... dressing changes and site care, mid-line placement, placement of peripherally inserted central catheters, heparin locks, and patient education. ...
... Fax: (785) 843-1274 Email: RJIE~allenpress.com To subscribe, visit the RJE website at https://pubs3.rand.org/cgi-bin/rje/subscription-form.cgi. ...
This report is the final report on the seismic testing of reactor components conducted since 1977 with opening of the vibration laboratory at KAERI. In 1979, forced vibration testing of Wolsung-1 steam generator model using sine dwell and white nosie rand...
Fairbanks Fairbanks Alaska University of Arizona College of Public Health Tucson Arizona University of California Los Angeles California RAND Corporation Santa Monica California...
The difficult economic circumstances with which almost the whole world had to contend, brought serious financial crisis in many countries. South Africa also had its own share of serious problems. Despite this situation, Transvaal Consolidated Land and Exploration Company, Limited, showed on increase in earnings of 24 per cent per share. The reason for this lies mainly in two areas. Firstly the company acquired the mining related business of Rand Mines, Limited. Included in the acquisition was a partfolio of shares mainly in the company's associated gold and uranium mining companies and additional shares in its listed coal mining subsidiaries. Secondly, the average gold price realised by producers in rand terms, was considerably higher than in the previous year. Consolidated profit attributable to members increased by 52 per cent to R82,6 million.
North Carolina A and T State University has completed the development of an infrastructure for the interdisciplinary Waste Management Institute (WMI). The Interdisciplinary Waste Management Institute (WMI) was approved in June, 1994 by the General Administration of the University of North Carolina as an academic support unit with research and public service functions. The mission of the WMI is to enhance awareness and understanding of waste management issues and to provide instructional support including research and outreach. The goals of WMI are as follows: increase the number of minority professionals who will work in waste management fields; develop cooperative and exchange programs involving faculty, students, government, and industry; serve as institutional sponsor of public awareness workshops and lecture series; and support interdisciplinary research programs. The vision of the WMI is to provide continued ...
Patient-centered interdisciplinary health care for children with chronic medical disorders represents an evolution from the traditional “stop and go” treatment for acute illnesses. This...Full Text Available
SummaryAgeing is a complex, challenging phenomenon that will require multiple, interdisciplinary approaches to unravel its puzzles. To assist basic research on ageing, we developed...Full Text Available
Current drug treatments for post-menopausal osteoporosis cannot eliminate bone fractures, possibly because the mechanisms responsible for bone loss are not fully understood. Although research within...Full Text Available
An interdisciplinary workshop on inversion methodology and applications within geophysics, astronomy, and geodesy was held in Aarhus on May 19th, 1992. 41 scientists participated in four sessions, with 3 review lectures, an open poster session, 4 specialist contributions, and a round table discussion. (EG)
BackgroundThe effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients...Full Text Available
This is our response to a comment by Walter Eifler on our paper `A simple model for the short-time evolution of near-surface current and temperature profiles' (arXiv:physics/0503186, accepted for publication in Deep-Sea Research II). Although Eifler raises genuine issues regarding our model's validity and applicability, we are nevertheless of the opinion that it is of value for the short-term evolution of the upper-ocean profiles of current and temperature. The fact that the effective eddy viscosity tends to infinity for infinite time under a steady wind stress may not be surprising. It can be interpreted as a vertical shift of the eddy viscosity profile and an increase in the size of the dominant turbulent eddies under the assumed conditions of small stratification and infinite water depth.
The difficult economic circumstances with which almost the whole world had to contend, brought serious financial crisis in many countries. South Africa also had its own share of serious problems. Despite this situation, Transvaal Consolidated Land and Exploration Company, Limited, showed on increase in earnings of 24 per cent per share. The reason for this lies mainly in two areas. Firstly the company acquired the mining related business of Rand Mines, Limited. Included in the acquisition was a partfolio of shares mainly in the company's associated gold and uranium mining companies and additional shares in its listed coal mining subsidiaries. Secondly, the average gold price realised by producers in rand terms, was considerably higher than in the previous year. Consolidated profit attributable to members increased by 52 per cent to R82,6 million.
