining the U.S. development program of establishing risk-informed regulations on the nuclear safety, the author narrates principles and features of the new regulations system, and provides suggestions for the promotion of risk-informed safety management and establishment of risk-informed regulations on the nuclear safety. (author)

  10. State Traffic Safety Information

    Data.gov (United States)

    Department of Transportation — The State Traffic Safety Information (STSI) portal is part of the larger Fatality Analysis Reporting System (FARS) Encyclopedia. STSI provides state-by-state traffic...

  11. The enigmatic fast leaflet rotation in Desmodium motorium: butterfly mimicry for defense?

    Science.gov (United States)

    Lev-Yadun, Simcha

    2013-06-01

    I propose that the enigmatic leaflet movements in elliptical circles every few minutes of the Indian telegraph (semaphore) plant Desmodium motorium ( = D. gyrans = Hedysarum gyrans = Codariocalyx motorius), which has intrigued scientists for centuries, is a new type of butterfly or general winged arthropod mimicry by this plant. Such leaflet movement may deceive a passing butterfly searching for an un-occupied site suitable to deposit its eggs, that the plant is already occupied. It may also attract insectivorous birds, reptiles or arthropods to the plant because it looks as if it is harboring a potential prey and while they patrol there, they can find insects or other invertebrates that indeed attack the plant. The possibility that diurnal mammalian herbivores may also be deterred by these movements should not be dismissed.

  12. Patients in need of medicine information.

    Science.gov (United States)

    Kazaryan, I; Sevikyan, A

    2015-01-01

    Reliable medicine information is important not only for physicians and pharmacists, but also for patients [6]. However, the results of studies implemented in some countries show that patients may have slightly different needs and preferences in using sources of information [1, 4, 5, 7]. The main objective of patient medicines information is assisting consumers to achieve safe and effective use of pharmaceuticals [2, 3]. To identify patients' needs in medicine information and sources they use to receive it. We interviewed 1059 people who had visited community pharmacies in 10 regions of Armenia and Yerevan. Previously developed questionnaire was used for interviewing patients. Statistical analysis was conducted using SPSS program. We found that consumers need medicine information. 68.9% of respondents often use pharmaceuticals only if necessary medicines information is available. The majority of them believe that it is important to have information about therapeutic indications of pharmaceuticals to be used (91.8%), their dosage and method of administration (91.1%), contraindications (82.4%), adverse reactions (81.9%) and the simultaneous use of multiple medicines (76.5%). 58.9% of consumers value information about medicine's price. More than 70% of patients often seek information from health professionals and use medicines package information leaflets (PIL), and more than 75% of respondents mainly trust the same sources. 71.5% of respondents read package leaflets, while 42.0% of consumers do this several times. Only 36.7% of respondents completely understand information in a leaflet. Patients in Armenia need medicine information. They prefer to receive information from sources they trust.Many patients do not understand the content of package information leaflets (PILs) due to barriers, which can be removed by introducing appropriate regulatory provisions for their content and readability.

  13. Slovenske elektrarne, Mochovce nuclear power plant. Safety strategy

    International Nuclear Information System (INIS)

    1999-01-01

    In this leaflet the Management's declaration is presented. This declaration contains: operation management and quality assurance, plant commissioning, maintenance and repairs, reactor physics, radiation protection, surveillance programmes, events analyses and experience feed-back, accident management procedures and training, emergency planning and preparedness review of safety performance, human resources, and personnel responsibility

  14. International exchange of safety and licensing information

    International Nuclear Information System (INIS)

    Lafleur, J.D. Jr.; Hauber, R.D.; Chenier, D.M.

    1977-01-01

    A network of formal and informal bilateral arrangements for the exchange of nuclear safety information is being established by the US Nuclear Regulatory Commission. For developing countries such arrangements can provide ready access to the extensive, fully documented safety analyses and safety research results that USNRC has accumulated. USNRC has been receiving foreign visitors at a rate of about 500 per year, largely for discussions of safety and licensing questions related to light water reactors. Exchanges also are taking place on the safety of advanced reactors. A special interest of the USNRC is in providing for reciprocal communication, at the earliest possible time, of important problems, decisions and other actions on nuclear safety matters. For example, it is essential that a newly discovered problem in a nuclear reactor be brought immediately to the attention of other governments that are responsible for the safety of similar reactors. Definite progress has been made in the USA in defining categories of information that USNRC can receive in confidence from foreign countries, and can protect from disclosure under the US Freedom of Information Act. Certain exchanges have taken place on this basis. Experience in the establishment and operation of USNRC's bilateral exchange arrangements is summarized. A typical exchange with the regulatory authority of a country building its first power reactor is described. (author)

  15. International exchange of safety and licensing information

    International Nuclear Information System (INIS)

    Lafleur, J.D. Jr.; Hauber, R.D.; Chenier, D.M.

    1977-01-01

    A network of formal and informal bilateral arrangements for the exchange of nuclear safety information is being established by the U.S. Nuclear Regulatory Commission. For developing countries, such arrangements can provide ready access to the extensive, fully documented safety analyses and safety research results that NRC has accumulated. NRC has been receiving foreign visitors at a rate of about 500 per year, largely for discussions of safety and licensing questions related to light water reactors. Exchanges also are taking place on the safety of advanced reactors. A special interest of the NRC is in providing for reciprocal communicaion, at the earliest possible time, of important problems, decisions and other actions on nuclear safety matters. For example, it is essential that a newly-discovered problem in a nuclear reactor be brought immediately to the attention of other governments which are responsible for the safety of similar reactors. Definite progress has been made in the U.S. Freedom of Information Act. Certain exchanges have taken place on this basis. Experience in the establishment and operation of NRC's bilateral exchange arrangements is summarized. A typical exchange with the regulatory authority of country building its first power reactor is described

  16. Penggunaan VCD dan Leaflet untuk Peningkatan Pengetahuan, Sikap, dan Perilaku Siswa dalam Pencegahan Kecelakaan Sepeda Motor

    Directory of Open Access Journals (Sweden)

    Mulyono Notosiswoyo

    2014-04-01

    Full Text Available Indonesia belum mempunyai kebijakan penyuluhan pencegahan kecelakaan sepeda motor yang efektif. Tujuan penelitian ini adalah menilai efektivitas penggunaan visual compact disk (VCD dan leaflet terhadap peningkatan pengetahuan, sikap dan perilaku siswa SLTA dalam pencegahan kecelakaan sepeda motor di Kota Bekasi pada tahun 2010. Desain penelitian yang digunakan quasi experiment dengan rancangan equivalent pretest and post-test with control group, dengan intervensi pemutaran VCD dan pemberian leaflet. Sampel dihitung berdasarkan uji 2 proporsi, diperoleh sampel minimal 211 untuk yang di intervensi dan 211 untuk kontrol. Mereka diambil dari siswa SLTA kelas I dan kelas II yang sering mengendarai sepeda motor. Evaluasi hasil intervensi dilakukan setelah tiga bulan. Alat pengumpul data adalah kuesioner yang telah diuji coba. Analisis data menggunakan uji Kolmogorov-Smirnov, uji-t berpasangan dan uji-t independen. Hasil penelitian menunjukan uji-t berpasangan pada kelompok yang di intervensi meningkatkan rerata skor pengetahuan, sikap, dan perilaku siswa SLTA sebelum dibandingkan sesudah pemutaran VCD dan pemberian leaflet bermakna (nilai p < 0,05, tetapi pada kelompok kontrol hanya terjadi peningkatan rerata skor perilaku sebelum dibandingkan sesudah adanya perlakukan. Sedangkan, hasil uji-t independen menunjukan hanya pada rerata skor variabel pengetahuan terdapat perbedaan peningkatan skor antara kelompok intervensi dan kelompok kontrol yang bermakna (nilai p < 0,05. Kesimpulannya, penyuluhan menggunakan VCD dan leaflet dapat meningkatkan pengetahuan siswa SLTA dalam pencegahan kecelakaan sepeda motor. Indonesia does not have a policy of promotion motorcycle accident prevention. The purpose of this study was to assess the effectiveness of the Visual Compact Disks and leaflets to increase in knowledge, attitudes and behavior of the motorcycle accident prevention on high school students in Bekasi City. The method used a non-randomized quasi

  17. Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial

    OpenAIRE

    Oesch, Peter; Kool, Jan; Fernandez-Luque, Luis; Brox, Ellen; Evertsen, Gunn; Civit, Anton; Hilfiker, Roger; Bachmann, Stefan

    2017-01-01

    Background Improving mobility in elderly persons is a primary goal in geriatric rehabilitation. Self-regulated exercises with instruction leaflets are used to increase training volume but adherence is often low. Exergames may improve adherence. This study therefore compared exergames with self-regulated exercise using instruction leaflets. The primary outcome was adherence. Secondary outcomes were enjoyment, motivation and balance during walking. Methods Design: single center parallel group n...

  18. Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial.

    OpenAIRE

    Oesch, Peter; Kool, Jan; Fernandez-Luque, Luis; Brox, Ellen; Evertsen, Gunn; Civit, Anton; Hilfiker, Roger; Bachmann, Stefan

    2017-01-01

    BACKGROUND Improving mobility in elderly persons is a primary goal in geriatric rehabilitation. Self-regulated exercises with instruction leaflets are used to increase training volume but adherence is often low. Exergames may improve adherence. This study therefore compared exergames with self-regulated exercise using instruction leaflets. The primary outcome was adherence. Secondary outcomes were enjoyment, motivation and balance during walking. METHODS Design: single center para...

  19. [Consensus on the legibility criteria of health education leaflets].

    Science.gov (United States)

    Barrio-Cantalejo, I; Simón-Lorda, P; Jiménez, M Melguizo; Ruiz, A Molina

    2011-01-01

    To identify the most relevant aspects that guarantee the readability, clarity and simplicity of written health education materials. Delphi methodology in order to reach a state of consensus among health education experts on criteria of legibility in the design and publication of informative material and literature. Seventeen experts reached agreement on the principal recommendations for ensuring the legibility of health education materials. They were as follows: a) text content and layout: to structure the text using a title or subtitle, message explanation and conclusion; b) text construction: to use simple and concise sentences, diagrams and examples, and graphically highlighting the principal ideas; c) lexical comprehension: to use simple words and avoid technical language and abbreviations; d) typography: to use an easy-to-read font. There is a high degree of consensus regarding the way health education materials should be drawn up. This list of recommendations could be used as an instrument for reviewing and improving the design of health education materials. In general, it is recommended to identify the users of the leaflets and involve them in the writing and design.

  20. Sharp incision of the anterior mitral leaflet due to penetrating trauma - Report of a case and long-term follow-up

    NARCIS (Netherlands)

    de Boer, HD; Hamer, HPM; Ebels, T

    A case is described of sharp incision of the anterior leaflet of the mitral valve, due to penetrating trauma to the chest with a knife. The lesion of the mitral leaflet was diagnosed with echocardiography and successfully repaired with autologous pericardial tissue. Follow up after 15 years showed

  1. Getting to the Outer Leaflet: Physiology of Phosphatidylserine Exposure at the Plasma Membrane.

    Science.gov (United States)

    Bevers, Edouard M; Williamson, Patrick L

    2016-04-01

    Phosphatidylserine (PS) is a major component of membrane bilayers whose change in distribution between inner and outer leaflets is an important physiological signal. Normally, members of the type IV P-type ATPases spend metabolic energy to create an asymmetric distribution of phospholipids between the two leaflets, with PS confined to the cytoplasmic membrane leaflet. On occasion, membrane enzymes, known as scramblases, are activated to facilitate transbilayer migration of lipids, including PS. Recently, two proteins required for such randomization have been identified: TMEM16F, a scramblase regulated by elevated intracellular Ca(2+), and XKR8, a caspase-sensitive protein required for PS exposure in apoptotic cells. Once exposed at the cell surface, PS regulates biochemical reactions involved in blood coagulation, and bone mineralization, and also regulates a variety of cell-cell interactions. Exposed on the surface of apoptotic cells, PS controls their recognition and engulfment by other cells. This process is exploited by parasites to invade their host, and in specialized form is used to maintain photoreceptors in the eye and modify synaptic connections in the brain. This review discusses what is known about the mechanism of PS exposure at the surface of the plasma membrane of cells, how actors in the extracellular milieu sense surface exposed PS, and how this recognition is translated to downstream consequences of PS exposure. Copyright © 2016 the American Physiological Society.

  2. Septal Leaflet versus Chordal Detachment in Closure of Hard-To-Expose Ventricular Septal Defects.

    Science.gov (United States)

    Pourmoghadam, Kamal K; Boron, Agnieszka; Ruzmetov, Mark; Narasimhulu, Sukumar Suguna; Kube, Alicia; O'Brien, Michael C; DeCampli, William M

    2018-04-04

    Different techniques have been used for exposure of ventricular septal defect (VSD) margins when there is crowding of the VSD anatomy by tricuspid valve (TV) subvalvar apparatus. The aim of this study was to compare surgical outcomes, for the two techniques of TV leaflet detachment and the rarely described TV chordal detachment for hard-to-expose VSDs. Patients undergoing transatrial VSD repair were identified from our institutional database. Follow-up echocardiography and patient data were obtained from medical records. Between 1/2005-8/2016, 130 isolated conoventricular VSDs were repaired. Among these, 26patients had leaflet detachment, while 15 underwent chordal detachment, and 89 had regular VSD repair (reference group). There was no significant difference between the groups in age, weight, postoperative length-of-stay, genetic/syndromic abnormalities, time-to-extubation, and left and right ventricular systolic function. The cardiopulmonary bypass and cross-clamp time were significantly higher in leaflet detachment group, when compared with reference group (118+28vs102+32, p=0.02; and 73+20vs61+23, p=0.01, respectively). Echocardiographic follow-up were available for 87patients at a mean of 2.6years (1month-11years). Tricuspid regurgitation was rated as none or trivial in 66(76%), mild in 20(23%) and moderate in one reference group patient. There was no difference in presence of residual VSD, or degree of tricuspid regurgitation amongst the three groups. There was no reoperation for tricuspid regurgitation. Tricuspid valve leaflet and chordal detachment techniques provide equally viable and safe alternative to closure of hard-to-expose VSDs while maintaining appropriate TV function. Their use in our series did not lead to increased TV dysfunction at early-to-midterm echocardiographic assessment. Copyright © 2018. Published by Elsevier Inc.

  3. Obstructed bi-leaflet prosthetic mitral valve imaging with real-time three-dimensional transesophageal echocardiography.

    Science.gov (United States)

    Shimbo, Mai; Watanabe, Hiroyuki; Kimura, Shunsuke; Terada, Mai; Iino, Takako; Iino, Kenji; Ito, Hiroshi

    2015-01-01

    Real-time three-dimensional transesophageal echocardiography (RT3D-TEE) can provide unique visualization and better understanding of the relationship among cardiac structures. Here, we report the case of an 85-year-old woman with an obstructed mitral prosthetic valve diagnosed promptly by RT3D-TEE, which clearly showed a leaflet stuck in the closed position. The opening and closing angles of the valve leaflets measured by RT3D-TEE were compatible with those measured by fluoroscopy. Moreover, RT3D-TEE revealed, in the ring of the prosthetic valve, thrombi that were not visible on fluoroscopy. RT3D-TEE might be a valuable diagnostic technique for prosthetic mitral valve thrombosis. © 2014 Wiley Periodicals, Inc.

  4. Statistical summary 1990-91

    International Nuclear Information System (INIS)

    1991-01-01

    The information contained in this statistical summary leaflet summarizes in bar charts or pie charts Nuclear Electric's performance in 1990-91 in the areas of finance, plant and plant operations, safety, commercial operations and manpower. It is intended that the information will provide a basis for comparison in future years. The leaflet also includes a summary of Nuclear Electric's environmental policy statement. (UK)

  5. The impact of health information technology on patient safety

    Directory of Open Access Journals (Sweden)

    Yasser K. Alotaibi

    2017-12-01

    Full Text Available Since the original Institute of Medicine (IOM report was published there has been an accelerated development and adoption of health information technology with varying degrees of evidence about the impact of health information technology on patient safety. This article is intended to review the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes. We conclude that health information technology improves patient’s safety by reducing medication errors, reducing adverse drug reactions, and improving compliance to practice guidelines. There should be no doubt that health information technology is an important tool for improving healthcare quality and safety. Healthcare organizations need to be selective in which technology to invest in, as literature shows that some technologies have limited evidence in improving patient safety outcomes.

  6. The impact of health information technology on patient safety.

    Science.gov (United States)

    Alotaibi, Yasser K; Federico, Frank

    2017-12-01

    Since the original Institute of Medicine (IOM) report was published there has been an accelerated development and adoption of health information technology with varying degrees of evidence about the impact of health information technology on patient safety.  This article is intended to review the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes. We conclude that health information technology improves patient's safety by reducing medication errors, reducing adverse drug reactions, and improving compliance to practice guidelines. There should be no doubt that health information technology is an important tool for improving healthcare quality and safety. Healthcare organizations need to be selective in which technology to invest in, as literature shows that some technologies have limited evidence in improving patient safety outcomes.

  7. Bulas de medicamentos usados por idosos com hipertensão: adequação da informação à regulamentação sanitária e possíveis implicações para a saúde Medication leaflets used by elderly with hypertension: adequacy of information for sanitary regulation and possible implications for health

    Directory of Open Access Journals (Sweden)

    Divaldo Pereira de Lyra Junior

    2010-09-01

    Full Text Available As bulas representam a principal fonte de informação escrita fornecida aos pacientes, especialmente aos idosos. O presente trabalho visou analisar o conteúdo das bulas dos medicamentos frequentemente prescritos para idosos com hipertensão, bem como a sua adequação à regulamentação sanitária e possíveis implicações para a saúde. Foi realizado um estudo descritivo em duas etapas: etapa A, em julho de 2002, e B em julho de 2007. Em cada etapa foram analisadas 34 bulas de sete fármacos anti-hipertensivos que constam na Relação Nacional de Medicamentos Essenciais (2006. Entre as 68 bulas analisadas, a maioria não continha todas as informações exigidas pela Portaria n° 110/1997 na etapa A (89,5% e pela RDC n°140/2003 na B (100%. Alguns itens importantes como via de administração, modo de uso e superdose não constavam em 76% das bulas analisadas. A falta dessas informações é relevante para a segurança dos pacientes. Com base nos dados obtidos, foi possível constatar o não cumprimento da legislação vigente nas duas etapas do estudo. Logo, é necessária maior atuação da Anvisa para assegurar o uso racional dos medicamentos e a redução dos riscos à saúde dos idosos.The medication leaflets represent the main source of written information supplied to the patients, in special to the elderly. This study aimed to analyze the content of the leaflets of drugs often prescribed for elderly people with hypertension, as well as their adequacy to the sanitary regulations and possible health implications. A descriptive study was conducted in two stages: A, in July 2002, and B, in July 2007. In each stage were analyzed 34 medication leaflets of seven antihypertensive drugs of the National Essential Drugs List (2006. Among the 68 leaflets analyzed, most did not contain all the information required by Portaria nº 110/1997 (89.5% in the stage A and the RDC nº 140/2003 (100% in B. In 100% of the leaflets, the legislation had not

  8. 40 CFR 68.48 - Safety information.

    Science.gov (United States)

    2010-07-01

    ...) CHEMICAL ACCIDENT PREVENTION PROVISIONS Program 2 Prevention Program § 68.48 Safety information. (a) The... regulated substances, processes, and equipment: (1) Material Safety Data Sheets that meet the requirements...) Equipment specifications; and (5) Codes and standards used to design, build, and operate the process. (b...

  9. Mass-media information campaigns about road safety. [previously known as: Public information about road safety.

    NARCIS (Netherlands)

    2009-01-01

    In the Netherlands, public information is often used as an instrument to improve road safety. The purpose of each public information campaign is a voluntary and lasting change in traffic behaviour. This requires road users to have sufficient knowledge about a problem and to adapt their behaviour.

  10. Patient safety goals for the proposed Federal Health Information Technology Safety Center.

    Science.gov (United States)

    Sittig, Dean F; Classen, David C; Singh, Hardeep

    2015-03-01

    The Office of the National Coordinator for Health Information Technology is expected to oversee creation of a Health Information Technology (HIT) Safety Center. While its functions are still being defined, the center is envisioned as a public-private entity focusing on promotion of HIT related patient safety. We propose that the HIT Safety Center leverages its unique position to work with key administrative and policy stakeholders, healthcare organizations (HCOs), and HIT vendors to achieve four goals: (1) facilitate creation of a nationwide 'post-marketing' surveillance system to monitor HIT related safety events; (2) develop methods and governance structures to support investigation of major HIT related safety events; (3) create the infrastructure and methods needed to carry out random assessments of HIT related safety in complex HCOs; and (4) advocate for HIT safety with government and private entities. The convening ability of a federally supported HIT Safety Center could be critically important to our transformation to a safe and effective HIT enabled healthcare system. © The Author 2014. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  11. Aviation Safety Hotline Information System -

    Data.gov (United States)

    Department of Transportation — The Aviation Safety Hotline Information System (ASHIS) collects, stores, and retrieves reports submitted by pilots, mechanics, cabin crew, passengers, or the public...

  12. Detection of cholesterol-rich microdomains in the inner leaflet of the plasma membrane

    International Nuclear Information System (INIS)

    Hayashi, Masami; Shimada, Yukiko; Inomata, Mitsushi; Ohno-Iwashita, Yoshiko

    2006-01-01

    The C-terminal domain (D4) of perfringolysin O binds selectively to cholesterol in cholesterol-rich microdomains. To address the issue of whether cholesterol-rich microdomains exist in the inner leaflet of the plasma membrane, we expressed D4 as a fusion protein with EGFP in MEF cells. More than half of the EGFP-D4 expressed in stable cell clones was bound to membranes in raft fractions. Depletion of membrane cholesterol with β-cyclodextrin reduced the amount of EGFP-D4 localized in raft fractions, confirming EGFP-D4 binding to cholesterol-rich microdomains. Subfractionation of the raft fractions showed most of the EGFP-D4 bound to the plasma membrane rather than to intracellular membranes. Taken together, these results strongly suggest the existence of cholesterol-rich microdomains in the inner leaflet of the plasma membrane

  13. The surface microstructure of cusps and leaflets in rabbit and mouse heart valves

    Directory of Open Access Journals (Sweden)

    Xia Ye

    2014-05-01

    Full Text Available In this investigation, scanning electron microscopy was used to characterize the microstructure on the surfaces of animal heart valve cusps/leaflets. The results showed that though these surfaces appear smooth to the naked eye, they are actually comprised of a double hierarchical structure consisting of a cobblestone-like microstructure and nano-cilia along with mastoids with a directional arrangement. Such nanostructures could play a very important role in the hemocompatibility characteristics of heart valves. On this basis, the model of the microstructure was constructed and theoretical analysis was used to obtain optimal geometric parameters for the rough surface of artificial valve cusps/leaflets. This model may help improve reconstructive techniques and it may be beneficial in the design and fabrication of valve substitutes or partial substitutes. Namely, the model may help ameliorate heart valve replacement surgery.

  14. A Network Diffusion Model of Food Safety Scare Behavior considering Information Transparency

    Directory of Open Access Journals (Sweden)

    Tingqiang Chen

    2017-01-01

    Full Text Available This study constructs the network diffusion model of food safety scare behavior under the effect of information transparency and examines the network topology and evolution characteristics of food safety scare behavior in a numerical simulation. The main conclusions of this study are as follows. (1 Under the effect of information transparency, the network degree distribution of food safety scare behavior diffusion demonstrates the decreasing characteristics of diminishing margins. (2 Food safety scare behavior diffusion increases with the information dissemination rate and consumer concern about food safety incidents and shows the characteristics of monotone increasing. And with the increasing of the government food safety supervision information transparency and media food safety supervision information transparency, the whole is declining characteristic of diminishing marginal. In addition, the extinction of food safety scare behavior cannot be achieved gradually given a single regulation of government food safety supervision information transparency and media food safety supervision information transparency. (3 The interaction effects between improving government food safety supervision information transparency or media food safety supervision information transparency and declining consumer concerns about food safety incidents or information transmission rate can engender the suppression of food safety scare behavior diffusion.

  15. A numerical analysis on the curved bileaflet Mechanical Heart Valve (MHV) : leaflet motion and blood flow in an elastic blood vessel

    International Nuclear Information System (INIS)

    Bang, Jin Seok; Kim, Chang Nyung; Choi, Choeng Ryul

    2005-01-01

    In blood flow passing through the Mechanical Heart Valve (MHV) and elastic blood vessel, hemolysis and platelet activation causing thrombus formation can be seen owing to the shear stress in the blood. Also, fracture and deformation of leaflets can be observed depending on the shape and material properties of the leaflets which is opened and closed in a cycle. Hence, comprehensive study is needed on the hemodynamics which is associated with the motion of leaflet and elastic blood vessel in terms of fluid-structure interaction. In this paper, a numerical analysis has been performed for a three-dimensional pulsatile blood flow associated with the elastic blood vessel and curved bileaflet for multiple cycles in light of fluid-structure interaction. From this analysis fluttering phenomenon and rebound of the leaflet have been observed and recirculation and regurgitation have been found in the flow fields of the blood. Also, the pressure distribution and the radial displacement of the elastic blood vessel have been obtained. The motion of the leaflet and flow fields of the blood have shown similar tendency compared with the previous experiments carried out in other studies. The present study can contribute to the design methodology for the curved bileaflet mechanical heart valve. Furthermore, the proposed fluid-structure interaction method will be effectively used in various fields where the interaction between fluid flow and structure are involved

  16. Improving plant state information for better operational safety

    International Nuclear Information System (INIS)

    Girard, C.; Olivier, E.; Grimaldi, X.

    1994-01-01

    Nuclear Power Plant (NPP) safety is strongly dependent on components' reliability and particularly on plant state information reliability. This information, used by the plant operators in order to produce appropriate actions, have to be of a high degree of confidence, especially in accidental conditions where safety is threatened. In this perspective, FRAMATOME, EDF and CEA have started a joint research program to prospect different solutions aiming at a better reliability for critical information needed to safety operate the plant. This paper gives the main results of this program and describes the developments that have been made in order to assess reliability of different information systems used in a Nuclear Power Plant. (Author)

  17. The Fluid Mechanics of Transcatheter Heart Valve Leaflet Thrombosis in the Neosinus.

    Science.gov (United States)

    Midha, Prem A; Raghav, Vrishank; Sharma, Rahul; Condado, Jose F; Okafor, Ikechukwu U; Rami, Tanya; Kumar, Gautam; Thourani, Vinod H; Jilaihawi, Hasan; Babaliaros, Vasilis; Makkar, Raj R; Yoganathan, Ajit P

    2017-10-24

    Transcatheter heart valve (THV) thrombosis has been increasingly reported. In these studies, thrombus quantification has been based on a 2-dimensional assessment of a 3-dimensional phenomenon. Postprocedural, 4-dimensional, volume-rendered CT data of patients with CoreValve, Evolut R, and SAPIEN 3 transcatheter aortic valve replacement enrolled in the RESOLVE study (Assessment of Transcatheter and Surgical Aortic Bioprosthetic Valve Dysfunction With Multimodality Imaging and Its Treatment with Anticoagulation) were included in this analysis. Patients on anticoagulation were excluded. SAPIEN 3 and CoreValve/Evolut R patients with and without hypoattenuated leaflet thickening were included to study differences between groups. Patients were classified as having THV thrombosis if there was any evidence of hypoattenuated leaflet thickening. Anatomic and THV deployment geometries were analyzed, and thrombus volumes were computed through manual 3-dimensional reconstruction. We aimed to identify and evaluate risk factors that contribute to THV thrombosis through the combination of retrospective clinical data analysis and in vitro imaging in the space between the native and THV leaflets (neosinus). SAPIEN 3 valves with leaflet thrombosis were on average 10% further expanded (by diameter) than those without (95.5±5.2% versus 85.4±3.9%; P <0.001). However, this relationship was not evident with the CoreValve/Evolut R. In CoreValve/Evolut Rs with thrombosis, the thrombus volume increased linearly with implant depth ( R 2 =0.7, P <0.001). This finding was not seen in the SAPIEN 3. The in vitro analysis showed that a supraannular THV deployment resulted in a nearly 7-fold decrease in stagnation zone size (velocities <0.1 m/s) when compared with an intraannular deployment. In addition, the in vitro model indicated that the size of the stagnation zone increased as cardiac output decreased. Although transcatheter aortic valve replacement thrombosis is a multifactorial process

  18. Role of LLD, a new locus for leaflet/pinna morphogenesis in Pisum ...

    Indian Academy of Sciences (India)

    Opposite pinnae of rachis nodes often formed fused incompletely developed leaflets. The lld mutation was observed to abort pinna development at almost all morphogenetic stages. The lld mutation demonstrated high penetrance and low expressivity. The phenotypes of lld plants in tl, tac, tl tac, tl af and tl af tac backgrounds ...

  19. Global Communication with Icons : Hotel Safety as an Environmental Context

    OpenAIRE

    Heimbürger, Anneli; Khanom, Sukanya

    2015-01-01

    Icons are small signs with fixed meanings. Icons are usually context specific. For example in the context of a hotel, the client can often find icons in hotel room books and safety guides. Scandic Hotel chain, for example, currently provides the manual for its safety system in 14 languages. There are at least two major shortcomings of this system: (1) in emergency or panic situations, it is very difficult to find your own language from the leaflet, and (2) there are no Asian ...

  20. Poor compliance with child safety restraint use while travelling.

    LENUS (Irish Health Repository)

    Fallon, R

    2011-02-01

    Road traffic accidents are a leading cause of death of children. It is the law that all children should be appropriately secured when traveling in vehicles. The aim of this study was to evaluate parental conformity with these regulations and to test if advice given at a Paediatric outpatient clinic could improve compliance. Two groups were assigned, an intervention group (parents given an information leaflet and a clear explanation about appropriate restraints for their children) and a non-intervention group (received no information). They were contacted again after 2 months and asked regarding compliance. A total of 394 children from 186 families were initially given the questionnaire. Nearly one third of children (29.2%) were not using any restraint while travelling rising to 35.3% on follow up. This study concluded that once off parental education made negligible difference to an already inconsistent and haphazard approach to compliance with safety regulations.

  1. 77 FR 15453 - Pipeline Safety: Information Collection Activities

    Science.gov (United States)

    2012-03-15

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No... information collection titled, ``Gas Pipeline Safety Program Certification and Hazardous Liquid Pipeline... collection request that PHMSA will be submitting to OMB for renewal titled, ``Gas Pipeline Safety Program...

  2. Development of the Advanced Nuclear Safety Information Management (ANSIM) System

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Jae Min; Ko, Young Cheol; Song, Tai Gil [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2012-05-15

    Korea has become a technically independent nuclear country and has grown into an exporter of nuclear technologies. Thus, nuclear facilities are increasing in significance at KAERI (Korea Atomic Energy Research Institute), and it is time to address the nuclear safety. The importance of nuclear safety cannot be overemphasized. Therefore, a management system is needed urgently to manage the safety of nuclear facilities and to enhance the efficiency of nuclear information. We have established ISP (Information Strategy Planning) for the Integrated Information System of nuclear facility and safety management. The purpose of this paper is to develop a management system for nuclear safety. Therefore, we developed the Advanced Nuclear Safety Information Management system (hereinafter referred to as the 'ANSIM system'). The ANSIM system has been designed and implemented to computerize nuclear safety information for standardization, integration, and sharing in real-time. Figure 1 shows the main home page of the ANSIM system. In this paper, we describe the design requirements, contents, configurations, and utilizations of the ANSIM system

  3. Think over nuclear safety. ''Information asymmetry'' and ''comminicative action''

    International Nuclear Information System (INIS)

    Suzuki, Atsuyuki

    2006-01-01

    Nuclear safety should be fully understood not only technically but also socially. In order to think over nuclear safety socially, four different concepts were recommended to refer, which were ''procedural rationality'', information asymmetry'', ''certainty effect'' and ''communicative action'' proposed by three economists and a philosopher respectively. Risk-based communication approach for nuclear safety could be effective within the higher frequency area than safety goal, but not good for the lower frequency area than safety goal. The latter could be highly subjective and more qualitative. For this area, ''safety communication'' would be highly maintained with taking account of existence of ''information asymmetry'' and need of ''communicative action''. (T.Tanaka)

  4. RISK-INFORMED SAFETY MARGIN CHARACTERIZATION

    International Nuclear Information System (INIS)

    Dinh, Nam; Szilard, Ronaldo

    2009-01-01

    The concept of safety margins has served as a fundamental principle in the design and operation of commercial nuclear power plants (NPPs). Defined as the minimum distance between a system's 'loading' and its 'capacity', plant design and operation is predicated on ensuring an adequate safety margin for safety-significant parameters (e.g., fuel cladding temperature, containment pressure, etc.) is provided over the spectrum of anticipated plant operating, transient and accident conditions. To meet the anticipated challenges associated with extending the operational lifetimes of the current fleet of operating NPPs, the United States Department of Energy (USDOE), the Idaho National Laboratory (INL) and the Electric Power Research Institute (EPRI) have developed a collaboration to conduct coordinated research to identify and address the technological challenges and opportunities that likely would affect the safe and economic operation of the existing NPP fleet over the postulated long-term time horizons. In this paper we describe a framework for developing and implementing a Risk-Informed Safety Margin Characterization (RISMC) approach to evaluate and manage changes in plant safety margins over long time horizons

  5. Risk-informed, performance-based safety-security interface

    International Nuclear Information System (INIS)

    Mrowca, B.; Eltawila, F.

    2012-01-01

    Safety-security interface is a term that is used as part of the commercial nuclear power security framework to promote coordination of the many potentially adverse interactions between plant security and plant safety. Its object is to prevent the compromise of either. It is also used to describe the concept of building security into a plant's design similar to the long standing practices used for safety therefore reducing the complexity of the operational security while maintaining or enhancing overall security. With this in mind, the concept of safety-security interface, when fully implemented, can influence a plant's design, operation and maintenance. It brings the approach use for plant security to one that is similar to that used for safety. Also, as with safety, the application of risk-informed techniques to fully implement and integrate safety and security is important. Just as designers and operators have applied these techniques to enhance and focus safety, these same techniques can be applied to security to not only enhance and focus the security but also to aid in the implementation of effective techniques to address the safety-security interfaces. Implementing this safety-security concept early within the design process can prevent or reduce security vulnerabilities through low cost solutions that often become difficult and expensive to retrofit later in the design and/or post construction period. These security considerations address many of the same issues as safety in ensuring that the response of equipment and plant personnel are adequate. That is, both safety and security are focused on reaching safe shutdown and preventing radiological release. However, the initiation of challenges and the progression of actions in response these challenges and even the definitions of safe shutdown can be considerably different. This paper explores the techniques and limitations that are employed to fully implement a risk-informed, safety-security interface

  6. Information systems in food safety management.

    Science.gov (United States)

    McMeekin, T A; Baranyi, J; Bowman, J; Dalgaard, P; Kirk, M; Ross, T; Schmid, S; Zwietering, M H

    2006-12-01

    Information systems are concerned with data capture, storage, analysis and retrieval. In the context of food safety management they are vital to assist decision making in a short time frame, potentially allowing decisions to be made and practices to be actioned in real time. Databases with information on microorganisms pertinent to the identification of foodborne pathogens, response of microbial populations to the environment and characteristics of foods and processing conditions are the cornerstone of food safety management systems. Such databases find application in: Identifying pathogens in food at the genus or species level using applied systematics in automated ways. Identifying pathogens below the species level by molecular subtyping, an approach successfully applied in epidemiological investigations of foodborne disease and the basis for national surveillance programs. Predictive modelling software, such as the Pathogen Modeling Program and Growth Predictor (that took over the main functions of Food Micromodel) the raw data of which were combined as the genesis of an international web based searchable database (ComBase). Expert systems combining databases on microbial characteristics, food composition and processing information with the resulting "pattern match" indicating problems that may arise from changes in product formulation or processing conditions. Computer software packages to aid the practical application of HACCP and risk assessment and decision trees to bring logical sequences to establishing and modifying food safety management practices. In addition there are many other uses of information systems that benefit food safety more globally, including: Rapid dissemination of information on foodborne disease outbreaks via websites or list servers carrying commentary from many sources, including the press and interest groups, on the reasons for and consequences of foodborne disease incidents. Active surveillance networks allowing rapid dissemination

  7. Functional safety of health information technology.

    LENUS (Irish Health Repository)

    Chadwick, Liam

    2012-03-01

    In an effort to improve patient safety and reduce adverse events, there has been a rapid growth in the utilisation of health information technology (HIT). However, little work has examined the safety of the HIT systems themselves, the methods used in their development or the potential errors they may introduce into existing systems. This article introduces the conventional safety-related systems development standard IEC 61508 to the medical domain. It is proposed that the techniques used in conventional safety-related systems development should be utilised by regulation bodies, healthcare organisations and HIT developers to provide an assurance of safety for HIT systems. In adopting the IEC 61508 methodology for HIT development and integration, inherent problems in the new systems can be identified and corrected during their development. Also, IEC 61508 should be used to develop a healthcare-specific standard to allow stakeholders to provide an assurance of a system\\'s safety.

  8. Criticality Safety Information Resource Center Web portal: www.csirc.net

    International Nuclear Information System (INIS)

    Harmon, C.D. II; Jones, T.

    2000-01-01

    The Nuclear Criticality Safety Group (ESH-6) at Los Alamos National Laboratory (LANL) is in the process of collecting and archiving historical and technical information related to nuclear criticality safety from LANL and other facilities. In an ongoing effort, this information is being made available via the Criticality Safety Information Resource Center (CSIRC) web site, which is hosted and maintained by ESH-6 staff. Recently, the CSIRC Web site was recreated as a Web portal that provides the criticality safety community with much more than just archived data

  9. Morphological and mechanical properties of the posterior leaflet chordae tendineae in the mitral valve

    NARCIS (Netherlands)

    Lodder, J.; Verkerke, Gijsbertus Jacob; Delemarre, B.J.M.; Dodou, D.

    2016-01-01

    A number of studies have investigated the morphological and mechanical properties of the chordae tendineae of the mitral valve, providing comparisons between basal, marginal, and strut chordae and between chordae at the anterior and posterior leaflets. This study contributes to the literature by

  10. Morphological and mechanical properties of the posterior leaflet chordae tendineae in the mitral valve

    NARCIS (Netherlands)

    Lodder, Joost; Verkerke, Gijsbertus J.; Delemarre, Ben J. M.; Dodou, Dimitra

    A number of studies have investigated the morphological and mechanical properties of the chordae tendineae of the mitral valve, providing comparisons between basal, marginal, and strut chordae and between chordae at the anterior and posterior leaflets. This study contributes to the literature by

  11. 47 CFR 80.1135 - Transmission of maritime safety information.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Transmission of maritime safety information. 80... RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS) Operating Procedures for Distress and Safety Communications § 80.1135 Transmission of maritime safety...

  12. Tetralogy of Fallot with restrictive ventricular septal defect by accessory tricuspid leaflet tissue

    OpenAIRE

    Mahipat Raj Soni; Deepak A. Bohara; Ajay U. Mahajan; Pratap J. Nathani

    2012-01-01

    In tetralogy of Fallot septal defect is usually large because of malalignment of outlet septum, restrictive defect has been reported rarely. We present a case of tetralogy of Fallot with accessory tricuspid leaflet tissue restricting ventricular septal defect. The report includes echocardiographic and catheter images of this rare presentation of tetralogy of Fallot.

  13. Introduction to forest diseases -- revised edition. Pest leaflet No. FPL 54

    Energy Technology Data Exchange (ETDEWEB)

    Callan, B.E.

    1994-12-31

    This leaflet provides a basic introduction to forest pathology. It includes descriptions of the common types of forest diseases and their causes as well as an outline of modern principles of disease control and investigation. It describes fungus classes associated with tree diseases, fungus anatomy, and examples of diseases caused by fungi; viruses, bacteria, and mycoplasma-like organisms; diseases caused by dwarf mistletoe; and non-infectious agents of disease. A glossary is included.

  14. Mitral valve stenosis caused by abnormal pannus extension over the prosthetic ring and leaflets after Duran ring mitral annuloplasty.

    Science.gov (United States)

    Yunoki, Junji; Minato, Naoki; Katayama, Yuji; Sato, Hisashi

    2009-01-01

    We treated a 61-year-old woman with mitral stenosis caused by pannus formation after Duran ring annuloplasty. Pannus overgrowth on the ring with extension onto both leaflets narrowed the mitral orifice and severely restricted the mobility of the valve leaflets. Mitral valve replacement with a St. Jude Medical mechanical heart valve prosthesis was successfully performed, and the postoperative course was uneventful. Patients undergoing Duran ring annuloplasty should be followed up with the consideration of possible mitral stenosis caused by pannus extension, as the cause for pannus formation remains unclear.

  15. Organizing safety: conditions for successful information assurance programs.

    Science.gov (United States)

    Collmann, Jeff; Coleman, Johnathan; Sostrom, Kristen; Wright, Willie

    2004-01-01

    Organizations must continuously seek safety. When considering computerized health information systems, "safety" includes protecting the integrity, confidentiality, and availability of information assets such as patient information, key components of the technical information system, and critical personnel. "High Reliability Theory" (HRT) argues that organizations with strong leadership support, continuous training, redundant safety mechanisms, and "cultures of high reliability" can deploy and safely manage complex, risky technologies such as nuclear weapons systems or computerized health information systems. In preparation for the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Office of the Assistant Secretary of Defense (Health Affairs), the Offices of the Surgeons General of the United States Army, Navy and Air Force, and the Telemedicine and Advanced Technology Research Center (TATRC), US Army Medical Research and Materiel Command sponsored organizational, doctrinal, and technical projects that individually and collectively promote conditions for a "culture of information assurance." These efforts include sponsoring the "P3 Working Group" (P3WG), an interdisciplinary, tri-service taskforce that reviewed all relevant Department of Defense (DoD), Miliary Health System (MHS), Army, Navy and Air Force policies for compliance with the HIPAA medical privacy and data security regulations; supporting development, training, and deployment of OCTAVE(sm), a self-directed information security risk assessment process; and sponsoring development of the Risk Information Management Resource (RIMR), a Web-enabled enterprise portal about health information assurance.

  16. Application of life-cycle information for advancement in safety of nuclear fuel cycle facilities. Application of safety information to advanced safety management support system

    International Nuclear Information System (INIS)

    Suzuki, Kazuhiko; Ishida, Michihiko

    2005-08-01

    Risk management is major concern to nuclear energy reprocessing plants to improve plant and process reliability and ensure their safety. This is because we are required to predict potential risks before any accident or disaster occurs. The advancement of safety design and safety systems technologies showed large amount of useful safety-related knowledge that can be of great importance to plant operation to reduce operation risks and ensure safety. This research proposes safety knowledge modeling framework on the basis of ontology technologies to systematically construct plant knowledge model, which includes plant structure, operation, and the associated behaviors. In such plant knowledge model safety related information is defined and linked to the different elements of plant knowledge model. Ontology editor is employed to define the basic concepts and their inter-relations, which are used to capture and construct plant safety knowledge. In order to provide detailed safety knowledgebase, HAZOP results are analyzed and structured so that safety-related knowledge are identified and structured within the plant knowledgebase. The target safety knowledgebase includes: failures, deviations, causes, consequences, and fault propagation as mapped to plant knowledge. The proposed ontology-based safety framework is applied on case study nuclear plant to structure failures, causes, consequences, and fault propagation, which are used to support plant operation. (author)

  17. Providing public information in the Slovenian Nuclear Safety Administration

    International Nuclear Information System (INIS)

    Fon Jager, Mojca

    2000-01-01

    Full text: Good safety culture is strongly related to transparent and timely information. Experience has shown that radiation and nuclear safety are under continuous surveillance by the public. The provision of open and authentic information to the public is a fundamental policy of the SNSA. The SNSA endeavors to provide substantial and reliable information to the interested institutions, mass media and to the citizens through press conferences, public statements, media discussions, and active participation in domestic and international meetings, symposia and congresses, through publications, the Internet and direct contacts with the interested public. The SNSA regularly provides information on nuclear safety to the Government, the National Assembly and the citizens of the Republic of Slovenia. The Annual Report on Nuclear and Radiation Safety is published in Poroeevalec (Reporter) - the publication of the National Assembly - in autumn, and is available in public libraries throughout Slovenia. Annual Report is available also on the Internet (http://www.sigov.si/ursjv/uvod.html) in Slovene and English. Access to data of the Central Radiation Early Warning System of Slovenia (CROSS), recording the real time (at half-hour intervals) gamma dose rate levels, is also available through Internet. The report in English is sent every year to Slovenian embassies world-wide, to certain foreign embassies in Slovenia and to other organizations participating in the activities in the nuclear and radiological field. Reports on the SNSA activities are also published in the bulletin Okolje in prostor (Environment and Spatial Planning), published by the Ministry of Environment and Spatial Planning. The SNSA regularly contributes articles on courses, seminars and symposia attended at home and abroad. The articles are intended to give basic information on training and the names of contact persons to provide additional information on certain topics to those interested. More than half of

  18. 75 FR 53733 - Pipeline Safety: Information Collection Activities

    Science.gov (United States)

    2010-09-01

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No. PHMSA-2010-0246] Pipeline Safety: Information Collection Activities AGENCY: Pipeline and Hazardous... liquefied natural gas, hazardous liquid, and gas transmission pipeline systems operated by a company. The...

