WorldWideScience

Sample records for balazs type procedure

  1. Balazs: The Dilemmas of Humanism in the Movies

    Science.gov (United States)

    Stolnitz, Jerome

    1976-01-01

    The tension between a humanism that is essentially classical and insistence on respect for the uniqueness of movies is most acute in Balazs. This paper undertakes to bring this tension to light and to specify it. (Author/RK)

  2. Repair Types, Procedures - Part 1

    Science.gov (United States)

    2010-05-01

    New Jersey, USA. Repair Types, Procedures – Part I RTO-EN-AVT-156 9 - 19 [5] Drieker R, Botello C, MacBeth S, and Grody J, “Aircraft Battle... MacBeth S, and Grody J, “Aircraft Battle Damage Assessment and Repair (ABDAR), Vol. III: Field Test Report,” AFRL-HE-WP-TR-2002-0039, July 2000. [8

  3. Stability of Jungck-type iterative procedures

    Directory of Open Access Journals (Sweden)

    S. L. Singh

    2005-01-01

    Full Text Available We introduce and discuss the stability of Jungck and Jungck-Mann iterative procedures for a pair of Jungck-Osilike-type maps on an arbitrary set with values in a metric or linear metric space.

  4. Procedural training in virtual reality: A comparison of technology types

    Energy Technology Data Exchange (ETDEWEB)

    Sebok, A.; Nystad, E. [Alion Science and Technology, MA and D Operation, 4949 Pearl East Circle, Boulder, CO 80301 OECD Halden Reactor Project, PO Box 173, N-1751 Halden (Norway)

    2006-07-01

    This paper describes a study investigating questions of learning effectiveness in different VR technology types. Four VR display technology types were compared in terms of their ability to support procedural learning. The VR systems included two desktop displays (mono-scopic and stereoscopic view), a large screen stereoscopic display, and a mono-scopic head-mounted display. Twenty-four participants completed procedural training scenarios on these different display types. Training effectiveness was assessed in terms of objective task performance. Following the training session, participants performed the procedure they had just learned using the same VR display type they used for training. Time to complete the procedure and errors were recorded. Retention and transfer of training were evaluated in a talk-through session 24 hours after the training. In addition, subjective questionnaire data were gathered to investigate perceived workload, Sense of Presence, simulator sickness, perceived usability, and ease of navigation. While no difference was found for the short-term learning, the study results indicate that retention and transfer of training were better supported by the large screen stereoscopic condition. (authors)

  5. Biopsy: Types of Biopsy Procedures Used to Diagnose Cancer

    Science.gov (United States)

    ... Cancer You might be nervous about an upcoming biopsy. Learning about biopsies and how and why they're done may ... reduce your anxiety. By Mayo Clinic Staff A biopsy is a procedure to remove a piece of ...

  6. 78 FR 16779 - Type Certification Procedures for Changed Products

    Science.gov (United States)

    2013-03-19

    ... practical, for the certification of significant design changes of aircraft, aircraft engines, and propellers... Sec. 21.1 to mean ``aircraft, aircraft engine, or propeller.'' Taken literally, the scope of the... questions concerning this action, contact Victor Powell, Certification Procedures Office (AIR-110),...

  7. The use of botulinum toxin type A in cosmetic facial procedures

    NARCIS (Netherlands)

    Jaspers, G. W. C.; Pijpe, J.; Jansma, J.

    2011-01-01

    Over the past decade, facial cosmetic procedures have become more commonplace ill dentistry and oral and maxillofacial surgery. An increasing number of patients seek minimal invasive procedures. One of the most requested procedures is treatment with botulinum toxin type A (BoNTA). Treatment of dynam

  8. The "Lantern" Procedure to Simplify Treatment of Retrograde Type A Dissection After Thoracic Endograft Stenting.

    Science.gov (United States)

    Tsai, Chung-Lin

    2016-04-01

    The emergency repair of retrograde type A aortic dissection after thoracic endovascular aortic repair is a complex and challenging surgical procedure and carries a surgical challenge. Previous studies have reported a significant mortality in the complex repair of retrograde type A aortic dissection after thoracic endovascular aortic repair. We devised a simplified hybrid method-the "Lantern" procedure-to solve this retrograde type A aortic dissection complication.

  9. 43 CFR 11.35 - How does the authorized official decide whether to use type A or type B procedures?

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false How does the authorized official decide whether to use type A or type B procedures? 11.35 Section 11.35 Public Lands: Interior Office of the... weighing the difficulty of collecting site-specific data against the suitability of the averaged data...

  10. Remission of type 2 diabetes mellitus after bariatric surgery - comparison between procedures.

    Science.gov (United States)

    Fernández-Soto, María L; Martín-Leyva, Ana; González-Jiménez, Amalia; García-Rubio, Jesús; Cózar-Ibáñez, Antonio; Zamora-Camacho, Francisco J; Leyva-Martínez, María S; Jiménez-Ríos, Jose A; Escobar-Jiménez, Fernándo

    2017-01-01

    We aimed to assess the mid-term type 2 diabetes mellitus recovery patterns in morbidly obese patients by comparing some relevant physiological parameters of patients of bariatric surgery between two types of surgical procedures: mixed (roux-en-Y gastric bypass and biliopancreatic diversion) and restrictive (sleeve gastrectomy). This is a prospective and observational study of co-morbid, type 2 diabetes mellitus evolution in 49 morbidly obese patients: 37 underwent mixed surgery procedures and 12 a restrictive surgery procedure. We recorded weight, height, body mass index, and glycaemic, lipid, and nutritional blood parameters, prior to procedure, as well as six and twelve months post-operatively. In addition, we tested for differences in patient recovery and investigated predictive factors in diabetes remission. Both glycaemic and lipid profiles diminished significantly to healthy levels by 6 and 12 months post intervention. Type 2 diabetes mellitus showed remission in more than 80% of patients of both types of surgical procedures, with no difference between them. Baseline body mass index, glycated haemoglobin, and insulin intake, among others, were shown to be valuable predictors of diabetes remission one year after the intervention. The choice of the type of surgical procedure did not significantly affect the remission rate of type 2 diabetes mellitus in morbidly obese patients. (Endokrynol Pol 2017; 68 (1): 18-25).

  11. Procedural and Conceptual Knowledge: Exploring the Gap between Knowledge Type and Knowledge Quality

    Science.gov (United States)

    Star, Jon R.; Stylianides, Gabriel J.

    2013-01-01

    Following Star (2005, 2007), we continue to problematize the entangling of type and quality in the use of conceptual knowledge and procedural knowledge. Although those whose work is guided by types of knowledge and those whose work is guided by qualities of knowledge seem to be referring to the same phenomena, actually they are not. This lack of…

  12. 13 CFR 107.1100 - Types of Leverage and application procedures.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Types of Leverage and application procedures. 107.1100 Section 107.1100 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION SMALL BUSINESS INVESTMENT COMPANIES SBA Financial Assistance for Licensees (Leverage) General Information...

  13. 16 CFR 1610.35 - Procedures for testing special types of textile fabrics under the standard.

    Science.gov (United States)

    2010-01-01

    ... textile fabrics under the standard. 1610.35 Section 1610.35 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FLAMMABLE FABRICS ACT REGULATIONS STANDARD FOR THE FLAMMABILITY OF CLOTHING TEXTILES Rules and Regulations § 1610.35 Procedures for testing special types of textile fabrics under the standard. (a)...

  14. Dry type transformers: Performance tests and qualification procedures. Trasformatori a secco: prove e metodologie di collaudo

    Energy Technology Data Exchange (ETDEWEB)

    Caprio, G.; Yakov, S.

    1986-06-01

    In the performance testing of dry type transformers, not only electrical, but even environmental conditions play an important role. This is true especially with regard to dielectric stress withstand capabilities since the dielectric field is predominantly concentrated in the aerated zones where unfavourable atmospheric conditions can lead to considerable decay in dielectric rigidity. Testing procedures, normally employed for oil insulated transformers should therefore, in the case of dry type transformers, be modified to be able to ascertain compatibility between transformer type and the specific environmental conditions in which it must operate.

  15. Estimating the Frequency and Rate of First 50 Common Types of Invasive Procedures in Iran Healthcare System

    OpenAIRE

    A Akbari Sari; Babashahy, S; A Olyaeimanesh; A Rashidian

    2012-01-01

    Background: The aim of this study was to estimate the frequency and rate of the first 50 common types of invasive procedures in Iran. Methods: Data about the number of all invasive procedures and each type of procedure that were conducted in Iran in 2010 were collected using the main insurance organizations database. These numbers were sorted in an excel database, and the first 50 invasive procedures with the most common frequency were selected. Then according to the population covered by the...

  16. Improvement of projection-type associative memories by using a two-phase recalling procedure.

    Science.gov (United States)

    Lee, D L; Wang, W J

    1996-05-01

    In this letter, we propose a Two-Phase Recalling Procedure (TPRP) to improve the recall capability of the projection-type associative memory. It is known that the conventional projection dynamic sometimes produces spurious states that do not belong to the space spanned by the prototype vectors (memory space). The proposed TPRP provides a trapped spurious state another chance to project onto the memory space such that the recall capability of the projection-type associative memories can be greatly improved. Finally a simulation result demonstrates the effectiveness of the TPRP.

  17. Statistical evaluation of mortality in long-term carcinogenicity bioassays using a Williams-type procedure.

    Science.gov (United States)

    Herberich, Esther; Hothorn, Ludwig A

    2012-10-01

    Several doses and a control group can be compared under order restriction using the Williams procedure for normally distributed endpoints assuming variance homogeneity. Comparison of the survival functions represents a secondary endpoint in long-term in vivo bioassays of carcinogenicity. Therefore, a Williams-type procedure for the comparison of survival functions is proposed for the assumption of the Cox proportional hazards model or the general frailty Cox model to allow a joint analysis over sex and strains. Interpretation according to both statistical significance and biological relevance is possible with simultaneous confidence intervals for hazard ratios. Related survival data can be analyzed using the R packages survival, coxme, and multcomp. Together with the R packages MCPAN and nparcomp, Dunnett- or Williams-type procedures are now available for the statistical analysis of the following endpoint types in toxicology: (i) normally distributed, (ii) non-normally distributed, (iii) score (ordered categorical) data, (iv) crude proportions, (v) survival functions, and (vi) time-to-tumor data with and without cause-of-death information.

  18. Effects of eicosapentaenoic acid on peri-procedural (type IVa) myocardial infarction following elective coronary stenting.

    Science.gov (United States)

    Kurita, Akiyoshi; Takashima, Hiroaki; Ando, Hirohiko; Kumagai, Soichiro; Waseda, Katsuhisa; Gosho, Masahiko; Amano, Tetsuya

    2015-08-01

    The aim of this study was to assess the effect of eicosapentaenoic acid (EPA) on peri-procedural (type IVa) myocardial infarction (MI) following elective percutaneous coronary intervention (PCI). We analyzed data from 165 of 178 consecutive patients with stable angina pectoris who underwent de novo successful stent implantation in the native coronary artery. Patients were assigned to receive statin therapy in combination with 1800mg/day of EPA or statin alone. Post-procedural index of microcirculatory resistance (IMR) values were calculated for 30 patients in the EPA group and 32 controls. In the multivariate logistic model, EPA administration, low kidney function, and the presence of slow flow/no reflow were significantly and independently associated with type IVa MI. Post-procedural IMR values were significantly lower in the EPA group [19.8 (6.4, 51.1) vs. 27.8 (8.2, 89.3), p=0.003] compared to the control group. Pre-treatment with EPA in addition to statins significantly reduced the incidence of type IVa MI compared to statin therapy only, which may be attributed to the ability of EPA to reduce microvascular dysfunction induced by PCI. Copyright © 2014. Published by Elsevier Ltd.

  19. A new change-in-ratio procedure robust to unequal catchability of types of animal.

    Science.gov (United States)

    Pollock, K H; Lancia, R A; Conner, M C; Wood, B L

    1985-09-01

    The change-in-ratio technique is a useful practical procedure for the estimation of game animal population sizes. The major problem with this technique is failure of the assumption that both types of animals are captured or sighted with equal probabilities. Here we extend the change-in-ratio technique to the case where there are two removals with emphasis on the special situation where there are two consecutive single-type removals. The advantage of this extension is that it allows an estimation procedure which is robust to unequal capture or sighting probabilities. It is also possible to test the assumption of equal sighting probabilities. Some numerical results on mean squared error of the population size estimator for the new design and the traditional design are given. The procedure is illustrated on some juvenile grass carp data collected in a small pond where the population size is known. We believe this technique is potentially useful to wildlife and fisheries biologists and that more statistical research would be beneficial.

  20. Impact of Sample Type and DNA Isolation Procedure on Genomic Inference of Microbiome Composition.

    Science.gov (United States)

    Knudsen, Berith E; Bergmark, Lasse; Munk, Patrick; Lukjancenko, Oksana; Priemé, Anders; Aarestrup, Frank M; Pamp, Sünje J

    2016-01-01

    Explorations of complex microbiomes using genomics greatly enhance our understanding about their diversity, biogeography, and function. The isolation of DNA from microbiome specimens is a key prerequisite for such examinations, but challenges remain in obtaining sufficient DNA quantities required for certain sequencing approaches, achieving accurate genomic inference of microbiome composition, and facilitating comparability of findings across specimen types and sequencing projects. These aspects are particularly relevant for the genomics-based global surveillance of infectious agents and antimicrobial resistance from different reservoirs. Here, we compare in a stepwise approach a total of eight commercially available DNA extraction kits and 16 procedures based on these for three specimen types (human feces, pig feces, and hospital sewage). We assess DNA extraction using spike-in controls and different types of beads for bead beating, facilitating cell lysis. We evaluate DNA concentration, purity, and stability and microbial community composition using 16S rRNA gene sequencing and for selected samples using shotgun metagenomic sequencing. Our results suggest that inferred community composition was dependent on inherent specimen properties as well as DNA extraction method. We further show that bead beating or enzymatic treatment can increase the extraction of DNA from Gram-positive bacteria. Final DNA quantities could be increased by isolating DNA from a larger volume of cell lysate than that in standard protocols. Based on this insight, we designed an improved DNA isolation procedure optimized for microbiome genomics that can be used for the three examined specimen types and potentially also for other biological specimens. A standard operating procedure is available from https://dx.doi.org/10.6084/m9.figshare.3475406. IMPORTANCE Sequencing-based analyses of microbiomes may lead to a breakthrough in our understanding of the microbial worlds associated with humans

  1. A Tractable Model of the LTE Access Reservation Procedure for Machine-Type Communications

    DEFF Research Database (Denmark)

    Nielsen, Jimmy Jessen; Min Kim, Dong; Madueño, Germán Corrales;

    2015-01-01

    A canonical scenario in Machine-Type Communications (MTC) is the one featuring a large number of devices, each of them with sporadic traffic. Hence, the number of served devices in a single LTE cell is not determined by the available aggregate rate, but rather by the limitations of the LTE access...... reservation protocol. Specifically, the limited number of contention preambles and the limited amount of uplink grants per random access response are crucial to consider when dimensioning LTE networks for MTC. We propose a low-complexity model that encompasses these two limitations and allows us to evaluate...... on the preamble collisions. A comparison with the simulated LTE access reservation procedure that follows the 3GPP specifications, confirms that our model provides an accurate estimation of the system outage event and the number of supported MTC devices....