Many environmental impact statements (EIS) fail to predict environmental impacts, organize information about those impacts in a concise, logical way, and communicate that information intelligibly. This paper presents a systematic, auxiliary ''language'' for environmental analysis under the National Environmental Policy Act (NEPA), in an attempt to correct this problem. The approach improves communication among disciplinary specialists, between an interdisciplinary team and a decision-maker, and between a federal agency and the general public by helping to identify important issues and impacts, and by reducing time, effort, cost, and paperwork. The basis for the approach is found in the principal aims of the NEPA regulations and other criteria. The interdisciplinary language for environmental analysis consists of a small vocabulary, used in conjuction with a simple ...
ObjectivesProject VOLCANOSCOPE will evaluate strategies (1) for applying existing and new forecasting models to volcanic eruptions, and (2) for identifying methods to improve how forecasts are communicated effectively to vulnerable communities. To link forecasting and communication, the interdisciplinary study will assess how to engage all stakeholders - from monitoring scientists, through emergency agencies, to vulnerable communities - to optimize the understanding of forecasts among different end users. [continued...]DescriptionProject VOLCANOSCOPE will evaluate strategies (1) for applying existing and new forecasting models to volcanic eruptions, and (2) for identifying methods to improve how forecasts are communicated effectively to vulnerable communities. To link forecasting and communication, the interdisciplinary study will assess how to engage all stakeholders - from monitoring scientists, through emergency agencies, to vulnerable ...
Australian Studies has to undergo a transformation from its overtly literary focus to a more interdisciplinary approach, if it is to have a viable future. Rather than seeing this as a moment of unproductive stalemate, the article argues for the advantages in developing such a new focus. Also the article considers the historical evolution of Australian Studies in Europe.
... 1 (2008) Algorithms - Open Access Journal Algorithms (ISSN 1999-4893; CODEN: ALGOCH), an open access journal of computer science, theory, methods and interdisciplinary applications, data and information systems, software engineering, artificial intelligence, automation and control systems, is published online quarterly by MDPI. - free for readers, with low publishing fees paid by authors or their institutions High visibility: indexed in leading indexing and abstracting databases....
OBJECTIVE To present our initial experience of thulium laser resection via a flexible cystoscope for recurrent non-muscle-invasive bladder cancer (ThuRBT), as transurethral resection for bladder tumour (TURBT) is regarded as the reference standard for treating this disease, but alternative laser resection or ablation is suitable especially for recurrent tumours. PATIENTS AND METHODS From January 2005 to October 2005, 32 patients with early recurrent bladder tumour (recurrent within a year after TURBT) were treated with ThuRBT via a flexible cystoscope. The follow-up included urine analysis, ultrasonography and cystoscopy every 3 months. RESULTS All patients were treated successfully with ThuRBT in one session, with no bladder haemorrhage, obturator nerve reflex or vesicle perforation. Rand...
Abstract Aim- Conventional outcomes such as survival, tumour recurrence and complication rates after surgery for rectal cancer have been rigorously assessed, but the importance of maintaining quality of life (QOL) after surgery for rectal cancer has received less attention. The aim of the current study was to analyse QOL and the occurrence of pelvic dysfunction after the surgical treatment of rectal cancer. Method- Between May 2005 and May 2008, 150 patients with rectal cancer underwent abdominoperineal resection (APR) or anterior resection (AR). Seventy-four answered two preoperative questionnaires. At a follow up of 1-year, 65 were alive without sign of recurrence and answered the same questionnaires: (a) validated RAND 36-item health survey QOL questionnaire; and (b) self-administered d...
MRI is a powerful diagnostic modality of expanding availability. Equipment and installation amount to nearly $2M per site. An important component of diagnostic efficacy is not just equipment costs but also replacement costs, which for x-ray CT amount to 14-20% of the purchase cost per year; and in the early years of that technology reached 30-50%. The authors show how design choices made during the RandD stages of MRI development have allowed them to improve system performance parameters such as data reconstruction, archiving and display speeds, computational capabilities, operator interfaces, imaging sequence flexibility and signal-to-noise levels. Over the last four years these improvements have been made at a retrofit cost well below the target of 6-7% of the purchase price per year.