  19. Food safety: correct information for pregnant women

    Directory of Open Access Journals (Sweden)

    Bartolomeo Griglio

    2013-04-01

    Full Text Available This study was aimed at investigating the knowledge of pregnant women on food safety with particular attention to the effectiveness of the informative material (pamphlet and poster prepared in a previous study. To this scope, a questionnaire composed by 8 questions (Likert scaled was used except for one which was a Y/N question. Themes of the questionnaire were: level of concerns on food safety, and knowledge on foodborne diseases (salomonellosis, toxoplasmosis and listeriosis, risk factors and preventive measures. Results indicate that knowledge increased in respect to that of the previous study, but in relation to informative material previously distributed.

  20. Atomic Information Technology Safety and Economy of Nuclear Power Plants

    CERN Document Server

    Woo, Taeho

    2012-01-01

    Atomic Information Technology revaluates current conceptions of the information technology aspects of the nuclear industry. Economic and safety research in the nuclear energy sector are explored, considering statistical methods which incorporate Monte-Carlo simulations for practical applications. Divided into three sections, Atomic Information Technology covers: • Atomic economics and management, • Atomic safety and reliability, and • Atomic safeguarding and security. Either as a standalone volume or as a companion to conventional nuclear safety and reliability books, Atomic Information Technology acts as a concise and thorough reference on statistical assessment technology in the nuclear industry. Students and industry professionals alike will find this a key tool in expanding and updating their understanding of this industry and the applications of information technology within it.

  1. Interdigitation of long-chain sphingomyelin induces coupling of membrane leaflets in a cholesterol dependent manner

    DEFF Research Database (Denmark)

    Róg, Tomasz; Orłowski, Adam; Llorente, Alicia

    2016-01-01

    It has been a long-standing question how the two leaflets in a lipid bilayer modulate each others' physical properties. In this paper, we discuss how this interaction may take place through interdigitation. We use atomistic molecular dynamics simulations to consider asymmetric lipid membrane mode...

  2. Treatment of severe mitral regurgitation caused by lesions in both leaflets using multiple mitral valve plasty techniques in a small dog

    Directory of Open Access Journals (Sweden)

    Satoko Yokoyama

    2017-11-01

    Full Text Available Mitral valve plasty (MVP is preferred over mitral valve replacement (MVR for mitral regurgitation in humans because of its favorable effect on quality of life. In small dogs, it is difficult to repair multiple lesions in both leaflets using MVP. Herein, we report a case of severe mitral regurgitation caused by multiple severe lesions in the posterior leaflet (PL in a mixed Chihuahua. Initially, we had planned MVR with an artificial valve. However, MVP combined with artificial chordal reconstruction of both leaflets, semicircular suture annuloplasty, and valvuloplasty using a newly devised direct scallop suture for the PL was attempted in this dog. The dog recovered well and showed no adverse cardiac signs, surviving two major operations. The dog died 4 years and 10 months after the MVP due to non-cardiovascular disease. Our additional technique of using a direct scallop suture seemed useful for PL repair involving multiple scallops in a small dog.

  3. Relief of mitral leaflet tethering following chronic myocardial infarction by chordal cutting diminishes left ventricular remodeling.

    Science.gov (United States)

    Messas, Emmanuel; Bel, Alain; Szymanski, Catherine; Cohen, Iris; Touchot, Bernard; Handschumacher, Mark D; Desnos, Michel; Carpentier, Alain; Menasché, Philippe; Hagège, Albert A; Levine, Robert A

    2010-11-01

    one of the key targets in treating mitral regurgitation (MR) is reducing the otherwise progressive left ventricular (LV) remodeling that exacerbates MR and conveys adverse prognosis. We have previously demonstrated that severing 2 second-order chordae to the anterior mitral leaflet relieves tethering and ischemic MR acutely. The purpose of this study was to test whether this technique reduces the progression of LV remodeling in the chronic ischemic MR setting. a posterolateral MI was created in 18 sheep by obtuse marginal branch ligation. After chronic remodeling and MR development at 3 months, 6 sheep were randomized to sham surgery (control group) and 12 to second-order chordal cutting (6 each to anterior leaflet [AntL] and bileaflet [BiL] chordal cutting, techniques that are in clinical application). At baseline, chronic infarction (3 months), and follow-up at a mean of 6.6 months post-myocardial infarction (MI) (euthanasia), we measured LV end-diastolic (EDV) and end-systolic volume (ESV), ejection fraction, wall motion score index, and posterior leaflet (PL) restriction angle relative to the annulus by 2D and 3D echocardiography. All measurements were comparable among groups at baseline and chronic MI. At euthanasia, AntL and BiL chordal cutting limited the progressive remodeling seen in controls. LVESV increased relative to chronic MI by 109±8.7% in controls versus 30.5±6.1% with chordal cutting (Pbenefits have the potential to improve clinical outcomes.

  4. Cyclic stress-strain behavior of polymeric nonwoven structures for the use as artificial leaflet material for transcatheter heart valve prostheses

    Directory of Open Access Journals (Sweden)

    Arbeiter Daniela

    2017-09-01

    Full Text Available Xenogenic leaflet material, bovine and porcine pericardium, is widely used for the fabrication of surgically implanted and transcatheter heart valve prostheses. As a biological material, long term durability of pericardium is limited due to calcification, degeneration and homogeneity. Therefore, polymeric materials represent a promising approach for a next generation of artificial heart valve leaflets with improved durability. Within the current study we analyzed the mechanical performance of polymeric structures based on elastomeric materials. Polymeric cast films were prepared and nonwovens were manufactured in an electrospinning process. Analysis of cyclic stress-strain behavior was performed, using a universal testing machine. The uniaxial cyclic tensile experiments of the elastomeric samples yielded a non-linear elastic response due to viscoelastic behavior with hysteresis. Equilibrium of stress-strain curves was found after a specific number of cycles, for cast films and nonwovens, respectively. In conclusion, preconditioning was found obligatory for the evaluation of the mechanical performance of polymeric materials for the use as artificial leaflet material for heart valve prostheses.

  5. Interleaflet Coupling, Pinning, and Leaflet Asymmetry—Major Players in Plasma Membrane Nanodomain Formation

    Science.gov (United States)

    Fujimoto, Toyoshi; Parmryd, Ingela

    2017-01-01

    The plasma membrane has a highly asymmetric distribution of lipids and contains dynamic nanodomains many of which are liquid entities surrounded by a second, slightly different, liquid environment. Contributing to the dynamics is a continuous repartitioning of components between the two types of liquids and transient links between lipids and proteins, both to extracellular matrix and cytoplasmic components, that temporarily pin membrane constituents. This make plasma membrane nanodomains exceptionally challenging to study and much of what is known about membrane domains has been deduced from studies on model membranes at equilibrium. However, living cells are by definition not at equilibrium and lipids are distributed asymmetrically with inositol phospholipids, phosphatidylethanolamines and phosphatidylserines confined mostly to the inner leaflet and glyco- and sphingolipids to the outer leaflet. Moreover, each phospholipid group encompasses a wealth of species with different acyl chain combinations whose lateral distribution is heterogeneous. It is becoming increasingly clear that asymmetry and pinning play important roles in plasma membrane nanodomain formation and coupling between the two lipid monolayers. How asymmetry, pinning, and interdigitation contribute to the plasma membrane organization is only beginning to be unraveled and here we discuss their roles and interdependence. PMID:28119914

  6. Contribution of mitral valve leaflet length and septal wall thickness to outflow tract obstruction in patients with hypertrophic cardiomyopathy.

    Science.gov (United States)

    Morant, Kareem; Mikami, Yoko; Nevis, Immaculate; McCarty, David; Stirrat, John; Scholl, David; Rajchl, Martin; Giannoccaro, Peter; Kolman, Louis; Heydari, Bobby; Lydell, Carmen; Howarth, Andrew; Grant, Andrew; White, James A

    2017-08-01

    We sought to examine whether elongation of the mitral valve leaflets in patients with hypertrophic cardiomyopathy (HCM) is synergistic to septal wall thickness (SWT) in the development of left ventricular outflow tract obstruction (LVOTO). HCM is a common genetic cardiac disease characterized by asymmetric septal hypertrophy and predisposition towards LVOTO. It has been reported that elongation of the mitral valve leaflets may be a primary phenotypic feature and contribute to LVOTO. However, the relative contribution of this finding versus SWT has not been studied. 152 patients (76 with HCM and 76 non-diseased age, race and BSA-matched controls) and 18 young, healthy volunteers were studied. SWT and the anterior mitral valve leaflet length (AMVLL) were measured using cine MRI. The combined contribution of these variables (SWT × AMVLL) was described as the Septal Anterior Leaflet Product (SALP). Peak LVOT pressure gradient was determined by Doppler interrogation and defined as "obstructive" if ≥ 30 mmHg. Patients with HCM were confirmed to have increased AMVLL compared with controls and volunteers (p SALP were significantly higher in patients with LVOTO (N = 17) versus without. SALP showed modest improvement in predictive accuracy for LVOTO (AUC = 0.81) among the HCM population versus SWT alone (AUC = 0.77). However, in isolated patients this variable identified patients with LVOTO despite modest SWT. Elongation of the AMVLL is a primary phenotypic feature of HCM. While incremental contributions to LVOTO appear modest at a population level, specific patients may have dominant contribution to LVOTO. The combined marker of SALP allows for maintained identification of such patients despite modest increases in SWT.

  7. Collection and accumulation of seismic safety research findings, and considerations for information dissemination

    International Nuclear Information System (INIS)

    2013-01-01

    Seismic Safety Division of JNES is collecting and analyzing the findings of seismic safety research, and is developing a system to organize and disseminate the information internally and internationally. These tasks have been conducted in response to the lessons learned from Fukushima Daiichi NPP accident. The overview of the tasks is as follows; 1) Collection of the knowledge and findings from seismic safety research. JNES collects information on seismic safety researches including the 2011 off the Pacific coast of Tohoku Earthquake. The information is analyzed whether it is important for regulation to increase seismic safety of NPP. 2) Constructing database of seismic safety research. JNES collects information based on documents published by committee and constructs database of active faults around NPP sites in order to incorporate in the seismic safety review. 3) Dissemination of information related to seismic safety. JNES disseminates outcomes of own researches internally and internationally. (author)

  8. Collection and accumulation of seismic safety research findings, and considerations for information dissemination

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    Seismic Safety Division of JNES is collecting and analyzing the findings of seismic safety research, and is developing a system to organize and disseminate the information internally and internationally. These tasks have been conducted in response to the lessons learned from Fukushima Daiichi NPP accident. The overview of the tasks is as follows; 1) Collection of the knowledge and findings from seismic safety research. JNES collects information on seismic safety researches including the 2011 off the Pacific coast of Tohoku Earthquake. The information is analyzed whether it is important for regulation to increase seismic safety of NPP. 2) Constructing database of seismic safety research. JNES collects information based on documents published by committee and constructs database of active faults around NPP sites in order to incorporate in the seismic safety review. 3) Dissemination of information related to seismic safety. JNES disseminates outcomes of own researches internally and internationally. (author)

  9. Initial results of combined anterior mitral leaflet extension and myectomy in patients with obstructive hypertrophic cardiomyopathy

    NARCIS (Netherlands)

    M.J.M. Kofflard (Marcel); L.A. van Herwerden (Lex); D.J. Waldstein; P.N. Ruygrok (Peter); H. Boersma (Eric); M.A. Taams (Meindert); F.J. ten Cate (Folkert)

    1996-01-01

    textabstractObjectives. The purpose of this study was to describe the clinical and functional results of combined anterior mitral leaflet extension and myectomy in patients with hypertrophic obstructive cardiomyopathy. Background. Septal myectomy is the most commonly performed surgical procedure in

  10. Impact of written information on control and adherence in type 2 diabetes.

    Science.gov (United States)

    Caetano, Inês Rosendo Carvalho E Silva; Santiago, Luiz Miguel; Marques, Margarida

    2018-02-01

    Diabetes therapeutic education and information by leaflets is important. This study aimed to understand the effectiveness of written information to diabetic patients, after six months, in the control of diabetes and medication adherence. Non-pharmacological clinical trial. Randomized sample of diabetic patients of 65 volunteer doctors, distributed among the five health regions in Portugal. At the first appointment, patients were randomized in four groups (three intervention with validated leaflets and one control), leaflet reading being reinforced at the follow-up appointments in a 6-months period. Variables collected: HbA1c, home blood glucose, weight, waist circumference, blood pressure, cigarettes smoked, physical activity level, adherence to medication, medication, height, diabetes progression, age, sex and educational background. Descriptive and inferential statistics. From the 709 patients recruited, 702 were studied in this 6-months period with no statistical differences in the baseline variables studied. After six months of intervention, the adherence to medication improved in the leaflet group (p=0.034). This was noticed in those under 65 years of age (p=0.027), with diabetes for ≤ 5 years (p=0.010), with educational background up to 4 years (p=0.030) and 9 years (p=0.006) and with HbA1c ≥ 7% at the beginning of the study. Interventions with leaflets handed in primary healthcare to people with diabetes type 2 can bring benefits in what concerns adherence to therapeutics, namely in younger people with a less studies.

  11. Transactions of the nineteenth water reactor safety information meeting

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1991-10-01

    This report contains summaries of papers on reactor safety research to be presented at the 19th Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel in Bethesda, Maryland, October 28--30, 1991. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, USNRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the Electric Power Research Institute (EPRI), the nuclear industry, and from the governments and industry in Europe and Japan are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting, and are given in the order of their presentation in each session. The individual summaries have been cataloged separately

  12. Safety Psychology Applicating on Coal Mine Safety Management Based on Information System

    Science.gov (United States)

    Hou, Baoyue; Chen, Fei

    In recent years, with the increase of intensity of coal mining, a great number of major accidents happen frequently, the reason mostly due to human factors, but human's unsafely behavior are affected by insecurity mental control. In order to reduce accidents, and to improve safety management, with the help of application security psychology, we analyse the cause of insecurity psychological factors from human perception, from personality development, from motivation incentive, from reward and punishment mechanism, and from security aspects of mental training , and put forward countermeasures to promote coal mine safety production,and to provide information for coal mining to improve the level of safety management.

  13. PERANCANGAN PURWARUPA KOMIK INTERAKTIF SAFETY RIDING BERKONSEP DIGITAL STORYTELLING

    Directory of Open Access Journals (Sweden)

    Godham Eko Saputro

    2016-12-01

    Full Text Available Abstrak Di Indonesia khususnya kota besar, kecelakaan yang disebabkan kendaraan bermotor menjadi persoalan yang serius. Salah satunya disebabkan kurangnya pemahaman tentang safety riding. Berbagai upaya kampanye safety riding pun telah dilaksanakan oleh polisi lalu lintas melalui talkshow, siaran radio, serta media leaflet bagi masyarakat yang dilakukan berulang-ulang. Hal itu mendorong peneliti dalam upaya menemukan strategi baru, salah satunya memanfaatkan perkembangan teknologi yang sangat pesat guna mengembangkan media pendukung kampanye safety riding yang tidak hanya dapat menyampaikan pesan, tetapi juga disukai dan bersifat menghibur. Data diperoleh melalui wawancara, observasi, serta studi literatur sebagai sumber konten purwarupa komik interaktif. Melalui pendekatan digital storytelling dan model komunikasi SMCR serta mengacu pada Penelitian Pengembangan, konsep purwarupa komik interaktif bisa dijabarkan lebih detail serta dapat diimplementasikan dalam perangkat mobile khususnya tablet PC. Diharapkan purwarupa ini dapat dikembangkan lebih lanjut sehingga benar-benar dapat dipublish secara umum sebagai media pendukung kampanye safety riding. Kata Kunci: komik, interaktif, safety riding, digital storytelling Abstract In Indonesia especially in big cities, the accident which caused by rider is still become serious issue. One factor which cause accident is the lack of knowledge about safety riding. A lot of efforts which have been carried by traffic policeman are talkshow, radio broadcast, and leaflet media for public society. On the other hand, it courage the researchers in effort to find new startegy, one of them is using the advance of technology to develop another media campaign which not only can deliver the messages, but also can entertain user. This research is an effort to find unconventional media for safety riding campaign. Data was obtained through interview, observation, and study of literature as sources of content for

  14. MedWatch, the FDA Safety Information and Adverse Event Reporting Program

    Science.gov (United States)

    ... Reporting Program MedWatch: The FDA Safety Information and Adverse Event Reporting Program Share Tweet Linkedin Pin it ... approved information that can help patients avoid serious adverse events. Potential Signals of Serious Risks/New Safety ...

  15. Harwell directory of technology

    International Nuclear Information System (INIS)

    1988-02-01

    The Directory of Technology series of leaflets (10 in this folder) provides comprehensive information on the research and development facilities and expertise available at the Harwell laboratory of the United Kingdom Atomic Energy Authority. Each leaflet covers a field of technology and lists the Business Centres and related customer services offered. The leaflets are Process and Chemical Engineering Technology, Materials Technology, Evaluation and Monitoring Techniques and Instrumentation, Computing Science and Applications, Environmental, Medical and Analytical Sciences, Nuclear Engineering, Reactor Materials Behaviour and Safety Research, Radioactive Waste Management and Disposal, Nuclear Fuels Processing and Isotopes, Major Nuclear research and development facilities. There is a cross-referenced index which provides information to enable contact to be made with the appropriate business centre manager. (U.K.)

  16. Influence of Printed Leaflets on Consumer Purchase Behavior

    Directory of Open Access Journals (Sweden)

    Jan Huml

    2015-01-01

    Full Text Available This article deals with the way customers perceive individual non-direct response printed leaflets and it is simultaneously focused on the question whether this material has any importance in general for customers during their purchase realization. The research is further concerned with the issue of the differences between customers living in family built-up areas and those who are living in residential housing. The research explores the differences related to preferences of various target groups. It identifies whether customers wish to receive printed advertising material into their letter boxes, what sort of media they read and what kinds of assortment are most frequently requested to appear in this form of promotion by customers. Preferences are aggregated by means of data classification based on different criteria and they provide a clue for better orientation in customer thinking.

  17. Managing knowledge and information on nuclear safety

    International Nuclear Information System (INIS)

    Hahn, L.

    2005-01-01

    Described is the management of nuclear safety knowledge through education networks, knowledge pool, sharing, archiving and distributing the knowledge information. Demonstrated is the system used at Gesellschaft fuer Anlagen-und Reaktorsicherheit

  18. Transactions of the twenty-fifth water reactor safety information meeting

    Energy Technology Data Exchange (ETDEWEB)

    Monteleone, S. [comp.

    1997-09-01

    This report contains summaries of papers on reactor safety research to be presented at the 25th Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel in Bethesda, Maryland, October 20--22, 1997. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion of information exchanged during the course of the meeting, and are given in order of their presentation in each session.

  19. Transactions of the twenty-fifth water reactor safety information meeting

    International Nuclear Information System (INIS)

    Monteleone, S.

    1997-09-01

    This report contains summaries of papers on reactor safety research to be presented at the 25th Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel in Bethesda, Maryland, October 20--22, 1997. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion of information exchanged during the course of the meeting, and are given in order of their presentation in each session

  20. Radiation safety research information database

    International Nuclear Information System (INIS)

    Yukawa, Masae; Miyamoto, Kiriko; Takeda, Hiroshi; Kuroda, Noriko; Yamamoto, Kazuhiko

    2004-01-01

    National Institute of Radiological Sciences in Japan began to construct Radiation Safety Research Information Database' in 2001. The research information database is of great service to evaluate the effects of radiation on people by estimating exposure dose by determining radiation and radioactive matters in the environment. The above database (DB) consists of seven DB such as Nirs Air Borne Dust Survey DB, Nirs Environmental Tritium Survey DB, Nirs Environmental Carbon Survey DB, Environmental Radiation Levels, Abe, Metabolic Database for Assessment of Internal Dose, Graphs of Predicted Monitoring Data, and Nirs nuclear installation environment water tritium survey DB. Outline of DB and each DB are explained. (S.Y.)

  1. Information about the control of nuclear safety in France

    International Nuclear Information System (INIS)

    Gerster, D.

    1994-01-01

    The permanent objective of the French Nuclear Safety Authority is the public information about technical controls performed in French nuclear installations. Three publications from the DSIN (Direction of Nuclear Installations Safety) are devoted to this effort: the MAGNUC Minitel magazine, the annual activity report and the CONTROLE magazine. Details about the content of these publications are given. A large part of the information about control of nuclear safety concerns the incidents and accidents and their importance level. A seriousness scale was created in France at the beginning of 1988 and replaced in April 1994 by the very similar International Nuclear Event Scale (INES). Explanation of this scale is given and illustrated with examples of real events and accidents. However, international comparison between incidents and accidents remains delicate because the detailed content of safety reports can change significantly from one country to another. (J.S.). 1 fig

  2. Watchful waiting or induction of labour--a matter of informed choice: identification, analysis and critical appraisal of decision aids and patient information regarding care options for women with uncomplicated singleton late and post term pregnancies: a review.

    Science.gov (United States)

    Berger, Bettina; Schwarz, Christiane; Heusser, Peter

    2015-05-07

    Decision-making during pregnancy regarding different options of care can be difficult, particularly when risks of intervention versus no intervention for mother and baby are unclear. Unbiased information and support for decision making may be beneficial in these situations. The management of normal pregnancies at and beyond term is an example of such a situation. In order to determine the need to develop an evidence-based decision aid this paper searches, analyses and appraises patient decision aids and patient information leaflets regarding care options in cases of late term and post-term pregnancies, including complementary and alternative medicine (CAM). A literature search was carried out in a variety of lay and medical databases. written information related to uncomplicated singleton pregnancies and targeted at lay people. Analysis and appraisal of included material by means of quality criteria was set up based on the International Patient Decision Aid Standards accounting for evidence-basing of CAM options. Inclusion of two decision aids and eleven leaflets from four decision aids and sixteen leaflets. One decision aid met the quality criteria almost completely, the other one only insufficiently despite providing some helpful information. Only one leaflet is of good quality, but cannot substitute a decision aid. There is an urgent need for the design of an evidence-based decision aid of good quality for late-term or post-term pregnancy, particularly in German language.

  3. An Adaptive Information Quantity-Based Broadcast Protocol for Safety Services in VANET

    Directory of Open Access Journals (Sweden)

    Wenjie Wang

    2016-01-01

    Full Text Available Vehicle-to-vehicle communication plays a significantly important role in implementing safe and efficient road traffic. When disseminating safety messages in the network, the information quantity on safety packets changes over time and space. However, most of existing protocols view each packet the same to disseminate, preventing vehicles from collecting more recent and precise safety information. Hence, an information quantity-based broadcast protocol is proposed in this paper to ensure the efficiency of safety messages dissemination. In particular, we propose the concept of emergency-degree to evaluate packets’ information quantity. Then we present EDCast, an emergency-degree-based broadcast protocol. EDCast differentiates each packet’s priority for accessing the channel based on its emergency-degree so as to provide vehicles with more safety information timely and accurately. In addition, an adaptive scheme is presented to ensure fast dissemination of messages in different network condition. We compare the performance of EDCast with those of three other representative protocols in a typical highway scenario. Simulation results indicate that EDCast achieves higher broadcast efficiency and less redundancy with less delivery delay. What we found demonstrates that it is feasible and necessary for incorporating information quantity of messages in designing an efficient safety message broadcast protocol.

  4. Transactions of the Twenty-First Water Reactor Safety Information Meeting

    International Nuclear Information System (INIS)

    Monteleone, S.

    1993-10-01

    This report contains summaries of papers on reactor safety research to be presented at the 21st Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel, Bethesda, Maryland, October 25--27, 1993. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the Electric Power Research Institute (EPRI), the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting and are given in the order of their presentation in each session

  5. Transactions of the Twenty-First Water Reactor Safety Information Meeting

    Energy Technology Data Exchange (ETDEWEB)

    Monteleone, S. [comp.

    1993-10-01

    This report contains summaries of papers on reactor safety research to be presented at the 21st Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel, Bethesda, Maryland, October 25--27, 1993. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the Electric Power Research Institute (EPRI), the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting and are given in the order of their presentation in each session.

  6. Transactions of the twenty-second water reactor safety information meeting

    International Nuclear Information System (INIS)

    1994-10-01

    This report contains summaries of papers on reactor safety research to be presented at the 22nd Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel, Bethesda, Maryland, October 24--26, 1994. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting and are given in the order of their presentation in each session. Individual papers have been cataloged separately

  7. Transactions of the Twentieth Water Reactor Safety Information Meeting

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1992-10-01

    This report contains summaries of papers on reactor safety research to be presented at the 20th Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel in Bethesda, Maryland, October 21--23, 1992. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory Research, USNRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the Electric Power Research Institute (EPRI), the nuclear industry, and from foreign governments and industry are also included

  8. Maintenance of radiation safety information system

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Ho Sun [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of); Park, Moon Il; Chung, Chong Kyu; Lim, Bock Soo; Kim, Hyung Uk; Chang, Kwang Il; Nam, Kwan Hyun; Cho, Hye Ryan [AD center incubation LAB, Taejon (Korea, Republic of)

    2001-12-15

    The objectives of radiation safety information system maintenance are to maintain the requirement of users, change of job process and upgrade of the system performance stably and effectively while system maintenance. We conduct the code of conduct recommended by IAEA, management of radioisotope inventory database systematically using analysis for the state of inventory database integrated in this system. This system and database will be support the regulatory guidance, rule making and information to the MOST, KINS, other regulatory related organization and general public optimizationally.

  9. Posters y trípticos (Brochures) en LATEX con Beamer y Leaflet

    OpenAIRE

    Borbón, Alexánder

    2013-01-01

    Resumen. En este artículo se muestra la manera en que se puede realizar posters y trípticos (panfletos o brochures) con LATEX. Para realizar los posters se utiliza la clase beamer que usualmente se utiliza para hacer presentaciones, se utiliza el paquete beamerposter para poder utilizarla para posters. Los trípticos se realizan de dos formas, la primera utilizando la clase beamer con el paquete geometry y la segunda utilizando la clase leaflet que es una clase especializada para hacer este ti...

  10. An evaluation of the effects of long term cryopreservation, cause of death, and time between death and donation on heart valve leaflet viability

    International Nuclear Information System (INIS)

    Strachan, K.

    1999-01-01

    The protocol for cryopreservation of allograft heart valves at the Donor Tissue Bank of Victoria was based on validation studies on the viability of the heart valve leaflets at the time of processing. The heart block is removed within 24 hours of death and the aor-tic and pulmonary valves trimmed immediately following retrieval. Following this processing, the valves are incubated in antibiotics at 30 degree C for 6 to 8 hours before being frozen in 10% DMSO at a controlled rate. A sample of tricuspid valve leaflet is placed in Krebs solution at the time of trimfning and is used for viability studies. Leaflet viability studies have been perfon-ned on all heart valves retrieved from 1993 to the present day at the Donor Tissue Bank of Victoria. Viability involves a qualitative assessment of the cellular outgrowth by leaflet fibroblasts, this assessment ranging from '-' for no outgrowth to '++++' for maximum outgrowth. Surgeons do not request valves with any particular viability and will use them whether they are viable or not. This evaluation was to determine the effects of long-term cryopreservation, cause of death, and also time lapse of heart removal following death on the viability of the retrieved leaflets. The aim of investigating the effects of long-term cryopreservation was to determine whether there was any correlation between initial viability and viability following storage for several months to several years. It was also decided to investigate whether there was any correlation between time length between death and heart retrieval and the viability. It was also thought that the cause of death may have had an effect on the viability, for example, did death by carbon monoxide poisoning have an effect on the viability of heart valve cells. Heart valves, which had been cryopreserved but could not be transplanted for various reasons were used to study the effects of cryopreservation in this study. These were thawed according to protocol and a sample of the valve

  11. 49 CFR 575.301 - Vehicle Labeling of Safety Rating Information.

    Science.gov (United States)

    2010-10-01

    ... providing them with safety rating information developed by NHTSA in its New Car Assessment Program (NCAP..., as specified at 15 U.S.C. 1231-1233. (2) Safety rating label means the label with NCAP safety rating... has approved an optional NCAP test that will cover that category, the manufacturer may depict vehicles...

  12. Integrated care: an Information Model for Patient Safety and Vigilance Reporting Systems.

    Science.gov (United States)

    Rodrigues, Jean-Marie; Schulz, Stefan; Souvignet, Julien

    2015-01-01

    Quality management information systems for safety as a whole or for specific vigilances share the same information types but are not interoperable. An international initiative tries to develop an integrated information model for patient safety and vigilance reporting to support a global approach of heath care quality.

  13. Design Information from the PSA for Digital Safety-Critical Systems

    International Nuclear Information System (INIS)

    Kang, Hyun Gook; Jang, Seung Cheol

    2005-01-01

    Many safety-critical applications such as nuclear field application usually adopt a similar design strategy for digital safety-critical systems. Their differences from the normal design for the non-safety-critical applications could be summarized as: multiple-redundancy, highly reliable components, strengthened monitoring mechanism, verified software, and automated test procedure. These items are focusing on maintaining the capability to perform the given safety function when it is requested. For the past several decades, probabilistic safety assessment (PSA) techniques are used in the nuclear industry to assess the relative effects of contributing events on plant risk and system reliability. They provide a unifying means of assessing physical faults, recovery processes, contributing effects, human actions, and other events that have a high degree of uncertainty. The applications of PSA provide not only the analysis results of already installed system but also the useful information for the system under design. The information could be derived from the PSA experience of the various safety-critical systems. Thanks to the design flexibility, the digital system is one of the most suitable candidates for risk-informed design (RID). In this article, we will describe the feedbacks for system design and try to develop a procedure for RID. Even though the procedure is not sophisticated enough now, it could be the start point of the further investigation for developing more complete and practical methodology

  14. 77 FR 69899 - Public Conference on Geographic Information Systems (GIS) in Transportation Safety

    Science.gov (United States)

    2012-11-21

    ... NATIONAL TRANSPORTATION SAFETY BOARD Public Conference on Geographic Information Systems (GIS) in... Geographic Information Systems (GIS) in transportation safety on December 4-5, 2012. GIS is a rapidly... visualization of data. The meeting will bring researchers and practitioners in transportation safety and GIS...

  15. Compatibility of Safety Properties and Possibilistic Information Flow Security in MAKS

    OpenAIRE

    Bauereiss , Thomas; Hutter , Dieter

    2014-01-01

    Part 6: Information Flow Control; International audience; Motivated by typical security requirements of workflow management systems, we consider the integrated verification of both safety properties (e.g. separation of duty) and information flow security predicates of the MAKS framework (e.g. modeling confidentiality requirements). Due to the refinement paradox, enforcement of safety properties might violate possibilistic information flow properties of a system. We present an approach where s...

  16. The Criticality Safety Information Resource Center (CSIRC) at Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Henderson, B.D.; Meade, R.A.; Pruvost, N.L.

    1999-01-01

    The Criticality Safety Information Resource Center (CSIRC) at Los Alamos National Laboratory (LANL) is a program jointly funded by the U.S. Department of Energy (DOE) and the U.S. Nuclear Regulatory Commission (NRC) in conjunction with the Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 97-2. The goal of CSIRC is to preserve primary criticality safety documentation from U.S. critical experimental sites and to make this information available for the benefit of the technical community. Progress in archiving criticality safety primary documents at the LANL archives as well as efforts to make this information available to researchers are discussed. The CSIRC project has a natural linkage to the International Criticality Safety Benchmark Evaluation Project (ICSBEP). This paper raises the possibility that the CSIRC project will evolve in a fashion similar to the ICSBEP. Exploring the implications of linking the CSIRC to the international criticality safety community is the motivation for this paper

  17. Thermal analysis and safety information for metal nanopowders by DSC

    Energy Technology Data Exchange (ETDEWEB)

    Tseng, J.M.; Huang, S.T. [Institute of Safety and Disaster Prevention Technology, Central Taiwan University of Science and Technology, 666, Buzih Road, Beitun District, Taichung 40601, Taiwan, ROC (China); Duh, Y.S.; Hsieh, T.Y.; Sun, Y.Y. [Department of Safety Health and Environmental Engineering, National United University, Miaoli, Taiwan, ROC (China); Lin, J.Z. [Institute of Safety and Disaster Prevention Technology, Central Taiwan University of Science and Technology, 666, Buzih Road, Beitun District, Taichung 40601, Taiwan, ROC (China); Wu, H.C. [Institute of Occupational Safety and Health, Council of Labor Affairs, Taipei, Taiwan, ROC (China); Kao, C.S., E-mail: jcsk@nuu.edu.tw [Department of Safety Health and Environmental Engineering, National United University, Miaoli, Taiwan, ROC (China)

    2013-08-20

    Highlights: • Metal nanopowders are common and frequently employed in industry. • Nano iron powder experimental results of T{sub o} were 140–150 °C. • Safety information can benefit relevant metal powders industries. - Abstract: Metal nanopowders are common and frequently employed in industry. Iron is mostly applied in high-performance magnetic materials and pollutants treatment for groundwater. Zinc is widely used in brass, bronze, die casting metal, alloys, rubber, and paints, etc. Nonetheless, some disasters induced by metal powders are due to the lack of related safety information. In this study, we applied differential scanning calorimetry (DSC) and used thermal analysis software to evaluate the related thermal safety information, such as exothermic onset temperature (T{sub o}), peak of temperature (T{sub p}), and heat of reaction (ΔH). The nano iron powder experimental results of T{sub o} were 140–150 °C, 148–158 °C, and 141–149 °C for 15 nm, 35 nm, and 65 nm, respectively. The ΔH was larger than 3900 J/g, 5000 J/g, and 3900 J/g for 15 nm, 35 nm, and 65 nm, respectively. Safety information can benefit the relevant metal powders industries for preventing accidents from occurring.

  18. Preconceptions influence women’s perceptions of information on breast cancer screening

    DEFF Research Database (Denmark)

    Henriksen, Mikael Johannes Vuokko; Guassora, Ann Dorrit Kristiane; Brodersen, John

    2015-01-01

    condensation for our initial analysis, and further analysis was guided by the theory of cognitive dissonance. Results: For our participants, the decision-making process was dominated by the attitudes of the women’s circle of acquaintances and, to a lesser extent, by the information that accompanied...... screening. However, very little attention has been paid to the decision-making process and how the information leaflets are used and understood by women. The aim of this study is twofold. First, we use a theoretical framework to explore how the framing of information influences theintention to participate...... invitation toparticipate in the breast screening programme in Denmark. The selected women received a copy of the official information leaflet 1 week before we interviewed them. The six women were interviewed individually using an interviewguide based on the theory of planned behaviour. We used meaning...

  19. Health and safety information program for hazardous materials

    International Nuclear Information System (INIS)

    O'Brien, M.P.; Fallon, N.J.; Kuehner, A.V.

    1979-01-01

    The system is used as a management tool in several safety and health programs. It is used to: trace the use of hazardous materials and to determine monitoring needs; inform the occupational physician of the potential health problems associated with materials ordered by a given individual; inform the fire and rescue group of hazardous materials in a given building; provide waste disposal recommendations to the hazardous waste management group; assist the hazardous materials shipping coordinator in identifying materials which are regulated by the Department of Transportation; and guide management decisions in the area of recognizing and rectifying unsafe conditions. The information system has been expanded from a manual effort to provide a brief description of health hazards of chemicals used at the lab to a computerized health and safety information system which serves the needs of all personnel who may encounter the material in the course of their work. The system has been designed to provide information needed to control the potential problems associated with a hazardous material up to the time that it is consumed in a given operation or is sent to the waste disposal facility

  20. Opportunities for Using Building Information Modeling to Improve Worker Safety Performance

    Directory of Open Access Journals (Sweden)

    Kasim Alomari

    2017-02-01

    Full Text Available Building information modelling (BIM enables the creation of a digital representation of a designed facility combined with additional information about the project attributes, performance criteria, and construction process. Users of BIM tools point to the ability to visualize the final design along with the construction process as a beneficial feature of using BIM. Knowing the construction process in relationship to a facility’s design benefits both safety professionals when planning worker safety measures for a project and designers when creating a project’s design. Success in using BIM to enhance safety partly depends on the familiarity of project personnel with BIM tools and the extent to which the tools can be used to identify and eliminate safety hazards. In a separate, ongoing study, the authors investigated the connection between BIM and safety to document the opportunities, barriers, and impacts. Utilizing an on-line survey of project engineers who work for construction firms together with a comprehensive literature review, the study found those who use BIM feel that it aids in communication of project information and project delivery, both of which have been found to have positive impacts on construction site safety. Further, utilizing the survey results, the authors apply the binary logistic regression econometric framework to better understand the factors that lead to safety professionals believing that BIM increases safety in the work place. In addition, according to the survey results, a large percentage of the engineers who use BIM feel that ultimately it helps to eliminate safety hazards and improve worker safety. The study findings suggest that improvements in safety performance across the construction industry may be due in part to increased use of BIM in the construction industry.

  1. The challenge of effectively communicating patient safety information.

    Science.gov (United States)

    Hugman, Bruce; Edwards, I Ralph

    2006-07-01

    Rational use of drugs and patient safety are seriously compromised by a lack of good information, education and effective communication at all stages of drug development and use. From animal trials through to dispensing, there are misconceptions and opportunities for error which current methods of drug information communication do not adequately address: they do not provide those responsible for prescribing and dispensing drugs with the data and information they need to pass on complex and often changing messages to patients and the public. The incidence of adverse reactions due to the way drugs are used; the variable impact of regulatory guidelines and warnings on prescribing behaviour; drug scares and crises suggest a great gap between the ideals of the safe use of medicines and the reality in homes, clinics and hospitals around the world. To address these challenges, the authors review the several levels at which safety information is generated and communicated, and examine how, at each stage, the content and its significance, and the method of communication can be improved.

  2. Information need about the safety of the final disposal of nuclear waste. Information receiver's views in Eurajoki, Kuhmo and Aeaenekoski municipalities

    International Nuclear Information System (INIS)

    Hautakangas, H.

    1997-03-01

    The study analyses the public's information need about the safety issues related to the final disposal of spent nuclear fuel generated by the Finnish nuclear power stations. Locals in three municipalities that are studied as possible sites for final disposal were interviewed for the study. Earlier studies made in Finland had indicated that the public's knowledge about safety issues related to the final disposal was almost opposite to the findings of the natural sciences. Also, the public had expressed a wish to receive more information from the safety authority, the Finnish Centre for Radiation and Nuclear Safety (STUK). This study therefore had two basic objectives: To find out what kind of safety information the locals need and what the safety authority's role could be in providing information. The main results show interest and need especially for information concerning the disposal phases taking place on the ground level, such as nuclear waste transportation and encapsulation. Also, the interviews show a clear need and desire for an impartial actor such as STUK in the information and communication process. (author) (107 refs.)

  3. Exchange of information between nuclear safety authorities: Policy of the French regulator

    International Nuclear Information System (INIS)

    Asty, Michel

    2000-01-01

    Full text: The decree setting up the Nuclear Safety Authority in 1973 entrusted it with international assignments whose objectives are still valid: - develop exchanges of information with foreign counterparts on regulatory systems and practices, on problems encountered in the nuclear safety field and on provisions made, with a view to enhancing its approach, and - becoming better acquainted with the actual operating practice of these Safety Authorities from which lessons could be learned for its own working procedures; - improving its position in the technical discussions with the French operators, since its arguments would be strengthened by practical knowledge of conditions abroad; - make known and explain the French approach and practices in the nuclear safety field and provide information on measures taken to deal with the problems encountered. This approach has several objectives: - promote the circulation of information on French positions on certain issues, such as very low level waste, for instance; - assist some countries wishing to create or modify their Nuclear Safety Authority, such as countries of the former USSR, the Central and Eastern European countries, and emerging countries on other continents; - help, when requested, foreign Safety Authorities required to issue permits for nuclear equipment of French origin; - provide the countries concerned with all relevant information on French nuclear installations located near their frontiers. Examples are given on the way the French Nuclear Safety Authority implements these objectives. (author)

  4. Impediments for the application of risk-informed decision making in nuclear safety

    International Nuclear Information System (INIS)

    Hahn, L.

    2001-01-01

    A broad application of risk-informed decision making in the regulation of safety of nuclear power plants is hindered by the lack of quantitative risk and safety standards as well as of precise instruments to demonstrate an appropriate safety. An additional severe problem is associated with the difficulty to harmonize deterministic design requirements and probabilistic safety assessment. The problem is strengthened by the vulnerability of PSA for subjective influences and the potential of misuse. Beside this scepticism the nuclear community is encouraged to intensify the efforts to improve the quality standards for probabilistic safety assessments and their quality assurance. A prerequisite for reliable risk-informed decision making processes is also a well-defined and transparent relationship between deterministic and probabilistic safety approaches. (author)

  5. Lipid diffusion in the distal and proximal leaflets of supported lipid bilayer membranes studied by single particle tracking

    Science.gov (United States)

    Schoch, Rafael L.; Barel, Itay; Brown, Frank L. H.; Haran, Gilad

    2018-03-01

    Supported lipid bilayers (SLBs) have been studied extensively as simple but powerful models for cellular membranes. Yet, potential differences in the dynamics of the two leaflets of a SLB remain poorly understood. Here, using single particle tracking, we obtain a detailed picture of bilayer dynamics. We observe two clearly separate diffusing populations, fast and slow, that we associate with motion in the distal and proximal leaflets of the SLB, respectively, based on fluorescence quenching experiments. We estimate diffusion coefficients using standard techniques as well as a new method based on the blur of images due to motion. Fitting the observed diffusion coefficients to a two-leaflet membrane hydrodynamic model allows for the simultaneous determination of the intermonolayer friction coefficient and the substrate-membrane friction coefficient, without any prior assumptions on the strengths of the relevant interactions. Remarkably, our calculations suggest that the viscosity of the interfacial water confined between the membrane and the substrate is elevated by ˜104 as compared to bulk water. Using hidden Markov model analysis, we then obtain insight into the transbilayer movement of lipids. We find that lipid flip-flop dynamics are very fast, with half times in the range of seconds. Importantly, we find little evidence for membrane defect mediated lipid flip-flop for SLBs at temperatures well above the solid-to-liquid transition, though defects seem to be involved when the SLBs are cooled down. Our work thus shows that the combination of single particle tracking and advanced hydrodynamic modeling provides a powerful means to obtain insight into membrane dynamics.

  6. Designing patient-focused information: an opportunity for communicating anatomically related information.

    Science.gov (United States)

    Evans, Darrell J R

    2008-01-01

    Literature clearly demonstrates that there has been a large increase in the time devoted to teaching oral communication skills within medical curricula worldwide. In contrast, the ability to communicate with patients through written means does not appear to be a feature in many programmes, despite its fundamental importance in creating understanding of medicine within the general population. This article investigates one way patient-centered written communication has been integrated into part of the early training years of medical students using anatomically related material as a focus. Following a series of interactive seminars and debates as part of a student-selected component, students were asked to prepare a patient-focused information leaflet on a particular birth defect. The leaflets included aspects of anatomy and embryology as well as causes of the birth defect, signs and symptoms, treatments, outlook, and support mechanisms. Evaluation of the leaflets using set marking criteria and readability indexes showed that students had successfully targeted the chosen audiences. Feedback showed that the component was rated highly by the students in terms of quality, usefulness, and interest. Students viewed sessions as an excellent forum for appreciating the importance of and developing their own effective written communication skills. It is hoped that such developments will enhance the capacity of all potential doctors to communicate more effectively with patients and colleagues in both the written and spoken form.

  7. Surgical repair of tricuspid valve leaflet tear following percutaneous closure of perimembranous ventricular septal defect using Amplatzer duct occluder I: Report of two cases

    Directory of Open Access Journals (Sweden)

    Saatchi Mahesh Kuwelker

    2017-01-01

    Full Text Available Tricuspid valve (TV injury following transcatheter closure of perimembranous ventricular septal defect (PMVSD with Amplatzer ductal occluder I (ADO I, requiring surgical repair, is rare. We report two cases of TV tear involving the anterior and septal leaflets following PMVSD closure using ADO I. In both the patients, the subvalvular apparatus remained unaffected. The patients presented with severe tricuspid regurgitation (TR 6 weeks and 3 months following the device closure. They underwent surgical repair with patch augmentation of the TV leaflets. Postoperatively, both are asymptomatic with a mild residual TR.