  2. Impact of Sample Type and DNA Isolation Procedure on Genomic Inference of Microbiome Composition

    DEFF Research Database (Denmark)

    Knudsen, Berith Elkær; Bergmark, Lasse; Munk, Patrick

    2016-01-01

    resistance from different reservoirs. Here, we compare in a stepwise approach a total of eight commercially available DNA extraction kits and 16 procedures based on these for three specimentypes (human feces, pig feces, and hospital sewage). We assess DNA extraction using spike-in controls and different...... types of beads for bead beating, facilitating cell lysis. We evaluate DNA concentration, purity, and stability and microbial community composition using 16S rRNA gene sequencing and for selected samples using shotgun metagenomic sequencing. Our results suggest that inferred community composition...... was dependent on inherent specimen properties as well as DNA extraction method. We further show that bead beating or enzymatic treatment can increase the extraction of DNA from Gram-positive bacteria. Final DNA quantities could be increased by isolating DNA from a larger volume of cell lysate than...

  3. Evaluation of procedures for typing of group B Streptococcus: a retrospective study

    Science.gov (United States)

    Hoffmann, Steen

    2017-01-01

    Background This study evaluates two procedures for typing of Streptococcus agalactiae (group B streptococci; GBS) isolates, using retrospective typing data from the period 2010 to 2014 with a commercial latex agglutination test (latex test) and the Lancefield precipitation test (LP test). Furthermore, the genotype distribution of phenotypically non-typable (NT) GBS isolates is presented. We also raise the awareness, that the difference in typing results obtained by phenotypical methods and genotype based methods may have implications on vaccine surveillance in case a GBS vaccine is introduced. Methods A total of 616 clinical GBS isolates from 2010 to 2014 were tested with both a latex test and the LP test. Among these, 66 isolates were genotyped by PCR, including 41 isolates that were phenotypically NT. Results The latex test provided a serotype for 83.8% of the isolates (95% CI [80.7–86.6]) compared to 87.5% (95% CI [84.6–90.0]) obtained by the LP method. The two assays provided identical capsular identification for all sero-typeable isolates (excluding NT isolates). The PCR assay provided a genotype designation to the 41 isolates defined as phenotypically NT isolates. Discussion We found that the latex test showed a slightly lower identification percentage than the LP test. Our recommendation is to use the latex agglutination as the routine primary assay for GBS surveillance, and then use the more labour intensive precipitation test on the NT isolates to increase the serotyping rate. A genotype could be assigned to all the phenotypically NT isolates, however, as a consequence genotyping will overestimate the coverage from possible future capsular polysaccharide based GBS vaccines. PMID:28321367

  4. Procedural and declarative information in user instructions: what we do and don't about these information types.

    NARCIS (Netherlands)

    Karreman, Joyce; Ummelen, Nicole; Steehouder, Michael

    2005-01-01

    The use and the effects of different information types in user instructions are not completely clear. Research showed that procedural information (information about the actions) is the most important information type during use. Research results about the effects of declarative information (explanat

  5. PROCEDURES FOR SEISMIC CHARACTERIZATION OF TRADITIONAL AND MODERN WOODEN BUILDING TYPES

    Directory of Open Access Journals (Sweden)

    Ario Ceccotti

    2016-03-01

    Full Text Available The paper analyzes different wooden buildings types used in past and nowadays to realized low-rise and mid-rise timber structures from the seismic point of view. A preliminary overview about the procedures prescribed by codes for the seismic characterization of the timber building systems is given. Then the definition of the behaviour q-factor in the literature and its relevance in design of structures in seismic areas is treated. Available research methods for estimating the q-factor based on the verification of the nonlinear seismic response of entire buildings by means of experimental tests and numerical simulations are presented and analyzed. The relevance of a proper definition of the yielding limit and of failure condition in the seismic characterization of wooden building systems is treated. Moreover, a comparison between the q-factor estimations obtained using different calculation methods is presented. Lastly, the appropriate q-factor values are given for a reliable and safe seismic design of buildings realized using the examined wooden constructive systems.

  6. Comparison of two types of adult phantoms in terms of organ doses from diagnostic CT procedures

    Science.gov (United States)

    Liu, Haikuan; Gu, Jianwei; Caracappa, Peter F.; Xu, X. George

    2010-03-01

    The rapidly increasing number of diagnostic computed tomography (CT) procedures in the recent decades has spurred heightened concern over the potential risk to patients. Although an accurate organ dose assessment tool has now become highly desirable, existing software packages depend on stylized computational phantoms that were originally developed more than 40 years ago, exhibiting very large discrepancies when compared with phantoms that are anatomically realistic. However, past comparative studies did not focus on CT protocols for adult patients. This study was designed to quantitatively compare two types of phantoms, the stylized phantoms and a pair of recently developed RPI-adult male and adult female (RPI-AM and RPI-AF) phantoms, for various CT scanning protocols involving the chest, abdomen-pelvis and chest-abdomen-pelvis. Organ doses were based on Monte Carlo simulations using the MCNPX code and a detailed CT scanner model for the GE LightSpeed 16. Results are presented as ratios of organ doses from the stylized phantoms to those from the RPI phantoms. It is found that, for most organs contained in the scan volume, the ratios were within the range of 0.75-1.16. However, the stomach doses are significantly different and the ratio is found to be up to 1.86 in male phantoms and 2.29 in the female phantoms due to the anatomical differences between the two types of phantoms. Organs that lie near a scan boundary also exhibit a significant relative difference in organ doses between the two types of phantoms. This study concludes that, due to relatively low x-ray energies, CT doses are very sensitive to organ shape, size and position, and thus anatomically realistic phantoms should be used to avoid the dose uncertainties caused by the lack of anatomical realism. The new phantoms, such as the RPI-AM and AF phantoms that are designed using advanced surface meshes, are deformable and will make it possible to match the anatomy of a specific patient leading to further

  7. Comparison of two types of adult phantoms in terms of organ doses from diagnostic CT procedures

    Energy Technology Data Exchange (ETDEWEB)

    Liu Haikuan; Gu Jianwei; Caracappa, Peter F; Xu, X George [Nuclear Engineering and Engineering Physics Program, Rensselaer Polytechnic Institute, Troy, NY 12180 (United States)], E-mail: xug2@rpi.edu

    2010-03-07

    The rapidly increasing number of diagnostic computed tomography (CT) procedures in the recent decades has spurred heightened concern over the potential risk to patients. Although an accurate organ dose assessment tool has now become highly desirable, existing software packages depend on stylized computational phantoms that were originally developed more than 40 years ago, exhibiting very large discrepancies when compared with phantoms that are anatomically realistic. However, past comparative studies did not focus on CT protocols for adult patients. This study was designed to quantitatively compare two types of phantoms, the stylized phantoms and a pair of recently developed RPI-adult male and adult female (RPI-AM and RPI-AF) phantoms, for various CT scanning protocols involving the chest, abdomen-pelvis and chest-abdomen-pelvis. Organ doses were based on Monte Carlo simulations using the MCNPX code and a detailed CT scanner model for the GE LightSpeed 16. Results are presented as ratios of organ doses from the stylized phantoms to those from the RPI phantoms. It is found that, for most organs contained in the scan volume, the ratios were within the range of 0.75-1.16. However, the stomach doses are significantly different and the ratio is found to be up to 1.86 in male phantoms and 2.29 in the female phantoms due to the anatomical differences between the two types of phantoms. Organs that lie near a scan boundary also exhibit a significant relative difference in organ doses between the two types of phantoms. This study concludes that, due to relatively low x-ray energies, CT doses are very sensitive to organ shape, size and position, and thus anatomically realistic phantoms should be used to avoid the dose uncertainties caused by the lack of anatomical realism. The new phantoms, such as the RPI-AM and AF phantoms that are designed using advanced surface meshes, are deformable and will make it possible to match the anatomy of a specific patient leading to further

  8. 43 CFR 11.36 - May the authorized official use both type A and type B procedures for the same release?

    Science.gov (United States)

    2010-10-01

    ... economic rent for lost commercial harvests resulting from any closures specified by the authorized official... the injury predictions of the type A procedure and simply use the valuation methodologies authorized by § 11.83(c) to calculate compensable value. When using valuation methodologies, the...

  9. Estimating the Frequency and Rate of First 50 Common Types of Invasive Procedures in Iran Healthcare System

    Directory of Open Access Journals (Sweden)

    A Akbari Sari

    2012-10-01

    Full Text Available Background: The aim of this study was to estimate the frequency and rate of the first 50 common types of invasive procedures in Iran.Methods: Data about the number of all invasive procedures and each type of procedure that were conducted in Iran in 2010 were collected using the main insurance organizations database. These numbers were sorted in an excel database, and the first 50 invasive procedures with the most common frequency were selected. Then according to thepopulation covered by the given insurance organizations, and based on the total population of Iran in 2011, we estimated the number and rate of each invasive procedure for the selective procedures.Results: It was estimated that a total of 769,500 (1,026 per 100,000 population natural vaginal delivery (NVD was performed in Iran in 2011, followed by 416,790 cataract operation (556 per 100,000 population, 401,436 cesarean delivery (535 per 100,000 population, 260,514 coronary angiography disease (347 per 100,000 population, 181,836 varicocele (242 per 100,000 population, 144,918 appendectomy (193 per 100,000 population, 134,766 rhinoplasty(180 per 100,000 population and 105,912 pilonidal cyst (141 per 100,000 population.Conclusion: The result could be used to identify and select the most frequent invasive procedures in Iran, to calculate the average cost of each procedure and to use these costs to estimate hospital budget and improve policy-making.

  10. Two Cases of Type Va Extrahepatic Bile Duct Duplication With Distal Klatskin Tumor Surgically Treated with Whipple Procedure and Hepaticojejunostomy.

    Science.gov (United States)

    Hammad, Tariq A; Alastal, Yaseen; Khan, Muhammad Ali; Hammad, Mohammad; Alaradi, Osama; Nigam, Ankesh; Sodeman, Thomas C; Nawras, Ali

    2015-10-01

    We describe the diagnostic and therapeutic challenges of a type Va extrahepatic bile duct duplication coexistent with distally located hilar cholangiocarcinoma (Klatskin tumor). We present 2 cases that were diagnosed preoperatively and treated with a modified surgical technique of a combined pylorus-preserving Whipple procedure and hepaticojejunostomy.

  11. Syringe and Needle Size, Syringe Type, Vacuum Generation, and Needle Control in Aspiration Procedures

    Science.gov (United States)

    Haseler, Luke J.; Sibbitt, Randy R.; Sibbitt, Wilmer L.; Michael, Adrian A.; Gasparovic, Charles M.; Bankhurst, Arthur D.

    2013-01-01

    Purpose Syringes are used for diagnostic fluid aspiration and fine needle aspiration biopsy (FNA) in interventional procedures. We determined the benefits, disadvantages, and patient safety implications of syringe and needle size on vacuum generation, hand force requirements, biopsy/fluid yield, and needle control during aspiration procedures. Materials and Methods Different sizes (1, 3, 5, 10, and 20 ml) of the conventional syringe and aspirating mechanical safety syringe, the reciprocating procedure device (RPD), were studied. 20 operators performed aspiration procedures with the following outcomes measured: 1) vacuum (Torr), 2) time to vacuum (seconds), 3) hand force to generate vacuum (Torr-cm2), 4) operator difficulty during aspiration, 5) biopsy yield (mg), and 6) operator control of the needle tip position (mm). Results Vacuum increased tissue biopsy yield at all needle diameters (p aspirate, and resulted in significant loss of needle control (pneedle control (pneedle and maximize fluid and tissue yield during aspiration procedures, a two-handed technique and the smallest syringe size adequate for the procedure should be used. If precise needle control or one-handed operation is required, a mechanical safety syringe should be considered. PMID:21057795

  12. Forefoot Surgery in Elderly Compared With Younger Patient Populations: Complications and Type of Procedure.

    Science.gov (United States)

    Vermersch, Thibault; Fessy, Michel Henri; Besse, Jean-Luc

    2015-01-01

    In forefoot surgery, the presenting complaints and expected benefits differ between elderly and younger patients. The present study mapped forefoot procedures recommended to elderly patients compared with those recommended to the general population and assessed the complications according to age group and comorbidity. Consecutive patients were included in a single-center, continuous, retrospective case-control study. Three age groups were defined: <65 years, 65 to 74 years, and ≥ 75 years. All patients, regardless of age, underwent the same procedure; elderly-specific techniques such as the Keller procedure were not used. A total of 321 patients were included, with a mean age of 60.6 (range 16 to 86) years. A similar procedure was used in all 3 groups, but at differing frequencies, with arthrodesis and minor procedures increasing with increasing patient age. In all 3 groups, in the population as a whole, the incidence of delayed healing, deep infection, and nonunion was 9%, 1%, and 2%, respectively. These complications were independent of age group. In the <65-year-old group, just as in the study population as a whole, arthrodesis associated with resection arthroplasty resulted in greater rates of delayed healing and deep infection. The complications rates were equivalent among the 3 age groups. Major surgical procedures should be avoided in elderly patients, if possible. However, no particular procedure is contraindicated in the elderly, although the method of fixation must be robust owing to the frequency of osteoporosis. A first step would be to achieve consensus on the age threshold for "elderliness."

  13. Procedure for deriving qualitative contaminant attenuation maps from land type data

    CSIR Research Space (South Africa)

    Sililo, OTN

    2001-01-15

    Full Text Available covered by each soil type is quantified. The approach adopted here was to use land type data to derive soil characteristic maps per land type. Using Geographic Information Systems (GIS), the soils characteristic maps were then combined with reported...