Abstract Alcoa World Alumina Australia mines bauxite under lease agreements with the Government of Western Australia. The leases lie in the Darling Range to the east of Perth, the capital and major population center. In addition to bauxite and other mineral ores, the Darling Range is a major potable water source and harbors a species-rich forest dominated by Jarrah (Eucalyptus marginata), a significant commercial timber. Conservation and recreation are important land uses in the region. Social and political pressures have led to stringent governmental requirements for restoration. In addition, a summer drought period, a soil deficient in most nutrients, water management challenges, an introduced disease, caused by Phytophthora cinnamomi Rands, and a post-mining ecosystem that must be condu...
Methods: Systemic irradiation of neuroaxis is an essential part in the management of medulloblastoma, stPNET and intracranial germ cell tumors. The introduction of quality assurance programs in radiooncology assures a precise radiotherapy of target volumes and is a prerequisite to improve survival. Results: Hyperfractionated radiotherapy has the potential of increasing dose to tumor more safely without increasing the risk for late adverse effects. Pilot studies revealed excellent tumor control in medulloblastoma with acceptable acute toxicity and a long-term survival of up to 96%. In medulloblastoma stereotactic radiation techniques reveal an acceptable toxicity and promising results in tumor control in recurrent disease or as primary treatment. They are now part of future treatment protocols in case of persisting residual tumor. Radiotherapy alone in pure germinoma is continuously yielding high cure rates. In secreting germ cell tumors cisplatin containing chemotherapies in ...
The symposium, Polycrystalline Thin Films - Structure, Texture, Properties, and Applications III, was held at the 1997 Materials Research Society Spring Meeting on March 31--April 4 in San Francisco, California. The topics and investigations were interdisciplinary in nature, and ranged from fundamental to technological. Specifically, the work presented in this volume includes film growth, texture and structural evolution, phase transformation, characterization of grain boundaries and interfaces, stress analysis, and works on polycrystalline Si and SiGe films and devices. Fifty four papers were processed separately for inclusion on the data base.
The symposium, Polycrystalline Thin Films - Structure, Texture, Properties, and Applications III, was held at the 1997 Materials Research Society Spring Meeting on March 31--April 4 in San Francisco, California. The topics and investigations were interdisciplinary in nature, and ranged from fundamental to technological. Specifically, the work presented in this volume includes film growth, texture and structural evolution, phase transformation, characterization of grain boundaries and interfaces, stress analysis, and works on polycrystalline Si and SiGe films and devices. Fifty four papers were processed separately for inclusion on the data base.
Environmental computer science is a new partial discipline of applied computer science, which makes use of methods and techniques of information processing in environmental protection. Thanks to the inter-disciplinary nature of environmental problems, computer science acts as a mediator between numerous disciplines and institutions in this sector. The handbook reflects the broad spectrum of state-of-the art environmental computer science. The following important subjects are dealt with: Environmental databases and information systems, environmental monitoring, modelling and simulation, visualization of environmental data and knowledge-based systems in the environmental sector. (orig.).
The increase in world oil prices since 2003 has prompted renewed interest in producing and using liquid fuels from unconventional resources, such as biomass, oil shale, and coal. This book focuses on issues and options associated with establishing a commercial coal-to-liquids (CTL) industry within the United States. It describes the technical status, costs, and performance of methods that are available for producing liquids from coal; the key energy and environmental policy issues associated with CTL development; the impediments to early commercial experience; and the efficacy of alternative federal incentives in promoting early commercial experience. Because coal is not the only near-term option for meeting liquid-fuel needs, this book also briefly reviews the benefits and limitations of other approaches, including the development of oil shale resources, the further development of biomass resources, and increasing dependence on imported petroleum. A companion document provides a ...
In 1986, the National Research Council, through its Energy Engineering Board, formed the Committee on Geothermal Energy Technology. The committee's study addressed major issues in geothermal energy technology, made recommendations for research and development, and considered cooperative arrangements among government, industry, and universities to facilitate RandD under current severe budget constraints. The report addresses four types of geothermal energy: hydrothermal, geopressured, hot dry rock, and magma systems. Hydrothermal systems are the only type that are now economically competitive commercially. Further technology development by the Department of Energy could make the uneconomical hydrothermal resources commercially attractive to the industry. The economics are more uncertain for the longer-term technologies for extracting energy from geopressured, hot dry rock, and magma systems. For some sites, the cost of energy derived from geopressured and ...
