um hospital distrital: Topics by WorldWideScience.org

Tax management for exempt hospitals.

No abstract prepared.

2006-07-01

2

Construction of a homogeneous phantom for radiographic image standardization; Construcao de um fantoma homogeneo para padronizacao de imagens radiograficas

PMID:7444950

1980-01-01

3

Developing IT Infrastructure for Rural Hospitals: A Case Study of Benefits and Challenges of Hospital-to-Hospital Partnerships

The principle of radiodiagnosis consists in the fact the X-ray beam is attenuated at different degrees by distinct tissues. For this reason, the anatomical structures have distinct radiological opacities, that produce the radiographic image. The progresses in radiology are related to the development if new radiographic image formation systems that enable an amplification in the quality, with low dose and/or risk to the patient. The objective of this work is the sensitometric valuation of a screen-film combination, that is still the most used, for the standardization, of radiographic images. Thinking about this, were constructed homogeneous phantoms of the chest, skull and pelvis, for the calibration of X-ray beams, with the purpose of obtaining radiographic images of good quality, basing in the routine of a radiodiagnosis service and in the scientific knowledge. Questions were approached about the choice of the suitable equipment, that allow the obtention of k Vp and m As combinations, ...

1996-12-31

4

Economic regulation and hospital behavior: the effects on medical staff organization and hospital-physician relationships.

This article presents a study identifying benefits and challenges of a novel hospital-to-hospital information technology (IT) outsourcing partnership (HHP). The partnership is an innovative response...Full Text Available

2008-07-01

5

Synchrotron Probes of Emergent Electronic States of Matter in Solids

New forms of payment, growing competition, the continued evolution of multiunit hospital systems, and associated forces are redefining the fundamental relationship between hospitals and physicians....Full Text Available

1985-12-01

6

Interaction between an harmonic oscillator and a perfectly conducting wedge; Interacao entre um oscilador harmonico e uma cunha perfeitamente condutora

...of this article he quotes um i am told by my english ...

7

Experimental and numerical analysis of a precision foundries process; Analise numerica e experimental de um processo de fundicao de precisao

No abstract prepared.

2008-07-01

8

The Status of Korea-IAEA Enhanced Cooperation on the Spent Fuel Transfer to Dry Storage in CANDU Reactors

Short communication

1993-12-31

9

The Status of Korea-IAEA Enhanced Cooperation on the Spent Fuel Transfer to Dry Storage in CANDU Reactors

Based on the enhanced cooperation between Republic of Korea (ROK) and International Atomic Energy Agency (IAEA), IAEA installed new safeguards equipment (Unattended Monitoring System, UMS) at Wolsung unit 2 on January, 2005. The UMS was utilized in parallel with traditional human surveillance during the transfer campaign of Wolsung unit 2 (7 March - 22 July). Installation of UMS at all Wolsung units will be decided on the basis of the result of this test. The transfer campaign with UMS at Wolsung units 2 and 4 was started from September 1, 2006 at the same time. Implementation of UMS to the transfer campaign in Wolsung site will be considerably reduced the IAEA's inspection effort and burden of operator.

2006-07-01

10

The impact of the America's Cup on Fremantle Hospital.

Based on the enhanced cooperation between Republic of Korea (ROK) and International Atomic Energy Agency (IAEA), IAEA installed new safeguards equipment (Unattended Monitoring System, UMS) at Wolsung unit 2 on January, 2005. The UMS was utilized in parallel with traditional human surveillance during the transfer campaign of Wolsung unit 2 (7 March - 22 July). Installation of UMS at all Wolsung units will be decided on the basis of the result of this test. The transfer campaign with UMS at Wolsung units 2 and 4 was started from September 1, 2006 at the same time. Implementation of UMS to the transfer campaign in Wolsung site will be considerably reduced the IAEA's inspection effort and burden of operator.

2006-11-02

11

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

The first defence of the America's Cup outside of the USA took place off Fremantle, Western Australia, between October, 1986 and February, 1987. Fremantle Hospital, the nearest hospital to the marinas,...Full Text Available

1989-12-01

12

Support for hospital-based HIV testing and counseling: a national survey of hospital marketing executives.

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

1980-02-01

13

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

Today, hospitals are involved extensively in social marketing and promotional activities. Recently, investigators from the Centers for Disease Control and Prevention (CDC) estimated that routine testing...Full Text Available

1995-07-01

14

Including Internet insurance as part of a hospital computer network security plan.

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

2011-01-01

15

If I Had - A Family History of Heart Disease

Cyber attacks on a hospital's computer network is a new crime to be reckoned with. Should your hospital consider internet insurance? The author explains this new phenomenon and presents a risk assessment for determining network vulnerabilities. PMID:11951384

2002-01-01

16

Medline Plus

... Hospital & University Hospital Basel) If I Had - Pre-diabetes - Dr. Venkat Narayan, MD, MSc, MBA, Rollins School ... School, Massachusetts General Hospital, Discusses the Treatment of Diabetes Back to Home Page If I Had - A ...

17

Identification and Treatment of Osteoporosis among Elderly Patients with Hip Fractures

Evaluation of patients' assessment of day hospital care.

OBJECTIVE:To evaluate the profile of osteoporosis treatment among patients hospitalized due to hip fractures at a tertiary-level university hospital. To compare the impact of hospitalization...Full Text Available

2009-12-01

18

Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections

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

1977-09-01

19

The quality of hospital records of urethral catheterisation.

Objectives:The aim of this study was to analyze clinical records of dental patients attending the Dental Department at the University of Jordan Hospital: a teaching hospital in Jordan....Full Text Available

2008-10-01

20

The Johns Hopkins Hospital Network

BACKGROUND: This prospective and retrospective study carried out over a period of one month (50 patients) looked at the quality of hospital records of urethral catheterisation with reference to the...Full Text Available

2002-03-01

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

21

Nosocomial Vaccinia Infection

The Johns Hopkins Hospital has initiated an ambitious program to apply modern technologies to the development of a new, comprehensive clinical information system. One component of this system is a...Full Text Available

1985-11-13

22

Coping Strategies of Family Members of Hospitalized Psychiatric Patients

Although hospital-associated spread of vaccinia has been reported in the past, there have been no recent reports. This paper describes hospital-associated spread of vaccinia virus infection, supplies...Full Text Available

1976-10-01

23

Care of the diabetic child in the community.

This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping...Full Text Available

2011-01-01

24

Assessment of informatization for the dispensing of medications at a university hospital

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

1980-12-06

25

Science at the Theater: Hot Technology, Cool Science

INTRODUCTIONInformatics and automation are important tools for the reduction of work, errors and costs in a hospital pharmacy.OBJECTIVESTo describe...Full Text Available

2010-04-01

26

Wasted breath: Dispatcher-assisted CPR in out-of-hospital cardiac arrest meets cardio-cerebral resuscitation.

...and welcome to ...lab also known as berkeley lab my name is jeff miller and ...and a public affairs i'd like to ? ...but space is science center and ...berkeley albany high school science department and berkeley high school science department and oakland high school science ...be a q. and ...here please use and because we wanna make sure that your questions are here ...heard of also for the latest developments on science and technology ...guy we're going to be any more and more new features i hope ...and change ...thank you ? much and thank you for coming on the welcome to my world of and mayotte science journalist and what i've done for the last almost thirty years ...people about things about which there passionate and national religion tonight and ...people to explain the science and and i asking the question so what ...and ...worldwide and what it does best ? uh ...bench science and turn it into reality what do you scientists and ...uh they take scientific theory and they turn ...

27

Tensions of network security and collaborative work practice: understanding a single sign-on deployment in a regional hospital.

PMID:21864481

2011-08-22

28

Road to Recovery from Prostate Cancer

PMID:21398174

2011-03-12

29

Medline Plus

... have the support of the hospital, from the CEO to administration, to the chief of urology that ...

30

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

Lung irradiation for paraquat toxicity

Full Text Available

2011-06-01

31

Factors of Cardiopulmonary Resuscitation Outcome for In-hospital Adult Patients

(Nov 1985). United Kingdom Williams, MV Addenbrooke's Hospital,

32

An In-Hospital Family Member Cardiopulmonary Resuscitation (CPR) Education Program

Full Text Available

2007-12-01

33

The study of possibilities of selective recovery of palladium(II) from chloride and chloride-nitrate solutions by weakly basic anion exchangers

Cardiac Arrest; Coronary Disease; Cardiovascular Risk Factors

2010-12-13

34

Medline Plus

... 2009) Arrhythmia Electrophysiological Study and Catheter Ablation with 3D Mapping (Mercy Hospital, Miami, FL, 11/15/2007) ...

35

The Morphological Basis of the Armor-Like Folded Skin of the Greater Indian Rhinoceros as a Thermoregulator

... um. Water retention capacity is in the range from 40 to 46 %. Dowex

2009-06-14

36

Synthesis and characterization of a oxovanadium(IV) tetracycline binuclear complex; Sintese e caracterizacao de um complexo binuclear de oxovanadio(IV) da tetraciclina

... 041.034.0403 The Morphological Basis of the Armor-Like Folded Skin of the Greater Indian Rhinoceros ... hendo@um.u-tokyo.ac.jp ...

37

JHK and 3.3um PAH Imaging of the Starburst Ring in the Type I Seyfert Galaxy NGC 7469

No abstract prepared

1996-12-31

38

EDUCATION NEWS AT NASA - NASA Technical Report Server (NTRS)

Imaging of NGC 7469 in the J, H, & K bands shows that the starburst 'ring' is a tight inner

1993-01-01

39

Dispersive potential and spontaneous decay rate of an atom near a conducting wedge; Potencial dispersivo e taxa de decaimento espontaneo de um atomo proximo a uma cunha condutora

and audio technology. The exhibition will travel to muse- ums and science centers in several U.S. cities over the next 5 years. Back in the classroom, ...

40

A 12b 1kS/s 65uA 0.35um CMOS Algorithmic ADC for Sensor Interface in Ubiquitous Environments

No abstract prepared.

2007-07-01

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

41

Hospital waste management in Lebanon

Full Text Available

2008-03-01

42

El Roque de Los Muchachos Site Characteristics. III. Analysis of Atmospheric Dust and Aerosol Extinction

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

1999-06-02

43

Atomic masses of "6Li,"2"3Na,"3"9","4"1K,"8"5","8"7Rb, and "1"3"3Cs

Canary Islands are normally interested by dominant North-East winds that, in some meteorological conditions, can transport sand at high altitude from the Sahara desert. The dust may affect the efficiency of the telescopes and decreases the transparency of the sky. In order to maximize the scientific return of the telescopes located at the ORM, we present an analysis of the atmospheric dust content and its effects on astronomical observations. B, V and I dust aerosol astronomical extinction are derived. Using a 5 years series database of data taken from the four channel TNG dust monitor, we compute a mean hourly and daily values of the dust content. We have detected particles having size 0.3, 0.5, 1.0 and 5.0 um. Using a power law we have derived the content of 10.0 um particles. We found a typical local dust concentration ranging from 3x10^6 particles per cubic meter at 0.3 um, to 10^3 at 5.0 um and 10 ...

2008-01-01

44

On the long term indoor radon concentration measurements the basement of Japanese hospitals

The atomic masses of the alkali-metal isotopes "6Li,"2"3Na,"3"9","4"1K,"8"5","8"7Rb, and "1"3"3Cs have been obtained from measurements of cyclotron frequency ratios of pairs of ions simultaneously trapped in a Penning trap. The results, with one standard deviation uncertainty, are: M("6Li)=6.015 122 887 4(16)u,M("2"3Na)=22.989769 282 8(26)u,M("3"9K)=38.963 706 485 6(52)u,M("4"1K)=40.961 825 257 4(48)u,M("8"5Rb)=84.911 789739(9)u,M("8"7Rb)=86.909 180 535(10)u, and M("1"3"3Cs)=132.905 451 963(13)u. Our mass of "6Li yields an improved neutron separation energy for "7Li of 7251.1014(45) keV.

2010-10-01

45

Final Scientific EFNUDAT Workshop

Long term indoor radon gas measurements using a passive monitor were conducted in the basement rooms of five hospitals, which are built in the Tokyo metropolitan area. The ventilation rate averaged over all hospital was 12.3 air change per hour (ACH). The highest radon concentration was 56.3 Bq/m"3. The value averaged concentration over all hospital and all season was 20 Bq/m"3. But the average of the two hospitals were twice as high as those of three others. Since the total ventilation rate integrated over a day is not different much, the reason of the concentration difference is considered to be the difference in radon emission rate from concrete wall and soil of the each hospital. Though we inquired workers about 'Environmental complaints', it do not show the direct relation between radon and environmental complaints. (author)

46

Training African-American residents in the 20th century.

...and and ...and and the ...and ...of and ...and ...and ? ...? right and ...than i am grateful and ...the making forces and a second presentation and ...and ...and ...and ...and ...and ...one and two sons-in-law and as ...as adults world so you get and ? or less they need to be ...and ...starting to speak and always ...and ...and and course houston's ...and i was probably ...and the progress of the ...? and ...and ...? and ...and ...and ...? and ...for one year and half ago we bought ...and ...described one year and half ago and ...and ...and ...uh ? and er i'm ...and ...and ...and ...and ...and ...and ...? and the largest ...and ...more than five and that's used ...and ...and a piece by ...and um ? ...and you ...by and unwise ...? and ...and and they stop if you if you ...and and ...the reaction cross section and the experiments and ...and ...and ...and and ...to adjust and forty nothing's out maybe this piece of them ? and ...it's not true and ...and and ...and ...

47

The role of the social worker in the accident and emergency department of a district general hospital

Bellevue Hospital, the oldest public hospital in the United States and a lineal descendant of an infirmary for slaves, accepted its first African-American resident, Dr. Ubert Conrad Vincent, in 1918....Full Text Available

2004-03-01

48

The effect of physician practice organization on efficient utilization of hospital resources.

This is a retrospective study of the development of the social worker role within the multi-disciplinary team setting of the Accident and Emergency (A&E) Department at Burnley General Hospital...Full Text Available

1994-03-01

49

Telephone reliability of the Frenchay Activity Index and EQ-5D amongst older adults

OBJECTIVE. This study examines variations in the efficient use of hospital resources across individual physicians. DATA SOURCES AND SETTING. The study is conducted over a two-year period (1989-1990)...Full Text Available

1994-12-01

50

Pyogenic abscess of the PSOAS - Description of cases registered in the university hospital of the valley

BackgroundOlder adults may find it problematic to attend hospital appointments due to the difficulty associated with travelling to, within and from a hospital facility for the purpose...Full Text Available

51

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

In this chart review the authors describe 51 cases of PSOAS abscess treated at Hospital Universitario del Valle in Cali, Colombia in the last 10 years. It is not a rare condition and require high index of suspicion. epidemiology, bacteriology, diagnosis and treatment are discussed.

2006-06-01

52

Post-hospital support program for the frail elderly and their caregivers: a quasi-experimental evaluation.

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

2011-01-01

53

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

This paper evaluates the Post-Hospital Support Program for the frail elderly and their caregivers using a quasi-experimental design. The program goals were to reduce stress in the caregivers, improve...Full Text Available

1990-01-01

54

Planned implementations of ePrescribing systems in NHS hospitals in England: a questionnaire study

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

2008-12-01

55

Oral cancer awareness amongst hospital nursing staff: a pilot study

ObjectivesTo describe the plans of English NHS hospitals to implement ePrescribing systems.Design and settingQuestionnaire-based survey of attendees...Full Text Available

56

On Being the Right Size: The Impact of Population Size and Stochastic Effects on the Evolution of Drug Resistance in Hospitals and the Community

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

57

Nursing Research and Participant Recruitment: Organizational Challenges and Strategies

The evolution of drug resistant bacteria is a severe public health problem, both in hospitals and in the community. Currently, some countries aim at concentrating highly specialized services in large...Full Text Available

2011-04-01

58

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

Hospitals as research environments are crucial in advancing evidence-based practice and translational research. The authors discuss issues related to hospital-based nursing research such as...Full Text Available

2010-01-01

59

Hospital waste management status in Lebanon

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

1989-04-01

60

Hospital information management: the need for clinical leadership.

author.The existing management of hospital waste in Lebanon currently poses both an environmental hazard as well as a public health risk. This is due mainly to lack of legislation, information and modern treatment and disposal facilities designed for this purpose. A nation-wide questionnaire survey was conducted to asses the status of hospital waste management. The study started from October 1997 till August 1998. We found that 75% of the surveyed hospitals completely ignore their total waste quantity: 73% of hospitals surveyed practice segregation at source of infectious, pathological, sharps and pharmaceuticals; more than 40% dispose of their hospital risk wastes through the municipality waste disposal, 24% by burning in open fires, 14% by on-site hospital incinerators, 11% in on-site dumping, 8% handled by a private contractor and 1% in uncontrolled landfill. ...

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

61

Effect of widespread restrictions on the use of hospital services during an outbreak of severe acute respiratory syndrome

On 12 July the Audit Commission published For Your Information, a well researched report about information and its management in acute hospitals in Britain, how and why it is failing, and steps that...Full Text Available

1995-07-15

62

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

BackgroundRestrictions on the nonurgent use of hospital services were imposed in March 2003 to control an outbreak of severe acute respiratory syndrome (SARS) in Toronto, Ont. We...Full Text Available

2007-06-19

63

Academic Health Systems Management: The Rationale Behind Capitated Contracts

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

1982-11-02

64

A critical review of studies of the association between demands for hospital services and air pollution.

ObjectiveTo determine why hospitals enter into “capitated” contracts, which often generate accounting losses. The authors’ hypothesis is that hospitals coordinate...Full Text Available

2000-06-01

65

A Computerized Hospital to Physician Office Link Based on Readily Available Technology

Studies of the associations between air pollution and hospital admissions and emergency room use are reviewed, including studies of air pollution episodes, time-series analyses, and cross-sectional...Full Text Available

1993-07-01

66

Energy Engineering Analysis Program (EEAP). Patterson Army Community Hospital Fort Monmouth, New Jersey. Final report

Most hospitals today are quickly developing special programs and services that are designed to compete for physicians and patients, and ultimately fill unoccupied beds. In an attempt to attract physicians...Full Text Available

1989-11-08

67

Advanced Gas Cooling Study for the Hospital at Davis ...

No abstract available.

1986-09-01

68

Nationwide Survey of CTX-M-Type Extended-Spectrum ?-Lactamases among Klebsiella pneumoniae Isolates in Slovenian Hospitals ?

... The performance at reduced condenser water temper- atures was assumed to be the same as that of the single-effect unit. ...

1999-01-01

69

Longitudinal changes in extended roles in radiography

Among 177 extended-spectrum β-lactamase-producing Klebsiella pneumoniae isolates collected from 11 Slovenian hospitals in 2005 and 2006, 60 (34%), from eight hospitals,...Full Text Available

2009-01-01

70

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

Purpose: The purpose of this research was to identify the extent and scope of changes to radiography practice. Method: Questionnaires were sent to radiology managers at acute National Health Service (NHS) hospitals in 2000 as a follow-up to an initial survey conducted in 1998. Information was sought on region, teaching/non-teaching status, the nature of extended role tasks undertaken and the year in which these tasks were first undertaken. Results: Some 172 questionnaires were returned from a total of 253 dispatched (68%). In 161 hospitals radiographers administered intravenous injections and performed barium enemas in 119 hospitals, while a red-dot system was in operation in 141 hospitals. Reporting by radiographers had increased since 1998. Replies indicated that, at 124 hospitals, radiographers were reporting in ultrasound. Skeletal reporting was the second ...

2002-11-01

71

Spitzer Imaging of Herschel-ATLAS Gravitationally Lensed Submillimeter Sources

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

1980-03-29

72

Measurements of x-ray radiation dose levels during radiological examination in Jos university teaching hospital and Plateau state specialist hospital

We present physical properties of two submillimeter selected gravitationally lensed sources, identified in the Herschel Astrophysical Terahertz Large Area Survey. These submillimeter galaxies (SMGs) have flux densities > 100 mJy at 500 um, but are not visible in existing optical imaging. We fit light profiles to each component of the lensing systems in Spitzer IRAC 3.6 and 4.5 um data and successfully disentangle the foreground lens from the background source in each case, providing important constraints on the spectral energy distributions (SEDs) of the background SMG at rest-frame optical-near-infrared wavelengths. The SED fits show that these two SMGs have high dust obscuration with Av ~4 to 5 and star formation rates of ~100 M_sun/yr. They have low gas fractions and low dynamical masses compared to 850 um selected galaxies.

2010-01-01

73

Do Higher Hospital-wide Nurse Staffing Levels Reduce In-hospital Mortality in Elderly Patients with Hip Fractures: A Pilot Study

In this project, measurement of x-ray radiation dose level during radiological examination in Jos university teaching hospital and Plateau State specialist hospital at different locations within the department were carried out using radiation survey meter. The results were converted from micro sievert per hour (#mu#Sv/hr) to milisievert per year (mSv/yr). The radiation levels from the two hospitals visited ranged from 1.3m Sv/yr to 8.4m Sv/yr. This implies that all the radiology departments visited are still operating within the safety limit having less than 20 mSv/yr which is the standard permissible radiation level recommended per year.

2008-10-15

74

British Library Electronic Table of Contents (United Kingdom)

Background There is increasing recognition that lower nurse staffing levels are associated with higher morbidity and mortality among medical and surgical patients. The degree to which this applies to elderly patients with hip fractures is unclear. Questions/purposes We conducted a pilot study using administrative data as an initial step in investigating the relationship between nurse staffing levels and in-hospital mortality among elderly patients with hip fractures. Patients and Methods We retrospectively reviewed administrative data for 13,343 patients 65?years or older with a primary diagnosis of hip fracture admitted to 39 Michigan hospitals between 2003 and 2006. We used logistic regression to calculate the change in predicted probability of in-hospital death conferred by differences ...

2011-01-01

75

The Experience of Cooperation with IAEA new approach for Spent Fuel Transfer Campaign at CANDU Reactors

The Experience of Cooperation with IAEA new approach for Spent Fuel Transfer Campaign at CANDU Reactors

It was agreed that both of the Republic Of Korea (ROK) and the International Atomic Energy Agency (IAEA) cooperate with the new approach using the Unattended Monitoring Systems (UMS), the mailbox declaration and the short notice inspections, which can decrease the agency inspection efforts and operator' s burden. As a result of the positive cooperation of ROK for applying new approach, the IAEA could accomplish a successful implementation of new safeguards approach during last transfer campaigns at Wolsung site. As of the end of Feb. 2007, the IAEA installed the UMS at Wolsung units 2, 3 and 4. The transfer campaigns at Wolsung units 2 and 4 are performing from April, 2007. The IAEA will install the UMS at Wolsung unit 1 by the end of 2007. Then agency will inspect all of transfer campaign at Wolsung units by using new approach with UMS, mailbox declaration and SNI. It is based on the SSAC full ...

2007-07-01

76

Practical experience in a direct method use for T4 free fraction measurement obtained by dialysis; Experiencia pratica no uso de um metodo direto para a medida da fracao livre do T4 (T4L) obtida por dialise

It was agreed that both of the Republic Of Korea (ROK) and the International Atomic Energy Agency (IAEA) cooperate with the new approach using the Unattended Monitoring Systems (UMS), the mailbox declaration and the short notice inspections, which can decrease the agency inspection efforts and operator' s burden. As a result of the positive cooperation of ROK for applying new approach, the IAEA could accomplish a successful implementation of new safeguards approach during last transfer campaigns at Wolsung site. As of the end of Feb. 2007, the IAEA installed the UMS at Wolsung units 2, 3 and 4. The transfer campaigns at Wolsung units 2 and 4 are performing from April, 2007. The IAEA will install the UMS at Wolsung unit 1 by the end of 2007. Then agency will inspect all of transfer campaign at Wolsung units by using new approach with UMS, mailbox declaration and SNI. It is based on the SSAC full ...

2007-05-10

77

Maxwell-Podolsky theory with higher order Chern-Simons term: a model without tachyons?; Teoria de Maxwell-Podolsky com termo de Chern-Simons de ordem superior: um modelo sem taquions?

Short communication.

1993-10-01

78

EVALUATION OF THREE METHODS FOR TRANSPORTING LARVAE OF THE RED ABALONE HALIOTIS RUFESCENS SWAINSON FOR USE IN REMOTE ...

Short communication.

1994-12-31

79

Antioxidant activity and {sup 1}H and {sup 13}C NMR data of isocatalpanol and a derivative of tecomaquinone of Lippia sidoides; Atividade antioxidante e dados RMN {sup 1}H e {sup 13}C do isocatalpanol e um derivado da tecomaquinona de Lippia sidoides

... by Remote Setting., Maryland Sea Grant Extension Program. Oyster aquaculture workbook series. Publication UM-SG-MAP-95-03. ... ...

80

Experiments to investigate the effects of radiative cooling on plasma jet collimation

No abstract prepared.

2005-07-01

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

81

Factors Associated with Iowa Rural Hospitals' Decision to Convert to Critical Access Hospital Status

Preliminary experiments have been performed to investigate the effects of radiative cooling on plasma jets. Thin (3 um - 5 um) conical shells were irradiated with an intense laser, driving jets with velocities > 100 km/s. Through use of different target materials - aluminium, copper and gold - the degree of radiative losses was altered, and their importance for jet collimation investigated. A number of temporally resoved optical diagnostics was used, providing information about the jet evolution. Gold jets were seen to be narrower than those from copper targets, while aluminium targets produced the least collimated flows.

2010-01-01

82

Violence in a community emergency room.

Context: The Balanced Budget Act (BBA) of 1997 allowed some rural hospitals meeting certain requirements to convert to Critical Access Hospitals (CAHs) and changed their Medicare reimbursement from prospective to cost-based. Some subsequent CAH-related laws reduced restrictions and increased payments, and the number of CAHs grew rapidly. Purpose: To examine factors related to hospitals' decisions to convert and time to CAH conversion. Methods: Eighty-nine rural hospitals in Iowa were characterized and observed from 1998 to 2005. Cox proportional hazards models were used to identify the determinants of time to CAH conversion. Findings: T-test and one-covariate Cox regression indicated that, in 1998, Iowa rural hospitals with more staffed beds, discharges, and acute inpatient days, higher operating margin, lower skilled swing bed days relative to acute days, and located in relatively ...

2008-12-01

83

Trends in adrenalectomy: a recent national review

Violence in both community and county hospitals in the USA is increasing. It caused significant physical, emotional and economic hardship to many emergency department employees. We describe an incident...Full Text Available

1989-12-01

84

British Library Electronic Table of Contents (United Kingdom)

Background Adrenalectomy remains the definitive therapy for most adrenal neoplasms. Introduced in the 1990s, laparoscopic adrenalectomy is reported to have lower associated morbidity and mortality. This study aimed to evaluate national adrenalectomy trends, including major postoperative complications and perioperative mortality. Methods The Nationwide Inpatient Sample was queried to identify all adrenalectomies performed during 1998?2006. Univariate and multivariate logistic regression were performed, with adjustments for patient age, sex, comorbidities, indication, year of surgery, laparoscopy, hospital teaching status, and hospital volume. Annual incidence, major in-hospital postoperative complications, and in-hospital mortality were evaluated. Results Using weighted national estimate, 4...

2010-01-01

85

Transient azotaemia is associated with a high risk of death in hospitalized patients

British Library Electronic Table of Contents (United Kingdom)

Background.There are no suitably powered epidemiological studies of `transient azotaemia' (TA). The objective of this study was to describe the epidemiology of TA and its independent association with hospital mortality. We hypothesized that TA would be associated with an independent increase in the risk of death. Methods.We retrospectively studied all patients admitted to a university-affiliated hospital in Australia between January 2000 and December 2002. Patients were excluded if they were <15 years old, were on chronic dialysis, had kidney transplant or if their length of hospital stay was <24 hours. We defined TA as rapidly recovering acute kidney injury (AKI) (return to no-AKI risk, injury, failure, loss, end stage (RIFLE) class within 72 hours of onset). We performed descriptive and ...

2010-01-01

86

The technical-economic potential of thermal energy saving in hospitals; El potencial tecnico-economico de ahorro de energia termica en hospitales

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

The hospitals are important consumers of energy. At the General Hospital of Zone (HGZ) N of the IMSS in Aguscalientes (HGZ N . IMSS Ags.), the diesel oil is the main fuel that is used to satisfy the requirements of thermal energy of the hospital. According to the data collected by this author, this fuel represented in 2001, 75% of its total energy consumption and the 67.9% of its total costs in energy that ascended to $396.131 (December 2001 Dollars) Since this last amount represents an important percentage of the total expenses of the hospital (29.367 million dollars) it is important to determine the technical-economic possibilities of thermal energy saving of the hospital. The HGZ N 1 IMSS Ags. is located in a ampler conglomerate where the IMSS units are located, such as, the regional laundry, the sport unit, the center of social security, the familiar medicine unit N 1 and the ...

2001-07-01

87

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

88

Nemours Foundation

Navy Medical Resource Planning: Rates of Illness for Various ...

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

89

Injuries in sailboard enthusiasts.

... sample. Hosoitalization Data Hospital admission rates across Navy ships :.n 1985 and 1975 are presented in Table 17. ...

2011-05-13

90

Independent Hospital Dialysis in Brunei

This study was carried out to determine the rate and types of injuries experienced by boardsailors. Results derive from: (a) a review of hospital medical records for water sports injuries, and (b) a...Full Text Available

1988-09-01

91

Dyspepsia Symptoms and Helicobacter pylori Infection, Nakuru, Kenya

In establishing a chronic haemodialysis unit in Brunei the difficulties encountered were less insuperable than had been expected. Quite unsophisticated patients successfully dialysed unattended in...Full Text Available

1971-09-11

92

Dosimetry audit on the accuracy of 192Ir brachytherapy source strength determinations in Sweden

The prevalence of Helicobacter pylori infection was studied in 138 patients with dyspepsia in a hospital in Nakuru, Kenya, and in 138 asymptomatic sex- and age-matched controls from...Full Text Available

2003-09-01

93

Documentation of Contact Precautions in an Electronic Health Record

The absorbed dose delivered to the patient in brachytherapy is directly proportional to the source strength in terms of the reference air-kerma rate (RAKR). Verification of this quantity by the hospitals is widely recognized as an important part of a quality assurance program. An external audit was performed on behalf of the Secondary Standard Dosimetry Laboratory at the Swedish Radiation Protection Authority (SSI). The aim was to investigate how accurately the source-strength in 192Ir brachytherapy is determined at Swedish hospitals. The SSI reference well-type ion chamber and calibrated equipment were used to measure the RAKR of an 192Ir source in each of the 14 Swedish afterloading units. Comparisons with values determined by vendors and hospitals were made. Agreement in values of RAKR as determined by SSI, hospitals and vendors were in all cases within the +-3% uncertainty (at a coverage factor of ...

2007-11-15

94

Comparing healthcare outcomes.

Contact precautions are implemented to reduce transmission of multidrug-resistant organisms but may also increase hospital costs and patient complications. The goal of this study was to determine...Full Text Available

2011-07-01

95

Governments are increasingly concerned to compare the quality and effectiveness of healthcare interventions but find this a complex matter. Crude hospital statistics can be dangerously misleading and...Full Text Available

1994-06-04

96

April 15 02 - NASA

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

Nov 13, 2006 ... Indicator Experiment (TIE) consists of a wideband sensor to gather radar, ... November 10 at Shore Memorial. Hospital in Nassawadox, Va. ...

97

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

Full Text Available

2009-06-01

98

The organizational structure of medical record departments in Iran is not appropriate for the efficient management of healthcare information. In addition, there is no strong information management division...Full Text Available

99

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

1994-10-01

100

A sensitive submillimetre survey of Broad Absorption Line quasars

Instructions and control measures related to enteric contagious diseases at the Veterinary Medical Teaching Hospital (VMTH) of the Faculty of Veterinary Medicine of the University of Montreal are presented....Full Text Available

1999-12-01

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101

Plan to send NHS patients for private surgery to cut waiting lists - Health News - News - WalesOnline

Using the SCUBA bolometer array on the JCMT, we have carried out a submillimetre survey of Broad Absorption Line quasars (BALQs). The sample has been chosen to match, in redshift and optical luminosity, an existing benchmark 850um sample of radio-quiet quasars, allowing a direct comparison of the submm properties of BAL quasars relative to the parent radio-quiet population. We reach a submm limit 1.5mJy at 850um, allowing a more rigorous measure of the submm properties of BAL quasars than previous studies. Our submm photometry complements extensive observations at other wavelengths, in particular X-rays with Chandra and mid-infrared with Spitzer. To compare the 850um flux distribution of BALQs with that of the non-BAL quasar benchmark sample, we employ a suite of statistical methods, including survival analysis and a novel Bayesian derivation of the underlying flux distribution. Although there are no strong grounds for ...

2006-01-01

102

Our campuses :: University of Southampton

... orthopaedics, waiting times, NHS, private hospitals,health news, medical news, health services, medical treatments, health tips NHS ...be sent to private hospitals for surgery in a bid to bring orthopaedic waiting times under control. Plan to send NHS patients for ...

103

A pragmatic study exploring the prevention of delirium among hospitalized older hip fracture patients: Applying evidence to routine clinical practice using clinical decision support

... The National Oceanography Centre, Southampton is one of the world's leading research centres for the study of ocean and earth sciences. Southampton General Hospital One of the country's leading teaching hospitals and the base for the University's School of Medicine. Winchester School of Art Founded in 1863, Winchester School of Art is based 12 miles (20 kilometres) north of Southampton in the historic city of Winchester,...

104

Thermohydraulic study of a MTR fuel element aimed at the construction of an irradiation facility; Estudo termohidraulico de um elemento combustivel tipo MTR visando a construcao de um dispositivo de irradiacao

Delirium occurs in up to 65% of older hip fracture patients. Developing delirium in hospital has been associated with a variety of adverse outcomes. Trials have shown that multi-component preventive...Full Text Available

105

The natural gas industry - a survey; Erdgaswirtschaft - Eine Branche im Ueberblick

A thermohydraulic study of MTR fuel element is presented as a basic requirement for the development of an irradiation facility for testing fuel elements. A computer code named 'Thermo' has been developed for this purpose, which can stimulate different working conditions, such as, cooling, power elements and neutron flux, performing all pertinent thermohydraulic calculations. Thermocouples were used to measure the temperature gradients of the cooling fluid throughout the IEAR-1 reactor core. All experimental data are in good agreement with the theoretical model applied in this work. Finally, a draft of the proposed facility and its safety system is presented. (author)

1980-07-01

106

Technological trends in facility management; Technologische Trends in der Gebaeudetechnik

The situation of natural gas in the Federal Republic of Germany is described, with particular emphasis on the advantages and consequences of natural gas supply. The brochure discusses the role of natural gas on the energy market, the reliability of natural gas supply, the environmental impacts, the energy-saving effect of natural gas, natural gas prices, the competitive strength of the German gas industry, and the long-term reliability of natural gas supply. (orig.) [German] Die Situation des Erdgases in der Bundesrepublik Deutschland wird beschrieben, wobei die wichtigsten Vorteile und Auswirkungen der Erdgasversorgung besonders hervorgehoben werden. Es geht um die Stellung des Erdgases im Energiemarkt, die Sicherheit der Energieversorgung, Umweltschutz, Energieeinsparung durch Erdgaseinsatz, Erdgaspreise, Leistungsfaehigkeit der deutschen Gaswirtschaft und um die langfristig gesicherte Erdgasversorgung. (orig.)

2000-09-01

107

Synthesis and characterization of new platinum(II) complexes with N-alkylated ligands of longer chain containing a hydroxyl group derivatives of 1,2-etano diamine;Sintese e caracterizacao de novos complexos de platina(II) com ligantes N-alquilados de cadeia longa contendo um grupo hidroxila derivados da 1,2-etanodiamina

The contribution attempts a definition of the concepts of ``technical facilities`` and ``facility management``. [Deutsch] Um mit der Ueberschrift zu beginnen: Was ist Gebaeudetechnik? Die Antwort ist nicht ganz einfach. An der TU Berlin gibt es einen Ingenieur-Studiengang mit dieser Bezeichnung. Es hat etwas mit dem Gebaeude, aber nicht viel mit Architektur zu tun, wie manchmal faelschlich angenommen wird. Um solche Missverstaendnisse gar nicht erst aufkommen zu lassen, hat sich die Gruppe des Vereins Deutscher Ingenieure, die sich mit der Gebaeudetechnik beschaeftigt, als `VDI-Gesellschaft Technische Gebaeudeausruestung` bezeichnet. (orig.)

1998-12-31

108

Heuristic paradigm: power electricity appliances; Aplicacoes de um paradigma heuristico adaptativo a eletricidade de potencia

No abstract prepared.

2009-07-01

109

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

This paper presents general considerations concerning the application of artificial neural networks algorithms, more specifically the back-propagation learning algorithm and feed-forward multi-layer networks, to several problems in power system. The main application in power systems is the load forecasting, and two solution methods are used to solve it. (author). 45 figs., 32 tabs., 144 refs.

1994-12-31

110

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

111

Potentially pathogenic free-living amoebae isolated from hospital wards with immunodeficient patients in Tehran, Iran

British Library Electronic Table of Contents (United Kingdom)

This study investigated the occurrence of free-living amoebae (FLA) in immunodeficiency wards of hospitals in Tehran, Iran. A total of 70 dust and biofilm samples from wards serving transplant, pediatric (malignancies), HIV, leukemia and oncology patients of five university hospitals were collected and examined for the presence of FLA using culturing and molecular approaches. Based on the morphology of the amoebae in plate cultures, primer sets were applied for molecular identification of Acanthamoeba, vahlkampfiid amoebae and Hartmannella. Out of 70 samples, 37 (52.9%) were positive for FLA. Acanthamoeba belonged to the T4 genotype was the most prevalent isolate. Presence of the T4 genotype on medical instruments, including an oxygen mask in an isolation room of an immunodeficiency pediat...

2011-01-01

112

Use of a questionnaire to obtain an alcohol history from those attending an inner city accident and emergency department.

Unique health care utilization patterns in a homeless population in Ghent

A screening questionnaire designed to take an alcohol history was used on 996 patients attending the London Hospital Accident and Emergency Department. Questions concerned with 'binge' drinking detected...Full Text Available

1989-03-01

113

Tracheo-innominate artery erosion: Successful surgical management of a devastating complication.

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

114

Thirty-five cases of transient hyperthyroidism.