  14. Validation of an efficiency calibration procedure for a coaxial n-type and a well-type HPGe detector used for the measurement of environmental radioactivity

    Energy Technology Data Exchange (ETDEWEB)

    Morera-Gómez, Yasser, E-mail: ymore24@gamail.com [Centro de Estudios Ambientales de Cienfuegos, AP 5. Ciudad Nuclear, CP 59350 Cienfuegos (Cuba); Departamento de Química y Edafología, Universidad de Navarra, Irunlarrea No 1, Pamplona 31009, Navarra (Spain); Cartas-Aguila, Héctor A.; Alonso-Hernández, Carlos M.; Nuñez-Duartes, Carlos [Centro de Estudios Ambientales de Cienfuegos, AP 5. Ciudad Nuclear, CP 59350 Cienfuegos (Cuba)

    2016-05-11

    To obtain reliable measurements of the environmental radionuclide activity using HPGe (High Purity Germanium) detectors, the knowledge of the absolute peak efficiency is required. This work presents a practical procedure for efficiency calibration of a coaxial n-type and a well-type HPGe detector using experimental and Monte Carlo simulations methods. The method was performed in an energy range from 40 to 1460 keV and it can be used for both, solid and liquid environmental samples. The calibration was initially verified measuring several reference materials provided by the IAEA (International Atomic Energy Agency). Finally, through the participation in two Proficiency Tests organized by IAEA for the members of the ALMERA network (Analytical Laboratories for the Measurement of Environmental Radioactivity) the validity of the developed procedure was confirmed. The validation also showed that measurement of {sup 226}Ra should be conducted using coaxial n-type HPGe detector in order to minimize the true coincidence summing effect. - Highlights: • An efficiency calibration for a coaxial and a well-type HPGe detector was performed. • The calibration was made using experimental and Monte Carlo simulations methods. • The procedure was verified measuring several reference materials provided by IAEA. • Calibrations were validated through the participation in 2 ALMERA Proficiency Tests.

  15. Comparison of the Effectiveness of Four Bariatric Surgery Procedures in Obese Patients with Type 2 Diabetes: A Retrospective Study

    Directory of Open Access Journals (Sweden)

    Sylvie Pham

    2014-01-01

    Full Text Available Aim. The aim of the present retrospective study was to evaluate the efficacy of four bariatric surgical procedures to induce diabetes remission and lower cardiovascular risk factors in diabetic obese patients. Moreover, the influence of surgery on weight evolution in the diabetic population was compared with that observed in a nondiabetic matched population. Methods. Among 970 patients who were operated on in our center since 2001, 81 patients were identified as type 2 diabetes. Laparoscopic adjustable gastric banding (GB, intervention type Mason (MA, gastric bypass (RYGB, and sleeve gastrectomy (SG were performed, respectively, in 25%, 17%, 28%, and 30% of this diabetic population. Results. The resolution rate of diabetes one year after surgery was significantly higher after SG than GB (62.5% versus 20%, P<0.01, but not significantly different between SG and RYGB. In terms of LDL-cholesterol reduction, RYGB was equivalent to SG and superior to CGMA or GB. Considering the other cardiovascular risk factors, there was no significant difference according to surgical procedures. The weight loss was not statistically different between diabetic and nondiabetic matched patients regardless of the surgical procedures used. Conclusion. Our data confirm that the efficacy of surgery to treat diabetes is variable among the diverse procedures and SG might be an interesting option in this context.

  16. Effect of fat content, casing type and smoking procedures on PAHs contents of Portuguese traditional dry fermented sausages

    OpenAIRE

    GOMES, A.; Santos, C.; Almeida, J; Elias,Miguel; Roseiro, L.C.

    2013-01-01

    Portuguese dry fermented sausages are traditionally processed through direct drying/smoking, making them susceptible to polycyclic aromatic hydrocarbons (PAHs) contamination. The purpose of this study was to assess the effect of added fat (20% and 40%), casing type (hog and collagen) and smoking procedures (direct and indirect exposure) on the 16 EPA priority PAHs in dry fermented sausages manufactured according traditional processing. The total PAHs content (sum of 16 PAHs) found...

  17. Endodontic Procedural Errors: Frequency, Type of Error, and the Most Frequently Treated Tooth

    Directory of Open Access Journals (Sweden)

    Waqas Yousuf

    2015-01-01

    Full Text Available Introduction. The aim of this study is to determine the most common endodontically treated tooth and the most common error produced during treatment and to note the association of particular errors with particular teeth. Material and Methods. Periapical radiographs were taken of all the included teeth and were stored and assessed using DIGORA Optime. Teeth in each group were evaluated for presence or absence of procedural errors (i.e., overfill, underfill, ledge formation, perforations, apical transportation, and/or instrument separation and the most frequent tooth to undergo endodontic treatment was also noted. Results. A total of 1748 root canal treated teeth were assessed, out of which 574 (32.8% contained a procedural error. Out of these 397 (22.7% were overfilled, 155 (8.9% were underfilled, 16 (0.9% had instrument separation, and 7 (0.4% had apical transportation. The most frequently treated tooth was right permanent mandibular first molar (11.3%. The least commonly treated teeth were the permanent mandibular third molars (0.1%. Conclusion. Practitioners should show greater care to maintain accuracy of the working length throughout the procedure, as errors in length accounted for the vast majority of errors and special care should be taken when working on molars.

  18. Systematic review of "filling" procedures for lip augmentation regarding types of material, outcomes and complications.

    Science.gov (United States)

    San Miguel Moragas, Joan; Reddy, Rajgopal R; Hernández Alfaro, Federico; Mommaerts, Maurice Y

    2015-07-01

    The ideal lip augmentation technique provides the longest period of efficacy, lowest complication rate, and best aesthetic results. A myriad of techniques have been described for lip augmentation, but the optimal approach has not yet been established. This systematic review with meta-regression will focus on the various filling procedures for lip augmentation (FPLA), with the goal of determining the optimal approach. A systematic search for all English, French, Spanish, German, Italian, Portuguese and Dutch language studies involving FPLA was performed using these databases: Elsevier Science Direct, PubMed, Highwire Press, Springer Standard Collection, SAGE, DOAJ, Sweetswise, Free E-Journals, Ovid Lippincott Williams & Wilkins, Willey Online Library Journals, and Cochrane Plus. The reference section of every study selected through this database search was subsequently examined to identify additional relevant studies. The database search yielded 29 studies. Nine more studies were retrieved from the reference sections of these 29 studies. The level of evidence ratings of these 38 studies were as follows: level Ib, four studies; level IIb, four studies; level IIIb, one study; and level IV, 29 studies. Ten studies were prospective. This systematic review sought to highlight all the quality data currently available regarding FPLA. Because of the considerable diversity of procedures, no definitive comparisons or conclusions were possible. Additional prospective studies and clinical trials are required to more conclusively determine the most appropriate approach for this procedure. IV. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  19. A Formally Specified Type System and Operational Semantics for Higher-Order Procedural Variables

    CERN Document Server

    Crolard, Tristan

    2009-01-01

    We formally specified the type system and operational semantics of LOOPw with Ott and Isabelle/HOL proof assistant. Moreover, both the type system and the semantics of LOOPw have been tested using Isabelle/HOL program extraction facility for inductively defined relations. In particular, the program that computes the Ackermann function type checks and behaves as expected. The main difference (apart from the choice of an Ada-like concrete syntax) with LOOPw comes from the treatment of parameter passing. Indeed, since Ott does not currently fully support alpha-conversion, we rephrased the operational semantics with explicit aliasing in order to implement the out parameter passing mode.

  20. Diagnostic concordance of histologic lung cancer type between bronchial biopsy and cytology specimens taken during the same bronchoscopic procedure.

    Science.gov (United States)

    Sackett, Melanie K; Salomão, Diva R; Donovan, Janis L; Yi, Eunhee S; Aubry, Marie Christine

    2010-10-01

    The diagnosis of lung cancer is often confirmed by cytology and biopsy specimens obtained during a bronchoscopic procedure. At our institution, these specimens are read by different pathologists, and the rate of concordance was not known. To evaluate the concordance rate in the diagnosis of lung cancer types between cytology and biopsy specimens and to correlate discordance with patient outcome. Specimens obtained during the same procedure, between January 1, 2000, and December 31, 2005, were identified. Cases with cytology and biopsy specimens positive for cancer were evaluated for concordance of histologic type, small cell versus non–small cell lung carcinoma. Cases with different types were considered discordant, and slides were reviewed. Of 231 cases, 225 (97.4%) had concordant diagnoses. Discordance was the result of misinterpretation of undifferentiated carcinoma, overinterpretation of squamous dysplasia, interpretation of suboptimal specimens with necrosis and crush artifact, and sampling error. Even though the cytology and biopsy specimens were reviewed by different pathologists, the concordance rate for histologic type at our institution was high, emphasizing that this is a safe practice. The few discordant cases did not affect the patient's outcome.

  1. A simplified multivisceral transplantation procedure for patients with combined end-stage liver disease and type 2 diabetes mellitus.

    Science.gov (United States)

    He, Xiao-Shun; Fu, Shun-Jun; Zhao, Qiang; Zhu, Xiao-Feng; Wang, Dong-Ping; Han, Ming; Ju, Wei-Qiang; Ma, Yi; Jiao, Xing-Yuan; Yuan, Xiao-Peng; Hu, An-Bin; Guo, Zhi-Yong

    2017-09-01

    In liver transplant patients with type 2 diabetes mellitus (DM), the disease worsens after transplantation because of longterm use of diabetogenic immunosuppressive drugs, making management of those patients a great challenge. The objective of our study was to evaluate the safety and efficacy of a simplified multivisceral transplantation (SMT) procedure for the treatment of patients with end-stage liver disease and concurrent type 2 DM. Forty-four patients who had pretransplant type 2 DM were included. A total of 23 patients received SMT, and 21 patients received orthotopic liver transplantation (OLT). Patient and graft survivals, complications, diabetic control, and quality of life (QOL) were retrospectively analyzed in both groups. The 1-, 3-, and 5-year cumulative patient and graft survival rates were 91.5%, 75.4%, and 75.4% in the SMT group and were 94.4%, 64.4%, and 64.4% in the OLT group, respectively (P = 0.70). Interestingly, 95.7% (22/23) of patients achieved complete remission from DM after SMT compared with 16.7% (3/18) of patients after OLT. The occurrence of biliary complication was significantly higher in the OLT group than that in the SMT group (23.8% versus 0.0%; P = 0.01). Moreover, better QOL was observed in the SMT group than that in the OLT group. In conclusion, the SMT procedure we described here is a safe and viable option for patients with end-stage live disease and concurrent type 2 DM. This SMT procedure offers excellent transplant outcomes and QOL. Liver Transplantation 23 1161-1170 2017 AASLD. © 2017 by the American Association for the Study of Liver Diseases.

  2. Look-ahead procedures for Lanczos-type product methods based on three-term recurrences

    Energy Technology Data Exchange (ETDEWEB)

    Gutknecht, M.H.; Ressel, K.J. [Swiss Center for Scientific Computing, Zuerich (Switzerland)

    1996-12-31

    Lanczos-type product methods for the solution of large sparse non-Hermitian linear systems either square the Lanczos process or combine it with a local minimization of the residual. They inherit from the underlying Lanczos process the danger of breakdown. For various Lanczos-type product methods that are based on the Lanczos three-term recurrence, look-ahead versions are presented, which avoid such breakdowns or near breakdowns with a small computational overhead. Different look-ahead strategies are discussed and their efficiency is demonstrated in several numerical examples.

  3. Islet Transplantation in Type 1 Diabetes: Ongoing Challenges, Refined Procedures, and Long-Term Outcome

    OpenAIRE

    Shapiro, A M James

    2012-01-01

    Remarkable progress has been made in islet transplantation over a span of 40 years. Once just an experimental curiosity in mice, this therapy has moved forward, and can now provide robust therapy for highly selected patients with type 1 diabetes (T1D), refractory to stabilization by other means. This progress could not have occurred without extensive dynamic international collaboration. Currently, 1,085 patients have undergone islet transplantation at 40 international sites since the Edmonton...

  4. A new procedure for defining a homogenous line-list for solar-type stars

    CERN Document Server

    Sousa, S G; Adibekyan, V; Delgado-Mena, E; Tabernero, H M; Hernández, J I González; Montes, D; Smiljanic, R; Korn, A J; Bergemann, M; Soubiran, C; Mikolatis, S

    2013-01-01

    Context. The homogenization of the stellar parameters is an important goal for large observational spectroscopic surveys, but it is very difficult to achieve it because of the diversity of the spectroscopic analysis methods used within a survey, such as spectrum synthesis and the equivalent width method. To solve this problem, constraints to the spectroscopic analysis can be set, such as the use of a common line-list. Aims. We present a procedure for selecting the best spectral lines from a given input line-list, which then allows us to derive accurate stellar parameters with the equivalent width method. Methods. To select the lines, we used four very well known benchmark stars, for which we have high-quality spectra. From an initial line-list, the equivalent width of each individual line was automatically measured for each benchmark star using ARES, then we performed a local thermodynamic equilibrium analysis with MOOG to compute individual abundances. The results allowed us to choose the best lines which gi...

  5. Comparison of regional index flood estimation procedures based on the extreme value type I distribution

    DEFF Research Database (Denmark)

    Kjeldsen, Thomas Rodding; Rosbjerg, Dan

    2002-01-01

    A comparison of different methods for estimating T-year events is presented, all based on the Extreme Value Type I distribution. Series of annual maximum flood from ten gauging stations at the New Zealand South island have been used. Different methods of predicting the 100-year event...... considered applying either a log-linear relationship between at-site mean annual flood and catchment characteristics or a direct log-linear relationship between 100-year events and catchment characteristics. Comparison of the results shows that the existence of at-site measurements significantly diminishes...

  6. Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro procedure: case series

    Directory of Open Access Journals (Sweden)

    Heloisa Moraes do Nascimento

    2011-04-01

    Full Text Available Description of two cases of infectious keratitis in patients after Boston Type 1 keratoprosthesis (Boston KPro implantation. The first case refers to a patient that had the device indicated due to limbal deficiency secondary to severe dry eye who presented a fungal infection by Aerobasidium pullulans that was successfully treated with amphotericin B eye drops. The second case reports a patient with Boston KPro implantation due to previous corneal transplant rejection showing bacterial keratitis in the fourth postoperative month. The etiologic agent was identified asStreptococcus sp and topical treatment with vancomycin was effective. The importance of postoperative surveillance in Boston KPro eyes is discussed.