Limited space permits description of only two examples of Kevlar applications research. There are numerous others. In the eraly product development there were some indications that Kevlar would go mainly into tire reinforcement. This has turned out not to be true. In the mid-seventies Kevlar was participating in only ten market segments and less than fifty specific applications, but today, it is in more than twenty market segments, serving more than two hundred applications, and continued growth is anticipated. Kevlar is produced in a 45 million pound plant in Richmond, VA, USA. In 1988, a second plant was started up in Northern Ireland and plans for a third plant in Japan were announced. The Kevlar innovation story exemplifies the kind of obstacles, interdisciplinary skills and systems approach involved in bringing a laboratory discovery to commercial reality. The story is still unfolding and applications currently not envisioned will undoubtedly become important ...
The Soviet Union does not currently have an overall radioactive waste management program or national laws that define objectives, procedures, and standards, although such a law is being developed, according to the Soviets. Occupational health and safety does not appear to receive major attention as it does in Western nations. In addition, construction practices that would be considered marginal in Western facilities show up in Soviet nuclear power and waste management operations. The issues involved with radioactive waste management and environmental restoration are being investigated at several large Soviet institutes; however, there is little apparent interdisciplinary integration between them, or interaction with the USSR Academy of Sciences. It is expected that a consensus on technical solutions will be achieved, but it may be slow in coming, especially for final disposal of high-level radioactive wastes and environmental restoration of contaminated areas. ...
The Soviet Union does not currently have an overall radioactive waste management program or national laws that define objectives, procedures, and standards, although such a law is being developed, according to the Soviets. Occupational health and safety does not appear to receive major attention as it does in Western nations. In addition, construction practices that would be considered marginal in Western facilities show up in Soviet nuclear power and waste management operations. The issues involved with radioactive waste management and environmental restoration are being investigated at several large Soviet institutes; however, there is little apparent interdisciplinary integration between them, or interaction with the USSR Academy of Sciences. It is expected that a consensus on technical solutions will be achieved, but it may be slow in coming, especially for final disposal of high-level radioactive wastes and environmental restoration of contaminated areas. ...
Proteins are polymers of amino acids. These macromolecules are synthesized by intracellular machines called {\\it ribosome}. Although, traditionally, the experimental investigation of protein synthesis has been an active area of research in molecular cell biology, important quantitative models of this phenomenon have been reported mostly in the research journals devoted to statistical physics and related interdisciplinary topics. From the perspective of a physicist, protein synthesis is a phenomenon of {\\it classical transport of interacting ribosomes on a messenger RNA (mRNA) template} that dictates the sequence of the amino acids on the protein. Here we bring this frontier area of contemporary research into the classroom by appropriate simplification of the models and methods. In particular, we develope a simple toy model and analyze it by some elementary techniques of non-equilibrium statistical mechanics to predict the average rate of protein synthesis and ...
This is the first interdisciplinary approach to urban water and waste water managment. The author presents the knowledge acquired during the project. [German] Die ganzheitliche Betrachtung der Wasserwirtschaft in urbanen Gebieten ist sowohl in der Forschung als auch in der Praxis neu. Zwischen der Bearbeitung eines Forschungsprojektes und eines Ingenieurprojektes gibt es grundsaetzliche Differenzen, trotzdem sind wir der Meinung, dass es bezueglich der interdisziplinaeren Aspekte und der ganzheitlichen Betrachtung der Wasserwirtschaft sowohl in der Forschung als auch in der Praxis aehnliche Probleme gibt. Aus diesem Grunde wird in dieser Arbeit versucht ueber einige Erfahrungen aus dem interdisziplinaeren und ganzheitlichen Forschungsprojekt zu berichten. (orig.)
This report presents the preliminary findings of the first phase of the Environmental Survey of the US Department of Energy's (DOE) National Institute for Petroleum and Energy Research (NIPER), conducted February 29 through March 4, 1988. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Team members are being provided by private contractors. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with NIPER. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. The on-site phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at NIPER and interviews with site personnel. 35 refs., 8 figs., ...