  8. Feedback from incident reporting: information and action to improve patient safety.

    Science.gov (United States)

    Benn, J; Koutantji, M; Wallace, L; Spurgeon, P; Rejman, M; Healey, A; Vincent, C

    2009-02-01

    Effective feedback from incident reporting systems in healthcare is essential if organisations are to learn from failures in the delivery of care. Despite the wide-scale development and implementation of incident reporting in healthcare, studies in the UK suggest that information concerning system vulnerabilities could be better applied to improve operational safety within organisations. In this article, the findings and implications of research to identify forms of effective feedback from incident reporting are discussed, to promote best practices in this area. The research comprised a mixed methods review to investigate mechanisms of effective feedback for healthcare, drawing upon experience within established reporting programmes in high-risk industry and transport domains. Systematic searches of published literature were undertaken, and 23 case studies describing incident reporting programmes with feedback were identified for analysis from the international healthcare literature. Semistructured interviews were undertaken with 19 subject matter experts across a range of domains, including: civil aviation, maritime, energy, rail, offshore production and healthcare. In analysis, qualitative information from several sources was synthesised into practical requirements for developing effective feedback in healthcare. Both action and information feedback mechanisms were identified, serving safety awareness, improvement and motivational functions. The provision of actionable feedback that visibly improved systems was highlighted as important in promoting future reporting. Fifteen requirements for the design of effective feedback systems were identified, concerning: the role of leadership, the credibility and content of information, effective dissemination channels, the capacity for rapid action and the need for feedback at all levels of the organisation, among others. Above all, the safety-feedback cycle must be closed by ensuring that reporting, analysis and

  9. Use of risk information to safety regulation. Fabrication facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    A procedure of ISA (Integrated Safety Analysis) for uranium fuel fabrication/enrichment facilities has been under the development aiming to utilize risk information for safety regulations in this project. Activities in the fiscal year 2012 are summarized in the paper. There are two major activities in the year. First one is a study on ISA procedure for external events such as earthquakes. Second one is that for chemical consequences such as UF6 and HF. Other than the activities a fundamental study on a policy of utilizing risk information was conducted. The outline and results are provided in the chapter 1 and 2 respectively. (author)

  10. Quantifying Safety Margin Using the Risk-Informed Safety Margin Characterization (RISMC)

    Energy Technology Data Exchange (ETDEWEB)

    Grabaskas, David; Bucknor, Matthew; Brunett, Acacia; Nakayama, Marvin

    2015-04-26

    The Risk-Informed Safety Margin Characterization (RISMC), developed by Idaho National Laboratory as part of the Light-Water Reactor Sustainability Project, utilizes a probabilistic safety margin comparison between a load and capacity distribution, rather than a deterministic comparison between two values, as is usually done in best-estimate plus uncertainty analyses. The goal is to determine the failure probability, or in other words, the probability of the system load equaling or exceeding the system capacity. While this method has been used in pilot studies, there has been little work conducted investigating the statistical significance of the resulting failure probability. In particular, it is difficult to determine how many simulations are necessary to properly characterize the failure probability. This work uses classical (frequentist) statistics and confidence intervals to examine the impact in statistical accuracy when the number of simulations is varied. Two methods are proposed to establish confidence intervals related to the failure probability established using a RISMC analysis. The confidence interval provides information about the statistical accuracy of the method utilized to explore the uncertainty space, and offers a quantitative method to gauge the increase in statistical accuracy due to performing additional simulations.

  11. Use of information technologies to contribute for optimizing the safety radiation management in Cuba

    International Nuclear Information System (INIS)

    Valdes Ramos, M.; Prendes Alonso, M.; Hernandez Saiz, A.; Manzano de Armas, J.

    2013-01-01

    This paper presents the results achieved in Cuba, with the development of a group of information management tools to implement radiation safety systemic and proactive approaches to safety and ICT supported. These tools were designed for different organisms with responsibility for the security at the country level, to the regulatory authority, for user entities, for individual monitoring services and other radiation protection services. It describes the philosophy of information management model used, the characteristics of the developed tools and their integration, the work performed for the homogenization of information available and the ability to capture and deliver data at different levels in decision making. The tools developed are based on the use of variables and indicators of importance to the safety and the systemic approach adopted allows to facilitate the optimization process for supervision of safety practices as well as contribute to the management of knowledge in radiation safety, through a synergistic combination of process data, information, information management systems, and the creative and innovative radiation safety experts

  12. THE FORMATION OF THE CONTOUR OF THE DOCUMENTED AND REAL FLIGHT SAFETY IN THE SYSTEM OF THE INFORMATION PROVISION OF SAFETY OF FLIGHTS

    Directory of Open Access Journals (Sweden)

    B. I. Bachkalo

    2015-01-01

    Full Text Available The article discusses the principles and mechanisms of formation of the contour of the real safety of flights and contour of the documented safety, allowing us to obtain information to control fligh safety. The proposed approach can be used in the algorithms of active on-board flight safety management system for the implementation of information support to the crew in flight and automatic control of flight safety.

  13. 75 FR 36615 - Pipeline Safety: Information Collection Gas Distribution Annual Report Form

    Science.gov (United States)

    2010-06-28

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration 49 CFR Part 192 [Docket No. PHMSA-RSPA-2004-19854] Pipeline Safety: Information Collection Gas Distribution Annual Report Form AGENCY: Pipeline and Hazardous Materials Safety Administration (PHMSA), DOT. ACTION: Request...

  14. Patient-Reported Safety Information: A Renaissance of Pharmacovigilance?

    Science.gov (United States)

    Härmark, Linda; Raine, June; Leufkens, Hubert; Edwards, I Ralph; Moretti, Ugo; Sarinic, Viola Macolic; Kant, Agnes

    2016-10-01

    The role of patients as key contributors in pharmacovigilance was acknowledged in the new EU pharmacovigilance legislation. This contains several efforts to increase the involvement of the general public, including making patient adverse drug reaction (ADR) reporting systems mandatory. Three years have passed since the legislation was introduced and the key question is: does pharmacovigilance yet make optimal use of patient-reported safety information? Independent research has shown beyond doubt that patients make an important contribution to pharmacovigilance signal detection. Patient reports provide first-hand information about the suspected ADR and the circumstances under which it occurred, including medication errors, quality failures, and 'near misses'. Patient-reported safety information leads to a better understanding of the patient's experiences of the ADR. Patients are better at explaining the nature, personal significance and consequences of ADRs than healthcare professionals' reports on similar associations and they give more detailed information regarding quality of life including psychological effects and effects on everyday tasks. Current methods used in pharmacovigilance need to optimise use of the information reported from patients. To make the most of information from patients, the systems we use for collecting, coding and recording patient-reported information and the methodologies applied for signal detection and assessment need to be further developed, such as a patient-specific form, development of a severity grading and evolution of the database structure and the signal detection methods applied. It is time for a renaissance of pharmacovigilance.

  15. Report on probabilistic safety assessment (PSA) quality assurance in utilization of risk information

    International Nuclear Information System (INIS)

    2006-12-01

    Recently in Japan, introduction of nuclear safety regulations using risk information such as probabilistic safety assessment (PSA) has been considered and utilization of risk information in the rational and practical measures on safety assurance has made a progress to start with the operation or inspection area. The report compiled results of investigation and studies of PSA quality assurance in risk-informed activities in the USA. Relevant regulatory guide and standard review plan as well as issues and recommendations were reviewed for technical adequacy and advancement of probabilistic risk assessment technology in risk-informed decision making. Useful and important information to be referred as issues in PSA quality assurance was identified. (T. Tanaka)

  16. Nuclear information centre in Zbraslav and its contribution to public information

    Energy Technology Data Exchange (ETDEWEB)

    Dufkova, Marie [Nuclear Information Centre, Prague (Czech Republic)

    1993-07-01

    Aware of the importance of positive work with the public, the Czechoslovak Atomic Energy Commission set the Nuclear Information Centre at Zbraslav the task to develop a public information conception and to commence activities in this field. After 19 89 there appeared the need to put public information on a systematic and active basis. Following a requirement by the Czechoslovak Atomic Energy Commission, developed a 'Public Information Model Concerning the State Surveillance over Nuclear and Radiation Safety'. Actually this was a name for a conception or system of active public relations in the field of nuclear safety, of the role of the State Surveillance, and of low and intermediate level radioactive waste storage facilities. An educational programme is the heart of the entire system. Mass media are a next field through which the public is influenced. This is a very diverse field, comprising dissemination of both general information which the media (nationwide and local) make available to the wide public, and particular information for the top authorities and experts. It is envisaged that relations will be established with selected journalists who are able and willing to inform people about the safety of nuclear facilities and about nuclear wastes in an unbiased manner. Surveys and public opinion polls give unambiguous evidence that television is the most popular of mass media and is also enjoying the highest trust of the public. Cooperation with the radio was also initiated in the late 1992 and two short programmes were broadcast, dealing with a closed low and intermediate level radioactive waste repository in Central Bohemia and with the training reactor at the Faculty of Nuclear Science in Prague. The third major field of public information activities consists in printing and publishing documents. In this field, the Annual Report on the Activities of the State Surveillance over Nuclear Safety has been issued - regrettably, only for a limited group of

  17. Nuclear information centre in Zbraslav and its contribution to public information

    International Nuclear Information System (INIS)

    Dufkova, Marie

    1993-01-01

    Aware of the importance of positive work with the public, the Czechoslovak Atomic Energy Commission set the Nuclear Information Centre at Zbraslav the task to develop a public information conception and to commence activities in this field. After 19 89 there appeared the need to put public information on a systematic and active basis. Following a requirement by the Czechoslovak Atomic Energy Commission, developed a 'Public Information Model Concerning the State Surveillance over Nuclear and Radiation Safety'. Actually this was a name for a conception or system of active public relations in the field of nuclear safety, of the role of the State Surveillance, and of low and intermediate level radioactive waste storage facilities. An educational programme is the heart of the entire system. Mass media are a next field through which the public is influenced. This is a very diverse field, comprising dissemination of both general information which the media (nationwide and local) make available to the wide public, and particular information for the top authorities and experts. It is envisaged that relations will be established with selected journalists who are able and willing to inform people about the safety of nuclear facilities and about nuclear wastes in an unbiased manner. Surveys and public opinion polls give unambiguous evidence that television is the most popular of mass media and is also enjoying the highest trust of the public. Cooperation with the radio was also initiated in the late 1992 and two short programmes were broadcast, dealing with a closed low and intermediate level radioactive waste repository in Central Bohemia and with the training reactor at the Faculty of Nuclear Science in Prague. The third major field of public information activities consists in printing and publishing documents. In this field, the Annual Report on the Activities of the State Surveillance over Nuclear Safety has been issued - regrettably, only for a limited group of

  18. High committee for nuclear safety transparency and information. July 1, 2009 meeting

    International Nuclear Information System (INIS)

    2009-07-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 5 main points: 1 - radioactive waste management: status and steps of the June 28, 2006 law, ANDRA's projects of deep geologic disposal for long living/high-medium activity wastes and of low depth disposal for long living/low activity wastes, French nuclear safety authority (ASN) opinion about the sites choice, implementation of article 10 of the June 28, 2006 law relative to public information; 2 - progress of the working groups' works on transparency and secrecy, on the development of a communication scale, and on the creation of an Internet portal for the radio-ecological follow-up of nuclear sites; 3 - comments of the ASN's report on the nuclear safety and radiation protection in France in 2008; 4 - procedure of management of the radio-physicists shortage in order to warrant the patients' safety and information; 5 - miscellaneous points: project of European directive on nuclear safety, organisation of a visit day onboard of a ship for nuclear materials transportation, comments about the by-law from May 5, 2009, relative to the exemption to informing consumers about the addition of radionuclides to consumption and construction products. (J.S.)

  19. Risk-informed decision making a keystone in advanced safety assessment

    International Nuclear Information System (INIS)

    Reinhart, M.

    2007-01-01

    Probabilistic Safety Assessment (PSA) has provided extremely valuable complementary insight, perspective, comprehension, and balance to deterministic nuclear reactor safety assessment. This integrated approach of risk-informed management and decision making has been called Risk-Informed Decision Making (RIDM). RIDM provides enhanced safety, reliability, operational flexibility, reduced radiological exposure, and improved fiscal economy. Applications of RIDM continuously increase. Current applications are in the areas of design, construction, licensing, operations, and security. Operational phase safety applications include the following: technical specifications improvement, risk-monitors and configuration control, maintenance planning, outage planning and management, in-service inspection, inservice testing, graded quality assurance, reactor oversight and inspection, inspection finding significance determination, operational events assessment, and rulemaking. Interestingly there is a significant spectrum of approaches, methods, programs, controls, data bases, and standards. The quest of many is to assimilate the full compliment of PSA and RIDM information and to achieve a balanced international harmony. The goal is to focus the best of the best, so to speak, for the benefit of all. Accordingly, this presentation will address the principles, benefits, and applications of RIDM. It will also address some of the challenges and areas to improve. Finally it will highlight efforts by the IAEA and others to capture the international thinking, experience, successes, challenges, and lessons in RIDM. (authors)

  20. 10 CFR 52.157 - Contents of applications; technical information in final safety analysis report.

    Science.gov (United States)

    2010-01-01

    ...; technical information in final safety analysis report. The application must contain a final safety analysis... 10 Energy 2 2010-01-01 2010-01-01 false Contents of applications; technical information in final safety analysis report. 52.157 Section 52.157 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) LICENSES...

  1. 10 CFR 52.79 - Contents of applications; technical information in final safety analysis report.

    Science.gov (United States)

    2010-01-01

    ...; technical information in final safety analysis report. (a) The application must contain a final safety... 10 Energy 2 2010-01-01 2010-01-01 false Contents of applications; technical information in final safety analysis report. 52.79 Section 52.79 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) LICENSES...

  2. Risk-informed approaches to assess ecological safety of facilities with radioactive waste

    International Nuclear Information System (INIS)

    Vashchenko, V.N.; Zlochevskij, V.V.; Skalozubov, V.I.

    2011-01-01

    Ingenious risk-informed methods to assess ecological safety of facilities with radioactive waste are proposed in the paper. Probabilistic norms on lethal outcomes and reliability of safety barriers are used as safety criteria. Based on the probability measures, it is established that ecological safety conditions are met for the standard criterion of lethal outcomes

  3. Factors shaping effective utilization of health information technology in urban safety-net clinics.

    Science.gov (United States)

    George, Sheba; Garth, Belinda; Fish, Allison; Baker, Richard

    2013-09-01

    Urban safety-net clinics are considered prime targets for the adoption of health information technology innovations; however, little is known about their utilization in such safety-net settings. Current scholarship provides limited guidance on the implementation of health information technology into safety-net settings as it typically assumes that adopting institutions have sufficient basic resources. This study addresses this gap by exploring the unique challenges urban resource-poor safety-net clinics must consider when adopting and utilizing health information technology. In-depth interviews (N = 15) were used with key stakeholders (clinic chief executive officers, medical directors, nursing directors, chief financial officers, and information technology directors) from staff at four clinics to explore (a) nonhealth information technology-related clinic needs, (b) how health information technology may provide solutions, and (c) perceptions of and experiences with health information technology. Participants identified several challenges, some of which appear amenable to health information technology solutions. Also identified were requirements for effective utilization of health information technology including physical infrastructural improvements, funding for equipment/training, creation of user groups to share health information technology knowledge/experiences, and specially tailored electronic billing guidelines. We found that despite the potential benefit that can be derived from health information technologies, the unplanned and uninformed introduction of these tools into these settings might actually create more problems than are solved. From these data, we were able to identify a set of factors that should be considered when integrating health information technology into the existing workflows of low-resourced urban safety-net clinics in order to maximize their utilization and enhance the quality of health care in such settings.

  4. Information Management of Health and Safety at the Tarkwa Mine of ...

    African Journals Online (AJOL)

    Michael

    2016-06-01

    Jun 1, 2016 ... Information Management of Health and Safety at the Tarkwa ... heap leach technology. ... the quality of information was assessed using the content of information ..... managing library users' expectations; and reference service.

  5. Methods of Certification tests PLC-Networks in Compliance Safety Information

    Directory of Open Access Journals (Sweden)

    A. A. Balaev

    2011-12-01

    Full Text Available The aim of this research was description of the methodology of the audit plc-network to meet the requirements of information security. The technique is based on the provisions of the guidance documents and model FSTEC Russia test object methods of information on safety information.

  6. Towards a new kind of patient information leaflet?

    DEFF Research Database (Denmark)

    Fage-Butler, Antoinette Mary

    There is general consensus amongst patients, academics and regulatory agencies that mandatory PILs, which accompany all medication in the EU, do not communicate effectively with patients. This is problematic as patients have stated that they want to receive information on their medication; they are...... with the interactive situation (Holmström & Röing, 2010), for the medium of print. I performed such a translation by considering the affordances of print as opposed to live interaction, developing the evaluative optic of patient centeredness for texts. The dissertation takes a discursive approach, employing.......g. treatments for rheumatoid arthritis and depression) than for minor, acute, physical conditions (e.g. indigestion and bacterial eye infections). The main practical implication of this finding is that the appropriateness of including greater patient centeredness in PILs seems contingent on the nature...

  7. Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial.

    Science.gov (United States)

    Oesch, Peter; Kool, Jan; Fernandez-Luque, Luis; Brox, Ellen; Evertsen, Gunn; Civit, Anton; Hilfiker, Roger; Bachmann, Stefan

    2017-03-23

    Improving mobility in elderly persons is a primary goal in geriatric rehabilitation. Self-regulated exercises with instruction leaflets are used to increase training volume but adherence is often low. Exergames may improve adherence. This study therefore compared exergames with self-regulated exercise using instruction leaflets. The primary outcome was adherence. Secondary outcomes were enjoyment, motivation and balance during walking. Design: single center parallel group non-blinded randomized controlled trial with central stratified randomization. center for geriatric inpatient rehabilitation. Included were patients over 65 with mobility restrictions who were able to perform self-regulated exercise. Patients were assigned to self-regulated exercise using a) exergames on Windows Kinect® (exergame group EG) or b) instruction leaflets (conventional group CG). During two 30 min sessions physical therapists instructed self-regulated exercise to be conducted twice daily during thirty minutes during ten working days. Patients reported adherence (primary outcome), enjoyment and motivation daily. Balance during walking was measured blind before and after the treatment phase with an accelerometer. Analysis was by intention to treat. Repeated measures mixed models and Cohen's d effect sizes (ES, moderate if >0.5, large if > 0.8) with 95% CIs were used to evaluate between-group effects over time. Alpha was set at 0.05. From June 2014 to December 2015 217 patients were evaluated and 54 included, 26 in the EG and 28 in the CG. Adverse effects were observed in two patients in the EG who stopped because of pain during exercising. Adherence was comparable at day one (38 min. in the EG and 42 min. in the CG) and significantly higher in the CG at day 10 (54 min. in the CG while decreasing to 28 min. in the EG, p = 0.007, ES 0.94, 0.39-0.151). Benefits favoring the CG were also observed for enjoyment (p = 0.001, ES 0.88, 0.32 - 1.44) and motivation (p = 0

  8. Measuring and improving patient safety through health information technology: The Health IT Safety Framework.

    Science.gov (United States)

    Singh, Hardeep; Sittig, Dean F

    2016-04-01

    Health information technology (health IT) has potential to improve patient safety but its implementation and use has led to unintended consequences and new safety concerns. A key challenge to improving safety in health IT-enabled healthcare systems is to develop valid, feasible strategies to measure safety concerns at the intersection of health IT and patient safety. In response to the fundamental conceptual and methodological gaps related to both defining and measuring health IT-related patient safety, we propose a new framework, the Health IT Safety (HITS) measurement framework, to provide a conceptual foundation for health IT-related patient safety measurement, monitoring, and improvement. The HITS framework follows both Continuous Quality Improvement (CQI) and sociotechnical approaches and calls for new measures and measurement activities to address safety concerns in three related domains: 1) concerns that are unique and specific to technology (e.g., to address unsafe health IT related to unavailable or malfunctioning hardware or software); 2) concerns created by the failure to use health IT appropriately or by misuse of health IT (e.g. to reduce nuisance alerts in the electronic health record (EHR)), and 3) the use of health IT to monitor risks, health care processes and outcomes and identify potential safety concerns before they can harm patients (e.g. use EHR-based algorithms to identify patients at risk for medication errors or care delays). The framework proposes to integrate both retrospective and prospective measurement of HIT safety with an organization's existing clinical risk management and safety programs. It aims to facilitate organizational learning, comprehensive 360 degree assessment of HIT safety that includes vendor involvement, refinement of measurement tools and strategies, and shared responsibility to identify problems and implement solutions. A long term framework goal is to enable rigorous measurement that helps achieve the safety

  9. 29 CFR 1960.12 - Dissemination of occupational safety and health program information.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Dissemination of occupational safety and health program... OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Administration § 1960.12 Dissemination of occupational safety and health program information. (a) Copies of the Act, Executive Order 12196, program...

  10. Thirteenth water reactor safety research information meeting: proceedings Volume 1

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1986-02-01

    This six-volume report contains 151 papers out of the 178 that were presented at the Thirteenth Water Reactor Safety Research Information Meeting held at the National Bureau of Standards, Gaithersburg, Maryland, during the week of October 22-25, 1985. The papers are printed in the order of their presentation in each session and describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included thirty-one different papers presented by researchers from Japan, Canada and eight European countries. The title of the papers and the names of the authors have been updated and may differ from those that appeared in the final program of the meeting. This volume presents information on: risk analysis PRA application; severe accident sequence analysis; risk analysis/dependent failure analysis; and industry safety research

  11. Ergosterol is mainly located in the cytoplasmic leaflet of the yeast plasma membrane.

    Science.gov (United States)

    Solanko, Lukasz M; Sullivan, David P; Sere, Yves Y; Szomek, Maria; Lunding, Anita; Solanko, Katarzyna A; Pizovic, Azra; Stanchev, Lyubomir D; Pomorski, Thomas Günther; Menon, Anant K; Wüstner, Daniel

    2018-03-01

    Transbilayer lipid asymmetry is a fundamental characteristic of the eukaryotic cell plasma membrane (PM). While PM phospholipid asymmetry is well documented, the transbilayer distribution of PM sterols such as mammalian cholesterol and yeast ergosterol is not reliably known. We now report that sterols are asymmetrically distributed across the yeast PM, with the majority (~80%) located in the cytoplasmic leaflet. By exploiting the sterol-auxotrophic hem1Δ yeast strain we obtained cells in which endogenous ergosterol was quantitatively replaced with dehydroergosterol (DHE), a closely related fluorescent sterol that functionally and accurately substitutes for ergosterol in vivo. Using fluorescence spectrophotometry and microscopy we found that membrane-impermeant collisional quenchers (spin-labeled phosphatidylcholine and trinitrobenzene sulfonic acid). Efficient quenching was seen only after the cells were disrupted by glass-bead lysis or repeated freeze-thaw to allow quenchers access to the cell interior. The extent of quenching was unaffected by treatments that deplete cellular ATP levels, collapse the PM electrochemical gradient or affect the actin cytoskeleton. However, alterations in PM phospholipid asymmetry in cells lacking phospholipid flippases resulted in a more symmetric transbilayer distribution of sterol. Similarly, an increase in the quenchable pool of DHE was observed when PM sphingolipid levels were reduced by treating cells with myriocin. We deduce that sterols comprise up to ~45% of all inner leaflet lipids in the PM, a result that necessitates revision of current models of the architecture of the PM lipid bilayer. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Patterns of patient safety culture: a complexity and arts-informed project of knowledge translation.

    Science.gov (United States)

    Mitchell, Gail J; Tregunno, Deborah; Gray, Julia; Ginsberg, Liane

    2011-01-01

    The purpose of this paper is to describe patterns of patient safety culture that emerged from an innovative collaboration among health services researchers and fine arts colleagues. The group engaged in an arts-informed knowledge translation project to produce a dramatic expression of patient safety culture research for inclusion in a symposium. Scholars have called for a deeper understanding of the complex interrelationships among structure, process and outcomes relating to patient safety. Four patterns of patient safety culture--blinding familiarity, unyielding determination, illusion of control and dismissive urgency--are described with respect to how they informed creation of an arts-informed project for knowledge translation.

  13. Patient representatives? views on patient information in clinical cancer trials

    OpenAIRE

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    Background Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to provide. We explored patient representatives? views and perceptions on the written trial information used in clinical cancer trials. Methods Written patient information leaflet...

  14. Triple leaflet perforation due to endocarditis in aortic valve complicated by pneumonia and exacerbation of chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Elton Soydan

    2015-09-01

    Full Text Available Valve perforation complicating infective endocarditis has been for decades a bad sign leading to severe valve destruction, intractable heart failure and even death if surgical therapy is not administered in time. Here we present a 57 years old male patient inadvertently diagnosed with pneumonia and chronic obstructive pulmonary disease exacerbation in another hospital. After 20 days of broad spectrum antibiotics and bronchodilator therapy no improvement was achieved. During examination a severe aortic regurgitation was recognized. Immediately after, patient was transferred to our hospital for aortic valve surgery evaluation. Transthorasic echocardiography (TTE showed a severe aortic regurgitation and vegetation like echogenicity over the noncoronary leaflet. An aortic valve replacement surgical therapy was decided. During the aortic valve excision underneath the vegetations, multiple small perforations in all the three leaflets were noticed. The destructed valve was excised and a mechanical aortic prosthesis (St Jude No: 23, MN, USA was successfully replaced. After 14 days of treatment patient was healthily discharged.

  15. Health Information Technology in Healthcare Quality and Patient Safety: Literature Review.

    Science.gov (United States)

    Feldman, Sue S; Buchalter, Scott; Hayes, Leslie W

    2018-06-04

    The area of healthcare quality and patient safety is starting to use health information technology to prevent reportable events, identify them before they become issues, and act on events that are thought to be unavoidable. As healthcare organizations begin to explore the use of health information technology in this realm, it is often unclear where fiscal and human efforts should be focused. The purpose of this study was to provide a foundation for understanding where to focus health information technology fiscal and human resources as well as expectations for the use of health information technology in healthcare quality and patient safety. A literature review was conducted to identify peer-reviewed publications reporting on the actual use of health information technology in healthcare quality and patient safety. Inductive thematic analysis with open coding was used to categorize a total of 41 studies. Three pre-set categories were used: prevention, identification, and action. Three additional categories were formed through coding: challenges, outcomes, and location. This study identifies five main categories across seven study settings. A majority of the studies used health IT for identification and prevention of healthcare quality and patient safety issues. In this realm, alerts, clinical decision support, and customized health IT solutions were most often implemented. Implementation, interface design, and culture were most often noted as challenges. This study provides valuable information as organizations determine where they stand to get the most "bang for their buck" relative to health IT for quality and patient safety. Knowing what implementations are being effectivity used by other organizations helps with fiscal and human resource planning as well as managing expectations relative to cost, scope, and outcomes. The findings from this scan of the literature suggest that having organizational champion leaders that can shepherd implementation, impact culture

  16. Information security as part of the nuclear safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Sitnica, A., E-mail: demetrkj@westinghouse.com [Westinghouse Electric Co., 1000 Westinghouse Drive, Cranberry Township, PA 16066 (United States)

    2016-09-15

    No industry, organization, individual or even the government is immune to the information security risks which are associated with nuclear power. It can no longer be ignored, delayed or treated as unimportant. Nuclear safety is paramount to our industry, and cyber security must be woven into the fabric of our safety culture in order to succeed. Achieving this in an environment which has remained relatively unchanged and conservative prior to digitalisation demands a shift in behavior and culture. (Author)

  17. Information security as part of the nuclear safety culture

    International Nuclear Information System (INIS)

    Sitnica, A.

    2016-09-01

    No industry, organization, individual or even the government is immune to the information security risks which are associated with nuclear power. It can no longer be ignored, delayed or treated as unimportant. Nuclear safety is paramount to our industry, and cyber security must be woven into the fabric of our safety culture in order to succeed. Achieving this in an environment which has remained relatively unchanged and conservative prior to digitalisation demands a shift in behavior and culture. (Author)

  18. Establishing management information system to solve the information management problem of nuclear safety related personnel's qualification management

    International Nuclear Information System (INIS)

    Sun Haipeng; Liu Zhijun; Li Tianshu

    2013-01-01

    With the rapid progress of nuclear energy and nuclear technology utilization, nuclear safety related personnel play an increasingly important role in ensuring nuclear safety. NNSA personnel qualification management information system conducts a multi-faceted, effective, real-time monitoring and information collection for nuclear safety staff practice unit management, knowledge management, license application, appraisal management or supervision, training management or supervision and certified staff management, and also is a milestone for NNSA to build the state department with 'five-feature' (learning-oriented, service-oriented, economical, innovative, clean-type). (authors)

  19. High committee for nuclear safety transparency and information. March 17, 2009 meeting

    International Nuclear Information System (INIS)

    2009-03-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 9 main topics: 1 - presentation by the French nuclear safety authority (ASN) of a dismantling strategy for nuclear facilities, in particular taking into account a final state for the site and the information of populations; 2 - status of the next campaign of iodine tablets distribution; 3 - the management of ancient uranium mines and in particular the long-term environmental and health impact of mine tailings; 4 - the implementation of the high committee's recommendations; 5 - work progress of the working group on information transparency; 6 - Areva's invitation of the working group on information transparency to assist to the organisation of a Mox fuel convoy between Cherbourg and Japan; 7 - progress of the working group on the elaboration of a 'communication scale' comparable to the INES scale; 8 - presentation of the meetings organized by the ANCLI (French national association of local information commissions) about the implementation of the Aarhus convention; 9 - presentation by the IRSN (Institute of radiation protection and nuclear safety) of its communication approach towards the public. (J.S.)

  20. Aggressiveness of Phytophthora infestans on detached potato leaflets in four Nordic countries

    DEFF Research Database (Denmark)

    Lehtinen, A; Andersson, B; Le, V H

    2009-01-01

    differences between the test laboratories for infection efficiency, lesion growth rate and sporulation capacity on detached leaflets. When the laboratory effect was taken into account, the differences in aggressiveness between the countries were generally small or inconsistent between the test cultivars...... and epidemiologically insignificant. By contrast, variation among isolates within countries was substantial. The magnitude of the variation depended on country and cultivar. Maximal variation for the means of the isolates was between 89 and 185 h for latent period, between 100 and 1297 sporangia mm-2 for sporulation...

  1. Food Safety and Nutrition Information for Kids and Teens

    Science.gov (United States)

    ... Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Food Home Food Resources for You Consumers Kids & Teens ... More sharing options Linkedin Pin it Email Print Food Safety & Nutrition Information for Kids and Teens Fun & ...

  2. Twenty-First Water Reaction Safety Information Meeting

    International Nuclear Information System (INIS)

    Monteleone, S.

    1994-04-01

    This three-volume report contains 90 papers out of the 102 that were presented at the Twenty-First Water Reactor Safety Information Meeting held at the Bethesda Marriott Hotel, Bethesda, Maryland, during the week of October 25--27, 1993. The papers are printed in the order of their presentation in each session and describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included papers presented by researchers from France, Germany, Japan, Russia, Switzerland, Taiwan, and United Kingdom. The titles of the papers and the names of the authors have been updated and may differ from those that appeared in the final program of the meeting. Individual papers have been cataloged separately. This document, Volume 2, presents papers on severe accident research

  3. Twenty-First Water Reactor Safety Information Meeting

    International Nuclear Information System (INIS)

    Monteleone, S.

    1994-04-01

    This three-volume report contains 90 papers out of the 102 that were presented at the Twenty-First Water Reactor Safety Information Meeting held at the Bethesda Marriott Hotel, Bethesda, Maryland, during the week of October 25-27, 1993. The papers are printed in the order of their presentation in each session and describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included papers presented by researchers from France, Germany, Japan, Russia, Switzerland, Taiwan, and United Kingdom. The titles of the papers and the names of the authors have been updated and may differ from those that appeared in the final program of the meeting. Selected papers were indexed separately for inclusion in the Energy Science and Technology Database

  4. Standardized System of Nuclear Safety Information for the Promotion of Transparency and Openness

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Gihyung; Kim, Sanghyun; Lee, Gyehwi; Yoon, Yeonhwa; Song, Song Hyerim; Jeong, Jina [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of); Byun, Jaehyung; Seo, Jonghwan [Dong-A Univ., Busan (Korea, Republic of)

    2013-05-15

    There has been an increasing emphasis on the need for increased disclosure of information through the home page of the Korea Institute of Nuclear Safety (KINS), responsible for nuclear safety regulations, and the Nuclear Safety Information Center (NSIC) to enhance public understanding of nuclear safety. However, due to the dazzled structure of the existing KINS and NSIC home pages, improvements in accessibility and convenience are necessary. At the same time, content standardization is required to increase operational efficiency and provide coherent information. In this study, the Delphi method was used to select the major contents to make available on the home page as well as the main user base definition for the home page layout development. Also, internal and external expert groups were created to conduct AHP (Analytic Hierarchy Process) analysis and develop the comparative analysis items for the U. S. Nuclear Regulatory Commission(NRC)/KINS/NSIC home pages. Afterwards, problems and points of improvements for the home page system, design, and profile were derived using heuristic analysis. The implications arising from the Delphi analysis results were applied to the home page layout. In the nuclear safety information standardized system construction process, the comparative analysis conducted using the AHP and heuristic analyses of the NRC home page resulted in deriving improvements for the Guidance, Organization, and Trustworthy items of the KINS/NSIC home page. Furthermore, through the Delphi analysis, a clear purpose and core values were set for the KINS web site, and the needs of the main user base were identified. By developing the home page layout, user interest and utility were raised to improve the organization method and layout. Through this study, KINS was able to construct a nuclear safety information standardized system and increase transparency and openness by providing feature enhancements in information provision as well as user accessibility and

  5. Standardized System of Nuclear Safety Information for the Promotion of Transparency and Openness

    International Nuclear Information System (INIS)

    Lee, Gihyung; Kim, Sanghyun; Lee, Gyehwi; Yoon, Yeonhwa; Song, Song Hyerim; Jeong, Jina; Byun, Jaehyung; Seo, Jonghwan

    2013-01-01

    There has been an increasing emphasis on the need for increased disclosure of information through the home page of the Korea Institute of Nuclear Safety (KINS), responsible for nuclear safety regulations, and the Nuclear Safety Information Center (NSIC) to enhance public understanding of nuclear safety. However, due to the dazzled structure of the existing KINS and NSIC home pages, improvements in accessibility and convenience are necessary. At the same time, content standardization is required to increase operational efficiency and provide coherent information. In this study, the Delphi method was used to select the major contents to make available on the home page as well as the main user base definition for the home page layout development. Also, internal and external expert groups were created to conduct AHP (Analytic Hierarchy Process) analysis and develop the comparative analysis items for the U. S. Nuclear Regulatory Commission(NRC)/KINS/NSIC home pages. Afterwards, problems and points of improvements for the home page system, design, and profile were derived using heuristic analysis. The implications arising from the Delphi analysis results were applied to the home page layout. In the nuclear safety information standardized system construction process, the comparative analysis conducted using the AHP and heuristic analyses of the NRC home page resulted in deriving improvements for the Guidance, Organization, and Trustworthy items of the KINS/NSIC home page. Furthermore, through the Delphi analysis, a clear purpose and core values were set for the KINS web site, and the needs of the main user base were identified. By developing the home page layout, user interest and utility were raised to improve the organization method and layout. Through this study, KINS was able to construct a nuclear safety information standardized system and increase transparency and openness by providing feature enhancements in information provision as well as user accessibility and

  6. Safety Requirements and Modern Technical Requirements in Human Information Systems in Amman Hotels

    OpenAIRE

    Farouq Ahmad Alazzam; Sattam Rakan Allahawiah; Mohammad Nayef Alsarayreh; Kafa Hmoud Abdallah al Nawaiseh

    2015-01-01

    This study aimed to demonstrate the availability of Safety requirements and modern technical requirements in human information systems in Amman hotels. an the most important results of this study is the availability of security and safety requirements in human information systems In Amman hotels and The adequacy of the information that it provided .and show that all departments are not connected by appropriate and effective communication networks in adequate form . Also sophisticated operatin...

  7. Riding on air: critical safety information for you and your tires

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This booklet is issued for public distribution by Transport Canada. It provides a few simple tips concerning automobile tire safety which, if followed, is expected to result in increased personal and vehicle safety, improved fuel economy, prolonged tire life, energy savings and reduced environmental pollution. The information provided include tips about tire pressure, tire inspection for damage and wear, rotation of tires for more even wear, replacing worn tires, the advantages of using snow tires in winter and an explanation of the meaning of the information found on the tire sidewall.

  8. A risk-informed perspective on deterministic safety analysis of nuclear power plants

    International Nuclear Information System (INIS)

    Wan, P.T.

    2009-01-01

    In this work, the deterministic safety analysis (DSA) approach to nuclear safety is examined from a risk-informed perspective. One objective of safety analysis of a nuclear power plant is to demonstrate via analysis that the risks to the public from events or accidents that are within the design basis of the power plant are within acceptable levels with a high degree of assurance. This nuclear safety analysis objective can be translated into two requirements on the risk estimates of design basis events or accidents: the nominal risk estimate to the public must be shown to be within acceptable levels, and the uncertainty in the risk estimates must be shown to be small on an absolute or relative basis. The DSA approach combined with the defense-in-depth (DID) principle is a simplified safety analysis approach that attempts to achieve the above safety analysis objective in the face of potentially large uncertainties in the risk estimates of a nuclear power plant by treating the various uncertainty contributors using a stylized conservative binary (yes-no) approach, and applying multiple overlapping physical barriers and defense levels to protect against the release of radioactivity from the reactor. It is shown that by focusing on the consequence aspect of risk, the previous two nuclear safety analysis requirements on risk can be satisfied with the DSA-DID approach to nuclear safety. It is also shown the use of multiple overlapping physical barriers and defense levels in the traditional DSA-DID approach to nuclear safety is risk-informed in the sense that it provides a consistently high level of confidence in the validity of the safety analysis results for various design basis events or accidents with a wide range of frequency of occurrence. It is hoped that by providing a linkage between the consequence analysis approach in DSA with a risk-informed perspective, greater understanding of the limitation and capability of the DSA approach is obtained. (author)

  9. Preliminary safety information document for the standard MHTGR. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    None

    1986-01-01

    This report contains information concerning: operational radionuclide control; occupational radiation protection, conduct of operations; initial test program; safety analysis; technical specifications; and quality assurance. (JDB)

  10. Evaluating and Predicting Patient Safety for Medical Devices With Integral Information Technology

    Science.gov (United States)

    2005-01-01

    323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R...errors are due to inappropriate designs for user interactions, rather than mechanical failures. Evaluating and predicting patient safety in medical ...the users on the identified trouble spots in the devices. We developed two methods for evaluating and predicting patient safety in medical devices

  11. An approach for risk informed safety culture assessment for Canadian nuclear power stations

    International Nuclear Information System (INIS)

    Nelson, W.R.

    2010-01-01

    One of the most important components of effective safety and risk management for nuclear power stations is a healthy safety culture. DNV has developed an approach for risk informed safety culture assessment that combines two complementary paradigms for safety and risk management: loss prevention - for preventing and intervening in accidents; and critical function management - for achieving safety and performance goals. Combining these two paradigms makes it possible to provide more robust systems for safety management and to support a healthy safety culture. This approach is being applied to safety culture assessment in partnership with a Canadian nuclear utility. (author)

  12. Development of a Safety Assessment Information System for the Management of Periodic Safety Assessment Activities

    International Nuclear Information System (INIS)

    Song, Tae Young

    2007-01-01

    At present, the 10-year Periodic Safety Review(PSR) has been performing to confirm all the aspects of safety issues for all the operating plants in compliance with domestic nuclear law of article 23, subarticle 3. For each plant, in addition, Probabilistic Safety Assessment(PSA) and Severe Accident Management Guideline(SAMG) are being implemented and revised periodically to reflect the latest safety level according to principle fulfillment of severe accident policy statement. The assessment reports, as one of outcomes from these activities, are submitted into and reviewed by domestic regulatory body. During reviewing (in-office duty) and licensing (regulatory duty) process, a large number of outcomes of which most are the formal technical reports and licensing materials, are inevitably produced. Moreover, repeated review process over the plants can make them accumulated and produce a variety of documents additionally. This circumstance motivates to develop effective tool or system for the management of these reports and related technical documents for the future use in licensing process and for subsequent plant assessments. This paper presents the development status of Safety Assessment Information System(SAIS) which manages safety-related documents of PSR, PSA and SAMG for practical use for experienced engineers in charge of these areas

  13. Development of a Safety Assessment Information System for the Management of Periodic Safety Assessment Activities

    Energy Technology Data Exchange (ETDEWEB)

    Song, Tae Young [Nuclear Engineering and Technology Institute, Daejeon (Korea, Republic of)

    2007-07-01

    At present, the 10-year Periodic Safety Review(PSR) has been performing to confirm all the aspects of safety issues for all the operating plants in compliance with domestic nuclear law of article 23, subarticle 3. For each plant, in addition, Probabilistic Safety Assessment(PSA) and Severe Accident Management Guideline(SAMG) are being implemented and revised periodically to reflect the latest safety level according to principle fulfillment of severe accident policy statement. The assessment reports, as one of outcomes from these activities, are submitted into and reviewed by domestic regulatory body. During reviewing (in-office duty) and licensing (regulatory duty) process, a large number of outcomes of which most are the formal technical reports and licensing materials, are inevitably produced. Moreover, repeated review process over the plants can make them accumulated and produce a variety of documents additionally. This circumstance motivates to develop effective tool or system for the management of these reports and related technical documents for the future use in licensing process and for subsequent plant assessments. This paper presents the development status of Safety Assessment Information System(SAIS) which manages safety-related documents of PSR, PSA and SAMG for practical use for experienced engineers in charge of these areas.

  14. NASA Aviation Safety Program Weather Accident Prevention/weather Information Communications (WINCOMM)

    Science.gov (United States)

    Feinberg, Arthur; Tauss, James; Chomos, Gerald (Technical Monitor)

    2002-01-01

    Weather is a contributing factor in approximately 25-30 percent of general aviation accidents. The lack of timely, accurate and usable weather information to the general aviation pilot in the cockpit to enhance pilot situational awareness and improve pilot judgment remains a major impediment to improving aviation safety. NASA Glenn Research Center commissioned this 120 day weather datalink market survey to assess the technologies, infrastructure, products, and services of commercial avionics systems being marketed to the general aviation community to address these longstanding safety concerns. A market survey of companies providing or proposing to provide graphical weather information to the general aviation cockpit was conducted. Fifteen commercial companies were surveyed. These systems are characterized and evaluated in this report by availability, end-user pricing/cost, system constraints/limits and technical specifications. An analysis of market survey results and an evaluation of product offerings were made. In addition, recommendations to NASA for additional research and technology development investment have been made as a result of this survey to accelerate deployment of cockpit weather information systems for enhancing aviation safety.

  15. Memorandum on the use of information technology to improve medication safety.

    Science.gov (United States)

    Ammenwerth, E; Aly, A-F; Bürkle, T; Christ, P; Dormann, H; Friesdorf, W; Haas, C; Haefeli, W E; Jeske, M; Kaltschmidt, J; Menges, K; Möller, H; Neubert, A; Rascher, W; Reichert, H; Schuler, J; Schreier, G; Schulz, S; Seidling, H M; Stühlinger, W; Criegee-Rieck, M

    2014-01-01

    Information technology in health care has a clear potential to improve the quality and efficiency of health care, especially in the area of medication processes. On the other hand, existing studies show possible adverse effects on patient safety when IT for medication-related processes is developed, introduced or used inappropriately. To summarize definitions and observations on IT usage in pharmacotherapy and to derive recommendations and future research priorities for decision makers and domain experts. This memorandum was developed in a consensus-based iterative process that included workshops and e-mail discussions among 21 experts coordinated by the Drug Information Systems Working Group of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS). The recommendations address, among other things, a stepwise and comprehensive strategy for IT usage in medication processes, the integration of contextual information for alert generation, the involvement of patients, the semantic integration of information resources, usability and adaptability of IT solutions, and the need for their continuous evaluation. Information technology can help to improve medication safety. However, challenges remain regarding access to information, quality of information, and measurable benefits.

  16. Trade associations and labor organizations as intermediaries for disseminating workplace safety and health information.