  7. Comparison of single and sequential extraction procedures for the study of rare earth elements remobilisation in different types of soils

    Energy Technology Data Exchange (ETDEWEB)

    Rao, Chebrolu Rama Mohan [Geological Survey of India, Hyderabad 500068 (India); Sahuquillo, Angels [Universitat de Barcelona, Department de Quimica Analitica, Marti i Franques, 1-11, E-08028 Barcelona (Spain); Lopez-Sanchez, Jose Fermin, E-mail: fermin.lopez@ub.edu [Universitat de Barcelona, Department de Quimica Analitica, Marti i Franques, 1-11, E-08028 Barcelona (Spain)

    2010-03-10

    With the continual increase in the utilisation of rare earth elements (REE) for industrial and agricultural purposes, research into the environmental and biogeochemical behaviour of REE had attracted much interest in recent times. This study principally describes the distribution of REE in four different types of soils like lateritic soil (S-1), in situ natural soil (S-2), soil contaminated by mining activity (S-3) and accidentally polluted soil (S-4) utilizing the optimised BCR sequential extraction procedure and partial extractions with various types of single extractants such as unbuffered salt solutions 0.1 M NaNO{sub 3}, 0.01 M CaCl{sub 2}, 1 M NH{sub 4}NO{sub 3}; complexing agents 0.005 M DTPA and 0.05 M EDTA; acid solutions 0.43 M CH{sub 3}COOH and 1 M HCl. Comparison of the sum of the four BCR fractions, which included an aqua regia attack on the residue, with the pseudo-total aqua regia digest values to assess the accuracy of the BCR partioning approach has been undertaken. Partial extraction results with several single extractants have also been reported for all the REE elements including yttrium which have been analysed by the optimised BCR procedure. Results obtained after 24 h extraction with each of the single extractant have also been discussed. The extraction with 1 M HCl during 24 h yielded similar quantities of REE as those released under the combined steps of 1, 2 and 3 of the BCR sequential extraction for all the four different type of soil samples indicating that this reagent can be used successfully to estimate the total extractable contents of REE in various types of soil samples.

  8. Effect of fat content, casing type and smoking procedures on PAHs contents of Portuguese traditional dry fermented sausages.

    Science.gov (United States)

    Gomes, A; Santos, C; Almeida, J; Elias, M; Roseiro, L C

    2013-08-01

    Portuguese dry fermented sausages are traditionally processed through direct drying/smoking, making them susceptible to polycyclic aromatic hydrocarbons (PAHs) contamination. The purpose of this study was to assess the effect of added fat (20% and 40%), casing type (hog and collagen) and smoking procedures (direct and indirect exposure) on the 16 EPA priority PAHs in dry fermented sausages manufactured according traditional processing. The total PAHs content (sum of 16 PAHs) found in whole product (casing included) varied between 150 and 870 μg kg(-1), with more than 99% of this content corresponding to harmless low molecular weight compounds. Concerning benzo(a)pyrene (BaP) and PAH4, the respective maximum contents (0.32 and 10.35 μg kg(-1), respectively) did not exceed the imposed limits regulated by the European Union. According to our results, casing type was the most influential factor. For hog samples, fat content and smoking regime alone did not influenced the total PAHs amount. However, significantly higher (p<0.05) contamination levels were detected in hog casing samples combining high fat content and direct smoking procedures. In opposition, irrespective of the fat content and smoking regime, safer products, with significantly lower (p<0.001) contamination levels, were obtained when collagen casing was used.

  9. Coffee dietary fiber contents and structural characteristics as influenced by coffee type and technological and brewing procedures.

    Science.gov (United States)

    Gniechwitz, Diana; Brueckel, Birgit; Reichardt, Nicole; Blaut, Michael; Steinhart, Hans; Bunzel, Mirko

    2007-12-26

    Coffee brews contain considerable amounts of soluble dietary fiber, mainly low substituted galactomannans and type II arabinogalactans. Factors possibly influencing the content and structures of dietary fiber in coffee brews, such as type of coffee, roasting and grinding degree, and brewing procedure, were studied. In addition, several commercial samples such as instant espresso, instant coffee, instant cappuccino, decaffeinated coffees, and coffee pads were analyzed. The dietary fiber contents of the coffee brews ranged from 0.14 to 0.65 g/100 mL (enzymatic-gravimetric methodology), proving an influence of the factors investigated. For example, the drip brew of an arabica coffee contained significantly more soluble dietary fiber than the drip brew of a comparable robusta coffee, and depending on the brewing procedure, the soluble dietary fiber content of beverages obtained from the same coffee sample ranged from 0.26 to 0.38 g/100 mL. Dietary fiber contents of coffee brews were enhanced only up to a certain degree of roast. Drip brews of decaffeinated arabica coffees (commercial samples) contained significantly less dietary fiber than any non-decaffeinated drip brew investigated in this study. The observed differences in the dietary fiber contents were accompanied by changes in the structural characteristics of fiber polysaccharides, such as galactomannan/arabinogalactan ratio, galactose substitution degree of mannans, or galactose/arabinose ratio of arabinogalactans as analyzed by methylation analysis.

  10. Islet transplantation in type 1 diabetes: ongoing challenges, refined procedures, and long-term outcome.

    Science.gov (United States)

    Shapiro, A M James

    2012-01-01

    Remarkable progress has been made in islet transplantation over a span of 40 years. Once just an experimental curiosity in mice, this therapy has moved forward, and can now provide robust therapy for highly selected patients with type 1 diabetes (T1D), refractory to stabilization by other means. This progress could not have occurred without extensive dynamic international collaboration. Currently, 1,085 patients have undergone islet transplantation at 40 international sites since the Edmonton Protocol was reported in 2000 (752 allografts, 333 autografts), according to the Collaborative Islet Transplant Registry. The long-term results of islet transplantation in selected centers now match registry data of pancreas-alone transplantation, with 6 sites reporting five-year insulin independence rates ≥50%. Islet transplantation has been criticized for the use of multiple donor pancreas organs, but progress has also occurred in single-donor success, with 10 sites reporting increased single-donor engraftment. The next wave of innovative clinical trial interventions will address instant blood-mediated inflammatory reaction (IBMIR), apoptosis, and inflammation, and will translate into further marked improvements in single-donor success. Effective control of auto- and alloimmunity is the key to long-term islet function, and high-resolution cellular and antibody-based assays will add considerable precision to this process. Advances in immunosuppression, with new antibody-based targeting of costimulatory blockade and other T-B cellular signaling, will have further profound impact on the safety record of immunotherapy. Clinical trials will move forward shortly to test out new human stem cell derived islets, and in parallel trials will move forward, testing pig islets for compatibility in patients. Induction of immunological tolerance to self-islet antigens and to allografts is a difficult challenge, but potentially within our grasp.

  11. Controlling Type I Error Rates in Assessing DIF for Logistic Regression Method Combined with SIBTEST Regression Correction Procedure and DIF-Free-Then-DIF Strategy

    Science.gov (United States)

    Shih, Ching-Lin; Liu, Tien-Hsiang; Wang, Wen-Chung

    2014-01-01

    The simultaneous item bias test (SIBTEST) method regression procedure and the differential item functioning (DIF)-free-then-DIF strategy are applied to the logistic regression (LR) method simultaneously in this study. These procedures are used to adjust the effects of matching true score on observed score and to better control the Type I error…

  12. A computational procedure to detect a new type of high-dimensional chaotic saddle and its application to the 3D Hill’s problem

    NARCIS (Netherlands)

    Waalkens, H.; Burbanks, A.; Wiggins, S.

    2004-01-01

    A computational procedure that allows the detection of a new type of high-dimensional chaotic saddle in Hamiltonian systems with three degrees of freedom is presented. The chaotic saddle is associated with a so-called normally hyperbolic invariant manifold (NHIM). The procedure allows us to compute

  13. Controlling Type I Error Rates in Assessing DIF for Logistic Regression Method Combined with SIBTEST Regression Correction Procedure and DIF-Free-Then-DIF Strategy

    Science.gov (United States)

    Shih, Ching-Lin; Liu, Tien-Hsiang; Wang, Wen-Chung

    2014-01-01

    The simultaneous item bias test (SIBTEST) method regression procedure and the differential item functioning (DIF)-free-then-DIF strategy are applied to the logistic regression (LR) method simultaneously in this study. These procedures are used to adjust the effects of matching true score on observed score and to better control the Type I error…

  14. Enzyme replacement therapy (ERT) procedure for mucopolysaccharidosis type II (MPS II) by intraventricular administration (IVA) in murine MPS II.

    Science.gov (United States)

    Higuchi, Takashi; Shimizu, Hiromi; Fukuda, Takahiro; Kawagoe, Shiho; Matsumoto, Juri; Shimada, Yohta; Kobayashi, Hiroshi; Ida, Hiroyuki; Ohashi, Toya; Morimoto, Hideto; Hirato, Tohru; Nishino, Katsuya; Eto, Yoshikatsu

    2012-09-01

    Mucopolysaccharidosis type II (MPS II), or Hunter syndrome, is a lysosomal storage disorder caused by a deficiency of iduronate-2-sulfatase (IDS) and is characterized by the accumulation of glycosaminoglycans (GAGs). MPS II has been treated by hematopoietic stem cell therapy (HSCT)/enzyme replacement therapy (ERT), but its effectiveness in the central nervous system (CNS) is limited because of poor enzyme uptake across the blood-brain barrier (BBB). To increase the efficacy of ERT in the brain, we tested an intraventricular ERT procedure consisting of repeated administrations of IDS (20 μg/mouse/3 weeks) in IDS-knockout, MPS II model mice. The IDS enzyme activity and the accumulation of total GAGs were measured in mouse brains. The IDS activity was significantly increased, and the accumulation of total GAGs was decreased in the MPS II mouse brains treated with multiple administrations of IDS via intraventricular ERT. Additionally, a high level of IDS enzyme activity was appreciated in other MPS II mouse tissues, such as the liver, spleen, testis and others. A Y-maze was used to test learning and memory after repeated intraventricular ERT with IDS. The IDS-treated mouse groups recovered the capacity for short-term memory and activity. Although large and small vacuoles were found at the margin of the cerebellar Purkinje cells in the disease-control mice, these vacuoles disappeared upon treated with IDS. Loss of vacuoles was also observed in other tissues (liver, kidney and testis). These results demonstrate the possible efficacy of an ERT procedure with intraventricular administration of IDS for the treatment of MPS II. Crown Copyright © 2012. Published by Elsevier Inc. All rights reserved.

  15. European type-approval test procedure for evaporative emissions from passenger cars against real-world mobility data from two Italian provinces.

    Science.gov (United States)

    Martini, Giorgio; Paffumi, Elena; De Gennaro, Michele; Mellios, Giorgos

    2014-07-15

    This paper presents an evaluation of the European type-approval test procedure for evaporative emissions from passenger cars based on real-world mobility data. The study relies on two large databases of driving patterns from conventional fuel vehicles collected by means of on-board GPS systems in the Italian provinces of Modena and Firenze. Approximately 28,000 vehicles were monitored, corresponding to approximately 36 million kilometres over a period of one month. The driving pattern of each vehicle was processed to derive the relation between trip length and parking duration, and the rate of occurrence of parking events against multiple evaporative cycles, defined on the basis of the type-approval test procedure as 12-hour diurnal time windows. These results are used as input for an emission simulation model, which calculates the total evaporative emissions given the characteristics of the evaporative emission control system of the vehicle and the ambient temperature conditions. The results suggest that the evaporative emission control system, fitted to the vehicles from Euro 3 step and optimised for the current type-approval test procedure, could not efficiently work under real-world conditions, resulting in evaporative emissions well above the type-approval limit, especially for small size vehicles and warm climate conditions. This calls for a revision of the type-approval test procedure in order to address real-world evaporative emissions.

  16. An operationalized procedure for the recognition of premorbid personality types in biographical case notes on psychiatric patients.

    Science.gov (United States)

    von Zerssen, D; Pössl, J; Gruben, S; Tauscher, R; Barthelmes, H

    1994-01-01

    A method for the assessment of six premorbid personality types from biographical data in psychiatric case histories is described. Trained raters have to fill in a list comprising 106 items as descriptors of a patient's premorbid behavioural development. The assignment to the types in question (the "manic type" and its rare variant, the "happy-go-lucky type", the "melancholic type", the "anxious insecure type" and its rare variant, the "unrealistic dreamy type", and finally, the "nervous tense type") is computed on the basis of the item scores by forming type scores and comparing their height intraindividually. The subject under study is assigned to the type reaching the comparatively highest value. Two raters independently analyzed 261 records from which all information on mental disorders in family members and the patient himself/herself as well as all biographical data from the first manifestation of a symptom disorder onwards had been erased by technical assistants. In 106 of the records, a global assignment to the types of premorbid personality had already been performed by one of the authors of the typology. The scores for the same type assessed by the two ratings correlated highly with each other (0.77 to 0.80), the concordance of types reached a kappa-value of 0.55 (P < 0.001), and the results of the operationalized typing agreed in the same order with the result of global typing in the subsample of n = 106.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. 9 CFR 147.10 - Laboratory procedure recommended for the bacteriological examination of egg-type breeding flocks...

    Science.gov (United States)

    2010-01-01

    ... the bacteriological examination of egg-type breeding flocks with salmonella enteritidis positive... examination of egg-type breeding flocks with salmonella enteritidis positive environments. Birds selected for bacteriological examination from egg-type breeding flocks positive for Salmonella enteritidis after...

  18. Safety of type and screen method compared to conventional antiglobulin crossmatch procedures for compatibility testing in Indian setting

    Directory of Open Access Journals (Sweden)

    Chaudhary Rajendra

    2011-01-01

    Full Text Available Background: Over the past 30 years, pretransfusion tests have undergone considerable modification. In 1984, AABB recommended that the full cross match could be replaced by an abbreviated cross match in patients with negative antibody screen. However, before implementation of such a policy, issue regarding safety of T & S needs to be evaluated. Objectives: The aim of pretransfusion testing (PTT is to ensure that enough red blood cells (RBCs in the selected red cell components will survive when transfused. Results and Conclusion: We have, therefore in this study; evaluated safety of T & S procedure for PTT in comparison with conventional test tube cross match. The T & S procedure gave a safety of 91.6%. Also, the usefulness of the T & S was shown through the detection of unexpected antibodies in 0.75% (15 out of 2026 of cases.