The optimization of the safety characteristics of electrical installations in industrial plants with explosion or fire hazards can be obtained only through a careful interdisciplinary study and analysis carried out at the onset of the plant project design phase. The least complex and costly and safest solutions are those which are born from plant designs which take into account the typology of the industrial process or technology, or which incorporate pollution abatement measures and adequate safety measures for the electrical installations. This paper provides examples to illustrate how the global plant economy is fundamentally dependant upon a multi-disciplinary initial effort in design analyses. Comments are made relevant to the adequacy of the safety requirements established by existing and planned Italian norms in dealing with safety and fire protection for high-tech industrial plant electrical installations.
A strong effort is currently being devoted to the investigation of defects and diffusion phenomena in silicon. This effort is not only driven by the stringent technological requirements for the processing of integrated circuits of increased complexity and miniaturization, but also by the lack of fundamental understanding of many of the critical parameters and mechanisms involved. Experimental and theoretical investigations are needed to identify the properties of the defects, the mechanisms of impurity diffusion and the strength of impurity-defect, defect-defect, and impurity-impurity interactions. This volume provides a unique and interdisciplinary forum for the discussion of experimental, theoretical and applied aspects of defects and diffusion phenomena in silicon. Topics include: defect properties and diffusion phenomena in silicon; experimental and theoretical assessments of defect properties; transient-enhanced diffusion and dopant clustering; damage ...
Objectives1. To create a strong, interdisciplinary evidence base about the relationships linking ecosystems, agrobiodiversity, wild biodiversity, and sustainable livelihoods, including the use of trade-off analysis (modeling the relationships between agricultural productivity, levels of biodiversity, and ecosystem resilience); crop evolutionary studies (wild relative/crop interactions) and socioeconomic, cultural, and nutritional studies of the contribution of biodiversity to different livelihoods asset [continued...]DescriptionAgriculture, ecosystems, and humans have co-evolved over millennia in the Andean-Amazonian region, creating the richest of all Vavilov centers of crop origin and diversity. The conservation of a wide range of domesticated crops and landraces (i.e., indigenous, ancestral varieties or cultivars that are distinct, uniform, and stable) and their co-evolution with crop wild relatives (CRW) has been essential for food security, adaptation to ...
The Taiwan Strait is an important channel in the west Pacific Ocean transporting water and chemical constituents between the East China Sea and the South China Sea. Due to its complex bottom topography, alternating monsoon forcing and conjunction of several current systems [such as the Zhejiang-Fujian (Zhe-Min) Coastal Current, the Kuroshio intrusion and the extension of the South China Sea Warm Current], the physical and biogeochemical processes and ecosystem dynamics in the Taiwan Strait vary significantly both in space and in time. Our recent interdisciplinary studies, combining in situ and remote sensing observations with numerical modeling, allow us to address several important issues concerning the Taiwan Strait. The temporal and spatial variation of circulation in the Taiwan Strait ...
Science plays paradoxical roles in environmental planning. As a process for generating and adapting knowledge of the biophysical environment to human use, it is essential to achieving sustainability. As the socially contested evaluation of competing claims to truth, however, adversarial science often becomes the focus of conflict in the planning process. British Columbia's Central Coast Land and Resource Management Plan (CCLRMP) planning process took place amid industrial restructuring, market campaigns, and scientific disputes over the conservation of the world's largest remaining temperate rainforest. This article shows how adversarial science set the terms of the policy debate, as well as the means for compromise. A multisector interdisciplinary information team played a key role in arr...
Highlights are presented from among the many contributions made by Oscar Buneman to the science, engineering, and mathematics communities. Emphasis is placed not only on ''what'' this pioneer of computational plasma physics contributed but, of equal importance, on ''how'' he made his contributions. Therein lies the difference between technical competence and scientific greatness. The picture which emerges illustrates the open-mindedness, enthusiasm, intellectual/physical stamina, imagination, intellectual integrity, interdisciplinary curiosity, and deep humanity that made this individual unique. As a gentleman and a scholar, he had mastered the art of making cold technical facts ''come to life.'' Oscar Buneman died peacefully at his home near Stanford University on Sunday, January 24th, 1993. The profound influence he has had on many of his colleagues ...