Successful management of a patient with tracheo-innominate artery erosion requires the rapid institution of specific resuscitative and operative measures. Ten patients seen at the Charity Hospital of...Full Text Available

1976-08-01

115

The pattern of isolated sleep paralysis among Nigerian nursing students.

Over a 7-year period transient hyperthyroidism was diagnosed in 35 patients seen in a consulting practice in a community hospital. The patients were followed up for an average of 15 months. Initially...Full Text Available

1984-05-01

116

The human Tp53 Arg72Pro polymorphism explains different functional prognosis in stroke

In a cross-sectional study of the pattern of isolated sleep paralysis among the entire population of nursing students at the Neuropsychiatric Hospital in Abeokuta, Nigeria (consisting of 58 males and...Full Text Available

1992-01-01

117

The costs of hospitalization in patients with acute exacerbation of chronic obstructive pulmonary disease

The functional outcome after stroke is unpredictable; it is not accurately predicted by clinical pictures upon hospital admission. The presence of apoptotic neurons in the ischemic penumbra and perihematoma...Full Text Available

2011-03-14

118

The Trade-Off between Costs and Outcomes: The Case of Acute Myocardial Infarction

Introduction:Chronic obstructive pulmonary disease (COPD) is a major public health problem. It imparts a substantial economic burden on individuals and society. Acute exacerbations...Full Text Available

119

The Blind NasoTracheal Aspiration Method Is Not a Useful Tool for Pathogen Detection of Pneumonia in Children

ObjectiveTo investigate and to quantify the relationship between hospital costs and health outcomes for patients with acute myocardial infarction (AMI) in Veterans Health Administration...Full Text Available

2010-12-01

120

Surge Capacity for Response to Bioterrorism in Hospital Clinical Microbiology Laboratories

BackgroundAcute lower respiratory infection (ALRI) is a major cause of hospitalization for children in China, while the etiological diagnosis of ALRI remains a challenge. This study...Full Text Available

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121

Sterilization wave of the future: Microwaves

Surge capacity is the ability to rapidly mobilize to meet an increased demand. While large amounts of federal funding have been allocated to public health laboratories, little federal funding has been...Full Text Available

2003-12-01

122

Solitary Fibrous Tumor of the Pancreas: Imaging Findings

Every cook knows that microwaves and metal don't mix. But scientists at the National Institute of Standards have devised a way to make them compatible. If it all pans out, hospitals may be able to sterilize medical instruments and waste in a device similar to a conventional microwave oven.

1989-11-05

123

Sodium bicarbonate-based hydration prevents contrast-induced nephropathy: a meta-analysis

We report here a case of a pathologically proven solitary fibrous tumor of the pancreas. A 54-year-old man was referred to our hospital for further evaluation of a pancreatic mass that was found incidentally....Full Text Available

2008-07-01

124

Safety Implications of High-Field MRI: Actuation of Endogenous Magnetic Iron Oxides in the Human Body

BackgroundContrast-induced nephropathy is the leading cause of in-hospital acute renal failure. This side effect of contrast agents leads to increased morbidity, mortality, and health...Full Text Available

125

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

BackgroundMagnetic Resonance Imaging scanners have become ubiquitous in hospitals and high-field systems (greater than 3 Tesla) are becoming increasingly common. In light of recent...Full Text Available

126

Risk Factors for Piperacillin-Tazobactam-Resistant Pseudomonas aeruginosa among Hospitalized Patients

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

2011-04-11

127

Rifampin pharmacokinetics in children, with and without human immunodeficiency virus infection, hospitalized for the management of severe forms of tuberculosis

Antimicrobial resistance is an emerging problem with Pseudomonas aeruginosa. This study determined risk factors for the recovery of piperacillin-tazobactam-resistant P. aeruginosa...Full Text Available

2002-03-01

128

Response to a trial of physician-based inpatient order entry.

BackgroundRifampin is a key drug in antituberculosis chemotherapy because it rapidly kills the majority of bacilli in tuberculosis lesions, prevents relapse and thus enables 6-month...Full Text Available

129

Relationship Between Exposure, Clinical Malaria, and Age in an Area of Changing Transmission Intensity

Our group has developed a physician-operated inpatient order-entry system (BICS-OE). Mindful of the problems inherent in bringing a radical cultural change such as this to the hospital, we conducted...Full Text Available

1993-01-01

130

Prematurity as a public health problem: US policy from the 1920s to the 1960s.

The relationship between malaria transmission intensity and clinical disease is important for predicting the outcome of control measures that reduce transmission. Comparisons of hospital data...Full Text Available

2008-08-01

131

Potentially Inappropriate Prescribing of Benzodiazepines for Older Adults and Risk of Falls During a Hospital Stay: A Descriptive Study

During the 1920s and 1930s, a number of physicians created model premature infant stations in select hospitals, arguing that medicine could successfully treat premature infants, most of whom could be...Full Text Available

1996-06-01

132

Postoperative retention of urine: a prospective urodynamic study.

Background:Falls have been identified as a potential adverse event associated with the administration of psychotropic medications to older patients.Objective:The...Full Text Available

2009-07-01

133

Post-operative telephone review is cost-effective and acceptable to patients

OBJECTIVE--To investigate the cause of post-operative retention of urine in elderly men. DESIGN--Prospective study. SETTING--Northern General Hospital, Sheffield. PATIENTS--32 consecutive men (median...Full Text Available

1991-04-13

134

Posion Prevention in the Home

IntroductionPatients undergoing selective minor emergency and elective procedures are followed up by a nurse-led structured telephone review six weeks post-operatively in our hospital....Full Text Available

2010-05-01

135

Poisonous snakebite in central Texas. Possible indicators for antivenin treatment.

The Poison Control Centre at Toronto's Hospital for Sick Children received over 25,000 telephone inquiries in 1981. Those at greatest risk of accidental poisoning are children under age five. Education...Full Text Available

1983-06-01

136

Pediatric injuries in an Arabian Gulf country.

Sixty-seven patients hospitalized for poisonous snakebite between 1975 and 1990 were managed by elevation, tetanus prophylaxis, intravenous fluids and antibiotics, and often by a limited excision of...Full Text Available

1991-05-01

137

Pattern of illnesses before cot deaths.

OBJECTIVE: To determine the common types of injuries among children (0-14 years) in Al-Ain, United Arab Emirates (UAE). DESIGN: A retrospective descriptive hospital based study. SETTING: Al-Ain Medical...Full Text Available

1997-09-01

138

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

The reasons for referral to hospital of 147 babies subsequently included in the DHSS study of postneonatal infant mortality were analysed and compared with those of 104 control infants. Although similar...Full Text Available

1983-11-01

139

Novel Cefotaximase (CTX-M-16) with Increased Catalytic Efficiency Due to Substitution Asp-240?Gly

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

2005-10-01

140

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

Three clinical strains (Escherichia coli Rio-6, E. coli Rio-7, and Enterobacter cloacae Rio-9) collected in 1996 and 1999 from hospitals in Rio de...Full Text Available

2001-08-01

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141

Multiple CTX-M-Type Extended-Spectrum ?-Lactamases in Nosocomial Isolates of Enterobacteriaceae from a Hospital in Northern Italy

A 63-year-old man was admitted to our hospital with a complaint of right lateroabdominal pain. He was diagnosed with metastatic colon cancer, and then developed multiple brain embolic infarctions 7...Full Text Available

142

Molecular epidemiology of trimethoprim resistance among coagulase-negative staphylococci.

Twelve isolates of Enterobacteriaceae (1 of Klebsiella pneumoniae, 8 of Escherichia coli, 1 of Proteus mirabilis, and 2 of Proteus...Full Text Available

2003-09-01

143

Molecular Epidemiology of Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus Isolated from the Eye

A 42% (70 of 167 isolates) incidence of resistance to 20 micrograms of trimethoprim per ml was found among clinical isolates of coagulase-negative staphylococci from two hospitals. A specific trimethoprim...Full Text Available

1987-11-01

144

Molecular Epidemiology of Escherichia coli Producing Extended-Spectrum ?-Lactamases Isolated in Rome, Italy?

Purpose:Methicillin-resistant Staphylococcus aureus (MRSA) strains are commonly classified as hospital-acquired (HA) or community-acquired (CA). Typical HA-MRSA...Full Text Available

2011-02-01

145

Meningococcal infections in the Hamilton area during 1978.

Escherichia coli strains producing extended-spectrum β-lactamases (ESBLs) are a major problem in many different hospitals worldwide, causing outbreaks as well as sporadic infections....Full Text Available

2008-01-01

146

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

During 1978 there was a marked increase in the number of patients with meningococcal infection in the Hamilton area. Of 21 patients admitted to St. Joseph's Hospital, Hamilton, two thirds were under...Full Text Available

1980-03-08

147

Influences on prescribing in non-fundholding general practices.

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

148

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

BACKGROUND: The experience from general practice fundholding suggests that financial incentives may influence prescribing; guidelines and hospital prescribing are two other suggested influences. AIM:...Full Text Available

1996-05-01

149

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

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

1996-01-01

150

Impact of Clinical Oral Chemotherapy Program on Wastage and Hospitalizations

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

2006-07-01

151

Hospital Admission Rates and Lengths of Treatment Among a ...

Purpose:The oral chemotherapy cycle management program (CMP) provides clinical management support to patients receiving certain oral chemotherapies. The CMP includes a dose-monitoring...Full Text Available

2011-05-01

152

High Prevalence of Extended-Spectrum Beta Lactamases among Salmonella enterica Typhimurium Isolates from Pediatric Patients with Diarrhea in China

Page 1. Page 2. Page 3. Page 4. Page 5. Page 6. Page 7. Page 8. Page 9. Page 10. Page 11. Page 12. Page 13. Page 14. Page 15. Page 16. Page ...

2001-09-01

153

Hepatitis B antigen and antibody in the blood of prostitutes visiting an outpatient venereology department in Rotterdam.

We investigated the extended-spectrum beta lactamases among 62 Salmonella enterica Typhimurium isolates recovered from children with diarrhea in a Chinese pediatric hospital. A large...Full Text Available

154

Health professionals rarely record history of complementary and alternative medicines

We took blood samples from 128 prostitutes visiting the outpatient venereology department of the University Hospital, Rotterdam-Dijkzigt to test for the presence of hepatitis B surface antigen (HBsAg)...Full Text Available

1984-10-01

155

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

AimsTo identify the completeness of documentation of Complementary And Alternative Medicine (CAM) use in hospital medical records of patients before and after an education programme.Full Text Available

2005-02-01

156

Epidemiological Risk Factors for Isolation of Ceftriaxone-Resistant versus -Susceptible Citrobacter freundii in Hospitalized Patients

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

157

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

Antimicrobial resistance is an emerging problem among nosocomial bacteria. Risk factors for the recovery of ceftriaxone-resistant (CRCF) or -susceptible (CSCF) Citrobacter freundii...Full Text Available

2003-09-01

158

Duration of red blood cell storage is associated with increased incidence of deep vein thrombosis and in hospital mortality in patients with traumatic injuries

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

1995-03-01

159

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

IntroductionIn critically ill patients the relationship between the storage age of red blood cells (RBCs) transfused and outcomes are controversial. To determine if duration of RBC...Full Text Available

2009-01-01

160

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

Hepatocellular carcinoma (hcc) is an uncommon tumour, but its incidence is increasing in Canada and elsewhere. Currently, there are no Canadian recommendations for diagnosis and treatment of...Full Text Available

2010-04-01

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161

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

A 23-year-old woman presented to our hospital with nonspecific pain in the abdomen. She underwent radiological investigations, which revealed a solid and cystic mass in the tail end of the pancreas....Full Text Available

2010-01-01

162

Comprehensive Analysis of Blood Culture Performed at Nine University Hospitals in Korea

Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this...Full Text Available

163

Community-based incidence of acute renal failure

BackgroundOptimal blood culture performance is critical for successful diagnosis and treatment of sepsis. To understand the status of blood culture, we investigated several aspects...Full Text Available

2011-04-01

164

Characterization of Multidrug Resistant ESBL-Producing Escherichia coli Isolates from Hospitals in Malaysia

There is limited information about the true incidence of acute renal failure (ARF). Most studies could not quantify disease frequency in the general population as they are hospital-based and...Full Text Available

2007-07-01

165

CTX-M-Type Extended-Spectrum ?-Lactamase That Hydrolyzes Ceftazidime through a Single Amino Acid Substitution in the Omega Loop

The emergence of Escherichia coli that produce extended spectrum β-lactamases (ESBLs) and are multidrug resistant (MDR) poses antibiotic management problems....Full Text Available

2009-01-01

166

CDC - Media Relations - MMWR - June 4, 2004

Escherichia coli ILT-1, Klebsiella pneumoniae ILT-2, and K. pneumoniae ILT-3 were isolated in May 1999 in Paris, France, from a rectal swab of a hospitalized...Full Text Available

2001-12-01

167

Barotrauma developed during intra-hospital transfer -A case report-

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

2011-09-24

168

A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous...Full Text Available

2010-12-01

169

BOOKMARKS:

An Investigation of Nurses' Knowledge, Attitudes, and Practices Regarding Disinfection Procedures in Italy

Secretariat of the Basel Convention United Nations Office at Geneva ...such as public utilities, waste disposal sites, large energy dependent facilities including factories, institutions (hospitals, ...it provides immediate identification of PCB wastes, informs company officials of any special handling or disposal techniques

170

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

BackgroundThis study assessed the level of knowledge, attitudes, and practice regarding disinfection procedures among nurses in Italian hospitals.MethodsA...Full Text Available

171

Actual and Potential Effects of Medical Resident Coverage on Reimbursement for Inpatient Visits by Attending Physicians

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

2007-01-01

172

Access to Cardiac Interventional Services in Alabama and Mississippi: A Geographical Information System Analysis

CONTEXTThe impact of residents on hospital finance has been studied; there are no data describing the economic effect of residents on attending physicians.OBJECTIVEIn...Full Text Available

2002-06-01

173

A survey of the sensitivity of fresh clinical isolates to cefuroxime and other antibiotics.

ObjectiveThe objective of this study was to determine the contribution of distance to hospitals with cardiac interventional services (CIS) to county age-adjusted myocardial infarction...Full Text Available

174

A Picture Archiving and Communication System Module for Radiology

The sensitivities to cefuroxime and cephradine of potentially pathogenic bacteria isolated in two British general hospitals comprising 900 beds have been assessed. In a three-month period 2537 strains...Full Text Available

1979-09-01

175

A Longitudinal Study of Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Hospitalizations for Cardiovascular Disease

This paper presents the design and implementation of a clinical picture archiving and communication system (PACS) module within the radiology department of a 700-bed teaching hospital. The system is...Full Text Available

1988-11-09

176

RMIT - Professor named Chair at Epworth Hospital

BackgroundInsurance coverage of tobacco cessation medications increases their use and reduces smoking prevalence in a population. However, uncertainty about the impact of this coverage...Full Text Available

2010-12-01

177

Analysis of potential self-guarantee tests for demonstrating financial assurance by non-profit colleges, universities, and hospitals and by business firms that do not issue bonds

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

178

The NIR Upgrade to the SALT Robert Stobie Spectrograph

The Nuclear Regulatory Commission (NRC) on December 29, 1993, promulgated self-guarantee requirements that materials licensees may use to demonstrate financial assurance for decommissioning costs. However, nonprofit colleges and universities, nonprofit hospitals, and for-profit firms that do not issue bonds are currently precluded, by their unique accounting and financial reporting systems, or by other features of their business practices, from using the financial tests for self-guarantors adopted by the NRC. This Report evaluates several alternative financial tests that might serve as the basis for self-guarantee by these three categories of licensees.

1997-06-01

179

Spent Fuel Transfer to Dry Storage Using Unattended Monitoring System

The near infrared (NIR) upgrade to the Robert Stobie Spectrograph (RSS) on the Southern African Large Telescope (SALT), RSS/NIR, extends the spectral coverage of all modes of the visible arm. The RSS/NIR is a low to medium resolution spectrograph with broadband imaging, spectropolarimetric, and Fabry-Perot imaging capabilities. The visible and NIR arms can be used simultaneously to extend spectral coverage from approximately 3200 A to 1.6 um. Both arms utilize high efficiency volume phase holographic gratings via articulating gratings and cameras. The NIR camera is designed around a 2048x2048 HAWAII-2RG detector housed in a cryogenic dewar. The Epps optical design of the camera consists of 6 spherical elements, providing sub-pixel rms image sizes of 7.5 +/- 1.0 um over all wavelengths and field angles. The exact long wavelength cutoff is yet to be determined in a detailed thermal analysis and will depend on the semi-warm instrument cooling ...

2006-01-01

180

Recent Progress in the Growth of Mid-Infrared Emitters by Metal-Organic Chemical Vapor Deposition

There are 4 CANDU reactors at Wolsung site together with a spent fuel dry storage associated with unit 1. These CANDU reactors, classified as On-Load Reactor (OLR) for Safeguards application, change 16- 24 fuel bundles with fresh fuel in everyday. Especially, the spent fuel bundles are transferred from spent fuel bays to dry storage throughout a year because of the insufficient capacity of spent fuel pond. Safeguards inspectors verify the spent fuel transfer to meet safeguards purposes according to the safeguards criteria by means of inspector's presence during the transfer campaign. For the verification, 60-80 person-days of inspection (PDIs) are needed during approximately 3 months for each unit. In order to reduce the inspection effort and operators' burden, an Unattended Monitoring System (UMS) was designed and developed by the IAEA for the verification of spent fuel bundles transfers from wet storage to dry storage. Based on the enhanced ...

2009-05-15

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181

Energy report Frankfurt am Main 1992; Stadt Frankfurt am Main. Energiebericht 1992

We report on recent progress and improvements in the metal-organic chemical vapor deposition (MOCVD) growth of mid-infrared lasers and using a high speed rotating disk reactor (RDR). The devices contain AlAsSb active regions. These lasers have multi-stage, type I InAsSb/InAsP quantum well active regions. A semi-metal GaAsSb/InAs layer acts as an internal electron source for the multi-stage injection lasers and AlAsSb is an electron confinement layer. These structures are the first MOCVD multi-stage devices. Growth in an RDR was necessary to avoid the previously observed Al memory effects found in conventional horizontal reactors. A single stage, optically pumped laser yielded improved power (greater than 650 mW/facet) at 80K and 3.8um. A multi-stage 3.8-3.9um laser structure operated up to T=170K. At 80K, peak power greater than 100mW and a high slope- efficiency were observed in gain guided lasers.

1998-01-01

182

Ventilation on demand: The efficient way to ensure clean air; Bedarfsgeregelte Lueftung: Dicke Luft wirtschaftlich verhindern

By joining the `climate association of European cities`, Frankfurt has agreed to reduce its CO{sub 2}-emissions by 50% by the year 2010. The so-called `climate offense 1991` was the first regulatory paper to be set up by a community to reach this goal over a long term. This report now represents the present level of the project. Main points are the development of houses with low entropy, the retrofitting of heating systems, water saving measures and energy management. (BWI) [Deutsch] Durch den Beitritt zum `Klima-Buendnis der Europaeischen Staedte` hat sich die Stadt Frankfurt/M. verpflichtet, die CO{sub 2}-Emissionen bis zum Jahr 2010 um 50% zu senken. Mit der sog. `Klimaoffensive 1991` wurde dann erstmals von einer Kommune in Deutschland ein detailliertes Regelwerk aufgestellt, um dieses Ziel langfristig erreichen zu koennen. Der vorliegende Bericht stellt den aktuellen Stand des Projektes dar. Kernpunkte sind die Entwicklung von ...

1993-12-31

183

High-frequency microseismicity in the rock salt of the Asse mine around the 945 m level; Hochfrequenz Mikroseismizitaet im Steinsalz der Asse um den 945-m-Bereich

Ventilation systems must ensure high room air quality with minimum energy consumption in all states of operation. Systems for ventilation on demand are increasing their market share. (orig./MSK) [Deutsch] Oberste Aufgabe von Raumlufttechnischen Anlagen ist die Sicherstellung guter Raumluftqualitaet bei minimalem Energieverbrauch unter allen Betriebsbedingungen. Um dieses Ziel zu erreichen, setzt sich am Markt zunehmend die bedarfsgeregelte Lueftung durch. (orig./MSK)

1997-11-01

184

Magnetic resonance imaging of cerebral anomalies in subjects with resistance to thyroid hormone

3407 events were registrated up to a distance of 300 m during the period from 12.10.1989 to 31.12.1990, of which 385 could be precisely located. Activities were determined in areas surrounding the dam construction traversal drifts and boreholes at the 875 m level, near the large cavern at 975 m depth, in drifts and caverns above the 875 m level and in the vicinity of the rock salt/carnallitite transition zone to the south-east of the 875 m level. Energies and source parameters were calculated by means of spectres. Energy variations range from 10 J to 10{sup -4} J, the source radii from 3.5 m to 0.2 m, the source dislocations from 10{sup -6} m to 10{sup -8} m, and the stress drops from 10{sup 5} Pa to 0.06 10{sup 5} Pa. Magnitude and type of events observed are usual for mines. The microseismic activity provides an insight into the origin as well as changes of stress and rock mechanical material properties. (orig./HP). [Deutsch] Im Zeitraum 12.10.89 - 31.12.90 wurden 3407 Ereignisse bis ...

1991-11-01

185

Validity of dementia diagnoses in the danish hospital registers

Resistance to thyroid hormone (RTH) is an autosomal dominant disease caused by mutations in the human thyroid receptor beta gene on chromosome 3. Individuals with RTH have an increased incidence of attention deficit hyperactivity disorder (ADHD). The purpose of this study was to search for developmental brain malformations associated with RTH. Forty-three subjects (20 affected males [AM], 23 affected females [AF]) with resistance to thyroid hormone and 32 unaffected first degree relatives (18 unaffected males [UM], 14 unaffected females [UF]) underwent MRI brain scans with a volumetric acquisition that provided 90 contiguous 2 mm thick sagittal images. Films of six contiguous images beginning at a standard sagittal position lateral to the insula were analyzed by an investigator who was blind with respect to subject characteristics. The presence of extra or missing gyri in the parietal bank of the Sylvian fissure (multimodal association cortex) and multiple Heschl`s ...

1995-06-19

186

DEFF Research Database (Denmark)

Background:The validity of dementia diagnoses in the Danish nationwide hospital registers was evaluated to determine the value of these registers in epidemiological research about dementia. Methods: Two hundred patients were randomly selected from 4,682 patients registered for the first time with a dementia diagnosis in the last 6 months of 2003. The patients' medical journals were reviewed to evaluate if they fulfilled ICD-10 and/or DSM-IV criteria for dementia and specific dementia subtypes. The patients who were still alive in 2006 were invited to an interview. Results: One hundred and ninety-seven journals were available for review and 51 patients were interviewed. A registered diagnosis of dementia was found to be correct in 169 (85.8%) cases. Regarding dementia subtypes, the degree of agreement between the registers and the results of the validating process was low with a kappa of 0.36 (95% CI 0.24-0.48). Conclusion: The validity of dementia syndrome in the ...

2007-01-01

187

Sequential outbreaks of multidrug-resistant Acinetobacter baumannii in intensive care units of a tertiary referral hospital in Italy: combined molecular approach for epidemiological investigation

British Library Electronic Table of Contents (United Kingdom)

SummaryA laboratory-based surveillance study was conducted from January 2007 to May 2010 in San Martino Tertiary Referral Hospital in Genoa, Italy in which the molecular epidemiology of multidrug-resistant Acinetobacter baumannii was investigated in the five intensive care units (ICUs). A total of 53 A. baumannii strains were isolated from patients admitted to ICUs (69.8%) and to other epidemiologically linked hospital wards (30.2%) and were genotyped by repetitive extragenic palindromic polymerase chain reaction (REP-PCR), multilocus sequence typing (MLST) and adeB sequence typing. REP-PCR fingerprinting analysis, MLST and adeB typing results were well correlated and allowed us to classify strains causing epidemic events into three major epidemic clones: A (REP-I/ST4, adeB-STII genotype) ...

2011-01-01

188

Acanthamoeba Keratitis at the King Khaled Eye Specialist Hospital

The incidence of acute kidney injury in patients with traumatic brain injury

To quantify the number of cases and clinical courses of Acanthamoeba keratitis treated at the King Khaled Eye Specialist Hospital (KKESH) between December 1982 and May 2005, and to review their clinical course and response to medical and surgical therapy. Retrospective review of medical records of all patients with Acanthamoeba keratitis diagnosed by the KKESH Microbiology or Pathology or Pathology Laboratory since the opening of the hospital. During a period of over 22 years, only six cases of confirmed. Acanthamoeba keratitis were diagnosedand treated at KKESH. In two cases the diagnosis was made by corneal biopsy, while four cases required examination of a histopathology specimen obtained at the time of therapeutic keratoplasty to establish the diagnosis. One eye was cured by medical therapy, while five eyes required one (4eyes) or two (1 eye) therapeutic penetrating keratoplasty (PKP) to achieve a clinical cure. Three eyes achieved good ...

189

British Library Electronic Table of Contents (United Kingdom)

There is limited information on the incidence of acute kidney injury (AKI) in patients with traumatic brain injury (TBI) although AKI may contribute to morbidity and mortality. We investigated the incidence of AKI in patients with moderate and severe TBI and the association of AKI with risk factors and outcomes in these patients. We studied all TBI patients over 16 years of age admitted to the two designated trauma hospitals in the state of Victoria, Australia from 1 January to 31 December 2008. Patients were included if they had head trauma and presented with a Glasgow coma scale (GCS) <13. Prospectively collected data from the hospital trauma registries, ICUs, and pathology databases were analyzed retrospectively. Risk injury failure loss end (RIFLE) criteria were used to categorize rena...

2010-01-01

190

Tensions of network security and collaborative work practice: Understanding a single sign-on deployment in a regional hospital

British Library Electronic Table of Contents (United Kingdom)

Background: Healthcare providers and their IT staff, working in an effort to balance appropriate accessibility with stricter security mandates, are considering the use of a single network sign-on approach for authentication and password management. Single sign-on (SSO) promises to improve usability of authentication for multiple-system users, increase compliance, and help curb system maintenance costs. However, complexities are introduced when SSO is placed within a collaborative environment. These complexities include unanticipated workflow implications that introduce greater security vulnerability for the individual user. Objectives and methodology: In this work, we examine the challenges of implementing a single sign-on authentication technology in a hospital environment. The aim of the...

2011-01-01

191

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

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

192

Randomised, placebo-controlled trial to evaluate co-trimoxazole to reduce mortality and morbidity in HIV-infected post-natal women in Zambia (TOPAZ)

British Library Electronic Table of Contents (United Kingdom)

Summary Objective- To evaluate the role of prophylactic trimethoprim-sulfamethoxazole (co-trimoxazole) antibacterial prophylaxis in reducing morbidity and mortality in HIV-infected post-natal women in southern Africa. Methods- Double-blind placebo-controlled trial. HIV-infected women with WHO stage 2 or 3 HIV disease who had recently delivered in the Department of Obstetrics and Gynaecology at the University Teaching Hospital, Lusaka, Zambia were randomised to receive daily co-trimoxazole (cotox) or matched placebo daily for the duration of the trial. Participants were followed up for a minimum of 1-year. Primary outcome measures were mortality from any cause or hospital admission and serious adverse events. Results- Of 600 women randomised, follow-up information was available from 355 (18...

2011-01-01

193

Management of young onset colorectal cancer: divergent practice in the East of England

British Library Electronic Table of Contents (United Kingdom)

Abstract Aim- According to the revised Bethesda Guidelines, colorectal cancer (CRC) occurring under age 50-years should be screened to exclude Lynch syndrome. However, in current practice in East Anglia, tumour screening is initiated only after genetics referral, reserved for those with a strong pedigree. This study aimed to determine how many patients with young-onset CRC undergo tumour screening in hospitals in East Anglia. Method- A retrospective case notes review over 5-years in four hospitals was undertaken to determine what proportion of those with young-onset CRC underwent referral for tumour screening and to assess local practices in terms of patient counselling and management. Results- One hundred and twenty-two patients were included. There was an average yearly caseload of 6-9 p...

2011-01-01

194

High-Volume Centers

British Library Electronic Table of Contents (United Kingdom)

Outcome from trauma, surgery, and a variety of other medical conditions has been shown to be positively affected by providing treatment at facilities experiencing a high volume of patients with those conditions. An electronic literature search was made to identify English-language articles available through March 2011, addressing the effect of patient treatment volume on outcome for patients with subarachnoid hemorrhage. Limited data were identified, with 16 citations included in the current review. Over 60% of hospitals fall into the lowest case-volume quartile. Outcome is influenced by patient volume, with better outcome occurring in high-volume centers treating >60 cases per year. Patients treated at low-volume hospitals are less likely to experience definitive treatment. Furthermore, t...

2011-01-01

195

Green tea consumption, abdominal obesity as related factors of lacunar infarction in Korean women

British Library Electronic Table of Contents (United Kingdom)

Objectives Our purpose was to evaluate interaction of green tea consumption and abdominal obesity as related factors for lacunar infarction in Korean women. Designs A hospital-based, incident case-control study. Settings The Prevention and Managements of Stroke in Women study. Participants Cases (n=233) of first incident lacunar infarction were enrolled and matched by age to stroke-free hospital controls (n=204). Measurements The data were collected through face-to-face interviews by well trained research assistants to assess demographic, medical, lifestyle, marital status, religions status, green tea consumptions, family history of stroke, smoking status, alcohol consumption, meat and vegetable intake frequency, and past history of hypertension. Biochemical analysis, fasting blood specime...

2011-01-01

196

Ethical and legal aspects of management for disorders of sex development

British Library Electronic Table of Contents (United Kingdom)

Abstract Intense controversy surrounds the management of disorders of sex development, particularly in relation to the validity of parental consent for genital surgery and the removal of gonadal tissue carried out during infancy or childhood. Past practices have been heavily criticised on ethical grounds by patient advocacy organisations, who have demanded a moratorium on these kinds of operations unless authorised by a court. Some doctors and hospital administrators have been influenced by the controversy and have referred cases to the Family Court of Australia, where a series of judgements have now established legal precedents that apply across Australia, restricting the circumstances in which parents can give consent for surgery. An alternative approach is to use a hospital-based Clinic...

2011-01-01

197

Depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Southern Taiwan

British Library Electronic Table of Contents (United Kingdom)

Aims.- To examine the relationships between depression, coronary artery disease, type 2 diabetes, metabolic syndrome and quality of life in Taiwanese adults from a cardiovascular department of a major hospital in Taiwan. Background.- Research suggests associations between depression, metabolic syndrome and quality of life. Despite this fact, few studies have investigated these relationships among Taiwanese. Design.- A cross-sectional descriptive correlational design was used to conduct this study. Methods.- A convenience sample of 140 adults participated in the study. Data were analysed with descriptive statistics, Pearson-s correlations, hierarchical regression and t-tests. Results.- Almost a half of the subjects (465%) had metabolic syndrome. The most common combination of metabolic synd...

2011-01-01

198

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

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

199

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist

In Niigata University Hospital, most of conventional radiography were changed to Fuji computed Radiography (FCR) from July 1988. To evaluate its clinical utility, questionnaires relating to FCR image were distributed to all physicians including non-radiologists in the hospital after three months. The ratio of the physicians evaluated FCR image to be better than conventional image was 75% in chest radiography, 64% in abdominal radiography. FCR tomography of bone, joint, cranium and chest was also evaluated to be better than conventional by most of the physicians. Reduced size of the film and difficulty in detecting interstitial shadows of the lung were mentioned to be the fault of FCR. (author).

1990-04-01

200

Clinical and metabolic characteristics of polycystic ovary syndrome without polycystic ovary: a pilot study on Chinese women

In Niigata University Hospital, most of conventional radiography were changed to Fuji computed Radiography (FCR) from July 1988. To evaluate its clinical utility, questionnaires relating to FCR image were distributed to all physicians including non-radiologists in the hospital after three months. The ratio of the physicians evaluated FCR image to be better than conventional image was 75% in chest radiography, 64% in abdominal radiography. FCR tomography of bone, joint, cranium and chest was also evaluated to be better than conventional by most of the physicians. Reduced size of the film and difficulty in detecting interstitial shadows of the lung were mentioned to be the fault of FCR. (author).

1988-07-01

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201

British Library Electronic Table of Contents (United Kingdom)

Objective To demonstrate clinical features of a patient subgroup presenting with polycystic ovary syndrome (PCOS) without polycystic ovary morphology. Design Retrospective study. Setting Hospital-based IVF center. Patient(s) In the present study, 876 PCOS patients were selected from women who visited the Reproductive Medicine Center at Shandong Provincial Hospital, Shandong University, between September 2004 and October 2006. Women with PCOS were divided into two groups based on ultrasound image: group A, PCOS patients with classic polycystic ovary (n = 800); group B, PCOS patients without polycystic ovary morphology (n = 76). The following available data were analyzed in the large cohort of women: body height, weight, waistline, hip circumference, hirsutism scores, family history, serum s...

2008-01-01

202

An Outbreak of Post-Cataract Surgery Endophthalmitis Caused by Pseudomonas aeruginosa

British Library Electronic Table of Contents (United Kingdom)

Objective Infectious endophthalmitis is among the most serious complications of cataract surgery. Gram-negative bacteria, including Pseudomonas aeruginosa, are responsible for less than 30% of cases; however, their rapidity of infection and virulence often results in poor visual outcome despite prompt antibiotic treatment. The purpose of this study was to investigate an outbreak of post-cataract surgery P. aeruginosa endophthalmitis in India. Design Hospital-based case series. Participants Twenty patients with acute postoperative endophthalmitis who underwent cataract surgery at one of the peripheral centers of Joseph Eye Hospital, Tiruchirapalli, Tamil Nadu, India, from February 23 to April 2, 2008. Interventions Vitreous aspirates and environmental surveillance specimens were inoculated ...

2009-01-01

203

Final Scientific EFNUDAT Workshop

The radiological accident in Tammiku

...this and ...and ...? and ...and ...and what the ...and such ...also and i would like to ...and that's ...and ...and ...form and most of the time i would like to spend on ...and ...for months on because sixty two and ? one-in-ten and ...and initially model systems and and and ...specifics ? and astrophysics completely ...and ...is seventeen and ...was additionally and ...and ...and and and that's all that's the action and you know all ...and ...and and display ...and responsible ...and what ...paul tsongas and ten and uh and ...and and ...and ...and this is ...and ...and especially ...and ...and ...and know ...and ...and and the activation technique and ...most commonly used and ...of the team to sell the blonde and and and need and ...and ...and ...and that's the whole ...and ...and and ...and ...and something like this and she ...been determined by and ...the plates and ...and ...and ...and ...and ...and ...and ...and and ...and this to dismiss ? ...and ...and i think the people to ...

204

Survey of radiation doses to patients from the diagnostic use of X-rays

On 21 October 1994, three brothers entered a waste repository at Tammiku, Estonia, without authorization and removed a metal container enclosing a caesium-137 source. During the removal the source was dislodged and fell to the ground. One of the men picked up the source, placed it in his pocket and took it to his home in the nearby village of Kiisa. Very soon after entry into the repository he began to feel ill, and few hours later he began to vomit. The man was subsequently admitted to hospital with severe injuries to his leg and hip and died on 2 November 1994. The injury and subsequent death were not attributed to radiation exposure, and the source remained in the man's house with his wife and stepson and the boy's great-grandmother. The boy was hospitalized on 17 November with severe burns on his hands, and these were identified by a doctor as radiation induced. The authorities were alerted, and the Estonian Rescue Board recovered the ...

205

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

The National Radiological Protection Board is to carry out a survey of doses received by patients from the diagnostic use of X-rays, beginning in June 1977, and carried out at over 100 National Health Service hospitals. Details are given of the reasons for carrying out the survey and the survey objectives. The survey working methods are discussed, together with methods of calculation of the genetically significant dose. The radiation doses will be measured by a thermoluminescent dosimeter developed specially for the survey. (U.K.).

1977-06-01

206

Re: increasing hospital admission rates for urological complications after transrectal ultrasound guided prostate biopsy: R. K. Nam, R. Saskin, Y. Lee, Y. Liu, C. Law, L. H. Klotz, D. A. Loblaw, J. Trachtenberg, A. Stanimirovic, A. E. Simor, A. Seth, D. R. Urbach and S. A. Narod J Urol 2010; 183: 963-969.

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

207

RMIT - Improving health and lifestyle

PMID:20864132

2010-09-22

208

Pericardio-peritoneal drainage using a subcostal approach.

... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

209

Nuclear methods monitor nutrition

A 56-year-old man admitted to our hospital for cardiac tamponade due to dilated cardiomyopathy did not respond to treatment by usual medical means or surgery. Pericardio-peritoneal drainage was conducted using a subcostal approach. Seven months later, the patient remains well and free of signs of pericardial tamponade. This method has proved to be safe and effective in patients with persistent massive pericardial effusion. PMID:10496067

1999-08-01

210

New Variant of CTX-M-Type Extended-Spectrum ?-Lactamases, CTX-M-71, with a Gly238Cys Substitution in a Klebsiella pneumoniae Isolate from Bulgaria?

Neutron activation of nitrogen and hydrogen in the body, the isotope dilution technique and the measurement of naturally radioactive potassium in the body are among the new nuclear methods, now under collaborative development by the Australian Nuclear Scientific and Technology Organization and medical specialists from several Sydney hospitals. These methods allow medical specialists to monitor the patient's response to various diets and dietary treatments in cases of cystic fibrosis, anorexia nervosa, long-term surgical trauma, renal diseases and AIDS. ills.

211

Medical explorations by radioisotopes in Lebanon

A single Klebsiella pneumoniae strain isolated in a Bulgarian hospital was found to produce CTX-M-71, a new CTX-M variant characterized by one amino acid substitution...Full Text Available

2009-10-01

212

Incidental Findings in Genetics Research Using Archived DNA

This study mainly concerns medical explorations by radioisotopes. Detectors with medical exams and applications are described. Ionisation chambers, semiconductor detectors and scintillation counters are also presented. Uses of radioisotopes in medicine in vivo and in vitro techniques are explained. Examples of scintiscanning are given like: angiography, nuclear cardiography and thyroid scintiscanning. The importance of the study is to present a panorama of nuclear medicine laboratories -at the time- in hospitals in Lebanon.