  19. Visceral hybrid reconstruction of thoracoabdominal aortic aneurysm after open repair of type a aortic dissection by the Bentall procedure with the elephant trunk technique: A case report

    Directory of Open Access Journals (Sweden)

    Marjanović Ivan

    2014-01-01

    Full Text Available Introduction. Reconstruction of chronic type B dissection and thoracoabdominal aortic aneurysm (TAAA remaining after the emergency reconstruction of the ascending thoracic aorta and aortic arch for acute type A dissection represents one of the major surgical challenges. Complications of chronic type B dissection are aneurysmal formation and rupture of an aortic aneurysm with a high mortality rate. We presented a case of visceral hybrid reconstruction of TAAA secondary to chronic dissection type B after the Bentall procedure with the elephant trunk technique due to acute type A aortic dissection in a high-risk patient. Case report. A 62 year-old woman was admitted to our institution for reconstruction of Crawford type I TAAA secondary to chronic dissection. The patient had had an acute type A aortic dissection 3 years before and undergone reconstruction by the Bentall procedure with the elephant trunk technique with valve replacement. On admission the patient had coronary artery disease (myocardial infarction, two times in the past 3 years, congestive heart disease with ejection fraction of 25% and chronic obstructive pulmonary disease. On computed tomography (CT of the aorta TAAA was revealed with a maximum diameter of 93 mm in the descending thoracic aorta secondary to chronic dissection. All the visceral arteries originated from the true lumen with exception of the celiac artery (CA, and the end of chronic dissection was below the origin of the superior mesenteric artery (SMA. The patient was operated on using surgical visceral reconstruction of the SMA, CA and the right renal artery (RRA as the first procedure. Postoperative course was without complications. Endovascular TAAA reconstruction was performed as the second procedure one month later, when the elephant trunk was used as the proximal landing zone for the endograft, and distal landing zone was the level of origin of the RRA. Postoperatively, the patient had no neurological deficit and

  20. Obtaining Good Performance With Triple-ζ-Type Basis Sets in Double-Hybrid Density Functional Theory Procedures.

    Science.gov (United States)

    Chan, Bun; Radom, Leo

    2011-09-13

    A variety of combinations of B-LYP-based double-hybrid density functional theory (DHDFT) procedures and basis sets have been examined. A general observation is that the optimal combination of exchange contributions is in the proximity of 30% Becke 1988 (B88) exchange and 70% Hartree-Fock (HF) exchange, while for the correlation contributions, the use of independently optimized spin-component-scaled Møller-Plesset second-order perturbation theory (SCS-MP2) parameters (MP2OS and MP2SS) is beneficial. The triple-ζ Dunning aug'-cc-pVTZ+d and Pople 6-311+G(3df,2p)+d basis sets are found to be cost-effective for DHDFT methods. As a result, we have formulated the DuT-D3 DHDFT procedure, which employs the aug'-cc-pVTZ+d basis set and includes 30% B88 and 70% HF exchange energies, 59% LYP, 47% MP2OS, and 36% MP2SS correlation energies, and a D3 dispersion correction with the parameters s6 = 0.5, sr,6 = 1.569, and s8 = 0.35. Likewise, the PoT-D3 DHDFT procedure was formulated with the 6-311+G(3df,2p)+d basis set and has 32% B88 and 68% HF exchange energies, 63% LYP, 46% MP2OS, and 27% MP2SS correlation energies, and the D3 parameters s6 = 0.5, sr,6 = 1.569, and s8 = 0.30. Testing using the large E3 set of 740 energies demonstrates the robustness of these methods. Further comparisons show that the performance of these methods, particularly DuT-D3, compares favorably with the previously reported DSD-B-LYP and DSD-B-LYP-D3 methods used in conjunction with quadruple-ζ aug'-pc3+d and aug'-def2-QZVP basis sets but at lower computational expense. The previously reported ωB97X-(LP)/6-311++G(3df,3pd) procedure also performs very well. Our findings highlight the cost-effectiveness of appropriate- and moderate-sized triple-ζ basis sets in the application of DHDFT procedures.

  1. Procedures for dealing with certain types of noise and systematic errors common to many Hadamard transform optical systems

    Science.gov (United States)

    Harwit, M.

    1977-01-01

    Sources of noise and error correcting procedures characteristic of Hadamard transform optical systems were investigated. Reduction of spectral noise due to noise spikes in the data, the effect of random errors, the relative performance of Fourier and Hadamard transform spectrometers operated under identical detector-noise-limited conditions, and systematic means for dealing with mask defects are among the topics discussed. The distortion in Hadamard transform optical instruments caused by moving Masks, incorrect mask alignment, missing measurements, and diffraction is analyzed and techniques for reducing or eliminating this distortion are described.

  2. A least square-type procedure for parameter estimation in stochastic differential equations with additive fractional noise

    CERN Document Server

    Neuenkirch, Andreas

    2011-01-01

    We study a least square-type estimator for an unknown parameter in the drift coefficient of a stochastic differential equation with additive fractional noise of Hurst parameter H>1/2. The estimator is based on discrete time observations of the stochastic differential equation, and using tools from ergodic theory and stochastic analysis we derive its strong consistency.

  3. Development of a dual test procedure for DNA typing and methamphetamine detection using a trace amount of stimulant-containing blood.

    Science.gov (United States)

    Irii, Toshiaki; Maebashi, Kyoko; Fukui, Kenji; Sohma, Ryoko; Matsumoto, Sari; Takasu, Shojiro; Iwadate, Kimiharu

    2016-05-01

    Investigation of drug-related crimes, such as violation of the Stimulant Drug Control Law, requires identifying the used drug (mainly stimulant drugs, methamphetamine hydrochloride) from a drug solution and the DNA type of the drug user from a trace of blood left in the syringe used to inject the drug. In current standard test procedures, DNA typing and methamphetamine detection are performed as independent tests that use two separate portions of a precious sample. The sample can be entirely used up by either analysis. Therefore, we developed a new procedure involving partial lysis of a stimulant-containing blood sample followed by separation of the lysate into a precipitate for DNA typing and a liquid-phase fraction for methamphetamine detection. The method enables these two tests to be run in parallel using a single portion of sample. Samples were prepared by adding methamphetamine hydrochloride water solution to blood. Samples were lysed with Proteinase K in PBS at 56°C for 20min, cooled at -20°C after adding methanol, and then centrifuged at 15,000rpm. Based on the biopolymer-precipitating ability of alcohol, the precipitate was used for DNA typing and the liquid-phase fraction for methamphetamine detection. For DNA typing, the precipitate was dissolved and DNA was extracted, quantified, and subjected to STR analysis using the AmpFℓSTR® Identifiler® Plus PCR Amplification Kit. For methamphetamine detection, the liquid-phase fraction was evaporated with N2 gas after adding 20μL acetic acid and passed through an extraction column; the substances captured in the column were eluted with a solvent, derivatized, and quantitatively detected using gas chromatograph/mass spectrometry. This method was simple and could be completed in approximately 2h. Both DNA typing and methamphetamine detection were possible, which suggests that this method may be valuable for use in criminal investigations.

  4. Percutaneous radiofrequency ablation: relationship between different probe types and procedure time on length and extent of osteonecrosis in dog long bones

    Energy Technology Data Exchange (ETDEWEB)

    Martel, J.; Bueno, A. [Fundacion Hospital Alcorcon, Departamento de Diagnostico por Imagen, Alcorcon, Madrid (Spain); Dominguez, M.P. [Fundacion Hospital Alcorcon, Departamento de Patologia, Alcorcon, Madrid (Spain); Llorens, P.; Quiros, J.; Delgado, C. [Universidad Complutense, Facultad de Veterinaria, Madrid (Spain)

    2008-02-15

    We have been using radiofrequency ablation for the percutaneous treatment of osteoid osteoma since 2001. Frequently, lesions are located near the joint surface, involve the vertebral body or are close to major nerves. We seek to determine whether radiofrequency ablation (RFA) can be used safely in these cases. A total of 65 lesions were induced in 4 dogs. Each dog underwent RFA on the diaphysis of long bones, as well as femoral and humeral heads. Four different sessions were carried out by using 1- and 2-cm probes with or without a cool-tip system and by varying the timing of the procedure. Plain film, CT, and MRI were obtained. All bone samples were examined histologically. The dogs' activity after the procedure was normal. No pathologic fractures occurred despite unrestricted activity of the animals. Cortical bone was always respected; therefore, articular cartilage has not been damaged. Radiological findings were characteristic. There were no significant differences in lesion size, probe type, and the duration of the procedure. The mean lesion diameter perpendicular to the electrode was 18.5 mm. Our study confirms the insulative effect of cortical bone. RFA can be safely performed close to the joint surface without damaging the cartilage. (orig.)

  5. A new procedure to adapt any type of soil for the consolidation and construction of earthen structures: projected earth system

    Directory of Open Access Journals (Sweden)

    Fuentes-García, R.

    2015-09-01

    Full Text Available The “projected earth system” is put forward as an alternative construction method. The soil from each site is adapted following a specific protocol to make it suitable for spraying. The type of construction and the receiving surface determine the machinery and spraying system used (dry or wet mix. The result will be similar in texture and colour to the original material (in the case of earth walls or to the surrounding material.Se plantea la “tierra proyectada” como nuevo sistema constructivo. Se adecuará la tierra de cada intervención con un protocolo para poder ser proyectada. El tipo de intervención y el soporte sobre el que se proyectará determinarán la maquinaria y el sistema de proyección (vía seca o húmeda. El resultado tendrá similar textura y color que el soporte restaurado (en muros de tierra o que el material del entorno (en taludes carreteros u obras de tierra de nueva construcción.

  6. The Effects of Bariatric Procedures versus Medical Therapy for Obese Patients with Type 2 Diabetes: Meta-Analysis of Randomized Controlled Trials

    Directory of Open Access Journals (Sweden)

    Xiaohu Guo

    2013-01-01

    Full Text Available Objective. To assess the effects of bariatric surgery versus medical therapy for type 2 diabetes mellitus. Methods. The Cochrane library, PubMed, Embase, Chinese biomedical literature database, and Wanfang database up to February 2012 were searched. The literature searches strategies contained terms (“diabetes*”, “surg*”, and “medic*” were used, combined with the medical subject headings. Randomized controlled trails (RCTs of frequently used bariatric surgery for obese patients with type 2 diabetes were included. Study selection, data extraction, quality assessment, and data analyses were performed according to the Cochrane standards. Results. Three randomized controlled trials (RCTs involving 170 patients in the bariatric surgery groups and 100 patients in the medical therapy group were selected. Compared with medical therapy, bariatric surgery for type 2 diabetes can significantly decrease the levels of HbA1c, FBG, weight, triglycerides, and the dose of hypoglycemic, antihypertensive, and lipid-lowering medicine, while increasing the rate of diabetes remission (RR = 9.74, 95%CI, (1.36, 69.66 and the levels of high-density lipoprotein. However, there are no statistical differences in serious adverse events between the surgical and medical groups (RR = 1.23, 95%CI, (0.80, 1.87. Conclusions. Surgical procedures were more likely to help patients achieve benefits than medical therapy alone. Further intensive RCTs of high-quality, multiple centers and long-term followup should be carried out to provide more reliable evidence.

  7. Augmentation of the mandible via a "tent-pole" procedure and implant treatment in a patient with type III osteogenesis imperfecta: clinical and histologic considerations.

    Science.gov (United States)

    Wannfors, Karin; Johansson, Carina; Donath, Karl

    2009-01-01

    The present report describes the oral rehabilitation of a female patient suffering from type III osteogenesis imperfecta. Agenesis of the mandibular anterior teeth and malocclusion caused partly by heavily worn teeth made dental rehabilitation necessary. Before a decision to use implants following a grafting procedure, the osseointegration of microimplants was tested. After 4 and 12 months, bone plugs containing two microimplants were retrieved from the patient. Histologic evaluation showed very sparse/poor osseointegration, and the healing time seemed to be much longer than normal. A decision was made to use the "tent-pole" procedure described by Marx et al, followed by prolonged healing. Surgery was uneventful, and the patient was provided with four implants that were partly covered with bone obtained from the iliac crest. Platelet-rich plasma was used to accelerate bone healing. After 9 months, the implants were uncovered and the prosthetic construction was completed. The implant-supported metal-ceramic restoration was serving well at the 1-year and 3-year follow-ups. Minimal resorption of marginal bone was detected during the first year.

  8. Some procedures for the construction of high-order exponentially fitted Runge-Kutta-Nyström methods of explicit type

    Science.gov (United States)

    Franco, J. M.; Gómez, I.

    2013-04-01

    The construction of high-order exponentially fitted Runge-Kutta-Nyström (EFRKN) methods of explicit type for the numerical solution of oscillatory differential systems is analyzed. Based on two basic symmetric and symplectic EFRKN methods of reference we present two procedures for constructing high-order explicit methods. The first procedure is based on composition methods and it allows the construction of high-order explicit EFRKN methods which are symmetric and symplectic. The second procedure is based on combining different EFRKN methods in order to construct embedded pairs of explicit parallel EFRKN methods which can be implemented in variable-step codes without additional cost. The numerical experiments carried out show the qualitative behavior and the efficiency of the new EFRKN methods when they are compared with some standard methods proposed in the scientific literature for solving second-order nonstiff differential systems. Catalogue identifier: AEOO_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/AEOO_v1_0.html Program obtainable from: CPC Program Library, Queen’s University, Belfast, N. Ireland Licensing provisions: GNU General Public License No. of lines in distributed program, including test data, etc.: 2527 No. of bytes in distributed program, including test data, etc.: 107433 Distribution format: tar.gz Programming language: Fortran 77. Computer: Standard PC. Operating system: Windows. It might work with others. Successfully tested by CPC on Linux. RAM: For the test problems used less than 1 MB. Classification: 4.3, 4.12, 16.3, 17.17. Nature of problem: Some models in astronomy and astrophysics, quantum mechanics and nuclear physics lead to second-order oscillatory differential systems. The solution of these oscillatory models requires accurate and efficient numerical methods. The codes SVI-IIEXPOreferee.for and SVI-IIvarreferee.for were developed for this purpose. Solution method: We propose high-order exponentially fitted Runge

  9. A Powerful Procedure for Pathway-Based Meta-analysis Using Summary Statistics Identifies 43 Pathways Associated with Type II Diabetes in European Populations.