Ohio State University (OSU) is uniquely poised to establish such a center, with interdisciplinary emphasis on modeling, simulation, design and control of hybrid-electric drives for a number of reasons, some of which are: (1) The OSU Center for Automotive Research (CAR) already provides an infrastructure for interdisciplinary automotive research and graduate education; the facilities available at OSU-CAR in the area of vehicle and powertrain research are among the best in the country. CAR facilities include 31,000 sq. feet of space, multiple chassis and engine dynamometers, an anechoic chamber, and a high bay area. (2) OSU has in excess of 10 graduate level courses related to automotive systems. A graduate level sequence has already been initiated with GM. In addition, an Automotive Systems Engineering (ASE) program cosponsored by the mechanical and electrical engineering programs, had been formulated earlier at OSU, independent of the GATE ...
This is the final report of the Finnish Research Programme on Climate Change (SILMU). This report includes the final results and conclusions made by the individual research groups. The aim of this report is to lay out the research work, and to present the main results and conclusions obtained during the six-year work. The Finnish Research Programme on Climate Change (SILMU) was a multidisciplinary national research programme on climate and global change. The principal goals of SILMU were: (1) to increase our knowledge on climate change, its causes, mechanisms and consequences, (2) to strengthen the research on climate change in Finland, (3) to increase the participation of Finnish researchers in international research programmes, and (4) to prepare and disseminate information for policy makers on adaptation and mitigation. The key areas of the research were: (1) quantification of the greenhouse effect and the magnitude of anticipated climatic changes,(2) assessment of the effects of ...
Objectives1) To develop and test a simple yet effective management tool which the Chemical Process Industry can~%~ incorporate into its Environmental Management Systems linking Life Cycle Assessment with Sustainable~%~ Development and through Risk Assessment produce a Methodology which will allow companies to~%~ prioritize their moves towards a more sustainable business practice.~%~~%~ 2) Through this network on sustainable processing practice establish an inter-disciplinary li [continued...]Description~%~'Sustainable Development is a network of Sustainable Processing Routes, or ways of doing things' (Boron, Murray,2000)~%~~%~We should like to explore this concept, through the network of academic colleagues listed, supported by key companies who have already established EMAS /ISO accreditation portfolios (letters attached), and through collaboration with other like-minded practitioners in the field (SIGMA), attempt to develop the ...
The term ``dynamo'' means different things to the laboratory fusion plasma and astrophysical plasma communities. To alleviate the resulting confusion and to facilitate interdisciplinary progress, we pinpoint conceptual differences and similarities between laboratory plasma dynamos and astrophysical dynamos. We can divide dynamos into three types: 1. magnetically dominated helical dynamos which sustain a large scale magnetic field against resistive decay and drive the magnetic geometry toward the lowest energy state, 2. flow-driven helical dynamos which amplify or sustain large scale magnetic fields in an otherwise turbulent flow, and 3. flow-driven nonhelical dynamos which amplify fields on scales at or below the driving turbulence. We discuss how all three types occur in astrophysics whereas plasma confinement device dynamos are of the first type. Type 3 dynamos requires no magnetic or kinetic helicity of any kind. Focusing on type 1 and 2 dynamos, we show how ...
Comprised of seven persons with extensive experience in the issues of nuclear waste, the Independent Review Committee (IRC) provides independent and objective review of Defense Transuranic Waste Program (DTWP) activities managed by the Joint Integration Office (JIO), formerly the Defense Transuranic Waste Lead Organization (TLO). The Committee is ensured a broad, interdisciplinary perspective since its membership includes representatives from the fields of nuclear engineering, nuclear waste transportation, industrial quality control, systems and environmental engineering and state and local government. The scope of IRC activities includes overall review of specific TLO plans, projects and activities, and technical review of particular research and development projects. The Committee makes specific suggestions and recommendations based upon expertise in the field of TRU Waste Management. The IRC operates as a consulting group, under an independent charter providing ...
National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and experience) can do to demonstrate competencies in a range of quality and safety activities. Medical schools, vocational colleges, health organisations and private ...
This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy's (DOE) Los Alamos National Laboratory (LANL), conducted March 29, 1987 through April 17, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are outside experts being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with the LANL. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. The on-site phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at the LANL, and interviews with site ...