    Science.gov (United States)

    Okun, Andrea H; Watkins, Janice P; Schulte, Paul A

    2017-09-01

    There has not been a systematic study of the nature and extent to which business and professional trade associations and labor organizations obtain and communicate workplace safety and health information to their members. These organizations can serve as important intermediaries and play a central role in transferring this information to their members. A sample of 2294 business and professional trade associations and labor organizations in eight industrial sectors identified by the National Occupational Research Agenda was surveyed via telephone. A small percent of these organizations (40.9% of labor organizations, 15.6% of business associations, and 9.6% of professional associations) were shown to distribute workplace safety and health information to their members. Large differences were also observed between industrial sectors with construction having the highest total percent of organizations disseminating workplace safety and health information. There appears to be significant potential to utilize trade and labor organizations as intermediaries for transferring workplace safety and health information to their members. Government agencies have a unique opportunity to partner with these organizations and to utilize their existing communication channels to address high risk workplace safety and health concerns. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  17. Safety recommendation component of mobile information assistant of the tourist

    Science.gov (United States)

    Savchuk, Valeriya V.; Kunanec, Natalia E.; Pasichnyk, Volodymyr V.; Popiel, Piotr; Weryńska-Bieniasz, RóŻa; Kashaganova, Gulzhamal; Kalizhanova, Aliya

    2017-08-01

    The goal of article is to introduce and justify the need for the safety system components of Mobile Information of the tourist (MIAT). One of the objectives of the system is to determine the level of risk in a particular tourist destination on the basis of available information in the knowledge base.

  18. Information with a smile – Does it increase recycling?

    NARCIS (Netherlands)

    Huang, Y.Y.; Tamas, P.A.; Harder, M.K.

    2018-01-01

    This work investigates the impact of human-human interaction on a target behaviour change by comparing the effect of programme delivery of a fixed set of tailored information via proximate but trivial interaction between subjects and volunteers, a set of well-produced single-topic colour leaflets,

  19. State Traffic Safety Information - 2010-2015 FARS Accident File data

    Data.gov (United States)

    Department of Transportation — The State Traffic Safety Information (STSI) portal is part of the larger Fatality Analysis Reporting System (FARS) Encyclopedia. STSI provides state-by-state traffic...

  20. A cross-sectional survey assessing factors associated with reading cancer screening information: previous screening behaviour, demographics and decision-making style

    Directory of Open Access Journals (Sweden)

    Alex Ghanouni

    2017-04-01

    Full Text Available Abstract Background There is broad agreement that cancer screening invitees should know the risks and benefits of testing before deciding whether to participate. In organised screening programmes, a primary method of relaying this information is via leaflets provided at the time of invitation. Little is known about why individuals do not engage with this information. This study assessed factors associated with reading information leaflets provided by the three cancer screening programmes in England. Methods A cross-sectional survey asked screening-eligible members of the general population in England about the following predictor variables: uptake of previous screening invitations, demographic characteristics, and ‘decision-making styles’ (i.e. the extent to which participants tended to make decisions in a way that was avoidant, rational, intuitive, spontaneous, or dependent. The primary outcome measures were the amount of the leaflet that participants reported having read at their most recent invitation, for any of the three programmes for which they were eligible. Associations between these outcomes and predictor variables were assessed using binary or ordinal logistic regression. Results After exclusions, data from 275, 309, and 556 participants were analysed in relation to the breast, cervical, and bowel screening programmes, respectively. Notable relationships included associations between regularity of screening uptake and reading (more of the information leaflets for all programmes (e.g. odds ratio: 0.16 for participants who never/very rarely attended breast screening vs. those who always attended previously; p = .009. Higher rational decision-making scores were associated with reading more of the cervical and bowel screening leaflets (OR: 1.13, p < .0005 and OR: 1.11, p = .045, respectively. Information engagement was also higher for White British participants compared with other ethnic groups for breast (OR: 3.28, p = .008

  1. A cross-sectional survey assessing factors associated with reading cancer screening information: previous screening behaviour, demographics and decision-making style.

    Science.gov (United States)

    Ghanouni, Alex; Renzi, Cristina; Waller, Jo

    2017-04-18

    There is broad agreement that cancer screening invitees should know the risks and benefits of testing before deciding whether to participate. In organised screening programmes, a primary method of relaying this information is via leaflets provided at the time of invitation. Little is known about why individuals do not engage with this information. This study assessed factors associated with reading information leaflets provided by the three cancer screening programmes in England. A cross-sectional survey asked screening-eligible members of the general population in England about the following predictor variables: uptake of previous screening invitations, demographic characteristics, and 'decision-making styles' (i.e. the extent to which participants tended to make decisions in a way that was avoidant, rational, intuitive, spontaneous, or dependent). The primary outcome measures were the amount of the leaflet that participants reported having read at their most recent invitation, for any of the three programmes for which they were eligible. Associations between these outcomes and predictor variables were assessed using binary or ordinal logistic regression. After exclusions, data from 275, 309, and 556 participants were analysed in relation to the breast, cervical, and bowel screening programmes, respectively. Notable relationships included associations between regularity of screening uptake and reading (more of) the information leaflets for all programmes (e.g. odds ratio: 0.16 for participants who never/very rarely attended breast screening vs. those who always attended previously; p = .009). Higher rational decision-making scores were associated with reading more of the cervical and bowel screening leaflets (OR: 1.13, p < .0005 and OR: 1.11, p = .045, respectively). Information engagement was also higher for White British participants compared with other ethnic groups for breast (OR: 3.28, p = .008) and bowel (OR: 2.58, p = .015) information; an

  2. The Research on Safety Management Information System of Railway Passenger Based on Risk Management Theory

    Science.gov (United States)

    Zhu, Wenmin; Jia, Yuanhua

    2018-01-01

    Based on the risk management theory and the PDCA cycle model, requirements of the railway passenger transport safety production is analyzed, and the establishment of the security risk assessment team is proposed to manage risk by FTA with Delphi from both qualitative and quantitative aspects. The safety production committee is also established to accomplish performance appraisal, which is for further ensuring the correctness of risk management results, optimizing the safety management business processes and improving risk management capabilities. The basic framework and risk information database of risk management information system of railway passenger transport safety are designed by Ajax, Web Services and SQL technologies. The system realizes functions about risk management, performance appraisal and data management, and provides an efficient and convenient information management platform for railway passenger safety manager.

  3. Risk-informed regulation: handling uncertainty for a rational management of safety

    International Nuclear Information System (INIS)

    Zio, Enrico

    2008-01-01

    A risk-informed regulatory approach implies that risk insights be used as supplement of deterministic information for safety decision-making purposes. In this view, the use of risk assessment techniques is expected to lead to improved safety and a more rational allocation of the limited resources available. On the other hand, it is recognized that uncertainties affect both the deterministic safety analyses and the risk assessments. In order for the risk-informed decision making process to be effective, the adequate representation and treatment of such uncertainties is mandatory. In this paper, the risk-informed regulatory framework is considered under the focus of the uncertainty issue. Traditionally, probability theory has provided the language and mathematics for the representation and treatment of uncertainty. More recently, other mathematical structures have been introduced. In particular, the Dempster-Shafer theory of evidence is here illustrated as a generalized framework encompassing probability theory and possibility theory. The special case of probability theory is only addressed as term of comparison, given that it is a well known subject. On the other hand, the special case of possibility theory is amply illustrated. An example of the combination of probability and possibility for treating the uncertainty in the parameters of an event tree is illustrated

  4. Quality and safety implications of emergency department information systems.

    Science.gov (United States)

    Farley, Heather L; Baumlin, Kevin M; Hamedani, Azita G; Cheung, Dickson S; Edwards, Michael R; Fuller, Drew C; Genes, Nicholas; Griffey, Richard T; Kelly, John J; McClay, James C; Nielson, Jeff; Phelan, Michael P; Shapiro, Jason S; Stone-Griffith, Suzanne; Pines, Jesse M

    2013-10-01

    The Health Information Technology for Economic and Clinical Health Act of 2009 and the Centers for Medicare & Medicaid Services "meaningful use" incentive programs, in tandem with the boundless additional requirements for detailed reporting of quality metrics, have galvanized hospital efforts to implement hospital-based electronic health records. As such, emergency department information systems (EDISs) are an important and unique component of most hospitals' electronic health records. System functionality varies greatly and affects physician decisionmaking, clinician workflow, communication, and, ultimately, the overall quality of care and patient safety. This article is a joint effort by members of the Quality Improvement and Patient Safety Section and the Informatics Section of the American College of Emergency Physicians. The aim of this effort is to examine the benefits and potential threats to quality and patient safety that could result from the choice of a particular EDIS, its implementation and optimization, and the hospital's or physician group's approach to continuous improvement of the EDIS. Specifically, we explored the following areas of potential EDIS safety concerns: communication failure, wrong order-wrong patient errors, poor data display, and alert fatigue. Case studies are presented that illustrate the potential harm that could befall patients from an inferior EDIS product or suboptimal execution of such a product in the clinical environment. The authors have developed 7 recommendations to improve patient safety with respect to the deployment of EDISs. These include ensuring that emergency providers actively participate in selection of the EDIS product, in the design of processes related to EDIS implementation and optimization, and in the monitoring of the system's ongoing success or failure. Our recommendations apply to emergency departments using any type of EDIS: custom-developed systems, best-of-breed vendor systems, or enterprise systems

  5. 78 FR 34703 - Pipeline Safety: Information Collection Activities, Revision to Gas Distribution Annual Report

    Science.gov (United States)

    2013-06-10

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No. PHMSA-2013-0004] Pipeline Safety: Information Collection Activities, Revision to Gas Distribution Annual Report AGENCY: Pipeline and Hazardous Materials Safety Administration, DOT. ACTION: Notice and request...

  6. A qualitative exploration of the perceptions and information needs of public health inspectors responsible for food safety

    Directory of Open Access Journals (Sweden)

    Sargeant Jan M

    2010-06-01

    Full Text Available Abstract Background In Ontario, local public health inspectors play an important frontline role in protecting the public from foodborne illness. This study was an in-depth exploration of public health inspectors' perceptions of the key food safety issues in public health, and their opinions and needs with regards to food safety information resources. Methods Four focus group discussions were conducted with public health inspectors from the Central West region of Ontario, Canada during June and July, 2008. A questioning route was used to standardize qualitative data collection. Audio recordings of sessions were transcribed verbatim and data-driven content analysis was performed. Results A total of 23 public health inspectors participated in four focus group discussions. Five themes emerged as key food safety issues: time-temperature abuse, inadequate handwashing, cross-contamination, the lack of food safety knowledge by food handlers and food premise operators, and the lack of food safety information and knowledge about specialty foods (i.e., foods from different cultures. In general, participants reported confidence with their current knowledge of food safety issues and foodborne pathogens. Participants highlighted the need for a central source for food safety information, access to up-to-date food safety information, resources in different languages, and additional food safety information on specialty foods. Conclusions The information gathered from these focus groups can provide a basis for the development of resources that will meet the specific needs of public health inspectors involved in protecting and promoting food safety.

  7. The Impact of Fluid Inertia on In Vivo Estimation of Mitral Valve Leaflet Constitutive Properties and Mechanics.

    Science.gov (United States)

    Bark, David L; Dasi, Lakshmi P

    2016-05-01

    We examine the influence of the added mass effect (fluid inertia) on mitral valve leaflet stress during isovolumetric phases. To study this effect, oscillating flow is applied to a flexible membrane at various frequencies to control inertia. Resulting membrane strain is calculated through a three-dimensional reconstruction of markers from stereo images. To investigate the effect in vivo, the analysis is repeated on a published dataset for an ovine mitral valve (Journal of Biomechanics 42(16): 2697-2701). The membrane experiment demonstrates that the relationship between pressure and strain must be corrected with a fluid inertia term if the ratio of inertia to pressure differential approaches 1. In the mitral valve, this ratio reaches 0.7 during isovolumetric contraction for an acceleration of 6 m/s(2). Acceleration is reduced by 72% during isovolumetric relaxation. Fluid acceleration also varies along the leaflet during isovolumetric phases, resulting in spatial variations in stress. These results demonstrate that fluid inertia may be the source of the temporally and spatially varying stiffness measurements previously seen through inverse finite element analysis of in vivo data during isovolumetric phases. This study demonstrates that there is a need to account for added mass effects when analyzing in vivo constitutive relationships of heart valves.

  8. A Survey of Pilots on the Dissemination of Safety Information

    National Research Council Canada - National Science Library

    Rakovan, Lori

    1999-01-01

    A survey was conducted to obtain information from the pilot population on erections of safety-related training currently being offered, its usefulness, and the process through which it might be better...

  9. Participatory approach to improving safety, health and working conditions in informal economy workplaces in Cambodia.

    Science.gov (United States)

    Kawakami, Tsuyoshi; Tong, Leng; Kannitha, Yi; Sophorn, Tun

    2011-01-01

    The present study aimed to improve safety and health in informal economy workplaces such as home workplaces, small construction sites, and rural farms in Cambodia by using "participatory" approach. The government, workers' and employers' organizations and NGOs jointly assisted informal economy workers in improving safety and health by using participatory training methodologies. The steps taken were: (1) to collect existing good practices in safety and health in Cambodia; (2) to develop new participatory training programmes for home workers and small construction sites referring to ILO's WISE training programme, and (3) to train government officers, workers, employers and NGOs as safety and health trainers. The participatory training programmes developed consisted of action-checklists associated with illustrations, good example photo sheets, and texts explaining practical, low-cost improvement measures. The established safety and health trainers reached many informal economy workers through their human networks, and trained them by using the developed participatory training programmes. More than 3,000 informal economy workers were trained and they implemented improvements by using low-cost methods. Participatory training methodologies and active cooperation between the government, workers, employers and NGOs made it possible to provide practical training for those involved in the informal economy workplaces.

  10. Information System Passive Safety at DaimlerChrysler: from vision to reality

    Energy Technology Data Exchange (ETDEWEB)

    Ruoff, H. [DaimlerChrysler AG, Sindelfingen (Germany)

    2001-07-01

    Today, short development times and an extensive model range are key factors when it comes to remaining a leading force in the highly competitive automobile market. Information technology plays a crucial role as an 'enabler' in keeping this competitive edge. It is only possible to make full use of existing potential by using 'state-of-the-art' information technology. In particular, this involves making knowledge that is distributed in various systems and 'heads' available quickly and transparently anytime and anywhere. The improved re-use of acquired expertise, efficient information searches, and standardized and seamless applications lead to a high level of performance. This often involves the transformation of a company culture from 'information hider' to 'information provider'. The vision of converting a gradually created, complex range of systems into a seamless sequence of distributed working processes with numerous participants is becoming reality in the Passive Safety area in Automobile/Vehicle Development at DaimlerChrysler. The INFOS Passive Safety information system provides all the data and information, which is required for, or results from, the entire crash test process. (orig.)

  11. Information dissemination and use: critical components in occupational safety and health.

    Science.gov (United States)

    Schulte, P A; Okun, A; Stephenson, C M; Colligan, M; Ahlers, H; Gjessing, C; Loos, G; Niemeier, R W; Sweeney, M H

    2003-11-01

    Information dissemination is a mandated, but understudied, requirement of occupational and environmental health laws and voluntary initiatives. Research is needed on the factors that enhance and limit the development, transfer, and use of occupational safety and health information (OSH). Contemporary changes in the workforce, workplaces, and the nature of work will require new emphasis on the dissemination of information to foster prevention. Legislative and regulatory requirements and voluntary initiatives for dissemination of OSH information were identified and assessed. Literature on information dissemination was reviewed to identify important issues and useful approaches. More than 20 sections of laws and regulations were identified that mandated dissemination of occupational and environmental safety and health information. A four-stage approach for tracking dissemination and considering the flow of information was delineated. Special areas of dissemination were identified: the information needs of the changing workforce, new and young workers; small businesses; and workers with difficulty in understanding or reading English. We offer a framework for dissemination of OSH information and underscore the need to focus on the extent to which decision-makers and others receive and use such information. More solid data are also needed on current investments in disseminating, diffusing and applying OSH information and on the utility of that information. Am. J. Ind. Med. 44:515-531, 2003. Published 2003 Wiley-Liss, Inc.

  12. An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowledge of Critical Information, Perception of Safety, and Possibly Perception of Teamwork in Anesthesia Teams.

    Science.gov (United States)

    Tscholl, David W; Weiss, Mona; Kolbe, Michaela; Staender, Sven; Seifert, Burkhardt; Landert, Daniel; Grande, Bastian; Spahn, Donat R; Noethiger, Christoph B

    2015-10-01

    An anesthesia preinduction checklist (APIC) to be performed before anesthesia induction was introduced and evaluated with respect to 5 team-level outcomes, each being a surrogate end point for patient safety: information exchange (the percentage of checklist items exchanged by a team, out of 12 total items); knowledge of critical information (the percentage of critical information items out of 5 total items such as allergies, reported as known by the members of a team); team members' perceptions of safety (the median scores given by the members of a team on a continuous rating scale); their perception of teamwork (the median scores given by the members of a team on a continuous rating scale); and clinical performance (the percentage of completed items out of 14 required tasks, e.g., suction device checked). A prospective interventional study comparing anesthesia teams using the APIC with a control group not using the APIC was performed using a multimethod design. Trained observers rated information exchange and clinical performance during on-site observations of anesthesia inductions. After the observations, each team member indicated the critical information items they knew and their perceptions of safety and teamwork. One hundred five teams using the APIC were compared with 100 teams not doing so. The medians of the team-level outcome scores in the APIC group versus the control group were as follows: information exchange: 100% vs 33% (P safety: 91% vs 84% (P improves information exchange, knowledge of critical information, and perception of safety in anesthesia teams-all parameters contributing to patient safety. There was a trend indicating improved perception of teamwork.

  13. Analysis of safety information for nuclear power plants and development of source term estimation program

    International Nuclear Information System (INIS)

    Kim, Tae Woon; Choi, Seong Soo; Park, Jin Hee

    1999-12-01

    Current CARE(Computerized Advisory System for Radiological Emergency) in KINS(Korea Institute of Nuclear Safety) has no STES(Source Term Estimation System) which links between SIDS(Safety Information Display System) and FADAS(Following Accident Dose Assessment System). So in this study, STES is under development. STES system is the system that estimates the source term based on the safety information provided by SIDS. Estimated source term is given to FADAS as an input for estimation of environmental effect of radiation. Through this first year project STES for the Kori 3,4 and Younggwang 1,2 has been developed. Since there is no CARE for Wolsong(PHWR) plants yet, CARE for Wolsong is under construction. The safety parameters are selected and the safety information display screens and the alarm logic for plant status change are developed for Wolsong Unit 2 based on the design documents for CANDU plants

  14. Education on tick bite and Lyme borreliosis prevention, aimed at schoolchildren in the Netherlands: comparing the effects of an online educational video game versus a leaflet or no intervention.

    Science.gov (United States)

    Beaujean, D J M A; Gassner, F; Wong, A; Steenbergen, J E; Crutzen, R; Ruwaard, D

    2016-11-16

    Lyme disease or Lyme borreliosis (LB) is the most common tick-borne disease both in the United States and Europe. Children, in particular, are at high risk of contracting LB. Since child-specific educational tools on ticks, tick bites and LB are lacking, we developed an online educational video game. In this study, we compared the effectiveness of an online educational video game versus a newly developed leaflet aimed to improve prevention of tick bites and LB among Dutch schoolchildren. A total of 887 children, aged 9-13 years and attending the two final years of primary schooling, were recruited from 25 primary schools in June and July 2012. They were assigned through cluster randomization to one of three intervention groups: 'game' (22.4%), 'leaflet' (35.6%) or 'control' (41.9%). Prior to and directly following intervention, the children were asked to complete a short questionnaire. The main outcome measures were knowledge, perception (perceived susceptibility and importance) and preventive behavior in relation to tick bites and LB. Generalized linear mixed models were used to analyze the data. In the game group, the leaflet group and the control group, knowledge about ticks and tick bites improved significantly. The game was also an effective tool for improving preventive behavior; the frequency of checking for ticks increased significantly. However, there were no significant differences in knowledge improvement between the interventions. The game outperformed the leaflet in terms of improving preventive behavior, whereas the frequency of tick checks increased significantly. But this frequency didn't increase more than in the control group. The positive knowledge effects observed in the control group suggests the presence of a mere measurement effect related to completion of the questionnaire. The game did not outperform the leaflet or control group on all outcome measures. Therefore, the game may be of value as a complementary role, in addition to other media

  15. Smooth handling: the lack of safety-related consumer information in car advertisements.

    Science.gov (United States)

    Wilson, Nick; Maher, Anthony; Thomson, George; Keall, Michael

    2007-10-01

    To examine the content and trends of safety-related consumer information in magazine vehicle advertisements, as a case study within the worldwide marketing of vehicles. Content analysis of popular current affairs magazines in New Zealand for the 5-year period 2001-2005 was undertaken (n = 514 advertisements), supplemented with vehicle data from official websites. Safety information in advertisements for light passenger vehicles was relatively uncommon with only 27% mentioning one or more of nine key safety features examined (average: 1.7 out of nine features in this 27%). Also included were potentially hazardous features of: speed imagery (in 29% of advertisements), power references (14%), and acceleration data (4%). The speed and power aspects became relatively more common over the 5-year period (p advertisements and vehicle marketing - as already occurs with many other consumer products.

  16. Chernobyl

    International Nuclear Information System (INIS)

    1986-01-01

    This leaflet has been prepared by the Central Electricity Generating Board. Following the accident at Chernobyl nuclear power station in the Soviet Union people are concerned about the safety of the UK's nuclear power stations. This leaflet explains that Chernobyl is unlike any nuclear station operating or planned in the UK and under the CEGB's stringent safety rules it could not have been built in the UK. The leaflet explains what happened at Chernobyl and compares the RBMK design and British reactors. The bodies concerned with reactor safety are noted. The containment of radioactivity and emergency procedures are explained. The PWR design for Sizewell-B is stated to be much safer than the RBMK Chernobyl design. (UK)

  17. Impact of Mediterranean diet education versus posted leaflet on dietary habits and serum cholesterol in a high risk population for cardiovascular disease

    NARCIS (Netherlands)

    Bemelmans, Wanda J. E.; Broer, Jan; de Vries, Jeanne H. M.; Hulshof, Karin F. A. M.; May, Jo F.; Meyboom-de Jong, Betty

    Objective: To investigate the impact of intensive group education on the Mediterranean diet on dietary intake and serum total cholesterol after 16 and 52 weeks, compared to a posted leaflet with the Dutch nutritional guidelines, in the context of primary prevention of cardiovascular disease (CVD).

  18. Comparison of the safety information on drug labels in three developed countries: The USA, UK and Canada

    Directory of Open Access Journals (Sweden)

    Thamir M. Alshammari

    2017-12-01

    Full Text Available The safety information on drug labels of a company marketing the same drugs in different countries is sometimes different. The aim of the present study is to understand the differences in the volume and content of safety information on the drug labels from the same manufacturers in three developed countries: the United States of America (USA, the United Kingdom (UK and Canada. This study involved the calculation of the proportion of total safety information (PSI and of contraindications (PCI in comparison to all information on the label and the percentage of boxed warnings (PBW among the 100 labels studied from each country. The PSI on the labels of different countries is different with USA labels bearing lesser value PSI and UK labels bearing higher value PSI. The qualitative information provided on these drug labels from each country in ‘contraindications’ sections, ‘boxed/serious warnings’ and ‘overdosage’ sections presented differences in the information provided on most of the labels. We have found distinct differences between the safety information available on drug labels in terms of volume and content. We conclude that the safety information for the same products should be standardised across all countries.

  19. Classification of antecedents towards safety use of health information technology: A systematic review.

    Science.gov (United States)

    Salahuddin, Lizawati; Ismail, Zuraini

    2015-11-01

    This paper provides a systematic review of safety use of health information technology (IT). The first objective is to identify the antecedents towards safety use of health IT by conducting systematic literature review (SLR). The second objective is to classify the identified antecedents based on the work system in Systems Engineering Initiative for Patient Safety (SEIPS) model and an extension of DeLone and McLean (D&M) information system (IS) success model. A systematic literature review (SLR) was conducted from peer-reviewed scholarly publications between January 2000 and July 2014. SLR was carried out and reported based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The related articles were identified by searching the articles published in Science Direct, Medline, EMBASE, and CINAHL databases. Data extracted from the resultant studies included are to be analysed based on the work system in Systems Engineering Initiative for Patient Safety (SEIPS) model, and also from the extended DeLone and McLean (D&M) information system (IS) success model. 55 articles delineated to be antecedents that influenced the safety use of health IT were included for review. Antecedents were identified and then classified into five key categories. The categories are (1) person, (2) technology, (3) tasks, (4) organization, and (5) environment. Specifically, person is attributed by competence while technology is associated to system quality, information quality, and service quality. Tasks are attributed by task-related stressor. Organisation is related to training, organisation resources, and teamwork. Lastly, environment is attributed by physical layout, and noise. This review provides evidence that the antecedents for safety use of health IT originated from both social and technical aspects. However, inappropriate health IT usage potentially increases the incidence of errors and produces new safety risks. The review cautions future

  20. Public information and education on radiation safety and protection in Indonesia

    Energy Technology Data Exchange (ETDEWEB)

    Djaloeis, Azhar [National Atomic Energy Agency, Jalan KH Abdul Rohim, Mampang Prapatan, Jakarta (Indonesia)

    1999-09-01

    This paper presents a brief overview of public information and education concerning nuclear science and technology in general and radiation safety and protection in particular in Indonesia from the perspective of promoting the development and utilization of nuclear science and technology in the country. The role of nuclear science and technology in Indonesia is first introduced, followed by an overview of the nuclear activities in the country. Basic considerations, major objectives of the public information and education program on radiation safety and protection as well as basic and operational strategies to achieve those objectives are then presented. Major programs including highlights of the past and present activities as well as prospect on future course of actions are discussed. (author)

  1. Public information and education on radiation safety and protection in Indonesia

    International Nuclear Information System (INIS)

    Djaloeis, Azhar

    1999-01-01

    This paper presents a brief overview of public information and education concerning nuclear science and technology in general and radiation safety and protection in particular in Indonesia from the perspective of promoting the development and utilization of nuclear science and technology in the country. The role of nuclear science and technology in Indonesia is first introduced, followed by an overview of the nuclear activities in the country. Basic considerations, major objectives of the public information and education program on radiation safety and protection as well as basic and operational strategies to achieve those objectives are then presented. Major programs including highlights of the past and present activities as well as prospect on future course of actions are discussed. (author)

  2. Data Analysis Approaches for the Risk-Informed Safety Margins Characterization Toolkit

    International Nuclear Information System (INIS)

    Mandelli, Diego; Alfonsi, Andrea; Maljovec, Daniel P.; Parisi, Carlo; Cogliati, Joshua J.; Talbot, Paul W.; Smith, Curtis L.; Rabiti, Cristian; Picoco, Claudia

    2016-01-01

    In the past decades, several numerical simulation codes have been employed to simulate accident dynamics (e.g., RELAP5-3D, RELAP-7, MELCOR, MAAP). In order to evaluate the impact of uncertainties into accident dynamics, several stochastic methodologies have been coupled with these codes. These stochastic methods range from classical Monte-Carlo and Latin Hypercube sampling to stochastic polynomial methods. Similar approaches have been introduced into the risk and safety community where stochastic methods (such as RAVEN, ADAPT, MCDET, ADS) have been coupled with safety analysis codes in order to evaluate the safety impact of timing and sequencing of events. These approaches are usually called Dynamic PRA or simulation-based PRA methods. These uncertainties and safety methods usually generate a large number of simulation runs (database storage may be on the order of gigabytes or higher). The scope of this paper is to present a broad overview of methods and algorithms that can be used to analyze and extract information from large data sets containing time dependent data. In this context, ''extracting information'' means constructing input-output correlations, finding commonalities, and identifying outliers. Some of the algorithms presented here have been developed or are under development within the RAVEN statistical framework.

  3. The evaluation of materials to provide health-related information as a population strategy in the worksite: The high-risk and population strategy for occupational health promotion (HIPOP-OHP) study.

    Science.gov (United States)

    Yoshita, Katsushi; Tanaka, Taichiro; Kikuchi, Yuriko; Takebayashi, Toru; Chiba, Nagako; Tamaki, Junko; Miura, Katsuyuki; Kadowaki, Takashi; Okamura, Tomonori; Ueshima, Hirotsugu

    2004-07-01

    To examine the effectiveness of newly developed materials for providing health-related information to the worksite population, we compared the amount of attention that employees paid to the materials. Study subjects were 2,361 employees in six companies participating in an intervention program between 2002 and 2003. Three kinds of media were used as tools for providing health information: [1] Point Of Purchase advertising menus (POP menus) were placed on all tables in company restaurants, [2] posters were put on walls and [3] leaflets were distributed at health-related events. One year or more after the introduction of these media, we compared the amount of attention paid to each type of medium. Amongst the three types of media, the POP menu drew the most attention, although results were not consistent in all gender and company groups. Every piece of information provided by the POP menus was "always" or "almost always" read by 41% of the men and 51% of the women surveyed. The corresponding rate for posters was 30% in men and 32% in women. For leaflets, only 16% of men and 22% of women read almost all of the leaflets. More attention was paid to the POP menu when the sample was women, older, and ate at the company restaurant at least three times a week. The POP menu may provide health-related information to a broader range of people than posters and leaflets, therefore, it is an effective material for population strategy.

  4. Treatment of Passive Component Reliability in Risk-Informed Safety Margin Characterization FY 2010 Report

    Energy Technology Data Exchange (ETDEWEB)

    Robert W Youngblood

    2010-09-01

    The Risk-Informed Safety Margin Characterization (RISMC) pathway is a set of activities defined under the U.S. Department of Energy (DOE) Light Water Reactor Sustainability Program. The overarching objective of RISMC is to support plant life-extension decision-making by providing a state-of-knowledge characterization of safety margins in key systems, structures, and components (SSCs). A technical challenge at the core of this effort is to establish the conceptual and technical feasibility of analyzing safety margin in a risk-informed way, which, unlike conventionally defined deterministic margin analysis, is founded on probabilistic characterizations of SSC performance.

  5. 78 FR 50079 - Information Collection Activities: Safety and Environmental Management Systems (SEMS); Proposed...

    Science.gov (United States)

    2013-08-16

    ... DEPARTMENT OF THE INTERIOR Bureau of Safety and Environmental Enforcement [Docket ID BSEE-2013-0005; OMB Control Number 1014-0017: 134E1700D2 EEEE500000 ET1SF0000.DAQ000] Information Collection Activities: Safety and Environmental Management Systems (SEMS); Proposed Collection; Comment Request...

  6. Database search for safety information on cosmetic ingredients.

    Science.gov (United States)

    Pauwels, Marleen; Rogiers, Vera

    2007-12-01

    Ethical considerations with respect to experimental animal use and regulatory testing are worldwide under heavy discussion and are, in certain cases, taken up in legislative measures. The most explicit example is the European cosmetic legislation, establishing a testing ban on finished cosmetic products since 11 September 2004 and enforcing that the safety of a cosmetic product is assessed by taking into consideration "the general toxicological profile of the ingredients, their chemical structure and their level of exposure" (OJ L151, 32-37, 23 June 1993; OJ L066, 26-35, 11 March 2003). Therefore the availability of referenced and reliable information on cosmetic ingredients becomes a dire necessity. Given the high-speed progress of the World Wide Web services and the concurrent drastic increase in free access to information, identification of relevant data sources and evaluation of the scientific value and quality of the retrieved data, are crucial. Based upon own practical experience, a survey is put together of freely and commercially available data sources with their individual description, field of application, benefits and drawbacks. It should be mentioned that the search strategies described are equally useful as a starting point for any quest for safety data on chemicals or chemical-related substances in general.

  7. Intelligent Information Processing for Enhanced Safety in the NAS, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Our Phase I work focused on how improved information flow between actors in a flight deck environment can improve safety performance. An operational prototype was...

  8. Intelligent Information Processing for Enhanced Safety in the NAS, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose a system that focuses on how improved information flow between agents acting in a flight deck environment can improve safety performance. Agents are...

  9. Próteses de comunicação e alinhamento comportamental sobre impressos hospitalares Communication prostheses and behavioral alignment in hospital leaflets

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Vasconcellos-Silva

    2003-08-01

    Full Text Available Realizou-se revisão da literatura sobre publicações que descrevem experiências com material impresso distribuído ao público leigo em instituições hospitalares. Excluindo impressos para profissionais ou portadores de incapacidades, dentre 146 trabalhos, foram obtidos 75 artigos que ilustram o padrão atual de racionalidade da produção, uso e avaliação deste tipo de recurso. Esses artigos investem no poder da "informação impressa ideal" para alinhar comportamentos à agenda biomédica hospitalar. A racionalidade instrumental que os permeia percebe o "pacote informativo perfeito" como aquele que explicita eficientemente seus conteúdos técnicos, para fins de convencimento unilateral, atualizado segundo escalas de legibilidade, adornado por projeto gráfico e enfatizando prioridades definidas pelos profissionais. Tais "próteses de comunicação" seriam passíveis de validação eletrônica, por intermédio de softwares competentes em adequar "doses" e conteúdos. Discute-se a informação como fármaco, o cognitivismo, a ausência de pesquisas de recepção e a necessidade da ação comunicativa, para desconstrução de tais sistemas de pensamento fechados no ambiente hospitalar.Review was made of publications that describe experience with printed material distributed to the lay public in hospital institutions. From the 146 leaflets examined, those aimed at professionals or disabled people, thus leaving 75 papers that illustrate the present pattern for the rationality behind the production, use and evaluation of this type of resource. In a general manner, such leaflets invest in the power of "ideal printed information" to align behavior with the hospital's biomedical agenda. The underlying rationality that permeates them perceives the "perfect information package" as one that efficiently describes its technical content for the purpose of unidirectional persuasion, is up-to-date in relation to readability scales and embellished by

  10. Risk-Informing Safety Reviews for Non-Reactor Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Mubayi, V.; Azarm, A.; Yue, M.; Mukaddam, W.; Good, G.; Gonzalez, F.; Bari, R.A.

    2011-03-13

    This paper describes a methodology used to model potential accidents in fuel cycle facilities that employ chemical processes to separate and purify nuclear materials. The methodology is illustrated with an example that uses event and fault trees to estimate the frequency of a specific energetic reaction that can occur in nuclear material processing facilities. The methodology used probabilistic risk assessment (PRA)-related tools as well as information about the chemical reaction characteristics, information on plant design and operational features, and generic data about component failure rates and human error rates. The accident frequency estimates for the specific reaction help to risk-inform the safety review process and assess compliance with regulatory requirements.

  11. Risk-Informing Safety Reviews for Non-Reactor Nuclear Facilities

    International Nuclear Information System (INIS)

    Mubayi, V.; Azarm, A.; Yue, M.; Mukaddam, W.; Good, G.; Gonzalez, F.; Bari, R.A.

    2011-01-01

    This paper describes a methodology used to model potential accidents in fuel cycle facilities that employ chemical processes to separate and purify nuclear materials. The methodology is illustrated with an example that uses event and fault trees to estimate the frequency of a specific energetic reaction that can occur in nuclear material processing facilities. The methodology used probabilistic risk assessment (PRA)-related tools as well as information about the chemical reaction characteristics, information on plant design and operational features, and generic data about component failure rates and human error rates. The accident frequency estimates for the specific reaction help to risk-inform the safety review process and assess compliance with regulatory requirements.

  12. 77 FR 22387 - Pipeline Safety: Information Collection Activities, Revision to Gas Transmission and Gathering...

    Science.gov (United States)

    2012-04-13

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No. PHMSA-2012-0024] Pipeline Safety: Information Collection Activities, Revision to Gas Transmission and Gathering Pipeline Systems Annual Report, Gas Transmission and Gathering Pipeline Systems Incident Report...

  13. 77 FR 58616 - Pipeline Safety: Information Collection Activities, Revision to Gas Transmission and Gathering...

    Science.gov (United States)

    2012-09-21

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No. PHMSA-2012-0024] Pipeline Safety: Information Collection Activities, Revision to Gas Transmission and Gathering Pipeline Systems Annual Report, Gas Transmission and Gathering Pipeline Systems Incident Report...

  14. Toward risk assessment 2.0: Safety supervisory control and model-based hazard monitoring for risk-informed safety interventions

    International Nuclear Information System (INIS)

    Favarò, Francesca M.; Saleh, Joseph H.

    2016-01-01

    Probabilistic Risk Assessment (PRA) is a staple in the engineering risk community, and it has become to some extent synonymous with the entire quantitative risk assessment undertaking. Limitations of PRA continue to occupy researchers, and workarounds are often proposed. After a brief review of this literature, we propose to address some of PRA's limitations by developing a novel framework and analytical tools for model-based system safety, or safety supervisory control, to guide safety interventions and support a dynamic approach to risk assessment and accident prevention. Our work shifts the emphasis from the pervading probabilistic mindset in risk assessment toward the notions of danger indices and hazard temporal contingency. The framework and tools here developed are grounded in Control Theory and make use of the state-space formalism in modeling dynamical systems. We show that the use of state variables enables the definition of metrics for accident escalation, termed hazard levels or danger indices, which measure the “proximity” of the system state to adverse events, and we illustrate the development of such indices. Monitoring of the hazard levels provides diagnostic information to support both on-line and off-line safety interventions. For example, we show how the application of the proposed tools to a rejected takeoff scenario provides new insight to support pilots’ go/no-go decisions. Furthermore, we augment the traditional state-space equations with a hazard equation and use the latter to estimate the times at which critical thresholds for the hazard level are (b)reached. This estimation process provides important prognostic information and produces a proxy for a time-to-accident metric or advance notice for an impending adverse event. The ability to estimate these two hazard coordinates, danger index and time-to-accident, offers many possibilities for informing system control strategies and improving accident prevention and risk mitigation

  15. Guaranteed safety information for rising traffic safety at roads main junctions using infrastructure-aided driver-assistance systems; Sichere Information durch infrastrukturgestuetzte Fahrerassistenzsysteme zur Steigerung der Verkehrssicherheit an Strassenknotenpunkten

    Energy Technology Data Exchange (ETDEWEB)

    Wiltschko, T.

    2004-07-01

    Progress of development of driver assistance systems have more and more lead to systems assisting the driver on guidance level. These systems allow direct or indirect driving process contact thus being safety relevant vehicle systems, and their operation requires high safety and reliability standards. To realize the necessary driver assistance, complete collection and interpretation of traffic actions are required and a number of information and information sources has to be integrated, especially in case of traffic situations at junctions in urban areas. The requirements, however, cannot only be reduced to technical reliability of the system and system components but have also to be extended to the information in- and output thus guaranteeing safe operation. This information has to reach the required quality thus avoiding any hazards during the complete time of information use. It is evident that none of the existing models and methods allow a uniform description of information quality of driver assistance systems. The thesis shows a quality concept for description and evaluation of information quality within information processing systems. The quality concept consists of a quality model and an analysing procedure. The quality model is the basis of the quality concept. All types of information are described by a fixed set of quality characteristic, and suitable parameters are used for concretion and quantification. (orig.)

  16. Guidelines for nuclear-power-plant safety-issue prioritization information development

    International Nuclear Information System (INIS)

    Andrews, W.B.; Gallucci, R.H.V.; Konzek, G.J.

    1983-05-01

    This is the second in a series of reports to document the use of a methodology developed by the Pacific Northwest Laboratory to calculate, for prioritization purposes, the risk, dose and cost impacts of implementing resolutions to reactor safety issues. This report contains results of issue-specific analyses for 15 issues. Each issue was considered within the contraints of available information as of September 1982 and two staff-weeks of labor. The results will be referenced, as one consideration in setting priorities for reactor safety issues, in an NRC prioritization report to be published at a future date

  17. Why consumers behave as they do with respect to food safety and risk information

    DEFF Research Database (Denmark)

    Verbeke, Wim; Frewer, Lynn J.; Scholderer, Joachim

    2007-01-01

    rankings. The aim of this contribution is to provide a better understanding to food risk analysts of why consumers behave as they do with respect to food safety and risk information. This paper presents some cases of seemingly irrational and inconsistent consumer behaviour with respect to food safety...... and risk information and provides explanations for these behaviours based on the nature of the risk and individual psychological processes. Potential solutions for rebuilding consumer confidence in food safety and bridging between lay and expert opinions towards food risks are reviewed. These include......In recent years, it seems that consumers are generally uncertain about the safety and quality of their food and their risk perception differs substantially from that of experts. Hormone and veterinary drug residues in meat persist to occupy a high position in European consumers' food concern...

  18. Using Active Learning to Identify Health Information Technology Related Patient Safety Events.

    Science.gov (United States)

    Fong, Allan; Howe, Jessica L; Adams, Katharine T; Ratwani, Raj M

    2017-01-18

    The widespread adoption of health information technology (HIT) has led to new patient safety hazards that are often difficult to identify. Patient safety event reports, which are self-reported descriptions of safety hazards, provide one view of potential HIT-related safety events. However, identifying HIT-related reports can be challenging as they are often categorized under other more predominate clinical categories. This challenge of identifying HIT-related reports is exacerbated by the increasing number and complexity of reports which pose challenges to human annotators that must manually review reports. In this paper, we apply active learning techniques to support classification of patient safety event reports as HIT-related. We evaluated different strategies and demonstrated a 30% increase in average precision of a confirmatory sampling strategy over a baseline no active learning approach after 10 learning iterations.

  19. Geo-scientific Information in the Radioactive Waste Management Safety Case Main Messages from the AMIGO Project

    International Nuclear Information System (INIS)

    2010-01-01

    Radioactive waste is associated with all phases of the nuclear fuel cycle as well as the use of radioactive materials in medicine, research and industry. For the most hazardous and long-lived waste, the solution being investigated worldwide is disposal in engineered repositories deep underground. The importance of geo-scientific information in selecting a site for geological disposal has long been recognised, but there has been growing acknowledgement of the broader role of this information in assessing and documenting the safety of disposal. The OECD/NEA Approaches and Methods for Integrating Geological Information in the Safety Case (AMIGO) project has demonstrated that geological data and understanding serve numerous roles in safety cases. The project, which ran from 2002 to 2008, underscored the importance of integrating geo-scientific information in the development of a disposal safety case and increasingly in the overall process of repository development, including, for example, siting decisions and ensuring the practical feasibility of repository layout and engineering. (authors)

  20. 78 FR 71036 - Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting...

    Science.gov (United States)

    2013-11-27

    ... PHMSA-2013-0248] Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting; and Obtaining Drug and Alcohol Management Information System Sign-In Information AGENCY: Pipeline... Management Information System (MIS) Data; and New Method for Operators to Obtain User Name and Password for...

  1. Guidelines for nuclear power plant safety issue prioritization information development. Supplement 2

    International Nuclear Information System (INIS)

    Andrews, W.B.; Gallucci, R.H.V.; Konzek, G.J.; Heaberlin, S.W.; Fecht, B.A.; Allen, C.H.; Allen, R.D.; Bickford, W.E.; Carbaugh, E.H.; Lewis, J.R.

    1983-12-01

    This is the third in a series of reports to document the use of a methodology developed by the Pacific Northwest Laboratory to calculate, for prioritization purposes, the risk, dose and cost impacts of implementing resolutions to reactor safety issues (NUREG/CR-2800, Andrews et al. 1983). This report contains results of issue-specific analyses for 31 issues. Each issue was considered within the constraints of available information as of summer 1983, and two staff-weeks of labor. The results are referenced, as one consideration in setting priorities for reactor safety issues, in NUREG-0933, A Prioritization of Generic Safety Issues

  2. RESI-1 and RESI-2: pPrototypes of an information system on reactor safety

    International Nuclear Information System (INIS)

    Schultheiss, G.F.; Eglin, W.; Katz, F.W.; Krings, T.; Pee, A.; Schlechtendahl, E.G.

    1975-04-01

    To demonstrate by practical experience the feasibility of the information system elaborated in the 'Study of an Information System on Reactor Safety RESI' (KFK 1900), the prototype systems RESI-1 and RESI-2 were developed and tested in operation. The two systems have been considerably reduced both in extent and contents as compared to the information system described in the study. The RESI-1 prototype system is a paper version established for verification of all the individual functions before passing over to the computer-aided interactive version RESI-2. RESI-2 is based on the GOLEM system of Siemens. Both protoype systems have proved that the essential features: 1) documentation, 2) formulation of and answering to safety questions, which are relevant with respect to particular licensing cases, 3) formulation of safety questions related to individual reactor types can be managed satisfactorily. All the functions of information retrieval have been tested carefully over several months. Particularities of project development and of the methods elaborated are described in detail and presented in this report. (orig.) [de

  3. Increase plant safety and reduce cost by implementing risk-informed in-service inspection programs

    International Nuclear Information System (INIS)

    Billington, A.; Monette, P.