213

High Prevalence of Ceftazidime-Resistant Klebsiella pneumoniae and Increase of Imipenem-Resistant Pseudomonas aeruginosa and Acinetobacter spp. in Korea: a KONSAR Program in 2004

You were a patient at Hospital A several years ago when you were suffering from disease X, which has long since resolved. You have just arrived home from a long day's work when the phone rings....Full Text Available

2008-01-01

214

First Outbreak of Multidrug-Resistant Klebsiella pneumoniae Producing both SHV-12-Type Extended-Spectrum ?-Lactamase and DHA-1-Type AmpC ?-Lactamase at a Korean Hospital

A nationwide antimicrobial resistance surveillance has been conducted since 1997 in Korea. In this study, susceptibility test data generated in 2004 by KONSAR group hospitals were analyzed and compared...Full Text Available

2006-10-31

215

Factors affecting costs and utilization of type 2 diabetes healthcare: a cross-sectional survey among 15 hospitals in urban China

PurposeCoexistence of different classes of β-lactamases in a single bacterial isolate may pose diagnostic and therapeutic challenges. We investigated a spread of Klebsiella...Full Text Available

2008-02-29

216

Early Experience in Using an 18 MeV Linear Accelerator for Mycosis Fungoides at Howard University Hospital

BackgroundType 2 Diabetes mellitus (T2DM) affects persons of all ages, while also placing heavy economic burdens on national economies and healthcare systems. The study aims to investigate...Full Text Available

217

Complete Dissection of a Hepatic Segment after Blunt Abdominal Injury Successfully Treated by Anatomical Hepatic Lobectomy: Report of a Case

This paper describes the problems and solutions in using 18 MeV linear accelerator, with minimum 6 MeV electron capability, for total skin irradiation for mycosis fungoides. The 6 MeV electron energy...Full Text Available

1977-04-01

218

Clinical application of FCR for the portable chest radiographs in ICU

A 21-year-old male patient was transferred to the emergency room of our hospital after suffering seat belt abdominal injury in a traffic accident. Abdominal computed tomography revealed a massive hematoma...Full Text Available

219

Clinical application of FCR for the portable chest radiographs in ICU

The diagnostic value of the portable chest radiography obtained with Fuji computed radiography (FCR) was evaluated in comparison with conventional images in 23 patients who were admitted to ICU in Yokohama City University Hospital. On the whole , FCR produced more exellent images than conventional screen-film radiographs. Especially the evaluation for the demonstration of the catheters, the endotracheal tubes and the tracheal shadows obtained high score. We discuss the clinically utility of FCR for the portable chest radiographs in ICU. (author).

1989-08-01

220

CT-guided percutaneous aspiration and drainage of postoperative abdominal fluid collections

The diagnostic value of the portable chest radiography obtained with Fuji computed radiography (FCR) was evaluated in comparison with conventional images in 23 patients who were admitted to ICU in Yokohama City University Hospital. On the whole , FCR produced more exellent images than conventional screen-film radiographs. Especially the evaluation for the demonstration of the catheters, the endotracheal tubes and the tracheal shadows obtained high score. We discuss the clinically utility of FCR for the portable chest radiographs in ICU. (author).

1989-01-01

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221

A retrospective comparison of endoscopic stenting alone with stenting and radiotherapy in non-resectable cholangiocarcinoma

The authors report the personal techniques and the results of CT-guided percutaneous drainage of postoperative abdominal fluid collections. CT-guided percutaneous drainage offers many advantages over surgery: it is less invasive, can be repeated and requires no anesthesia, there are not surgery-related risks and lower morbidity and mortality rates. Moreover, subsequent hospitalization is shorter and costs are consequently reduced. The authors conclude that CT-guided percutaneous drainage is the method of choice in the treatment of postoperative abdominal fluid collections.

1999-03-01

222

A Language/Action Model of Human-Computer Communication in a Psychiatric Hospital

Radiotherapy has been reported to be of benefit in prolonging the survival of patients with cholangiocarcinoma. This study examined whether radiotherapy in addition to endoscopic stenting improved survival. The survival advantage of radiotherapy in those with a type II/III stricture is seen only in the first 10 months after diagnosis. The costs of radiotherapy and significantly increased time spent in hospital, however, raise doubts over its routine use in the management of non-resectable cholangiocarcinoma. (Author).

223

University of Michigan workscope for 1991 DOE University program in robotics for advanced reactors

When a staff physician says to an intern he is supervising “I think you should try medication X,” this statement may differ in meaning from the same string of words spoken between colleagues....Full Text Available

1990-11-07

224

Science at the Theater: Hot Technology, Cool Science

The University of Michigan (UM) is a member of a team of researchers, including the universities of Florida, Texas, and Tennessee, along with Oak Ridge National Laboratory, developing robotic for hazardous environments. The goal of this research is to develop the intelligent and capable robots which can perform useful functions in the new generation of nuclear reactors currently under development. By augmenting human capabilities through remote robotics, increased safety, functionality, and reliability can be achieved. In accordance with the established lines of research responsibilities, our primary efforts during 1991 will continue to focus on the following areas: radiation imaging; mobile robot navigation; three-dimensional vision capabilities for navigation; and machine-intelligence. This report discuss work that has been and will be done in these areas.

225

School of Earth and Environment

...global warming um ? know he's been right into our our ...who was a little bit about global warming and cooling ...global warming ...america uh we can help ? global warming and reduce the demand for electricity and and ...now means that those who immediately combat global warming ? ...global warming ...global warming ...global warming by ...we ? in terms of the contribution to global warming is a small i mean anything else ...global warming and ...among scientists are speaking out about global warming the only thing they really talk about a year to ...the other factors that affect global warming and i i just feel that ...problem of global warming would have to ...global warming ...global warming ...

226

Modelling and simulation of a solar cooler based on physical adsorption; Modelagem e simulacao de um refrigerador solar por adsorcao fisica

... Project Details Title: Influence of increasing droplet concentrations on properties of stratocumulus clouds and climate Supervisor: Dr Alan Gadian Funded by: Engineering and Physical Sciences Research Council (EPSRC) Start date: October 2006 My project involves use of the UK Met Office Unified Model (UM) to calculate the global effect of modifying stratocumulus droplet concentrations on the earth's radiation balance, as well as use of ... Publications Latham, J; Rasch, P; Chen, CC; Kettles, L; Gadian, A; Gettelman, A; Morrison, H; Bower, K; Choularton, T (2008) Global temperature stabilization via controlled albedo enhancement of low-level maritime clouds, Philos. Trans. Roy. Soc. A, 366(1882), pp3969-3987. doi:10.1098/rsta.2008.0137 Current Students | Internal ...

227

Laser-Cooling of Liquid Water by the Ar-Xe Laser Radiation

This study describes the construction of a simple mathematical model its validation through the simulation in transient state of a real cycle performed by a solar refrigerator based on physical adsorption using an activated carbon/methanol pair. The deviation from experimental results was 4% for the cycled mass of methanol, 2.2 % for maximum collector average temperature, and 3 x 10{sup -3} for the theoretical cycle coefficient of performance. Additional simulations of the same cycle inputting values representing different types and larger amounts of activated carbon showed the possibility of increasing the cycled methanol mass up to about 150%. (author) 26 refs., 16 figs., 9 tabs.

1993-12-31

228

Implantation of an electronic system for real time neutron graphic images acquisition at the IPEN/CNEN Argonaut reactor; Implantacao de um sistema eletronico para aquisicao de imagens neutrongraficas em tempo real no reator Argonauta do IEN/CNEN

An effect of laser-cooling of water was observed for the first time with a temperature decrease dT = -2.2 K after irradiation of liquid water surface by a powerful Ar-Xe pulse laser with a pulse energy of about 1 J and wavelength L = 1.73, 2.63 and 2.65 um. The discovered effect can apparently be ascribed to the optical excitation of vibrational states of H2O molecules followed by an endothermic consolidation of chemically active excited molecules into a quasi-stable cluster-like structure. The measured time dependences of the cooling effect show that a typical life time of the new state of water amounts to hours. It has also been shown that the life time of the excited vibrational molecular states due to a radiation trapping effect can be estimated to at least hundreds of seconds.

2010-01-01

229

Flying without fuel. Minimalism in aircraft construction; Fliegen ohne Sprit. Minimalisten im Flugzeugbau

The aim of this work is the implantation and characterization of a neutron radiography system that uses an electronic device for attainment of images in real time, for its implementation in the nuclear research reactor Argonauta at IEN/CNEN (Nuclear Engineering Institute of the Brazilian Nuclear Energy Commission). The Electronic Imaging System in Real Time is composed by a scintillator screen for neutron, a video camera (CCD), a digital plate and a computer with specific computational programs for digital processing of the images. The System in installed real time is apt to carry through neutron radiography inspections of static and dynamic events of several types of samples. (author)

2004-04-15

230

Endoscopic management of congenital esophageal stenosis

The article describes the solar aircraft `Icare`` which was constucted in a joint project by engineers and scientists of Stuttgart university. The aircraft requires slightly more than one kW for staying up. The theoretical fundamentals are presented in the dissertation of Peer Frank, ``Aircraft design for minimum fuel consumption` (Institute of Aircraft Engineering, Stuttgart, 1992). (orig.) [Deutsch] Allein mit Sonnenkraft kann das Flugzeug `Icare` fliegen. Es entstand in Gemeinschaftsarbeit von Ingenieuren und Wissenschaftlern der Stuttgarter Universitaet. Das Solarflugzeug Icare benoetigt etwas ueber ein Kilowatt, um oben zu bleiben. In seiner Doktorarbeit `Die Auslegung von Flugzeugen mit geringstem Antriebsleistungsbedarf` (Institut fuer Flugzeugbau, Stuttgart, 1992) hat der Duesseldorfer Peer Frank die theoretischen Grundlagen dazu behandelt. (orig.)

1997-05-01

231

British Library Electronic Table of Contents (United Kingdom)

Background/Purpose: Congenital esophageal stenosis (CES) is a rare malformation. Endoscopic dilations represent a therapeutic option. This study retrospectively evaluated the efficacy and safety of a conservative treatment of CES. Patients and Methods: Patients diagnosed with CES since 1980 by a barium study or endoscopy were reviewed. Endoscopic ultrasonography (Olympus UM-3R-20-MHz radial miniprobe, Olympus Corporation, Tokyo, Japan), available from 2001, allowed for the differential diagnosis of tracheobronchial remnants (TBR) and fibromuscular hypertrophy (FMH) CES. All children underwent conservative treatment by endoscopic dilations (hydrostatic and Savary). Results: Forty-seven patients (20 men) had CES. Fifteen were associated with esophageal atresia; and 8, with Down syndrome. Mea...

2011-01-01

232

Aquaculture of Uranium in Seawater by a Fabric-Adsorbent Submerged System

The Voelkersen gas field in northern Germany: Are there two directions of stress in the red sandstone?; Das Voelkersen Gas Feld in Norddeutschland: Anzeichen fuer zwei Spannungsrichtungen im Rotliegenden?

The total amount of uranium dissolved in seawater at a uniform concentration of 3 mg U/m3 in the world's oceans is 4.5 billion tons. An adsorption method using polymeric adsorbents capable of specifically recovering uranium from seawater is reported to be economically feasible. A uranium-specific nonwoven fabric was used as the adsorbent packed in an adsorption cage 16 m2 in cross-sectional area and 16 cm in height. We submerged three adsorption cages in the Pacific Ocean at a depth of 20 m at 7 km offshore of Japan. The three adsorption cages consisted of stacks of 52 000 sheets of the uranium-specific non-woven fabric with a total mass of 350 kg. The total amount of uranium recovered by the nonwoven fabric was >1 kg in terms of yellow cake during a total submersion time of 240 days in the ocean.

2003-11-01

233

Optimising the flow characteristic of a coke-oven flue-gas valve by means of Computational Fluid Dynamics (CFD); Stroemungsoptimierung eines Abgasventils von Koksoefen durch Computational Fluid Dynamics (CFD)

Borehole stability is affected to a significant extent by the 3D local and regional stress field. Preliminary information on underground stress fields is provided by the World Stress Map, which shows N-NW stress at a depth of about 5000 m for the Voelkersen field. Earlier data analyses showed various directions in the range of 310-360 degrees. This was assumed to be a methodical error. An extensive study was carried out to evaluate and interpret all relevant information provided by borehole tests, borehole logs, and drill core measurements. [German] Standsicherheit und Stabilitaet von Bohrungen werden ganz wesentliche beeinflusst durch das umgebende dreidimensionale lokale und regionale Spannungsfeld. Fuer die Planung zukuenftiger (horizontaler) Bohrungen und die Erzeugung kuenstlicher Risse (''fracs'') spielt das Spannungsfeld eine bedeutende Rolle. Erste Hinweise ueber das regionale Spannungsfeld im Untergrund gibt die World Stress Map, in der ...

2003-07-01

234

Nuclear power and target-oriented CO{sub 2} reduction strategies; Kernenergie und zielorientierte CO{sub 2}-Minderungsstrategie

In coke-oven operations flue-gas valves are used to switch the regenerator function from rich gas firing to lean gas firing. Compared with the simple geometry of the other parts of the flow path, which comprise flues and regenerators, the narrow and winding passages of the flue-gas valves give rise to relatively high losses in pressure. Without the construction of high (and therefore expensive) chimneys, this means that operating problems may well arise due the inadequate suction capacity. The project focused on the theoretical and experimental analysis of a coke-oven flue-gas valve. The primary aim was to reduce the pressure drop through the valve without modifying its external geomerty. The internal flow characteristics created by different valve geometries under a variety of operating conditions were simulated using the commercial CFD code Fluent/UNS, which provided velocity and pressure distributions. A half-scale model valve was constructed in order to characterise the internal ...

1999-06-01

235

Methodology for sizing, energy analysis and selection of equipment for a biomass gasifier to drive an internal combustion engine; Metodologia de dimensionamento, analise energetica e selecao de equipamentos de um gaseificador de biomassa para o acionamento de um motor de combustao interna

Compared to the reference year of 1990, CO{sub 2} emissions of the Federal Republic of Germany have been curbed by about 12%, primarily as a result of industrial backfitting and pollution abatement measures accomplished in the industrial infrastructure of the new Federal Laender of Germany. Federal Government policy sticks to the previous commitment, to reduce carbon dioxide emissions by 25% by the year 2005. Current forecasts and scenarios of future greenhouse gas emissions show that only immediate adherence to a very stringent reduction policy might ensure that this ambitious goal will be achieved. In this context, any change of the baseline data and scenarios hitherto used for progonostic assessments is a crucial factor, so that the article here discusses the impacts of a change in the nuclear generation scenario, as recently ventilated by the German Federal Government, and expected effects on public power supply. (orig./CB) [Deutsch] Ausgehend von dem Bezugsjahr 1990 sind die ...

1999-01-01

236

IGF 2 expression in 3T3 adipocytes in response to serum from hypophysectomized or diabetic swine

Alter both oil crisis, of 1973 and 1979, a bad effect of the elevated costs and continuously increment of the oil prices was noted, for this reason, the interest for renewable energies sources widely available in developing countries was increased. All over the world, governments have formulated main objectives for energies savings and search for friendly technologies, taking into account the effects related with the environment. The imminent scarcity of fossil fuels has made humanity the rational use of primary energies, as a result of these; new plants with improved technology have been conceived taking into account energy savings and efficiency improvement. In this context, biomass gasification technologies are important, since they consist in techniques of parallel production of electricity and heat from just one fuel. This work consists in the development of a gasifier down draft of 100 kW for an internal combustion engine, which includes its sizing process and its energy ...

2006-07-01

237

The use of noninvasive mechanical ventilation in COPD with severe hypercapnic acidosis

Expression of IGF-2 and changes in its expression in response to systemic endocrine alterations have not been demonstrated for adipocytes. Adipocytes were induced to develop within cultures of 3T3-L1 cells using a medium containing 0.5mM isobutylmethylxanthine, 1uM insulin and 100ng hydrocortisone/ml for 48 hours of exposure. Cultures containing developing adipocytes were incubated with 10% pig serum and 1 uM insulin for several days. The resultant adipocyte cultures were then treated with either 10% pig serum, diabetic pig serum or hypophysectomized pig serum in DMEM for 48 hours. Adipocytes within the cultures were separated from undifferentiated cells using percoll density gradient centrifugation. Total RNA was isolated from adipocytes and dot blotted. Blots were probed with a {sup 32}P-cDNA probe for rat IGF-2. IGF-2 was expressed by the adipocytes and the pattern of expression showed specific differences between serum treatments; IGF-2 ...

1990-02-26

238

British Library Electronic Table of Contents (United Kingdom)

SummaryStudy Objectives: To compare the effect of noninvasive mechanical ventilation (NIV) in severely acidotic with mildly acidotic patients with acute hypercapnic chronic obstructive lung disease (COPD).Design: Comparison of NIV in consecutively enrolled patients with acute hypercapnic COPD with mild (pH 7.25-7.35) or severe (pHPaCO2, duration of NIV treatment, length of stay in hospital and survival.Results (meadian (IQR)): Twenty-nine patients had 36 episodes of acute hypercapnic respiratory failure: Seventeen with pHPaCO2 improve (12 (6-34) vs 12 (4-28)h, respectively, Formula Not Shown ), with similar duration of NIV treatment (60 (35-96) vs 68 (36-48)h, respectively, Formula Not Shown ) and hospital length of stay (8 (7-18) vs 9 (5-17) days, respectively, Formula Not Shown ). Overal...

2007-01-01

239

Solid-pseudopapillary tumor of the pancreas in a 13-year-old girl - case report

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

The solid-pseudopapillary tumor (SPT) of the pancreas is a rare type of exocrine pancreatic neoplasm. SPT predominantly affects young women and female children, and is usually discovered incidentally. This tumor is generally benign with a low incidence of malignancy. A 13-year-old girl was admitted to the hospital with a few weeks' history of mild abdominal pain and jaundice. On physical examination, there was no palpable mass. The laboratory tests showed increased SR, CRP, high bilirubin, amylase and lipase serum levels. Ultrasound imaging revealed a solid lesion in the region of the pancreatic head. On MRI, precise tumor localization in the head of the pancreas with pancreatic duct dilatation and compression of the common bile duct were visualized. Pancreaticoduodenectomy and cholecystectomy was performed with good clinical outcome. Microscopic and immunohistochemical studies indicated that tumor cells were typical of SPT without any signs of malignancy. After ...

240

Health-hazard evaluation report HETA 85-354-1872, Asarco, Denver, Colorado

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

2009-06-21

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241

Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii, and California: demographic, physical, dietary, and biochemical characteristics

An evaluation was made of possible hazardous working conditions at the ASARCO Globe facility, Denver, Colorado. The facility was involved in the recovery of cadmium from baghouse dust, a waste byproduct of nonferrous smelters. A medical study of kidney function was conducted in 45 current or former cadmium production workers; results were compared to those for 35 hospital workers. Kidney abnormalities were more common and more severe in the cadmium workers than in the hospital workers. Abnormalities of proximal tubular function included reduced reabsorption of beta-2-microglobulin, retinol binding protein, calcium and phosphate. Glomerular dysfunction was evidenced as elevated serum creatinine. As length of exposure to cadmium increased, changes became more apparent in workers. No reversal of the conditions was noted in workers who had ceased to be exposed to cadmium some time before the study. The authors conclude that occupational ...

1988-02-01

242

Thrombolysis: attempting to reduce postcode prescribing in Scotland?

These summary descriptive data of ethnically similar cohorts of indigenous and migrant Japanese males have shown similarities or slight differences in characteristics wholly or largely genetically determined, such as blood groups, stature, and skeletal size. Differences have been noted in characteristics largely environmental or behavioral, such as diet and cigarette smoking habit, as well as in characteristics determined by a varying mixture of genetic and environmental influences, such as weight, blood pressure, glucose tolerance, and serum lipid and uric acid levels. Detailed analyses of the distributions of laboratory variables, of dietary data obtained by different methods, and of correlations among laboratory, dietary, physical, and demographic variables are currently in progress. Also part of the study plan are determinations of disease prevalence from evaluation of examination, laboratory, and electrocardiographic findings, of disease incidence from repeat examinations and from ...

243

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

The literature is littered with reports presenting the proportion of patients admitted with ischaemic stroke receiving thrombolysis. This gives some measure of activity and the efficiency of prehospital and hospital triage. Some stroke centres have reported rates of thrombolysis as high as 20%, but without knowing the population that such services serve, these proportions do not indicate how well or equitably the treatment is being delivered. Here, we explore various metrics to monitor our efforts to provide equitable access to stroke thrombolysis in Lothian, a region in the South East of Scotland. PMID:21086712

2010-12-01

244

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

245

Organ doses to atomic bomb survivors during photofluorography, fluoroscopy and computer tomography

Organ doses to atomic bomb survivors during photofluorography, fluoroscopy and computer tomography

Doses to the salivary glands, thyroid gland, breast, lung, stomach and colon during mass radiological gastric screening, mass radiographic chest screening, upper gastrointestinal series and computed tomography were determined by exposing a female human phantom to simulated radiological X-ray examinations as performed in community hospitals. The doses were measured using thermoluminescent dosemeters, and the results will be used to document organ doses received by participants in the Atomic Bomb Casualty Commission/Radiation Effects Research Foundation Adult Health Study. (Author).

1991-08-01

246

Lung cancer screening program using annual chest radiographs with computed radiography (FCR)

Doses to the salivary glands, thyroid gland, breast, lung, stomach and colon during mass radiological gastric screening, mass radiographic chest screening, upper gastrointestinal series and computed tomography were determined by exposing a female human phantom to simulated radiological X-ray examinations as performed in community hospitals. The doses were measured using thermoluminescent dosemeters, and the results will be used to document organ doses received by participants in the Atomic Bomb Casualty Commission/Radiation Effects Research Foundation Adult Health Study. (Author).

1991-01-01

247

Lung cancer screening program using annual chest radiographs with computed radiography (FCR)

In the Wajima lung cancer screening program conducted under the auspices of Kanazawa University Hospital, Fuji Computed Radiography (FCR) was utilized in a new chest radiography trial. The results of the screening program are that the necessity of repeat examinations due to poor image quality are less common and the method enables detection of small pulmonary nodular shadows which are possibly candidates for surgery. Oblique chest X-ray with FCR is remarkably effective for the detection and the identification of small lesions. However, the disadvantage of slow processing and high cost must be fully satisfied if FCR is to become a new imaging modality for mass screening.

1987-08-01

248

Field surgery on a future conventional battlefield: strategy and wound management.

In the Wajima lung cancer screening program conducted under the auspices of Kanazawa University Hospital, Fuji Computed Radiography (FCR) was utilized in a new chest radiography trial. The results of the screening program are that the necessity of repeat examinations due to poor image quality are less common and the method enables detection of small pulmonary nodular shadows which are possibly candidates for surgery. Oblique chest X-ray with FCR is remarkably effective for the detection and the identification of small lesions. However, the disadvantage of slow processing and high cost must be fully satisfied if FCR is to become a new imaging modality for mass screening. (author).

1987-01-01

249

Exons, Introns and Talking Genes: The Sience Behind the Human Genome Project

Most papers appearing in the surgical literature dealing with wound ballistics concern themselves with wound management in the civilian setting. The pathophysiology of modern war wounds is contrasted with ballistic wounds commonly encountered in peacetime, but it should be noted that even in peacetime the modern terrorist may have access to sophisticated military weaponry, and that patients injured by them may fall within the catchment area of any civilian hospital. Management problems associated with both wound types are highlighted; areas of controversy are discussed. The orthodox military surgical approach to ballistic wounds is expounded and defended. PMID:1996857

1991-01-01

250

Correct monitoring of stationary battery systems; Stationaere Batteriesysteme richtig ueberwacht

This book presents in simple terms the basis of molecular genetics and how it is used to obtain an understanding of the human genome. The author's central focus is the transistion of genetics from statistics to experimental manipulations, and he offers analogies that help readers visualize the genome, thereby avoiding conventional scientific presentations. He illustrates how genetics is used in scientific laboratories, in courtrooms, and in hospitals. Little is presented about the complex social and ethical issues raised by the Human Genome project.

1993-01-01

251

A Business Model Analysis of Telecardiology Service

There are many applications that necessitate reliable and permanent power supply, e.g. power stations, airports, computer centers or hospitals. The stationary battery systems must be monitored by efficient systems, e.g. Batlog. (orig.) [Deutsch] Viele Anwendungen verlangen eine permanent verfuegbare und zuverlaessige Stromversorgung. Kraftwerke, Flughaefen, Rechenzentren oder Krankenhaeuser muessen ihre Prozesse auch bei einem Netzausfall oder einer Versorgungsunterbrechung weiterbetreiben. Dies gelingt nur, wenn sich der entsprechende Energiespeicher in einsatzbereitem Zustand befindet. Die Ueberwachung der stationaeren Batterieanlagen erfordert leistungsfaehige Systeme wie Batlog. (orig.)

1998-10-01

252

British Library Electronic Table of Contents (United Kingdom)

Abstract Telecare has become an increasingly common medical service in recent years. However, new service must be close to the market and be market-driven to have a high likelihood of success. This article analyzes the business model of a telecardiology service managed by a general hospital. The methodology of the article is as follows: (1) initially it describes the elements of the service based on the ontology of the business model, (2) then it transfers these elements into the choices for business model dynamic loops and examines their validity, and (3) finally provides an empirical financial analysis of the service to assess the profit-making possibilities.

2010-01-01

253

Wide Differences in the Estimation of Cost in Endovenous Laser Therapy for Varicose Veins

Performance study of teleradiology network systems with CRT monitors. ROC analysis of an observation study of simulated lung nodules

PURPOSE: To investigate differences in cost of endovenous laser therapy (EVLT) using a top-down approach derived from the Annual Report versus a clinically orientated, bottom-up approach at a single hospital. METHODS: Information was obtained from: the day-case activity Service Line Report (SLR) income statement for general surgery, comparative data from the National Audit Commission, reference costs from the hospital finance department on 69 patients and calculations on individual treatment times and session slots (2 EVLT's per 3.5 hr session) on 37 consecutive patients. Duration of treatment, consumables (over #3) and staff pay were also recorded. Overheads were estimated at 15% and adjustments were made based on location and length of stay. RESULTS: Using a top-down approach with SLR data the total cost of EVLT was estimated at #963.78 per treatment after adjustments for services and consumables. This compares with #1,073.34 using national ...

2011-08-01

254

Forming of Mo and Ti silicides by means of injection molding; Formgebung von Molybdaen- und Titansiliziden ueber das Pulvermetallformspritzen

To evaluate the diagnostic performance of commercially available CRT monitors used in a teleradiology system by determining the rate of detection of simulated lung nodules. Three types of CRT monitors were tested in the observation study. They had matrix sizes of 1024 x 768 (16 inches, color), 1024 x 768 (20 inches, color) and 1600 x 1125 (24 inches, black and white). Twenty chest radiographs were obtained by Fuji computed radiography (FCR) of an anthropomorphic chest phantom with ten simulated nodules on its surface. These FCR films were digitized by a film digitizer with 125 DPI (1024 x 1024 matrix sizes) and 12 bit gray scales, and the image data were transferred from Shinshu University Hospital to other hospitals where interpretation was carried out by the radiologists. Ten radiologists of three hospitals were asked to interpret independently both the original FCR films and the images shown on the CRT monitors and to ...

255

Computed tomography and magnetic resonance imaging of acquired abnormalities of the inner ear and cerebello-pontine angle; CT und MRT erworbener Veraenderungen des Innenohrs und Kleinhirnbrueckenwinkels

The report describes the processing of TiSi{sub 2}, MoSi{sub 2} and Ti{sub 5}Si{sub 3} by means of metal injection molding (MIM). First, the sintering activities of the three materials were investigated. After this, the viscosities of different mixtures of organic binder and powders of the three materials were determined, and in the final stage, components were produced by injection molding, the binder was removed, and the components were sintered. TiSi{sub 2} in powder form could be sintered to more than 95% of its theoretical density after 4 h at 1386 C. Metallographic analyses proved leaktightness of the component at this density. In the case of Ti{sub 5}Si{sub 3}, it was found that this material requires very long sintering times and high sintering temperatures for sintering to about 94% of its theoretical density. Metallographic analyses showed that only about 90% of the theoretical density was reached. MoSi{sub 2} in powder form could be sintered to only 90% of its theoretical ...

1994-10-01

256

Transfer of chemical elements to breast milk; Transfer von Elementen in die Muttermilch

CT and MRI of acquired abnormalities of the inner ear and cerebello-pontine angle present themselves with very typical findings. The imaging should be adapted to the pathology looked for and either CT or MRI should be used alone or in combination.CT, especially high resolution CT (HRCT), provides an excellent bone contrast, while MRI has a much superior soft tissue contrast. Acute inflammatory changes of the inner ear are solely depicted by contrast-enhanced MRI. HRCT excellently depicts osseous changes of the inner ear and cerebellopontine angle such as chronic ossifying labyrinthitis occurring after acute labyrinthitis, otosclerotic or traumatic changes. Tumorous changes not yielding to bony changes are best delineated by MRI. Posttraumatic hemorrhage and chronic fibrotic changes within the labyrinth are depicted by MRI, only. In conclusion HRCT and MRI are excellent methods to delineate acquired abnormalities of the inner ear and cerebello-pontine angle. HRCT best depicts osseous ...

2003-03-01

257

Retrofitting of a dual purpose power plant with steam turbine process to combined cycle power plant; Ausbau eines Heizkraftwerkes mit Dampfturbinenprozess zum GUD-Heizkraftwerk

The project is intended to yield information on the transfer factors describing the transfer of ingested radionuclides to breast milk for the following elements: antimony, cerium, chromium, cobalt, gallium, lanthanum, molybdenum, niobium, radium, ruthenium, silver, thorium, titanium, and uranium. Those yet unknown or poorly known transfer factors are required in order to be able to develop a reliable model for description and assessment of the transfer of the radionuclides and the possibly resulting hazardous doses to infants, and for subsequent formulation of recommendations for radiological protection of the population. (orig./CB) [German] Ziel des Projektes ist die Ermittlung von Transferfaktoren fuer den Uebergang von Radionukliden aus der Nahrung der Muetter in die Muttermilch fuer die Elemente Antimon, Cer, Chrom, Cobalt, Gallium, Lanthan, Molybdaen, Niob, Radium, Ruthenium, Silber, Thorium, Titan und Uran. Um die Exposition und damit die moegliche Gefaehrung ...

1999-08-01

258

Post-machining thermal treatment after surface finishing of hardened steels: Kinetics of XRD line width reduction and improvement in rolling contact lifetime under mixed friction conditions

By retrofitting the existing steam turbine dual purpose power plant with a gas turbine plant and a secondary waste heat boiler the Technische Werke Ludwigshafen AG have considerably improved the energy generation in energetic, economic and ecological terms. The extension of the existing system to a combined cycle process has lead to this positive effect. The erection of a boiler plant during the first two construction phases has fully met the optimistic expectations. (orig.) [Deutsch] Mit der Nachruestung eines vorhandenen Dampfturbinen-HKW um eine Gasturbinenanlage mit nachgeschaltetem Abhitzekessel haben die Technischen Werke Ludwigshafen AG ihre Energieerzeugung entscheidend in energetischer, oekonomischer und oekologischer Sicht optimiert. Insbesondere die Erweiterung des vorhandenen Systems zu einem GuD-Prozess fuehrt zu dieser positiven Bilanz. Die Errichtung der Kesselanlage in den ersten beiden Bauabschnitten hat die optimistischen Erwartungen voll ...

1995-12-31

259

Licensing procedures for CHP systems; Genehmigungsverfahren fuer KWK-Anlagen

Hard surface finishing represents the final manufacturing step for functional areas of machine elements in state-of-the-art production. Raceways of rolling bearing rings are ground and honed to the required low roughness. Plastic deformation is restricted to a narrow edge zone of the hardened steel. Reheating of the machined components below the martensite tempering or bainite transformation temperature results in a marked decrease of the XRD line width on the surface. The investigated samples are made of through-hardened standard bearing steel 100Cr6 (international denotation: SAE 52100). On the basis of a material model that explains the effect as a complex diffusion process of dislocational carbon segregation, i.e. static strain aging, the measured kinetics of the XRD line width reduction is simulated by an Arrhenius-type equation, which describes the rate-controlling reaction step of temper carbide dissolution. The formation of a small white-etching surface layer of around 1 ...

2008-07-01

260

Exemplification of the Game Theory application in auctions of exploratory blocks; Um exemplo de aplicacao de Teoria dos Jogos em leiloes de blocos exploratorios

Licensing procedures are of great importance in the entire decision-making and planning process for erection of cogeneration power plants. The paper presented is a condensed version of the ASUE guide published in May 1999 and gives compact and topical information about legal and procedural aspects for orientation of people not yet familiar with the licensing procedures. An initial outline lists and characterises the procedures involved, which then are explained in greater detail, accompanied by flowsheets and diagrams. (orig./CB) [German] Genehmigungsverfahren besitzen im Entscheidungs- und Planungsprozess eine grosse Bedeutung. Um Planern, Bauherren und Behoerden hierzu einen kompakten und aktuellen Ueberblick bieten zu koennen, wurde dieses Referat als Kurzfassung der im Mai 1999 veroeffentlichten ASUE-Broschuere zusammengestellt. Sie bietet vor allem denjenigen eine Hilfestellung, die noch keine Erfahrungen mit den Genehmigungsverfahren gesammelt haben. ...

1999-07-01

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261

Evaluation of specific consumption from the use of chicken oil biodiesel in one cylinder generator set; Avaliacao do consumo especifico a partir da utilizacao de biodiesel de oleo de frango em um grupo-gerador monocilindrico

This article describes a methodology to determine the best strategy in an open bid, where oil and gas fields are the targets for exploration. Based upon the previous bid rounds for a given specific area - the Campos Basin, for that matter -, the data were statistically treated to fit a probability density function, modelling the value of bids offered by the competing companies. By means of techniques and concepts pertaining to Game Theory a balance matrix was built for values of bids made by companies as a function of the company alone in assumed bid rounds. At the end of each british auction, participants of this simultaneous game, using the rationality principle, aimed at winning the tender on the oil field aimed for, through the use of better answers with respect to its rival competitor. The game goal was maximize return on investment purchase in the decisions of lease blocks purchases in the auctions, or to try minimize its opponents gains. Proceeding with the work, this time, ...

2003-07-01

262

Development of the modern ALSTOM bowl mill; Entwicklung der modernen ALSTOM-Schuesselmuehle

Biodiesel can be produced from numerous materials, including by-products of animal chain. In this scenario, the chicken's oil, that is located and an environment not explored for biodiesel production, can be a good alternative in South and Southeast Brazilian Region, where they are slaughtered around 9.100.000 chickens per day. In order to determine the specific consumption from a generator set with single cylinder 6.6 kW of power and generation capacity of 5 kW, using chicken oil biodiesel (B-100), were performed the bench test using a auxiliary tank, precision scale and an energy analyzer. Were conducted four treatments (25%, 50%, 75% and 100% of generating capacity). The worst SC was the engine at 25% of generation capacity (1.5 kW) and better with 75% of maximum load (3.75 kW) with a mean of 479.34 g kWh{sup -1}. By Turkey's test ant 5% probability there was a significant difference only for the first treatment. (author)

2010-07-01

263

Contribution to the mass and heat balance of a cokeless cupola furnace fuelled with natural gas; Beitrag zur Stoff- und Waermebilanz des kokslosen, erdgasgefeuerten Kupolofens

Wider coal lines and larger power plant units necessitate measures for increasing the capacity of the mills without driving up power consumption and installation costs. The result of this development is the modern ALSTOM bowl mill. This paper indicates the stages of development which were necessary for this and the experience which could be accumulated through these measures. The paper also describes in detail the areas of flow in the mills, of design of milling equipment, of mill power supply and of grading in this development. (orig.) [Deutsch] Breitere Kohlebaender und groessere Kraftwerkseinheiten zwingen zu Massnahmen, um die Leistung der Muehlen zu vergroessern, ohne jedoch den Kraftbedarf und die Installationskosten in die Hoehe zu treiben. Das Ergebnis dieser Entwicklung ist die moderne ALSTOM-Schuesselmuehle. Der Beitrag zeigt, welche Entwicklungsschritte hierzu erforderlich waren und welche Erfahrungen mit den Massnahmen gesammelt werden konnten. Im ...

1998-12-01

264

Climate-relevant facts - an outline and a way towards understanding climate; Klimafakten - der Rueckblick, ein Weg zum Klimaverstaendnis

Melting in a cokeless cupola furnace fuelled with natural gas is a novel, energy-saving and environment-friendly process. In order to be able to monitor the processes inside the furnace with detailed mass and heat balances, an experimental furnace with an efficient measuring system was constructed in the framework of a research project financed by the BMFT and Messrs. Eisenwerke Dueker GmbH und Co. KG, Laufach, Germany. (orig./HS) [Deutsch] Das Schmelzen im kokslosen erdgasgefeuerten Kupolofen ist ein neues, energiesparendes und umweltfreundliches Verfahren. Um die Vorgaenge im Ofen mit umfassenden Stoff- und Waermebilanzen erfassen zu koennen, ist im Rahmen eines vom BMFT und der Firma Eisenwerke Dueker GmbH und Co. KG, Laufach, finanzierten Forschungsvorhabens, ein Versuchsofen mit umfangreicher Messeinrichtung gebaut worden. (orig./HS)

1995-07-01

265

Analysis and optimization of the heat transfer coefficient of a finned heat exchanger submitted to natural convection; Analise e otimizacao do coeficiente de transferencia de calor de um trocador aletado submetido a conveccao natural

The current discussion on worldwide climate change suggests that the current situation is unusual or extreme, and that climate changes never - or hardly ever - occurred in the centuries before. The author discusses whether this is really the case, and whether air pollution abatement measures can really help. His answers are based on the findings of palaeoclimatology. [German] Verfolgt man die Diskussion um den derzeitigen Klimawandel, so gewinnt man den Eindruck, Aussergewoehnliches und Extremes wuerde geschehen, und man bekommt zudem ueber Beratungsgremien und Medien vermittelt, dass sich in den Jahrhunderten vor dem heutigen Klimawandel das Klima nicht oder nur wenig geaendert hat. Es wird auch der Eindruck erweckt, man koenne das Klima stabilisieren und durch Emissionsminderungsmassnahmen das Klima schuetzen. Ist Klimaschutz eine loesbare Herausforderung oder ueberschaetzen wir Menschen unsere Moeglichkeiten? Man kann versuchen, sich an die Beantwortung dieser ...