A singular stress field can occur at the edge of the joint plane in a thermally or mechanically loaded material compound. This stress field was calculated analytically and was compared with the results from the finite element method. If one of the two partners consists of ceramic material, unstable crack spread starting from faults in this strongly stressed area can lead to failure. In linear elastic material, the behaviour of a crack is clearly described by the stress intensity factors. These can be calculated for a known stress distribution in the uncracked structure by the method of the weight function. The corresponding weight functions for surface cracks parallel to the boundary surface were determined with the aid of suitable reference load cases. The effect of the position of the crack in the compound and the elastic constants of the compound are discussed. For examples, the stress intensity factors for cracks in a thermally stressed material compound were determined by the ...
Methods: Systemic irradiation of neuroaxis is an essential part in the management of medulloblastoma, stPNET and intracranial germ cell tumors. The introduction of quality assurance programs in radiooncology assures a precise radiotherapy of target volumes and is a prerequisite to improve survival. Results: Hyperfractionated radiotherapy has the potential of increasing dose to tumor more safely without increasing the risk for late adverse effects. Pilot studies revealed excellent tumor control in medulloblastoma with acceptable acute toxicity and a long-term survival of up to 96%. In medulloblastoma stereotactic radiation techniques reveal an acceptable toxicity and promising results in tumor control in recurrent disease or as primary treatment. They are now part of future treatment protocols in case of persisting residual tumor. Radiotherapy alone in pure germinoma is continuously yielding high cure rates. In secreting germ cell tumors cisplatin containing chemotherapies in ...
ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program. This framework will facilitate comparisons across studies and improve generalizability by permitting context-specific interpretation. Research based on this framework ...
This is the first volume in a series of books to be published by Prentice Hall on Environmental and Intelligent Manufacturing Systems. The editors have assembled an interdisciplinary collection of authors from industry, government, and academia, that provide a broad range of expertise on robotics and remote systems. Readily accessible to practicing engineers, the book provides case studies and introduces new technology applicable to remote operations in unstructured and/or hazardous environments. Chapter 1 gives an overview of the US Environmental Protection Agency's efforts to apply robotic technology to assist in the operations at hazardous waste sites. The next chapter focuses on the theory and implementation of robust impedance control for robotic manipulators. Chapter 3 presents a discussion on the integration of failure tolerance into robotic systems. The next two chapters address the issue of sensory feedback and its indispensable role in remote and/or ...
This report for the Swiss Federal Office of Energy (SFOE) presents the overview reports made by SFOE Heads of Program on work done in 2007. Projects reported on in the natural gas-fired fuel cell area include the EU-project REAL-SFOC, the long-term testing of anode-supported SOFC stacks, intermediate-temperature fuel cells based on proton conducting electrolytes, the interdisciplinary ONEBAT project and lifetime-enhancement of SOFC stacks for CHP applications. In the polymer-electrolyte fuel cell (PEFC) area, projects concerning proton-conducting polymer membranes, factors limiting the lifetime of fuel cell membranes, a new highly active oxygen reduction electrode for PEM fuel cell and zinc/air battery applications, the enhancement of PEFC durability and reliability, model-based investigation of PEFC performance, and local gas analysis of PE fuel cells are briefly reported on. Long-term research activities in the hydrogen technology area reported on include those ...
The proposed method to analyze the composition of the cost of electricity is based on the energy conversion processes and the destruction of the exergy through the several thermodynamic processes that comprise a combined cycle power plant. The method uses thermoeconomics to evaluate and allocate the cost of exergy throughout the processes, considering costs related to inputs and investment in equipment. Although the concept may be applied to any combined cycle or cogeneration plant, this work develops only the mathematical modeling for three-pressure heat recovery steam generator (HRSG) configurations and total condensation of the produced steam. It is possible to study any nx1 plant configuration (n sets of gas turbine and HRSGs associated to one steam turbine generator and condenser) with the developed model, assuming that every train operates identically and in steady state. The presented model was conceived from a complex configuration of a real power plant, over which variations ...
We carry out investigation on the establishment of a program to cultivate a nuclear fusion workforce effectively, which is the most important resource in the fusion energy development. Acquisition of fresh fusion technologies is essentially required to pursue R and D efficiently and to ensure fusion initiatives firmly in the international community. As the time has come to cultivate the fusion workforce and to enhance the workforce's expertise, the universities, research institutes and industries involved in fusion energy development are supposed to adjust fast technology shifts and to accommodate international trends toward collaboration. We establish systematic schemes to develop a professional workforce and to assign the right jobs to the right people timely through the research-academic-industry cooperation. After carrying out domestic and oversea surveys on the education and training programs of various institutes, we evaluate an over-all manpower supply system. Also, in ...