    Science.gov (United States)

    Zhang, Han; Wheeler, William; Hyland, Paula L; Yang, Yifan; Shi, Jianxin; Chatterjee, Nilanjan; Yu, Kai

    2016-06-01

    Meta-analysis of multiple genome-wide association studies (GWAS) has become an effective approach for detecting single nucleotide polymorphism (SNP) associations with complex traits. However, it is difficult to integrate the readily accessible SNP-level summary statistics from a meta-analysis into more powerful multi-marker testing procedures, which generally require individual-level genetic data. We developed a general procedure called Summary based Adaptive Rank Truncated Product (sARTP) for conducting gene and pathway meta-analysis that uses only SNP-level summary statistics in combination with genotype correlation estimated from a panel of individual-level genetic data. We demonstrated the validity and power advantage of sARTP through empirical and simulated data. We conducted a comprehensive pathway-based meta-analysis with sARTP on type 2 diabetes (T2D) by integrating SNP-level summary statistics from two large studies consisting of 19,809 T2D cases and 111,181 controls with European ancestry. Among 4,713 candidate pathways from which genes in neighborhoods of 170 GWAS established T2D loci were excluded, we detected 43 T2D globally significant pathways (with Bonferroni corrected p-values < 0.05), which included the insulin signaling pathway and T2D pathway defined by KEGG, as well as the pathways defined according to specific gene expression patterns on pancreatic adenocarcinoma, hepatocellular carcinoma, and bladder carcinoma. Using summary data from 8 eastern Asian T2D GWAS with 6,952 cases and 11,865 controls, we showed 7 out of the 43 pathways identified in European populations remained to be significant in eastern Asians at the false discovery rate of 0.1. We created an R package and a web-based tool for sARTP with the capability to analyze pathways with thousands of genes and tens of thousands of SNPs.

  10. Optimization of fermentation procedure for Haemophilus influenzae type b%b型流感嗜血杆菌发酵工艺的优化

    Institute of Scientific and Technical Information of China (English)

    李贵凡; 李秀梅; 魏文进; 路福平

    2012-01-01

    Objective To optimize the procedure for fermentation of Haemophilus influenzae type b (Hib) and increase the yield of Hib capsular polysaccharide. Methods The effects of original pH value and glucose concentration on bacterial concentration (A550 value) and polysaccharide yield of medium were investigated,based on which the condition for culture in shake flask was optimized. The effects of DO,constant pH value and glucose supplement on growth of Hib and yield of polysaccharide were investigated,based on which the condition for culture in 20 L fermenter was optimized. Three consecutive batches of Hib were fermented to evaluate the stabib'ty of the optimized procedure. Results The original pH value and glucose concentration for culture in shake-flask were optimized as 7. 2 and 6 g/L respectively. The fermentation procedure was optimized as follows: the DO and pH value were controlled at 20% and 7. 2 respectively,while 200 g/L glucose was supplemented 5 h after inoculation,at a rate of 3 ml/min. Compared with those by the procedure before optimization,the logarithmic growth phase of Hib fermented by the optimized procedure increased from 8 h to about 10 h,while the final concentration (A550 value) of bacteria from 1. 5 to 3. 4,the yield of Hib capsular polysaccharide from 63 to 96 mg/L. The final concentrations (A550 value) of bacteria and yield of Hib capsular polysaccharide of three batches of Hib fermented were 3. 3 ~ 3. 7 and 92 ~ 98 mg/L respectively,indicating high stability of the optimized procedure. Conclusion By the optimized fermentation procedure,the logarithmic growth phase of Hib was prolonged,the growth of bacteria was promoted,and the yield of Hib capsular polysaccharide increased.%目的 优化b型流感嗜血杆菌(Haemophilus influenzae type b,Hib)的发酵工艺,以提高Hib荚膜多糖的产率.方法 通过考察初始pH值和葡萄糖浓度对培养液菌体浓度(A550值)及多糖产率的影响,优化摇瓶培养条件;通过考察溶氧百

  11. Salvage procedures in lower-extremity trauma in a child with hereditary motor and sensory neuropathy type I: a case report

    Directory of Open Access Journals (Sweden)

    Gothner Martin

    2012-09-01

    Full Text Available Abstract Introduction Fractures of the lower extremity are a common type of childhood injury and many can be treated without surgery. Dislocated and open fractures are an indication for fracture stabilization via either intramedullary nailing or, in the case of complicated fractures, external fixation. But if complications are likely because of diseases and disabilities (for example, a neuropathy that can complicate the post-operative procedure and rehabilitation, what options does one have? Case presentation We report a nine-year-old Caucasian girl who had hereditary motor and sensory neuropathy type I and who was admitted with a grade I open tibia fracture after a fall from a small height. Plain radiographs showed a dislocated tibia and fibula fracture. An open reduction with internal fixation with a compression plate osteosynthesis was performed, and soft tissue debridement combined with an external fixateur was undertaken. Three months later, she was re-admitted with localized swelling and signs of a local soft tissue infection in the middle of her tibia. Plain radiographs showed a non-union of the tibia fracture, and microbiological analysis confirmed a wound infection with cefuroxime-sensitive Staphylococcus aureus. Because of the non-union, the osteosynthesis was replaced with an Ilizarov external fixateur, and appropriate antibiotic therapy was initiated. Four months after the initial accident, the fracture was consolidated and we removed the external fixateur. Conclusions If there is a pre-existing neuropathy and if disease makes it difficult for a child to follow all post-operative instructions, salvage procedures should be kept in mind in case of complications. There are multiple therapeutic options, including osteosynthesis, intramedullary nailing systems, cast therapy, or an external fixateur like the Ilizarov or Taylor spatial frame system. The initial use of an external fixateur such as an Ilizarov or Taylor spatial frame in

  12. Enzyme Replacement Therapy and/or Hematopoietic Stem Cell Transplantation at diagnosis in patients with Mucopolysaccharidosis type I: results of a European consensus procedure

    LENUS (Irish Health Repository)

    de Ru, Minke H

    2011-08-10

    Abstract Background Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disorder that results in the accumulation of glycosaminoglycans causing progressive multi-organ dysfunction. Its clinical spectrum is very broad and varies from the severe Hurler phenotype (MPS I-H) which is characterized by early and progressive central nervous system (CNS) involvement to the attenuated Scheie phenotype (MPS I-S) with no CNS involvement. Indication, optimal timing, safety and efficacy of the two available treatment options for MPS I, enzyme replacement therapy (ERT) and hematopoietic stem cell transplantation (HSCT), are subject to continuing debate. A European consensus procedure was organized to reach consensus about the use of these two treatment strategies. Methods A panel of specialists, including 8 specialists for metabolic disorders and 7 bone marrow transplant physicians, all with acknowledged expertise in MPS I, participated in a modified Delphi process to develop consensus-based statements on MPS I treatment. Fifteen MPS I case histories were used to initiate the discussion and to anchor decisions around either treatment mode. Before and at the meeting all experts gave their opinion on the cases (YES\\/NO transplantation) and reasons for their decisions were collected. A set of draft statements on MPS I treatment options composed by a planning committee were discussed and revised during the meeting until full consensus. Results Full consensus was reached on several important issues, including the following: 1) The preferred treatment for patients with MPS I-H diagnosed before age 2.5 yrs is HSCT; 2) In individual patients with an intermediate phenotype HSCT may be considered if there is a suitable donor. However, there are no data on efficacy of HSCT in patients with this phenotype; 3) All MPS I patients including those who have not been transplanted or whose graft has failed may benefit significantly from ERT; 4) ERT should be started at diagnosis and may be

  13. Enzyme replacement therapy and/or hematopoietic stem cell transplantation at diagnosis in patients with mucopolysaccharidosis type I: results of a European consensus procedure

    Directory of Open Access Journals (Sweden)

    Sykora Karl-Walter

    2011-08-01

    Full Text Available Abstract Background Mucopolysaccharidosis type I (MPS I is a lysosomal storage disorder that results in the accumulation of glycosaminoglycans causing progressive multi-organ dysfunction. Its clinical spectrum is very broad and varies from the severe Hurler phenotype (MPS I-H which is characterized by early and progressive central nervous system (CNS involvement to the attenuated Scheie phenotype (MPS I-S with no CNS involvement. Indication, optimal timing, safety and efficacy of the two available treatment options for MPS I, enzyme replacement therapy (ERT and hematopoietic stem cell transplantation (HSCT, are subject to continuing debate. A European consensus procedure was organized to reach consensus about the use of these two treatment strategies. Methods A panel of specialists, including 8 specialists for metabolic disorders and 7 bone marrow transplant physicians, all with acknowledged expertise in MPS I, participated in a modified Delphi process to develop consensus-based statements on MPS I treatment. Fifteen MPS I case histories were used to initiate the discussion and to anchor decisions around either treatment mode. Before and at the meeting all experts gave their opinion on the cases (YES/NO transplantation and reasons for their decisions were collected. A set of draft statements on MPS I treatment options composed by a planning committee were discussed and revised during the meeting until full consensus. Results Full consensus was reached on several important issues, including the following: 1 The preferred treatment for patients with MPS I-H diagnosed before age 2.5 yrs is HSCT; 2 In individual patients with an intermediate phenotype HSCT may be considered if there is a suitable donor. However, there are no data on efficacy of HSCT in patients with this phenotype; 3 All MPS I patients including those who have not been transplanted or whose graft has failed may benefit significantly from ERT; 4 ERT should be started at diagnosis and

  14. Enhancement of human papilloma virus type 16 E7 specific T cell responses by local invasive procedures in patients with (pre)malignant cervical neoplasia

    NARCIS (Netherlands)

    Visser, Jeroen; van Baarle, D; Hoogeboom, BN; Reesink, N; Klip, H; Schuuring, E; Nijhuis, E; Pawlita, M; Bungener, L; de Vries-Idema, J; Nijman, H; Miedema, F; Daemen, T; van der Zee, A

    2006-01-01

    It has been suggested that local invasive procedures may alter the natural course of (pre)malignant cervical disease. This could be due to partial excision of the lesions, or via induction of cellular immunity against human papillomavirus (HPV) by the local invasive procedures. We studied the influe

  15. Right atrium and superior vena cava pressure measurements in a novel animal model to study one and a half ventricle repair as compared to Fontan type procedure

    Directory of Open Access Journals (Sweden)

    Anil Bhattarai

    2017-01-01

    ventricle repair, as compared to Fontan type procedure.

  16. Utility of ultrasound-guided injection of botulinum toxin type A for muscle imbalance in children with obstetric brachial plexus palsy: Description of the procedure and action protocol.

    Science.gov (United States)

    García Ron, A; Gallardo, R; Huete Hernani, B

    2017-03-24

    Obstetric brachial plexus palsy (OBPP) usually has a favourable prognosis. However, nearly one third of all severe cases have permanent sequelae causing a high level of disability. In this study, we explore the effectiveness of ultrasound-guided injection of botulinum toxin A (BoNT-A) and describe the procedure. We designed a prospective, descriptive study including patients with moderate to severe OBPP who were treated between January 2010 and December 2014. We gathered demographic data, type of OBPP, and progression. Treatment effectiveness was assessed with the Active Movement Scale (AMS), the Mallet classification, and video recordings. We gathered a total of 14 133 newborns, 15 of whom had OBPP (1.6 per 1000 live births). Forty percent of the cases had severe OBPP (0.4/1000), a dystocic delivery, and APGAR scores < 5; mean weight was 4038g. Mean age at treatment onset was 11.5 months. The muscles most frequently receiving BoNT-A injections were the pronator teres, subscapularis, teres major, latissimus dorsi, and pectoralis major. All the patients who completed the follow-up period (83%) experienced progressive improvements: up to 3 points on the AMS and a mean score of 19.5 points out of 25 on the Mallet classification at 2 years. Treatment improved muscle function and abnormal posture in all cases. Surgery was avoided in 3 patients and delayed in one. Adverse events were mild and self-limited. Due to its safety and effectiveness, BoNT-A may be used off-label as an adjuvant to physical therapy and/or surgery in moderate to severe OBPP. Ultrasound may increase effectiveness and reduce adverse effects. Copyright © 2017 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Prioritizing stream types according to their potential risk to receive crop plant material--A GIS-based procedure to assist in the risk assessment of genetically modified crops and systemic insecticide residues.

    Science.gov (United States)

    Bundschuh, Rebecca; Kuhn, Ulrike; Bundschuh, Mirco; Naegele, Caroline; Elsaesser, David; Schlechtriemen, Ulrich; Oehen, Bernadette; Hilbeck, Angelika; Otto, Mathias; Schulz, Ralf; Hofmann, Frieder

    2016-03-15

    Crop plant residues may enter aquatic ecosystems via wind deposition or surface runoff. In the case of genetically modified crops or crops treated with systemic pesticides, these materials may contain insecticidal Bt toxins or pesticides that potentially affect aquatic life. However, the particular exposure pattern of aquatic ecosystems (i.e., via plant material) is not properly reflected in current risk assessment schemes, which primarily focus on waterborne toxicity and not on plant material as the route of uptake. To assist in risk assessment, the present study proposes a prioritization procedure of stream types based on the freshwater network and crop-specific cultivation data using maize in Germany as a model system. To identify stream types with a high probability of receiving crop materials, we developed a formalized, criteria-based and thus transparent procedure that considers the exposure-related parameters, ecological status--an estimate of the diversity and potential vulnerability of local communities towards anthropogenic stress--and availability of uncontaminated reference sections. By applying the procedure to maize, ten stream types out of 38 are expected to be the most relevant if the ecological effects from plant-incorporated pesticides need to be evaluated. This information is an important first step to identifying habitats within these stream types with a high probability of receiving crop plant material at a more local scale, including accumulation areas. Moreover, the prioritization procedure developed in the present study may support the selection of aquatic species for ecotoxicological testing based on their probability of occurrence in stream types having a higher chance of exposure. Finally, this procedure can be adapted to any geographical region or crop of interest and is, therefore, a valuable tool for a site-specific risk assessment of crop plants carrying systemic pesticides or novel proteins, such as insecticidal Bt toxins, expressed

  18. Controlling Type I Error Rate in Evaluating Differential Item Functioning for Four DIF Methods: Use of Three Procedures for Adjustment of Multiple Item Testing

    Science.gov (United States)

    Kim, Jihye

    2010-01-01

    In DIF studies, a Type I error refers to the mistake of identifying non-DIF items as DIF items, and a Type I error rate refers to the proportion of Type I errors in a simulation study. The possibility of making a Type I error in DIF studies is always present and high possibility of making such an error can weaken the validity of the assessment.…

  19. Incidencia y tipo de efectos adversos durante el procedimiento de hemodiálisis Incidence and type of adverse effects during the haemodialysis procedure

    Directory of Open Access Journals (Sweden)

    Estela María Matarán Robles

    2013-03-01

    organizations. Objective: To describe the incidence and types of adverse effects deriving from haemodialysis in a nephrology unit. Methodology: Design: Transversal study in 28-bed haemodialysis unit. Variables: as a dependent variable, the present of adverse effects and typology was considered, using the International Classification for Patient Safety. Statistical analyses: a description of the sample was carried out, using graphs (histograms, bar diagrams, and dispersion diagrams and also percentages, means, standard deviations, medians, etc. Results: During the period studied a total of 4797 haemodialysis procedures were carried out, with adverse effects arising in a total of 681 sessions, which represents an incidence rate of 141.96 per 1000 dialyses. As far as severity is concerned, 97.5% of the adverse effects were classified as mild, compared to 1.8% and 0.7% which were considered moderate and serious, respectively. Conclusions: Our incidence rate and severity of adverse effects is similar to other centres. This study lets us identify safety problems in our Unit and in a second phase establish a joint protocol which will allow us to reduce the current incident rate. Hypotension was the most common adverse effect.