    2001-01-01

    The idea behind the program is that it is possible to 'inspect less, but inspect better'. In other words, the risk-informed In-Service Inspection (ISI) process is used to improve the effectiveness of examination of piping components, i.e. concentrate inspection resources and enhance inspection strategies on high safety significant locations, and reduce inspection requirements on others. The Westinghouse Owners Group (WOG) risk-informed ISI process has already been applied for full scope (Millstone 3, Surry 1) and limited scope (Beznau, Ringhals 4, Asco, Turkey Point 3). By examining the high safety significant piping segments for the different fluid piping systems, the total piping core damage frequency is reduced. In addition, more than 80% of the risk associated with potential pressure boundary failures is addressed with the WOG risk-informed ISI process, while typically less that 50% of this same risk is addressed by the current inspection programs. The risk-informed ISI processes are used to improve the effectiveness of inspecting safety-significant piping components, to reduce inspection requirements on other piping components, to evaluate improvements to plant availability and enhanced safety measures, including reduction of personnel radiation exposure, and to reduce overall Operation and Maintenance (O and M) costs while maintaining regulatory compliance. A description of the process as well as benefits from past projects is presented, since the methodology is applicable for WWER plant design. (author)

  4. Increase plant safety and reduce cost by implementing risk-informed In-Service Inspection programs

    International Nuclear Information System (INIS)

    Billington, A.; Monette, P.; Doumont, C.

    2000-01-01

    The idea behind the program is that it is possible to 'inspect less, but inspect better'. In other words, the risk-informed In-Service Inspection (ISI) process is used to improve the effectiveness of examination of piping components, i.e. concentrate inspection resources and enhance inspection strategies on high safety significant locations, and reduce inspection requirements on others. The Westinghouse Owners Group (WOG) risk-informed ISI process has already been applied for full scope (Millstone 3, Surry 1) and limited scope (Beznau, Ringhals 4, Asco, Turkey Point 3). By examining the high safety significant piping segments for the different fluid piping systems, the total piping core damage frequency is reduced. In addition, more than 80% of the risk associated with potential pressure boundary failures is addressed with the WOG risk-informed ISI process, while typically less than 50% of this same risk is addressed by the current inspection programs. The risk-informed ISI processes are used: to improve the effectiveness of inspecting safety-significant piping components; to reduce inspection requirements on other piping components; to evaluate improvements to plant availability and enhanced safety measures, including reduction of personnel radiation exposure; and to reduce overall Operation and Maintenance (O and M) costs while maintaining regulatory compliance. A description of the process as well as benefits of past projects is presented, since the methodology is applicable for VVER plant design. (author)

  5. 78 FR 10200 - Proposed Information Collection; Captive Wildlife Safety Act

    Science.gov (United States)

    2013-02-13

    ... DEPARTMENT OF THE INTERIOR Fish and Wildlife Service [FWS-HQ-LE-2013-N020; FF09L00200-FX-LE12200900000] Proposed Information Collection; Captive Wildlife Safety Act AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice; request for comments. SUMMARY: We (U.S. Fish and Wildlife Service) will ask the...

  6. Humanising illness: presenting health information in educational comics.

    Science.gov (United States)

    McNicol, Sarah

    2014-06-01

    Research into the effectiveness of comic books as health education tools overwhelmingly consists of studies evaluating the information learnt as a result of reading the comic, for example using preintervention and postintervention questionnaires. In essence, these studies evaluate comics in the same way in which a patient information leaflet might be evaluated, but they fail to evaluate the narrative element of comics. Health information comics have the potential to do much more than simply convey facts about an illness; they can also support patients in dealing with the social and psychological aspects of a condition. This article discusses how some common elements of educational comics are handled in a selection of comics about diabetes, focusing on the more personal or social aspects of the condition as well as the presentation of factual information. The elements examined include: fears and anxieties; reactions of friends and family; interactions with medical professionals; self-management; and prevention. In conclusion, the article argues that comics, potentially, have many advantages over patient information leaflets, particularly in the way in which they can offer 'companionship', helping patients to address fears and negative feelings. However, empirical studies are required to evaluate educational comics in a way which takes account of their potential role in supporting patients in coming to terms with their condition, as well as becoming better informed. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Decree No 87-137 of 2 March 1987 concerning the High Council for nuclear safety and information

    International Nuclear Information System (INIS)

    1987-01-01

    This Decree amends the Decree of 13th March 1973 setting up a High Council for Nuclear Safety. Its purpose is to widen the terms of reference of the High Council for Nuclear Safety. In addition to its responsibilities as regards the safety of nuclear installations, it is now competent in the field of information. The Council is now charged with informing the media as well as the public not only on questions of safety proper but also on incidents and accidents occurring in nuclear installations. (NEA) [fr

  8. Laser Doppler anemometry measurements of steady flow through two bi-leaflet prosthetic heart valves

    Directory of Open Access Journals (Sweden)

    Ovandir Bazan

    2013-12-01

    Full Text Available INTRODUCTION: In vitro hydrodynamic characterization of prosthetic heart valves provides important information regarding their operation, especially if performed by noninvasive techniques of anemometry. Once velocity profiles for each valve are provided, it is possible to compare them in terms of hydrodynamic performance. In this first experimental study using laser doppler anemometry with mechanical valves, the simulations were performed at a steady flow workbench. OBJECTIVE: To compare unidimensional velocity profiles at the central plane of two bi-leaflet aortic prosthesis from St. Jude (AGN 21 - 751 and 21 AJ - 501 models exposed to a steady flow regime, on four distinct sections, three downstream and one upstream. METHODS: To provide similar conditions for the flow through each prosthesis by a steady flow workbench (water, flow rate of 17L/min. and, for the same sections and sweeps, to obtain the velocity profiles of each heart valve by unidimensional measurements. RESULTS: It was found that higher velocities correspond to the prosthesis with smaller inner diameter and instabilities of flow are larger as the section of interest is closer to the valve. Regions of recirculation, stagnation of flow, low pressure, and flow peak velocities were also found. CONCLUSIONS: Considering the hydrodynamic aspect and for every section measured, it could be concluded that the prosthesis model AGN 21 - 751 (RegentTM is superior to the 21 AJ - 501 model (Master Series. Based on the results, future studies can choose to focus on specific regions of the these valves.

  9. Pesticide Health and Safety Information

    Science.gov (United States)

    Animal Health Safe Use Practices Pest Control Food Safety Low Risk Pesticides Integrated Pest Management directed by the product label. Pesticides may be ingested if stored improperly in food or beverage ; Environment Human Health Animal Health Safe Use Practices Food Safety Environment Air Water Soil Wildlife

  10. 77 FR 28602 - Agency Information Collection Activities; Proposed Collection; Comment Request; Early Food Safety...

    Science.gov (United States)

    2012-05-15

    ... appropriate, and other forms of information technology. Early Food Safety Evaluation of New Non-Pesticidal... Evaluation of New Non-Pesticidal Proteins Produced by New Plant Varieties Intended for Food Use AGENCY: Food... for early food safety evaluation of new non-pesticidal proteins produced by new plant varieties...

  11. Use of risk information to safety regulation. Reprocessing facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    A procedure of probabilistic risk assessment (PRA) for a reprocessing facility has been under the development aiming to utilize risk information for safety regulations in this project. Activities in the fiscal year 2012 are summarized in the paper. A major activity is a fundamental study on a concept of serious accidents, requirements of serious accident management, and a policy of utilizing risk information for fabrication and reprocessing facilities. Other than the activity a study on release and transport of aerial radioactive materials at a serious accident in a reprocessing facility has been conducted. The outline and results are provided in the chapter 1 and 2 respectively. (author)

  12. High committee for nuclear safety transparency and information. December 18, 2008 meeting

    International Nuclear Information System (INIS)

    2008-12-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 6 main topics: 1 - a presentation of nuclear medicine by Prof. Devaux, of its domains of application and the respect of radiation protection rules; 2 - the launching of a working group on the transparency/secrecy problem with nuclear activities; 3 - the elaboration of an environmental radioactivity index by the nuclear safety authority (ASN); 4 - the order addressed to the Cruas nuclear facility for the lack of standardized marking and maintenance of pipes used for the transport of explosive fluids; 5 - the consequences of the blocking of 2 fuel assemblies (out of 157) in the Tricastin reactor core; 6 - the flood at the Tricastin site, its origin and consequences. (J.S.)

  13. Effectiveness of transmitting safety-measures information in risk communication of nuclear power generation. Evaluation by the receiver of the messages

    International Nuclear Information System (INIS)

    Matsumoto, Takanobu; Shiomi, Tetsuro

    2004-01-01

    Effectiveness of risk communication were previously discussed through both ''risk information'' and ''benefit information'' of its topics. However, in technical facilities facilities such as nuclear power plant where safeness is an important concern, not only these two aspects but also safety-measures information'' are required. There have been previously no such discussions about risk communication that included ''safety-measures information''. In this report, we investigated general public's view of the difference in effectiveness of risk communication between two cases. In the first case, only ''risk'' and ''benefit information'' were given. In the second case, we added ''safety-measures information'' as well as ''risk'' and benefit information''. Measurement of the effect was performed using a questionnaire. We divided the subjects into two groups. Each group was shown one side of two pamphlets which had information concerning two conditions, and asked how it feels about ''reliance on information'', ''reliance on informer'', ''posture considered with informer'' which are factors in the process of the attitude change that is shown in the paradigm of risk communication (Kinoshita and Kikkawa, (1990)). Prior to this investigation, we identified each subject is position on nuclear power generation. Thus we were able to clarify the effectiveness of each risk communication style depending on each subject is position (approval, neutrality, objection). As a result, we reached the following conclusions: First about ''reliance on information'', where asked whether the contents of a pamphlet would be reliable, it was found that the person negative to nuclear power generation evaluated lower the pamphlet which included ''safety-measures information'' than the other. However, it was found that regardless of the difference in the position towards nuclear power generation, people who read the pamphlet including ''safety-measures information'' evaluated higher ''reliance on

  14. Efficient improvement of nuclear power plant safety by reorganization of risk-informed safety importance evaluation methods for piping welded portions

    Energy Technology Data Exchange (ETDEWEB)

    Irie, Takashi; Hanafusa, Hidemitsu; Suyama, Takeshi [Institute of Nuclear Safety System, Inc., Mihama, Fukui (Japan); Morota, Hidetsugu; Kojima, Sigeo; Mizuno, Yoshinobu [Computer Software Development Co., Ltd., Tokyo (Japan)

    2002-09-01

    In this work, risk information was used to evaluate the safety importance of piping welded portions which were important for plant operation and maintenance of nuclear power plants. There are two types of risk-informed safety importance evaluation methods, namely the ASME method and the EPRI method. Since both methods have advantages and disadvantages, elements of each method were combined and reorganized. Considerations included whether the degradation mechanisms would be objectively evaluated and whether plant safety would be efficiently improved. The most objective and efficient method was as follows. Piping failure potential is quantitatively and objectively evaluated for failure with probabilistic fracture mechanics (PFM) and for other degradation mechanisms with empirical failure rates, and conditional core damage probability (CCDP) is calculated with PSA. This method reduces the inspected segment numbers to 1/4 of the deterministic method and increases the ratio of risk, which is covered by the inspected segments, to total risk from 80% of the deterministic method to 95%. Piping inspection numbers decreased for safety injection systems that were required the inspections by the deterministic method. Piping inspections were required for part of main feed water and main steam systems that were not required the inspections by the deterministic method. (author)

  15. Using routinely collected data to evaluate a leaflet campaign to increase the presentation of people with memory problems to general practice: a locality based controlled study

    Directory of Open Access Journals (Sweden)

    Tom Chan

    2010-09-01

    Conclusions During a leaflet campaign the recording and management ofmemory problems increased. However, there was greater improvement in the control locality. This study demonstrates the importance of including a control group and the strengths of routine primary care data.

  16. DART - for design basis justification and safety related information management

    International Nuclear Information System (INIS)

    Billington, A.; Blondiaux, P.; Boucau, J.; Cantineau, B.; Doumont, C.; Mared, A.

    2000-01-01

    DART is the acronym for Design Analysis Re-engineering Tool. It embodies a systematic and integrated approach to NPP safety re-assessment and configuration management, that makes use of Reverse Failure Mode and Effect Analysis in conjunction with a state-of-the-art relational database and a standardized data format, to permit long-term management of plant safety related information. The plant design is reviewed in a step-by-step logical fashion by constructing fault trees that identify the link between undesired consequences and their causes. Each failure cause identified in a fault tree is addressed by defining functional requirements, which are in turn addressed by documenting the specific manner in which the plant complies with the requirement. The database can be used to generate up-to-date plant safety related documents, including: SAR, Systems Descriptions, Technical Specifications and plant procedures. The approach is open-minded by nature and therefore is not regulatory driven, however the plant licensing basis will also be reviewed and documented within the same database such that a Regulatory Conformance Program may be integrated with the other safety documentation. This methodology can thus reconstitute the plant design bases in a comprehensive and systematic way, while allowing to uncover weaknesses in design. The original feature of the DART methodology is that it links all the safety related documents together, facilitating the evaluation of the safety impact resulting from any plant modification. Due to its capability to retrieve the basic justifications of the plant design, it is also a useful tool for training the young generation of plant personnel. The DART methodology has been developed for application to units 2, 3 and 4 at Vattenfall's Ringhals site in Sweden. It may be applied to any nuclear power plant or industrial facility where public safety is a concern. (author)

  17. DART - for design basis justification and safety related information management

    International Nuclear Information System (INIS)

    Billington, A.; Blondiaux, B.; Boucau, J.; Cantineau, B.; Mared, A.

    2001-01-01

    DART is the acronym for Design Analysis Re-Engineering Tool. It embodies a systematic and integrated approach to NPP safety re-assessment and configuration management, that makes use of Reverse Failure Mode and Effect Analysis in conjunction with a state-of-the-art relational database and a standardized data format, to permit long-term management of plant safety related information. The plant design is reviewed in a step-by-step logical fashion by constructing fault trees that identify the link between undesired consequences and their causes. Each failure cause identified in a fault tree is addressed by defining functional requirements, which are in turn addressed by documenting the specific manner in which the plant complies with the requirement. The database can then be used to generate up-to-date plant safety related documents, including: SAR, Systems Descriptions, Technical Specifications and plant procedures. The approach is open-minded by nature and therefore is not regulatory driven, however the plant licensing basis will also be reviewed and documented within the same database such that a Regulatory Conformance Program may be integrated with the other safety documentation. This methodology can thus reconstitute the plant design bases in a comprehensive and systematic way, while allowing to uncover weaknesses in design. The original feature of the DART methodology is that it links all the safety related documents together, facilitating the evaluation of the safety impact resulting from any plant modification. Due to its capability to retrieve the basic justifications of the plant design, it is also a useful tool for training the young generation of plant personnel. The DART methodology has been developed for application to units 2, 3 and 4 at Vattenfall's Ringhals site in Sweden. It may be applied to any nuclear power plant or industrial facility where public safety is a concern. (author)

  18. Information System Hazard Analysis: A Method for Identifying Technology-induced Latent Errors for Safety.

    Science.gov (United States)

    Weber, Jens H; Mason-Blakley, Fieran; Price, Morgan

    2015-01-01

    Many health information and communication technologies (ICT) are safety-critical; moreover, reports of technology-induced adverse events related to them are plentiful in the literature. Despite repeated criticism and calls to action, recent data collected by the Institute of Medicine (IOM) and other organization do not indicate significant improvements with respect to the safety of health ICT systems. A large part of the industry still operates on a reactive "break & patch" model; the application of pro-active, systematic hazard analysis methods for engineering ICT that produce "safe by design" products is sparse. This paper applies one such method: Information System Hazard Analysis (ISHA). ISHA adapts and combines hazard analysis techniques from other safety-critical domains and customizes them for ICT. We provide an overview of the steps involved in ISHA and describe.

  19. The use of information technology to enhance patient safety and nursing efficiency.

    Science.gov (United States)

    Lee, Tso-Ying; Sun, Gi-Tseng; Kou, Li-Tseng; Yeh, Mei-Ling

    2017-10-23

    Issues in patient safety and nursing efficiency have long been of concern. Advancing the role of nursing informatics is seen as the best way to address this. The aim of this study was to determine if the use, outcomes and satisfaction with a nursing information system (NIS) improved patient safety and the quality of nursing care in a hospital in Taiwan. This study adopts a quasi-experimental design. Nurses and patients were surveyed by questionnaire and data retrieval before and after the implementation of NIS in terms of blood drawing, nursing process, drug administration, bar code scanning, shift handover, and information and communication integration. Physiologic values were easier to read and interpret; it took less time to complete electronic records (3.7 vs. 9.1 min); the number of errors in drug administration was reduced (0.08% vs. 0.39%); bar codes reduced the number of errors in blood drawing (0 vs. 10) and transportation of specimens (0 vs. 0.42%); satisfaction with electronic shift handover increased significantly; there was a reduction in nursing turnover (14.9% vs. 16%); patient satisfaction increased significantly (3.46 vs. 3.34). Introduction of NIS improved patient safety and nursing efficiency and increased nurse and patient satisfaction. Medical organizations must continually improve the nursing information system if they are to provide patients with high quality service in a competitive environment.

  20. High committee for nuclear safety transparency and information. October 8, 2009 meeting

    International Nuclear Information System (INIS)

    2009-10-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 3 main points: 1 - the progress of the different working groups work: elaboration of a communication scale, comparable to the INES scale, for the evaluation of environmental radioactivity, the realisation of a web site for the HCTISN, the question of transparency and secrecy around the maritime transportation of radioactive materials after the visit by the High Committee of two ships from the British INS company; 2 - the management of radioactive wastes with the concept of storage reversibility: political, technical and decisional aspects, position of the National Evaluation Committee for the researches and studies relative to radioactive materials and wastes management (CNE), position of the ANCLI (French national association of local information commissions), debate; 3 - the shortage of radio-physicists in France and the information of populations and patients (declaration of incidents). Some miscellaneous points are reported as well: the first draft of the first annual report of the HCTISN, development of a societal approach for the research programs of the French institute of radiation protection and nuclear safety (IRSN), validation of a collaboration proposal with the ANCLI. (J.S.)

  1. A comparative review of patient safety initiatives for national health information technology

    DEFF Research Database (Denmark)

    Magrabi, Farah; Aarts, Jos; Nøhr, Christian

    2013-01-01

    OBJECTIVE: To collect and critically review patient safety initiatives for health information technology (HIT). METHOD: Publicly promulgated set of advisories, recommendations, guidelines, or standards potentially addressing safe system design, build, implementation or use were identified...... by searching the websites of regional and national agencies and programmes in a non-exhaustive set of exemplar countries including England, Denmark, the Netherlands, the USA, Canada and Australia. Initiatives were categorised by type and software systems covered. RESULTS: We found 27 patient safety initiatives...... were aimed at certification in the USA, Canada and Australia. Safety is addressed alongside interoperability in the Australian certification programme but it is not explicitly addressed in the US and Canadian programmes, though conformance with specific functionality, interoperability, security...

  2. The electronic security partnership of safety/security and information systems departments.

    Science.gov (United States)

    Yow, J Art

    2012-01-01

    The ever-changing world of security electronics is reviewed in this article. The author focuses on its usage in a hospital setting and the need for safety/security and information systems departments to work together to protect and get full value from IP systems.

  3. 14 CFR 193.5 - How may I submit safety or security information and have it protected from disclosure?

    Science.gov (United States)

    2010-01-01

    ... SUBMITTED INFORMATION § 193.5 How may I submit safety or security information and have it protected from... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false How may I submit safety or security information and have it protected from disclosure? 193.5 Section 193.5 Aeronautics and Space FEDERAL AVIATION...

  4. Patient and nurse safety: how information technology makes a difference.

    Science.gov (United States)

    Simpson, Roy L

    2005-01-01

    The Institute of Medicine's landmark report asserted medical error is seldom the fault of individuals, but the result of faulty healthcare policy/procedure systems. Numerous studies have shown that information technology can shore up weak systems. For nursing, information technology plays a key role in protecting patients by eliminating nursing mistakes and protecting nurses by reducing their negative exposure. However, managing information technology is a function of managing the people who use it. This article examines critical issues that impact patient and nurse safety, both physical and professional. It discusses the importance of eliminating the culture of blame, the requirements of process change, how to implement technology in harmony with the organization and the significance of vision.

  5. A framework of risk-informed seismic safety evaluation of nuclear power plants in Japan

    International Nuclear Information System (INIS)

    Kondo, S.; Sakagami, M.; Hirano, M.; Shiba, M.

    2001-01-01

    A framework of risk-informed seismic design and safety evaluation of nuclear power plants is under consideration in Japan so as to utilize the progress in the seismic probabilistic safety assessment methodology. Issues resolved to introduce this framework are discussed after the concept, evaluation process and characteristics of the framework are described. (author)

  6. 75 FR 11988 - Notice of Request for Approval To Collect New Information: Collection of Safety Culture Data

    Science.gov (United States)

    2010-03-12

    ..., information about changes to the safety culture of the affected workplaces will be used as one of several data...: RITA-2008-0002] Notice of Request for Approval To Collect New Information: Collection of Safety Culture.... mail to Federal offices in Washington, DC, we recommend that persons consider an alternative method...

  7. Informed consent in Sri Lanka: A survey among ethics committee members

    OpenAIRE

    Sumathipala, Athula; Siribaddana, Sisira; Hewage, Suwin; Lekamwattage, Manura; Athukorale, Manjula; Siriwardhana, Chesmal; Murray, Joanna; Prince, Martin

    2008-01-01

    Abstract Background Approval of the research proposal by an ethical review committee from both sponsoring and host countries is a generally agreed requirement in externally sponsored research. However, capacity for ethics review is not universal. Aim of this study was to identify opinions and views of the members serving in ethical review and ethics committees in Sri Lanka on informed consent, essential components in the information leaflet and the consent form. Methods We obtained ethical ap...

  8. Temperature shift experiments suggest that metabolic impairment and enhanced rates of photorespiration decrease organic acid levels in soybean leaflets exposed to supra-optimal growth temperatures

    Science.gov (United States)

    Citrate, malate, malonate, fumarate and succinate in soybean leaflets decreased 40 to 80% when plants were grown continuously in controlled environment chambers at 36/28 compared to 28/20 °C. Glycerate was not temperature responsive in this study. Temperature effects on the above mentioned organi...

  9. Enabling social listening for cardiac safety monitoring: Proceedings from a drug information association-cardiac safety research consortium cosponsored think tank.

    Science.gov (United States)

    Seifert, Harry A; Malik, Raleigh E; Bhattacharya, Mondira; Campbell, Kevin R; Okun, Sally; Pierce, Carrie; Terkowitz, Jeffrey; Turner, J Rick; Krucoff, Mitchell W; Powell, Gregory E

    2017-12-01

    This white paper provides a summary of the presentations and discussions from a think tank on "Enabling Social Listening for Cardiac Safety Monitoring" trials that was cosponsored by the Drug Information Association and the Cardiac Safety Research Consortium, and held at the White Oak headquarters of the US Food and Drug Administration on June 3, 2016. The meeting's goals were to explore current methods of collecting and evaluating social listening data and to consider their applicability to cardiac safety surveillance. Social listening is defined as the act of monitoring public postings on the Internet. It has several theoretical advantages for drug and device safety. First, these include the ability to detect adverse events that are "missed" by traditional sources and the ability to detect adverse events sooner than would be allowed by traditional sources, both by affording near-real-time access to data from culturally and geographically diverse sources. Social listening can also potentially introduce a novel patient voice into the conversation about drug safety, which could uniquely augment understanding of real-world medication use obtained from more traditional methodologies. Finally, it can allow for access to information about drug misuse and diversion. To date, the latter 2 of these have been realized. Although regulators from the Food and Drug Administration and the United Kingdom's Medicines and Healthcare Products Regulatory Agency participated in the think tank along with representatives from industry, academia, and patient groups, this article should not be construed to constitute regulatory guidance. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Knowledge management: Role of the the Radiation Safety Information Computational Center (RSICC)

    Science.gov (United States)

    Valentine, Timothy

    2017-09-01

    The Radiation Safety Information Computational Center (RSICC) at Oak Ridge National Laboratory (ORNL) is an information analysis center that collects, archives, evaluates, synthesizes and distributes information, data and codes that are used in various nuclear technology applications. RSICC retains more than 2,000 software packages that have been provided by code developers from various federal and international agencies. RSICC's customers (scientists, engineers, and students from around the world) obtain access to such computing codes (source and/or executable versions) and processed nuclear data files to promote on-going research, to ensure nuclear and radiological safety, and to advance nuclear technology. The role of such information analysis centers is critical for supporting and sustaining nuclear education and training programs both domestically and internationally, as the majority of RSICC's customers are students attending U.S. universities. Additionally, RSICC operates a secure CLOUD computing system to provide access to sensitive export-controlled modeling and simulation (M&S) tools that support both domestic and international activities. This presentation will provide a general review of RSICC's activities, services, and systems that support knowledge management and education and training in the nuclear field.

  11. Insights from an international stakeholder consultation to identify informational needs related to seafood safety

    Energy Technology Data Exchange (ETDEWEB)

    Tediosi, Alice, E-mail: alice.tediosi@aeiforia.eu [Aeiforia Srl, 29027 Gariga di Podenzano (PC) (Italy); Fait, Gabriella [Aeiforia Srl, 29027 Gariga di Podenzano (PC) (Italy); Jacobs, Silke [Department of Public Health, Ghent University, 9000 Ghent (Belgium); Department of Agricultural Economics, Ghent University, 9000 Ghent (Belgium); Verbeke, Wim [Department of Agricultural Economics, Ghent University, 9000 Ghent (Belgium); Álvarez-Muñoz, Diana [Catalan Institute for Water Research (ICRA), Parc Científic i Tecnològic de la Universitat de Girona, 17003 Girona (Spain); Diogene, Jorge [IRTA, 43540 Sant Carles de la Ràpita (Spain); Reuver, Marieke [AquaTT, Dublin 2 (Ireland); Marques, António [Division of Aquaculture and Upgrading (DivAV), Portuguese Institute for the Sea and Atmosphere (IPMA), 1449-006 Lisbon (Portugal); Capri, Ettore [Università Cattolica del Sacro Cuore, 29122 Piacenza (Italy)

    2015-11-15

    Food safety assessment and communication have a strong importance in reducing human health risks related to food consumption. The research carried out within the ECsafeSEAFOOD project aims to assess seafood safety issues, mainly related to non-regulated priority environmental contaminants, and to evaluate their impact on public health. In order to make the research results accessible and exploitable, and to respond to actual stakeholders' demands, a consultation with international stakeholders was performed by means of a survey. The focus was on policy and decision makers, food producers and processors, and agencies (i.e. EU and National or Regional agencies related to Food Safety or Public Health) and consumer organisations. The survey considered questions related to: seafood safety assessment and mitigation strategies, availability of data, such as the level of information on different contaminants, and communication among different stakeholder groups. Furthermore, stakeholders were asked to give their opinion on how they believe consumers perceive risks associated with environmental contaminants. The survey was distributed to 531 key stakeholders and 91 responses were received from stakeholders from 30 EU and non-EU countries. The main results show that communication between different groups of stakeholders needs to be improved and that there is a deficit of information and data in the field of seafood safety. This pertains mainly to the transfer of contaminants between the environment and seafood, and to the diversity of environmental contaminants such as plastic additives, algal toxins and hormones. On-line tools were perceived to be the most useful communication channel. - Highlights: • We consulted stakeholders to identify their needs about seafood safety. • An on-line survey was prepared and sent to gather stakeholders' opinions. • Communication among stakeholders needs to be improved. • There is a deficit of information and data in the

  12. Insights from an international stakeholder consultation to identify informational needs related to seafood safety

    International Nuclear Information System (INIS)

    Tediosi, Alice; Fait, Gabriella; Jacobs, Silke; Verbeke, Wim; Álvarez-Muñoz, Diana; Diogene, Jorge; Reuver, Marieke; Marques, António; Capri, Ettore

    2015-01-01

    Food safety assessment and communication have a strong importance in reducing human health risks related to food consumption. The research carried out within the ECsafeSEAFOOD project aims to assess seafood safety issues, mainly related to non-regulated priority environmental contaminants, and to evaluate their impact on public health. In order to make the research results accessible and exploitable, and to respond to actual stakeholders' demands, a consultation with international stakeholders was performed by means of a survey. The focus was on policy and decision makers, food producers and processors, and agencies (i.e. EU and National or Regional agencies related to Food Safety or Public Health) and consumer organisations. The survey considered questions related to: seafood safety assessment and mitigation strategies, availability of data, such as the level of information on different contaminants, and communication among different stakeholder groups. Furthermore, stakeholders were asked to give their opinion on how they believe consumers perceive risks associated with environmental contaminants. The survey was distributed to 531 key stakeholders and 91 responses were received from stakeholders from 30 EU and non-EU countries. The main results show that communication between different groups of stakeholders needs to be improved and that there is a deficit of information and data in the field of seafood safety. This pertains mainly to the transfer of contaminants between the environment and seafood, and to the diversity of environmental contaminants such as plastic additives, algal toxins and hormones. On-line tools were perceived to be the most useful communication channel. - Highlights: • We consulted stakeholders to identify their needs about seafood safety. • An on-line survey was prepared and sent to gather stakeholders' opinions. • Communication among stakeholders needs to be improved. • There is a deficit of information and data in the field of

  13. Proceedings of the US Nuclear Regulatory Commission twentieth water reactor safety information meeting

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1993-03-01

    This three-volume report contains papers presented at the Twentieth Water Reactor Safety Information Meeting held at the Bethesda Marriott Hotel, Bethesda, Maryland, during the week of October 21--23, 1992. The papers describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included 10 different papers presented by researchersfrom CEC, China, Finland, France, Germany, Japan, Spain and Taiwan

  14. Survivorship Care Plan Information Needs: Perspectives of Safety-Net Breast Cancer Patients.

    Science.gov (United States)

    Burke, Nancy J; Napoles, Tessa M; Banks, Priscilla J; Orenstein, Fern S; Luce, Judith A; Joseph, Galen

    2016-01-01

    Despite the Institute of Medicine's (IOM) 2005 recommendation, few care organizations have instituted standard survivorship care plans (SCPs). Low health literacy and low English proficiency are important factors to consider in SCP development. Our study aimed to identify information needs and survivorship care plan preferences of low literacy, multi-lingual patients to support the transition from oncology to primary care and ongoing learning in survivorship. We conducted focus groups in five languages with African American, Latina, Russian, Filipina, White, and Chinese medically underserved breast cancer patients. Topics explored included the transition to primary care, access to information, knowledge of treatment history, and perspectives on SCPs. Analysis of focus group data identified three themes: 1) the need for information and education on the transition between "active treatment" and "survivorship"; 2) information needed (and often not obtained) from providers; and 3) perspectives on SCP content and delivery. Our data point to the need to develop a process as well as written information for medically underserved breast cancer patients. An SCP document will not replace direct communication with providers about treatment, symptom management and transition, a communication that is missing in participating safety-net patients' experiences of cancer care. Women turned to peer support and community-based organizations in the absence of information from providers. "Clear and effective" communication of survivorship care for safety-net patients requires dedicated staff trained to address wide-ranging information needs and uncertainties.

  15. Information Management system of the safety regulatory requirements and guidance for the Korea next generation reactors

    International Nuclear Information System (INIS)

    Yun, Y. C.; Lee, J. H.; Lee, H. C.; Lee, J. S.

    2000-01-01

    In order to achieve the safety of the Korea Next Generation Reactors (KNGR), the Korea Institute of Nuclear Safety has carried out the Safety and Regulatory Requirements and Guidance (SRRG) development program from 1992 such as establishment of the SRRG hierarchy, development of technical requirements and guidance, and consideration of new licensing system. The SRRG hierarchy for the KNGR was consisted of five tiers; Safety Objectives, Safety Principles, General Safety Criteria, Specific Safety Requirements and Safety Regulatory Guides. The developed SRRG have been compared the criteria in 10CFR and Reg. Guide in the U.S.A and the IAEA documents for assuring internationally acceptable level of the SRRG. To improve the efficiency and accuracy of SRRG development, the construction of database system was required in the course of development. Therefore, the Information Management System of SRRG for the KNGR has been developed which enables developers to quickly and accurately seek and systematically manage whole contexts of the SRRG, reference requirements, and current atomic energy regulation rules. Moreover, through homepage whose URL is 'http://kngr.kins.re.kr', the concerned persons and public can acquire the information related with SRRG and KNGR project, and post his/her thought to the opinion forum in the homepage

  16. Information Management system of the safety regulatory requirements and guidance for the Korea next generation reactors

    Energy Technology Data Exchange (ETDEWEB)

    Yun, Y. C. [LG-EDS Systems, Seoul (Korea, Republic of); Lee, J. H.; Lee, H. C.; Lee, J. S. [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of)

    2000-05-01

    In order to achieve the safety of the Korea Next Generation Reactors (KNGR), the Korea Institute of Nuclear Safety has carried out the Safety and Regulatory Requirements and Guidance (SRRG) development program from 1992 such as establishment of the SRRG hierarchy, development of technical requirements and guidance, and consideration of new licensing system. The SRRG hierarchy for the KNGR was consisted of five tiers; Safety Objectives, Safety Principles, General Safety Criteria, Specific Safety Requirements and Safety Regulatory Guides. The developed SRRG have been compared the criteria in 10CFR and Reg. Guide in the U.S.A and the IAEA documents for assuring internationally acceptable level of the SRRG. To improve the efficiency and accuracy of SRRG development, the construction of database system was required in the course of development. Therefore, the Information Management System of SRRG for the KNGR has been developed which enables developers to quickly and accurately seek and systematically manage whole contexts of the SRRG, reference requirements, and current atomic energy regulation rules. Moreover, through homepage whose URL is 'http://kngr.kins.re.kr', the concerned persons and public can acquire the information related with SRRG and KNGR project, and post his/her thought to the opinion forum in the homepage.

  17. Quality and safety issues of web-based information about herbal medicines in the treatment of cancer.

    Science.gov (United States)

    Molassiotis, Alexander; Xu, Min

    2004-12-01

    A number of studies have been carried out to assess health information on the internet and they all have demonstrated that, whereas the internet can be the third opinion for many patients, often contains inaccurate and misleading information. Furthermore, as herbal medicines are increasingly used by patients, it is imperative to assess the quality of information presented on the internet. Hence, the aim of this study was to assess the quality and safety of the information presented on the internet about medicinal herbs specifically in the field of cancer. Two hundred relevant websites were initially selected from a process using 10 search engines and the keywords 'herbs' and 'cancer', and 43 sites actually met all inclusion criteria. Assessment of both quality and safety indicators was carried out using the DISCERN instrument, which has been developed to enable consumers and information providers to judge the quality of health information. Readability scores of the sites were also obtained (Flesch formula). It was shown that most sites had low quality in a number of indicators, including accuracy of information, revealing sources of information, biased presentation of information or regularity of updates. The mean score for quality was 22.12 (S.D.=4.18) out of a maximum score of 50. The mean safety score was 13.26 (S.D.=2.14) out of a maximum score of 30. Commercial sites had the most inaccurate or misleading information, emphasizing only the positive aspects of the use of herbs, with little or no evidence. The only biomedical sites assessed achieved the highest score in both quality and safety. Readability of the information was equal to the school level of college (mean=44.63). Seven percent of the sites discouraged the use of conventional medicine. Results suggest that health professionals should talk about use of alternative therapies with their patients and help them find the best available information when using the internet.

  18. User-oriented information access by information need recontextualisation and articulation. Application in nuclear criticality safety

    International Nuclear Information System (INIS)

    Medini, Lionel

    2001-01-01

    This research thesis addresses the design methodology of a system of access to information which is based on an access to relevant information with respect to user needs. In a first part, the author addresses the various issues related to access to information and to information understanding. The next part addresses the involved methods and tools and presents the operational approach adopted for this research regarding access to information. Different disciplines are addressed (knowledge management, ergonomics and information science) and different technologies are used (W3 and XML, DVP, ActiveX, pdf format and the Adobe suite). In the core chapter, the author reports the design of a LMCE (a multi-user book of electronic knowledge) which allows both hypermedia navigation in knowledge diagrams and a construction of a document query. This design is based on a knowledge-management modelling to define diagrams, on ergonomics modelling for user profile identification, and on information science for a specific indexing of the information system. The prototype can be visualized with a web browser such as Internet Explorer 5. The author reports a first assessment and discusses the contribution of his approach to the problematic of access to information which is to be applied to nuclear criticality safety [fr

  19. RISK-INFORMED BALANCING OF SAFETY, NONPROLIFERATION, AND ECONOMICS FOR THE SFR

    Energy Technology Data Exchange (ETDEWEB)

    Apostolakis, George; Driscoll, Michael; Golay, Michael; Kadak, Andrew; Todreas, Neil; Aldmir, Tunc; Denning, Richard; Lineberry, Michael

    2011-10-20

    A substantial barrier to the implementation of Sodium-cooled Fast Reactor (SFR) technology in the short term is the perception that they would not be economically competitive with advanced light water reactors. With increased acceptance of risk-informed regulation, the opportunity exists to reduce the costs of a nuclear power plant at the design stage without applying excessive conservatism that is not needed in treating low risk events. In the report, NUREG-1860, the U.S. Nuclear Regulatory Commission describes developmental activities associated with a risk-informed, scenario-based technology neutral framework (TNF) for regulation. It provides quantitative yardsticks against which the adequacy of safety risks can be judged. We extend these concepts to treatment of proliferation risks. The objective of our project is to develop a risk-informed design process for minimizing the cost of electricity generation within constraints of adequate safety and proliferation risks. This report describes the design and use of this design optimization process within the context of reducing the capital cost and levelized cost of electricity production for a small (possibly modular) SFR. Our project provides not only an evaluation of the feasibility of a risk-informed design process but also a practical test of the applicability of the TNF to an actual advanced, non-LWR design. The report provides results of five safety related and one proliferation related case studies of innovative design alternatives. Applied to previously proposed SFR nuclear energy system concepts We find that the TNF provides a feasible initial basis for licensing new reactors. However, it is incomplete. We recommend improvements in terms of requiring acceptance standards for total safety risks, and we propose a framework for regulation of proliferation risks. We also demonstrate methods for evaluation of proliferation risks. We also suggest revisions to scenario-specific safety risk acceptance standards

  20. Risk-Informed Balancing Of Safety, Nonproliferation, And Economics For The SFR

    International Nuclear Information System (INIS)

    Apostolakis, George; Driscoll, Michael; Golay, Michael; Kadak, Andrew; Todreas, Neil; Aldmir, Tunc; Denning, Richard; Lineberry, Michael

    2011-01-01

    A substantial barrier to the implementation of Sodium-cooled Fast Reactor (SFR) technology in the short term is the perception that they would not be economically competitive with advanced light water reactors. With increased acceptance of risk-informed regulation, the opportunity exists to reduce the costs of a nuclear power plant at the design stage without applying excessive conservatism that is not needed in treating low risk events. In the report, NUREG-1860, the U.S. Nuclear Regulatory Commission describes developmental activities associated with a risk-informed, scenario-based technology neutral framework (TNF) for regulation. It provides quantitative yardsticks against which the adequacy of safety risks can be judged. We extend these concepts to treatment of proliferation risks. The objective of our project is to develop a risk-informed design process for minimizing the cost of electricity generation within constraints of adequate safety and proliferation risks. This report describes the design and use of this design optimization process within the context of reducing the capital cost and levelized cost of electricity production for a small (possibly modular) SFR. Our project provides not only an evaluation of the feasibility of a risk-informed design process but also a practical test of the applicability of the TNF to an actual advanced, non-LWR design. The report provides results of five safety related and one proliferation related case studies of innovative design alternatives. Applied to previously proposed SFR nuclear energy system concepts We find that the TNF provides a feasible initial basis for licensing new reactors. However, it is incomplete. We recommend improvements in terms of requiring acceptance standards for total safety risks, and we propose a framework for regulation of proliferation risks. We also demonstrate methods for evaluation of proliferation risks. We also suggest revisions to scenario-specific safety risk acceptance standards

  1. Reactor operation safety information document

    Energy Technology Data Exchange (ETDEWEB)

    1990-01-01

    The report contains a reactor facility description which includes K, P, and L reactor sites, structures, operating systems, engineered safety systems, support systems, and process and effluent monitoring systems; an accident analysis section which includes cooling system anomalies, radioactive materials releases, and anticipated transients without scram; a summary of onsite doses from design basis accidents; severe accident analysis (reactor core disruption); a description of operating contractor organization and emergency planning; and a summary of reactor safety evolution. (MB)

  2. Co-creation of information leaflets to meet the support needs of people living with complex regional pain syndrome (CRPS) through innovative use of wiki technology.

    Science.gov (United States)

    Rodham, Karen; Gavin, Jeff; Coulson, Neil; Watts, Leon

    2016-01-01

    People living with complex regional pain syndrome (CRPS) experience frustration with the lack of knowledge and understanding of CRPS as a pain condition. We report on our attempt to address this issue. People living with CRPS taking part in a larger study were invited to co-construct a CRPS wiki page that addressed the areas in which they had experienced the most difficulty. A blank wiki page was set up for participants to populate with issues they felt needed to be raised and addressed. Participants failed to engage with the wiki technology. We modified our procedure and completed an inductive analysis of a sister-forum which participants were using as part of the larger study. Six issues of importance were identified. We used the discussion forum threads to populate the themes. Due to a continued lack of engagement with the wiki technology, the team decided to create a suite of leaflets which were piloted with delegates at a CRPS patient conference. Future work should be mindful of the extent to which patients are able and willing to share their experiences through such technology. Striking the balance between patient-endorsed and researcher-driven co-creation of such material is imperative.

  3. Information need about the safety of the final disposal of nuclear waste. Information receiver`s views in Eurajoki, Kuhmo and Aeaenekoski municipalities; Tiedontarve ydinjaetteen loppusijoituksen turvallisuudesta. Vastaanottajan naekoekulmia Eurajoella, Kuhmossa ja Aeaenekoskella

    Energy Technology Data Exchange (ETDEWEB)

    Hautakangas, H

    1997-03-01

    The study analyses the public`s information need about the safety issues related to the final disposal of spent nuclear fuel generated by the Finnish nuclear power stations. Locals in three municipalities that are studied as possible sites for final disposal were interviewed for the study. Earlier studies made in Finland had indicated that the public`s knowledge about safety issues related to the final disposal was almost opposite to the findings of the natural sciences. Also, the public had expressed a wish to receive more information from the safety authority, the Finnish Centre for Radiation and Nuclear Safety (STUK). This study therefore had two basic objectives: To find out what kind of safety information the locals need and what the safety authority`s role could be in providing information. The main results show interest and need especially for information concerning the disposal phases taking place on the ground level, such as nuclear waste transportation and encapsulation. Also, the interviews show a clear need and desire for an impartial actor such as STUK in the information and communication process. (author) (107 refs.).

  4. Transport safety research abstracts. No. 2. Information on research recently concluded and in progress

    International Nuclear Information System (INIS)

    1994-09-01

    Transport Safety Research Abstracts (TSRA) was first published by the IAEA in 1991 as a means of disseminating information on research in radioactive material transport. This second edition utilizes International Nuclear Information System (INIS) protocol for data processing and report preparation for a research-in-progress database established by the IAEA's Division of Scientific and Technical Information. INIS subject categories and descriptors are included in the information about each project

  5. Transport safety research abstracts. No. 2. Information on research recently concluded and in progress

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-09-01

    Transport Safety Research Abstracts (TSRA) was first published by the IAEA in 1991 as a means of disseminating information on research in radioactive material transport. This second edition utilizes International Nuclear Information System (INIS) protocol for data processing and report preparation for a research-in-progress database established by the IAEA`s Division of Scientific and Technical Information. INIS subject categories and descriptors are included in the information about each project.

  6. Online Food Safety Information System for Nuclear or Radiological Emergencies

    International Nuclear Information System (INIS)

    Albinet, Franck; Adjigogov, Lazar; Dercon, Gerd

    2016-01-01

    Over the last year, the protocol with regards to data management and visualization requirements for food safety decision-making, developed under CRP D1.50.15 on R esponse to Nuclear Emergency Affecting Food and Agriculture , was further implemented. The development team moved away from early series of disconnected prototypes to a more advanced Information System integrating both data management and visualization components outlined in the agreed protocol

  7. Stakeholder Safety in Information Systems Research

    Directory of Open Access Journals (Sweden)

    R.H. Barbour

    2006-11-01

    Full Text Available Information Communication Technology (ICT researchers adapt and use tools from reference and cognate disciplines. This application of existing tools outside the context of their development has implications beyond the immediate problem context. ICT researchers have access to a wide variety of data sources including newer ones, such as the Internet, that may bring unexpected outcomes. ICT research can impact on researchers, their institutions and the researched in unexpected ways. People so affected are the stakeholders in ICT research activities. Reputations, welfare and property may be put at risk by unplanned events described in this paper. Legal aspects of ICT research are broadly identified and linked to the tort of negligence. The Social Research Association’s Code for researcher safety is described and its application extended to include the Internet as a potential data source. A common set of underlying ethical principles is identified suggesting that the ICT researcher can refine particular research protocols for specific social contexts.