2002-02-12

266

An efficient method for 3-D pre stack migration in time reverse-time depth by using finite difference method; Um metodo eficiente para migracao pre-empilhamento 3-D em profundidade reversa no tempo pelo metodo das diferencas finitas

A heat transfer (condenser) of a domestic freezer was tested in a vertical channel in order to study the influence of the chimney effect in the optimization of the heat transfer coefficient. The variation of the opening of the channel, position and the heating power of the heat exchanger in the heat transfer coefficient was considered. The influence of the surface emissivity on the heat transfer by thermal radiation was studied with the heat exchanger testes without paint and with black paint. The air velocity entering the channel was measured with a hot wire anemometer. In order to evaluate the chimney effect, the heat exchanger was testes in a open ambient. This situation simulates its operational conditions when installed on the freezer system. The variables collected in the experimental procedures was gathered in the form of dimensionless parameters as Nusselt, Rayleigh, Grashof and Prandtl numbers, and dimensional parameters of the convection. The results showed that the highest ...

1997-07-01

267

A decision support system to dynamic management of the scheduling workover rigs for onshore Potiguar Basin; Um sistema de apoio a decisao para o gerenciamento dinamico das sondas de producao terrestre da Bacia Potiguar

Much of the current technology on 3D-prestack depth migration is based on the Kirchhoff method and the traveltime information needed for this purpose is obtained by the ray-theory approximation. The main motivation driving these options is to reduce computations but it can also have an adverse effect on the quality of results. Experience with real data indicates that the corresponding poststack data migrated by the reverse-time method often yields superior results. Considerable computational efficiency can be obtained by employing nonuniform coarse grid spacing during the reverse-time migration. We followed this strategy for developing a parallel scheme for doing 3D- prestack depth migration. However, we worked only on a small subset of shot gathers whose determined by the Quasi-Monte Carlo method. The results were indistinguishable from those obtained by using a much larger population of uniformly spaced shot gathers. We present examples of migration of 3-D data. (author)

1997-07-01

268

Research of the ecosystem in coastal Baltic waters. Trace analysis under prior consideration of selenium and molybdenum. Final report; Oekosystemforschung in Litoralgewaessern der Ostsee. Spurenanalytik unter besonderer Beruecksichtigung von Selen und Molybdaen. Schlussbericht

The onshore Potiguar basin has nowadays around 5.000 artificial lifting petroleum wells, distributed into 80 fields located on the states of Rio Grande do Norte and Ceara, representing approximately 8% of the national oil production. For that, well maintenance service, realized by Workover Rigs, is essential to preserve the oil productivity of the reservoirs on these fields. However, as the number of rigs is lower than to the number of wells needing maintenance, the task of administrating the management of such equipment according to the demand created by the wells, generates an optimization problem. The decision for a rig intervention on a well depends on parameters such as flow rate, depth, wasted time on intervention, distance from the rig to the next well, type of operation, rig capacity, environmental risks, etc. The objective of this paper is to present an interactive Computational System for Support Decision to the optimized management of the wells attended by the rig fleet. ...

2004-07-01

269

Local ablading therapy methods in case of liver metastases of colorectal carcinoma; Lokal abladierende Therapieverfahren bei Lebermetastasen kolorektaler Karzinome

To study the biogeochemical behaviour, mobility and transport of trace metals in seawater (Se, Mo, Cd, Pb, Hg, Cu, Co, Fe, Ni, Zn), in suspended particulate matter (Mo, Cd, Pb, Cu, Co, Fe, Ni, Zn, Al, Mn) and in sediments of the inner and outer coastal regions, samples were collected on 3 separate cruises during a one year period (Mai 1993 - April 1994) at 20 stations in the coastal area of Mecklenburg-Vorpommern. Standard hydrographic parameters, nutrients and dissolved oxygen were also measured. Priority was taken to establish the methods for the determination of molybdenum and selenium. To study the behaviour of these two elements in detail, longterm measurements were carried out weekly between January 1993 and June 1994 at the `Messsteg/Warnemuende`. Because of parallel measurements correlations to biological, chemical and hydrographic parameters have been tested. The total database is summarized in the Appendix. The results are presented in 30 figures and 13 tables and are ...

1995-04-01

270

Impacts of grain structure and texture on the high-temperature fatigue in ODS superalloys; Einfluss der Kornstruktur und der Textur auf die Hochtemperaturermuedung von ODS-Superlegierungen

Clinical studies have proved the effectiveness of local ablading methods in pations with non-resectable liver metastases of a colorectal carcinoma. RF ablation and LITT are a potentially curative therapy option and an alternative to systemic chemotherapy; the latter is carried out primarily for reducing tumour size with the goal of secondary resectability. The number of R0-sesectable metastases can be enhanced by a combined therapy of surgery and local ablading methods, e.g. by preoperative, intraoperative or postoperative ablasion of further non-resectable tumours during surgery. Systemic chemotherapy combined with surgery as an adjuvant method is not recommended unless in cases of non-abladable tumour recidivation. Currently, systemic chemotherapy is used as a neo-adjuvant therapy for tumour size reduction with the goal of secondary resectability or, in case of inoperability, local ablation. (orig.) [German] Abladierende Verfahren. Klinische Studien belegen die Effektivitaet der ...

2003-03-01

271

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

The study examines the isothermal fatigue properties of novel ODS iron-base or nickel-base superalloys at temperatures of 850 C and 1050 C. The materials are different in grain structure and texture, so that particularly the effects of grain structures and textures can be studied. In order to also perform examinations of creep-fatigue interactions, various load cycles are applied. It is shown that the LCF-affected life of the grain structures of both alloy types is determined by the elastic modulus. The cyclic lifetimes determined by the conventional Manson-Coffin method for both alloy types exhibit differences of up to two orders of magnitude. Using the product of the total strain range and the elastic modulus, however, will yield precise life predictions. Under conditions of LCF stress only, the grain structure has no effect on the materials` service life, other than in the case of creep-fatigue, but the grain structure has a decisive influence on the damage mechanisms and the course ...

1995-12-31

272

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

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

2011-02-23

273

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

274

Use of misoprostol for induction of labour in unvaorable cervix in eclampsia

Use of acupuncture therapy as a supplement to conventional medical treatments for acute ischaemic stroke patients in an academic medical centre in Korea

Objective: To find out safety and efficiency of Misoprostol in cervical ripening and induction of labour to achieve vaginal delivery. Results: From Misoprostol insertion to delivery time was 4-24 hours. Vaginal delivery was achieved in 80.2%, which included spontaneous, forceps and vacuum extraction. Caesarean section rate was 19.7%. Indications for C. Section included Misoprostol unresponsiveness 11% and fetal distress in 8.6%. Oxytocin augmentation was required in 32% of cases. Term babies were 58%. Intrauterine death and neonatal deaths were 9.8% and 8.6% respectively. Hyper stimulation and postpartum haemorrhage was seen in 2.4% and 3.7% of patients respectively. Conclusion: intravaginal Misoprostol is well tolerated and is very effective for the induction of labour in eclampsia. It helps vaginal delivery in toxemic patients, reduces maternal morbidity, mortality and hospital stay. (author)

2004-01-01

275

British Library Electronic Table of Contents (United Kingdom)

Objectives: Acupuncture has served as a major complementary and alternative therapy that supplements conventional medicine and is the subject of growing public interest. This study was conducted to estimate the usage rate of acupuncture as a supplemental treatment in acute ischaemic stroke patients and to identify factors associated with the choice to use this therapy. Methods: Using the registry of stroke patients admitted to an academic medical centre in Korea, the use of acupuncture therapy was recorded and analysed, along with the patients' socio-demographic characteristics, hospital access variables, risk factors for ischaemic stroke and clinical characteristics. The data were analysed using descriptive statistics, chi-square tests and multiple logistic regression analyses. Results: O...

2011-01-01

276

Urticaria due to Urtica dioica in a neonate

British Library Electronic Table of Contents (United Kingdom)

Urticaria is one of the most common dermatoses during the childhood, but it is very rare in the neonates. A 17-day-old infant with a generalized urticaria was admitted to our pediatric emergency unit. The mother of the infant reported having applied water boiled with stinging nettle (Urtica dioica) onto her nipples twice a day (before and after each breastfeeding) for 2?days in order to heal her nipple cracks. Serum total immunoglobulin E (IgE) and specific IgE levels for stinging nettle were high in the infant and the mother. The rashes began to regress within the first day of the hospitalization and disappeared completely on the second day without treatment. The skin prick test with the water boiled with stinging nettle was positive for the infant with significant induration, but not for...

2011-01-01

277

Total skin electron beam therapy in mycosis fungoides. Evaluation of a technique for deceleration of electron beam energy and clinical study

Total skin electron beam therapy in mycosis fungoides

The studies using phantoms confirmed that the reduction of electron beam energy and minimization of X-ray contamination could be achieved when electron beam was interposed by an acrylic plate placed 20 cm anterior to a patient. Four patients of mycosis fungoides were treated with 8 MeV electron beam of a linear accelerator at UOEH Hospital from October 1981 to December 1986. Two of them were treated with this technique by placing 2 cm thick acrylic plate anterior to the patients and satisfactory results were obtained. Cutaneous lesions subsided remarkably with the dosage of 2000 cGy given in 2 months. Leucopenia due to bone marrow suppression was mild and the patients tolerated the treatment well.

1988-08-01

278

The epidemiology of Graves' disease: Evidence of a genetic and an environmental contribution

The studies using phantoms confirmed that the reduction of electron beam energy and minimization of X-ray contamination could be achieved when electron beam was interposed by an acrylic plate placed 20 cm anterior to a patient. Four patients of mycosis fungoides were treated with 8 MeV electron beam of a linear accelerator at UOEH Hospital from October 1981 to December 1986. Two of them were treated with this technique by placing 2 cm thick acrylic plate anterior to the patients and satisfactory results were obtained. Cutaneous lesions subsided remarkably with the dosage of 2000 cGy given in 2 months. Leucopenia due to bone marrow suppression was mild and the patients tolerated the treatment well. (author).

279

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Previous family and twin studies have indicated that Graves' disease has a heritable component. Family studies have also shown that some autoimmune disease cluster in families and genetic studies have been able to show shared susceptibility genes. In the present nation-wide study we describe familial risk for Graves' disease among parents and offspring, singleton siblings, twins and spouses with regard to age of onset, gender and number and type of affected family members. Additionally familial association of Graves' disease with any of 33 other autoimmune and related conditions was analyzed. The Swedish Multigeneration Register on 0-75-year-old subjects was linked to the Hospital Discharge Register from years 1987-2007. Standardized incidence ratios (SIRs) were calculated for individuals ...

2010-01-01

280

The antimicrobial efficacy of a silver alginate dressing against a broad spectrum of clinically relevant wound isolates

British Library Electronic Table of Contents (United Kingdom)

Wound dressings impregnated with silver have a role to play in aiding to reduce both the dressing and wound microbial bioburden. It is therefore imperative that antimicrobial wound dressings have efficacy on a broad range of clinical significant microorganisms. Accordingly, this study aimed to determine the antimicrobial efficacy of a silver alginate dressing against 115 wound isolates that had been isolated routinely from patients at West Virginia University Hospital. Standardised corrected zones of inhibition (CZOIs) were performed on all clinical isolates. It was found that the silver alginate dressing was able to inhibit the growth of all microorganisms tested. In particular, the silver alginate dressing inhibited the growth of Candida albicans and yeasts with CZOI of 3-115 mm. All met...

2011-01-01

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281

The Negative Effect of Triple-Negative Breast Cancer on Outcome after Breast-Conserving Therapy

British Library Electronic Table of Contents (United Kingdom)

Purpose To evaluate disease failure patterns and overall survival (OS) of women with triple-negative (TN) breast cancer who underwent breast-conserving therapy (BCT) and to understand the relationship of TN tumors with other prognostic factors. Patients and Methods The Surveillance, Epidemiology, and End Results (SEER) registry identified 562 women diagnosed and/or treated with unilateral invasive breast cancer during 2003?2004 at three Emory hospitals. After medical record review, 193 eligible women, with all tumor types, received BCT. Primary endpoints (local, regional, and distant recurrences) and secondary endpoint (OS) were evaluated using chi-square tests and Cox proportional hazards models. Results Of the 193 women, 33 (17.1%) had TN tumors and 160 (82.9%) had non-TN tumors. Patient...

2011-01-01

282

The Assisi landslide monitoring: a multi-year activity based on geomatic techniques

British Library Electronic Table of Contents (United Kingdom)

A wide area of the Assisi town, in Umbria (central Italy), is interested since its first edification (1950?1960) by an extensive landslide. The rate of motion is very slow (around 1?cm/year), but the deformations accumulated for almost 60?years have produced considerable damage to many private and public buildings, including the civic hospital and an important Franciscan monastery. The University of Perugia established in 1995 a geodetic monitoring network over the Assisi landslide, connecting a number of control points inside the moving area to an external reference network with markers placed on stable geological formations. The monitoring has been based since the beginning on GPS satellite positioning with static observations, aiming to obtain a three-dimensional accuracy of about 1?cm ...

2011-01-01

283

Targeted doctors, missing patients: Obstetric health services and sectarian conflict in Northern Pakistan

British Library Electronic Table of Contents (United Kingdom)

The spectre of exclusionary medical service provision, restricted clinic access and physician targeting in sectarian-divided Iraq underscores the crucial and timely need for qualitative research into the inter-relationship between conflict, identity and health. In response, this paper provides a critical ethnography of obstetric service provision and patient access during Shia-Sunni hostilities in Gilgit Town, capital of Pakistans Northern Areas (2005). I analyse how services were embedded in and constrained by sectarian affiliation in ways that detrimentally impacted Sunni women patients and hospital staff, resulting in profoundly diminished clinic access, reduced physician coverage and a higher observed incidence of maternal morbidity and mortality. The paper first situates obstetric med...

2010-01-01

284

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

Sub-Tenons anesthesia with aspirin, warfarin, and clopidogrel

The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children. (orig.)

2009-10-15

285

British Library Electronic Table of Contents (United Kingdom)

PurposeTo review the frequency of hemorrhagic complications with sub-Tenons anesthesia in patients on aspirin, warfarin or clopidogrel.SettingSt. Jamess University Hospital, Leeds, United Kingdom.MethodsData were collected prospectively for patients having elective phacoemulsification under sub-Tenons anesthesia. Seventy-five patients were on aspirin, 65 were on warfarin, and 40 were on clopidogrel. Seventy-five patients on no anticoagulants were used as the control group. No changes in the anticoagulant regimen were made prior to surgery.ResultsNo sight-threatening hemorrhagic complications were noted, and no surgery was postponed or cancelled due to an anesthesic complication. Subconjunctival hemorrhage occurred in 19% in the control group, 40% in the clopidogrel group, 35% in the warfar...

2006-01-01

286

British Library Electronic Table of Contents (United Kingdom)

PurposeTo conduct a retrospective analysis within a large university teaching hospital, comparing outcomes between patients receiving either radical surgery or radiotherapy as curative treatment for bladder cancer.Patients and MethodsBetween March 1996 and December 2000, 169 patients were treated radically for muscle-invasive bladder cancer. Data were collected from patient notes. Statistical analyses were performed using Kaplan-Meier methods and Cox proportional hazards regression analysis to compare radiotherapy and surgical outcome data.ResultsThere was no difference in overall, cause-specific, and distant recurrence-free survival at 5 years between the two groups, despite the radiotherapy group being older (median age, 75.3 years vs. 68.2 years). There were 31 local bladder recurrences...

2008-01-01

287

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

British Library Electronic Table of Contents (United Kingdom)

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

2007-01-01

288

Selective Tibial Neurotomy in the Treatment of Spastic Equinovarus Foot in Hemiplegic Patients: A 2-Year Longitudinal Follow-Up of 30 Cases

British Library Electronic Table of Contents (United Kingdom)

Deltombe T, Gustin T. Selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients: a 2-year longitudinal follow-up of 30 cases. Objective To assess the long-term efficacy of selective tibial neurotomy in the treatment of spastic equinovarus foot in hemiplegic patients. Design Intervention study (before-after trial) with an observational design and 2-year follow-up. Setting Spasticity group in a university hospital. Participants Hemiplegic patients (N=30) with spastic equinovarus foot. Intervention A selective neurotomy was performed at the level of the motor nerve branches of the tibial nerve. Main Outcome Measures Spasticity (Ashworth scale), muscle strength (Medical Research Council scale), passive ankle dorsiflexion, gait parameters (6 min walking test...

2010-01-01

289

Role of cerebrospinal fluid pressure in the pathogenesis of glaucoma

British Library Electronic Table of Contents (United Kingdom)

Abstract. The pathogenesis of normal (intraocular) pressure glaucoma has remained unclear so far. As hospital-based studies showed an association of normal-pressure glaucoma with low systemic blood pressure, particularly at night, and with vasospastic symptoms, it has been hypothesized that a vascular factor may play a primary role in the pathogenesis of normal-pressure glaucoma. That assumption may, however, be contradicted by the morphology of the optic nerve head. Eyes with normal-pressure glaucoma and glaucomatous eyes with high-intraocular pressure can show a strikingly similar appearance of the optic nerve head, including a loss of neuroretinal rim, a deepening of the optic cup, and an enlargement of parapapillary atrophy. These features, however, are not found in any (other) vascula...

2011-01-01

290

Retroperitoneal endoscopic adrenalectomy is safe and effective

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground: The aim of this study was to review an experience with retroperitoneal endoscopic adrenalectomy (REA). This is the procedure of choice for adrenal tumours at this institution. Methods: Between 1997 and 2008, 112 REAs were performed in a single university centre. Data were retrieved retrospectively from a prospectively collected database, including information on patient demographics, surgical procedure, complications and hospital stay. Results: One hundred and twelve REAs were carried out successfully in 105 patients, including seven bilateral adrenalectomies. Thirty nine patients with unilateral adrenal disease had a phaeochromocytoma, of whom 16 had multiple endocrine neoplasia syndrome type 2, 21 patients had Cushing's disease and 20 had Conn's disease. Median body m...

2010-01-01

291

RIFLE Criteria for Cardiac Surgery-Associated Acute Kidney Injury: Risk Factors and Outcomes

British Library Electronic Table of Contents (United Kingdom)

The aims of this study were to identify risk factors and evaluate the association with clinical outcomes of postoperative cardiac surgery-associated acute kidney injury (CSA-AKI). Data from 2488 consecutive adult patients were analyzed. Patients were classified as having CSA-AKI based on the risk, injury, failure, loss of kidney function, and end-stage kidney disease (RIFLE) criteria using peak postoperative creatinine in the postoperative intensive care unit (ICU). Multiple stepwise logistic regression analysis was used to identify independent risk factors for CSA-AKI. CSA-AKI occurred in 584 patients (23.5%). CSA-AKI patients had significantly longer aortic cross-clamp and cardiopulmonary bypass times. Furthermore, CSA-AKI patients had higher hospital mortality (5.5% vs 1.5%, PCopyright2...

2010-01-01

292

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

British Library Electronic Table of Contents (United Kingdom)

Objectives Vietnamese patients? views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients? impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patient-centered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24?h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting ...

2010-01-01

293

Penile injury and effect on male sexual function

British Library Electronic Table of Contents (United Kingdom)

Summary Penile injury is common as an emergency and should be accurately diagnosed and treated. We analysed 22 patients with penile injury admitted to the emergency unit of Dubrava University Hospital during a 4-year period. According to the American Association for the Surgery of Trauma five-grade classification of penile injuries, there were 14 grade I, 6 grade II and 2 grade III cases. Diagnosis was mainly based on clinical and ultrasonography findings, and in some cases on cavernosography. Nineteen patients underwent immediate surgery and three patients received conservative therapy. On outpatient follow up, sexual function was assessed by use of the 5-item International Index of Erectile Function (IIEF-5) test at 3 and 12-months of injury. At 3-month follow up, moderate, mild and no e...

2011-01-01

294

Patient empowerment: Emancipatory or technological practice?

British Library Electronic Table of Contents (United Kingdom)

Objective: To describe the meaning of the theme of empowerment from research on health promotion in nursing from the perspective of nurses participating in the study. Methods: Manual data analysis and QSR NUD*IST Vivo were used to analyse the data generated by individual and focus group interviews and the critical incident technique with 32 qualified nurses working in an acute hospital setting in the UK. Results: The participants identified a number of issues related to the theme of empowerment. These included the nurse as patient informer, psychological supporter and rapport builder and the concepts of informed choice/decision making, gatekeeping, coping, patient assertiveness, self-esteem and confidence. Conclusion: Empowerment is a complex, multi-dimensional, contested concept which can...

2010-01-01

295

Outcome for Gram-negative bacteraemia when following restrictive empirical antibiotic guidelines

British Library Electronic Table of Contents (United Kingdom)

Introduction: Restrictions in prescribing broad spectrum antimicrobials have been part of a strategy to reduce Clostridium difficile cases in the UK in recent years. However, there has been little work on assessing the safety of alternative antimicrobial agents. Methods: We performed an uncontrolled prospective observational survey over a 1-year period to determine the effectiveness and safety of a new antimicrobial stewardship programme in a district hospital in the UK. Results: In total, 227 Gram-negative bacteraemias (203 episodes) occurred in the study period. Guidelines were adequate in 194 of 203 (95%) episodes and 163 episodes (80.2%) received adequate therapy. Patients in the inadequate therapy group had >2-fold increased likelihood of death [odds ratio (OR) = 2.63, 95% confidence ...

2011-01-01

296

Onset of epilepsy and menarche-Is there any relationship?

British Library Electronic Table of Contents (United Kingdom)

SummaryPurposeWomen with epilepsy have increased frequency of reproductive health problems compared to women without epilepsy. In puberty, reproductive hormonal changes during sexual maturation may affect epilepsy and induce the debut of seizures as indicated in some studies. On the other hand, epileptic activity affects sex hormone function, which may induce alterations in pubertal endocrine maturation and thereby menarche age. We wanted to investigate the relation between epilepsy and menarche age in a larger population of female epilepsy patients.MethodsA retrospective, questionnaire study of a cohort of 265 female outpatients from three Norwegian hospitals and 142 controls, aged 18-45 years was conducted. Parameters regarding epilepsy and reproductive health issues were registered. Per...

2006-01-01

297

Nutrition and diet services actuation

Natural remedy use in a prospective cohort of breast cancer patients in southern Sweden

The paper stresses the difficulties to establish nutritional standard due to the fact that non-existent previous parameters because it is an new type of accident, becoming necessary an elaboration and use of nutritional plans coherent with probable demands, needs and complications of the patients. It is shown how that was accomplished without any prejudice to the other inpatients. The role of the nutritionists in all evolutional phase of the contaminated persons is described ed, introducing many types of diets used in accordance with individual and general demands. One case in which parenteral nutrition was utilized is analysed. The patients discharge from hospital conditions is explained and was a fact that all patients gained weight, concluding the writer says that was not possible to perform a deeper evaluation because of the great risk of contamination always present. (author).

298

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Abstract Background. Complementary and alternative medicine (CAM) use is common among breast cancer patients. Several CAM therapies may have negative side effects or interact with conventional therapies. We studied biologically based CAM use with and without vitamins/minerals in relation to patient and tumor characteristics as well as treatment in an ongoing prospective cohort of 855 primary breast cancer patients. Methods. Patients from two hospitals in southern Sweden were included. Pre-operative and follow-up questionnaires containing questions on food intake, lifestyle, and concomitant medications, including natural remedies, were completed up to five years postoperatively. Clinical information was obtained from clinical records and tumor characteristics from pathology reports. Results...

2011-01-01

299

Mottling score predicts survival in septic shock

British Library Electronic Table of Contents (United Kingdom)

Background Experimental and clinical studies have identified a crucial role of microcirculation impairment in severe infections. We hypothesized that mottling, a sign of microcirculation alterations, was correlated to survival during septic shock. Methods We conducted a prospective observational study in a tertiary teaching hospital. All consecutive patients with septic shock were included during a 7-month period. After initial resuscitation, we recorded hemodynamic parameters and analyzed their predictive value on mortality. The mottling score (from 0 to 5), based on mottling area extension from the knees to the periphery, was very reproducible, with an excellent agreement between independent observers [kappa?=?0.87, 95% CI (0.72?0.97)]. Results Sixty patients were included. The SOFA scor...

2011-01-01

300

Locally invasive lymphangiosarcoma in a young domestic shorthair

British Library Electronic Table of Contents (United Kingdom)

A 2-year-old, female spayed, domestic shorthair cat presented to the University of Missouri-Veterinary Medical Teaching Hospital (UMC-VMTH) with an approximately 11-month history of fluid-draining pockets along her ventral thorax and axillae. The skin in these regions was erythematous, and multiple areas drained a serous to serosanguinous fluid. Fluid-filled, nodules formed along the ventrum, but these nodules disappeared as fluid drained spontaneously. Histologic assessment of skin biopsies revealed areas of vascular proliferation extending along the deep margin of the section and rare instances of invasion into the superficial dermis. These vascular channels were devoid of cells, lined by variably pleomorphic endothelial cells which had a low mitotic index. Based on the mild to moderate ...

2011-01-01

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301

Laparoendoscopic single-site (LESS) retroperitoneal adrenalectomy using a homemade single-access platform and standard laparoscopic instruments

British Library Electronic Table of Contents (United Kingdom)

Background This study aimed to evaluate laparoendoscopic single-site (LESS) adrenalectomy via the retroperitoneal approach using the Alexis wound retractor with standard laparoscopic instrumentation. Methods Since October 2009, seven LESS retroperitoneal adrenalectomies have been completed successfully with a homemade single port created using an Alexis wound retractor as an access platform through a 3-cm incision beneath the tip of the 12th rib. Results All the LESS procedures for these seven patients with adrenal tumors (size, 1.3?6.0?cm; 4 right, 1 left) were completed successfully without traditional laparoscopic conversion or complication. The average operative time was 159?min, and the estimated blood loss was 100?ml. The average hospital stay was 2?days (range, 1?3?days). Conclusion...

2011-01-01

302

Japan Renal Biopsy Registry: the first nationwide, web-based, and prospective registry system of renal biopsies in Japan

British Library Electronic Table of Contents (United Kingdom)

Background The Committee for the Standardization of Renal Pathological Diagnosis and the Working Group for Renal Biopsy Database of the Japanese Society of Nephrology started the first nationwide, web-based, and prospective registry system, the Japan Renal Biopsy Registry (J-RBR), to record the pathological, clinical, and laboratory data of renal biopsies in 2007. Methods The patient data including age, gender, laboratory data, and clinical and pathological diagnoses were recorded on the web page of the J-RBR, which utilizes the system of the Internet Data and Information Center for Medical Research in the University Hospital Medical Information Network. We analyzed the clinical and pathological diagnoses registered on the J-RBR in 2007 and 2008. Results Data were collected from 818 patien...

2011-01-01

303

Indoor climate seminar; Sisaeilmastoseminaari

In vitro susceptibility of enterococci strains isolated from urine samples to fosfomycin and other antibiotics

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

1989-12-31

304

British Library Electronic Table of Contents (United Kingdom)

Enterococci are mostly isolated from urinary tract infections (UTIs). Increasing antibiotic resistance affects the success rate in empirical treatment, thus makes antibiotic susceptibility tests important. The aim of this study was to determine the species distribution and resistance patterns of Enterococcus strains isolated from urine samples to antibacterial agents including fosfomycin in a teaching hospital, Istanbul. The identification of 100 Enterococcus strains were determined by using conventional methods and API 20 Strep (bioMerieux France). The susceptibility testing was performed by disk diffusion and Etest. The majority of isolates were E. faecalis (67%), followed by E. faecium (33%). The ratio of E. faecalis to E. faecium was 2.03/1. E. faecalis and E. faecium strains were resi...

2011-01-01

305

Ewing's Sarcoma : a study of 38 cases

Evaluation of routine telephone transmission of nuclear medicine studies

A retrospective study of Ewing's Sarcoma at The Armed Forces Malignant Diseases Treatment Centre, Command Hospital, Pune, is presented. A total of 38 cases over a period of thirteen years have been studied. Males predominate slightly, and the common age group on presentation has been in the second and third decade. Humerus, pelvis and femur are the bones commonly affected. The initial line of management has been primarily radiotherapy, which has been over the years supplemented by combination chemotherapy. All the cases achieved remission, though only 32 cases (84 per cent) had complete remission, and the remaining only partial remission. The overall survival in those offered aggressive therapy has been over 50 per cent in two years. The present policy in the management of these cases is discussed. (author). 4 tabs.

306

Evaluation of digital radiography (Fuji computed radiography) for portable chest radiographs in ICU

Rapid and reliable transmission of nuclear medicine studies using conventional telephone lines and commercially available modems and computer systems has been accomplished through use of software developed within the authors' hospital. Original digital images of all-night and weekend studies, acquired on any of the acquisition computers from different manufacturers, are now routinely sent for remote reading at the physician's home. Data, software, and letters are routinely exchanged using modems and standard telephone lines with a sister institution in Haifa, Israel. The software has been designed to achieve no loss data compression and minimal turnaround time loss. Thus, an average lung perfusion image or gallbladder study requires about 1-3 minutes of transmission time. Full analysis and display software is available on the remote computer.

1989-01-01

307

Evaluation of digital radiography (Fuji computed radiography) for portable chest radiographs in ICU

To evaluate the usefulness of portable chest radiographs by Fuji computed radiography (FCR) in ICU, FCR radiographs of 56 patients who were admitted to General Intensive Care Unit of Keio University Hospital were compared with the conventional portable images. Because FCR could show two differently processed images in one film and allowed a wide range of image reproduction, visualization of the trachea, bone soft tissues and catheters by FCR was easier than that by the conventional radiography. Repeated radiographs by FCR had similar optical densities and limited exposure errors. Furthermore, radiation was reduced than that of the conventional radiography. In conclusion, FCR is thought to be a useful technique for portable chest radiography in ICU patients. (author).

1992-12-01

308

Evaluation of diagnostic digital radiography of the chest in comparison with conventional chest x-ray films

To evaluate the usefulness of portable chest radiographs by Fuji computed radiography (FCR) in ICU, FCR radiographs of 56 patients who were admitted to General Intensive Care Unit of Keio University Hospital were compared with the conventional portable images. Because FCR could show two differently processed images in one film and allowed a wide range of image reproduction, visualization of the trachea, bone soft tissues and catheters by FCR was easier than that by the conventional radiography. Repeated radiographs by FCR had similar optical densities and limited exposure errors. Furthermore, radiation was reduced than that of the conventional radiography. In conclusion, FCR is thought to be a useful technique for portable chest radiography in ICU patients. (author).

1992-01-01

309

Esophageal Complications Following Aluminium Phosphide Ingestion: An Emerging Issue Among Survivors of Poisoning

Digital radiography for diagnosis of chest diseases using Fuji Computed Radiography (FCR) was evaluated. The results were as follows; 1. Compared to the conventional chest X-ray films, various types of image enhancement could be made by manipulation of the digital information such as tone conversion, spatial frequency modification etc. 2. Digital radiography lessens the X-ray exposure dose and will ultimately permit speedy transmission of image data from outlying clinics to central processing hospitals. 3. Digital radiographic images are useful in chest X-ray diagnosis especially in mass surveys for lung cancer and in primary care medicine because of its full imaging capability. (author).

1983-01-01

310

British Library Electronic Table of Contents (United Kingdom)

Aluminium phosphide ingestion is the most common agricultural poisoning in suburban and rural India and with a high mortality rate. Among survivors of acute poisoning there are recent sporadic reports of esophageal complications such as esophageal strictures and tracheo-esophageal fistula. The present study was carried out to determine the incidence, natural history, and treatment outcome of local esophageal complications in survivors of aluminium phosphide poisoning with complaints of dysphagia. All confirmed cases of poisoning with aluminium phosphide ingestion were admitted in Hamidia Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India, from October 2007 to October 2008. Survivors with complaints of dysphagia underwent a barium study and upper gastrointestinal endoscopy to d...

2010-01-01

311

Emergency medicine in Oman: current status and future challenges

British Library Electronic Table of Contents (United Kingdom)

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

2009-01-01

312

Efficacy and safety of certolizumab pegol in an unselected crohn's disease population: 26-week data of the FACTS II survey

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground: Certolizumab pegol (Cimzia, CZP) was approved for the treatment of Crohn's disease (CD) patients in 2007 in Switzerland as the first country worldwide. This prospective phase IV study aimed to evaluate the efficacy and safety of CZP over 26 weeks in a multicenter cohort of practice-based patients. Methods: Evaluation questionnaires at baseline, week 6, and week 26 were completed by gastroenterologists in hospitals and private practices. Adverse events were evaluated according to World Health Organization (WHO) guidelines. Results: Sixty patients (38F/22M) were included; 53% had complicated disease (stricturing or penetrating), 45% had undergone prior CD-related surgery. All patients had prior exposure to systemic steroids, 96% to immunomodulators, 73% to infliximab, and...

2011-01-01

313

Effectiveness of different music-playing devices for reducing preoperative anxiety: A clinical control study

British Library Electronic Table of Contents (United Kingdom)

Background: While waiting for surgery, patients often exhibit fear and anxiety. Music is thought to be an alternative to medication to relieve anxiety. However, due to concerns about infection control, devices other than headphones may be considered for this purpose. Objectives: The purpose of this study was to determine the anxiety-relieving effect of broadcast versus headphone music playing for patients awaiting surgery. Design: A randomized controlled clinical study. Setting: The waiting area of an operating theater of a metropolitan teach hospital in Taiwan. Participants: Alert adult with age between 20 and 65 years old waiting for surgery without premedications. Methods: A total of 167 patients were randomly assigned to the headphone, broadcast and control groups. Both the headphone a...

2011-01-01

314

E-commerce usage and business performance in the Malaysian tourism sector: empirical analysis

British Library Electronic Table of Contents (United Kingdom)

Purpose - Based upon the E-VALUE model developed, this paper aims to investigate the impact of e-commerce usage on business performance in the tourism sector. Design/methodology/approach - A cross-sectional survey is carried out on 165 Malaysian firms involved in the tourism sector (hotels, resorts, and hospitals engaged in health tourism) through the use of a structured questionnaire. Findings - The structural equation modeling results indicate that technology competency, firm size, firm scope, web-technology investment, pressure intensity, and back-end usage have significant influence on e-commerce usage. Among these variables, back-end integration is found to function as a mediator. E-commerce experience (in years) is found to moderate the relationship between e-commerce usage and busin...

2009-01-01

315

Dosimetric considerations for patients with HIP prostheses undergoing pelvic irradiation. Report of the AAPM Radiation Therapy Committee Task Group 63

Digital mammography: more microcalcifications, more columnar cell lesions without atypia

This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the problems arising from the presence of these devices in the radiation beam, to quantify the dose perturbations they cause, and, finally, to provide recommendations for treatment planning and delivery. Some of the data and recommendations are also applicable to patients having implanted high-Z prosthetic devices such as pins, humeral head replacements. The scientific understanding and methodology of clinical dosimetry for these situations is still incomplete. This report is intended to reflect the current state of scientific understanding and technical methodology in clinical dosimetry for radiation oncology patients ...

2003-06-01

316

British Library Electronic Table of Contents (United Kingdom)

The incidence of columnar cell lesions in breast core needle biopsies since full-field digital mammography in comparison with screen-filmed mammography was analyzed. As tiny microcalcifications characterize columnar cell lesions at mammography, we hypothesized that more columnar cell lesions are diagnosed since full-field digital mammography due to its higher sensitivity for microcalcifications. In all, 3437 breast core needle biopsies performed in three hospitals and resulting from in total 55?159 mammographies were revised: 1424 taken in the screen-filmed mammography and 2013 in the full-field digital mammography period. Between the screen-filmed mammography and full-field digital mammography periods, we compared the proportion of mammographies that led to core needle biopsies, the...

2011-01-01

317

Diet and incident venous thromboembolism: The Iowa Women's Health Study

British Library Electronic Table of Contents (United Kingdom)

Background Little is known about the role of diet in the development of venous thromboembolism (VTE). We explored the prospective relation of dietary patterns, food groups, and nutrients to incident VTE in older women. Methods In 1986, Iowa women aged 55 to 69 years completed a mailed survey, including a 127-item food frequency questionnaire. These data were linked to Medicare data from 1986 to 2004, and International Classification of Diseases discharge codes were used to identify hospitalized VTE cases. Cox regression analyses evaluated relations of 2 principal components?derived dietary patterns, 11 food groups, and 6 nutrients to VTE, adjusted for age, education, smoking status, physical activity, and energy intake. Results Over 19 years of follow-up, 1,950 of the 37,393 women develope...

2009-01-01

318

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

Cost minimization analysis for combinations of sampling techniques in bronchoscopy of endobronchial lesions

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

1988-01-01

319

British Library Electronic Table of Contents (United Kingdom)

SummaryBackground The choice of sampling techniques in bronchoscopy with sampling from a visible lesion will depend on the expected diagnostic yields and the costs of the sampling techniques. Aims The aim of this study was to determine the most economical combination of sampling techniques when approaching endobronchial visible lesions. Methods A cost minimization analysis was performed. All bronchoscopies from 2003 and 2004 at Haukeland university hospital, Bergen, Norway, were reviewed retrospectively for diagnostic yields. 162 patients with endobronchial disease were included. Potential sampling techniques used were biopsy, brushing, endobronchial needle aspiration (EBNA) and washings. Costs were estimated based on registration of equipment costs and personnel costs. Sensitivity analyse...

2009-01-01

320

Correlation of myocardial TC-99m-MIBI perfusion SPECT with coronary angiography in Namazi hospital

Comparison of Plasma Antioxidant Levels and Related Metabolic Parameters Between Smokers and Non-smokers

Coronary heart disease is the leading cause of death specially among elderly. Coronary angiography is the best diagnostic method in the patients, but is unfortunately an invasive procedure with its inherent risks. Myocardial perfusion scan is a noninvasive and sensitive method for evaluation of Coronary artery disease and is suggested by many investigators in recent years. In this study, 64 patients who had a Tc99m-MIBI SPECT myocardial perfusion study at our department, underwent coronary angiography within 4 months. Correlation of the methods revealed that SPECT Tc99m -MIBI had a high sensitivity and specificity in our hand, which is comparable with international findings.