  20. Adaptation of lateral pterygoid and anterior digastric muscles after surgical mandibular advancement procedures in different vertical craniofacial types : A magnetic resonance imaging study

    NARCIS (Netherlands)

    Dicker, Gertjan J.; van Spronsen, Peter H.; van Ginkel, Floris C.; Castelijns, Jonas A.; van Schijndel, Ronald A.; Boom, Heleen P. W.; Tuinzing, D. Bram

    Objective. Surgical mandibular advancement procedures induce major adaptations of jaw-closing muscles. In this study, adaptation of antagonist muscles, the lateral pterygoid (LPM) and anterior digastric (DigA) muscles, was evaluated. Study design. Eighteen adult patients with mandibular retrognathia

  1. Adaptation of lateral pterygoid and anterior digastric muscles after surgical mandibular advancement procedures in different vertical craniofacial types : A magnetic resonance imaging study

    NARCIS (Netherlands)

    Dicker, Gertjan J.; van Spronsen, Peter H.; van Ginkel, Floris C.; Castelijns, Jonas A.; van Schijndel, Ronald A.; Boom, Heleen P. W.; Tuinzing, D. Bram

    2008-01-01

    Objective. Surgical mandibular advancement procedures induce major adaptations of jaw-closing muscles. In this study, adaptation of antagonist muscles, the lateral pterygoid (LPM) and anterior digastric (DigA) muscles, was evaluated. Study design. Eighteen adult patients with mandibular retrognathia

  2. Ungari volinik : Euroopa liigubki eri kiirustega / Peter Balazs ; interv. Marit Ruuda

    Index Scriptorium Estoniae

    Balazs, Peter

    2004-01-01

    Ungari Euroopa Komisjoni volinik arvab, et kõik EL-i liikmesriigid pole võrdsed nii suuruse kui eelarve poolest ning kahekiiruseline Euroopa on paratamatu. Tööjõu liikumisest EL-is ja põhiseadusliku leppe vastuvõtmisest

  3. Dental Procedures.

    Science.gov (United States)

    Ramponi, Denise R

    2016-01-01

    Dental problems are a common complaint in emergency departments in the United States. There are a wide variety of dental issues addressed in emergency department visits such as dental caries, loose teeth, dental trauma, gingival infections, and dry socket syndrome. Review of the most common dental blocks and dental procedures will allow the practitioner the opportunity to make the patient more comfortable and reduce the amount of analgesia the patient will need upon discharge. Familiarity with the dental equipment, tooth, and mouth anatomy will help prepare the practitioner for to perform these dental procedures.

  4. Decision-making Procedures

    DEFF Research Database (Denmark)

    Aldashev, Gani; Kirchsteiger, Georg; Sebald, Alexander Christopher

    2009-01-01

    is crucial for the effort exerted by agents. This prediction is tested in a field experiment, where some subjects had to type in data, whereas others had to verify the data inserted by the typists. The controllers' wage was 50% higher than that of the typists. In one treatment the less attractive typists......It is a persistent finding in psychology and experimental economics that people's behavior is not only shaped by outcomes but also by decision-making procedures. In this paper we develop a general framework capable of modelling these procedural concerns. Within the context of psychological games we...... define procedures as mechanisms that influence the probabilities of reaching different endnodes. We show that for such procedural games a sequential psychological equilibrium always exists. Applying this approach within a principal-agent context we show that the way less attractive jobs are allocated...

  5. Procedure of recovery of pin-by-pin fields of energy release in the core of VVER-type reactor for the BIPR-8 code

    Science.gov (United States)

    Gordienko, P. V.; Kotsarev, A. V.; Lizorkin, M. P.

    2014-12-01

    The procedure of recovery of pin-by-pin energy-release fields for the BIPR-8 code and the algorithm of the BIPR-8 code which is used in nodal computation of the reactor core and on which the recovery of pin-by-pin fields of energy release is based are briefly described. The description and results of the verification using the module of recovery of pin-by-pin energy-release fields and the TVS-M program are given.

  6. Static Correctness of Hierarchical Procedures

    DEFF Research Database (Denmark)

    Schwartzbach, Michael Ignatieff

    1990-01-01

    A system of hierarchical, fully recursive types in a truly imperative language allows program fragments written for small types to be reused for all larger types. To exploit this property to enable type-safe hierarchical procedures, it is necessary to impose a static requirement on procedure calls....... We introduce an example language and prove the existence of a sound requirement which preserves static correctness while allowing hierarchical procedures. This requirement is further shown to be optimal, in the sense that it imposes as few restrictions as possible. This establishes the theoretical...... basis for a general type hierarchy with static type checking, which enables first-order polymorphism combined with multiple inheritance and specialization in a language with assignments. We extend the results to include opaque types. An opaque version of a type is different from the original but has...

  7. Three types of abdominoperineal excision procedures for the rectal cancer based on anatomic landmarks classification%基于解剖边界划分的三种直肠癌腹会阴联合切除术式

    Institute of Scientific and Technical Information of China (English)

    叶颖江; 申占龙; 王杉

    2014-01-01

    对于肿瘤位置过低、肿瘤明显外侵和骨盆过于狭小的患者,腹会阴联合切除术(APE)依然是主要术式。APE腹部操作已明确应遵循全直肠系膜切除术( TME )原则,但会阴操作原则尚未达成共识,其重要原因在于会阴部操作缺乏明确的解剖边界,以至于难以实现标准化。2014年,瑞典外科学家Holm教授基于会阴区筋膜、神经和血管组成的解剖边界,提出了直肠癌APE的术式分类新概念,将APE分为3类,即括约肌间APE、肛提肌外APE和坐骨肛管间APE。此新概念的提出,使APE术式分类更明确,解剖界标更清晰,更利于推广和标准化。本文结合文献和笔者的诊治经验,对这3种术式分别加以介绍和讨论。%Abdominoperineal excision (APE) procedure is still the main approach to low rectal cancer patients with short distance from the anal verge, obvious invasion of adjacent organs and narrow pelvis. Although the principle of TME (total mesorectal excision) needs to be obeyed in the abdominal phase of APE procedure, it does not reach the consensus for the perineal phase. The important reason is the lack of definite anatomic landmarks in the perineal phase, thus the standardization of the procedure remains hard. In 2014, Swedish surgeon, professor Holm, proposed the new conception to classify the APE procedure into three types, which were intersphincteric APE, the extralavator APE and the ischioanal APE, based on the anatomic landmarks with perineal fascias, nervous and blood vessels. In this paper, we combine the review of literatures and our experiences of treatment to introduce and discuss these three types of APE procedures. This new concep is based on anatomic landmarks which makes the category of APE procedure more definitive, the anatomic dissection more clear and the standardization and adoption of APE procedure much easier.

  8. A Numerical Procedure for Flow Distribution and Pressure Drops for U and Z Type Configurations Plate Heat Exchangers with Variable Coefficients

    Science.gov (United States)

    López, R.; Lecuona, A.; Ventas, R.; Vereda, C.

    2012-11-01

    In Plate Heat Exchangers it is important to determine the flow distribution and pressure drops, because they affect directly the performance of a heat exchanger [1]. This work proposes an incompressible, one-dimensional, steady state, discrete model allowing for variable overall momentum coefficients to determine these magnitudes. The model consists on a modified version of the Bajura and Jones [2] model for dividing and combining flow manifolds. The numerical procedure is based on the finite differences approximation approach proposed by Datta and Majumdar [3]. A linear overall momentum coefficient distribution is used in the dividing manifold, but the model is not limited to linear distributions. Comparisons are made with experimental, numerical and analytical data, yielding good results.

  9. Contraceptive procedures.

    Science.gov (United States)

    Beasley, Anitra; Schutt-Ainé, Ann

    2013-12-01

    Although most women desire to control the size and spacing of their family, the rate of unintended pregnancy in the United States remains high, with approximately half of all pregnancies being unintended. Reducing unintended pregnancy is a national public health goal, and the increased use of long-acting reversible contraceptives (LARCs) (intrauterine devices and implants) can help meet this goal. LARCs are among the most effective forms of contraception available. There are few contraindications to their use, and insertion and removal are straightforward procedures that are well tolerated in the outpatient office setting. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. Enzyme replacement therapy and/or hematopoietic stem cell transplantation at diagnosis in patients with mucopolysaccharidosis type I: results of a European consensus procedure

    NARCIS (Netherlands)

    de Ru, M.H.; Boelens, J.J.; Das, A.M.; Jones, S.A.; van der Lee, J.H.; Mahlaoui, N.; Mengel, E.; Offringa, M.; O'Meara, A.; Parini, R.; Rovelli, A.; Sykora, K.W.; Valayannopoulos, V.; Vellodi, A.; Wynn, R.F.; Wijburg, F.A.

    2011-01-01

    Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disorder that results in the accumulation of glycosaminoglycans causing progressive multi-organ dysfunction. Its clinical spectrum is very broad and varies from the severe Hurler phenotype (MPS I-H) which is characterized by early and

  11. Improvement of pressure text procedure for outside pour type hydraulic prop%外注式单体液压支柱试压工序的改进

    Institute of Scientific and Technical Information of China (English)

    欧艳梅

    2001-01-01

    This paper introduces the improving process of outside pour type hydraulic prop.It can reduce labour strength,raise pressure text safety and work efficiency.%介绍了外注式单体液压支柱试压头的改造过程,对其进行改进可以降低劳动强度,提高试压安全性能和劳动效率。

  12. Comparison of Washing and Swabbing Procedures for Collecting Genital Fluids To Assess Cervicovaginal Shedding of Herpes Simplex Virus Type 2 DNA

    Science.gov (United States)

    Ndjoyi-Mbiguino, Angélique; Ozouaki, Francis; Legoff, Jérôme; Mbopi-Kéou, François-Xavier; Si-Mohamed, Ali; Onas, Isabelle Ndombi; Avoune, Evelyne; Bélec, Laurent

    2003-01-01

    Asymptomatic genital shedding of herpes simplex virus type 2 (HSV-2) DNA was evidenced by real-time PCR in 25 (13.2%) of 188 cervicovaginal lavage samples and in only 13 (6.9%) paired cervicovaginal samples from 188 HSV-2-seropositive, nonpregnant childbearing-aged human immunodeficiency virus-seronegative women living in Gabon. These observations demonstrate that cervicovaginal washing is more suitable than endocervicovaginal swabbing for detecting and quantifying HSV-2 DNA by PCR in female genital secretions. PMID:12791898

  13. Non-Hodgkin's lymphoma, poorly differentiated lymphocytic and mixed cell types. Results of sequential staging procedures, response to therapy, and survival of 100 patients

    Energy Technology Data Exchange (ETDEWEB)

    Bitran, J.D.; Golomb, H.M.; Ultmann, J.E.

    1978-07-01

    The results of sequential staging procedures including laparotomy, radiotherapy, and combination chemotherapy are reported for 100 patients with poorly differentiated lymphocytic (PDL) and mixed cell (MC) non-Hodgkin's lymphoma (NHL). Twelve patients were found to have localized disease, pathologic stage (PS) I or II; 88 patients had PS III or IV disease. Bone marrow biopsy showed a high incidence of involvement and advanced 34% of the patients from PS I, II, and III to PS IV. Staging laparotomy has a very limited role in the evaluation of these patients. All of 12 patients with PS I and II NHL were treated with radiotherapy; at 5 years, they had 100% survival, 80% being disease-free. Fifteen patients with PS III disease were treated with total nodal radiotherapy (TNRT) alone and had a median disease-free survival of 41 months. The remaining patients with PS III and IV disease were treated with chemotherapy consisting of vincristine and prednisone (V and P); cyclophosphamide, vincristine (Oncovin), procarbazine, and prednisone (COPP); cyclophosphamide, vincristine (Oncovin), adriamycin, and prednisone (COPA); or palliative therapy consisting of chlorambucil and prednisone. Two-year and 4-year survivals for patients with diffuse lymphoma were 93% and 60%, respectively; for patients with +2 nodular lymphoma, 80% and 30%; and for patients with nodular lymphomas, 76 to 93% and 50%, respectively. Treatment with COPP showed no advantage over V and P, palliative therapy, or TNRT for patients with +2 nodular and nodular disease. The likelihood of cure appears most promising for patients in complete remission (CR) with diffuse lymphoma; patients in CR with nodular lymphoma show a high rate of relapse over 5 years of observation. We conclude that staging laparotomy in PDL and MC NHL is of limited value, and that the role of aggressive chemotherapy for patients with +2 nodular and nodular lymphoma needs to be redefined.

  14. Verification Calculation Results to Validate the Procedures and Codes for Pin-by-Pin Power Computation in VVER Type Reactors with MOX Fuel Loading

    Energy Technology Data Exchange (ETDEWEB)

    Chizhikova, Z.N.; Kalashnikov, A.G.; Kapranova, E.N.; Korobitsyn, V.E.; Manturov, G.N.; Tsiboulia, A.A.