  8. 75 FR 42818 - Agency Information Collection; Activity Under OMB Review; Collection of Safety Culture Data for...

    Science.gov (United States)

    2010-07-22

    ... Collection; Activity Under OMB Review; Collection of Safety Culture Data for Program Evaluation AGENCY... . SUPPLEMENTARY INFORMATION: Title: Collection of Safety Culture Data for Program Evaluation. Type of Request... data on the nation's transportation system is an important component of BTS' responsibility to the...

  9. EUMENES, a computer software for managing the radiation safety program information at an institutional level

    International Nuclear Information System (INIS)

    Hernandez Saiz, Alejandro; Cornejo Diaz, Nestor; Valdes Ramos, Maryzury; Martinez Gonzalez, Alina; Gonzalez Rodriguez, Niurka; Vergara Gil, Alex

    2008-01-01

    The correct application of national and international regulations in the field of Radiological Safety requires the implementation of Radiation Safety Programs appropriate to the developed practice. These Programs demand the preparation and keeping of an important number of records and data, the compliance with working schedules, systematic quality controls, audits, delivery of information to the Regulatory Authority, the execution of radiological assessments, etc. Therefore, it is unquestionable the necessity and importance of having a computer tool to support the management of the information related to the Radiation Safety Program in any institution. The present work describes a computer program that allows the efficient management of these data. Its design was based on the IAEA International Basic Safety Standards recommendations and on the requirements of the Cuban national standards, with the objective of being flexible enough to be applied in most of the institutions using ionizing radiations. The most important records of Radiation Safety Programs were incorporated and reports can be generated by the users. An additional tools-module allows the user to access to a radionuclide data library, and to carry out different calculations of interest in radiological protection. The program has been developed in Borland Delphi and manages Microsoft Access databases. It is a user friendly code that aims to support the optimization of Radiation Safety Programs. The program contributes to save resources and time, as the generated information is electronically kept and transmitted. The code has different security access levels according to the user responsibility at the institution and also provides for the analysis of the introduced data, in a quick and efficient way, as well as to notice deadlines, the exceeding of reference levels and situations that require attention. (author)

  10. Environmental safety of the global information space

    Directory of Open Access Journals (Sweden)

    В’ячеслав Степанович Волошин

    2015-03-01

    Databases of full-text publications – journals, articles, monographs- are surely a means of salvation for science. There already exist a large number of such portals. Besides, advantages and disadvantages of electronic subscriptions to periodicals should certainly be considered. The former include the following most evident ones: aggregation of large data arrays, saving money on a subscription, an opportunity to work with relevant publications, thematic collections of materials, availability of records, simultaneous access of an unlimited number of users and others. Nevertheless, there are many disadvantages that make it difficult to work with full-text publications. They are the following: selective representativeness of publication numbers, complexity of keyword search, occasional presence of obsolete text formats, printed versions, possible psychological barrier, physiological incompatibility with computer equipment, fatigue caused by prolonged work on the computer. The Internet was followed by the appearance of global control networks, their aims ranging from control of a human life support to a unified control of humanity. So, the formed global information space promises the man to get access to almost any information source. Meanwhile, environmental safety of the man, his/her objective biological psyche and abilities in harmonious development are at serious risk

  11. Ensuring Adequate Health and Safety Information for Decision Makers during Large-Scale Chemical Releases

    Science.gov (United States)

    Petropoulos, Z.; Clavin, C.; Zuckerman, B.

    2015-12-01

    The 2014 4-Methylcyclohexanemethanol (MCHM) spill in the Elk River of West Virginia highlighted existing gaps in emergency planning for, and response to, large-scale chemical releases in the United States. The Emergency Planning and Community Right-to-Know Act requires that facilities with hazardous substances provide Material Safety Data Sheets (MSDSs), which contain health and safety information on the hazardous substances. The MSDS produced by Eastman Chemical Company, the manufacturer of MCHM, listed "no data available" for various human toxicity subcategories, such as reproductive toxicity and carcinogenicity. As a result of incomplete toxicity data, the public and media received conflicting messages on the safety of the contaminated water from government officials, industry, and the public health community. Two days after the governor lifted the ban on water use, the health department partially retracted the ban by warning pregnant women to continue avoiding the contaminated water, which the Centers for Disease Control and Prevention deemed safe three weeks later. The response in West Virginia represents a failure in risk communication and calls to question if government officials have sufficient information to support evidence-based decisions during future incidents. Research capabilities, like the National Science Foundation RAPID funding, can provide a solution to some of the data gaps, such as information on environmental fate in the case of the MCHM spill. In order to inform policy discussions on this issue, a methodology for assessing the outcomes of RAPID and similar National Institutes of Health grants in the context of emergency response is employed to examine the efficacy of research-based capabilities in enhancing public health decision making capacity. The results of this assessment highlight potential roles rapid scientific research can fill in ensuring adequate health and safety data is readily available for decision makers during large

  12. Consumer attitude toward food irradiation

    International Nuclear Information System (INIS)

    Bruhn, C.M.M.

    1986-01-01

    Consumer attitudes toward food irradiation were evaluated. The influence of educational efforts on consumer concern for the safety of irradiated products and willingness to buy irradiated foods were measured. Demographic and psychological factors were studied in relation to attitudes. An educational leaflet describing current scientific information regarding the safety, advantages, and disadvantages of food irradiation was developed and used in two studies evaluating attitude change. In the first study, attitude change among two groups of consumers with different philosophic orientations was measured. In a second study, the effectiveness of an educational leaflet received through the mail and a poster display were examined. In a third study response to food irradiation was related to value hierarchy, locus of control, innovativeness, and demographic parameters. Initially, subjects showed a higher concern for other areas of food safety, particularly the use of chemicals and sprays on food, than toward food irradiation. After educational efforts, conventional consumers expressed minor concern toward irradiation whereas ecologically sensitive alternative consumers obtained from a food cooperative expressed major concern. A knowledgeable discussion leader lowered irradiation concern among conventional consumers. In contrast, concern among alternative consumers did not diminish when given the opportunity to discuss safety issues with a knowledgeable person

  13. The Safety Case and the Risk-Informed Performance-Based Approach for Management of US Commercial Low Level Radioactive Waste (LLRW)

    International Nuclear Information System (INIS)

    Abu-Eid, Rateb; Esh, David; Grossman, Chrisopher

    2016-01-01

    Summary/Conclusion Safety Case & 10 CFR Part 61: • Safety Case is an integrated approach to risk assessment and risk management. • NRC staff explicitly added “the safety case” concept in the ongoing amendment of 10 CFR Part 61, at the direction of Commission. • Plain language description the safety arguments and evidence to demonstrate the overall safety of a land disposal facility were developed. • It describes all safety relevant aspects of the disposal site, the design of the facility, and the managerial control measures and regulatory controls to inform the decision whether to grant a license. • It includes the same type of information that the original 10 CFR Part 61 required to be submitted as part of a license application (i.e., 10 CFR 61.10 – 10 CFR 61.16). • The safety case will be updated over time as a new information is gained during the various phases of the facility’s development, inspection, and operation. • 10 CFR Part 61 SC is quite consistent with IAEA SSG-23 with more detailed technical analysis.

  14. Data Analysis Approaches for the Risk-Informed Safety Margins Characterization Toolkit

    Energy Technology Data Exchange (ETDEWEB)

    Mandelli, Diego [Idaho National Lab. (INL), Idaho Falls, ID (United States); Alfonsi, Andrea [Idaho National Lab. (INL), Idaho Falls, ID (United States); Maljovec, Daniel P. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Parisi, Carlo [Idaho National Lab. (INL), Idaho Falls, ID (United States); Cogliati, Joshua J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Talbot, Paul W. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Curtis L. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Rabiti, Cristian [Idaho National Lab. (INL), Idaho Falls, ID (United States); Picoco, Claudia [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-09-01

    In the past decades, several numerical simulation codes have been employed to simulate accident dynamics (e.g., RELAP5-3D, RELAP-7, MELCOR, MAAP). In order to evaluate the impact of uncertainties into accident dynamics, several stochastic methodologies have been coupled with these codes. These stochastic methods range from classical Monte-Carlo and Latin Hypercube sampling to stochastic polynomial methods. Similar approaches have been introduced into the risk and safety community where stochastic methods (such as RAVEN, ADAPT, MCDET, ADS) have been coupled with safety analysis codes in order to evaluate the safety impact of timing and sequencing of events. These approaches are usually called Dynamic PRA or simulation-based PRA methods. These uncertainties and safety methods usually generate a large number of simulation runs (database storage may be on the order of gigabytes or higher). The scope of this paper is to present a broad overview of methods and algorithms that can be used to analyze and extract information from large data sets containing time dependent data. In this context, “extracting information” means constructing input-output correlations, finding commonalities, and identifying outliers. Some of the algorithms presented here have been developed or are under development within the RAVEN statistical framework.

  15. Development of a check sheet for collecting information necessary for occupational safety and health activities and building relevant systems in overseas business places.

    Science.gov (United States)

    Kajiki, Shigeyuki; Kobayashi, Yuichi; Uehara, Masamichi; Nakanishi, Shigemoto; Mori, Koji

    2016-06-07

    This study aimed to develop an information gathering check sheet to efficiently collect information necessary for Japanese companies to build global occupational safety and health management systems in overseas business places. The study group consisted of 2 researchers with occupational physician careers in a foreign-affiliated company in Japan and 3 supervising occupational physicians who were engaged in occupational safety and health activities in overseas business places. After investigating information and sources of information necessary for implementing occupational safety and health activities and building relevant systems, we conducted information acquisition using an information gathering check sheet in the field, by visiting 10 regions in 5 countries (first phase). The accuracy of the information acquired and the appropriateness of the information sources were then verified in study group meetings to improve the information gathering check sheet. Next, the improved information gathering check sheet was used in another setting (3 regions in 1 country) to confirm its efficacy (second phase), and the information gathering check sheet was thereby completed. The information gathering check sheet was composed of 9 major items (basic information on the local business place, safety and health overview, safety and health systems, safety and health staff, planning/implementation/evaluation/improvement, safety and health activities, laws and administrative organs, local medical care systems and public health, and medical support for resident personnel) and 61 medium items. We relied on the following eight information sources: the internet, company (local business place and head office in Japan), embassy/consulate, ISO certification body, university or other educational institutions, and medical institutions (aimed at Japanese people or at local workers). Through multiple study group meetings and a two-phased field survey (13 regions in 6 countries), an information

  16. AERB information booklet: personal protective equipment- safety footwear

    International Nuclear Information System (INIS)

    1992-01-01

    The main classes of safety footwear required for industrial operations in the units of Department of Atomic Energy are the following; leather safety boots and shoes, firemen's leather boots - Wellington type, electrical safety shoes, chemical safety shoes, shoes suitable for mining operations. The criteria to be adopted for selection of safety shoes for nuclear installations are given. (M.K.V.). 5 annexures, 1 appendix

  17. [Drug advertising--users want information. Report of telephone survey conducted by North-Rhine Westphalia Public Health Service on the topic of drug advertising and drug information for users].

    Science.gov (United States)

    Puteanus, U

    2000-10-01

    In Germany, drug advertising of non-prescription drugs is a controversial subject. On the one hand, consumer organisations plead for placing a ban on advertising or at least to offer a detailed description of medical risks in respect of protection. On the other hand, the pharmaceutical industry is keen on liberalizing the specific advertising law for drugs. A representative telephone survey among the population of North Rhine-Westphalia was conducted in April and May 1999. It showed consumer interest in advertising, the value of information on risks, the institution with maximum credibility in drug information for consumers, the importance of the now obligatory sentence after every advertisement: Regarding risks and side effects read the leaflet in the package and ask your physician or pharmacist, and to what extend the consumer would take advice from independent experts over the telephone about drugs. It was found that, in particular women, about 30% are occasionally interested in advertising, younger people are more open-minded about advertising than older people; and that doctors and pharmacists have the most credibility and are consulted for further information. It was also found that more than 80% of the population demanded precise information on the side effects of drugs. One-third of the consumers declared that the obligatory sentence (see above) led to greater demand for information from doctors or to read attentively the instruction leaflet. Nevertheless, there is a need for more information from more than half of the consumers, who would take advantage of an independent advice centre if this should exist.

  18. Formulation of nuclear safety under various induced events. Part 1. Current status and challenges for risk-informed activities in nuclear safety

    International Nuclear Information System (INIS)

    Itoi, Tatsuya; Hayashi, Kentaro; Yamato, Masaaki

    2016-01-01

    The Nuclear Safety Subcommittee published in March 2013 a report on 'Seminar on the Fukushima Daiichi Nuclear Power Station accident' (hereinafter referred to as Seminar Report), and has thereafter continued discussions on the challenges that were pointed out in Seminar Report as the target of discussions. This commentary series summarizes the current situation and challenges for the ideal way of nuclear safety against a variety of causal events as one of the above challenges. This paper, as Part 1 of the above theme, firstly summarizes the current state of the challenges of regulatory bodies and business operators who are engaging risk information utilization. It secondly discusses the future risk information utilization of regulations and business operators, realization of integrated decision-making process, timeliness and promptness required in decision-making, and future efforts including incentives. (A.O.)

  19. Guidelines for nuclear power plant safety issue prioritization information development. Supplement 5

    International Nuclear Information System (INIS)

    Daling, P.M.; Lavender, J.C.

    1996-07-01

    This is the sixth in a series of reports to document the development and use of a methodology developed by the Pacific Northwest Laboratory (PNL) to calculate, for prioritization purposes, the risk, dose, and cost impacts of implementing potential resolutions to reactor safety issues (see NUREG/CR-2800, Andrews, et al., 1983). This report contains the results of issue-specific analyses for 34 generic issues. Each issue was considered within the constraints of available information at the time the issues were examined and approximately 2 staff-weeks of labor. The results are referenced as one consideration in NUREG-0933, A Prioritization of Generic Safety Issues (Emrit, et al., 1983)

  20. Guidelines for nuclear power plant safety issue prioritization information development. Supplement 5

    Energy Technology Data Exchange (ETDEWEB)

    Daling, P.M.; Lavender, J.C. [Pacific Northwest National Lab., Richland, WA (United States)

    1996-07-01

    This is the sixth in a series of reports to document the development and use of a methodology developed by the Pacific Northwest Laboratory (PNL) to calculate, for prioritization purposes, the risk, dose, and cost impacts of implementing potential resolutions to reactor safety issues (see NUREG/CR-2800, Andrews, et al., 1983). This report contains the results of issue-specific analyses for 34 generic issues. Each issue was considered within the constraints of available information at the time the issues were examined and approximately 2 staff-weeks of labor. The results are referenced as one consideration in NUREG-0933, A Prioritization of Generic Safety Issues (Emrit, et al., 1983).

  1. Meeting of the high committee for nuclear safety transparency and information. Proceedings of the June 18, 2008 meeting

    International Nuclear Information System (INIS)

    2008-01-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 3 main topics: 1 - the organization and stakes of nuclear safety and radiation protection in France, 2 - the plutonium imports and transports from England to France and their conformability with respect to the maritime, nuclear safety and nuclear security regulations, 3 - the role and operation of the HCTISN. This document is the proceedings of this meeting. (J.S.)

  2. Nurses' perspectives on the intersection of safety and informed decision making in maternity care.

    Science.gov (United States)

    Jacobson, Carrie H; Zlatnik, Marya G; Kennedy, Holly Powell; Lyndon, Audrey

    2013-01-01

    To explore maternity nurses' perceptions of women's informed decision making during labor and birth to better understand how interdisciplinary communication challenges might affect patient safety. Constructivist grounded theory. Four hospitals in the western United States. Forty-six (46) nurses and physicians practicing in maternity units. Data collection strategies included individual interviews and participant observation. Data were analyzed using the constant comparative method, dimensional analysis, and situational analysis (Charmaz, 2006; Clarke, 2005; Schatzman, 1991). The nurses' central action of holding off harm encompassed three communication strategies: persuading agreement, managing information, and coaching of mothers and physicians. These strategies were executed in a complex, hierarchical context characterized by varied practice patterns and relationships. Nurses' priorities and patient safety goals were sometimes misaligned with those of physicians, resulting in potentially unsafe communication. The communication strategies nurses employed resulted in intended and unintended consequences with safety implications for mothers and providers and had the potential to trap women in the middle of interprofessional conflicts and differences of opinion. © 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  3. Education on tick bite and Lyme borreliosis prevention, aimed at schoolchildren in the Netherlands: comparing the effects of an online educational video game versus a leaflet or no intervention

    Directory of Open Access Journals (Sweden)

    D. J. M. A. Beaujean

    2016-11-01

    Full Text Available Abstract Background Lyme disease or Lyme borreliosis (LB is the most common tick-borne disease both in the United States and Europe. Children, in particular, are at high risk of contracting LB. Since child-specific educational tools on ticks, tick bites and LB are lacking, we developed an online educational video game. In this study, we compared the effectiveness of an online educational video game versus a newly developed leaflet aimed to improve prevention of tick bites and LB among Dutch schoolchildren. Methods A total of 887 children, aged 9–13 years and attending the two final years of primary schooling, were recruited from 25 primary schools in June and July 2012. They were assigned through cluster randomization to one of three intervention groups: ‘game’ (22.4%, ‘leaflet’ (35.6% or ‘control’ (41.9%. Prior to and directly following intervention, the children were asked to complete a short questionnaire. The main outcome measures were knowledge, perception (perceived susceptibility and importance and preventive behavior in relation to tick bites and LB. Generalized linear mixed models were used to analyze the data. Results In the game group, the leaflet group and the control group, knowledge about ticks and tick bites improved significantly. The game was also an effective tool for improving preventive behavior; the frequency of checking for ticks increased significantly. However, there were no significant differences in knowledge improvement between the interventions. The game outperformed the leaflet in terms of improving preventive behavior, whereas the frequency of tick checks increased significantly. But this frequency didn’t increase more than in the control group. Conclusions The positive knowledge effects observed in the control group suggests the presence of a mere measurement effect related to completion of the questionnaire. The game did not outperform the leaflet or control group on all outcome measures. Therefore

  4. Nuclear Energy and the Environment.

    Science.gov (United States)

    International Atomic Energy Agency, Vienna (Austria).

    "Nuclear Energy and the Environment" is a pocket folder of removable leaflets concerned with two major topics: Nuclear energy and Nuclear Techniques. Under Nuclear Energy, leaflets concerning the topics of "Radiation--A Fact of Life,""The Impact of a Fact: 1963 Test Ban Treaty,""Energy Needs and Nuclear Power,""Power Reactor Safety,""Transport,"…

  5. Access to information on nuclear safety in some Western countries. Additional expertise commissioned by the Public Debate National Commission

    International Nuclear Information System (INIS)

    Marignac, Y.; Schneider, Th.; Drouet, F.

    2006-01-01

    The authors report the analysis of procedures implemented in different western countries (Switzerland, Finland, United Kingdom, Germany, Sweden and United States) about the access to information on nuclear safety in the broad sense, i.e. as far as population protection against accidental or malevolent situations is concerned. They aimed at analysing how these procedures conciliate pluralism and comprehensive debate while preserving national and industrial interests as well as population's confidence. For each country, they present the different pubic bodies or agencies in charge of nuclear installations and nuclear safety, the existing legal framework related to information on government and nuclear activities, and give examples of information related to nuclear safety (incident or accident concerning nuclear power station or radioactive wastes). The comparative analysis considers different issues: access to information, and pluralist expertise

  6. The Role of the Radiation Safety Information Computational Center (RSICC) in Knowledge Management

    International Nuclear Information System (INIS)

    Valentine, T.

    2016-01-01

    Full text: The Radiation Safety Information Computational Center (RSICC) is an information analysis center that collects, archives, evaluates, synthesizes and distributes information, data and codes that are used in various nuclear technology applications. RSICC retains more than 2,000 packages that have been provided by contributors from various agencies. RSICC’s customers obtain access to such computing codes (source and/or executable versions) and processed nuclear data files to promote on-going research, to help ensure nuclear and radiological safety, and to advance nuclear technology. The role of such information analysis centers is critical for supporting and sustaining nuclear education and training programmes both domestically and internationally, as the majority of RSICC’s customers are students attending U.S. universities. RSICC also supports and promotes workshops and seminars in nuclear science and technology to further the use and/or development of computational tools and data. Additionally, RSICC operates a secure CLOUD computing system to provide access to sensitive export-controlled modeling and simulation (M&S) tools that support both domestic and international activities. This presentation will provide a general review of RSICC’s activities, services, and systems that support knowledge management and education and training in the nuclear field. (author

  7. The transportation of British nuclear weapons by road. Hiroshima is waiting to happen in the UK

    International Nuclear Information System (INIS)

    Harris, E.J.

    1993-01-01

    This leaflet describes the transportation of nuclear weapons on United Kingdom roads. The author seeks to question the safety and desirability of such activities, and points out the potential hazards to humans and the environment should convoy accidents occur. Correspondence is included between the author and various Government sources to illustrate the difficulty of obtaining full, accurate information on the design and safety of weapons transportation vehicles and the reasons and frequency of weapons convoys. The author contrasts these difficulties with the free available government information in the United States of America because of the Freedom of Information Act. Readers are urged to contribute to monitoring the routes and occurrence of UK weapons convoys to assist in data collection. (UK)

  8. Latino immigrant day laborer perceptions of occupational safety and health information preferences.

    Science.gov (United States)

    Díaz Fuentes, Claudia M; Martinez Pantoja, Leonardo; Tarver, Meshawn; Geschwind, Sandy A; Lara, Marielena

    2016-06-01

    We address immigrant day laborers' experiences with occupational safety in the construction industry in New Orleans, and opinions about content and method of communication for educational interventions to reduce occupational risks. In 2011, we conducted seven focus groups with 48 Spanish-speaking day laborers (8 women, 40 men, 35 years on average). Focus group results are based on thematic analysis. Most employers did not provide safety equipment, threatened to dismiss workers who asked for it, and did not provide health insurance. Attitudes toward accepting unsafe work conditions varied. Women faced lower pay and hiring difficulties than men. Day laborers preferred audio format over written, and content about consequences from and equipment for different jobs/exposures. Day laborers have common occupational experiences, but differences existed by gender, literacy and sense of control over safety. Day laborer information preferences and use of media needs further studying. Am. J. Ind. Med. 59:476-485, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  9. Waste isolation safety assessment program. Task 4. Third contractor information meeting

    International Nuclear Information System (INIS)

    1980-06-01

    The Contractor Information Meeting (October 14 to 17, 1979) was part of the FY-1979 effort of Task 4 of the Waste Isolation Safety Assessment Program (WISAP): Sorption/Desorption Analysis. The objectives of this task are to: evaluate sorption/desorption measurement methods and develop a standardized measurement procedure; produce a generic data bank of nuclide-geologic interactions using a wide variety of geologic media and groundwaters; perform statistical analysis and synthesis of these data; perform validation studies to compare short-term laboratory studies to long-term in situ behavior; develop a fundamental understanding of sorption/desorption processes; produce x-ray and gamma-emitting isotopes suitable for the study of actinides at tracer concentrations; disseminate resulting information to the international technical community; and provide input data support for repository safety assessment. Conference participants included those subcontracted to WISAP Task 4, representatives and independent subcontractors to the Office of Nuclear Waste Isolation, representatives from other waste disposal programs, and experts in the area of waste/geologic media interaction. Since the meeting, WISAP has been divided into two programs: Assessment of Effectiveness of Geologic Isolation Systems (AEGIS) (modeling efforts) and Waste/Rock Interactions Technology (WRIT) (experimental work). The WRIT program encompasses the work conducted under Task 4. This report contains the information presented at the Task 4, Third Contractor Information Meeting. Technical Reports from the subcontractors, as well as Pacific Northwest Laboratory (PNL), are provided along with transcripts of the question-and-answer sessions. The agenda and abstracts of the presentations are also included. Appendix A is a list of the participants. Appendix B gives an overview of the WRIT program and details the WRIT work breakdown structure for 1980

  10. Waste isolation safety assessment program. Task 4. Third contractor information meeting

    Energy Technology Data Exchange (ETDEWEB)

    1980-06-01

    The Contractor Information Meeting (October 14 to 17, 1979) was part of the FY-1979 effort of Task 4 of the Waste Isolation Safety Assessment Program (WISAP): Sorption/Desorption Analysis. The objectives of this task are to: evaluate sorption/desorption measurement methods and develop a standardized measurement procedure; produce a generic data bank of nuclide-geologic interactions using a wide variety of geologic media and groundwaters; perform statistical analysis and synthesis of these data; perform validation studies to compare short-term laboratory studies to long-term in situ behavior; develop a fundamental understanding of sorption/desorption processes; produce x-ray and gamma-emitting isotopes suitable for the study of actinides at tracer concentrations; disseminate resulting information to the international technical community; and provide input data support for repository safety assessment. Conference participants included those subcontracted to WISAP Task 4, representatives and independent subcontractors to the Office of Nuclear Waste Isolation, representatives from other waste disposal programs, and experts in the area of waste/geologic media interaction. Since the meeting, WISAP has been divided into two programs: Assessment of Effectiveness of Geologic Isolation Systems (AEGIS) (modeling efforts) and Waste/Rock Interactions Technology (WRIT) (experimental work). The WRIT program encompasses the work conducted under Task 4. This report contains the information presented at the Task 4, Third Contractor Information Meeting. Technical Reports from the subcontractors, as well as Pacific Northwest Laboratory (PNL), are provided along with transcripts of the question-and-answer sessions. The agenda and abstracts of the presentations are also included. Appendix A is a list of the participants. Appendix B gives an overview of the WRIT program and details the WRIT work breakdown structure for 1980.

  11. The Radiation Safety Information Computational Center (RSICC): A Resource for Nuclear Science Applications

    Energy Technology Data Exchange (ETDEWEB)

    Kirk, Bernadette Lugue [ORNL

    2009-01-01

    The Radiation Safety Information Computational Center (RSICC) has been in existence since 1963. RSICC collects, organizes, evaluates and disseminates technical information (software and nuclear data) involving the transport of neutral and charged particle radiation, and shielding and protection from the radiation associated with: nuclear weapons and materials, fission and fusion reactors, outer space, accelerators, medical facilities, and nuclear waste management. RSICC serves over 12,000 scientists and engineers from about 100 countries.

  12. Internet access and online cancer information seeking among Latino immigrants from safety net clinics.

    Science.gov (United States)

    Selsky, Claire; Luta, George; Noone, Anne-Michelle; Huerta, Elmer E; Mandelblatt, Jeanne S

    2013-01-01

    Internet use is widespread, but little is known about Internet use for cancer information among Latinos, especially those who rely on safety net clinics. The authors investigated access to and intended use of the Internet for cancer information among low income, immigrant Latinos predominately from Central and South America. A cross-sectional study of 1,273 Latinos 21 years and older attending safety net clinics or health fairs was conducted from June 2007 to November 2008. The authors used logistic regression models to evaluate associations of age, acculturation, psychosocial factors and other covariates with Internet access and intended use of the Internet for cancer information among those with access. Of the sample, 44% reported Internet access. Higher information self-efficacy and greater trust in the Internet were independently associated with Internet access (p = .05 and p Internet use for cancer information, considering covariates. In addition, those with high (vs. low) perceived risk of cancer (OR = 1.76; 95% CI [1.14, 2.73]; p = .01) and higher levels of trust in online health information (OR = 1.47 per one-point increase; 95% [CI 1.19, 1.82]; p = .0004) were more likely to intend to seek cancer information online. These findings that Internet access is fairly high in the immigrant Latino population and that the Internet is a trusted source of cancer information suggest that the Internet may be a channel for cancer control interventions.

  13. Assessment of shaft safety and management system of controlling engineering information

    Energy Technology Data Exchange (ETDEWEB)

    Liu Rui-xin; Xu Yan-chun [Yanzhou Mining Group Ltd., Zoucheng (China)

    2008-02-15

    Evaluating shaft safety and establishing a system for controlling engineering information is very important because more than 90 shafts in thick alluvial areas suddenly have shaft wall fracturing or breaking problems and there are more than a few hundred shafts of similar geologic conditions. Taking shaft control in the Yangzhou Coal Mining Group as an example, an assessment and management system and related software were established. This system includes basic information of the mine, measurement results and analysis, and functions of empirical and theoretical forecasting and finite element analysis, which are confirmed to be very effective for guiding shaft well control engineering in practice. 8 refs., 3 figs., 2 tabs.

  14. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    of future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language......BACKGROUND: Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed...... consent is possible to provide. We explored patient representatives' views and perceptions on the written trial information used in clinical cancer trials. METHODS: Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I...

  15. Manche storage Centre. Information report on nuclear safety and radiation protection 2015

    International Nuclear Information System (INIS)

    2016-01-01

    After a presentation of the Manche Storage Centre (CSM), the first French center of surface storage of low- and intermediate-level radioactive wastes, of its history, its buildings and activities, of the multi-layer cover, of the water management system (installation, controls, sampling), this report then describes the measures related to nuclear safety, the management of conventional and nuclear wastes produced by the Centre, the other impacts, the control, maintenance and follow-up of installations, the radiation protection and security of the center, the incidents and accidents that occurred at the facility, and the public information and communication actions. Recommendations of the Health and safety Committee (CHSCT) are reported at the end

  16. The development and application of electronic information system for safety administration of newborns in the rooming-in care.

    Science.gov (United States)

    Wang, Fang; Dong, Jian-Cheng; Chen, Jian-Rong; Wu, Hui-Qun; Liu, Man-Hua; Xue, Li-Ly; Zhu, Xiang-Hua; Wang, Jian

    2015-01-01

    To independently research and develop an electronic information system for safety administration of newborns in the rooming-in care, and to investigate the effects of its clinical application. By VS 2010 SQL SERVER 2005 database and adopting Microsoft visual programming tool, an interactive mobile information system was established, with integrating data, information and knowledge with using information structures, information processes and information technology. From July 2011 to July 2012, totally 210 newborns from the rooming-in care of the Obstetrics Department of the Second Affiliated Hospital of Nantong University were chosen and randomly divided into two groups: the information system monitoring group (110 cases) and the regular monitoring group (100 cases). Incidence of abnormal events and degree of satisfaction were recorded and calculated. ① The wireless electronic information system has four main functions including risk scaling display, identity recognition display, nursing round notes board and health education board; ② statistically significant differences were found between the two groups both on the active or passive discovery rate of abnormal events occurred in the newborns (P<0.05) and the satisfaction degree of the mothers and their families (P<0.05); ③ the system was sensitive and reliable, and the wireless transmission of information was correct and safety. The system is with high practicability in the clinic and can ensure the safety for the newborns with improved satisfactions.

  17. Information and Communication Technologies for the Safety and Security of Fish and Fishery Products

    Directory of Open Access Journals (Sweden)

    Liliana Mihaela MOGA

    2017-06-01

    Full Text Available The food industry is becoming more customer-oriented and needs faster response times to deal with food scandals and incidents. Good traceability systems help to minimize the production and distribution of unsafe or poor quality products, thereby minimizing the potential for bad publicity, liability, and recalls. The current food labelling systems cannot guarantee that the food is authentic, good quality and safe. Therefore, traceability is applied as a tool to assist in the assurance of food safety and quality as well as to achieve consumer confidence. This paper presents comprehensive information about traceability systems and the evolution concerning the actors involved and the information about safety and quality in the food supply chain administrated within the systems. Some inventive factors, which influence the traceability systems adoption, are underlined.

  18. Leader humility and team creativity: The role of team information sharing, psychological safety, and power distance.

    Science.gov (United States)

    Hu, Jia; Erdogan, Berrin; Jiang, Kaifeng; Bauer, Talya N; Liu, Songbo

    2018-03-01

    In this study, we identify leader humility, characterized by being open to admitting one's limitations, shortcomings, and mistakes, and showing appreciation and giving credit to followers, as a critical leader characteristic relevant for team creativity. Integrating the literatures on creativity and leadership, we explore the relationship between leader humility and team creativity, treating team psychological safety and team information sharing as mediators. Further, we hypothesize and examine team power distance as a moderator of the relationship. We tested our hypotheses using data gathered from 72 work teams and 354 individual members from 11 information and technology firms in China using a multiple-source, time-lagged research design. We found that the positive relationship between leader humility and team information sharing was significant and positive only within teams with a low power distance value. In addition, leader humility was negatively related to team psychological safety in teams with a high power distance value, whereas the relationship was positive yet nonsignificant in teams with low power distance. Furthermore, team information sharing and psychological safety were both significantly related to team creativity. We discuss theoretical and practical implications for leadership and work teams. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  19. Development of the JNC geological disposal technical information integration system subjected for repository design and safety assessment

    International Nuclear Information System (INIS)

    Ishihara, Yoshinao; Ito, Takashi; Kobayashi, Shigeki; Neyama, Atsushi

    2004-02-01

    On this work, system manufacture about disposal technology and safety assessment field was performed towards construction of the JNC Geological Disposal Technical Information Integration System which systematized three fields of technical information acquired in investigation (site characteristic investigation) of geology environmental conditions, disposal technology (design of deep repository), and performance/safety assessment. The technical information database managed focusing on the technical information concerning individual research of an examination, analysis, etc. and the parameter set database managed focusing on the set up data set used in case of comprehensive evaluation are examined. In order to support and promote share and use of the technical information registered and managed by the database, utility functions, such as a technical information registration function, technical information search/browse function, analysis support function, and visualization function, are considered, and the system realized in these functions is built. The built system is installed in the server of JNC, and the functional check examination is carried out. (author)

  20. Food safety information and food demand

    DEFF Research Database (Denmark)

    Smed, Sinne; Jensen, Jørgen Dejgård

    2005-01-01

    Purpose – The purpose of this paper is to analyze how news about food-related health risks affects consumers’ demands for safe food products. Design/methodology/approach – By identifying structural breaks in an econometrically estimated demand model, news with permanent impact on demand...... induces a permanent increase in the demand for pasteurized eggs, while more moderate negative news influences demand temporarily and to a lesser extent. There is, however, considerable variation in the response to food safety news across socio-demographic groups of consumers. Research limitations...... is distinguished from news with temporary impact. The Danish demand for pasteurized versus shell eggs is used as an illustrative case. Findings – Negative safety news about one product variety can provide significant stimulation to the demand for safe varieties. Severe negative news about the safety of shell eggs...

  1. Patient-centred hand hygiene information in orthopaedics units: an evidence-based implementation project.

    Science.gov (United States)

    Ong, Arielle Yi Jia; Tan, Joanne; Yeo, Hui Ling; Goh, Mien Li

    2017-03-01

    This project aimed to improve patients' knowledge on the importance of hand hygiene. It involved providing patients with a patient and family education on the importance of hand hygiene using a patient information leaflet that introduces the rationale of hand hygiene, possible consequences of poor hand hygiene, and the seven steps of hand hygiene. This projected used a preimplementation and postimplementation audit strategy using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research Into Practice programs. The implementation occurred in three phases over a period of 6 months from January 2014 to June 2014. The audits took place in two orthopaedic wards in a large acute care setting tertiary hospital in Singapore and involved a sample size of 54 patients. It involved going through the medical records of the cases, assessment of patient knowledge based on the audit criteria, and checking if the patients received the patient information leaflet on hand hygiene. The postimplementation audit found significant improvements in all three audit criteria. The percentage of patients who demonstrated knowledge in the importance of hand hygiene saw an improvement of 48.1%. There was an improvement of 44.5% in nurses' compliance to the documentation of patient education being carried out. The percentage of patients who received a patient information leaflet on hand hygiene saw an increase of 36.1%. This project demonstrated that a preimplementation and postimplementation audit is a viable method to implement change and translate evidence into practice. Through this project, patients gained an understanding on the importance of hand hygiene and could take better ownership of their well being. This may potentially improve hospitalization experience and benefit health outcomes. The positive results of this project are contributed by the enthusiastic involvement of all the stakeholders, from patients and their caregivers to the bedside

  2. Defining safety culture and the nexus between safety goals and safety culture. 4. Enhancing Safety Culture Through the Establishment of Safety Goals

    International Nuclear Information System (INIS)

    Tateiwa, Kenji; Miyata, Koichi; Yahagi, Kimitoshi

    2001-01-01

    Safety culture is the perception of each individual and organization of a nuclear power plant that safety is the first priority, and at Tokyo Electric Power Company (TEPCO), we have been practicing it in everyday activities. On the other hand, with the demand for competitiveness of nuclear power becoming even more intense these days, we need to pursue efficient management while maintaining the safety level at the same time. Below, we discuss how to achieve compatibility between safety culture and efficient management as well as enhance safety culture. Discussion at Tepco: safety culture-nurturing activities such as the following are being implemented: 1. informing the employees of the 'Declaration of Safety Promotion' by handing out brochures and posting it on the intranet home page; 2. publishing safety culture reports covering stories on safety culture of other industry sectors, recent movements on safety culture, etc.; 3. conducting periodic questionnaires to employees to grasp how deeply safety culture is being established; 4. carrying out educational programs to learn from past cases inside and outside the nuclear industry; 5. committing to common ownership of information with the public. The current status of safety culture in Japan sometimes seems to be biased to the quest of ultimate safety; rephrasing it, there have been few discussions regarding the sufficiency of the quantitative safety level in conjunction with the safety culture. Safety culture is one of the most crucial foundations guaranteeing the plant's safety, and for example, the plant safety level evaluated by probabilistic safety assessment (PSA) could be said to be valid only on the ground that a sound and sufficient safety culture exists. Although there is no doubt that the safety culture is a fundamental and important attitude of an individual and organization that keeps safety the first priority, the safety culture in itself should not be considered an obstruction to efforts to implement

  3. Information report on nuclear safety and radiation protection of the ECRIN INB - Issue 2014

    International Nuclear Information System (INIS)

    2015-06-01

    Published in compliance with the French code of the environment, this report first presents the Malvesi establishment, the ECRIN basic nuclear installation (INB), the COMURHEX II project, and the policy for a sustainable development and continuous progress of this establishment. It describes the various measures regarding nuclear safety and radiation protection: nuclear safety, safety guarantee for personnel and installations, management of emergency situations, preservation of staff health and protection, inspections, actions undertaken regarding nuclear safety and radiation protection. It reports nuclear events which occurred, describes the management of effluents and the control of the environment (environmental policy, management of effluents from the Malvesi establishment, management of effluents from the ECRIN INB, reduction of consumptions). It addresses the waste management (industrial and radioactive wastes) and the management of other impacts of the ECRIN INB. It gives an overview of actions undertaken regarding information and transparency. Recommendations of the CHSCT are reported

  4. Information report on nuclear safety and radiation protection of the ECRIN INB - Issue 2012

    International Nuclear Information System (INIS)

    2013-06-01

    Published in compliance with the French code of the environment, this report first presents the Malvesi establishment, the ECRIN basic nuclear installation (INB), the COMURHEX II project, and the policy for a sustainable development and continuous progress of this establishment. It describes the various measures regarding nuclear safety and radiation protection: nuclear safety, safety guarantee for personnel and installations, management of emergency situations, preservation of staff health and protection, inspections, actions undertaken regarding nuclear safety and radiation protection. It reports nuclear events which occurred, describes the management of effluents and the control of the environment (environmental policy, management of effluents from the Malvesi establishment, management of effluents from the ECRIN INB, reduction of consumptions). It addresses the waste management (industrial and radioactive wastes) and the management of other impacts of the ECRIN INB. It gives an overview of actions undertaken regarding information and transparency. Recommendations of the CHSCT are reported

  5. The anti-calcification potential of a silsesquioxane nanocomposite polymer under in vitro conditions: potential material for synthetic leaflet heart valve.

    Science.gov (United States)

    Ghanbari, Hossein; Kidane, Asmeret G; Burriesci, Gaetano; Ramesh, Bala; Darbyshire, Arnold; Seifalian, Alexander M

    2010-11-01

    Calcification currently represents a major cause of failure of biological tissue heart valves. It is a complex phenomenon influenced by a number of biochemical and mechanical factors. Recent advances in material science offer new polymers with improved properties, potentially suitable for synthetic leaflets heart valves manufacturing. In this study, the calcification-resistance efficacy and mechanical and surface properties of a new nanocomposite polymeric material (polyhedral oligomeric silsesquioxane-poly(carbonate-urea)urethane; POSS-PCU) which has been developed by our group are assessed by means of in vitro testing. In particular, thin sheets of nanocomposite, glutaraldehyde-fixed bovine pericardium (BP) and polyurethane (PU) were exposed to a calcium solution into a specially designed in vitro accelerated physiological pulsatile pressure system for a period of 31days and a total of 4×10(7) cycles. The samples were investigated for signs of calcification after exposure to calcium solution by means of X-ray, microscopic and chemical inspections. Mechanical and surface properties were also studied using stress-strain behaviour and surface morphology and hydrophobicity. Comparison shows that, in the experimental conditions, the level of calcification for the nanocomposite is considerably lower than for the fixed BP (p=0.008) and PU samples (p=0.015). Also, mechanical properties were unchanged in POSS-PCU, while there was a significant deterioration in PU samples (pnanocomposite remained more hydrophobic than the PU sample (pnanocomposite in synthetic leaflets heart valves may lead to potential advantages in terms of long-term performances and durability. Copyright © 2010. Published by Elsevier Ltd.

  6. Risk-informing safety reviews for non-reactor nuclear facilities: an example application

    International Nuclear Information System (INIS)

    Mubayi, V.; Yue, M.; Bari, R.A.; Azarm, M.A.; Mukaddam, W.; Good, G.; Gonzalez, F.

    2013-01-01

    This paper describes a methodology used to model potential accidents in fuel cycle facilities that employ chemical processes to separate and purify nuclear materials. The methodology is illustrated with an example that uses event and fault trees to estimate the frequency of a specific energetic reaction that can occur in nuclear material processing facilities. The methodology used probabilistic risk assessment (PRA)-related tools as well as information about the chemical reaction characteristics, information on plant design and operational features, and generic data about component failure rates and human error rates. The accident frequency estimates for the specific reaction can be useful to help to risk-inform a safety review process and assess compliance with regulatory requirements. (authors)

  7. 75 FR 35286 - Agency Information Collection Activities; Proposed Collection; Comment Request; Safety Standard...

    Science.gov (United States)

    2010-06-21

    ... the retail package. There are seven known firms supplying walkers to the United States market. Four of... instructional literature requirements in the Safety Standard for Infant walkers. DATES: Submit written or... for marking and instructional literature. We estimate the burden of this collection of information as...

  8. 75 FR 30783 - Agency Information Collection Activities; Proposed Collection; Comment Request; Safety Standard...

    Science.gov (United States)

    2010-06-02

    ... product and the retail package. There are three known firms supplying bath seats to the United States... marking and instructional literature requirements in the Safety Standard for Infant Bath Seats. DATES... for marking and instructional literature. We estimate the burden of this collection of information as...

  9. 10 CFR 70.62 - Safety program and integrated safety analysis.

    Science.gov (United States)

    2010-01-01

    ...; (iv) Potential accident sequences caused by process deviations or other events internal to the... have experience in nuclear criticality safety, radiation safety, fire safety, and chemical process... this safety program; namely, process safety information, integrated safety analysis, and management...

  10. Information about robustness, reliability and safety in early design phases

    DEFF Research Database (Denmark)

    Marini, Vinicius Kaster

    methods, and an industrial case to assess how the use of information about robustness, reliability and safety as practised by current methods influences concept development. Current methods cannot be used in early design phases due to their dependence on detailed design information for the identification...... alternatives. This prompts designers to reuse working principles that are inherently flawed, as they are liable to disturbances, failures and hazards. To address this issue, an approach based upon individual records of early design issues consists of comparing failures and benefits from prior working...... principles, before making a decision, and improving the more suitable alternatives through this feedback. Workshops were conducted with design practitioners to evaluate the potential of the approach and to simulate decision-making and gain feedback on a proof-of-concept basis. The evaluation has demonstrated...

  11. Ferrocyanide Safety Program: Safety criteria for ferrocyanide watch list tanks

    International Nuclear Information System (INIS)

    Postma, A.K.; Meacham, J.E.; Barney, G.S.

    1994-01-01

    This report provides a technical basis for closing the ferrocyanide Unreviewed Safety Question (USQ) at the Hanford Site. Three work efforts were performed in developing this technical basis. The efforts described herein are: 1. The formulation of criteria for ranking the relative safety of waste in each ferrocyanide tank. 2. The current classification of tanks into safety categories by comparing available information on tank contents with the safety criteria; 3. The identification of additional information required to resolve the ferrocyanide safety issue

  12. Risk-Informed Safety Margin Characterization (RISMC): Integrated Treatment of Aleatory and Epistemic Uncertainty in Safety Analysis

    International Nuclear Information System (INIS)

    Youngblood, R.W.