2004-04-27

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321

British Library Electronic Table of Contents (United Kingdom)

The relationship between cigarette smoking and cell damage is complicated, particularly considering the role of oxidative stress. The aim of this study was to identify the relationships among plasma nicotine metabolites, lipophilic antioxidants, and metabolic parameters in smokers and non-smokers. This cross-sectional study recruited 100 subjects who visited the Department of Family Medicine at Kaohsiung Medical University Hospital. Excluding 14 ineligible cases, 46 smokers and 40 non-smokers were enrolled. Plasma nicotine metabolites, lipophilic antioxidants (including retinol, lycopene, a-carotene, b-carotene, d-tocopherol, g-tocopherol and a-tocopherol), related metabolic parameters, and body composition (including height, weight, body mass index, body fat, and waist circumference) were...

2009-01-01

322

Comparison of Effectiveness and Safety of Ranolazine Versus Amiodarone for Preventing Atrial Fibrillation After Coronary Artery Bypass Grafting

British Library Electronic Table of Contents (United Kingdom)

Atrial fibrillation (AF) is common after coronary artery bypass grafting (CABG) and increases the morbidity and cost. Amiodarone reduces AF after CABG. Ranolazine, an antianginal agent, also prolongs atrial refractoriness and inhibits after depolarizations and triggered activity; effects that could decrease AF after CABG. The present study compared amiodarone versus ranolazine for the prevention of AF after CABG. A retrospective cohort study of patients undergoing CABG at Aspirus Hospital from June 2008 to April 2010. The patients received either amiodarone (400 mg preoperatively followed by 200 mg twice daily for 10 to 14 days) or ranolazine (1,500 mg preoperatively followed by 1,000 mg twice daily for 10 to 14 days). The primary end point was any identified AF after CABG. A total of 393 ...

2011-01-01

323

Calculation of the air flow, air quality and the thermal comfort in an operating room. Berekening van de luchtstroming, luchtkwaliteit en het thermisch comfort in een operatiekamer

Brief laboratory report: surgical drape flammability.

By means of a numerical simulation model (PHOENICS) the air flow and the distribution of the air concentration in an operating room of an hospital have been calculated. Comparisons were made for 11 different conditions (m[sup 3]/h air flow, speed of the air supply in the centre, the middle and outside of the room), of which six cases are discussed in this article, in order to optimize the air flow pattern in the room. The calculations were conducted for the so-called Howorth system. It is shown that the inlet velocity profile with a higher inlet velocity in the center zone of the hood gives the best results. The calculated results were validated by some measurements and experiments with smoke. 7 figs., 2 tabs., 8 refs.

1993-04-01

324

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

Fires in the operating room continue to present a hazard to patients, at times with catastrophic and debilitating results. Recent data from closed claim files reveal oxygen, electrosurgical unit (ESU), and surgical drapes are common components of the fire triangle in the operating room. In this era of biotechnological sophistication, why are surgical drapes flammable? The purpose of this study was to test the flammability of different surgical drape materials and to determine the time to ignition using a bipolar ESU device in 21%, 35%, and 100% oxygen concentrations. Results show that regardless of oxygen concentration surgical drapes, when exposed to close contact with the ESU, are flammable. Time to ignition decreases with increasing concentrations of oxygen as expected. One of the surgical drapes tested was advertised to the hospital as nonflammable. Future research should focus on surgical drape materials and aim to reduce the flammability of such items in the ...

2006-10-01

325

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

326

Aspirin Use Is Associated With an Improved Long-Term Survival in an Unselected Population Presenting With Unstable Angina

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground Few published data are available on the benefits of aspirin use in patients with unstable angina (UA). Hypothesis Aspirin use carries a mortality benefit in a population-based cohort of patients presenting with UA. Methods All residents of Olmsted County, Minnesota presenting to local emergency departments with acute chest pain from January 1985 through December 1992 having symptoms consistent with UA were identified through medical records. A total of 1628 patients were identified with UA and were stratified by aspirin use in-hospital and at discharge. Cardiovascular mortality and nonfatal myocardial infarction and stroke were assessed over a median of 7.5 years follow-up and all-cause mortality data over a median of 16.7 years. The mean age of patients with UA was 65 y...

2010-01-01

327

Arterial stiffness is associated with low thigh muscle mass in middle-aged to elderly men

British Library Electronic Table of Contents (United Kingdom)

Objective: Sarcopenia of legs is an important cause of physical dysfunctions, frailty and dependence. Many predisposing and underlying mechanisms of sarcopenia, including age, sedentary life style, oxidative stress, insulin resistance, and low testosterone levels, are also known to be related to atherosclerosis, which is another leading cause of morbidity and mortality in elderly subjects. In this study, we investigated our hypothesis that sarcopenia and atherosclerosis are associated with each other to facilitate mutual abnormalities. Methods: Study was performed in apparently healthy 496 middle-aged to elderly persons recruited consecutively among the visitors to the medical check-up program, Anti-Aging Doc, in a University hospital, from March 2006 to December 2007. Mid-thigh muscle cro...

2010-01-01

328

An Effective Method of Image Retrieval using Image Mining Techniques

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

The present research scholars are having keen interest in doing their research activities in the area of Data mining all over the world. Especially, [13]Mining Image data is the one of the essential features in this present scenario since image data plays vital role in every aspect of the system such as business for marketing, hospital for surgery, engineering for construction, Web for publication and so on. The other area in the Image mining system is the Content-Based Image Retrieval (CBIR) which performs retrieval based on the similarity defined in terms of extracted features with more objectiveness. The drawback in CBIR is the features of the query image alone are considered. Hence, a new technique called Image retrieval based on optimum clusters is proposed for improving user interaction with image retrieval systems by fully exploiting the similarity information. The index is created by describing the images according to their color characteristics, with ...

2010-01-01

329

British Library Electronic Table of Contents (United Kingdom)

Psychological distress and postamputation pain were investigated in a sample of 582 males with long-term limb amputations (mean time since amputation 639.3 months, standard deviation 166.1; range 240-784 months). Prevalence of significant depressive symptoms (Hospital Anxiety and Depression Scale [HADS]-D score?8) was 32.0%, and 34.0% of respondents met the screening criterion for clinical anxiety (HADS-A score?8). Nearly one quarter (24.6%) of respondents reported significant post-traumatic psychological stress symptoms (Impact of Event Scale scores?35). In total, 87.8% experienced either phantom or residual limb pain. Affective distress scores differed according to the respondents' type of pain experience. Respondents who experienced residual limb pain reported significantly hig...

2006-01-01

330

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

British Library Electronic Table of Contents (United Kingdom)

Pyogenic sacroiliitis is a rare entity in children. Diagnosis is often delayed because of its variable clinical presentation, low suspicion by the examining physician, and rare findings on radiographs. Delayed diagnosis, however, results in complications such as iliopsoas abscess. We report the case of a 12-year-old girl hospitalized with a 21-day history of fever, pain in the left iliac fossa, and flexion contracture of the hip. On examination, she had fever (38.9 ^oC), psoitis, localized tenderness at the left sacroiliac joint, and pain elicited by lateral compression of the pelvis. The abdominal examination was normal. The erythrocyte sedimentation rate was 130mm in the first hour, C-reactive protein was 186mg/l, and the white blood cell count was 18,400/mm^3, with 79% neutrophils. Urin...

2010-01-01

331

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

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

332

A retrospective analysis of bilateral fractures over sixteen years: localisation and variation in treatment of second hip fractures

British Library Electronic Table of Contents (United Kingdom)

The aim of this study was the evaluation of contralateral hip fractures after a previous hip fracture. For this retrospective analysis patients were selected from the database of the LUMC, a teaching hospital in the south-west of the Netherlands. We analyzed all patients with a second fracture of a hip between 1992 and 2007. The exclusion criteria were high impact trauma and patients with diseases or medication known to have a negative effect on bone metabolism. A total of 1,604 hip fractures were identified. The possible predictive factors for the second fracture and descriptive statistics related to surgery (Hb and HT before and after the operation, total amount of intra- and postoperative blood loss, type of osteosynthesis, complications, time of death after the last fracture, time betw...

2011-01-01

333

2007 2008 ACADEMIC TRAINING PROGRAMME

CERN Multimedia

LECTURE SERIES 14, 15, 17 January 2008 11:00 to 12:00 - Council Chamber, bldg. 503-1-001 Applications of accelerators to tumour therapy U. AMALDI, TERA Foundation & University of Milano Bicocca The first lecture is devoted to an historical review of the developments of the teletherapy techniques which make use of hadron beams and are collectively called "hadrontherapy". The main emphasis is on the use of protons and light ions, but also neutrons, pions and antiprotons are considered. The second lecture reviews the rationale behind the use of carbon ions in the treatment of radioresistant tumours and the results obtained both with proton and carbon ion beams on the 60 000 patients treated worldwide. The numbers of patients who would profit from hadrontherapy are presented together with the current landscape of running and planned hospital based centres. The main technical challenges set by this therapeutic modality are discussed in the third lecture together ...

2007-01-01

334

Magnetic resonance imaging. Handbook and atlas; Kernspintomographie. Kompendium und Atlas

Time Management in Acute Vertebrobasilar Occlusion

Magnetic resonance imaging (MRI) as a diagnostic imaging tool relies on the generation of magnetic fields, whereas the computerized tomography (CT) uses X-radiation. The fundamental principle of MRI is the magnetic resonance of paramagnetic atomic nuclei. These nuclei, as e.g. protons (= hydrogen nuclei), are aligned in required orientation by application of a strong magnetic field. Upon simultaneous application of an electromagnetic high-frequency field perpendicular to the axis of the basic magnetic field, and in response to periodical changing of the electromagnetic field at a given frequency, the originally aligned paramagnetic nuclei are forced into a movement similar to that of a ``whipping top``. When the resonance frequency is shut off, the nuclei return to their former, aligned positions, inducing a weak signal in a coil. The series of signals generated by multiple repetition of this process of excitation of nuclei and their return to aligned rest is used as input to a ...

1999-10-01

335

Risk of malignant lymphoma in patients with inflammatory bowel diseases: A Dutch nationwide study.

Acute vertebrobasilar occlusion (VBO) is associated with a high risk of stroke and death. Although local thrombolysis may achieve recanalization and improve outcome, mortality is still between 35% and 75%. However, without recanalization the chance of a good outcome is extremely poor, with mortality rates of 80-90%. Early treatment is a fundamental factor, but detailed studies of the exact time management of the diagnostic and interventional workflow are still lacking. Data on 18 patients were retrospectively evaluated. Time periods between symptom onset, admission to hospital, time of diagnosis, and beginning of intervention were correlated with postinterventional neurological status. The Glasgow Coma Scale and National Institute of Health Stroke Scale (NIHSS) were used to examine patients before and after local thrombolysis. Additionally, multivariate statistics were applied to reveal similarities between patients with neurological improvement. Primary ...

2009-03-01

336

Reliability of diagnostic imaging techniques in suspected acute appendicitis: proposed diagnostic protocol; Indicacion de las tecnicas de diagnostico por la imagen en la sospecha de apendicitis aguda: propuesta de protocolo diagnostico

BACKGROUND: Immune suppressant medications such as thiopurines and anti-tumor necrosis factor agents are important for maintaining disease control in most patients with inflammatory bowel diseases (IBDs); however, their use has been associated with the development of malignant lymphoma. The purpose of this Dutch nationwide study was to estimate the relative risk of malignant lymphoma in IBD patients. METHODS: IBD patients who developed a lymphoma between 1997 and 2004 were identified using the Dutch National Database of PALGA. Data from confirmed cases were collected from individual hospitals, including data on Epstein-Barr virus (EBV). The age-adjusted 8-year incidence of malignant lymphoma in the Netherlands was retrieved from the Central Bureau of Statistics. RESULTS: Forty-two hospitals were visited and 285 matches evaluated in the total cohort of 17,834 IBD patients. Forty-four lymphomas were observed, resulting in a relative risk of 1.27 ...

2010-12-22

337

Prevention of panic attacks and panic disorder in COPD.

To study the utility of ultrasound and computed tomography (CT) in case of suspected appendicitis. To determine the diagnostic yield in terms of different clinical contexts and patient characteristics. to assess the costs and benefits of introducing these techniques and propose a protocol for their use. Negative appendectomies, complications and length of hospital stay in a group of 152 patients with suspected appendicitis who underwent ultrasound and CT were compared with those of 180 patients who underwent appendectomy during the same time period, but had not been selected for the first group: these patients costs for each group were calculated. In the first group, the diagnostic value of the clinical signs was also evaluated. The reliability of the clinical signs was limited, while the results with ultrasound and CT were excellent. The incidence of negative appendectomy was 9.6% in the study group and 12.2% in the control group. Moreover, there were fewer ...

2001-07-01

338

Pathological study on autopsy cases at Hiroshima Atomic Bomb Hospital, September 1956 - March 1988

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

2009-09-09

339

Monte Carlo simulation of electron cones used in electron beam therapy

A retrospective review was made of 2,659 autopsy patients obtained during the past 31 years and a half in Hiroshima Atomic Bomb Hospital. Of the patients, 1,328 (49.9%) were A-bomb survivors. Five hundred and six A-bomb survivors (38.1%) had been exposed at up to 2,000 m from the hypocenter. There was no correlation between the incidence of malignancy and the presence of exposure to A-bombing. The incidence of multiple malignancy was slightly higher in A-bomb survivors exposed at the place nearer the hypocenter. In the group of A-bomb survivors, cancer of the lung was the most common for men; and cancer of the stomach was the most common for women. The incidence of malignancy has been high in the exposed group during the early eras of examination; however, this figure has recently become high in the non-exposed group. Regarding the kinds of malignancy, there was no significant difference between the exposed and non-exposed groups. The incidence of leukemia was high ...

1990-03-01

340

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

A Siemens Mevatron KV2 accelerator installed at the Royal Adelaide Hospital employs cylindrical solid-walled electron cones for some electron collimation. The cones being used at present result in treatment fields that do not always conform with the International Electrotechnical Commission (IEC) Standards (particularly at high energies). The aim of this project was to simulate the existing cones using Monte Carlo methods in order to evaluate potential cone modifications required to overcome the field irregularities. Simulations were performed using the EGS4 (Electron Gamma Shower version 4, distribution II) Monte Carlo code installed on a DEC Alpha workstation at the University of South Australia. To rigorously simulate the existing electron cones it was necessary to also simulate various components within the treatment head of the linear accelerator. Results of simulations for existing cones were found to be consistent with experimental data. (obtained from Royal ...

1998-09-01

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341

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

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

2009-02-15

342

Isothermal high-temperature fatigue tests on {gamma}-TiAl in different atmospheres; Isotherme Hochtemperaturermuedungsversuche an {gamma}-TiAl in unterschiedlichen Atmosphaeren

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

2009-02-01

343

Heat management through intelligent components in the cooling system; Waermemanagement durch intelligente Komponenten im Kuehlkreislauf

{gamma} Ti-Al have a higher temperature potential than commercial titanium alloys and a 50 percent lower density than nickel base superalloys. Application temperatures in aircraft turbines are 750 C and above. The authors investigated the high-temperature performance of {gamma} TiAl, i.e. isothermal high-temperature fatigue and the type and importance of damage. LCF experiments were made in the temperature range of brittle/ductile transition in air and vacuum. Damage mechanisms were characterized by microstructural investigations. [German] Unter den modernen Hochtemperaturwerkstoffen kommt den Legierungen auf Basis von {gamma}-TiAl eine zunehmend wichtige Bedeutung zu, da diese Werkstoffe ein hoeheres Temperaturpotential als alle kommerziellen Titanlegierungen haben und eine im Vergleich zu den Nickelbasis-Superlegierungen um ca. 50% geringere Dichte aufweisen. TiAl-Werkstoffe, die z.B. fuer Schaufeln und Gehaeuse in Flugzeugturbinen eingesetzt werden sollen, ...

1999-07-01

344

Feasibility study for new ecolabels for the product group: Wood pellet firings. Final report; Machbarkeitsstudie fuer neue Umweltzeichen fuer die Produktgruppe: Holzpelletfeuerungen. Endbericht

The further optimisation and improvement of the efficiency of internal combustion engines require the realisation of new technologies leading to a distinctively faster warm-up behaviour of the coolant and lubricants as well as of the engine components after a cold start. In order to achieve reduced fuel consumption and exhaust gas emissions with the help of heat management, the design criteria of innovative cooling systems need to be reflected and adapted to future requirements. The use of intelligent components within the cooling system, such as the 'Stand Alone Rotary Valve' as a thermostat's substitute or the use of coolant pumps with a rotary valve integrated into the pump's inlet chamber, offer new ways to realise in a decisively quicker and more flexible way the appropriate heating up and cooling down procedures at varying driving conditions. A description of both of the intelligent components for the cooling system is given in this paper. The ...

2001-07-01

345

Turbine blade protective coat damage; Schutzschichtschaeden an Gasturbinenschaufeln

This assessment is a feasibility study according to ISO 14024. It deals with the question whether an ecolabel is suitable for wood pellet heating systems and how concrete criteria for an ecolabel for wood pellet heating plants could be specified. The study begins with a comprehensive market analysis in order to identify possible plants for which an ecolabel would make sense. In the main part of the study, the environmental relevance of the chosen plants is analysed. For this analysis, plant manufacturers were interviewed and a comparison between wood pellet heating systems and heating systems which use gas, oil or wood was carried out. On the basis of this analysis, it was possible to derive a number of criteria which were discussed with company representatives and other experts in this field. As a result of this dialogue and the investigation process as a whole, the introduction of an ecolabel for wood pellet heating plants can be recommended. Wood pellet heating systems are ...

2002-07-01

346

Thermomechanical fatigue of coated single-crystalline materials; Thermomechanische Ermuedung beschichteter Einkristallwerkstoffe

Damage survey of protective coats of modern gas turbine blade shows that most damages are not due to classic wear mechanisms such as oxydation or high-temperature corrosion but caused by foreign bodies, poor coating during manufacturing, or operation-caused cracks. Mere visual inspection of cracks is often not sufficient to tell whether cracks are superficial or whether they have already progressed into the base material. Non-destructive methods such as ultrasonic inspection or eddy-current testing are helpful tools but there is not yet a fully matured testing concept at hand. Metallographical tests can give important information about crack mechanisms and thermal, chemical and mechanical stresses.(orig.) [German] Die Schadenerfahrung mit Schutzschichten moderner Gasturbinenschaufeln zeigt, dass die meisten Schaeden nicht auf die klassischen Verbrauchsmechanismen wie Oxydation und Hochtemperaturkorrosion zurueckzufuehren sind, sondern durch Fremdkoerper, herstellungsbedingte ...

1998-07-01

347

The specific heat consumption and the loss mechanisms at the nozzle-group regulation of steam turbines; Zum spezifischen Waermeverbrauch und den Verlustmechanismen bei der Duesengruppenregelung von Dampfturbinen

The interdiffusion behaviour of MCrAlY-coats on polycrystalline and single-crystalline materials of a similar composition (IN 738 LC/SC 16)shows similar interdiffusion characteristics. TCF-tests, where stress is generated by temperature and sample geometry at the edges of a disk-shaped sample, show that it is possible to differentiate betwee crack resistance of coated and uncoated samples. This method is also suitable for screening tests with different coat thicknesses. Coating of the edge area must, however, be done with great diligence in order to prevent coat thickness variation as results would then not be reproducable. Contrary to TCF (thermal cycle fatigue) TMF-tests (thermal mechanical fatigue)allow to set the stress states that one wishes to test. This method is therefore well suited for testing under operating conditions.(orig.) [German] Im Rahmen dieser Arbeit wurde gezeigt, dass das Interdiffusionsverhalten von MCrAlY-Schichten auf polykristallinen bzw. ...

1998-07-01

348

Structure and catalysis of highly dispersed hydrodesulfurization catalysts

The nozzle-group regulation of steam turbines plays furtheron an important role in the operation of power stations owing to modern, adaptable control-technical valve timing possibilities. New procedures for a choice-connection of different nozzle areas via the control valves as well as the use of valve laps require, however, a differentiated consideration of the loss mechanism in the inlet area of the turbine, in order to be able to assess and minimize its specific heat consumption also at the operational points outside the layout- and calculation-technically fixed guarantee or valve points, respectively. The basic technical-physical stages to this are explained. (orig.) [Deutsch] Die Duesengruppenregelung von Dampfturbinen nimmt nicht zuletzt dank moderner, anpassungsfaehiger leittechnischer Ventilansteuerungsmoeglichkeiten weiterhin eine bedeutende Stellung beim Betrieb von Kraftwerken ein. Neue Verfahren zur wahlweisen Zuschaltung unterschiedlicher Duesenflaechen ueber die ...

1995-07-01

349

Steam turbine blade damage; Schaeden an Dampfturbinenbeschaufelungen

It is demonstrated that highly dispersed molybdenum sulfide catalysts are prepared by using Mo(CO){sub 6} adsorbed on the support. The structure of ultradispersed molybdenum sulfide is suggested by EXAFS techniques to be different from that of MoS{sub 2}. The TOF of the thiophene HDS is almost invariant with the dispersion of molybdenum sulfide at a high molybdenum dispersion, whereas the TOF of the hydrogenation greatly increases with increasing dispersion. On the basis of the HDS activity and optimum Co/Mo ratio of Co-Mo/Al{sub 2}O{sub 3} catalysts having a variety of molybdenum dispersion fabricated by using carbonyl complexes, it is demonstrated that highly active HDS catalysts are prepared by highly dispersing molybdenum sulfide phases. Edge decorations of molybdenum sulfides by cobalt are suggested for the synergy generation between cobalt and molybdenum sulfides. (orig.) [Deutsch] Unter Verwendung von auf dem Traeger adsorbierten Mo(CO){sub 6} lassen sich hochdispergierte ...

1994-12-01

350

Solar hybrid systems in a residential estate of terraced houses near the Wannsee railway in Berlin; Solare Hybridsysteme in einer Reihenhaus-Wohnanlage an der Wannseebahn in Berlin

Blades of modern steam turbines are designed for high efficiency and operational safety. Modern computer programs enable optimisation of design but factors like manufacturing, assembly, operation and downtimes still play an important role. Damage statistics show that blade damage still quite frequent. Selected cases from the Allianz damage assessment centre show some of the more frequent damage mechanisms. Damage is often caused when several factors come together. Prevention of follow-up damage requires early identification of beginning damage.(orig.) [German] Die Auslegung der Beschaufelung moderner Dampfturbinen hat die Vorgabe, einen hohen Wirkungsgrad bei gleichzeitig hoher Betriebssicherheit zu erreichen. Mit den heute zur Verfuegung stehenden Rechenprogrammen ist eine entsprechende Optimierung realisierbar. Fuer die langzeitige Betriebsbewaehrung haben aber Einflussgroessen aus Fertigung, Montage, Betrieb und Stillstand auch heute noch die gleiche Bedeutung wie in der ...

1998-07-01

351

Scroll compressor for heat pumps in old and new residential buildings; Scroll-Verdichter fuer Waermepumpen zur Wohnraumheizung in Alt- und Neubauten

The aim of the study was to establish by means of a measuring programme how much energy for space heating can be saved by the installed hybrid system. Further, experience with the systems was to be gathered under practical use conditions. As user behaviour can influence space heating energy consumption to an extent having several times the effect of the contribution of the hybrid system, a fact that is also reported in literature, it is not sufficient to measure only space heating energy consumption. So, a unit in one of the terraced houses was scrupulously measured. In the three other terraced houses, only space heating energy consumption was measured.- This final report contains not only a description of the concepts of the buildings and hybrid system but also the energy consumptions measured, and detailed analyses of the budgets. (orig./AKF) [Deutsch] Mit Hilfe eines Messprogrammes sollte ermittelt werden, welche Heizwaermeeinsparung durch das installierte Hybridsystem praktisch ...

1997-08-31

352

Requirements, design and development of a latent heat store for use in vehicles; Anforderungen, Konzeption und Entwicklung eines Latentwaermespeichers fuer den Kraftfahrzeugeinsatz

Heat pumps for residential space heating become an increasingly important alternative to the conventional heating system like gas or oil burner. They offer the opportunity to reduce CO{sub 2} emission associated with heating residential homes in Germany. High compressors efficiency and a wide operating map are required so that an economically viable heat pumps is achieved which meets the operational conditions for present and future heating systems. The design parameter of existing heating systems require relatively high condensing temperatures which can be achieved with dedicated compressor designs. The design of Scroll compressors specially adapted to these heat pumps is shown and their operation is explained. (orig.) [German] Waermepumpen fuer die Wohnraumheizung gewinnen an Bedeutung als Alternative zur konventionellen Gas- oder Oelheizung. Sie bieten die Moeglichkeit, die mit der Gebaeudeheizung verbundene Emission von Kohlendioxid in Deutschland zu reduzieren. Ein hoher ...

2003-07-01

353

Offshore wind power. Position paper of the Minister of the Environment; Windenergienutzung auf See. Positionspapier des Bundesministeriums fuer Umwelt, Naturschutz und Reaktorsicherheit zur Windenergienutzung im Offshore-Bereich

With the development of the latent heat store and its inclusion in the conventional heating control of cars, success has been achieved both in increasing comfort and in making an important contribution to safety of driving. Great store is set in development of the system on its environmental friendliness, for example by the thorough use of environmentally friendly and reusable materials. This also means the use of clean materials. It was shown that the latent heat store (apart from the aspects of comfort and safety of driving) can also make a contribution to saving fuel and reducing the exhaust gas. The sum total of the advantages makes it clear that the latent heat store introduced here is a very environmentally friendly system with multi-functional properties. (orig.) [Deutsch] Mit der Entwicklung des Latentwaermespeichers und seiner Einbindung in die konventionelle Heizungsregelung von Automobilen ist es gelungen, sowohl den Komfort deutlich zu erhoehen als auch einen wichtigen ...

1994-12-31

354

Monitoring of a passive house school building; Erkenntnisse ueber Lueftung und Energieverbrauch sowie Bodenplattendaemmung aus Monitoring-Untersuchungen an einem Passivhaus-Schulgebaeude

The position paper will provide the basis for further strategies on offshore wind power development in consideration of ecological and conservation aspects. [German] Das Positionspapier des Bundesministeriums fuer Umwelt, Naturschutz und Reaktorsicherheit (BMU) einschliesslich des Umweltbundesamtes (UBA) und des Bundesamtes fuer Naturschutz (BfN) ist Ergebnis der Arbeiten der BMU-Projektgruppe 'Windenergienutzung im Offshore-Bereich im Hinblick auf die BMU-Anliegen'. Es beschreibt den derzeitigen Stand einer Strategie zur umwelt- und naturvertraeglichen Erschliessung der Windenergienutzung auf See (Offshore). Es bildet die Grundlage fuer die Weiterentwicklung dieser Strategie und dabei insbesondere zur Abstimmung mit den Anliegen anderer Bundesressorts und den Kuestenlaendern, sowie zur intensiveren Einbeziehung beteiligter Verbaende und Fachkreise. Vor dem Hintergrund der zur Genehmigung eingereichten Antraege fuer Offshore-Windparks, mangelnder Erfahrung der ...

2001-07-01

355

Megavolts in Cottbus - planning and erection of a high-voltage laboratory; Megavolts in Cottbus - Planung und Bau eines Hochspannungs-Laboratoriums

More than two and a half years of monitoring of a passive house school and day-care centre in Frankfurt a. M. show comfortable indoor climate and good air quality. The space heat consumption is low and shows savings of approximately 90 % as compared to average existing schools. Excellent performance was also achieved in terms of primary energy. The results of further analyses of the efficient ventilation system with heat recovery, the perimeter insulation as an alternative to floor slab insulation and the influence of the air change due to the entrance door are presented. (Abstract Copyright [2008], Wiley Periodicals, Inc.) [German] Ueber zweieinhalb Jahre Monitoring einer Passivhaus-Schule und Kindertagesstaette (KiTa) in Frankfurt a.M. zeigt behagliche raumklimatische Bedingungen bei guten Luftqualitaeten. Die Heizwaermeverbrauchswerte liegen wie erwartet niedrig und zeigen Einsparungen um 90 % gegenueber dem Durchschnitt im Bestand. Auch primaerenergetisch ...

2008-02-15

356

Kinetics and product analysis of bromium-initiated gas-phase oxidation of {alpha}, {beta}-unsaturated carbonyls; Kinetik und Produktanalyse der brominitiierten Gasphasenoxidation von {alpha}, {beta}-ungesaettigten Carbonylen

About 25 years after the last edification of a new large high voltage institute at Technical University of Karlsruhe and about 10 years afte the edification of the test lab at Kaiserslautern University, the Brandenburg Technical University of Cottbus had the opportunity to design new high voltage test facilities from the very beginning on and to realize it in a very short time. To review the project from the first ideas followed by the planning and realization phase and the final commissioning of the technical equipment, this book should be a contribution to spred the experiences made among interested people and to demonstrate the actual technical possibilities. To ensure an international exchange of these experiences, all co-authors to the trouble to translate their participation's also to the English language. (orig.) [German] Etwa 25 Jahre nach dem letzten grossen hochspannungstechnischen Institutsneubau in der deutschen Hochschullandschaft an der TH Karlsruhe, bzw. 10 ...

1999-07-01

357

Isothermal refuelling of natural gas vehicles with condensed natural gas CNG; Isotherme Betankung von Erdgasfahrzeugen mit komprimiertem Erdgas CNG

The purpose of the present study was to examine reactions between bromium atoms with {alpha}, {beta}-unsaturated carbonyls. Acrolein, methacrolein, and methyl vinyl zetone were chosen as representatives of this family. The latter two compounds, beside formaldehyde, belong to the main products of atmospheric oxidation of isoprene and have been detected in the troposphere at concentrations of up to almost 1 ppb. It is known that alkenes react with bromium via addition to form an instable adduct. This product can either decompose again into its educts or react with molecular oxygen. The aim of the study was to determine the velocities of the reactions between the three {alpha}, {beta}-unsaturated carbonyls and bromium and to clarify the involved reaction mechanisms by means of kinetic experiments and product analyses. (orig./SR) [Deutsch] In dieser Arbeit wurde die Reaktion von Bromatomen mit {alpha}, {beta}-ungesaettigten Carbonylen untersucht. Ausgewaehlt wurden Acrolein als einfachster ...

1997-03-01

358

Investigations on process design and fuel substitution in a cokeless, natural-gas-fuelled cupola furnace; Untersuchung zur Prozessgestaltung und Brennstoffsubstitution an einem kokslosen erdgasbefeuerten Kupolofen (KLKO)

CNG vehicles suffer from an uncontrolled temperature rise of the gas inside the tank during the filling process and heat exchange with the environment leads to variable filling levels. A partly filled tank reduces the range of CNG vehicles and works as a impediment to the spreading of environmentaly more friendly CNG vehicles. The increase of the pressure inside the tank combined with a prolongation of the filling time beyond three minutes can reduce the deficit of the filling process. For economic reasons the time required for refuelling should be as short as possible without the need to operate the filling station with a critical pressure. To meet this target the current technique requires further improvement. (orig.) [Deutsch] Die betriebliche Praxis bei Tankvorgaengen von Erdgasfahrzeugen zeigt, dass waehrend des Tankvorganges die Temperatur des getankten Erdgases im Fahrzeugtank ansteigt. Waehrend und nach Beendigung des Tankvorganges findet ein Temperaturausgleich mit der ...

1998-07-01

359

Ingestion dose for molybdenum: dependence on the administration form; Ingestionsdosis fuer Molybdaen: Abhaengigkeit von der verabreichten Form

A process model is presented and used for identifying options for controlling the cupola furnace process and for investigating natural gas substitutes. Fuel substitution will affect temperature curves (i.e. tapping temperatures and melting capacity), outlet temperatures and gas mass flow out of the preheating zone. The contribution presents several process variations to overcome these problems and compares them with the natural gas process. [German] Mit dem Prozessmodell werden zunaechst Moeglichkeiten der Steuerung von Abstichtemperatur und Schmelzleistung, insbesondere unter Beruecksichtigung der Schrottqualitaet (spezifische Oberflaeche a{sub G}), untersucht. Es wird gezeigt, dass das Prozessmodell die Ergebnisse aus der Praxis wiedergibt. Daran anschliessend wird mit dem Prozessmodell die Substitution von Erdgas durch minderwertige Gase untersucht (Brennstoffsubstitution, Ressourcenschonung). Durch die Brennstoffsubstitution veraendern sich die Temperaturverlaeufe und damit auch ...

2001-07-01

360

Hydrogen-metal isotherms at low degrees of occupancy and at low pressures; Die Wasserstoff-Metall-Isotherme bei kleinen Beladungsgraden und kleinen Druecken

Molybdenum is an essential element for living organisms. Moreover its radionuclides may represent an incorporation risk for members of the public and/or radiation workers after a nuclear accident or a release of radioactive materials. However, only few reliable data on Mo biokinetics in humans were available. The results of recent tracer kinetic investigations with stable isotopes have shown several differences from the ICRP data with regard to the processes of intestinal absorption and of excretion. As a consequence, the dose coefficients calculated with a revised biokinetic model deviate from the ICRP estimates. By ingestion of {sup 99}Mo radionuclides with solid food, for example, the dose to the colon may be higher of a factor up to 1 order of magnitude, due to the fraction of non-absorbed material which traverses the gastro-intestinal tract. (orig.) [Deutsch] Molybdaen ist einerseits ein fuer Lebewesen essentielles Spurenelement, andererseits koennen radioaktive Mo-Isotope im ...

1998-12-31

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361

HyTra: Mobile hydrogen supply. Flexible and safe; HyTra - Mobile Wasserstoffversorgung. Flexibel und sicher

Metal hydrode stores are used as fuel tanks in vehicles or as stationary stores of high-purity hydrogen. Equilibrium isotherms at low pessures were measured in order to validate the laws of Henry or Sievert for hydrogen uptake of the alloy Ti{sub 0.98}Zr{sub 0.02}V{sub 0.43}Fe{sub 0.09}Cr{sub 0.05}Mn{sub 1.5} (patented by Daimler Benz AG, code DB5800). The laws were to provide information on whether hydrogen uptake is atomic or molecular and on the conditions in which isothermal measurements are possible. (orig.) [Deutsch] Metallhydridspeicher werden als Kraftstofftank in Fahrzeuge oder als stationaere Speicher zur Bereitstellung von Reinstwasserstoff verwendet. Fuer diese Arbeit wurden die Gleichgewichtsisothermen bei kleinen Druecken vermessen, um die Gesetze von HENRY oder SIEVERT fuer die Wasserstoffaufnahme in der Legierung Ti{sub 0.98}Zr{sub 0.02}V{sub 0.43}Fe{sub 0.09}Cr{sub 0.05}Mn{sub 1.5} zu pruefen. Anhand dieser Gesetze ist zu entscheiden, ob die ...

1997-11-01

362

Further development of the RTFE technique for the comprehensive management of liquid radioactive wastes from Russian NPP in Comecon countries. Final report; Weiterentwicklung der RDA-Technologie fuer die umfassende Entsorgung von in den RGW-Laendern anfallenden radioaktiven Fluessigkeiten aus KKW sowjetischen Typs. Schlussbericht

In order for fuel cells to be successful, a full-scale hydrogen infastructure is required. The HyTra concept is presented here (HYdrogen TRAnsform, Transfer and TRAnsport) involves combined production, storage and supply of hydrogen in a transportable trailer, i.e. it is both a hydrogen production unit and a mobile filling station. The trailer can be transported to the selected site, where it will produce gaseous hydrogen from electricity and water by electrolysis. A compressor pumps the gas into an internal pressure tank and compresses it to filling pressure. Filling takes place by the overflow principle via a flexible high-pressure line with a standardised H{sub 2} filling unit. (orig.) [German] Um die Marktdurchdringung der Brennstoffzellentechnik gewaehrleisten zu koennen, muss eine flaechendeckende Wasserstoffinfrastruktur aufgebaut werden. Das neue HyTra-Konzept (HYdrogen TRAnsform, TRAnsfer and TRAnsport) beruht auf der Kombination von Wasserstoff-Erzeugung, ...

2006-11-15

363

Externally fired combined cycle. Potential and state of the art (Pt. 2); Extern gefeuerter Gasturbinenprozess. Potenziale und Entwicklungsstand (T.2)

The composition of alkaline and neutral boric acid containing evaporator concentrates resulting from the treatment of radioactive waste water in nuclear power plants with WWER reactors is described as well as the processing of these concentrates to a product suitable for final disposal. Tests with mock solutions of these evaporator concentrates have been performed at the laboratory and teststand scale to produce a dry residue by continuous thickening, which can be processed into a highly leach resistant product, suitable for final disposal, by cementation. Ca-compounds must be added to the evaporator concentrates prior to the drying in an rotary thin-film evaporator (RTFE). The tests showed that neutral evaporator concentrates can be dried in a RTFE with addition of small amounts of Ca-compounds. The alkaline evaporator concentrates with high boric acid and total salt load require a multiple amount of Ca-compounds and diluting water to perform the drying process. A brief description of ...

1992-04-01

364

Externally fired combined cycle. Part 1. Potential and state of the art; Extern gefeuerter Gasturbinenprozess. Teil 1. Potenziale und Entwicklungsstand

The externally fired combined cycle (EFCC) process utilises a high temperature heat exchanger to transfer the heat of a dirty flue gas to a clean working medium. In comparison to other combined cycle concepts, like integrated gasification combined cycle or pressurized pulverized coal combustion, the problems of hot gas cleaning are avoided. The first part of the publication (BWK 5/02) deals with the possible concepts and the efficiency potential of the externally fired combined cycle. The applicability of metallic and ceramic heat exchanger materials are discussed. The second part summarizes the state of the art and presents the basic design of a ceramic heat exchanger. [German] Der extern gefeuerte Gasturbinenprozess arbeitet mit einem Waermeuebertrager, um ein Arbeitsmedium auf Gasturbineneintrittstemperatur zu erhitzen. Im Vergleich zu Kombiprozessen mit integrierter Kohlevergasung oder Druckkohlenstaubfeuerung entfaellt damit die Heissgasreinigung. Der erste ...

2002-07-01

365

Energy analysis of a solar pre-water heating system; Analise energetica de um sistema de pre-aquecimento solar de agua

The externally fired combined cycle (EFCC) process utilises a high temperature heat exchanger to transfer the heat of a dirty flue gas to a clean working medium. In comparison to other combined cycle concepts, like integrated gasification combined cycle or pressurized pulverized coal combustion, the problems of hot gas cleaning are avoided. The first part of the publication deals with the possible concepts and the efficiency potential of the externally fired combined cycle. The applicability of metallic and ceramic heat exchanger materials are discussed. The second part (BWK 6/02) summarizes the state of the art and presents the basic design of a ceramic heat exchanger. (orig.) [German] Der extern gefeuerte Gasturbinenprozess arbeitet mit einem Waermeuebertrager, um ein Arbeitsmedium auf Gasturbineneintrittstemperatur zu erhitzen. Im Vergleich zu Kombiprozessen mit integrierter Kohlevergasung oder Druckkohlenstaubfeuerung entfaellt damit die Heissgasreinigung. Der ...