This report presents the preliminary findings of the first phase of the Environmental Survey of the United States Department of Energy's (DOE) Idaho National Engineering Laboratory (INEL) and Component Development and Integration Facility (CDIF), conducted September 14 through October 2, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. The team includes outside experts supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with the INEL and CDIF. The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. The on-site phase of the Survey involves the review of existing site environmental data, observations of the ...
Purpose: With intracranial tumors a flat, contrast-enhancing, probably dural structure adjacent to the tumor can occasionally be observed on gadolinium-DTPA enhanced MR images. Therefore we have attempted to evaluate a tumor infiltration of this enthancement on MRI. Material and Methods: This study included 50 patients. 19 patients had a dural thickening at the tumor base (13 meningiomas and 6 metastases), while 31 patients did not (12 meningiomas and 19 metastases). Studies included plane T{sub 2}-weighted spin echo (SE) images as well as T{sub 1}-weighted axial, coronal, or sagittal plains with and without contrast agent. Histopathological examinations, were done on the tumor base adjacent to the dura mater. Results: 7 of 12 meningiomas showed a meningeal thickening on MRI with histopathologically proven tumor infiltration as did also 5 of 6 metastases. But 3 of 12 meningiomas and 15 of 19 metastases without dural thickening at the tumor base also showed tumor invasion into the dura ...
There is a well-known story about the blind man examining the elephant: the part of the elephant examined determines his perception of the whole beast. Perhaps bioinformatics--the shotgun marriage between biology and mathematics, computer science, and engineering--is like an elephant that occupies a large chair in the scientific living room. Given the demand for and shortage of researchers with the computer skills to handle large volumes of biological data, where exactly does the bioinformatics elephant sit? There are probably many biologists who feel that a major product of this bioinformatics elephant is large piles of waste material. If you have tried to plow through Web sites and software packages in search of a specific tool for analyzing and collating large amounts of research data, you may well feel the same way. But there has been progress with major initiatives to develop more computing power, educate biologists about computers, increase funding, and set standards. For our ...
Purpose: The nint version of the licensing regulation for medical doctors (Approbation Regulation (AR)) sets a benchmark in terms of practical experience, interdigitation of preclinical and clinical studies, interdisciplinary approach, economic efficiency, independence of students, added new teaching and learning modalities, and ongoing evaluation of the progress of the medical students. It is the aim to implement these major points of the AR in a model course for diagnostic radiology and radiation protection within the scope of the Virtual University of Bavaria and test them in practice. Materials and Methods: In cooperation with residents and board certified radiologists, students developed the virtual course 'Web-Based Training (WBT) Radiology' in diagnostic radiology and radiation protection for students in the first clinical semester. A representative target group taken from the student body was asked about the options to get access to the ...
Since information has been regarded os a physical entity, the field of quantum information theory has blossomed. This brings novel applications, such as quantum computation. This field has attracted the attention of numerous researchers with backgrounds ranging from computer science, mathematics and engineering, to the physical sciences. Thus, we now have an interdisciplinary field where great efforts are being made in order to build devices that should allow for the processing of information at a quantum level, and also in the understanding of the complex structure of some physical processes at a more basic level. This thesis is devoted to the theoretical study of structures at the nanometer-scale, 'nanostructures', through physical processes that mainly involve the solid-state and quantum optics, in order to propose reliable schemes for the processing of quantum information. Initially, the main results of quantum information theory and quantum ...
This report summarises nearly 20 biosphere reports and gives a synthesis of the work performed within the SR-Site Biosphere project, i.e. the biosphere part of SR-Site. SR-Site Biosphere provides the main project with dose conversion factors (LDFs), given a unit release rate, for calculation of human doses under different release scenarios, and assesses if a potential release from the repository would have detrimental effects on the environment. The intention of this report is to give sufficient details for an overview of methods, results and major conclusions, with references to the biosphere reports where methods, data and results are presented and discussed in detail. The philosophy of the biosphere assessment was to make estimations of the radiological risk for humans and the environment as realistic as possible, based on the knowledge of present-day conditions at Forsmark and the past and expected future development of the site. This was achieved by using the best available ...