    2010-01-01

    The concept of 'margin' has a long history in nuclear licensing and in the codification of good engineering practices. However, some traditional applications of 'margin' have been carried out for surrogate scenarios (such as design basis scenarios), without regard to the actual frequencies of those scenarios, and have been carried out with in a systematically conservative fashion. This means that the effectiveness of the application of the margin concept is determined in part by the original choice of surrogates, and is limited in any case by the degree of conservatism imposed on the evaluation. In the RISMC project, which is part of the Department of Energy's 'Light Water Reactor Sustainability Program' (LWRSP), we are developing a risk-informed characterization of safety margin. Beginning with the traditional discussion of 'margin' in terms of a 'load' (a physical challenge to system or component function) and a 'capacity' (the capability of that system or component to accommodate the challenge), we are developing the capability to characterize probabilistic load and capacity spectra, reflecting both aleatory and epistemic uncertainty in system response. For example, the probabilistic load spectrum will reflect the frequency of challenges of a particular severity. Such a characterization is required if decision-making is to be informed optimally. However, in order to enable the quantification of probabilistic load spectra, existing analysis capability needs to be extended. Accordingly, the INL is working on a next-generation safety analysis capability whose design will allow for much more efficient parameter uncertainty analysis, and will enable a much better integration of reliability-related and phenomenology-related aspects of margin.

  13. High committee for nuclear safety transparency and information. November 20, 2009 meeting of the High Committee

    International Nuclear Information System (INIS)

    2009-11-01

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment, and, depending on the events, some extraordinary meetings. This document is the proceedings of an extraordinary meeting about the information and transparency in relation with the management of nuclear materials and wastes at all stages of the fuel cycle. The reason of this meeting is a request from the French Minister of ecology, energy, sustainable development and sea (MEEDDM) after the broadcast of a TV documentary entitled 'wastes: the nuclear industry nightmare' and the publication of a press article affirming that 'our nuclear wastes are hidden in Siberia'. The Minister expressed his wish to have the question of the international trade of nuclear materials examined by the HCTISN. The document is organized as follows: a first part presents the hearings of the general direction of energy and climate (DGEC), of the nuclear safety authority (ASN), of EdF, of Areva, of the CEA, of the senior official for the defense and security of the MEEDDM, of Rosatom company and of Greenpeace organisation. A second part examines the incident which took place in October 2009 at the plutonium technology workshop (ATPu) of Cadarache, where about 22 to 39 kg of plutonium powder were discovered in the gloveboxes of this facility, decommissioned in 2005 and undergoing dismantlement today. This part presents the hearings of the CEA, of AREVA, of the Institute of radiation protection and nuclear safety (IRSN), of the ASN, of the hygiene, safety and labour conditions committee (CHSCT) of Areva and CEA, and of the local information commission (CLI) of Cadarache, in relation with

  14. Development of Information Support of the Automated System for Monitoring the State of the Gas Transportation System’s Industrial Safety

    Directory of Open Access Journals (Sweden)

    Ruslan Skrynkovskyy

    2017-08-01

    Full Text Available The purpose of the article is to developing the information security of the automated system for monitoring the state of industrial safety of the gas transportation system within the framework of the safety management system, which will enable timely and objective detection of adverse accident hazards (hazardous events and taking the necessary specific measures to eliminate them and operate the gas transport system safely. It is proved that the basis of the information provision of the automated system for monitoring the state of the industrial safety of the gas transmission system is a methodology that includes the following basic procedures: identifying hazards; qualitative and quantitative assessment of emergencies; establishing of unacceptable (unallowable risks and their introduction to the information base (register of unacceptable risks of objects of the gas transportation system; comprehensive assessment and certification of the state of industrial safety of objects of the gas transportation system; identification of effective, productive (efficient risk management measures. The prospect of further research in this area is the development and implementation of an automated system for monitoring the state of industrial safety of the objects of the gas transmission system based on the results of the research (of the submitted information provision.

  15. High committee for nuclear safety transparency and information. September 23, 2008 meeting; Haut comite pour la transparence et l'information sur la securite nucleaire. Reunion du 23 septembre 2008

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-09-15

    The high committee for the nuclear safety transparency and information (HCTISN) is an information, consultation and debate authority devoted to the assessment of the risks linked with nuclear activities and to the analysis of their impact on public health, on the environment and on nuclear safety. Each year, the HCTISN organizes several ordinary meetings in order to analyze some specific topics of the moment. This meeting was organized around 6 main points: 1 - the terms of the High Committee operation and the internal rules for the meetings; 2 - the plutonium imports and transportation between Great Britain and France (contracts status, ship safety report, plutonium grade, return of plutonium-derived wastes): hearing of Areva, of the general direction of infrastructures, transports and sea (DGITM), of Greenpeace organisation, debate; 3 - the follow-up of the July 7, 2008 incident at the Socatri facility (Tricastin site (France)) where the overflow of a storage tank led to the spillage of a uraniferous solution on the ground: hearing of Areva (remedial action, re-start up of the facility, environmental monitoring, communication and transparency), hearing of the nuclear safety authority (ASN), of the institute of radiation protection and nuclear safety (IRSN), of the local commission of information (CIGEET), of the hygiene, safety and labour conditions committee (CHSCT) of Socatri company, of the direction of civil safety (DSC), debate about the information dissemination around this incident; 4 - Opinion of the High Committee about the plutonium transportation between Great Britain and France, and about the Socatri incident; 5 - referral to the High Committee of the radioecological follow up of all nuclear sites and of the quality of the information given to the public: ASN's reports about the radioecological follow-up of surface and ground waters and of the ancient radioactive waste storage sites, ASND's answer (Nuclear safety authority of defense), IRSN

  16. Hazardous Waste/Mixed Waste Treatment Building Safety Information Document (SID)

    International Nuclear Information System (INIS)

    Fatell, L.B.; Woolsey, G.B.

    1993-01-01

    This Safety Information Document (SID) provides a description and analysis of operations for the Hazardous Waste/Mixed Waste Disposal Facility Treatment Building (the Treatment Building). The Treatment Building has been classified as a moderate hazard facility, and the level of analysis performed and the methodology used are based on that classification. Preliminary design of the Treatment Building has identified the need for two separate buildings for waste treatment processes. The term Treatment Building applies to all these facilities. The evaluation of safety for the Treatment Building is accomplished in part by the identification of hazards associated with the facility and the analysis of the facility's response to postulated events involving those hazards. The events are analyzed in terms of the facility features that minimize the causes of such events, the quantitative determination of the consequences, and the ability of the facility to cope with each event should it occur. The SID presents the methodology, assumptions, and results of the systematic evaluation of hazards associated with operation of the Treatment Building. The SID also addresses the spectrum of postulated credible events, involving those hazards, that could occur. Facility features important to safety are identified and discussed in the SID. The SID identifies hazards and reports the analysis of the spectrum of credible postulated events that can result in the following consequences: Personnel exposure to radiation; Radioactive material release to the environment; Personnel exposure to hazardous chemicals; Hazardous chemical release to the environment; Events leading to an onsite/offsite fatality; and Significant damage to government property. The SID addresses the consequences to the onsite and offsite populations resulting from postulated credible events and the safety features in place to control and mitigate the consequences

  17. Hazardous Waste/Mixed Waste Treatment Building Safety Information Document (SID)

    Energy Technology Data Exchange (ETDEWEB)

    Fatell, L.B.; Woolsey, G.B.

    1993-04-15

    This Safety Information Document (SID) provides a description and analysis of operations for the Hazardous Waste/Mixed Waste Disposal Facility Treatment Building (the Treatment Building). The Treatment Building has been classified as a moderate hazard facility, and the level of analysis performed and the methodology used are based on that classification. Preliminary design of the Treatment Building has identified the need for two separate buildings for waste treatment processes. The term Treatment Building applies to all these facilities. The evaluation of safety for the Treatment Building is accomplished in part by the identification of hazards associated with the facility and the analysis of the facility`s response to postulated events involving those hazards. The events are analyzed in terms of the facility features that minimize the causes of such events, the quantitative determination of the consequences, and the ability of the facility to cope with each event should it occur. The SID presents the methodology, assumptions, and results of the systematic evaluation of hazards associated with operation of the Treatment Building. The SID also addresses the spectrum of postulated credible events, involving those hazards, that could occur. Facility features important to safety are identified and discussed in the SID. The SID identifies hazards and reports the analysis of the spectrum of credible postulated events that can result in the following consequences: Personnel exposure to radiation; Radioactive material release to the environment; Personnel exposure to hazardous chemicals; Hazardous chemical release to the environment; Events leading to an onsite/offsite fatality; and Significant damage to government property. The SID addresses the consequences to the onsite and offsite populations resulting from postulated credible events and the safety features in place to control and mitigate the consequences.

  18. An Online Network Tool for Quality Information to Answer Questions about Occupational Safety and Health: Usability and Applicability

    NARCIS (Netherlands)

    Rhebergen, M.D.F.; Hulshof, C.T.J.; Lenderink, A.F.; van Dijk, F.J.H.

    2010-01-01

    ABSTRACT: BACKGROUND: Common information facilities do not always provide the quality information needed to answer questions on health or health-related issues, such as Occupational Safety and Health (OSH) matters. Barriers may be the accessibility, quantity and readability of information. Online

  19. A risk informed safety classification for a Nordic NPP

    International Nuclear Information System (INIS)

    Jaenkaelae, K.

    2002-01-01

    The report describes a study to develop a safety classification proposal or classi- fication recommendations based on risks for selected equipment of a nuclear power plant. The application plant in this work is Loviisa NPP unit 1. The safety classification proposals are to be considered as an exercise in this pilot study and do not necessarily represent final proposals in a real situation. Comparisons to original safety classifications and technical specifications were made. The study concludes that it is possible to change safety classes or safety signifi- cances as considered in technical specifications and in in-service-inspections into both directions without endangering the safety or even by improving the safety. (au)

  20. Tornadoes: Nature's Most Violent Storms. A Preparedness Guide Including Safety Information for Schools.

    Science.gov (United States)

    American National Red Cross, Washington, DC.

    This preparedness guide explains and describes tornadoes, and includes safety information for schools. A tornado is defined as a violently rotating column of air extending from a thunderstorm to the ground. The guide explains the cause of tornadoes, provides diagrams of how they form, describes variations of tornadoes, and classifies tornadoes by…

  1. Report of the 52. meeting of the Superior Council of the Nuclear Safety and Information (project)

    International Nuclear Information System (INIS)

    2000-01-01

    Since june 2000, the CSSIN (Superior Council on Nuclear Safety and Information) decided to present the meeting of its sessions, on the Internet site of the Nuclear Safety Authority. This document is the meeting project concerning the session of the 27 june 2000. The following subjects have been treated: the Blayais accident and its consequences; the Euratom Directive transposition on the workers and people protection; methodology and organization of the CSSIN concerning the civil nuclear installations and the radiation protection; actualization of the CSSIN heading in the Internet site of the Nuclear Safety Authority. (A.L.B.)

  2. An online network tool for quality information to answer questions about occupational safety and health: usability and applicability

    NARCIS (Netherlands)

    Rhebergen, Martijn D. F.; Hulshof, Carel T. J.; Lenderink, Annet F.; van Dijk, Frank J. H.

    2010-01-01

    Common information facilities do not always provide the quality information needed to answer questions on health or health-related issues, such as Occupational Safety and Health (OSH) matters. Barriers may be the accessibility, quantity and readability of information. Online Question & Answer (Q&A)

  3. Views on chemical safety information and influences on chemical disposal behaviour in the UK

    International Nuclear Information System (INIS)

    Hinks, J.; Bush, J.; Andras, P.; Garratt, J.; Pigott, G.; Kennedy, A.; Pless-Mulloli, T.

    2009-01-01

    This study examined how groups representing four tiers in the chemical supply chain (manufacturers, vendors, workers and consumers) understood safety information, and the factors that influenced disposal behaviour. Data from seven, semi-structured, focus groups was analysed both qualitatively (textual analysis) and quantitatively (network analysis). Such combined analytical methods enabled us to achieve both detailed insights into perceptions and behaviour and an objective understanding of the prevailing opinions that occurred within and between the focus group discussions. We found issues around awareness, trust, access and disposal behaviours differed between groups within the supply chain. Participants from the lower tiers perceived chemical safety information to be largely inaccessible. Labels were the main source of information on chemical risks for the middle and bottom tiers of the supply chain. Almost all of the participants were aware of the St Andrew's Cross and skull and crossbones symbols but few were familiar with the Volatile Organic Compound logo or the fish and tree symbol. Both the network and thematic analysis demonstrated that whilst frequent references to health risks associated with chemicals were made environmental risks were usually only articulated after prompting. It is clear that the issues surrounding public understanding of chemical safety labels are highly complex and this is compounded by inconsistencies in the cognitive profiles of chemical users. Substantially different cognitive profiles are likely to contribute towards communication difficulties between different tiers of the supply chain. Further research is needed to examine the most effective ways of communicating chemical hazards information to the public. The findings demonstrate a need to improve and simplify disposal guidance to members of the public, to raise public awareness of the graphic symbols in the CHIP 3.1, 2005 regulations and to improve access to disposal guidance

  4. 75 FR 64348 - BOEMRE Information Collection Activity: 1010-0182, Increased Safety Measures for Energy...

    Science.gov (United States)

    2010-10-19

    ... No. BOEM-2010-0052] BOEMRE Information Collection Activity: 1010-0182, Increased Safety Measures for... the likelihood of blowouts, loss of well control, fires, spillages, physical obstruction to other... subsequent oil spill in the Gulf of Mexico. These events highlight the importance of ensuring safe operations...

  5. Integrating risk management and safety culture in a framework for risk informed decision making

    International Nuclear Information System (INIS)

    Nelson, W.R.

    2009-01-01

    Operators and regulators of nuclear power plants agree on the importance of maintaining safety and controlling accident risks. Effective safety and risk management requires treatment of both technical and organizational components. Probabilistic Risk Assessment (PRA) provides tools for technical risk management. However, organizational factors are not treated in PRA, but are addressed using different approaches. To bring both components together, a framework of Risk Informed Decision Making (RIDM) is needed. The objective tree structure of the International Atomic Energy Agency (IAEA) is a promising approach to combine both elements. Effective collaboration involving regulatory and industry groups is needed to accomplish the integration. (author)

  6. The importance of online communication in the information upon safety and security at work

    Directory of Open Access Journals (Sweden)

    Chiţu Ioana Bianca

    2017-07-01

    Full Text Available This study aims at presenting the employees’ opinions on the use of online environment as a medium for communicating the information related to labour safety and security. The study is based on a quantitative marketing research achieved by interviewing 95 participants, within a conference on labour safety and security. The idea of conducting this research was based on the increasing number of internet users in our country, as well as on the fact that the young generations are ever more dependent on the communication in the online environment, to the detriment of the communication by classical promotional media.

  7. Proceedings of the US Nuclear Regulatory Commission nineteenth water reactor safety information meeting

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1992-04-01

    This three-volume report contains 83 papers out of the 108 that were presented at the Nineteenth Water Reactor Safety Information Meeting held at the Bethesda Marriott Hotel, Bethesda, Maryland, during the week of October 28--30, 1991. The papers are printed in the order of their presentation in each session and describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included 14 different papers presented by researchers from Canada, Germany, France, Japan, Sweden, Taiwan, and USSR. This document, Volume 2, presents papers on: Severe accident research; Severe accident and policy implementation; and Accident management. The individual papers have been cataloged separately

  8. Bridging probabilistic safety assessment studies with information Management System

    International Nuclear Information System (INIS)

    Luanco, E. M.

    2010-01-01

    Probabilistic Safety Assessment (PSA) is a critical business often known in conjunction with either new build or life extension of nuclear power plant. However, it is not so often referred to the operation phase of the plant, although it could bring a lot of long term benefits to the operator. The purpose of this paper is to discuss the potential contribution of PSA with day to day operation in bridging the deficiencies and specific failures characteristics of critical Structure System and Component (SSC) with the results of PSA studies. From and Information System prospective, the use of Information Management system (IMS) -also known as EAM solution -widely used by the majority of nuclear operators- is the potential vehicle to bridge the 2 worlds of PSA and daily operation. Most EAM solution get reliability management functionalities which are not really integrated with PSA tools and data and thus cannot provide the anticipated benefits of addressing typical aging phenomena beyond the only predictive models used by the PSA studies. The paper will also discuss potential integration scenario between PSA tools and EAM solutions. (authors)

  9. A Framework for an Integrated Risk Informed Decision Making Process. INSAG-25. A Report by the International Nuclear Safety Group

    International Nuclear Information System (INIS)

    2014-01-01

    There is general international agreement, as reflected in various IAEA Safety Standards on nuclear reactor design and operation, that both deterministic and probabilistic analyses contribute to reactor safety by providing insights, perspective, comprehension and balance. Accordingly, the integration of deterministic and probabilistic analyses is increasing to support design, safety evaluation and operations. Additionally, application of these approaches to physical security is now being considered by several Member States. Deterministic and probabilistic analyses yield outputs that are complementary to each other. There is thus a need to use a structured framework for consideration of deterministic and probabilistic techniques and findings. In this process, it is appropriate to encourage a balance between deterministic approaches, probabilistic analyses and other factors (see Section 3) in order to achieve an integrated decision making process that serves in an optimal fashion to ensure nuclear reactor safety. This report presents such a framework - a framework that is termed 'integrated risk informed decision making' (IRIDM). While the details of IRIDM methods may change with better understanding of the subject, the framework presented in this report is expected to apply for the foreseeable future. IRIDM depends on the integration of a wide variety of information, insights and perspectives, as well as the commitment of designers, operators and regulatory authorities ers, operators and regulatory authorities to use risk information in their decisions. This report thus focuses on key IRIDM aspects, as well considerations that bear on their application which should be taken into account in order to arrive at sound risk informed decisions. This report is intended to be in harmony with the IAEA Safety Standards and various INSAG reports relating to safety assessment and verification, and seeks to convey an appropriate approach to enhance nuclear reactor safety

  10. A Framework for an Integrated Risk Informed Decision Making Process. INSAG-25. A Report by the International Nuclear Safety Group

    International Nuclear Information System (INIS)

    2011-01-01

    There is general international agreement, as reflected in various IAEA Safety Standards on nuclear reactor design and operation, that both deterministic and probabilistic analyses contribute to reactor safety by providing insights, perspective, comprehension and balance. Accordingly, the integration of deterministic and probabilistic analyses is increasing to support design, safety evaluation and operations. Additionally, application of these approaches to physical security is now being considered by several Member States. Deterministic and probabilistic analyses yield outputs that are complementary to each other. There is thus a need to use a structured framework for consideration of deterministic and probabilistic techniques and findings. In this process, it is appropriate to encourage a balance between deterministic approaches, probabilistic analyses and other factors (see Section 3) in order to achieve an integrated decision making process that serves in an optimal fashion to ensure nuclear reactor safety. This report presents such a framework - a framework that is termed 'integrated risk informed decision making' (IRIDM). While the details of IRIDM methods may change with better understanding of the subject, the framework presented in this report is expected to apply for the foreseeable future. IRIDM depends on the integration of a wide variety of information, insights and perspectives, as well as the commitment of designers, operators and regulatory authorities to use risk information in their decisions. This report thus focuses on key IRIDM aspects, as well considerations that bear on their application which should be taken into account in order to arrive at sound risk informed decisions. This report is intended to be in harmony with the IAEA Safety Standards and various INSAG reports relating to safety assessment and verification, and seeks to convey an appropriate approach to enhance nuclear reactor safety

  11. Perceptions of Psychological and Physical Safety Environments of Information Technology Employees: A Phenomenological Study

    Science.gov (United States)

    Payne, Sheila C.

    2012-01-01

    A qualitative phenomenological study was conducted to gain a deeper understanding of psychological and safety environments of an oil and gas multinational enterprise. Twenty information technology professionals were interviewed to explore their feelings, perceptions, beliefs, and values of the phenomenon. The interviews elicited data about facets…

  12. Advice on drug safety in pregnancy: are there differences between commonly used sources of information?

    Science.gov (United States)

    Frost Widnes, Sofia K; Schjøtt, Jan

    2008-01-01

    Safety regarding use in pregnancy is not established for many drugs. Inconsistencies between sources providing drug information can give rise to confusion with possible therapeutic consequences. Therefore, it is important to measure clinically important differences between drug information sources. The objective of this study was to compare two easily accessible Norwegian sources providing advice on drug safety in pregnancy - the product monographs in the Felleskatalog (FK), published by the pharmaceutical companies, and the five regional Drug Information Centres (DICs) in Norway - in addition to assessing the frequency of questions regarding drug safety in pregnancy made to the DICs according to the Anatomical Therapeutic Chemical (ATC) classification system. Advice on drug use in pregnancy provided by the DICs in 2003 and 2005 were compared with advice in the product monographs for the respective drugs in the FK. Comparison of advice was based on categorization to one of four categories: can be used, benefit-risk assessment, should not be used, or no available information. A total of 443 drug advice were categorized. Seven out of ten of drugs frequently enquired about, according to the ATC system, were drugs acting on the nervous system (group N). For 208 (47%) of the drugs, advice differed between the DICs and FK. Advice from the FK was significantly (p drugs that were newly introduced and those that had been on the market for a longer time, advice regarding use of drugs in the first trimester and advice regarding use of drugs in the second or third trimester, or between advice provided during 2003 and during 2005. The results of this study show considerable differences between two Norwegian sources providing advice on the use of drugs in pregnancy. Based on the knowledge that healthcare providers choose sources of information in a random manner, our results may be of clinical importance. We believe that the problem with heterogeneous drug information on this

  13. Information report on nuclear safety and radiation protection of MELOX - Issue 2012

    International Nuclear Information System (INIS)

    2013-06-01

    Published in compliance with the French code of the environment, this report first presents different aspects of the MELOX plant which produces MOX fuel: location and environment, history of basic nuclear installation or INB 151, presentation of the nuclear operator and of the industrial operator, assets of MOX fuel, MOX customers, regulatory framework of the MELOX plant, policy for sustainable development and continuous progress. It addresses the various measures regarding nuclear safety and radiation protection: general overview of nuclear safety in France, presentation of the Areva's nuclear safety Charter, measures adopted in MELOX, review for 2012 and perspectives for 2013. The next part addresses nuclear events: presentation of the INES scale and of the event declaration procedure, review of events declared in 2012 and regarding MELOX. The report gives an overview of activities and measures regarding protection and control of the environment: environmental management, consumption of natural resources, control of effluent releases, measurement of the impact on the environment, waste management, and perspectives for 2013. The last chapter reviews the actions undertaken in the field of transparency and information. Recommendations of the CHSCT are reported

  14. Information report on nuclear safety and radiation protection of MELOX - Issue 2013

    International Nuclear Information System (INIS)

    2014-06-01

    Published in compliance with the French code of the environment, this report first presents different aspects of the MELOX plant which produces MOX fuel: location and environment, history of basic nuclear installation or INB 151, presentation of the nuclear operator and of the industrial operator, assets of MOX fuel, MOX customers, regulatory framework of the MELOX plant, policy for sustainable development and continuous progress. It addresses the various measures regarding nuclear safety and radiation protection: general overview of nuclear safety in France, presentation of the Areva's nuclear safety Charter, measures adopted in MELOX, review for 2013 and perspectives for 2014. The next part addresses nuclear events: presentation of the INES scale and of the event declaration procedure, review of events declared in 2013 and regarding MELOX. The report gives an overview of activities and measures regarding protection and control of the environment: environmental management, consumption of natural resources, control of effluent releases, measurement of the impact on the environment, waste management, and perspectives for 2014. The last chapter reviews the actions undertaken in the field of transparency and information. Recommendations of the CHSCT are reported

  15. Information report on nuclear safety and radiation protection of MELOX - Issue 2014

    International Nuclear Information System (INIS)

    2015-06-01

    Published in compliance with the French code of the environment, this report first presents different aspects of the MELOX plant which produces MOX fuel: location and environment, history of basic nuclear installation or INB 151, presentation of the nuclear operator and of the industrial operator, assets of MOX fuel, MOX customers, regulatory framework of the MELOX plant, policy for sustainable development and continuous progress. It addresses the various measures regarding nuclear safety and radiation protection: general overview of nuclear safety in France, presentation of the Areva's nuclear safety Charter, measures adopted in MELOX, review for 2014 and perspectives for 2015. The next part addresses nuclear events: presentation of the INES scale and of the event declaration procedure, review of events declared in 2014 and regarding MELOX. The report gives an overview of activities and measures regarding protection and control of the environment: environmental management, consumption of natural resources, control of effluent releases, measurement of the impact on the environment, waste management, and perspectives for 2015. The last chapter reviews the actions undertaken in the field of transparency and information. Recommendations of the CHSCT are reported

  16. Snails in bottles and language cuckoos: an evaluation of patient information resources for South Asians with osteomalacia.

    Science.gov (United States)

    Samanta, A; Johnson, M R D; Guo, F; Adebajo, A

    2009-03-01

    To assess the acceptability for use of information on osteomalacia for South Asian patients. Ten focus groups of South Asian persons speaking Bengali, Gujarati, Hindi, Punjabi and Urdu (one male and one female group for each language) were used to evaluate the written (leaflets) and spoken information (CD) on osteomalacia for South Asian patients produced by the Arthritis Research Campaign (ARC). Focus group discussion was facilitated by community-based workers using the Social Action Research Method. A subsidiary evaluation of the information was conducted by a questionnaire-based survey sent to British Society of Rheumatology/British Health Professionals in Rheumatology (BSR/BHPR) members and others who had requested such materials from ARC in the past. Evaluation by focus groups revealed that there were potential difficulties relating to the understanding of the information leaflets and CDs and problematic issues regarding the quality of translation and pronunciation. Evaluation by BSR/BHPR members and others who had requested such material was that although the information was culturally appropriate, there were some weak areas such as mispronunciation, the quality of translation and specific customs. Healthcare information resources for minority ethnic groups has traditionally been developed depending upon the needs of the community, the language spoken and cultural norms. Such information is regarded as 'culturally sensitive'. However, an additional dimension is required. Information should be evaluated by the community and also specific users in order to determine its acceptability. This test of 'cultural competence' can ensure that such information has real practical value. An iterative evaluation process with feedback and refinement of information resources for minority ethnic groups is essential.

  17. Tailored patient information using a database system: Increasing patient compliance in a day surgery setting

    DEFF Research Database (Denmark)

    Grode, Jesper Nicolai Riis; Grode, Louise; Steinsøe, Ulla

    rehabilitation. The hospital is responsible of providing the patients with accurate information enabling the patient to prepare for surgery. Often patients are overloaded with uncoordinated information, letters and leaflets. The contribution of this project is a database system enabling health professionals...... to empower patients through tailored individualized information. Performing 6500 operations per year at our Day Surgery Centre, health professionals need a computer based system to create individualized information material. Health professionals must be able to adapt the information material quickly...... was established to support these requirements. A relational database system holds all information pieces in a granular, structured form. Each individual piece of information can be joined with other pieces thus supporting the tailoring of information. A web service layer caters for integration with output systems...

  18. IE Information Notice No. 85-08: Industry experience on certain materials used in safety-related equipment

    International Nuclear Information System (INIS)

    Jordan, E.L.

    1992-01-01

    This information notice is being issued to provide licensees and construction permit holders with information pertaining to the behavior of certain materials used in safety-related equipment. The materials, as described below, were observed to have the potential of degrading the operability of safety-related equipment. These observations were made during environmental qualification testing and/or during routine inspection of in-service equipment. The notice describes the following: elastomeric seals used in personnel air locks for the reactor containment systems; epoxy phenolic coating applied to the lower portion of the interior surface of diesel oil storage tanks; the use of Viton elastomer as the seal material in hydrogen recombiner applications; and environmental qualification of ASCO NP valves with Viton and ethylene propylene parts

  19. On the role of safety culture in risk-informed regulation

    International Nuclear Information System (INIS)

    Sorensen, J.N.; Apostolakis, G.E.; Powers, D.A.

    2000-01-01

    There is a widespread belief that safety culture is an important contributor to safety of operations. The commonly accepted attributes of safety culture include good organizational communications, good organizational learning, and senior management commitment to safety. Safety culture may be particularly important in reducing latent errors in complex, well-defended systems. The role of regulatory bodies in fostering strong safety cultures remains unclear, and additional work is required to define the essential attributes of safety culture and to identify reliable performance indicators. (author)

  20. National Comparative Audit of Blood Transfusion: report on the 2014 audit of patient information and consent.

    Science.gov (United States)

    Booth, C; Grant-Casey, J; Lowe, D; Court, E L; Allard, S

    2017-11-28

    The aim of this study was to assess current practices around obtaining consent for blood transfusion and provision of patient information in hospitals across the UK and identify areas for improvement. Recommendations from the Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO) (2011) state that valid consent should be obtained for blood transfusion and documented in clinical records. A standardised source of information should be available to patients. Practices in relation to this have historically been inconsistent. The consent process was studied in hospitals across the UK over a 3-month period in 2014 by means of an audit of case notes and simultaneous surveys of patients and staff. In total, 2784 transfusion episodes were reviewed across 164 hospital sites. 85% of sites had a policy on consent for transfusion. Consent was documented in 43% of case notes. 68% of patients recalled being given information on benefits of transfusion, 38% on risks and 8% on alternatives and 28% reported receiving an information leaflet. In total, 85% of staff stated they had explained the reason for transfusion, but only 65% had documented this. 41% of staff had received training specifically on transfusion consent in the last 2 years. There is a need to improve clinical practice in obtaining valid consent for transfusion in line with existing national guidelines and local Trust policies, with emphasis on documentation within clinical records. Provision of patient information is an area particularly highlighted for action, and transfusion training for clinicians should be strengthened. © 2017 British Blood Transfusion Society.

  1. Readability of written medicine information materials in Arabic language: expert and consumer evaluation.

    Science.gov (United States)

    Al Aqeel, Sinaa; Abanmy, Norah; Aldayel, Abeer; Al-Khalifa, Hend; Al-Yahya, Maha; Diab, Mona

    2018-02-27

    Written Medicine Information (WMI) is one of the sources that patients use to obtain information concerning medicine. This paper aims to assess the readability of two types of WMIs in Arabic language based on vocabulary use and sentence structure using a panel of experts and consumers. This is a descriptive study. Two different types of materials, including the online text from King Abdullah Bin Abdulaziz Arabic Health Encyclopaedia (KAAHE) and medication leaflets submitted by the manufacturers to the Saudi Food and Drug Authority (SFDA) were evaluated. We selected a group of sentences from each WMI. The readability was assessed by experts (n = 5) and consumers (n = 5). The sentence readability of each measured using a specific criteria and rated as 1 = easy, 2 = intermediate, or 3 = difficult. A total of 4476 sentences (SFDA 2231; KAHEE 2245) extracted from websites or patient information leaflets on 50 medications and evaluated. The majority of the vocabulary and sentence structure was considered easy by both expert (SFDA: 68%; KAAHE: 76%) and consumer (SFDA: 76%; KAAHE: 84%) groups. The sentences with difficult or intermediate vocabulary and sentence structure are derived primarily from the precautions and side effects sections. The SFDA and KAAHE WMIs are easy to read and understand as judged by our study sample. However; there is room for improvement, especially in sections related to the side effects and precautions.

  2. Predicting safety culture: the roles of employer, operations manager and safety professional.

    Science.gov (United States)

    Wu, Tsung-Chih; Lin, Chia-Hung; Shiau, Sen-Yu

    2010-10-01

    This study explores predictive factors in safety culture. In 2008, a sample 939 employees was drawn from 22 departments of a telecoms firm in five regions in central Taiwan. The sample completed a questionnaire containing four scales: the employer safety leadership scale, the operations manager safety leadership scale, the safety professional safety leadership scale, and the safety culture scale. The sample was then randomly split into two subsamples. One subsample was used for measures development, one for the empirical study. A stepwise regression analysis found four factors with a significant impact on safety culture (R²=0.337): safety informing by operations managers; safety caring by employers; and safety coordination and safety regulation by safety professionals. Safety informing by operations managers (ß=0.213) was by far the most significant predictive factor. The findings of this study provide a framework for promoting a positive safety culture at the group level. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

  3. Safety performance indicators used by the Russian Safety Regulatory Authority in its practical activities on nuclear power plant safety regulation

    International Nuclear Information System (INIS)

    Khazanov, A.L.

    2005-01-01

    The Sixth Department of the Nuclear, Industrial and Environmental Regulatory Authority of Russia, Scientific and Engineering Centre for Nuclear and Radiation Safety process, analyse and use the information on nuclear power plants (NPPs) operational experience or NPPs safety improvement. Safety performance indicators (SPIs), derived from processing of information on operational violations and analysis of annual NPP Safety Reports, are used as tools to determination of trends towards changing of characteristics of operational safety, to assess the effectiveness of corrective measures, to monitor and evaluate the current operational safety level of NPPs, to regulate NPP safety. This report includes a list of the basic SPIs, those used by the Russian safety regulatory authority in regulatory activity. Some of them are absent in list of IAEA-TECDOC-1141 ('Operational safety performance indicators for nuclear power plants'). (author)

  4. Liquid-metal fast-breeder reactors: Preliminary safety and environmental information document. Volume VI

    International Nuclear Information System (INIS)

    1980-01-01

    Information is presented concerning LMFBR design characteristics; uranium-plutonium/uranium recycle homogeneous core; uranium-plutonium/uranium spiked recycle heterogeneous core; uranium-plutonium/uranium spiked recycle homogeneous core; uranium-plutonium/thorium spiked recycle heterogeneous core; uranium-plutonium/thorium spiked recycle homogeneous core; thorium-plutonium/thorium spiked recycle homogeneous core; denatured uranium-233/thorium cycle homogeneous core; safety consideration for the LMFBR; and environmental considerations

  5. Improving Hospital Quality and Patient Safety an Examination of Organizational Culture and Information Systems

    Science.gov (United States)

    Gardner, John Wallace

    2012-01-01

    This dissertation examines the effects of safety culture, including operational climate and practices, as well as the adoption and use of information systems for delivering high quality healthcare and improved patient experience. Chapter 2 studies the influence of both general and outcome-specific hospital climate and quality practices on process…

  6. The Decision of Information Safety Problems at Processing of the Biometric Personal Data

    Directory of Open Access Journals (Sweden)

    Y. G. Gorshkov

    2010-03-01

    Full Text Available The requirements imposed on transfer by the personal biometric information in systems and communication networks according to Federal Law № 152 “Personal data” are defined. Lacks of used decisions protection of such biometric data, as the test speech information, including parameters of a speech path, and also acoustic signals of tones and noise of heart of the person on an example of telemedicine systems construction with the using of a network telephone channels general using and wireless networks Wi-Fi are considered. Directions of works are formulated on safety of the personal biometric data transferred in telecommunication systems.

  7. Are anticoagulant independent mechanical valves within reach-fast prototype fabrication and in vitro testing of innovative bi-leaflet valve models.

    Science.gov (United States)

    Scotten, Lawrence N; Siegel, Rolland

    2015-08-01

    Exploration for causes of prosthetic valve thrombogenicity has frequently focused on forward or post-closure flow detail. In prior laboratory studies, we uncovered high amplitude flow velocities of short duration close to valve closure implying potential for substantial shear stress with subsequent initiation of blood coagulation pathways. This may be relevant to widely accepted clinical disparity between mechanical and tissue valves vis-à-vis thrombogenicity. With a series of prototype bi-leaflet mechanical valves, we attempt reduction of closure related velocities with the objective of identifying a prototype valve with thrombogenic potential similar to our tissue valve control. This iterative design approach may find application in preclinical assessment of valves for anticoagulation independence. Tested valves included: prototype mechanical bi-leaflet BVs (n=56), controls (n=2) and patented early prototype mechanicals (n=2) from other investigators. Pulsatile and quasi-steady flow systems were used for testing. Projected dynamic valve area (PDVA) was measured using previously described novel technology. Flow velocity over the open and closing periods was determined by volumetric flow rate/PDVA. For the closed valve interval, use was made of data obtained from quasi-steady back pressure/flow tests. Performance was ranked by a proposed thrombogenicity potential index (TPI) relative to tissue and mechanical control valves. Optimization of the prototype valve designs lead to a 3-D printed model (BV3D). For the mitral/aortic site, BV3D has lower TPI (1.10/1.47) relative to the control mechanical valve (3.44/3.93) and similar to the control tissue valve (ideal TPI ≤1.0). Using unique technology, rapid prototyping and thrombogenicity ranking, optimization of experimental valves for reduced thrombogenic potential was expedited and simplified. Innovative mechanical valve configurations were identified that merit consideration for further development which may bring

  8. Arrangement between the Health and Safety Executive of the United Kingdom of Great Britain and Northern Ireland and the Minister of the Interior of the Federal Republic of Germany for a continuing exchange of information on significant matters pertaining to the safety of nuclear installations and on collaboration in the development of regulatory safety criteria

    International Nuclear Information System (INIS)

    1979-01-01

    According to this Agreement, information is exchanged by communication of reports, research results and studies as well as by mutual information on measures and resolutions concerning the safety of nuclear installations. Reports and information also include decisions and enquiries by courts of law on matters of safety. Co-operation in the drafting of safety standards comprises mutual information about work undertaken or planned and the exchange of texts of law, rules and regulations. (NEA) [fr

  9. Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness.

    Science.gov (United States)

    Sanders, M R; Hall, S L

    2018-01-01

    Both babies and their parents may experience a stay in the newborn intensive care unit (NICU) as a traumatic or a 'toxic stress,' which can lead to dysregulation of the hypothalamic-pituitary-adrenal axis and ultimately to poorly controlled cortisol secretion. Toxic stresses in childhood or adverse childhood experiences (ACEs) are strongly linked to poor health outcomes across the lifespan and trauma-informed care is an approach to caregiving based on the recognition of this relationship. Practitioners of trauma-informed care seek to understand clients' or patients' behaviors in light of previous traumas they have experienced, including ACEs. Practitioners also provide supportive care that enhances the client's or patient's feelings of safety and security, to prevent their re-traumatization in a current situation that may potentially overwhelm their coping skills. This review will apply the principles of trauma-informed care, within the framework of the Polyvagal Theory as described by Porges, to care for the NICU baby, the baby's family and their professional caregivers, emphasizing the importance of social connectedness among all. The Polyvagal Theory explains how one's unconscious awareness of safety, danger or life threat (neuroception) is linked through the autonomic nervous system to their behavioral responses. A phylogenetic hierarchy of behaviors evolved over time, leveraging the mammalian ventral or 'smart' vagal nucleus into a repertoire of responses promoting mother-baby co-regulation and the sense of safety and security that supports health and well-being for both members of the dyad. Fostering social connectedness that is mutual and reciprocal among parents, their baby and the NICU staff creates a critical buffer to mitigate stress and improve outcomes of both baby and parents. Using techniques of trauma-informed care, as explained by the Polyvagal Theory, with both babies and their parents in the NICU setting will help to cement a secure relationship

  10. 76 FR 45904 - Pipeline Safety: Information Collection Activities

    Science.gov (United States)

    2011-08-01

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No... at U.S. Department of Transportation, Pipeline and Hazardous Materials Safety Administration, 1200...: On Occasion. Title: Record Keeping for Natural Gas Pipeline Operators. OMB Control Number: 2137-0049...

  11. 75 FR 13807 - Pipeline Safety: Information Collection Activities

    Science.gov (United States)

    2010-03-23

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No... of Transportation, Pipeline and Hazardous Materials Safety Administration, 1200 New Jersey Avenue, SE...: Updates to Pipeline and Liquefied Natural Gas Reporting Requirements (One Rule). The Notice of Proposed...

  12. Aube storage center. Information report on nuclear safety and radiation protection 2015

    International Nuclear Information System (INIS)

    2016-01-01

    The National Radioactive Waste Management Agency (Andra), was established by the December 1991 Waste Act as a public body in charge of the long-term management of all radioactive waste, under the supervision of the Ministry of Ecology, Energy, Sustainable Development and the Sea (formerly the Ministry of Industry and the Ministry of Environment), and the Ministry of Research. The Andra operates two storage centers in the Aube region (France): the center for short-lived low- and intermediate-level wastes, and the center for very-low-level radioactive wastes. This document is the 2015 activity report of the center for short-lived low- and intermediate-level wastes. It presents a review of the activities of the center: presentation of the installations, safety and radiation protection, security, events or incidents, environmental monitoring and effluents, wastes management, public information, recommendations of the Health and safety Committee (CHSCT)

  13. Aube storage center. Information report on nuclear safety and radiation protection 2016

    International Nuclear Information System (INIS)

    2017-01-01

    The National Radioactive Waste Management Agency (Andra), was established by the December 1991 Waste Act as a public body in charge of the long-term management of all radioactive waste, under the supervision of the Ministry of Ecology, Energy, Sustainable Development and the Sea (formerly the Ministry of Industry and the Ministry of Environment), and the Ministry of Research. The Andra operates two storage centers in the Aube region (France): the center for short-lived low- and intermediate-level wastes, and the center for very-low-level radioactive wastes. This document is the 2016 activity report of the center for short-lived low- and intermediate-level wastes. It presents a review of the activities of the center: presentation of the installations, safety and radiation protection, security, events or incidents, environmental monitoring and effluents, wastes management, public information, recommendations of the Health and safety Committee (CHSCT)

  14. The effect of information about the benefits and harms of mammography on women's decision-making: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Carles, Misericòrdia; Martínez-Alonso, Montserrat; Pons, Anna; Pérez-Lacasta, Maria José; Perestelo-Pérez, Lilisbeth; Sala, Maria; Vidal, Carmen; Garcia, Montse; Toledo-Chávarri, Ana; Codern, Núria; Feijoo-Cid, Maria; Romero, Anabel; Pla, Roger; Soler-González, Jorge; Castells, Xavier; Rué, Montserrat

    2017-09-12

    The decision to participate or not in breast cancer screening is complex due to the trade-off between the expected benefit of breast cancer mortality reduction and the major harm of overdiagnosis. It seems ethically necessary to inform women so that they can actively participate in decision-making and make an informed choice based on their values and preferences. The objective of this study is to assess the effects of receiving information about the benefits and harms of screening on decision-making, in women approaching the age of invitation to mammography screening. A two-stage, randomized controlled trial (RCT). In the first stage, 40 Basic Health Areas (BHAs) will be selected and randomized to intervention or control. In the second stage, women within each BHA will be randomly selected (n = 400). Four breast cancer screening programs (BCSPs) of the Spanish public health system, three in Catalonia and one in the Canary Islands will participate in the study. Women in the intervention arm will receive a leaflet with detailed information on the benefits and harms of screening using mammography. Women in the control arm will receive a standard leaflet that does not mention harms and recommends accepting the invitation to participate in the biennial examinations of the BCSP. The primary outcome is informed choice, a dichotomous variable that combines knowledge, attitudes, and intentions. Secondary outcomes include decisional conflict; confidence in the decision made; anxiety about screening participation; worry about breast cancer; anticipated regret; time perspective; perceived importance of benefits/harms of screening; perceived risk of breast cancer; and leaflet acceptability. Primary and secondary outcomes are assessed 2-3 weeks after the intervention. This is the first RCT that assesses the effect of informing about the benefits and harms of breast cancer screening in Spain in women facing the decision to be screened using mammography. It aims to assess the

  15. Risk-informed decision making during Bohunice NPP safety upgrading

    International Nuclear Information System (INIS)

    Lipar, M.; Muzikova, E.; Kubanyi, J.

    2001-01-01

    The paper summarizes some facts of risk-informed regulation developments within UJD regulatory environment. Based on national as well as international operating experience and indications resulted from PSA, Nuclear Regulatory Authority of the Slovak Republic (UJD) since its constituting in 1993 has devoted an effort to use PSA technology to support the regulatory policy in Slovakia. The PSA is considered a complement, not a substitute, to the deterministic approach. Suchlike integrated approach is used in decision making processes and the final decision on scope and priorities is based on it. The paper outlines risk insights used in the decision making process concerning Bohunice NPP safety upgrading and focuses on the role of PSA results in Gradual Reconstruction of Bohunice VI NPP. Besides, two other examples of the PSA results application to the decision making process are provided: the assessment of proposal of modifications to the main power supply diagram (incorporation of generator switches) and the assessment of licensee request for motor generator AOT (Allowable Outage Time) extension. As an example of improving support of Bohunice V-2 risk-informed operations, concept of AOT calculations and Bohunice V-2 Risk Monitor Project are briefly described. (author)

  16. Patient information materials in general practices and promotion of health literacy: an observational study of their effectiveness.