2002-07-01

366

Diffusion and perfusion MR imaging in stroke; MR-Diffusion und -Perfusion beim Schlaganfall

Several technological alternatives have been studied taking into consideration that one of the biggest problems of the electric power companies is to provide electric power during the peak consumption periods, which largest contribution to the increase of the demand comes from the residential sector, especially by the use of electric showers. One of the most promising alternatives is the pre-water heating system for reduced power showers, developed by Universidade de Campinas and Companhia Paulista de Forca e Luz. The goal of this system is basically to reduce demand during the peak periods, in order to avoid heavy investments by the electric power companies in generation, transmission and distribution of electric power directed to low acquisitive power customers, a sector in which the electric power price is not enough to recover such investments. The objective of this paper is to evaluate the total energy required in the construction of one of these systems and compare it to the ...

1996-12-31

367

Development of lead-free copper alloy graphite castings. Annual report, January--December 1995

Magnetic resonance imaging (MRI) in stroke makes it possible to visualize the initial infarct in cases of acute cerebral ischemia. Perfusion MRI serves to determine which tissues are additionally at risk of infarction due to persistent hypoperfusion. MRI also allows those examiners with limited experience to reliably confirm an infarct. The most important differential diagnosis of cerebral ischemia, intracerebral hemorrhage, can likewise be recognized with certainty using MRI. Although diffusion and perfusion MRI only demonstrate the pathophysiology of cerebral ischemia approximately, the method is suited for identifying those patients who would profit from reperfusion therapy. Whether MRI is also appropriate as an aid to reaching a prognosis on the risk of secondary hemorrhage has not yet been resolved. (orig.) [German] Die Schlaganfall-MRT ermoeglicht es, bei akuter zerebraler Ischaemie den bereits initial entstandenen Infarkt darzustellen. Mittels Perfusions-MRT kann erfasst werden, ...

2005-05-01

368

Decision of the BVerwG (German Fed. Administrative Court) dated 10 Jan. 1995 - 7 B 112.94 -: Legal importance of the emission limits laid down in the TA Luft (Clean Air Technical Code); Beschluss des BVerwG vom 10.1.1995 - 7 B 112.94 -: Bedeutung der Emissionswerte der TA Luft

The distribution of graphite particles in graphite containing copper alloy was further improved very significantly using several procedures and technological modifications. The developed techniques attacked the graphite distribution problem in two ways. Realizing that clustering of very fine (5um) graphite particles is one of the two major problems, a pretreatment process has been developed using aluminum powders to deagglomerate graphite particles. Along with this, a two-stage stirring technique was used to first incorporate and then to distribute uniformly the deagglomerated particles in the melt. During this year, based on these developments, several components were cast to evaluate the castability of Cu alloy-graphite melts. In addition, machinability tests were done to clearly established that addition of graphite particles improve the machinability of copper MMC alloys over and above that of monolithic copper alloys. The results show that the machining chip ...

1996-10-01

369

Creep performance of welded joints of type alloy 800 HT; Zeitstandfestigkeit von Schweissverbindungen des Typs Alloy 800 HT

Shortened excerpt from the head notes: The emission limits laid down in the TA Luft concretize the scope of the measures ordered by the law to provide for protection against harmful effects on the environment. Air pollution abatement measures imposed by the competent authority as post-licensing requirements based on the BImSchG (German Federal Emission Control Act) in general are in compliance with the principle of reasonableness considering the terms allowed by the TA Luft for backfitting measures. With this decision, the court qualified the emission limits defined in the TA Luft to be substantial and legally binding standards, to be applied by the competent authorities in licensing and post-licensing administrative procedures, also in order to fulfill the intended task of concretizing the less definite concepts of law laid down in the relevant legislation. (orig./CB) [Deutsch] Verkuerzte Zitierung aus den Leitsaetzen: Die in der TA Luft aufgestellten emissionsbegrenzenden ...

1995-05-15

370

Crack propagation measurements with eddy current probes at specimens under cyclic thermal stress; Rissverlaengerungsmessungen an thermozyklisch belasteten Proben mittels Wirbelstromsonden

The results of the creep performance studies at temperatures from 700-1000 C with welds of alloy 800 HT, the manual shielded metal arc welds made with Githerm 85 and Grini 209 filler metals, as well as the MIG pulsed arc welds made with the Nicrofer S 206 and Nicrofer S 5520 filler metals, proved to be in very good agreement with the calculated characteristic values published on VdTUeV sheet 434 in comparative assessments based on creep values valid for a service period of 10 000 hours. The MIG pulsed arc weld made with the Nicrofer S 5520 filler metal achieved by far the best results and strength values comparable to those of the base material, whereas the values of the other welds were corresponding to calculated strength values of the base material reduced by 20%. (orig./CB) [Deutsch] Die im Temperaturbereich von 700-1000 C an Alloy 800 HT und den Elektrodenhandschweissverbindungen mit den Schweisszusaetzen Gritherm 85 und Grini 209, sowie den MIG-Pulsed-Arc-Schweissungen mit den ...

1999-10-01

371

Computed tomography in AIDS-related thoracic diseases; Computertomographie AIDS-assoziierter Thoraxerkrankungen

Experiments for lifetime prediction of the first wall are being carried out within the framework of the European fusion reactor programme. Defects such as notches and cavities may develop in the first wall and may initiate under cyclic thermal stress cracking processes which may reduce the service life of the material. For examination of crack growth, specimens with defined initial notches were prepared and subjected to cyclic thermal loads. The paper shows that the eddy current method is suitable for detecting and revealing the crack growth processes even under conditions of complex geometry, as e.g. cracks in inner bores. The experiments indicated particularly susceptible, critical spots in the first wall and yielded crack growth rates of use for lifetime calculations. (orig./CB) [Deutsch] Im Rahmen des europaeischen Fusionsreaktorprogramms werden Untersuchungen zur Lebensdauervorhersage der Ersten-Wand durchgefuehrt. Die Erste-Wand kann Fehler in Form von Lunkern und Kerben ...

1997-12-31

372

Chemical interactions between as-received and pre-oxidized Zircaloy-4 and Inconel-718 at high temperatures

Pulmonary infections and tumors are a major cause of death in patients with AIDS. The combination of clinical, radiological, laboratory, and pathohistological data helps to narrow the spectrum of differential diagnoses or even allows a specific diagnosis in many patients. Nevertheless, an accurate diagnosis should be obtained as soon as possible during the clinical course of the illness to initiate treatment in time. Computed tomography (CT) has proven to provide promising results in the diagnosis of AIDS-related throacic diseases. The aim of this paper was to demonstrate the diagnostic capacities of CT in the context of particular AIDS-related thoracic pathologies. Additional information on the spectrum of pathological agents and on differential diagnostic signs is summarized. (orig.) [Deutsch] Pulmonale Infektionen und Tumore sind eine wesentliche Todesursache bei Patienten, die am erworbenen Immunmangelsyndrom AIDS leiden. In den meisten Faellen gelingt es, durch Zusammenschau ...

1996-07-01

373

Carbon beam irradiation of human monolayer cells

Isothermal reaction experiments were performed in the temperature range of 1000 - 1300 C in order to determine the chemical interactions between Zircaloy-4 fuel rod cladding and Inconel-718 spacer grids of Pressurized Water Reactors (PWR) under severe accident conditions. It was not possible to apply even higher temperatures since fast and complete liquefaction of the components occurred as a result of eutectic interactions during heatup. The liquid reaction products formed enhance and accelerate the degradation of the material couples and the fuel elements, respectively. Only small amounts of Inconel are necessary to liquefy large amounts of Zircaloy. Thin oxide layers on the Zircaloy surface delay the beginning of the chemical interactions with Inconel but cannot prevent them. In this work the reaction kinetics have been determined for the system: as-received and pre-oxidized Zircaloy-4/Inconel 718. The interactions can be described by parabolic rate laws; the Arrhenius equations for ...

1994-06-01

374

Analysis of FARO spreading experiments

The effect of the heavy particle irradiation on cell survival is different from that of X-ray irradiation. In Japan, heavy particles will be applied to cancer patients in the near future. This study was performed to determine the effect that carbon particle irradiation exerts to human monolayer cells in vitro, in comparison with the effect of 200 kVp X-ray. Two human cell lines, HeLaS3 and RMUG, were used. The irradiation was carried out by the RIKEN ring cyclotron and 200 kVp X-ray. The experimental procedure is explained. Also split dose experiment was carried out by applying equally divided doses at intervals of 2 - 4 hours. The Bragg curve of 135 MeV/n carbon beam through the lucite plates with different thickness is given. Thus the different LETs were obtained. The survival curves for 200 kVp X-ray and the various LETs of carbon beam are shown. The curves became steeper, and Do values decreased with increasing LETs in both cell lines. The relative biological effect (RBE) at 10% ...

1993-12-31

375

{sup 99m}Tc-MDP scintigraphy of femoral head necrosis following femoral neck fracture

Two spreading experiments were performed at the FARO facility with prototypical core melts of a UO{sub 2}/ZrO{sub 2} weight percentage of 80/20. The objective was to obtain data on the spreading at flow rates of about 2 l/s of more than 100 kg prototypic high temperature oxide melt on a dry and wet stainless steel plate. For the second spreading test a shallow water layer of 10 mm was added on the substrate. Solutions for an isothermal spreading with a constant volume flux boundary condition in a sector with an angle {phi} are used to analyse the FARO L-32S experiment and to identify the source of discrepancies between the code results (THEMA, CORFLOW) and the experimental findings. The observed spreading behaviour of both FARO experiments can only be explained if an initial melt temperature below the liquidus temperature, i.e. about 120 K lower than the temperature measured by the UTS sensors is assumed. (orig.) [German] Zwei Ausbreitungsexperimente mit einer UO{sub 2}/ZrO{sub 2} ...

2000-08-01

376

[Validity of the tympanic infrared thermometer in geriatric inpatients].

Secondary ischemic necrosis of femoral head due to loss of blood supply following to femoral neck fracture is well known. The regional distribution of bone-seeking radiopharmaceuricals in the skeleton can depend on a number of factors, but bone blood flow is a major physiological determinant of regional skeletal uptake of Tc-99m polyphosphate and bone imaging may thus be used for the evaluation of vascularity of the femoral head. The authors made a comparative study of scintigraphic findings and operative findings of 28 cases of femoral neck fracture treated at Kyung Hee University Hospital from April 1980 to May 1984. The results were as follows: 1. In 16 cases of proven avascular necorsis of femoral head, scintigraphy showed absent or decreased activity in 14 cases (87.5%), while radiography showed increased density in 10 cases (62.5%). 2. In 12 cases of proven vital femoral head, scintigraphy showed increased activity in 9 cases (75%) and radiography showed ...

1985-02-15

377

[Urinary infection in geriatric short stay: value of urinary strips].

The purpose of this study was to assess the agreement between rectal temperature and infrared emission detection (IRED). The specificity and sensitivity, the positive predictive value and the negative predictive value were calculated. It was a prospective, observational and unblinded study. Thermoscan-pro-1 was used to collect pairs of data in 41 patients, all hospitalised on an acute geriatric ward during a 4-month period. 41% of the patients were febrile. The 'bias' between rectal and tympanic measurement (left ear) was -0.64 degree C (d) and the standard deviation 0.58 degree C (s). The '95% Confidence Interval' for the bias was -0.82 degree C and -0.46 degree C. The '95% limits of agreement' between the rectal measurement and the tympanic measurement (left ear) was -1.78 degrees C and 0.50 degree C. Regression analysis taught us that bias was increasing with increasing temperature. If we take into account one measurement with the IRED ear thermometry, the sensitivity was 41%, the ...

2001-10-01

378

[The nurturing and development of nurse practitioners].

The blinded study of CBUE (cytobacteriological urine examination) test strips was carried out in 100 patients (65 women, 35 men), mean age 85.52 +/- 6.28 years, admitted for a short stay in a geriatrics department. Urinary infection was present in 19% of the cases. Typical clinical signs (pollakiuria, dysuria, hematuria, burning upon voiding) were rare, less than 10%. General signs, such as deterioration of general status (65% of the cases) and loss of autonomy (53% of the cases), on the other hand, were predominant and their relatively unspecific nature required a reliable screening test for urinary infection. Good results of sensitivity (89.5%), specificity (98.7%), and the leukocytes/nitrites values, confirmed the validity of the urine test strip in hospitalized elderly patients. In addition, the negative predictive value of the combination leukocytes and nitrites (90.8%) would have prevented 71 samples from being sent to the laboratory for CBUE, resulting in an ...

1997-01-01

379

[Legionella pneumonia caused by aspiration of hot spring water after sarin exposure].

The role of nurse practitioner has been established because of a shortage of doctors. In May 2007, the first cohort of 582 nurse practitioners were licensed in Taiwan. The post of nurse practitioner in Taiwan is formally moving towards systematization and the most urgent matters in that regard are the sorting out of contentious issues and the establishment of clear job descriptions. Competence in critical thinking and problem-based learning is important and has to be improved with practice. The application of teaching assessment tools such as direct observation procedural skills (DOPS), objective structured clinical examination (OSCE), miniclinical evaluation exercises (Mini-CEX), and 360 degree assessments may contribute to the improvement of nurse practitioners' skills in conducting research, appraising evidence-based nursing literature, and developing teaching strategies and advanced systems by making policy clear, evaluating, auditing and monitoring the clinical competence of nurse ...

2007-12-01

380

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

A 72-year-old man was exposed to the sarin gas attack in a Tokyo subway on March 20 th, 1995. After exposure, he noticed eye discomfort, chest tightness, headache and weakness of the lower limbs and oropharyngeal muscles. Despite these symptoms, he visited a hot spring on the same day with his family. On March 25 th, his muscle weakness progressed, and a low grade fever appeared. His muscle weakness disappeared 8 days after exposure to sarin, but respiratory failure rapidly developed, necessitating artificial ventilation within four day after hospitalization on March 28th. Chemotherapy with erythromycin, imipenem/cilastatin, and steroid pulse therapy was begu. PCR and culture of sputum collected by bronchofiberscopy were positive for Legionella pneumophila, serogroup I. His respiratory state improved, but subsequent infection with Pseudomonous aeruginosa. Enterobacter cloacae, and Candida tropicalis/glabrata caused his death 71 days after admission. Oropharyngeal ...

1998-03-01

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381

The role of succinylcholine in the prevention of the obturator nerve reflex during transurethral resection of bladder tumors

Morphine sulfate (MS Contin), a proven analgesic in the treatment of cancer pain and chronic benign pain, seems to be a good analgesic for the treatment of burn pain. MS Contin is morphine sulfate incorporated in a wax cellulose matrix delivery system. This wax cellulose delivery system gives MS Contin its duration of action. Ten patients were enrolled in an open-labeled, nonrandomized study. The study was designed to examine the analgesic efficacy of MS Contin in the burn population. Each patient remained in the study for 6 days. The efficacy of the analgesic regimen was subjectively measured by the visual pain scale. The MS Contin group was retrospectively compared with a group of patients who were given continuous intravenous infusions of morphine. The two groups were matched according to age, burn size, surgical procedures, and hospital stay. The analgesic qualities of MS Contin were comparable to those of continuous intravenous morphine sulfate infusions. MS ...

382

The dosimetric verification of a pencil beam based treatment planning system

Objective was to present our 8 year experience in the prevention of the obturator nerve reflex during transurethral resection of bladder tumors. This study was performed in Ataturk University Hospital between 1999 and 2007. We retrospectively reviewed the records of 89 patients with inferolateral bladder tumors, who underwent transurethral resection under epidural or general anesthesia and requested obturator nerve reflex inhibition. Epidural anesthesia was administered to 57 patients, while the remaining 32 patients underwent general anesthesia via mask; and succinylcholine was administered prior to resection. Of the 57 patients received epidural anesthesia, 18 were diagnosed as inferolateral bladder tumors during endoscopy and had to undergo general anesthesia. Obturator nerve block was attempted preoperatively in 39 patients. However, a nerve identification failure, hematoma and 4 obturator nerve reflex events, despite the block, were observed and these patients ...

383

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

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

384

The Effects of Capitation on Outpatient Mental Health Episodes of Children

The use of the cervicograph with the incorporated action and alert lines in labour management in developing country obstetrics is now well established and patients in labour in Port Moresby have been thus managed since 1973. In this study the cerviograph was introduced in hospitals and health centres in Enga Province and the results analysed. Despite intensive tuition in its use, a large number of cervicographs were incorrectly constructed, especially in health centres, and its introduction made little difference to operative delivery or perinatal mortality rates. The proportion of patients crossing the action line was much higher than in Post Moresby but this difference was probably also largely due to the inaccuracy of many cervicographs. It is likely that these difficulties will not be overcome until many more nurses with intensive training in the use of the cervicograph are available and until more deliveries take place in health institutions to maintain ...

1981-12-01

385

Stochastic risk estimate for barium radiological examinations in Malaga (Spain)

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

2006-02-01

386

Serotypes and susceptibilities of paediatric clinical isolates of Streptococcus pneumoniae in Crete, Greece, before and after the heptavalent pneumococcal conjugate vaccine.

The aim of this research work has been the estimation of the stochastic risk for five barium examinations. The sample was the population attending the Radiological Service of the 'Nuestra Senora de la Victoria' University Hospital, who had been treated with some barium examinations, set in five different groups: oesophagus tract, oesophagus-gastric-duodenal tract, intestinal tract, enteroclysis and double enema. To estimate the stochastic risk, it is necessary to know the organ dose. This can be calculated from the dose-area product which allows us to determine the effective dose using software. The dose-area product is the most suitable quantity to measure in these types of examination. We have evaluated the contribution that each procedure provides to the genetically significant dose, somatically significant dose, collective effective dose, annual effective dose 'per capita' and detriment, which are useful for assessing the population risk of cancer or hereditary ...

2000-01-01

387

Process energy management

All Streptococcus pneumoniae strains isolated from paediatric clinical samples at Heraklion University General Hospital in the 10-year period 2000-2009 were tested for serotype and susceptibility to antimicrobials. Among a total of 258 strains, 159 were isolated in the 5-year period 2000-2004, before the introduction of the heptavalent pneumococcal conjugate vaccine (PCV7), and 99 in the post-PCV7 5-year period 2005-2009. The prevalence of PCV7-included serotypes decreased in the post-PCV7 period (p?=?0.0002), but an increase was observed for serotypes 7F (p?=?0.002) and 19A (p?=?0.004). Pan-susceptibility rates and susceptibility to cotrimoxazole increased in the post-PCV7 period (p?=?0.01 and p?=?0.008, respectively), but serotype 19A emerged as a contributor to multi-resistance (p?=?0.007). PCV7 was followed by decreased S. pneumoniae resistance and prevalence of vaccine-related serotypes but increased prevalence of serotypes 7F and 19A. Continuing surveillance ...

2010-07-10

388

Optimisation of imaging technique used in direct digital radiography

In many facilities, energy management is simply a matter of managing the energy required for lighting and space conditioning. In many others, however, energy management is much more complex and involves large motors and controls, industrial insulation, complex combustion monitoring, unique steam distribution problems, significant amounts of waste heat, etc. Typical facilities offering large energy management opportunities include industrial facilities, large office and commercial operations, government institutions such as schools, hospitals and prisons. Such facilities generally have specialized industrial, commercial or institutional processes that incorporate many of the concepts covered in other chapters. These processes require thorough analytical evaluations to determine the appropriate energy-saving measures. This chapter provides some examples. In this chapter the authors present a suggested procedure for process energy improvement. Then, motors and ...

1994-12-31

389

Optimisation of imaging technique used in direct digital radiography

The purpose of the study was to optimise the technique employed for AP shoulder and lateral cervical spine examinations following an investigation into image quality, based on clinical assessment, and effective dose, calculated from patient entrance surface dose measurements. A study was therefore conducted in an attempt to determine whether the increased radiation dose to the patient following the introduction of an anti-scatter grid was justified by the level of improvement in image quality. The study, involving 100 patients, was able to demonstrate that the increase in radiation dose to the patient when using an anti-scatter grid for AP shoulder examinations is not justified by the improved image quality. A poor level of inter-rater reliability between the consultants scoring the lateral cervical spine images prevented a firm conclusion from being reached. The fact that all images were of diagnostic quality, however, suggested that the use of the anti-scatter grid was unnecessary. ...

2006-09-15

390

Mean glandular doses for women undergoing mammographic breast screening in Oyo state, Nigeria

The purpose of the study was to optimise the technique employed for AP shoulder and lateral cervical spine examinations following an investigation into image quality, based on clinical assessment, and effective dose, calculated from patient entrance surface dose measurements. A study was therefore conducted in an attempt to determine whether the increased radiation dose to the patient following the introduction of an anti-scatter grid was justified by the level of improvement in image quality. The study, involving 100 patients, was able to demonstrate that the increase in radiation dose to the patient when using an anti-scatter grid for AP shoulder examinations is not justified by the improved image quality. A poor level of inter-rater reliability between the consultants scoring the lateral cervical spine images prevented a firm conclusion from being reached. The fact that all images were of diagnostic quality, however, suggested that the use of the anti-scatter grid was unnecessary. ...

2006-09-01

391

British Library Electronic Table of Contents (United Kingdom)

In this work, thermoluminescent dosimeters have been used to measure entrance surface doses (ESDs) of patients undergoing mammographic screening at the University College Hospital, Ibadan, Oyo state. The mean glandular doses (MGDs) were also calculated using the measured ESDs. The results showed that the ESDs ranged from 0.26mGy to 21.26mGy for the mediolateral oblique (MLO) views and 0.08mGy to 5.36mGy for the craniocaudal (CC) views. The calculated MGD ranged from 0.07mGy to 3.57mGy for the MLO views and 0.02mGy to 0.98mGy for the CC views. The possible reasons for the large variations in the individual ESD values and MGD values for both views are discussed using patients data, equipment specific data and the technical parameters used for the examinations. Comparison showed that the mean...

2009-01-01

392

Management of Ewing's sarcoma

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

Forty cases of Ewing's sarcoma of various sites had attended the Department of Radiotherapy at the Wanless Hospital and the Miraj Medical Centre, attached to the Government Medical College, Miraj, Maharashtra, from January, 1970 through December, 1979. There were 28 male patients and 12 female patients in the series with a male to female ratio of 2.3:1. The youngest patient in the series was a female of 6 years of age with the tumour in the scapula and the oldest patient was a 32-year-old male with a lesion in the metacarpal bone. Sixty per cent of the cases were seen in the second decade. The average age of the patients was 13.5 years. The bones of the lower extremities were most commonly involved with the highest number (35 per cent) of the cases occurring in the femur. Involvement of the bones of the right side of the body was almost equal to that of the left side. Swelling over the site of the lesion and pain over the swelling were the most common complaints ...

393

Local control and survival of Ewing's sarcoma in children with radiotherapy and chemotherapy without radical surgery

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

1981-09-01

394

Laparoscopic diagnosis and treatment of nonpalpable testis

The present study was undertaken in 27 children with localized Ewing's sarcoma treated at our hospital. In 9 cases the lesion was central and in 18 peripheral. Treatment consisted of: 1) Chemotherapy with 6 drugs (vincristine, cyclophosphamide, methotrexate, bleomycin, dactinomycin and doxorubicin) for one year in all patients; 2) Radiotherapy in 24 patients at a dose of 30-40 Gy in the entire bone with a booster dose of 10-15 Gy in the lesion. In 7 patients debulking surgery was performed followed by irradiation. Two cases with tumor in expendable bones and one with extensive destructive lesion in the tibia underwent radical surgery. One patient suffered local recurrence (femur) and 6 developed distant metastases. The remaining 20 (74%) patients were alive and tumor-free after follow-up periods of 17-80 months. Among the 12 patients with extremity lesions who were alive, 7 (58%) had minimal or mild treatment sequelae, 2 moderate, and 3 severe sequelae but no ...

395

Scientific Electronic Library Online (English)

Abstract in english INTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. MATERIALS AND METHODS: We present data concerning 90 patients submitted to diagnostic lapa (more) roscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. RESULTS: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with primary vascular ligature. There was no intraoperative ...

2008-06-01

396

Intracavity irradiation with deferred radioactive load technique, remote control high activity sources

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

From December 1981 to September 1986, 149 patients were treated at the Radiotherapy Department of the Hospital Clinico y Provincial of Barcelona by means of intracavity irradiation with 137 cesium high 1 sources and 2. To 112 of the total number of patients external radiotherapy to the whole of the pelvis using photons of 6 MeV was also administered. A total of 46 (30.7%) patients presented rectal complications. The rectitis observed was mild in 16 cases (10.7%), moderate in 15(10%) and severe in 15(10%). The 15 patients with severe rectitis had to be treated by unloading colostomy. In patients with severe complications, the maximum total rectal dose administered was between 5,855 and 9,490 cGy, and the maximum rectal dose administered via curietherapy was 1,055 to 7,320 cGy. Maximum total rectal dose administration greater than 4,000 cGy and maximum rectal dose administered via curietherapy greater than 5,800 cGy were statistically significant prognostic factors ...

1988-01-01

397

Gene linked to Lou Gehrig's disease

Purpose. To evaluate injection-associated pain, safety, and efficacy with the isotonic contrast medium iodixanol (Visipaque 270 mg I/ml) compared with iopromide (Ultravist 300 mg I/ml) in femoral arteriography. Methods. A multicenter, double-blind, randomized, parallel-group clinical investigation was carried out in 54 hospitals in Europe. Of the patients evaluated, 1225 received iodixanol and 1227 iopromide in conventional and/or digital subtraction angiography. Results. The iodixanol group reported statistically significantly less injection-associated pain (0.9%) than the iopromide group (9.5%) (p<0.001). Further, 4.1% in the iodixanol group experienced pain and/or severe heat sensation vs 19.8% in the iopromide group (p<0.001). In the iodixanol group, 1.8% of the patients experienced contrast-related adverse events vs 2.4% in the iopromide group (p=NS). Overall diagnostic information was optimal for 94.1% in the iodixanol group and 95.3% in the iopromide ...

1997-07-01

398

Effective radiation therapy on two cases of primary Ewing's sarcoma of the rib

Scientists have just taken a big step toward understanding the cause of Lou Gehrig's disease, one of the most devastating nerve degenerative diseases. A large team of researchers, led by Robert Brown Jr. of Harvards's Massachusetts General Hospital and Robert Horvitz, a Howard Hughes Medical Institute investigator at the Massachusetts Institute of Technology, report in the 4 March Nature that they've identified the gene that causes a hereditary form of the condition, which also goes by the name amyothophic lateral sclerosis (ALS). While most ALS cases - approximately 90% - are apparently sporadic' and not caused by an inherited gene defect, all the patients have such similar symptons that researchers are hopeful that what they learn about hereditary ALS will also apply to the sporadic form, possibly leading to new therapeutic strategies that will help both. It's a very important finding,' says neurobiologist ...

1993-03-05

399

Departure from ICRP-60 in Canadian radiation protection regulations

Two cases of primary Ewing's sarcoma of the rib are reported, in which radiation therapy was quite effective. Case 1 was an 18-year-old female who had had an operation and radiation therapy for Ewing's sarcoma of the left 7th rib. She was referred to our hospital after a recurrent tumor was found. Radiation therapy (tumor dose 46.2 Gy) and chemotherapy were given. The tumor disappeared and there has been no relapse for 1 year and 3 months after the treatment. Case 2 was a 2-year-old-infant. Radiation therapy (tumor dose 74 Gy) was given for primary Ewing's sarcoma of the left 6th rib. The tumor became small and was successfully removed at operation. There has been no relapse or distant metastasis for 8 months following the operation. We emphasize the importance of multidisciplinary treatment in case 1 and the usefulness of preoperative radiotherapy in case 2. (author).

400

Concise review: expanding roles for hematopoietic cellular therapy and the blood transfusion services.

The Atomic Energy Control Board (AECB), Canada's nuclear regulatory authority, is preparing new regulations based on ICRP-60. The proposed regulations have some features which are different from ICRP-60, e.g., the limit for pregnant workers was set at a higher level than that proposed in ICRP-60. The AECB, through its consultative process, received many responses from female staff in nuclear medicine. The concern was that it would be very difficult to prove compliance with such low doses, particularly for internal doses. There was an additional concern that hospital administrators would respond to the reduction of the current pregnant worker limit from 10 mSv to the ICRP-60 recommended value of 2 mSv by discriminating against hiring women. A new proposal for the dose limit for pregnant workers has been made which will limit the dose to the mother by means of a combining formula that will take both external and internal doses into account. (author).

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401

Coir pith of the green coconut in the decontamination of radioactive aqueous effluent

Hematopoietic stem cells (HSCs) have remained at the forefront of stem cell research for the past 50 years, since the therapeutic potential of bone marrow transplantation was realized. Uniquely, among stem and progenitor cells, research progress has been made in parallel between the laboratory benchtop and hospital bedside during this period. Integral to this work has been the role of the transfusion medicine services in the collection, storage, and processing of HSCs. The next decade promises to bring further developments: with new fields of cellular therapies, stem cell vaccination, and stem cell drug testing opening up. This article summarizes exciting areas of research concerning the behavior and potential clinical applications of HSCs. For the purposes of clarity, we describe in turn the trafficking and transfer of HSCs; ex vivo expansion of HSC units from different sources; and finally, applications of specifically selected subsets of hematopoietic cells and ...

2011-09-01

402

Characteristic findings of pediatric inpatients with pandemic (H1N1) 2009 virus infection among severe and nonsevere illnesses

Industrial segments as plant of mining, hospitals and university generate considerable volumes of radioactive wastewater containing uranium. The increasing development of the use of the nuclear energy to lead away to an expansion of the sectors of the nuclear fuel cycle, but it leads to security problems and it appears the necessity of control of the removing of uranium and radioactive effluent treatments. Researches evaluate if the technique of the biosorption would promote an alternative process with attractive characteristics of cost-benefit. The residual biomass from agricultural activities has been studied and used as adsorbent of metals and organic composts by low cost, abundance and for being biodegradable. In this work, it is presented the efficiency of the coir pith for the adsorption of ions UO_2"2"+. The coir pith is a by-product of the harvest of the coconut, a renewable natural source. The study was accomplished using the batch techniques. The ...

403

British Library Electronic Table of Contents (United Kingdom)

We analyzed the clinical features of inpatients at a Japanese pediatric department who were infected with pandemic (H1N1) 2009 virus. Study participants included 46 children hospitalized from July 2009 to January 2010. Infection with the virus was confirmed using real-time reverse transcriptase polymerase chain reaction (RT-PCR). The epidemic month was October 2009; 34 patients were boys, and median age was 7?years. Pandemic influenza-associated respiratory diseases included pneumonia (n?=?42), bronchitis (n?=?3), and pharyngitis (n?=?1). The median time from onset to admission was 3?days. Children were divided into those with severe (n?=?32) versus nonsevere illnesses (n?=?14) according to Japanese guidelines. Significant features in the severe group were younger age, previous asthmatic a...

2011-01-01

404

Can We Use Common Clinical Parameters to Identify Patients Who Will Need Insulin Treatment in Gestational Diabetes?

Calibration methods of plane-parallel ionization chambers used in electron dosimetry; Metodos de calibracao de camaras de ionizacao de placas paralelas para dosimetria de feixes de eletrons

OBJECTIVE To identify patients with gestational diabetes mellitus (GDM) who will need antenatal insulin treatment (AIT) by using a risk-prediction tool based on maternal clinical and biochemical characteristics at diagnosis. RESEARCH DESIGN AND METHODS Data from 3,009 women attending the Royal Prince Alfred Hospital GDM Clinic, Australia, between 1995 and 2010 were studied. A risk engine was developed from significant factors identified for AIT using a logistic regression model. RESULTS A total of 51% of GDM patients required AIT. Ethnicity, gestation at diagnosis, HbA(1c), fasting and 60-min glucose oral glucose tolerance test, BMI, and diabetes family history were significant independent determinants of AIT. Notably, only 9% of the attributable risk for AIT can be explained by the clinical factors studied. A modeled risk-scoring system was therefore a poor predictor of AIT. CONCLUSIONS Baseline maternal characteristics including HbA(1c) alone cannot predict the ...

2011-08-11

405

Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

The use of linear accelerators in radiotherapy is of great importance in Medicine, and according to international recommendations the electron beam dosimetry has to be performed using plane-parallel ionization chambers, previously calibrated in standard gamma radiation fields at accredited laboratories. In this work, calibration methods of plane-parallel ionization chambers used in dosimetry procedures of high energy electron beams of clinical accelerators were presented, tested and intercompared. The experiments were carried out using gamma radiation beams of {sup 60} Co at the Calibration Laboratory of Clinical Dosemeters at IPEN and electron beams od 4 to 16 MeV at the Radiotherapy Department of Hospital Israelita Albert Einstein, Sao Paulo. A method was chosen to be established at IPEN. Proposals of the calibration procedure, calibration certificate and data sheets are presented. (author)

1999-07-01

406

Atmospheric emissions as a tool in evaluation of sustainability research in oil industry; Emissao atmosferica como uma ferramenta na avaliacao do desenvolvimento sustentavel na industria do petroleo

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

2007-11-01

407

AN INFORMATION/NAVIGATION AID FOR COMPLEX INDOOR SPACE FEASIBILITY STUDY TO ESTABLISH OLDER PEOPLE'S NEEDS

This work is directly to analysis of atmosphere surrounding Ipiranga Refinery; witch is located in the city of Rio Grande, in estate of Rio Grande do Sul. The refinery is surrounded by neighborhood, witch are impacted by atmospheric emissions of refinery. The objective of this work is correlating the refinery to the inhabitants that lives near the refinery, using an environmental sustainability index. This work will be achieve by analysis of Polycyclic Aromatic Hydrocarbons (PAH) bounded in particulate matter with diameter of 100 {mu}m (PTS), the acquisition of health data on the city hospitals and correlation of this data with PAH concentrations in Particulate Matter. The Samples were obtain by FEPAM, witch have three samples sites in the center of city. The samples was obtained by a High Volume Sampler equipped with quartz fiber filters. The meteorological data important to this work, like wind direction and speed, will be obtain in Meteorological Station on ...

2008-07-01

408

Environmental Research Database

Objectives1. To identify with older people the problems which they encounter in finding their way about public building/spaces.~%~2. To produce ideas, in consultation with older people, for an information/navigation aid that might facilitate their use and enjoyment of public buildings/spaces, notably hospitals, large shops, railway stations, airports.~%~3. To develop an emulation model of the information/navigation aid~%~4. To monitor use of the model by older people~%~5. To identify further research~%~6. [continued...]DescriptionThe growth in the number of older people offers scope for the development of customised information/navigation aids to help them to find their way around complex public spaces. New technology however is unlikely to be taken up by older people unless it is acceptable to them. The research will involve engineers in designing, testing and modifying a model of such an aid in conjunction with a sample of older people.~%~Older people, in ...

1999-01-31

409

A prospective study of 100 roboticallyassisted laparoscopic adrenalectomies

British Library Electronic Table of Contents (United Kingdom)

We evaluated robotically assisted laparoscopic adrenalectomy (RLA) in a prospective study of 100 consecutive patients (60 women and 40 men) undergoing unilateral adrenalectomy at the University Hospital. The median age was 59 (24?82) years and BMI 27.6 (17.1?40.9) kg/m2. Preoperative diagnoses were Conn?s syndrome 30%, pheochromocytoma 23%, Cushing syndrome 27% and non-functional tumor 20%. The median tumor size was 53 (10?106) mm. The majority of the 7% of the patients who were converted to open surgery were in the early phase after the introduction of the technique. The BMI of the patients who were converted to open surgery was significantly higher, 31.5 (range 25.3?37.8) compared to, 27.5 (range 17.1?40.9) in patients without conversion (P?=?0.047). The median weight of the tumor was 51...

2011-01-01

410

A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out.

A Two-step Intensity-modulated Radiation Therapy Method for Nasopharyngeal Cancer: The Kinki University Experience

Surgical fires--fires that occur on or in a surgical patient--are a rare but devastating complication of surgical procedures. They can happen during almost any kind of operation and can have dire consequences for both the patient and the hospital. The risk of surgical fires can be minimized as long as everyone on the surgical team understands how fires start and what to do when they occur. It's important to recognize the interaction among ignition sources, oxidizers, and fuels--the three sides of the classic fire triangle. What's more, staff members need to be alert to "hidden" fire risks, such as unsuspected oxygen-enriched atmospheres and less-than-obvious fuels. They also need to be drilled in the correct steps for responding to fires. In this guide, we describe the elements of surgical fires, including the types of equipment and materials that make up each side of the fire triangle. Through a series of case histories, we illustrate the many ways in which fires ...

2003-01-01

411

British Library Electronic Table of Contents (United Kingdom)

Objective The aim of this study was to analyze the clinical results of our adaptive radiation therapy scheme of a two-step intensity-modulated radiotherapy (IMRT) method for nasopharyngeal cancer (NPC) at Kinki University Hospital. Methods Between 2000 and 2007, 35 patients with Stage I-IVB NPC treated by IMRT were included. For all patients, treatment-planning computed tomography was done twice before and during IMRT to a total dose of 60-70 Gy/28-35 fractions (median 68 Gy). Chemotherapy (cisplatin 80 mg/m2/3 weeks x 1-3 courses) was given concurrently with IMRT for 31 patients. Results The 3- and 5-year overall survival rates for the 31 patients treated with concurrent chemotherapy were 88% and 83%, respectively. The 3- and 5-year loco-regional control rates for the 31 patients were 93%...

2010-01-01

412

A Blueprint for Telerehabilitation Guidelines?October 2010

British Library Electronic Table of Contents (United Kingdom)

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

2011-01-01

413

CT and MRI characteristica of tumours of the temporal bone and the cerebello-pontine angle; CT und MRT tumoroeser Veraenderungen des Schlaefenbeins

Transport volume of other radioactive materials in the Federal Republic of Germany in the fields of application of research, medicine and technology; Befoerderungsaufkommen sonstiger radioaktiver Stoffe in der Bundesrepublik Deutschland im Anwendungsbereich Forschung, Medizin und Technik

Tumours lesions of the temporal bone and of the cerebello-pontine angle are rare.This tumours can be separated into benign and malignant lesions. In this paper the CT and MRI characteristica of tumours of the temporal bone and the cerebello-pontane angle will be demonstrated. High resolution CT (HRCT) as usually performed in the axial plane are using a high resolution bone window level setting, coronal planes are the reconstructed from the axial data set or will be obtained directly. With the MRI FLAIR sequence in the axial plane the whole brain will be scanned either to depict or exclude a tumour invasion into the brain. After this,T2-weighted fast spin echo sequences or fatsuppressed inversion recovery sequences in high resolution technique in the axial plane will be obtained from the temporal bone and axial T1-weighted spinecho sequences before and after the intravenous application of contrast material will be obtained of this region. Finally T1-weighted spinecho sequences in high ...