    Science.gov (United States)

    Protheroe, Joanne; Estacio, Emee Vida; Saidy-Khan, Sirandou

    2015-03-01

    Government policy in the UK emphasises providing patients with good health information to encourage participation in their health care. Patient information leaflets (PILs) form part of this policy and have been shown to affect patient health outcomes; however, many are poorly written. To describe the PILs in general practice surgeries in Stoke-on-Trent in terms of readability and variety of content. An observational study of randomly selected GP practices (n = 17) across Stoke-on-Trent. PILs were assessed for readability (Flesch Reading Ease and Flesch-Kincaid Grade Level) and compared with national skills level data and with the recommended level for medical information. The PILs were also categorised for content using the Rudd (2007) health material classification framework. A total of 345 PILs were collected and assessed. Only 24.3% meet recommended reading-level criteria. Compared with national skills levels, over 75% of the PILs collected were too complex for at least 15% of the English population. Of the PILs, 47.8% were classified as 'systems navigation' (information regarding services); 22.9% were disease prevention (screening and immunisations); 14.2% personal and public safety; and less than 10% were for managing illness or health promotion. Current PILs in general practices do not all promote health literacy. Information only accessible to a proportion of higher skilled patients may increase inequalities in health. Less than 10% of PILs promote managing illness or healthy lifestyles. Processes must be put in place to improve the readability and variety of content of PILs in GP practices. © British Journal of General Practice 2015.

  17. Risk informed approach and its application in Daya Bay NPP operation safety management

    International Nuclear Information System (INIS)

    He Yu; Zhang Jinlong; Bao Yukun

    2004-01-01

    The paper presents a systematic risk assessment approach based on probabilistic theory, and discusses its significance and application process in safety management. Risk informed approach that uses deterministic engineering principles and probabilistic methods is the appropriate approach to decision making at nuclear power plants. The paper also studies an actual case taken place at Daya Bay Nuclear Power Station using PSA approach to equipment maintenance. (authors)

  18. Information report on nuclear safety and radiation protection of the SOMANU site - Issue 2014

    International Nuclear Information System (INIS)

    2015-01-01

    Published in compliance with the French code of the environment, this report first presents different aspects of the SOMANU plant which is dedicated to the maintenance of materials and equipment from nuclear installations: location and environment, history, description of activities, regulatory framework. It describes the various measures regarding nuclear safety and radiation protection: general principles of nuclear safety, organization, presentation of the Areva's nuclear safety Charter, inspections and controls, measures regarding radiation protection. The next part addresses nuclear events which occurred on this site and had to be declared. The report gives an overview of activities and measures regarding the management of releases and the control of the environment. The next part addresses waste management: general considerations on radioactive waste management in France, description and classification of radioactive wastes present in the INB, management of conventional wastes. The management of other impacts is also reported. The last chapter reviews the actions undertaken in the field of transparency and information. Recommendations of the CHSCT are reported

  19. Information report on nuclear safety and radiation protection of the SOMANU site - Issue 2012

    International Nuclear Information System (INIS)

    2013-06-01

    Published in compliance with the French code of the environment, this report first presents different aspects of the SOMANU plant which is dedicated to the maintenance of materials and equipment from nuclear installations: location and environment, history, description of activities, regulatory framework. It describes the various measures regarding nuclear safety and radiation protection: general principles of nuclear safety, organization, presentation of the Areva's nuclear safety Charter, inspections and controls, measures regarding radiation protection. The next part addresses nuclear events which occurred on this site and had to be declared. The report gives an overview of activities and measures regarding the management of releases and the control of the environment. The next part addresses waste management: generalities on radioactive waste management in France, description and classification of radioactive wastes present in the INB, management of conventional wastes. The management of other impacts is also reported. The last chapter reviews the actions undertaken in the field of transparency and information. Recommendations of the CHSCT are reported

  20. 75 FR 73160 - Pipeline Safety: Information Collection Activities

    Science.gov (United States)

    2010-11-29

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No...-Related Conditions on Gas, Hazardous Liquid, and Carbon Dioxide Pipelines and Liquefied Natural Gas... Pipelines and Liquefied Natural Gas Facilities.'' The Pipeline Safety Laws (49 U.S.C. 60132) require each...

  1. Negotiating the 'trading zone'. Creating a shared information infrastructure in the Dutch public safety sector

    NARCIS (Netherlands)

    Boersma, F.K.; Wagenaar, F.P.; Wolbers, J.J.

    2012-01-01

    Our main concern in this article is whether nation-wide information technology (IT) infrastructures or systems in emergency response and disaster management are the solution to the communication problems the safety sector suffers from. It has been argued that implementing nation-wide IT systems will

  2. Opinión de los pacientes sobre la legibilidad de los folletos de Educación para la Salud Opinion of the patients about legible health education leaflets

    Directory of Open Access Journals (Sweden)

    Inés Mª Barrio-Cantalejo

    2008-12-01

    Full Text Available Antecedentes: los Servicios de salud normalmente proporcionan a los pacientes folletos u otros documentos relacionados con tratamientos. Este material no está escrito con mucha legibilidad y los pacientes tienen dificultad en entenderlos. Objetivos: determinar la opinión de los lectores en relación a los requisitos que deberían ser encontrados en este material para asegurar la legibilidad. Metodología: metodología cualitativa de entrevistas semiestructuradas. 24 participantes fueron entrevistados con preguntas abiertas. Los participantes tenían un bajo nivel académico. Resultados: ocho categorías fueron identificadas en los folletos que debían encontrarse para aumentar la legibilidad: escribir como se habla, interés por el tema, estilo directo, ordenar las ideas, mensajes afirmativos, imágenes, amplios márgenes, letra grande y clara. Conclusiones: los profesionales sanitarios y los escritores de folletos educativos deberían involucrar a los pacientes en el proceso de diseño del material educativo.Introduction: Healthcare Service usually provides patients with leaflets relating to treatment. Often, this material is written not very legible and patients have difficulty understanding it. Aims: This study aims to determine the opinion of readers in relation to the requisites that should be met by this material in order to ensure legibility. Design: Qualitative method of semi-structured interviews. Method: Twelve interviews were conducted. Open-ended questions were asked in each interview. Participants had a low academic level, poor reading habits, but they usually were capable of read. Finding: Eight categories were identified that describe the opinion of the participants in relation to the requisites that the leaflets must meet in order to improve legibility: Writing like speaking, interest in the subject, direct style, order of the ideas, affirmative messages, images and clear fonts. Conclusions: Health professionals and writers of

  3. Pharmaceutical sales representatives and patient safety: a comparative prospective study of information quality in Canada, France and the United States.

    Science.gov (United States)

    Mintzes, Barbara; Lexchin, Joel; Sutherland, Jason M; Beaulieu, Marie-Dominique; Wilkes, Michael S; Durrieu, Geneviève; Reynolds, Ellen

    2013-10-01

    The information provided by pharmaceutical sales representatives has been shown to influence prescribing. To enable safe prescribing, medicines information must include harm as well as benefits. Regulation supports this aim, but relative effectiveness of different approaches is not known. The United States (US) and France directly regulate drug promotion; Canada relies on industry self-regulation. France has the strictest information standards. This is a prospective cohort study in Montreal, Vancouver, Sacramento and Toulouse. We recruited random samples of primary care physicians from May 2009 to June 2010 to report on consecutive sales visits. The primary outcome measure was "minimally adequate safety information" (mention of at least one indication, serious adverse event, common adverse event, and contraindication, and no unqualified safety claims or unapproved indications). Two hundred and fifty-five physicians reported on 1,692 drug-specific promotions. "Minimally adequate safety information" did not differ: 1.7 % of promotions; range 0.9-3.0 % per site. Sales representatives provided some vs. no information on harm more often in Toulouse than in Montreal and Vancouver: 61 % vs. 34 %, OR = 4.0; 95 % CI 2.8-5.6, or Sacramento (39 %), OR = 2.4; 95 % CI 1.7-3.6. Serious adverse events were rarely mentioned (5-6 % of promotions in all four sites), although 45 % of promotions were for drugs with US Food and Drug Administration (FDA) "black box" warnings of serious risks. Nevertheless, physicians judged the quality of scientific information to be good or excellent in 901 (54 %) of promotions, and indicated readiness to prescribe 64 % of the time. "Minimally adequate safety information" did not differ in the US and Canadian sites, despite regulatory differences. In Toulouse, consistent with stricter standards, more harm information was provided. However, in all sites, physicians were rarely informed about serious adverse events, raising questions about

  4. Proceedings of the US Nuclear Regulatory Commission nineteenth water reactor safety information meeting

    International Nuclear Information System (INIS)

    Weiss, A.J.

    1992-04-01

    This three-volume report contains 83 papers out of the 108 that were presented at the Nineteenth Water Reactor Safety Information Meeting held at the Bethesda Marriott Hotel, Bethesda, Maryland, during the week of October 28--30, 1991. The papers are printed in the order of their presentation in each session and describe progress and results of programs in nuclear safety research conducted in this country and abroad. Foreign participation in the meeting included 14 different papers presented by researchers from Canada, Germany, France, Japan, Sweden, Taiwan, and USSR. This document, Volume 3, presents papers on: Structural engineering; Advanced reactor research; Advanced passive reactors; Human factors research; Human factors issues related to advanced passive light water researchers; Thermal Hydraulics; and Earth sciences. The individual papers have been cataloged separately

  5. Measuring Health Information Dissemination and Identifying Target Interest Communities on Twitter: Methods Development and Case Study of the @SafetyMD Network.

    Science.gov (United States)

    Kandadai, Venk; Yang, Haodong; Jiang, Ling; Yang, Christopher C; Fleisher, Linda; Winston, Flaura Koplin

    2016-05-05

    Little is known about the ability of individual stakeholder groups to achieve health information dissemination goals through Twitter. This study aimed to develop and apply methods for the systematic evaluation and optimization of health information dissemination by stakeholders through Twitter. Tweet content from 1790 followers of @SafetyMD (July-November 2012) was examined. User emphasis, a new indicator of Twitter information dissemination, was defined and applied to retweets across two levels of retweeters originating from @SafetyMD. User interest clusters were identified based on principal component analysis (PCA) and hierarchical cluster analysis (HCA) of a random sample of 170 followers. User emphasis of keywords remained across levels but decreased by 9.5 percentage points. PCA and HCA identified 12 statistically unique clusters of followers within the @SafetyMD Twitter network. This study is one of the first to develop methods for use by stakeholders to evaluate and optimize their use of Twitter to disseminate health information. Our new methods provide preliminary evidence that individual stakeholders can evaluate the effectiveness of health information dissemination and create content-specific clusters for more specific targeted messaging.

  6. Risk-Informed Safety Assurance and Probabilistic Assessment of Mission-Critical Software-Intensive Systems

    Science.gov (United States)

    Guarro, Sergio B.

    2010-01-01

    This report validates and documents the detailed features and practical application of the framework for software intensive digital systems risk assessment and risk-informed safety assurance presented in the NASA PRA Procedures Guide for Managers and Practitioner. This framework, called herein the "Context-based Software Risk Model" (CSRM), enables the assessment of the contribution of software and software-intensive digital systems to overall system risk, in a manner which is entirely compatible and integrated with the format of a "standard" Probabilistic Risk Assessment (PRA), as currently documented and applied for NASA missions and applications. The CSRM also provides a risk-informed path and criteria for conducting organized and systematic digital system and software testing so that, within this risk-informed paradigm, the achievement of a quantitatively defined level of safety and mission success assurance may be targeted and demonstrated. The framework is based on the concept of context-dependent software risk scenarios and on the modeling of such scenarios via the use of traditional PRA techniques - i.e., event trees and fault trees - in combination with more advanced modeling devices such as the Dynamic Flowgraph Methodology (DFM) or other dynamic logic-modeling representations. The scenarios can be synthesized and quantified in a conditional logic and probabilistic formulation. The application of the CSRM method documented in this report refers to the MiniAERCam system designed and developed by the NASA Johnson Space Center.

  7. Generic safety documentation model

    International Nuclear Information System (INIS)

    Mahn, J.A.

    1994-04-01

    This document is intended to be a resource for preparers of safety documentation for Sandia National Laboratories, New Mexico facilities. It provides standardized discussions of some topics that are generic to most, if not all, Sandia/NM facilities safety documents. The material provides a ''core'' upon which to develop facility-specific safety documentation. The use of the information in this document will reduce the cost of safety document preparation and improve consistency of information

  8. Current Activities on Nuclear Safety Culture in Korea. How to meet the challenges for Safety and Safety Culture?

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Chaewoon [International Policy Department Policy and Standard Division, Korea Institute of Nuclear Safety, 19 Gusung-Dong Yuseong-Ku, 305-338 DAEJEON (Korea, Republic of)

    2008-07-01

    'Statement of Nuclear Safety Policy' declared by the Korean Government elucidates adherence to the principle of 'priority to safety'. The 3. Comprehensive Nuclear Energy Promotion Plan (2007-2011) more specifically addressed the necessity to develop and apply 'safety culture evaluation criteria' and to strengthen safety management of concerned organizations in an autonomous way. Putting these policies as a backdrop, Korean Government has taken diverse safety culture initiatives and has encouraged the relevant organizations to develop safety culture practices of their own accord. Accordingly, KHNP, the operating organization in Korea, developed a 'safety culture performance indicator', which has been used to evaluate safety mind of employees and the evaluation results have been continuously reflected in operational management and training programs. Furthermore, KHNP inserted 'nuclear safety culture subject' into every course of more than two week length, and provided employees with special lectures on safety culture. KINS, the regulatory organization, developed indicators for the safety culture evaluation based on the IAEA Guidelines. Also, KINS has hosted an annual Nuclear Safety Technology Information Meeting to share information between regulatory organizations and industries. Furthermore, KINS provided a nuclear safety culture class to the new employees and they are given a chance to participate in performance of a role-reversal socio-drama. Additionally, KINS developed a safety culture training program, published training materials and conducted a 'Nuclear Safety Culture Basic Course' in October 2007, 4 times of which are planed this year. In conclusion, from Government to relevant organizations, 'nuclear safety culture' concept is embraced as important and has been put into practice on a variety of forms. Specifically, 'education and training' is a starting line and sharing

  9. Information requirements of the National Aeronautics and Space Administration's safety, environmental health, and occupational medicine programs

    Science.gov (United States)

    Whyte, A. A.

    1978-01-01

    A survey of the internal and external reporting and recordkeeping procedures of these programs was conducted and the major problems associated with them are outlined. The impact of probable future requirements on existing information systems is evaluated. This report also presents the benefits of combining the safety and health information systems into one computerized system and recommendations for the development and scope of that system.

  10. Establishment of the National Nuclear Regulatory Portal (NNRP) as the key element of the Global Nuclear Safety and Security Network and Regulatory Network (GNSSN/RegNet) for sharing of nuclear safety information and knowledge among the Global Expert Community

    International Nuclear Information System (INIS)

    Kuvshinnikov, A.V.

    2011-01-01

    The Global Nuclear Safety and Security Network (GNSSN) implements the concept of the Global Nuclear Safety and Security Framework (GNSSF) as outlined in INSAG 21. This is the framework of instruments and resources for achieving and maintaining worldwide a high level of safety and security at nuclear facilities and activities as stated in SF-1 and supporting safety standards or recommendations such as INSAG-12. National efforts are and should be augmented by the activities of a variety of international enterprises that facilitate safety and security. The IAEA standard GS-R-3 requires that information and knowledge is managed as a resource. Further strengthening of GNSSN in particular regulatory networking as intended by GNSSN/RegNet has to be based on current national priorities, on existing regional and thematic networks and on the established mechanisms of international co-operation as presented for example on the websites of the IAEA or the OECD-NEA. Current design and operation of RegNet are flexible enough to accommodate differences in national and international approaches and practices and to facilitate exchange and cooperation on regulatory matters. The main role of GNSSN/RegNet is sharing knowledge and bringing people together to enhance and promote nuclear safety and security. The objectives of GNSSN/RegNet: enhancing safety and security by international cooperation, sharing information and best practices, enabling adequate access to relevant safety and security information and promoting the dissemination of this information, implementing active collaboration in the relevant areas related to safety and security, such as joint projects, peer reviews, enabling synergies among existing networks and initiatives, informing the public on the relevant safety and security areas and the related international collaboration. In the RegNet part of the GNSSN exist the National Nuclear Regulatory Portal (NNRP) which is on one hand a part of the global RegNet and on the

  11. Construction Process Simulation and Safety Analysis Based on Building Information Model and 4D Technology

    Institute of Scientific and Technical Information of China (English)

    HU Zhenzhong; ZHANG Jianping; DENG Ziyin

    2008-01-01

    Time-dependent structure analysis theory has been proved to be more accurate and reliable com-pared to commonly used methods during construction. However, so far applications are limited to partial pe-riod and part of the structure because of immeasurable artificial intervention. Based on the building informa-tion model (BIM) and four-dimensional (4D) technology, this paper proposes an improves structure analysis method, which can generate structural geometry, resistance model, and loading conditions automatically by a close interlink of the schedule information, architectural model, and material properties. The method was applied to a safety analysis during a continuous and dynamic simulation of the entire construction process.The results show that the organic combination of the BIM, 4D technology, construction simulation, and safety analysis of time-dependent structures is feasible and practical. This research also lays a foundation for further researches on building lifecycle management by combining architectural design, structure analy-sis, and construction management.

  12. High committee for nuclear safety transparency and information. Annual activity report. June 2008 - December 2009

    International Nuclear Information System (INIS)

    2010-01-01

    This document is the first activity report of the High committee for nuclear safety transparency and information (HCTISN), created on June 18, 2008. The HCTISN is a French authority of information, dialogue and debate about the risks linked with nuclear activities and about their impacts on public health, on the environment and on nuclear safety. The committee has the ability to express his opinion and recommendations about any question on the above topics and to propose any measure aiming at warranting or improving the transparency in the nuclear domain. This activity report offers a synthetic overview of the actions already undertaken: the plutonium imports from UK, the contamination incident at the Socatri facility (a Areva-Eurodif daughter company located at the Tricastin site), and the dismantling strategy of basic nuclear facilities. It presents the composition, organization, missions and means of the Committee, the different working groups and the follow-up of the different recommendations emitted so far by the Committee. (J.S.)

  13. Information report on the nuclear safety and radiation protection of the Aube storage Centre - 2012

    International Nuclear Information System (INIS)

    2013-07-01

    This report first present the site of the Aube Storage Centre (CSA), its storage areas, its buildings and equipment, describes the water treatment process, proposes some exploitation data for 2012 (deliveries, storage, compacting), and indicates highlights and works performed in 2012. The next part reviews measures related to nuclear safety: recall of safety principles and objectives, technical arrangements to meet safety objectives, inspections by the ASN, quality audits. The third part reviews measures related to safety and radiation protection: principles for radiation protection, staff dosimetry practices and results, personnel safety, works performed in 2012. The fourth part addresses incidents and accidents (none occurred in 2012) and other minor events classified according to the INES scale. The fifth part addresses the control of the environment and the releases by the centre: measurement locations, measurement results (in the atmosphere, in rivers, in underground waters, radiological control, control of ecosystems, assessment of the radiological impact), physical-chemical control of a local river, actions undertaken for the protection of the environment, highlights for 2012. The next chapter addresses the management of the various wastes produced by the Centre (radioactive wastes, conventional wastes) and the last part reports actions regarding information and transparency. Recommendations of the CHSCT are reported

  14. Do Dutch workers seek and find information on occupational safety and health?

    Science.gov (United States)

    Rhebergen, Martijn D F; Lenderink, Annet F; van Dijk, Frank J H; Hulshof, Carel T J

    2012-03-01

    Currently, little is known about workers' occupational safety and health (OSH) information-seeking behavior. We assessed whether Dutch workers have (OSH) questions, what motivates them to seek information or advice to solve these questions, and whether workers actually find the information they are looking for. A random sample of 888 workers from a large business panel were sent an online questionnaire. In total, 535 workers, likely parallel to the Dutch working population, returned the questionnaire (response rate 60%). In the last year, 380 of the 535 respondents (71%) had at least one OSH question. In total, 159 of the 380 respondents (42%) with an OSH question actively searched for information or advice. In a logistic regression analysis, three factors were identified to influence workers' information seeking: cognitions about personal benefits or costs of solving the question (OR = 2.8, 95% CI: 1.8-4.5), emotions that accompany the question (OR = 1.8, 95% CI: 1.1-3.0), and encouragement by the social environment (OR = 1.8, 95% CI: 1.0-3.0). In total, 50% of the respondents seeking information indicated they could not find (all) the information they sought. The barrier most often mentioned (47%) was the poor applicability of the information. Although most workers have OSH questions, only 40% seek information or advice to answer their questions. Moreover, many OSH questions remain unanswered by common information facilities. This study provides input on how to develop campaigns and new facilities that may induce workers to seek information and that offer more applicable information. Copyright © 2011 Wiley Periodicals, Inc.

  15. Development and design of a computer-assisted information management system for radiation safety management at the University of Washington

    International Nuclear Information System (INIS)

    Riches, C.G.; Riordan, F.J.; Robb, D.; Grieb, C.; Pence, G.; O'Brien, M.J.

    1984-01-01

    The Radiation Safety Office (RSO) at the University of Washington (UW) found that it needed a computerized information system to help manage the campus radiation safety program and to help provide the records necessary to show compliance with regulations and license requirements. The John L. Locke Computer Center at the UW had just developed the GLAMOR system to aid information entry and query for their computer when the RSO turned to them for assistance. The module that was developed provided a mechanism for controlling and monitoring radioactive materials on campus. This became one part of a multi-faceted system that registers users, employees, sealed sources and radiation-producing machines. The system is designed to be interactive, for immediate information recall, and powerful enough to provide routine and special reports on compliance status. The RSO information system is designed to be flexible and can easily incorporate additional features. Some future features include an interactive SNM control program, an interface to the information system currently being developed for the occupational safety and health program and an interface to the database provided by the commercial film badge service used by the University. Development of this program lead the RSO to appreciate the usefulness of having health physics professionals on the staff who were also knowledgeable about computers and who could develop programs and reports necessary to their activities

  16. Status of safety issues at licensed power plants: TMI action plan requirements, unresolved safety issues, generic safety issues

    International Nuclear Information System (INIS)

    1991-12-01

    As part of ongoing US Nuclear Regulatory Commission (NRC) efforts to ensure the quality and accountability of safety issue information, a program was established whereby an annual NUREG report would be published on the status of licensee implementation and NRC verification of safety issues in major NRC requirements areas. This information was compiled and reported in three NUREG volumes. Volume 1, published in March 1991, addressed the status of of Three Mile Island (TMI) Action Plan Requirements. Volume 2, published in May 1991, addressed the status of unresolved safety issues (USIs). Volume 3, published in June 1991, addressed the implementation and verification status of generic safety issues (GSIs). This annual NUREG report combines these volumes into a single report and provides updated information as of September 30, 1991. The data contained in these NUREG reports are a product of the NRC's Safety Issues Management System (SIMS) database, which is maintained by the Project Management Staff in the Office of Nuclear Reactor Regulation and by NRC regional personnel. This report is to provide a comprehensive description of the implementation and verification status of TMI Action Plan Requirements, safety issues designated as USIs, and GSIs that have been resolved and involve implementation of an action or actions by licensees. This report makes the information available to other interested parties, including the public. An additional purpose of this NUREG report is to serve as a follow-on to NUREG-0933, ''A Prioritization of Generic Safety Issues,'' which tracks safety issues up until requirements are approved for imposition at licensed plants or until the NRC issues a request for action by licensees

  17. A road safety information system : from concept to implementation. Contribution to the Road Safety Training Course of the World Bank, 1 May 2001, Washington, D.C.

    OpenAIRE

    Wegman, F.C.M.

    2001-01-01

    It is a proven fact that road safety problems are not unsolvable: what is man-made can also be unmade by man. This leads to questions such as which priorities to set, which measures to take, which effects to expect, what costs are involved, and how these can be financed. In order to be able to answer all these questions, data, knowledge, and information are needed to give a comprehensive and objective picture of the road safety problems and of the effectiveness and efficiency of potential roa...

  18. Patienters vurdering af medicinpakningernes indlaegssedler

    DEFF Research Database (Denmark)

    Horwitz, Anna; Reuther, Lene; Andersen, Stig Ejdrup

    2009-01-01

    information leaflets, but relied on the doctor or the pharmacist. 62% of the interviewed had no problems reading or understanding the patient information leaflets. Among the 38% with reading problems, 57% had difficulties due to text-size, and 33% found the written language difficult to understand. Thirty...

  19. NASA Aviation Safety Reporting System (ASRS)

    Science.gov (United States)

    Connell, Linda J.

    2017-01-01

    The NASA Aviation Safety Reporting System (ASRS) collects, analyzes, and distributes de-identified safety information provided through confidentially submitted reports from frontline aviation personnel. Since its inception in 1976, the ASRS has collected over 1.4 million reports and has never breached the identity of the people sharing their information about events or safety issues. From this volume of data, the ASRS has released over 6,000 aviation safety alerts concerning potential hazards and safety concerns. The ASRS processes these reports, evaluates the information, and provides selected de-identified report information through the online ASRS Database at http:asrs.arc.nasa.gov. The NASA ASRS is also a founding member of the International Confidential Aviation Safety Systems (ICASS) group which is a collection of other national aviation reporting systems throughout the world. The ASRS model has also been replicated for application to improving safety in railroad, medical, fire fighting, and other domains. This presentation will discuss confidential, voluntary, and non-punitive reporting systems and their advantages in providing information for safety improvements.

  20. Safety culture in nuclear installations. Management of safety and safety culture in Indian NPPs

    International Nuclear Information System (INIS)

    Rawal, S.C.

    2002-01-01

    Nuclear Power Corporation Of India Ltd. (NPCIL) is a company owned by Government of India and is responsible for Design, Construction, Commissioning, Operation and Decommissioning of Nuclear Power plants in India. Presently, a total of 13 Nuclear power Stations are in operation with an installed capacity of 2620 MWe and 2 VVR type PWR Units of 1000 MWe capacity each, 2 PHWR type units of 500 MWe capacity each and 4 PHWR type 220 MWe capacity each are under construction. NPPs generation capacity has been increased from 70% to 85% in the span Of last 7 years with high level of safety standards. This could be achieved through Management commitment towards building a strong Safety Culture. Safety culture is that assembly of characteristics and attitudes in organisation and individuals which establishes that as an overriding priority nuclear plant safety issues receives the attention warranted by their significance. This definition of safety culture brings out two major components in its manifestation. The framework within which individuals within the organisation works.The attitude and response of individual towards the safety issues over productivity and economics in the organisational work practices. The two attributes of safety culture are built in and upgraded in each individuals through special training at the time of entry in the organisation and later through in built procedures in the work practices, motivation and encouragement for free participation of each individuals. Individuals are encouraged to participate in Quality circle teams at the sectional level and review of safety proposal originated by individuals in Station operation Review Committee at Station level, in addition to this to continuously enhance the safety culture, refresher training courses are being organised at regular intervals. The safety related proposals are categorised in to two namely: Proposals from Operating Plants, and Proposals from projects and Design. The concept of safety

  1. Official communication of the Safety Commission

    CERN Multimedia

    DG Unit

    2009-01-01

    The Prevention and Training section of the Safety Commission, would like to inform you that the new Safety Awareness course for newcomers will replace the welcome video in building 55 as of 2 April. The 3 levels (‘Safety at CERN’, ‘General Risks’ and ‘Specific Risks’) followed by 3 tests will determine access to CERN. Thanks to the SIR (Safety Information Registration, http://sir.cern.ch) application, it will be possible for you to follow the awareness course from your computer. For more information, go to the Safety Commission web site: http://safety-commission.web.cern.ch

  2. Official communication of the Safety Commission

    CERN Multimedia

    DG Unit

    2009-01-01

    We, the Prevention and Training section of the Safety Commission, would like to inform you that the new Safety Awareness course for newcomers will replace the welcome video in building 55 as of the 2nd April. The 3 levels (‘Safety at CERN’, ‘General Risks’ and ‘Specific Risks’) followed by 3 tests will determine access to CERN. Thanks to the SIR (Safety Information Registration, http://sir.cern.ch) application, it will be possible for you to follow the awareness course from your computer. For more information, go to the Safety Commission web site: http://safety-commission.web.cern.ch

  3. Usability Methods for Ensuring Health Information Technology Safety: Evidence-Based Approaches. Contribution of the IMIA Working Group Health Informatics for Patient Safety.

    Science.gov (United States)

    Borycki, E; Kushniruk, A; Nohr, C; Takeda, H; Kuwata, S; Carvalho, C; Bainbridge, M; Kannry, J

    2013-01-01

    Issues related to lack of system usability and potential safety hazards continue to be reported in the health information technology (HIT) literature. Usability engineering methods are increasingly used to ensure improved system usability and they are also beginning to be applied more widely for ensuring the safety of HIT applications. These methods are being used in the design and implementation of many HIT systems. In this paper we describe evidence-based approaches to applying usability engineering methods. A multi-phased approach to ensuring system usability and safety in healthcare is described. Usability inspection methods are first described including the development of evidence-based safety heuristics for HIT. Laboratory-based usability testing is then conducted under artificial conditions to test if a system has any base level usability problems that need to be corrected. Usability problems that are detected are corrected and then a new phase is initiated where the system is tested under more realistic conditions using clinical simulations. This phase may involve testing the system with simulated patients. Finally, an additional phase may be conducted, involving a naturalistic study of system use under real-world clinical conditions. The methods described have been employed in the analysis of the usability and safety of a wide range of HIT applications, including electronic health record systems, decision support systems and consumer health applications. It has been found that at least usability inspection and usability testing should be applied prior to the widespread release of HIT. However, wherever possible, additional layers of testing involving clinical simulations and a naturalistic evaluation will likely detect usability and safety issues that may not otherwise be detected prior to widespread system release. The framework presented in the paper can be applied in order to develop more usable and safer HIT, based on multiple layers of evidence.

  4. Drug safety in pregnancy: utopia or achievable prospect? Risk information, risk research and advocacy in Teratology Information Services.

    Science.gov (United States)

    Schaefer, Christof

    2011-03-01

    Even though from preclinical testing to drug risk labeling, the situation with drugs in pregnancy has improved substantially since the thalidomide scandal, there is still an increasing need to provide healthcare professionals and patients with updated individualized risk information for clinical decision making. For the majority of drugs, clinical experience is still insufficient with respect to their safety in pregnancy. There is often uncertainty in how to interpret the available scientific data. Based on 20 years of experience with Teratology Information Services (TIS) cooperating in the European Network of Teratology Information Services (ENTIS) methods of risk interpretation, follow-up of exposed pregnancies through the consultation process and their evaluation is discussed. Vitamin K antagonists, isotretinoin and angiotensin (AT) II-receptor-antagonists are presented as examples of misinterpretation of drug risks and subjects of research based on observational clinical data recorded in TIS. As many TIS are poorly funded, advocacy is necessary by establishing contacts with decision makers in health politics and administration, informing them of the high return in terms of health outcomes and cost savings provided by TIS as reference institutions in clinical teratology. © 2011 The Author. Congenital Anomalies © 2011 Japanese Teratology Society.

  5. School Chemistry Laboratory Safety Guide

    Science.gov (United States)

    Brundage, Patricia; Palassis, John

    2006-01-01

    The guide presents information about ordering, using, storing, and maintaining chemicals in the high school laboratory. The guide also provides information about chemical waste, safety and emergency equipment, assessing chemical hazards, common safety symbols and signs, and fundamental resources relating to chemical safety, such as Material…

  6. Transactions of the twenty-third water reactor safety information meeting to be held at Bethesda Marriott Hotel, Bethesda, Maryland, October 23--25, 1995

    Energy Technology Data Exchange (ETDEWEB)

    Monteleone, S. [comp.

    1995-09-01

    This report contains summaries of papers on reactor safety research to be presented at the 23rd Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel, Bethesda, Maryland, October 23--25, 1995. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory, Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting and are given in the order of their presentation in each session.

  7. Transactions of the twenty-third water reactor safety information meeting to be held at Bethesda Marriott Hotel, Bethesda, Maryland, October 23--25, 1995

    International Nuclear Information System (INIS)

    Monteleone, S.

    1995-09-01

    This report contains summaries of papers on reactor safety research to be presented at the 23rd Water Reactor Safety Information Meeting at the Bethesda Marriott Hotel, Bethesda, Maryland, October 23--25, 1995. The summaries briefly describe the programs and results of nuclear safety research sponsored by the Office of Nuclear Regulatory, Research, US NRC. Summaries of invited papers concerning nuclear safety issues from US government laboratories, the electric utilities, the nuclear industry, and from foreign governments and industry are also included. The summaries have been compiled in one report to provide a basis for meaningful discussion and information exchange during the course of the meeting and are given in the order of their presentation in each session

  8. Analysis of safety impacts from external flooding using the risk-informed safety margin characterization (RISMC) Toolkit

    International Nuclear Information System (INIS)

    Smith, Curtis L.; Mandelli, Diego; Prescott, Steve

    2015-01-01

    The existing fleet of U.S. nuclear power plants is in the process of extending its lifetime and increasing the power generated from these plants via power uprates. In order to evaluate the impact of these factors on the safety of the plant, the Risk-Informed Safety Margin Characterization (RISMC) project aims to provide insight to decision makers through a series of simulations of the plant dynamics for different initial conditions (e.g., probabilistic analysis and uncertainty quantification). This paper demonstrates how Idaho National Laboratory (INL) researchers use the RISMC Toolkit to investigate complex nuclear plant phenomena using RAVEN and RELAP-7. The analysis focused on a highly relevant topic currently facing some nuclear power plants – specifically flooding issues. This research and development looked at challenges to a hypothetical pressurized water reactor, including: (1) a potential loss of off-site power followed by the possible loss of all diesel generators (i.e., a station black-out event), (2) earthquake induced station-blackout, and (3) a potential earthquake induced tsunami flood. The analysis is performed by using a set of codes: a thermal-hydraulic code (RELAP-7), a flooding simulation tool (NEUTRINO) and a stochastic analysis tool (RAVEN) – these are currently under development at INL. Using RAVEN, we were able to perform multiple RELAP-7 simulation runs by changing specific parts of the model in order to reflect specific aspects of different scenarios, including both the failure and recovery of critical components. The simulation employed traditional statistical tools (such as Monte-Carlo sampling) and more advanced machine-learning based algorithms to perform uncertainty quantification in order to understand changes in system performance and limitations as a consequence of power uprate. Qualitative and quantitative results obtained gave a detailed picture of the issues associated with potential accident scenarios. These types of

  9. Food Safety in the Domestic Environment: The Effect of Consumer Risk Information on Human Disease Risks

    NARCIS (Netherlands)

    Nauta, M.J.; Fischer, A.R.H.; Asselt, van E.D.; Jong, de A.E.I.; Frewer, L.J.; Jonge, de R.

    2008-01-01

    The improvement of food safety in the domestic environment requires a transdisciplinary approach, involving interaction between both the social and natural sciences. This approach is applied in a study on risks associated with Campylobacter on broiler meat. First, some web-based information

  10. Hydrogen Technologies Safety Guide

    Energy Technology Data Exchange (ETDEWEB)

    Rivkin, C. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Burgess, R. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Buttner, W. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-01-01

    The purpose of this guide is to provide basic background information on hydrogen technologies. It is intended to provide project developers, code officials, and other interested parties the background information to be able to put hydrogen safety in context. For example, code officials reviewing permit applications for hydrogen projects will get an understanding of the industrial history of hydrogen, basic safety concerns, and safety requirements.

  11. How sociodemographic features impact subjects' opinion on packages leaflets of medicines?

    Directory of Open Access Journals (Sweden)

    Carla Pires

    2017-09-01

    Full Text Available Background Packages leaflets (PLs are essential for the safe use and efficacy of medicines. Aims To quantify the opinion of users of medicines on PLs through the application of a self-administered Likert scale, taking into consideration subjects’ sociodemographic data. Methods Participants were enrolled from two Portuguese regions: urban/littoral (Lisbon and rural/interior (Centre. 503 participants were included: 53 per cent males, 45 per cent 12 years of schooling. A questionnaire was used to collect the sociodemographic data. A Likert scale was self-administered to rate the characteristics of 12 randomized PLs (6 from prescription medicines and 6 from over-the-counter medicines (August-December 2014. An invitation was send to several institutions (e.g., municipal councils. The inclusion criteria were: agreeing, be capable of reading/writing, and be more than 17 years old. Results In the Likert scores obtained, no significant differences were found related to region, sex, marital status, age group (≥65 years and other, and employment status of participants. By contrast, significant differences were found related to education (2=42.747; p 12 years of schooling, more regular reading habits (2 or more books/year, higher income and less frequent medicines use, showed a more negative global opinion on PLs. Conclusion Sociodemographic data are important to understand users’ opinion on PLs. It seems that more educated subjects are more demanding. A lower socio-economic status positively influenced the participants’ opinion, with subjects’ poorer education being a relevant factor in this population. A higher frequency of taking medicines also positively contributed to a better opinion, probably due to a greater familiarity with PLs.

  12. Global Nuclear Safety and Security Network

    International Nuclear Information System (INIS)

    Guo Lingquan

    2013-01-01

    The objectives of the Regulatory Network are: - to contribute to the effectiveness of nuclear regulatory systems; - to contribute to continuous enhancements, and - to achieve and promote radiation and nuclear safety and security by: • Enhancing the effectiveness and efficiency of international cooperation in the regulation of nuclear and radiation safety of facilities and activities; • Enabling adequate access by regulators to relevant safety and security information; • Promoting dissemination of information on safety and security issues as well as information of good practices for addressing and resolving these issues; • Enabling synergies among different web based networks with a view to strengthening and enhancing the global nuclear safety framework and serving the specific needs of regulators and international organizations; • Providing additional information to the public on international regulatory cooperation in safety and security matters

  13. Integrating building information modeling and health and safety for onsite construction.

    Science.gov (United States)

    Ganah, Abdulkadir; John, Godfaurd A

    2015-03-01

    Health and safety (H&S) on a construction site can either make or break a contractor, if not properly managed. The usage of Building Information Modeling (BIM) for H&S on construction execution has the potential to augment practitioner understanding of their sites, and by so doing reduce the probability of accidents. This research explores BIM usage within the construction industry in relation to H&S communication. In addition to an extensive literature review, a questionnaire survey was conducted to gather information on the embedment of H&S planning with the BIM environment for site practitioners. The analysis of responses indicated that BIM will enhance the current approach of H&S planning for construction site personnel. From the survey, toolbox talk will have to be integrated with the BIM environment, because it is the predominantly used procedure for enhancing H&S issues within construction sites. The advantage is that personnel can visually understand H&S issues as work progresses during the toolbox talk onsite.

  14. Safety for Users

    CERN Multimedia

    HR Department

    2008-01-01

    CERN welcomes more than 8000 Users every year. The PH Department as host to these scientific associates requires the highest safety standards. The PH Safety Office has published a Safety Flyer for Users. Important safety topics and procedures are presented. Although the Flyer is intended primarily to provide safety information for Users, the PH Safety Office invites all those on the CERN sites to keep a copy of the flyer as it gives guidance in matters of safety and explains what to do in the event of an emergency. Link: http://ph-dep.web.cern.ch/ph-dep/Safety/SafetyOffice.html PH-Safety Office PH Department

  15. Safety for Users

    CERN Multimedia

    HR Department

    2008-01-01

    CERN welcomes more than 8000 Users every year. The PH Department as host to these scientific associates requires the highest safety standards. The PH Safety Office has published a safety flyer for Users. Important safety topics and procedures are presented. Although the flyer is intended primarily to provide safety information for Users, the PH Safety Office invites all those on the CERN sites to keep a copy of the flyer as it gives guidance in matters of safety and explains what to do in the event of an emergency. The flyer is available at: http://ph-dep.web.cern.ch/ph-dep/Safety/SafetyOffice.html PH-Safety Office PH Department

  16. Measuring mobile patient safety information system success: an empirical study.

    Science.gov (United States)

    Jen, Wen-Yuan; Chao, Chia-Cheng

    2008-10-01

    The Health Risk Reminders and Surveillance (HRRS) system was designed to deliver critical abnormal test results of severely ill patients from Laboratory, Radiology, and Pathology departments to physicians within 5 min using cell phone text messages. This paper explores the success of the HRRS system. This study employed an augmented version of the DeLone and McLean IS success model. Seven variables (system quality, information quality, system use, user satisfaction, mobile healthcare anxiety, impact on the individual and impact on the organization) were used to evaluate the success of the HRRS system. The interrelationships between the seven variables were hypothesized and the hypotheses were empirically tested. The results indicate that the information quality of the HRRS system is positively associated with both system use and user satisfaction. In addition, system use is positively associated with user satisfaction, which is also positively associated with mobile healthcare anxiety. Moreover, results indicate that impact on the individual is positively associated with both user satisfaction and mobile healthcare anxiety. Finally, the impact of the organization is positively associated with impact on the individual. The results of the study provide an expanded understanding of the factors that contribute to mobile patient safety information system (IS) success. Implications of the relationship between system use and physician mobile healthcare anxiety are discussed.

  17. Arizona Traffic Safety Education, K-8. Passenger Safety, Grade 3.

    Science.gov (United States)

    Mesa Public Schools, AZ.

    One in a series designed to assist Arizona elementary and junior high school teachers in developing children's traffic safety skills, this curriculum guide contains four lessons and an appendix of school bus safety tips for use in grade 3. Introductory information provided for the teacher includes basic highway safety concepts, stressing…

  18. IAEA safety glossary. Terminology used in nuclear safety and radiation protection, multilingual 2007 edition, including the IAEA safety fundamentals [no. SF-1

    International Nuclear Information System (INIS)

    2008-10-01

    The IAEA Safety Glossary defines and explains technical terms used in the IAEA Safety Standards and other safety related IAEA publications, and provides information on their usage.The publication is multilingual and covers the six official IAEA languages,, Arabic, Chinese, English, French, Russian and Spanish. It has been in use since April 2000. The 2007 Edition is a revised and updated version. The primary purpose of the publication is to harmonize terminology and usage in the IAEA Safety Standards. It is a source of information for users of the IAEA Safety Standards and other safety related IAEA publications and provides guidance for the drafters and reviewers of publications, including IAEA technical officers and consultants, and members of technical committees, advisory groups, working groups and bodies for the endorsement of safety standards

  19. Safety aspects of the modernization of I and C and process information in nuclear power plants with special regard to alarm annunciation

    Energy Technology Data Exchange (ETDEWEB)

    Seidel, F [Bundesamt fuer Strahlenschutz, Salzgitter (Germany)

    1997-09-01

    In particular for older German nuclear power plants there are projects to modernize I and C and process information systems. This modernization mainly aims at improvements in plant operation. For instance, using modern computing technology, the plant operation can be optimized, according to further details. Furthermore, the problem of spare-part keeping for out-dated components can be solved. For modernizing the I and C or the process computer system, safety-relevant aspects have to be taken into account. For instance, the compatibility of the system modification with the existing alarm annunciation concept shall be considered, and for each modernization step, the interfaces between the equipment of different safety significance shall be assessed and observed. The functions and the associated equipment have to be qualified in accordance to their safety significance. At present, the regulatory framework for computer-based instrumentation and control as well as for information systems is being elaborated in Germany and worldwide. Recently, the guidelines of the German Reactor Safety Commission have been extended with regard to the introduction and safety application of modern computer-based I and C in nuclear power plants. Furthermore, some of the essential requirements for design and qualification of modern I and C can be derived from the existing rules and standards. Particularly, concerning the alarm annunciation system, this report summarizes safety-relevant aspects of the modernization of the instrumentation and control system as well as the process information system in nuclear power plants. (author). 4 refs.

  20. Safety aspects of the modernization of I and C and process information in nuclear power plants with special regard to alarm annunciation

    International Nuclear Information System (INIS)

    Seidel, F.

    1997-01-01

    In particular for older German nuclear power plants there are projects to modernize I and C and process information systems. This modernization mainly aims at improvements in plant operation. For instance, using modern computing technology, the plant operation can be optimized, according to further details. Furthermore, the problem of spare-part keeping for out-dated components can be solved. For modernizing the I and C or the process computer system, safety-relevant aspects have to be taken into account. For instance, the compatibility of the system modification with the existing alarm annunciation concept shall be considered, and for each modernization step, the interfaces between the equipment of different safety significance shall be assessed and observed. The functions and the associated equipment have to be qualified in accordance to their safety significance. At present, the regulatory framework for computer-based instrumentation and control as well as for information systems is being elaborated in Germany and worldwide. Recently, the guidelines of the German Reactor Safety Commission have been extended with regard to the introduction and safety application of modern computer-based I and C in nuclear power plants. Furthermore, some of the essential requirements for design and qualification of modern I and C can be derived from the existing rules and standards. Particularly, concerning the alarm annunciation system, this report summarizes safety-relevant aspects of the modernization of the instrumentation and control system as well as the process information system in nuclear power plants. (author). 4 refs