2003-03-01

414

The zinc/air battery test of the Deutsche Post AG - first results from practice; Der Zink/Luft-Batterie-Test der Deutschen Post AG - erste Ergebnisse aus der Praxis

The transport-relevant basic data recorded within the framework of a federation-wide transport data survey made in 1986 are the best-founded source at present for determining the transport volume of other radioactive materials in different economic areas of the Federal Republic of Germany. Due to the high recording rates, a sufficiently complete survey can be provided in particular with regard to the transport volume (e.g.transports/consignments/cargos, transport distance) - with the exception of transport by ship - for the ranges of application in reserach, medicine and technology. However, as regards the radiologically relevant basic data and transport modalities, the information supplied by the transporting agencies is incomplete. A table gives a comprehensive survey of type and scope of the transport volume of other radioactive materials in the Federal Republic of Germany (excluding the GDR) for transport by road, rail and air. The table also includes data on the dose rate of ...

1994-08-01

415

The new 2.2l ECOTEC aluminium engine by OPEL; Der neue 2,2l ECOTEC Aluminium Motor von OPEL

The Deutsche Post AG is a transport company that with approximately 55,000 vehicles owns one of the biggest fleets in Europe. Being aware of its responsibility in the field of environmental policy it is looking for an alternative solution of an environmentally friendly vehicle drive system that also takes into account economic efficiency. Extensive investigations have led to a new energy storage based on the zinc-air energy system that has been developed and manufactured by the Israeli Company Electric Fuel Ltd. First tests showed an extraordinarily high capacity potential, drive values and ranges, which had been considered as impossible until that point of time. After these tests the Deutsche Post AG decided together with other well-known partners at home and abroad to carry out a territorial test with the zinc-air energy system in order to obtain insight into the day-to-day capability, economic efficiency, environmental friendliness under real driving conditions and into the required ...

1997-07-01

416

TEM-investigations of the effect of iron content on the precipitation behaviour of NiMo28 type alloys; TEM-Untersuchungen zum Einfluss des Eisengehaltes auf das Ausscheidungsverhalten von Legierungen des Typs NiMo28

The ECOTEC is a mass-efficient gasoline DOHC 4-valve per cylinder engine with balance shafts, chain driven camshafts and roller finger followers with hydraulic lash adjusters for valve actuation. It has lightweight aluminium components such as camcover, cylinder head, cylinder block, lower crankcase and structural oil pan. Other features include composite intake manifold and a coil-on-plug ignition cassette. The ECOTEC combustion system and engine architecture are optimized for low engine out and tail pipe emissions. It also includes several designed-in 'green' features for environmental benefits. The product design, development and validation process drew upon the best knowledge and practices available worldwide both inside and outside General Motor. The manufacturing systems were also designed by leveraging the best available knowledge around the world resulting in implementation of world class processes and error proofing to achieve the competitive edge in product ...

2000-07-01

417

Studies of bearings to be used in high-temperature reactor plants. Final report; Lageruntersuchungen fuer Anwendungen in Hochtemperatur-Reaktor-Anlagen. Abschlussbericht

Normally, the alloy NiMo28 is used in the solution annealed and quenched condition in which it has a face centred cubic matrix structure. The matrix of the material is supersaturated with molybdenum and, at temperatures above 800 C, has a tendency to form intermetallic precipitates such as the Ni{sub 4}Mo-ordered phase leading to the embrittlement of the NiMo28-ordered phase leading to the embrittlement of the NiMo28 alloy during hot working. For this reason, the aim of these investigations was to optimise the alloy by reducing its tendency to embrittle. The TEM-analyses carried out served to investigate the precipitation of the material as a function of its iron content after ageing at 700 C. The change in hardness and in the lattice constants of the NiMo28-specimens with iron content were also determined. To improve the hot working properties of this material it is recommended that the iron content be kept to about 3.2 mass % in order to reduce the tendency of the alloy to ...

1996-07-01

418

Start of the SAPIERR project of regional final storage of radioactive waste in the European Union; Auftakt des SAPIERR-Projekts ueber eine regionale Endlagerung radioaktiver Abfaelle in der Europaeischen Union

Several components of high-temperature reactor units have roller bearings in order to carry out their motions without much friction. The use of such bearings poses friction and wear problems which cannot be mastered by commercial roller bearing technology. Possible improvements of coating, cage design and bearing materials as well as of their parameters were registered and studied. The service life of dry lubricated bearings was considerably improved. With a radial or axial load on the bearing of {>=} 10% of the static load, {approx_equal} 20x10{sup 6} rolling motions/actuations can be performed. The connections between surface compression and wear were determined, and optimum conditions for the transfer of lubricants from the cage onto the bearing race were worked out. Coating of corrosion-resistant roller bearing steels with the HRB-M{sub 0}S{sub 2} running-in coating could be proved. New cage designs and materials were tested with positive results. Alternative coatings (thin ...

1991-09-13

419

Sprayforming of unalloyed and low alloy steel preforms; Spruehkompaktieren von Halbzeugen unterschiedlicher Geometrie aus unlegierten und niedriglegierten Staehlen

The first working meeting of the SAPIERR project about regional final storage of radioactive waste in the European Union was held in Piestany, Slovak Republic, on February 19 and 20, 2004. SAPIERR stands for Support Action: Pilot Initiative for European Regional Repositories. This is an independent study supported financially by the European Union within the 6th Research Framework Program. The background to the project is the debate about the feasibility of regional repositories for radioactive waste in the European Union, which has come up again especially with a view to the new accession countries and the draft of a waste management directive within the framework of the Nuclear Package. The results of the SAPIERR Project will be presented in Brussels at a concluding international seminar, most probably in October 2005. The seminar will be open not only to the participating countries but also to other interested European and non-European states. (orig.) [German] Am 19. und 20. Februar ...

2004-06-01

420

Specifications for dumping of residues from mechanical-biological waste treament facilities; Anforderungen an die Ablagerung von MBA-Abfaellen

Sprayforming offers the possibility to produce a variety of preforms in a single step directly from the melt. Numerous processing parameters ensure high flexibility but require detailed knowledge concerning the microstructure of sprayformed material depending on chemical composition and processing parameters. Within the current study fundamental investigations using unalloyed and low alloy steel grades (C15, C105, 100Cr6) for sprayforming of plates and billets have been performed concerning the influence of chromium and carbon content and selected processing parameters. Sprayformed preforms revealed austenite grain sizes up to 500 {mu}m depending on the development of porosity. Different types of porosity have been detected which can be associated with incomplete densification due to high cooling rates, solidification shrinkage and entrapped nitrogen. Atomisation gas pressure and carbon content are parameters of primary importance. (Abstract Copyright [2003], Wiley Periodicals, Inc.) ...

2003-01-01

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421

Results of the project 'combustion modelling' (BKM II); Ergebnisse des Projekts 'Brennkammermodellierung' (BKM II)

For purposes of assessing the dumpability of wastes, Article 1 - Ordinance on the Environmentally Responsible Landfilling of Household Wastes (AbfAblV) - of the Ordinance on the Environmentally Responsible Landfilling of Household Wastes and Biological Waste Treatment Plants defines classificaton criteria for biologically and mechanically treated wastes destined for landfilling. The practical experiences that have been gathered with these classification criteria and values were evaluated in a questionnaire-based survey. This was done in particular for the purpose of verifying and validating proposals on the methodology of respiration and fermentation tests. A general finding has been that the application and implementation of the regulations of the AbfAblV is fraught with difficulties. This is evident for one thing in the frequency of analyses and for another in the difficulty of complying with the limit values of the classification criteria. The authors are in support of demands that ...

2001-07-01

422

Results of measures improving the efficiency in steam turbines of RWE Energie AG; Ergebnis der wirkungsgradverbessernden Massnahmen an Dampfturbinen der RWE Energie AG

In the year 1996 the spheres of competence of several DLR-Institutes working in the areas of fluid dynamics, reaction kinetics, combustion, numerical methods and laser measuring techniques have been brought together while contributing to the internal DLR project 'combustion chamber modelling (BKM)', in order to proceed with the computational simulation of combustion processes in combustion chambers of gas turbines. The main issue was the development of a research code for numerical simulation of fluid flow in real combustion chambers. Here the development of computational models of physical and chemical processes was emphasized, among other processes the formation of soot was treated. Moreover, a worldwide outstanding database of measured data for the purpose of code validation has been created within the framework of the BKM project using the laboratory facilities of the DLR, which are in Germany unique for the experimental investigation of the various processes in ...

2002-07-01

423

Report on Challenges and Resolutions for the Purple Development Environment

One part of the RWE measure catalogue in order to guarantee an environmental friendly and competitive electric power generation based on brown coal is to carry out measures improving the efficiency at existing steam turbines in RWE brown coal power plants. Since 1993 a total of 21 steam turbines with a gross capacity of 7,100 MW or net capacity of 6540 MW - this corresponds to approximately 70 % of the installed RWE brown coal power plant capacity - have been improved with an investment of approximately DM 500 million. The net block efficiency has been increased by 1.3 % on average. The planned net capacity increase of approximately 250 MW is still going to be achieved taking into account the pending enhancements. Nuclear power plant turbines have been successfully improved in the same way. Apart from the described retrofit programme measures to improve efficiency are carried out at further steam turbines of brown coal power plants. In the frame of this talk the measures taken are ...

1999-12-01

424

Processing and physical utilisation of waste materials relevant to iron and steel manufacture; Aufarbeitung und stoffliche Nutzung eisen- und stahlrelevanter Abfallstoffe

Previous AIX development environment experience with ASC White and Early Delivery systems UV and UM was leveraged to provide a smooth and robust transition to the Purple development environment. Still, there were three major changes that initially caused serious problems for Purple users. The first was making 64-bit builds of executables the default instead of 32-bit. The second was requiring all executables to use large page memory. The third was the phase-out of the popular, but now defunct, third-party C++ compiler KCC, which required the migration of many codes to IBM's xlC C++ compiler. On Purple, the default build environment changed from 32-bit builds to 64-bit builds in order to enable executables to use the 4GB per processor (32GB per node) memory available, and in order for the MPI library to do collective optimizations that required the larger 64-bit address space. The 64-bit build environment was made default by setting the IBM environment ...

2006-12-12

425

Measurement of level lifetimes in the ps range and model interpretations for neutron-rich A {approx_equal} 100 nuclei

A part of the waste materials arising in iron and steel manufacture is utilised physically, either internally for the recovery of iron or externally for the production of cement and nonferrous metals. Most of these materials can be used without prior processing. Iron and steel-relevant waste materials which at present are still landfilled or disposed of as hazardous wastes are not immediately suitable for physical recycling as secondary raw material. These waste materials have to be processed without exception before they can be used again in the existing steel and iron manufacturing plants. The results of the authors` own studies have clearly shown that the cupola furnace is suited for the use of a wide variety of waste materials. [Deutsch] Ein Teil der bei der Eisen- und Stahlerzeugung anfallenden Abfallstoffe werden entweder intern zur Rueckgewinnung des Eisens oder extern in der Zement- bzw. Nichteisenmetallgewinnung stofflich verwertet. Dabei handelt es sich ueberwiegend ...

1998-09-01

426

Magnetic resonance imaging of the urogenital diaphragma in comparison with conventional histomorphological findings (the controversy about the deep transverse muscle of perineum); Kernspintomographische Untersuchungen des Diaphragma urogenitale im Vergleich mit korrespondierenden histomorphologischen Befunden (der Streit um den Misculus transversus perinei profundus)

The nuclear structure of A {proportional_to} 100 nuclei has been studied in the frame of this thesis with a recently developed {beta} - {gamma} - {gamma} triple coincidence fast timing technique and different models such as shell model, hydrodynamic model, Nilsson and particle-rotor models. This technique which allows the measurement of the level lifetimes in the ps range has been applied at JOSEF at the research reactor DIDO of KFA Juelich in studes of the short-lived neutron-rich nuclei in the A {approx_equal} 100 region. Lifetimes of level in {sup 96},{sup 98},{sup 100} ZR, {sup 99},{sup 101}-{sup 104} Nb, {sup 100}-{sup 105} Mo have been measured, which are in many cases completely new, and otherwise more precise than previously published data. From the lifetimes of the members of rotational bands, the size of the nuclear deformations has been deduced. (orig./HSI). [Deutsch] Im Rahmen dieser Doktorarbeit wurde die Kernstruktur der A {proportional_to} 100 Kerne untersucht. Dazu ...

1992-08-01

427

MRT of the abdomen in combination with enteroclysis in Crohn disease with oral and intravenous Gd-DTPA; MRT des Abdomens in Kombination mit der Enteroklyse bei Morbus Crohn unter Verwendung von oralem und intravenoesem Gd-DTPA

The transversus perinei profundus muscle is a well known structure in found anatomical textbook. Fibres of this muscle are believed to form the so-called external urethral sphincter (musculus sphincter urethrae). Recently histomorphologic investigations have shown that there is no muscular connection between the musculus sphincter urethrae (external sphincter) and the muscle system of the pelvic floor. Furthermore, the external sphincter was found to be divided into parts: The transversely striated part (musculus sphincter urethrae transversostriatus) and the smooth part (musculus sphincter urethrae glaber). Similar to histomorphologic investigations, contrast-enhanced MR imaging has shown the musculus sphincter urethrae to be surrounded by fatty and connective tissue only. Neither in MRI nor in anatomical slices can any connection between the urethral sphincter and the muscle system of the pelvic floor be found. Thus, on the basis of the results presented in this work it is concluded ...

1997-01-01

428

Investigations into the behaviour of chlorohydrocarbons with a view to thermal waste processing; Verhalten von Chlorkohlenwasserstoffen in Hinsicht auf die thermische Muellverwertung

60 patients between 17 and 72 years of age were investigated. First, an enteroclysis was performed in typical manner. The applicated methylcellulosis was blended with positive oral MR contrast media (Magnevist oral, Schering). After enteroclysis, MRI of the abdomen was performed using T1- and T2-weighted breathhold sequences (Flash 2D pre- and postcontrast and TSE) in axial and coronal planes. The length of the affected bowel and the stenosis seen with enteroclysis correlated well with the visible thickening of the small bowel wall and the stenosis seen in MRI. Using MRI, additional findings could be obtained in 28 patients, such as fistulas, abscesses or a hydronephrosis, or a better assessment of the stenosis was possible with MRI, because of the avoidance of overshadowing of the affected bowel loop with MRI. A brilliant MR-tomographic imaging of the small bowel is possible under the condition, that the small bowel contrast is optimal. The main prerequisite is a large filling volume ...

1998-01-01

429

Investigation of respiratory-dependent movements of pulmonary space-occupying lesions with MRI; Untersuchung der atemabhaengigen Bewegungen pulmonaler Raumforderungen mit der MRT

Pyrolysis and combustion of CH are investigated. In order to reduce the work required for the present combination of parameters, the following substances were selected: Hexachloroethane, hexachlorocyclohexane, hexachlorobenzene and hexachlorophene. The model substances were pyrolyzed or combusted in varying conditions, and the combustion or pyrolysis products were analyzed. Only the main products were of interest; trace components are important only as far as they may throw light on the reaction mechanisms. The furnace design resulted in incomplete combustion and pyrolysis reactions, so that products of all stages of combusition or pyrolysis were available for analysis. Reaction processes can be derived from the products. As an alternative to thermal treatment of refuse, biological degradation of chlorinated hydrocarbons was gone into. The efficiency of decomposition by microorganisms was to be compared with the efficiency of thermal destruction of chlorohydrocarbons. The ...

1993-07-01

430

Experimental, non-isothermal modelling of combustion for verification of mathematical, theoretical methods. Final report; Experimentelle, nichtisotherme Modellierung der Verbrennung zur Verifizierung von mathematischen, theoretischen Verfahren. Abschlussbericht

Parallel imaging and echo sharing techniques have markedly reduced the acquisition times for MRI of large volumes. Dynamic 2 and 3-dimensional data sets of the chest with high temporal resolution (up to 10 images/s with single slice and 2 volume/s) allow an analysis of respiratory motion of the lungs and tumors. Time-resolved 2D series in preselected planes can be used to observe respiratory motion during free breathing or after respiratory commands, e.g. to exclude chest wall invasion by a tumor or for diagnosing impairment of respiratory mechanics. Time-resolved 3D-series (4D-MRI) allow monitoring of the spatial displacement of the lungs and tumors as a whole volume. Present limitations such as an overestimation of tumor size and an underestimation of displacement due to a limited temporal resolution are expected to be overcome with further technical developments. However, 4D-MRI already appears to be the appropriate tool to select patients for motion-adapted radiotherapy. In ...

2009-08-15

431

Excessive copper concentrations in the tap water of households with copper pipes and an assessment of possible health hazards for infants. First results of a study; Gesundheitliche Gefaehrdung ungestillter Saeuglinge durch Kupfer in Haushalten mit kupfernen Trinkwasserleitungen. Erste Ergebnisse einer prospektiven Studie

In technical combustors, flow and combustion processes inside the combustion chamber determine the design and also the safety of the plant. A modelling technique was developed at TU Dresden which comprises both numerical simulations and experimental data and thus achieves a high degree of transparency in its visualisation of the processes inside the combustion chambers under investigation. With the experience gained, numerical models of commercial simulation software (FLUENT, CFX) can be validated by measured values, and potential applications of the programs can be investigated. The first stage of experimental modelling consisted in isothermal (cold) modelling in consideration of flow-relevant similarity characteristics. In the reactive, non-isothermal models, the fuel/air ratio and temperature conditions inside the original combustion chamber were modelled as well. In order to obtain detailed data on the combustion conditions at the burner, measurements were made on a separate ...

1998-05-26

432

Efficient PVD-coatings for roller bearings; Leistungsfaehige PVD-Waelzlagerbeschichtungen

To determined precisely a possible connection between the amount of copper in tap-water and the risk of early childhood liver disease, it was attempted through an epidemiological survey, to determine the extent of excessive concentrations of copper in the tap-water of households with copper pipes. Water samples from 956 households were tested for copper, and the state of health of the infants in these households was documented. Infants who had been fed using water with a copper concentration of 0.8 mg/l or more received a paediatric examination with a blood serum analysis to rule out any liver damage. A copper level greater than 0.8 mg/l was found in only 2% of the households examined. Eight infants were examined by a paediatrician and their serum was analysed. These infants had either been breast-fed to the 12th week or had received more than 200 ml of tap water per day during first 12 months. None of the infants examined showed any signs of liver malfunction. From the results of the ...

2000-04-01

433

Diagnosis and therapy of Budd-Chiari syndrome; Diagnostik und Therapie des Budd-Chiari-Syndroms

On the basis of cylindrical roller thrust bearings it was systematically examined to what extent PVD-coatings are able to take over the function of EP/AW-additives. The bearings were tested under heavy-duty conditions in order to distinguish very fast the efficiency of different coating-substrate-systems. Several coatings were tested for their ability to protect an un-coated counterpart. So just the washers of the roller bearings were coated, the rollers stayed un-coated. Four Me-C:H-coatings showed the best performance and fulfilled the required criterion for roller bearings in the boundary friction: low loss of mass and hardly surface deviation. Material carryover from the carbonaceous coating to the 100Cr6 steel surface was developed by the Me-C:H-coatings during the tests. This mechanism was able to protect the un-coated rollers. Closer investigations were done with an ESMA analysis (electron beam micro range analysis) on ZrC{sub g}-coatings. It could be seen, that a reaction layer ...

2003-11-01

434

Corrosion by arsenic vapor at 700deg C; Korrosion durch Arsendampf bei 700deg C

Purpose: Budd-Chiari syndrome is a fairly uncommon disease in Europe. This often leads to its late diagnosis. The syndrome is characterised by portal hypertension and splanchnic congestion due to obstruction of hepatic venous outflow. This paper describes the treatment of three patients with Budd-Chiari syndrome by interventional therapeutic techniques and discusses alternative treatment modalities. Patients and Methods: The first patient presented with veno-occlusive disease and was treated by the placement of a transjugular intrahepatic portosystemic stentshunt. The second patient showed an occlusion of the major hepatic veins. After percutaneous recanalisation, a stent was placed in the right hepatic vein which remained patent. The third patient had a membranous obstruction of the right hepatic vein which was treated by percutaneous balloon dilatation. Results: In all patients the clinical symptoms resolved completely after treatment and no complications were encountered. ...

1998-09-01

435

Condition Monitoring in Power Stations; Condition Monitoring im Kraftwerk

For a wider application of GaAs single crystals for semiconductor devices a cheaper process to grow crystals with high purity and low dislocation density is required. According to todays knowledge the Czochralski method with a hot wall vessel should be the choice. The temperature of the vessel has to be 700deg C to avoid condensation of arsenic which vapourizes from the 1240deg C hot melt. Arsenic vapour is very agressive against all metals. Therefore the corrosion resistance of metals and alloys with a high melting point and also ceramics has been tested. All the alloys under investigation are corroded severely so that they have to be excluded as a material for the vessel. The metals tantalum, molybdenum and tungsten are more resistent, titanium forms initially a thick protection layer and further corrosion is greatly reduced. The ceramics investigated (TiB{sub 2}; ALN; Makor; BN) are not attacked by arsenic though they may store some arsenic. (orig./MM). [Deutsch] Fuer breitere ...

1992-11-01

436

Characterization of decarburisation processes during austenitising of the rolling bearing steel 100Cr6. Part 1: Correlation between rim zone properties and carbon concentration profile; Charakterisierung von Randentkohlungsvorgaengen bei der Austenitisierung des Waelzlagerstahls 100Cr6. Teil 1: Korrelation zwischen Randschichteigenschaften und Kohlenstoff-Tiefenverlauf

Maintenance of power stations so far operated on the concept of using or extending the expected service life of a machine or plant as far as possible in order to avoid early and costly replacement. This was done by means of time-oriented maintenance, inspection and repair, otherwise called preventive maintenance. A European study on maintenance methods totals the cost of these measures at between 140 to 200 billion DM. One way of reducing these costs is 'predictive maintenance'. Estimated savings are about 8 percent or between 12 and 16 billion DM per year. Predictive maintenance identifies irregulaties of machine parts at an early point in time by means of condition monitoring and can help to cut costs: unplanned repairs can be avoided; repairs can be fitted into production schedules; production will not be disturbed to to unforeseen repairs, optimised spare part warehousing helps to cut costs. Predictive maintenance aims at keeping availability high, give maximum ...

1998-07-01

437

Characterisation of biosorption to algae of heavy metals; Charakterisierung der Biosorption von Schwermetallen an Algen

The influence of a decarburisation process during austenitising of the through-hardenable rolling bearing steel 100Cr6 (SAE 52100) on the rim zone properties of the martensitic through-hardened material was investigated by means of material analysis and diffusion calculations. For this purpose, two specimens were prepared under defined heat treatment conditions, and the near-surface carbon distribution was determined micro-chemically by using secondary ion mass spectrometry (SIMS). In part 1 of the present work, these concentration profiles are compared with the depth variation of the micro-hardness and with the distance curves of the residual stresses and the line broadening ({l_brace}211{r_brace} {alpha}'-Fe diffraction line) both measured by X-ray diffraction (XRD). In addition, microstructure investigations were performed. In part 2, a refined kinetics model of a diffusion-controlled reaction based on the finite element method (FEM) will be applied to the decarburisation ...

2003-08-01

438

Aircraft Research Guideline 1999 - 2002: High pressure compressor - preliminary design as a basis for the development of an efficient and environmentally friendly core engine. Final report; Leitlinie Luftfahrtforschung 1999 - 2002: Hochdruckverdichter-Vorauslegung als Grundlagenuntersuchung zur Entwicklung eines Kerntriebwerkes fuer einen effizienten und umweltfreundlichen Antrieb. Schlussbericht

The paper presents fundamental studies on natural biosorption to algae of heavy metals. The investigations were carried out by TU Berlin University in a special research project (Sfb 193, 'Biologische Behandlung industrieller und gewerblicher Abwaesser'). The chlorophyceae C. vulgaris was used as reference alga, and 38 further algae were analzyed with regard to their sorption characteristics for lead, cadmium, nickel and zinc. The most effective algae were the chlorophyceae C. salina, the cyanophyceae S. hofmani and L. taylorii. The biosorption characteristics of C. salina and L. taylorii were investigated in detail. L. taylorii was found to be exploitable successfully in a technical process, so the investigations were extended to include copper. Knowledge about the chemical processes of biosorption is important for any attempt to modify the biosorption characteristics. Experiments on the incorporation of additional functional groups in the cell wall polysaccharides ...

2003-07-01

439

'Zoxy' - the zinc-air high energy battery system: with decentral charging infrastructure; ''Zoxy'' - das Zink-Luft-Hochenergiebatterie-System mit dezentraler Lade-Infrastruktur

This report completes the documentation for the research project 'High Pressure Compressor - Preliminary Design as Basis for the Development of an Efficient and Environmentally Friendly Core Engine' which was funded by the Ministry of Economics of State Brandenburg. The objective of the project is to deliver a preliminary compressor aerodynamic design as well as design studies for an efficient, weight and cost improved compressor. The increase of stage pressure ratio and improved efficiency, whilst stage and blade count is reduced, has been achieved by advanced 3D methods. Compressor stability also at off-design conditions will be retained. The mechanical design focusses on a cost and weight optimised rotor not only for a conventional bladed discs but also for Blish stages. Various options for split casings have been developed and assessed. Alternative vortex reducers based on different design options have been carried out. The results from this project will be ...

2001-08-01

440

Final Scientific EFNUDAT Workshop

Storing electrical energy in batteries is not a viable option for sustaining a country's energy economy. The mass and volume, as well as the costs, of electrochemical components required for this would be beyond all reason. Nevertheless, in certain applications the storage of electrical energy does have significant advantages over other technologies. For example, electrically powered road vehicles emit no exhaust fumes and very little noise at their place of operation. In this way they contribute substantially to air and noise pollution control in urban areas. Photovoltaic applications permit environmentally friendly electricity applications in places remote from the public grid where conventional solutions are prohibitively expensive. More than in the past, battery systems today have to meet a wide range of technical, economic and ecological requirements in order to be marketable. This is why the ''Zoxy'' zinc-air battery system was ...

1997-02-01

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441

Investigation of dominant loss mechanisms in low-temperature polymer electrolyte membrane fuel cells

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442

beta-Lactamases among extended-spectrum beta-lactamase (ESBL)-resistant Salmonella from poultry, poultry products and human patients in The Netherlands

This thesis deals with the analysis of dominant loss mechanisms in direct methanol fuel cells (DMFC) and hydrogen fed polymer electrolyte membrane fuel cells (PEFC) by means of experimental characterization and modeling work. Due to different fuels used in these two fuel cell types, the dominant loss mechanisms are different in their nature. All in-situ characterization techniques that are used in this work are based on a novel test fuel cell with embedded reference electrodes. The first part of this work presents a new concept for realizing a reference electrode configuration in a polymer electrolyte membrane fuel cell by means of laser ablation. The laser beam is used to evaporate a small gap into the electrode surface of a catalyst coated membrane (CCM) to isolate the reference electrode from the working/counter electrode (WE/CE). This method enables the simultaneous ablation of the electrodes on both sides of the CCM because the membrane is transparent for the laser beam. ...

2010-07-01

443

DEFF Research Database (Denmark)

Objectives: The purpose of this work was to study the genetic determinants responsible for extended-spectrum beta-lactamase (ESBL) resistance of Salmonella isolated from Dutch poultry, poultry meat and hospitalized humans. Methods: Thirty-four ESBL-resistant Salmonella isolates from The Netherlands were tested towards 21 antimicrobial agents. PCR and sequencing were used to determine the underlying genetic determinants responsible for the ESBL phenotypes. The transferability of the ESBL phenotypes was tested by conjugation to a susceptible Salmonella enterica serovar Dublin and plasmid purification, restriction fragment length polymorphism (RFLP) and pulsed-field gel electrophoresis (PFGE) were employed to further characterize a subset of the isolates. Results: A great genetic diversity was seen among the isolates. The bla(TEM-52) gene was most predominant and was found among Salmonella enterica serovars Blockley, Thomson, London, Enteritidis phage type 14b, ...

2005-01-01

444

Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: A single center study

Use of sting-response techniques for simulate diagnostics in human esophagus; Uso de tecnicas estimulo-respuesta para simular diagnosticos en esofago humano

The aim of this study was to document vascular complications that occurred following cadaveric and living donor kidney transplants in order to assess the overall incidence of these complications at our center as well as to identify possible risk factors. In a retrospective cohort study, 1500 consecutive renal transplant recipients who received a living or cadaveric donor kidney between December 1988 and July 2006 were evaluated. The study was performed at the Nemazee Hospital, Shiraz, Iran. The assessment of the anatomy and number of renal arteries as well as the incidence of vascular complications was made by color doppler ultrasonography, angiography, and/or surgical exploration. Clinically apparent vascular complications were seen in 8.86% of all study patients (n = 133) with the most frequent being hemorrhage (n = 91; 6.1%) followed by allograft renal artery stenosis (n = 26; 1.7%), renal artery thrombosis (n = 9; 0.6%), and renal vein thrombosis (n = 7; 0.5%). ...

445

The relationship between seminal plasma zinc levels and high molecular weight zinc binding protein and sperm motility in Iraqi infertile men

In this work a study of simulation of the gamma graphic studies that are carried out in human esophagus in the Dept. of Nuclear Medicine of the 'Celestino Hernandez Robau Hospital of Santa Clara is presented. For the investigation tubular reactors were used and sting-response techniques with radioactive tracer of Technetium 99 metastable to a concentration of 1 mCi and several flows were applied. The distribution curves of residences times were obtained, those that respond to an equation of the type: Y = A + B exp (- exp((x-C)/D)) - ((x-C/D)+1). They were also carried out, optimizations studies of the doses of the radioactive to give to the patients from 1 mCi (that is the one used in studies) up to 0,5 mCi, and the influences on the obtained distributions of residence time were analyzed. It was confirmed the possibility to lower the doses with clear information of the signal. It was also carried out a simulation of the attenuation of the radiations that ...

2003-07-01

446

The operation status and prospect of radioisotope production facility in HANARO

To evaluate the relationship between sperm motility and total seminal plasma zinc concentration and high molecular weight zinc bound protein values in infertile Iraqi men. A case-control study was conducted at the Chemistry and Biochemistry Department, College of Medicine, Al-Nahrain University, Baghdad, Iraq between March 2005 to February 2006. The subjects for the study included 60 infertile male patients who were recruited Al-Kadhimiya Teaching Hospital, and Institute of Embryo Research and Infertility Treatment, Baghdad, Iraq. They were categorized according to their seminal parameters to oligozoospermia (n=32), azoospermia (n=22), and asthenozoospermia (n=6). Thirty nine fertile men (age range 31.87 +/- 3.76 years) were selected as controls, whose partners had conceived within the last year before participation with this study, and having normal spermiogram parameters. Seminal plasma zinc concentration and high molecular weight zinc binding proteins (HMW-Zn) ...

447

Tests for the diagnosis of Clostridium difficile infection: the next generation.

Researches and production of radio-isotopes, radio-pharmaceuticals and cold kits are carried out in the Radio-isotope Production Facility (RIPF). Four concrete hot cells in Bank-1 are to produce the Ir-192 source for NDT. Eleven lead hot cells in Bank-2 are to produce Ho-166, Cr-51, P-32/33, Tc-99m, Lu-177, Sr-90/Y-90 and W-188/Re-188 for research purpose. Six lead hot cells in Bank-3 are used for the production of I-131 for diagnosis and therapy of cancer in the hospital. A hot cell in Bank-3 is also utilized for the research of I-125 and Br-82. Four lead hot cells in Bank-4 are utilized for the production of Mo-99/Tc-99m generators since 2005. The major systems including the Heat and Ventilated Air Conditioning (HVAC) system and the air cleaning system such as charcoal and HEPA filter trains to filter the radioactive contaminants are in operation. So are the systems such as power supply and distribution system, UPS, fire protection system, liquid radioactive ...

2008-11-15

448

Survey of Radiation Protection Education and Training in Finland in 2003

Clostridium difficile (C. difficile) causes 25-30% of cases of antibiotic associated diarrhea and most cases of pseudomembranous colitis. Patients presenting with diarrhea after hospitalization for 3 or more days should be tested for C. difficile. There are many options available for testing, each of which has inherent advantages and disadvantages. Most laboratories perform toxin testing using an enzyme immunoassay method. In general these tests have sensitivities ranging from 60 to 70% and specificities of 98%. When using these methods, symptomatic patients with negative tests should be tested by another more sensitive method. Until recently, cell culture cytotoxicity neutralization assays (CCNAs) were considered the gold standard in the U.S. A two-step algorithm using an EIA for glutamate dehydrogenase detection followed by testing positives using CCNA, offered an improved alternative until the availability of molecular assays. Although early studies that ...

2011-03-03

449

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

The current state and need for radiation protection training in Finland have been surveyed by the Radiation and Nuclear Safety Authority STUK. The survey sought to determine whether the current requirements for radiation protection training had been met, and to promote radiation protection training. Details of the scope and quality of present radiation protection training were requested from all educational institutes and organizations providing radiation protection training. The survey covered both basic and further training, special training of radiation safety officers, and supplementary training. The questionnaire was sent to 77 educational organization units, 66 per cent of which responded. Radiation workers and radiation safety officers were asked about radiation protection knowledge and needs for additional training. The questionnaire was sent to 880 radiation users and 170 radiation safety officers, 70 per cent of whom responded. The survey covered all professional groups and ...

2004-07-01

450

Study of the distribution of gamma emitters radionuclides between a pollution abatement factory and its surrounding environment; Case of the water treatment plant of the Grand Caen district. Study report; Etude de la repartition de radionucleides artificiels emetteurs gamma entre une usine de depollution et son milieu environnant; Cas de la station d'epuration du District du Grand Caen. Rapport d'etude

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

2009-09-08

451

Except nuclear industry, diverse structures (hospitals, of research or manufacturers) can have appeal to the use of radioisotopes conditioned under unsealed shape. Such practices lead to tolerate releases in environment in the respect of a statutory device. So the collective network can contain radioisotopes the future of which is going to depend partially on the cleaning applied to waste water. This study through the analysis of a concrete case, has for objective to inform about the future of gamma radioelements present in waste water treated by a wastewater treatment plant. The contamination of the network is essentially due to Tc{sup 99} and I{sup 131}, radioelements present whatever the working day and the hour considered. The total estimated in-load for a day is important, of the order of 4000 MBq for Tc{sup 99} and 15 to 300 MBq for I{sup 131}. The assessment of cleaning of the station shows that this one plays a role towards this pollution through these ...

2007-07-01

452

Screening for congenital hypothyroidism in Lebanon

Purpose: To conduct a retrospective analysis within a large university teaching hospital, comparing outcomes between patients receiving either radical surgery or radiotherapy as curative treatment for bladder cancer. Patients and Methods: Between March 1996 and December 2000, 169 patients were treated radically for muscle-invasive bladder cancer. Data were collected from patient notes. Statistical analyses were performed using Kaplan-Meier methods and Cox proportional hazards regression analysis to compare radiotherapy and surgical outcome data. Results: There was no difference in overall, cause-specific, and distant recurrence-free survival at 5 years between the two groups, despite the radiotherapy group being older (median age, 75.3 years vs. 68.2 years). There were 31 local bladder recurrences in the radiotherapy group (24 solitary), but there was no significant difference in distant recurrence-free survival. In a more recent (2002-2006) cohort, the median age ...

2008-02-01

453

Renal artery stenosis after radiotherapy for Ewing's sarcoma

Full text.National programs of neonatal screening were introduced in most countries and have proved their effectiveness against different types of retardation in children. Congenital hypothyroidism is one of the most common causes of physical and mental retardation in children. Programs of screening have shown that the incidence of this disorder is ethnic-background: it is low in Africans: 1-32000 whereas it is 1-3500 and 1-5000 in Hispanic and European newborns respectively. No previous mass screening programs were done in Lebanon. For this purpose, this program was introduced in collaboration with the IAEA. Cord blood is spotted into circles on filter paper just after delivery. These samples are air-dried at room temperature and kept at 4 degree C. They are then collected from hospitals to be screened. In the laboratory, all samples are assayed for IRMA TSH first. Those showing high or borderline TSH level (20mU/L) are then assayed for RIA TT4. Only those showing ...

1999-11-02

454

Reevaluation of the 'Falx sign'

Background: the fact that therapeutic irradiation can induce significant stenosis in the arteries of the head, neck, and chest, as welt as in the aorta and the iliac arteries, is familiar in daily practice and well documented in the literature. By contrast, radiation-induced renal artery stenosis seems to be a less widely known complication. Patients and methods: the sudden onset of medically refractory arterial hypertension and coma in a 27-year-old man is reported, who had been treated at age 20 with chemotherapy and radiotherapy for Ewing's sarcoma in the lumbar region. This treatment had been performed at the hospital of Sion, Switzerland in 2001. Also, the relevant literature from 1965 to 2007 is reviewed to underscore various aspects of this problem and to demonstrate the clinical relevance of renal artery stenosis as a potential long-term sequela of radiotherapy. Conclusion: radiation-induced renal artery stenosis has only rarely been described in the ...

2008-09-01

455

Radiation exposure of children in pediatric radiology. Pt. 5. Organ doses in chest radiography; Zur Strahlenexposition von Kindern in der paediatrischen Radiologie. T. 5. Organdosen bei der Roentgenuntersuchung des Thorax

Visualization of falx cerebral on non-enhanced computer tomography (CT) of children with severe head injuries (the falx sign) has been regarded as an evidence of subarachnoid hemorrhage. On the contrary, other authors have reported reverse results. To evaluate clinical significance of the falx sign, authors studied frequency of visualization and CT number of falx cerebri and dural sinuses in 65 children with head injury and 65 children without head injury examined by cranial computer tomography at the Department of radiology, St Paul's Hospital, Catholic Medical College from March to September, 1981. All patients with head trauma were studied within 1 week of the traumatic event. Visualization of falx cerebri was observed at slice in the region of lateral ventricle and slice near to vertex respectively. On the slice in the region of lateral ventricle, falx cerebri was identified in 82% of all of the children examined, of which 92% showed partial ...

1982-06-15

456

Radiation exposure of children in pediatric radiology, Pt. 8. Radiation doses during thoracoabdominal babygram and abdominal X-ray examination of the newborn and young infants; Zur Strahlenexposition von Kindern in der paediatrischen Radiologie. T. 8. Strahlendosen beim thorakoabdominalen babygramm und bei der abdomenaufnahme neugeborener und saeuglinge

Purpose: Reconstruction of organ doses of selected organs and tissues from radiographic settings and exposure data collected during chest X-ray examinations of children of various age groups performed in Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007. Materials and Method: The dosimetric data of all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 119 150 chest radiographs of all age groups. Reconstruction of organ doses in 40 organs and tissues in X-ray examinations of the chest was performed based on the conversion factor concept. Results: The radiation exposure of organs in projection radiography is determined by the exact site of the organs relative to the edges of the X-ray field and the beam direction of ...

2009-05-15

457

Radiation exposure of children in pediatric radiology, Pt. 8. Radiation doses during thoracoabdominal babygram and abdominal X-ray examination of the newborn and young infants

Purpose: Reconstruction of radiation doses for the thoracoabdominal babygram and the abdomen X-ray from radiographic settings and exposure data acquired at Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007; comparison of these dose values with values reported in the literature; recommendation of a reference dose value for the thoracoabdominal babygram. Materials and Methods: The data from all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 1493 thoracoabdominal babygrams and 3632 abdomen X-rays of newborns and young infants. With the computer program PAeDOS, a specific dose reconstruction algorithm was developed. Results: the entrance dose values of thoracoabdominal babygrams and abdomen X-rays in DvHK could be ...

2010-06-15

458

Quality control in medical radiology using T.L.D

Purpose: Reconstruction of radiation doses for the thoracoabdominal babygram and the abdomen X-ray from radiographic settings and exposure data acquired at Dr. von Hauner's Kinderspital (children's hospital of the University of Munich, DvHK) between 1976 and 2007; comparison of these dose values with values reported in the literature; recommendation of a reference dose value for the thoracoabdominal babygram. Materials and Methods: The data from all X-ray examinations performed since 1976 at DvHK were stored electronically in a database. After 30 years of data collection, the database now includes 305 107 radiological examinations (radiographs and fluoroscopies), especially 1493 thoracoabdominal babygrams and 3632 abdomen X-rays of newborns and young infants. With the computer program PAeDOS, a specific dose reconstruction algorithm was developed. Results: the entrance dose values of thoracoabdominal babygrams and abdomen X-rays in DvHK could be reduced in the last ...

2010-06-01

459

Prevalence and Associations of Anxiety Disorders in Adults with Intellectual Disabilities

In this work tests of quality control in beams of X rays have been carried out, at diagnostic level, of two radiological services equipments of Brazilian hospitals (Aracaju, SE). We obtained the air kerma and kerma rate values, the beams efficiency, the coherence between the luminous fields and the referring fields of irradiation and half-value layer to each equipment and set of parameters. The measures of direct form have been obtained using two ionization chambers, one cylindrical and another one with parallel plates. An optional method for accomplishment some of the tests were carried out with CaSO{sub 4}:Dy + Teflon thermoluminescent dosimeters. The values of air kerma were evaluated for three tube voltage, 40, 60 and 81 kV at 1.0 m from the focus of the equipments. For each one of the voltages three distinct current values were chosen besides a fixed value of exposition time. The results showed that the values of air kerma varied between 8.0 {mu}Gy and 0.35 ...

2006-07-01

460

Natural background radiation induces cytogenetic radioadaptive response more effectively than occupational exposure in human peripheral blood lymphocytes

Background: Anxiety disorders are known to be common in the general population. Previous studies with adults with intellectual disabilities (IDs) report a prevalence of general anxiety disorder ranging from less than 2% to 17.4%. Little is known about associated factors in this population. This study investigates point prevalence of anxiety disorders and determines the factors independently associated with them. Methods: Information was collected with 1023 adults with IDs who participated in a large-scale, population-based study. All had a comprehensive physical and mental health assessment. The point prevalence of anxiety disorders according to different diagnostic criteria was determined, as were independently associated factors by using logistic regression analysis. Results: Three point eight per cent (95% CI = 2.7-5.2%) of the cohort had an anxiety disorder at the time of assessment. Generalised anxiety disorder was the most common (1.7%), then agoraphobia (0.7%). Factors ...

2011-02-01

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461

Mean glandular doses for women undergoing mammographic breast screening in Oyo state, Nigeria

Ramsar, a city in the northern Iran, has the highest level of natural background radiation in the world. It has been clearly shown that low doses of ionising radiation can induce resistance to subsequent higher exposures. This phenomenon is termed radioadaptive response. We have compared induction of cytogenetic radioadaptive response by High Natural Background Radiation (HNBR) in Ramsar and X-ray occupational exposure as conditioning doses in human peripheral blood lymphocytes. 30 healthy control individuals, living in Ramsar but in normal background radiation areas, 15 healthy individuals from Talesh Mahalleh, a region with extraordinary high level of background radiation, and 7 X-ray radiographers working in Ramsar hospital located in normal natural background ionising radiation area were evaluated. Peripheral blood samples were prepared and exposed to challenge dose of 0 and 2 Gy. Lymphocytes were scored using analysis of metaphase, for the presence of ...

2003-01-01

462

Mean glandular doses for women undergoing mammographic breast screening in Oyo state, Nigeria

In this work, thermoluminescent dosimeters have been used to measure entrance surface doses (ESDs) of patients undergoing mammographic screening at the University College Hospital, Ibadan, Oyo state. The mean glandular doses (MGDs) were also calculated using the measured ESDs. The results showed that the ESDs ranged from 0.26 mGy to 21.26 mGy for the mediolateral oblique (MLO) views and 0.08 mGy to 5.36 mGy for the craniocaudal (CC) views. The calculated MGD ranged from 0.07 mGy to 3.57 mGy for the MLO views and 0.02 mGy to 0.98 mGy for the CC views. The possible reasons for the large variations in the individual ESD values and MGD values for both views are discussed using patients' data, equipment specific data and the technical parameters used for the examinations. Comparison showed that the mean ESD values and MGD values reported in this work are below published values. The mean of the calculated MGD values is also found to be lower than the recommended ...

2009-11-15

463

MR findings in cases of suspected impacted fracture of the femoral neck

In this work, thermoluminescent dosimeters have been used to measure entrance surface doses (ESDs) of patients undergoing mammographic screening at the University College Hospital, Ibadan, Oyo state. The mean glandular doses (MGDs) were also calculated using the measured ESDs. The results showed that the ESDs ranged from 0.26 mGy to 21.26 mGy for the mediolateral oblique (MLO) views and 0.08 mGy to 5.36 mGy for the craniocaudal (CC) views. The calculated MGD ranged from 0.07 mGy to 3.57 mGy for the MLO views and 0.02 mGy to 0.98 mGy for the CC views. The possible reasons for the large variations in the individual ESD values and MGD values for both views are discussed using patients' data, equipment specific data and the technical parameters used for the examinations. Comparison showed that the mean ESD values and MGD values reported in this work are below published values. The mean of the calculated MGD values is also found to be lower than the recommended guidance ...

2009-11-01

464

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

Purpose: To evaluate MR imaging of the hip in patients with a clinically suspected impacted fracture of the femoral neck in cases where conventional plain films show negative or equivocal findings. Material and Methods: Twenty-seven such patients were prospectively examined by MR imaging with a 1.0 T unit, within 24 hours of admittance to hospital. A coronal T1-weighted turbo spin-echo sequence (n=27), and a coronal STIR sequence (n=25) or a coronal T2-weighted turbo spin-echo fast saturation sequence (n=2) were used. The evaluations were made by 2 radiologists with experience in musculoskeletal radiology. Results: There were 6 patients with a petrochanteric fracture, 2 without and 4 with slight displacement. Five patients had an impacted fracture of the femoral neck, and 3 had a fracture of the superior pubic bone. Of 2 patients with advanced arthrosis, i had an impacted femoral neck fracture and the other a nondisplaced intertrochanteric fracture. There was 1 ...

1997-09-01

465

Four years of North American registry home parenteral nutrition outcome data and their implications for patient management

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

2001-11-01

466

Digital subtraction angiography (DSA) using Fuji computed radiography (FCR)

The OASIS Registry started annual collection of longitudinal data on patients on home parenteral nutrition (HPN) in 1984. This report describes outcome profiles on 1594 HPN patients in seven disease categories. Analysis showed clinical outcome was principally a reflection of the underlying diagnosis. Patients with Crohn's disease, ischemic bowel disease, motility disorders, radiation enteritis, and congenital bowel dysfunction all had a fairly long-term clinical outcome, whereas those with active cancer and acquired immunodeficiency syndrome (AIDS) had a short-term outcome. The long-term group had a 3-year survival rate of 65 to 80%, they averaged 2.6 complications requiring hospitalization per year, and 49% experienced complete rehabilitation. The short-term group had a mean survival of 6 months; they averaged 4.6 complications per year and about 15% experienced complete rehabilitation. The registry data also indicated HPN was used for 19,700 patients in 1987 with ...

467

Difference in prognostic factors between stage IB and II uterine cervical carcinoma patients treated with radical hysterectomy and postoperative radiation therapy

A vessel phantom suitable for evaluation of spatial and contrast resolution of FCRDSA (Fuji Computed Radiography, digital subtraction angiography) has been developed and used for determining resolution. The effects of iodine concentration, low dose exposure, and acryl thickness on the resolution were evaluated in FCRDSA, and FCRDSA images were compared with film substraction with use of this phantom. It has been proven that limitation of resolution of FCRDSA was 5 % 1 mm and about 1/4 dose exposure compared with conventional film exposure was clinically acceptable. Dye dilution method was useful to determine a program of IVDSA with imaging plate. It has been proven that time to appearance and time to peak of time-concentration curve of dye dilution method closely correlate to time to appropriate image of DSA in the neck, the chest, and the abdomen. 106 cases of IVDSA and 130 cases of IADSA using FCR in Tohoku University Hospital from January through December 1984 ...

1984-12-01

468

Determination of distal dose edge location by measuring right-angled prompt-gamma rays from a 38 MeV proton beam

The purpose of the current study was to evaluate the difference in prognostic factors between stage IB and II uterine cervical carcinoma patients treated with postoperative radiation therapy. Between May 1988 and May 1998, a total of 94 patients including 47 patients with stage IB and 47 patients with stage II uterine cervical carcinoma were treated with postoperative radiation therapy at Tokyo Metropolitan Komagome Hospital. All patients were treated with 10 MV X-rays using an anterior-posterior parallel opposed field which covered the whole pelvis. Fractionation was 2 Gy per day, five fractions per week, to a total dose of 50 Gy. The 5-year overall survival rates of stage IB and II were 89.4% and 79.3%, respectively. In multivariate analysis for all patients, lymph node status, histology, and surgical margin status were recognized as prognostic factors. Limited to stage IB patients, lymph node status was the only independent prognostic factor. However, for stage ...

469

Current trend of pneumococcal serotypes distribution and antibiotic susceptibility pattern in Malaysian hospitals.

In clinical applications, it is very important to accurately determine the range of a proton beam in a patient. Recently, a prototype prompt-gamma scanning system, called a prompt-gamma scanner (PGS), has been constructed at Hanyang University in Korea with the collaboration of the Korean national cancer center (NCC), based on a series of Monte Carlo simulations. The PGS system is composed of a prompt-gamma collimator, a CsI(Tl) scintillation detector, a multi-channel analyzer (MCA), a precision movement system, and an integrated readout system. The prompt-gamma collimator is designed to effectively shield high-energy neutrons from the proton beam passage and subsequent capture gammas. The PGS system can be used to scan the distribution of the prompt gammas in the patient from the proton beam passage. The distribution of the prompt gammas can then be used to determine the proton beam range or the distal dose edge in the patient. In this study, the PGS system was tested with a 38 MeV ...

2007-09-21

470

Corrected transposition of the great arteries

From January 2008 to December 2009, 433 Streptococcus pneumoniae strains were examined to determine the serotype distribution and susceptibility to selected antibiotics. About 50% of them were invasive isolates. The strains were isolated from patients of all age groups and 33.55% were isolated from children below 5 years. The majority was isolated from blood (48.53%) and other sterile specimens (6.30%). Community acquired pneumonia (41.70%) is the most common diagnosis followed by sepsis (9.54%). Serotyping was done using Pneumotest Plus-Kit and antibiotic susceptibility pattern was determined by modified Kirby-Bauer disk diffusion method and measurement of minimum inhibitory concentration (MIC) using E-test strip. Ten most common serotypes were 19F (15.02%), 6B (10.62%), 19A (6.93%), 14 (6.70%), 1 (5.08%), 6A (5.08%), 23F (4.85%), 18C (3.93%), 3 (2.08%) and 5 (1.85%). Penicillin MIC ranged between ? 0.012-4 ?g/ml with MIC?? of 1 ?g/ml. Penicillin resistant rate is 31.78%. The majority ...

2011-06-30

471

Conservative treatment of choroidal melanomas using iodine brachytherapy; Tratamento conservador ocular dos melanomas de coroide com braquiterapia utilizando placas de Iodo-125

The corrected transposition of the great arteries is an usual congenital cardiac malformation, which consists of transposition of great arteries and ventricular inversion, and which is caused by abnormal development of conotruncus and ventricular looping. High frequency of associated cardiac malformations makes it difficult to get accurate morphologic diagnosis. A total of 18 cases of corrected transposition of the great arteries is presented, in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between September 1976 and June 1981. The clinical, radiographic, and operative findings with the emphasis on the angiocardiographic findings were analyzed. The results are as follows: 1. Among 18 cases, 13 cases have normal cardiac position, 2 cases have dextrocardia with situs solitus, 2 cases have dextrocardia with situs inversus and 1 case has levocardia with situs inversus. 2. Segmental sets ...

1981-12-01

472

Computed tomography in the diagnosis of cavum septum pellucidum

Objective: To retrospectively evaluate the results of conservative therapy using escorpal iodine-125 (model 6711, Amershan) plaque for brachytherapy of choroidal melanoma. Materials And Methods: We evaluated 49 patients with choroidal melanoma treated at 'Hospital do Cancer', Sao Paulo, Brazil, from March 2001 to January 2003. The following clinical parameters were analyzed and correlated with local control and survival rate: gender, age, lesion dimension, treatment duration, as well as doses in apex and base of the tumors. Results: The maximum diameter and height of the base of the tumors treated were 17 mm and 12 mm, respectively. Doses at those points ranged from 213 to 463 Gy (median: 347 Gy) and 51 to 250 Gy (median: 91 Gy), respectively. The actuarial rates of ocular preservation, disease free survival and ocular preservation in 2-years were 96%, 93.5% and 96.3%, respectively. A tumor height < 6 mm was the only predictive factor for ...

2004-08-01

473

Computed Tomography in the study of pulmonary tuberculosis

The cavum septum pellucidum is an anatomical variants of the septum pellucidum, and lying between two lateral ventricles and this is referred to as the fifth ventricle. Occasionally, posterior extension of the cavum septum pellucidum towards the splenium is seen and this is known as the cavum vergae, or sixth ventricle. The septum is double membrane and occasionally a narrow cavity containing CSF is present between these membrane. The roof of the cavum septum pellucidum is formed by the corpus callosum and its floor by the anterior pillars of the fornix. This cavum outlined with air is occasionally seen in the pneumoencephalography. Brain CT scans of 1000 patients were performed, and the diagnosis could be made on the basis of the characteristic shape, density and location. Other diagnostic procedure are not necessary in these cases. Patients were examined with CT scanner from June-80' to Dec-80', at department of radiology, Maryknoll Hospital, ...

1981-09-15

474

Clinical use of lipiodol in hepatic arteriography

The authors carried out a retrospective study on 4 years' work on a series of patients with proved active tuberculosis examined in the Departments of Bronchopneumology and Infectious Disease of the Arezzo Civil Hospital. The population was heterogenerous from the immunologic viewpoint. This paper compared the effectiveness of Computed Tomography (CT) with that of conventional chest radiography (CR) in the diagnosis and prognosis of tuberculosis. All patients underwent chest CR in double projection and conventional CT studies of the chest; 16 patients were also submitted to high resolution CT (HRCT). Consolidation was the most frequent parenchymal lesion in immunocompetent patients; it was often associated with cavitation, with no clear topographic prevalence in the upper lobes. Pleural effusion, as the only sign of disease and with empyema features, was found in 10 immunocompetent patients. No predominant pattern was found in the other two groups, even though ...

1997-01-01

475

Case report: Denys- Drash syndrome.

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

1986-08-15

476

BACKGROUND: Denys-Drash Syndrome (DDS) is an uncommon disorder that appears sporadically and in rare cases may be inherited as an autosomal dominant trait It manifests either at birth or within the first year of life and typically consists of the triad of congenital nephropathy, Wilms tumour and intersex disorder. CASE REPORT: A 10 year-old Caucasian girl was referred to the Dental Department, at Glasgow Royal Hospital for Sick Children by her Paediatric Nephrologist Consultant. The patient was being teased by her peers over her markedly discoloured teeth. The dental history revealed that the patient was a regular dental attendee from an early age. She was dentally anxious having only experienced dental treatment under general anaesthesia (GA) when she was 4 years old. Apparently her primary dentition also showed a generalised discolouration. TREATMENT: This consisted of multiple visits for diet analysis and tooth brushing instruction with the use of disclosing ...

2007-12-01

477

Cardiac Malpositions

Can intensity-modulated radiation therapy of the paraaortic region overcome the problems of critical organ tolerance?

Cardiac Malposition refers to any position of the heart other than a left-sided heart in a situs solitus individual. Associated cardiac malformations are so complex that even angiocardiographic and autopsy studies may not afford an accurate information. Although the terms and classifications used to describe the internal cardiac anatomy and their arterial connections in cardiac malpositions differ and tend to be confusing, common agreement exists on the need for a segmental approach to diagnosis. Authors present 18 cases of cardiac malpositions in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between 1971 and 1979. Authors analyzed the clinical, radiographic, operative and autopsy findings with the emphasis on the angiocardiographic findings. The results are as follows: 1. Among 18 cases with cardiac malpositions, 6 cases had dextrocardia with situs inversus, 9 cases had dextrocardia ...

1979-06-01

478

Assessment of acute phase proteins and oxidative stress status of Nigerians using bleaching agents

Background and purpose: the recent RTOG guidelines for future clinical developments in gynecologic malignancies included the investigation of dose escalation in the paraaortic (PO) region which is, however, very difficult to target due to the presence of critical organs such as kidneys, liver, spinal cord, and digestive structures. The aim of this study was to investigate intensity-modulated radiotherapy's (IMRT) possibilities of either increasing, in a safe way, the dose to 50-60 Gy in case of macroscopic disease or decreasing the dose to organs at risk (OR) when treatment is given in an adjuvant setting. Material and methods: the dosimetric charts of 14 patients irradiated to the PO region at the department of radiation oncology, university hospital of Liege, Belgium, in 2000 were analyzed in order to compare six-field conformal external-beam radio-therapy (CEBR) and five-beam IMRT approaches. Both CEBR and IMRT investigations were planned to theoretically ...

2005-03-01

479

Accuracy of single versus combined use of ultrasonography or computed tomography in the localization of parathyroid adenoma

The disruption of primary innate immune function of the epidermal layer of the skin accounts for the susceptibility of individuals using bleaching agents to localized or systemic infections. This subverted innate immunity in these people may lead to other pathological conditions. The resultant effects of skin bleaching and phagocytes activation in response to infections have not been studied in Nigerians using bleaching agents. The present study therefore assessed the levels of C-reactive protein (CRP), albumin, total antioxidant potential (TAP), total plasma peroxides (TPP), oxidative stress index (OSI) and malonaldehyde (MDA) in the users bleaching agents. Thirty (30) people who had used bleaching agents for average of 4.9 + 1.2 years participated in this study. They were recruited from various schools and markets within the city of Ibadan, Oyo State, Nigeria. Thirty apparently healthy staffs of University College Hospital Ibadan, Ibaadan, Nigeria, who had never ...

480

ANALYSIS OF ACCELERATOR BASED NEUTRON SPECTRA FOR BNCT USING PROTON RECOIL SPECTROSCOPY

Objective was to assess the accuracy of a single versus combined use of ultrasound (US) or computed tomography (CT) in the localization of diseased parathyroid glands. Forty-one patients with hyper-parathyroidism treated surgically between January 2000 to December 2005 at Jordan University Hospital, Amman, Jordan were included in this study. Preoperative ultrasonographic and CT findings were reviewed and compared to the intraoperative and pathologic diagnosis of diseased parathyroid glands. The mean age of patients was 46 years (range 16-70; 15 males and 26 females). Parathyroid adenoma was confirmed in 33 patients and hyperplasia of the parathyroid glands in 8 patients. Preoperative evaluation was carried out in 32 patients (CT scan) and in 23 patients (US). In 18 cases, the diagnosis of parathyroid disease was based on CT findings alone and in 9 patients the diagnosis was based on a single US finding. Combined CT and US evaluation was carried out in 14 cases and ...

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481

A study of bacterial isolates from corneal specimens and their antibiotic resistance profile

Boron Neutron Capture Therapy (BNCT) is a promising binary treatment modality for high-grade primary brain tumors (glioblastoma multiforme, GM) and other cancers. BNCT employs a boron-10 containing compound that preferentially accumulates in the cancer cells in the brain. Upon neutron capture by {sup 10}B energetic alpha particles and triton released at the absorption site kill the cancer cell. In order to gain penetration depth in the brain Fairchild proposed, for this purpose, the use of energetic epithermal neutrons at about 10 keV. Phase I/II clinical trials of BNCT for GM are underway at the Brookhaven Medical Research Reactor (BMRR) and at the MIT Reactor, using these nuclear reactors as the source for epithermal neutrons. In light of the limitations of new reactor installations, e.g. cost, safety and licensing, and limited capability for modulating the reactor based neutron beam energy spectra alternative neutron sources are being contemplated for wider implementation of this ...

1998-11-06

482

The role of high-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) in the diagnosis of preoperative and postoperative complications caused by acquired cholesteatomas; CT und MRT des erworbenen Cholesteatoms: Prae- und postoperative Bildgebung

We aim to examine the spectrum of bacteria causing corneal infections and their antibiotic susceptibility patterns. This will serve as a guideline for empiric therapy of corneal infections. We conducted the study over a period of 18 months from March 2001 through December 2002 in King Abdul-Aziz University Hospital, Riyadh, Kingdom of Saudi Arabia. Corneal specimens taken from 200 patients were inoculated directly onto different types of media. The isolates were identified and then tested against the appropriate topical or systemic antibiotics. Sixty-seven (33.5%) of the total specimens were culture positive and 133 (66.5%) were culture negative. Fourteen (7%) of these showed organisms in the Gram stained smears and correlated well with the culture reports. Of the 67 positive cultures, 53 (79.1%) were Gram-positive bacteria mostly coagulase-negative Staphylococci 29 (43.3%) followed by Streptococcus pneumoniae (S. pneumoniae) 13 (19.4%). Among Gram-negative ...

483

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

The role of high-resolution computed tomography (HRCT) and magnetic resonance imaging (MRI) in the diagnosis of preoperative and postoperative complications caused by acquired cholesteatomas will be described in this paper. The pre- and postoperative imaging of the temporal bone was performed with HRCT and MRI. HRCT and MRI were performed in the axial and coronal plane. MRI was done with T2 weighted and T1 weighted sequences both before and after the intravenous application of contrast material. All imaging findings were confirmed clinically or surgically. The preoperative cholesteatoma-caused complications depicted by HRCT included bony erosions of the ossicles, scutum, facial canal in the middle ear, tympanic walls including the tegmen tympani, and of the labyrinth. The preoperative cholesteatoma-caused complications depicted by MRI included signs indicative for labyrinthitis, and brain abscess. Postoperative HRCT depicted bony erosions caused by recurrent cholesteatoma, bony defects ...

2003-03-01

484

Staging of multiple myeloma with MRI: comparison to MSCT and conventional radiography; Staging des multiplen Myeloms mit der MRT: Vergleich zur MSCT und zur konventionellen Roentgendiagnostik

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

2003-08-01

485

Reaction behaviour of Zircaloy-4 in air; Reaktionsverhalten von Zircaloy-4 in Luft

The staging of patients with multiple myeloma demands sensitive imaging methods for the assessment of the skeletal system. MRI allows for direct visualization of the bone marrow which exhibits five different infiltration patterns in multiple myeloma: 1. normal appearance of the bone marrow, 2. focal involvement, 3. homogeneous diffuse infiltration, 4. combined diffuse and focal infiltration, 5. ''salt and pepper'' pattern with inhomogeneous bone marrow signals due to multiple fat islands. The combination of T1w-SE and STIR sequences is best suited for detecting all infiltration patterns and for the differential diagnoses e. g. hemangiomas. With parallel imaging in MRI, acquisition times can be markedly reduced and whole-body screening of the bone marrow can be achieved within 30 min. MRI is superior to radiography for the detection of focal as well as diffuse infiltration. Multidetector computed tomography and especially 16- and 64-detector row ...

2004-09-01

486

Re-formation and re-crystallisation behaviour of {gamma}`-free ODS nickel-based alloy PM 1000; Umform- und Rekristallisationsverhalten der {gamma}`-freien ODS Nickel-Basis-Legierung PM 1000

The experimental effect investigation programme on Zircaloy-4/air oxidation was pursued and expanded to isothermal specimen exposure and the comparison of the oxidation between the atmospheres Ar/O{sub 2} and air. In close connection with the EC project OPSA, which is meanwhile terminated, the investigation concerned specimen exposure in a thermobalance to flowing atmospheres, namely dry Ar/O{sub 2} of composition 80/20 or synthetic air, respectively. As test parameters the linear heat-up rate was varied in the range 5 to 40 K/min and the ramp or holding temperature between 800 and 1500 C. Mass increase and reaction rate were continuously recorded or evaluated in temperature/time dependence. The oxide scale growth was found to be accompanied by colour changes, crack formation and spalling of layers, as well as by dimensional substrate growth, which are the reasons for the observed kinetic results. The microstructural investigation confirms nitrogen to be essentially responsible for the ...

2000-08-01

487

Measurement of dose-area product in diagnostic radiology as a method of assessing the radiation exposure. (Results, experience, proposals for improvement, recommendations relating to radiological protection). Report of an expert meeting; Die Messung des Dosisflaechenproduktes in der diagnostischen Radiologie als Methode zur Ermittlung der Strahlenexposition. (Ergebnisse, Erfahrungen, Verbesserungsvorschlaege und Empfehlungen zum Strahlenschutz). Bericht ueber ein Expertentreffen

The aim of this work was the examination of the coarse grain recrystallisation of the {gamma}-free ODS nickel-based alloy PM 1000 depending on the various parameters due to the processing during heat treatment. After isotropic hot compacting (HIP) of the mechanically alloyed powder, one observes a homogeneous sub-microscopic fine grain structure which can coarsen during high temperature heat treatment, due to sufficiently high driving force from the grain boundary energy via abnormal grain growth to 600 times its size. The setting of the elongated high temperature resistant recrystallisation structure is, however, not connected with this. The dependence of the sucess of re-crystallisation on the re-forming parameters (re-forming temperature and degree of re-forming) was shown by a socalled re-forming card. In order to achieve re-crystallisation to a coarse and aligned grain structure, apart from a certain absolute minimum degree of re-forming, the re-forming must occur within a defined ...

1996-05-01

488

MRI in definition of bleeding source, lesion pattern and therapy in haemarthros of the knee; Die MRT beim Haemarthros des Kniegelenks: Bestimmung von Blutungsursachen, Verletzungsmustern und Therapie

The fundamental recommendations of the ICRP issued in its publication of 1990 stipulate the general principle of performance of dose measurements at regular intervals in the field of diagnostic radiology, for the purpose of equipment performance checking and optimization of radiological protection. In response to this requirement, the Federal Ministry, in cooperation with experts and the competent supervising authorities, has issued an order to install dose-area-product meters in angiographic examination systems, imaging systems and fluoroscopic screen devices primarily used for examining infants and children up to the age of 12. This is done in response to reported cases of adverse effects of radiation exposure and the high priority given to radiological protection in the examination of infants and children. In 1992, an expert group was convened to discuss and elaborate instructions for including dose-area product measurement in the dosimetry activities in medical diagnostic ...

1995-12-31

489

Institute of Toxicology. 1994 annual report on research and development; Institut fuer Toxikologie. Ergebnisbericht ueber Forschung und Entwicklung 1994

Patients with haemarthros of the knee were examined by MRI and arthroscopy to identify the bleeding source and to determine surgical or conservative therapy. A prospective study was performed on 120 patients who underwent MRI and arthroscopy, point lesions and bleeding sources were documented separately on a standardised form. Arthroscopy demonstrated a ruptured anterior cruciate ligament in 86%, meniscal tears in 55%, disruption of collateral ligaments in 17%, osteochondral lesions in 5% and tears of capsule or plicae in 13%. Disruption of cruciate ligaments caused haemorrhage in all but three cases. In contrast, only meniscal tears located very adjacent to the meniscal basement had bled. Those types of osteochondral lesions caused haemorrhage characterised on MRI by destruction of the subchondral plate and overlying cartilage. Severe lesions of the knee were diagnosed by MRI in 71% to 100%, slight lesions in 13% to 40% of the cases. Single, combined and bland lesions were accurately ...

1996-09-01

490

Functional MRI of the pharynx in obstructive sleep apnea (OSA) with rapid 2-D flash sequences; Funktionelle MRT des Pharynx bei obstruktiver Schlafapnoe (OSA) mit schnellen 2D-FLASH-Sequenzen

The R and D activities of the institute focused on two major projects, ``Molecular and cellular environmental toxicology``, and ``Biophysics of multi-cellular systems``. For assessment of health risks emanating from the uptake of heavy metal compounds, work performed under the first mentioned project studies the formation of allergy-inducing metabolic products from membrane lipids, and the effects of related cellular signaling processes. These studies are accompanied by an approach to quantify and classify the toxicity of environmental organometallic compounds. Another major task is research into the pathogenesis of lung disease induced by dusts, gases, and gas-dust mixtures and the liberation of inflammatory agents by immunological cell reactions (alveolar macrophages). Atomic force microscopy is the tool used to visualize the related dynamic changes in bronchial cells. Studies for detection of the localisation and structure of the Fe-Mo co-factor in nitrogenase by means of the method ...

1995-12-31

491

Development of process technology for large-area thin-film solar modules based on compound semiconductors. Final report; Entwicklung der technologischen Grundlagen fuer grosse Photovoltaikmodule auf Basis von Duennschicht-Verbindungshalbleitern. Abschlussbericht

Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager (`Vision`, Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of 6 images/s and an in-plane resolution of ...

1996-03-01

492

Development of a system for the observation of the stable operation in multi stage axial compressors. Final report; Erprobung und Weiterentwicklung eines Messsystems zur Stabilitaetsueberwachung im Verdichter einer HTGT. Abschlussbericht

A cooperative effort of the Center for Solar Energy and Hydrogen Research (ZSW) and Phototronics Solartechnik GmbH (PST) aimed at the transfer of highly efficient solar cells developed on a laboratory scale, to large-area thin-film solar modules suitable for production. This work was based on research and development at the Institute for Physical Electronics (IPE) of Stuttgart University and ZSW on one hand, and on the know-how of PST in regard to large-area module fabrication on the other hand. The various thin-film layers of the cells and modules comprize molybdenum as rear contact, copper-indium(gallium)-diselenide (CIGS) as absorber material, the combination of cadmium sulphide (CdS) and ZnO as window layer. To produce these layers on large areas (30x30 cm{sup 2}), equipment was constructed and procedures were developed. Monolithic series connection of cells, used in other thin-film technologies, was studied and optimized by suitable patterning procedures, such as laser-scribing, ...

1998-06-01

493

Transpositions and malpositions of the great arteries

This report describes work carried out in the context of TurboTech Interim for the development of a system for monitoring stationary gas turbines for approaching the stability limit of the compressor. The requirements for the system components were defined and the suitability of different types and positions of pressure sensors were examined and evaluated. It was found very early in the work that, due to the complexity of the object being monitored, one would not succeed in finding a simple criterion for monitoring the pump limit. Rather, apart from the selection of suitable sensors and optimum positions, one must analyse the present signals in different ways and create a decision matrix from this. Existing work on this subject is mostly concerned with the phenomena in the context of experiments on experimental compressors or is not suitable for the requirements of stationary industrial gas turbines. The project is being carried out in the context of TurboTech II with the main aims of: ...

1996-12-31

494

Stochastic risk estimation from medical x-ray diagnostic examinations, 3

The transposition of the great arteries afters to an abnormal connection and relation of the great arteries in which the aorta arises from the morphologic right ventricle and the pulmonary artery from the morphologic left ventricle, while the malposition of the great arteries indicates an abnormal relationship between the great arteries in which the great arteries are not transposed across the ventricular septum but they are malposed, as is seen in double outlet right ventricle, double outlet left ventricle and single ventricles. Transpositions and malpositions of the great arteries are understood as a spectrum of malformation caused by abnormal conal development and can be included in the common category of 'conotruncal malpositions'. Authors analized 32 cases of transpositions and malpositions of the great arteries in which cineangiocardiographies were done at the Department of Radiology, Seoul National University Hospital in recent 17 months, with specific ...

1980-12-01

495

Incidence of Central Vein Stenosis and Occlusion Following Upper Extremity PICC and Port Placement

The genetically significant dose (GSD), per Caput mean bone marrow dose (CMD), leukemia significant dose (LSD) and malignancy significant dose (MSD) from medical diagnostic X-ray examinations in Japan were estimated based on a 1979 nationwide survey of randomly sampled hospitals and clinics. The population risk estimates were carried out using the resultant values of GSD, LSD and MSD. In the risk estimates, the significant factors, namely, the relative child expectancy, the leukemia significant factor and the malignancy significant factor, for patients were assumed to be same as those of general population. The risk factors used were 185 x 10"-"6 rad"-"1 for genetic risk of all generations, 20 x 10"-"6 rad"-"1 for fatal leukemia and 165 x 10"-"6 rad"-"1 for fatal malignant diseases, respectively. The resultant annual population doses per person were 15 mrad (0.15 mGy) for GSD, 107 mrad (1.07 mGy) for CMD, 86 mrad (0.86 mGy) for LSD and 43 mrad (0.43 mGy) for MSD, ...

496

Gallium-67 activated charcoal: a new method for preparation of radioactive capsules for colonic transit study

The purpose of this study was to determine the incidence of central vein stenosis and occlusion following upper extremity placement of peripherally inserted central venous catheters(PICCs) and venous ports. One hundred fifty-four patients who underwent venography of the ipsilateral central veins prior to initial and subsequent venous access device insertion were retrospectively identified. All follow-up venograms were interpreted at the time of catheter placement by one interventional radiologist over a 5-year period and compared to the findings on initial venography. For patients with central vein abnormalities, hospital and home infusion service records and radiology reports were reviewed to determine catheter dwelltime and potential alternative etiologies of central vein stenosis or occlusion. The effect of catheter caliber and dwell time on development of central vein abnormalities was evaluated. Venography performed prior to initial catheter placement showed ...

2003-04-15

497

Cutaneous and subcutaneous Ewing's sarcoma: an indolent disease

Indium-111 is currently the radionuclide of choice for colonic transit study. However, it is expensive and not available in many hospitals. Technetium-99m has been proposed for colonic transit study but the short half-life has limited its use. Gallium-67 citrate is inexpensive and available in most countries. Most importantly, it has a suitable half-life for colonic transit study. Attempts have been made in some studies to use {sup 67}Ga citrate to label activated charcoal, but the results have not been good because of poor stability. In this study, we successfully labelled activated charcoal with {sup 67}Ga citrate by adding alcohol and 5% glucose solution. To evaluate the in vitro stability, the {sup 67}Ga-activated charcoal was incubated in a milieu mimicking the intestinal content, containing lipase, trypsin and glycochenodeoxycholate at different pH values (6.0, 7.0, 7.4 and 8.0) and for different durations (0 h, 24 h, 48 h, 72 h and 96 h). For the in vivo ...

2003-06-01

498

Computed tomography whole body imaging in multi-trauma: 7 years experience

Purpose: The occurrence of extraosseous Ewing's sarcoma (ES) in deep soft tissues has been well described, but cases in which this tumor occurs in a primary cutaneous or subcutaneous site have rarely been reported. The superficial variant may be less aggressive than are the more common bony and deep soft tissue counterparts with an apparently favorable outcome. A retrospective review of patients with cutaneous or subcutaneous ES was conducted to analyze outcome and patterns of failure. Methods and Materials: Between July 1985 and March 1997, 14 patients with cutaneous or subcutaneous ES were treated at St. Jude Children's Research Hospital. The median age at presentation was 16 years (range 7-21 years). Anatomic locations included trunk and pelvis (7), upper or lower extremity (4), and head and neck (3). The median size of the lesion was 3 cm (range, 1-12 cm). Thirteen had definitive surgical resections, and one had biopsy of the mass at the time of referral. They ...

2000-01-15

499

Can intensity-modulated radiation therapy of the paraaortic region overcome the problems of critical organ tolerance?

AIM: To assess the impact of the introduction of a computed tomography (CT) imaging protocol for multi-trauma patients on the workload, overall diagnostic yield, and effect on detection of cervical spine injury and pneumothorax. METHOD: Between February 1997 and April 2004, all patients presenting acutely to the Emergency Department (ED) with haemodynamically stable trauma (Abbreviated Injury Scale 3 or more) involving more than two body systems were imaged with a comprehensive pre-set helical CT protocol (including non-contrast head, cervical spine: cranio-cervical and cervico-thoracic junctions; and oral and intravenous contrast-enhanced thoracic, abdomen and pelvis) after initial triage and a standard trauma series of radiographs (chest, lateral C-spine and pelvis). Diagnosis of cervical spine fracture and pneumothorax was noted before and after the CT protocol was carried out and findings from all studies were recorded prospectively. RESULTS: Over the 7-year period 296 multi-trauma ...

2006-04-01

500