    1998-12-01

    One of the important problems for ensuring the VVER type reactor safety when the reactor is partially loaded with MOX fuel is the choice of appropriate physical zoning to achieve the maximum flattening of pin-by-pin power distribution. When uranium fuel is replaced by MOX one provided that the reactivity due to fuel assemblies is kept constant, the fuel enrichment slightly decreases. However, the average neutron spectrum fission microscopic cross-section for {sup 239}Pu is approximately twice that for {sup 235}U. Therefore power peaks occur in the peripheral fuel assemblies containing MOX fuel which are aggravated by the interassembly water. Physical zoning has to be applied to flatten the power peaks in fuel assemblies containing MOX fuel. Moreover, physical zoning cannot be confined to one row of fuel elements as is the case with a uniform lattice of uranium fuel assemblies. Both the water gap and the jump in neutron absorption macroscopic cross-sections which occurs at the interface of fuel assemblies with different fuels make the problem of calculating space-energy neutron flux distribution more complicated since it increases nondiffusibility effects. To solve this problem it is necessary to update the current codes, to develop new codes and to verify all the codes including nuclear-physical constants libraries employed. In so doing it is important to develop and validate codes of different levels--from design codes to benchmark ones. This paper presents the results of the burnup calculation for a multiassembly structure, consisting of MOX fuel assemblies surrounded by uranium dioxide fuel assemblies. The structure concerned can be assumed to model a fuel assembly lattice symmetry element of the VVER-1000 type reactor in which 1/4 of all fuel assemblies contains MOX fuel.

  15. Imaging of Herpes Simplex Virus Type 1 Thymidine Kinase Gene Expression with Radiolabeled 5-(2-iodovinyl)-2'-deoxyuridine (IVDU) in Liver by Hydrodynamic-based Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Song, In Ho; Lee, Tae Sup; Kang, Joo Hyun; Lee, Yong Jin; Kim, Kwang Il; An, Gwang Il; Chung, Wee Sup; Cheon, Gi Jeong; Choi, Chang Woon; Lim, Sang Moo [Korea Institute of Radiological and Medical Sciences, Seoul (Korea, Republic of)

    2009-10-15

    Hydrodynamic-based procedure is a simple and effective gene delivery method to lead a high gene expression in liver tissue. Non-invasive imaging reporter gene system has been used widely with herpes simplex virus type 1 thymidine kinase (HSV1-tk) and its various substrates. In the present study, we investigated to image the expression of HSV1-tk gene with 5-(2-iodovinyl)-2'-deoxyuridine (IVDU) in mouse liver by the hydrodynamicbased procedure. HSV1-tk or enhanced green fluorescence protein (EGFP) encoded plasmid DNA was transferred into the mouse liver by hydrodynamic injection. At 24 h post-injection, RT-PCR, biodistribution, fluorescence imaging, nuclear imaging and digital wholebody autoradiography (DWBA) were performed to confirm transferred gene expression. In RT-PCR assay using mRNA from the mouse liver, specific bands of HSV1-tk and EGFP gene were observed in HSV1-tk and EGFP expressing plasmid injected mouse, respectively. Higher uptake of radiolabeled IVDU was exhibited in liver of HSV1-tk gene transferred mouse by biodistribution study. In fluorescence imaging, the liver showed specific fluorescence signal in EGFP gene transferred mouse. Gamma-camera image and DWBA results showed that radiolabeled IVDU was accumulated in the liver of HSV1-tk gene transferred mouse. In this study, hydrodynamic-based procedure was effective in liver-specific gene delivery and it could be quantified with molecular imaging methods. Therefore, co-expression of HSV1-tk reporter gene and target gene by hydrodynamic-based procedure is expected to be a useful method for the evaluation of the target gene expression level with radiolabeled IVDU.

  16. [Glycaemic management in type 1 and 2 diabetes patients undergoing interventional cardiology procedures. Heart and Diabetes Working Group. Sociedad Espan˜ola de Cardiologı´a. Sociedad Espan˜ola de Diabetes].

    Science.gov (United States)

    Alonso-García, Angeles; Moreno Gómez, Raúl; Miranda Guardiola, Faustino; Artola-Menéndez, Sara; Lisbona-Gil, Arturo

    2012-03-03

    Despite the growing number of therapeutic alternatives available as well as general reviews and treatment guidelines for the treatment of diabetes, physicians are often left without a clear pathway of therapy to follow in specific clinical contexts such as interventional cardiology. The present document proposes a consensus treatment algorithm, based both on a critical appraisal of evidence from recent clinical trials and on value judgements supported by the authors' collective clinical knowledge and experience, in an attempt to guide practitioners when choosing the most appropriate alternatives in the context of glycemic management in type 1 and 2 diabetic patients scheduled to undergo interventional cardiology procedures in a haemodynamic laboratory. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  17. Tratamento híbrido com endoprótese não recoberta nas dissecções agudas da aorta tipo A New surgical strategy for acute type A aortic dissection: hybrid procedure

    Directory of Open Access Journals (Sweden)

    Ricardo Ribeiro Dias

    2007-12-01

    Full Text Available O tratamento da dissecção aguda da aorta tipo A de Stanford, com a utilização de um novo dispositivo (stent de aorta não recoberto em associação à interposição de tubo supracoronariano para a substituição da aorta ascendente e hemiarco permitem que o arco aórtico e porção da aorta descendente sejam tratados, sem acrescentar complexidade ao procedimento operatório, nem prolongar o tempo de isquemia cerebral ou sistêmica.The new surgical strategy to treat patients with acute type A aortic dissection, the hybrid procedure with an uncovered aortic stent, allows surgeons to treat the aortic arch and the proximal descending aorta, besides the ascending segment, without extension of cerebral or systemic ischemia.

  18. THE PROCEDURAL SKILLS OF RURAL HOSPITAL DOCTORS

    African Journals Online (AJOL)

    Design. A descriptive study combining quantitative and qualitative methods: a quantitative audit of operating theatre ... type of anaesthetic, type of procedure, and whether a .... Furthermore, the issue of observer bias in qualitative research.

  19. Effects of different types of painful procedures on neonatal pain scores and physiological changes%不同类型致痛性操作对新生儿疼痛的影响

    Institute of Scientific and Technical Information of China (English)

    陈银花; 钱丽冰; 陈梦莹; 曹兆兰; 徐玉香; 程锐; 卢官明; 李晓南

    2013-01-01

    Objective To assess the effects of different types of painful procedures on neonatal pain scores and physiological changes.Methods A prospective study was conducted in neonatal intensive care unit of Nanjing Children's Hospital from March 1,2009 to May 31,2009.Around-theclock bedside data of all painful procedures performed on 108 neonates (46 premature and 62 termbirth infants) from admission to discharge for diagnosis or treatment were collected through video,along with cardiac monitoring.Neonatal Facial Coding System (NFCS),Neonatal Infant Pain Scale (NIPS),Premature Infant Pain Profile (PIPP) and physiological changes (heart rate and blood oxygen saturation) were used to evaluate the pain that neonates experienced.Data were analyzed by Student-t test,Chi-square test and analysis of variance.Results There were 6966 painful procedures on preterm neonates,among which tracheal aspiration (23.6 %,1645/6966),nasal aspiration (18.3%,1278/6966) and intravenous cannulation (17.2%,1195/6966) were the most frequently used.There were 3667 painful procedures on term neonates,among which,intravenous cannulation (27.0%,989/3667),removal of indwelling needle (20.5%,751/3667) and tape removal (18.4%,675/3667)were the most frequently used painful procedures on term ones.For preterm neonates,both NFCS and PIPP showed that tracheal intubation (7.00± 1.66 and 14.08±3.54),femoral venous puncture (6.52±1.66 and 12.15±3.11) and axillary vein puncture (5.75± 1.89 and 11.75±4.19) caused much more pain than other procedures.For term neonates,both NFCS and NIPS indicated that femoral venous puncture (6.68±1.34 and 5.58±1.32),tape removal (6.00±1.41 and 5.67±0.58)and abdominal wall vein puncture (6.00 ± 0.00 and 5.50 ± 0.71) were the top three painful procedures.No differences were found in heart rate and blood oxygen saturation changes caused by different types of painful procedures in term neonates (F=0.186,P=0.836; F=1.672,P=0.198).Conclusions Better pain

  20. Bariatric Surgery Procedures

    Science.gov (United States)

    ... Center Access to Care Toolkit EHB Access Toolkit Bariatric Surgery Procedures Bariatric surgical procedures cause weight loss by ... Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic ...

  1. Bariatric Surgery Procedures

    Science.gov (United States)

    ... Center Access to Care Toolkit EHB Access Toolkit Bariatric Surgery Procedures Bariatric surgical procedures cause weight loss by restricting the ... Online Education Directory Search Patient Learning Center Bariatric Surgery ... Surgery Procedures BMI Calculator Childhood and Adolescent Obesity ...

  2. Stabilizing control of a triple type inverted pendulum system based on the loop shaping design procedure; Loop seikei sekkei shuho ni motozuku chokuretsu 3 ju gata toritsu shinshi kei no anteika seigyo

    Energy Technology Data Exchange (ETDEWEB)

    Kawatani, R.; Murata, T.; Heltha, F.; Bushimata, S. [Nagaoka University of Technology, Nagaoka.]|[Niigata (Japan)

    1997-08-31

    As the inverted pendulum system has (1) distinct and easy-understanding for the beginner control aim, (2) simple, easy-making and low-cost apparatus constitution, (3) comparatively correct acquirement of the state space model, and so forth, the system is one of experimental apparatus best known in the field of control. This is used in a wide range for verification of the theory constructed newly. Hitherto, as various forms of the pendulum system are constructed for different control aims, difficulty of stabilization control in experiment is widely different by number and arrangement of the pendulum constructing the system. In this paper, design of the stabilization controller was conducted by using Loop Shaping Design Procedure (LSDP). And, one trial of the stabilization control system design method for triple type pendulum systems was described, and actual possibility of the stabilization was shown. In future, it is necessary to investigate realization possibility and rational design method of the stabilization control for the pendulum system with more complex constitution. 3 refs., 5 figs., 1 tab.

  3. Design Procedure for Hybrid Ventilation

    DEFF Research Database (Denmark)

    Heiselberg, Per; Tjelflaat, Per Olaf

    Mechanical and natural ventilation systems have developed separately during many years. The natural next step in this development is development of ventilation concepts that utilises and combines the best features from each system into a new type of ventilation system - Hybrid Ventilation....... Buildings with hybrid ventilation often include other sustainable technologies and an energy optimisation requires an integrated approach in the design of the building and its mechanical systems. Therefore, the hybrid ventilation design procedure differs from the design procedure for conventional HVAC....... The first ideas on a design procedure for hybrid ventilation is presented and the different types of design methods, that is needed in different phases of the design process, is discussed....

  4. ANAESTHESIA FOR OPHTHALMIC SURGICAL PROCEDURES

    African Journals Online (AJOL)

    for all types of procedures except for eye wall repairs in which general anaesthesia was used for 71.4% of ... other hand, provide globe/lid akinesia, anaesthesia and varying .... dominance is reflective of cataract being the most common eye ...

  5. NASA trend analysis procedures

    Science.gov (United States)

    1993-01-01

    This publication is primarily intended for use by NASA personnel engaged in managing or implementing trend analysis programs. 'Trend analysis' refers to the observation of current activity in the context of the past in order to infer the expected level of future activity. NASA trend analysis was divided into 5 categories: problem, performance, supportability, programmatic, and reliability. Problem trend analysis uncovers multiple occurrences of historical hardware or software problems or failures in order to focus future corrective action. Performance trend analysis observes changing levels of real-time or historical flight vehicle performance parameters such as temperatures, pressures, and flow rates as compared to specification or 'safe' limits. Supportability trend analysis assesses the adequacy of the spaceflight logistics system; example indicators are repair-turn-around time and parts stockage levels. Programmatic trend analysis uses quantitative indicators to evaluate the 'health' of NASA programs of all types. Finally, reliability trend analysis attempts to evaluate the growth of system reliability based on a decreasing rate of occurrence of hardware problems over time. Procedures for conducting all five types of trend analysis are provided in this publication, prepared through the joint efforts of the NASA Trend Analysis Working Group.

  6. Computerized procedures system

    Science.gov (United States)

    Lipner, Melvin H.; Mundy, Roger A.; Franusich, Michael D.

    2010-10-12

    An online data driven computerized procedures system that guides an operator through a complex process facility's operating procedures. The system monitors plant data, processes the data and then, based upon this processing, presents the status of the current procedure step and/or substep to the operator. The system supports multiple users and a single procedure definition supports several interface formats that can be tailored to the individual user. Layered security controls access privileges and revisions are version controlled. The procedures run on a server that is platform independent of the user workstations that the server interfaces with and the user interface supports diverse procedural views.

  7. Cardiac Procedures and Surgeries

    Science.gov (United States)

    ... Procedure Learn more about cardiac medications , including dual antiplatelet therapy, that you may need to take after your ... Procedure Learn more about cardiac medications , including dual antiplatelet therapy, that you may need to take after your ...

  8. Características dos candidatos à esterilização cirúrgica e os fatores associados ao tipo de procedimento Characteristics of candidates for surgical sterilization and factors associated with type of procedure

    Directory of Open Access Journals (Sweden)

    Elisabeth Meloni Vieira

    2005-12-01

    Full Text Available Em 1999, a Secretaria Municipal de Ribeirão Preto, São Paulo, Brasil, implantou a oferta de métodos de esterilização cirúrgicos, de acordo com a legislação vigente. Este estudo objetivou caracterizar os candidatos à esterilização cirúrgica e estudar as variáveis associadas ao tipo de procedimento. Foram pesquisados 95 prontuários de candidatos e realizada análise estatística por meio de regressão logística e do teste exato de Fisher, considerando-se o nível de significância de p = 0,05. A maioria dos candidatos são casais estáveis, de baixa escolaridade e baixa renda, satisfeitos com o número de filhos e que já haviam tentado limitar a prole com o uso de anticoncepcionais reversíveis. A média de idade era de 34,2 anos; 45,3% se submeteram à esterilização feminina; 35,8%, à vasectomia, e 18,9% não obtiveram o procedimento. A chance de o homem, com 35 anos ou mais, fazer vasectomia é 6,1 vezes a do homem mais jovem (OR = 6,1; IC95%: 2,4-16,4; submetem-se à vasectomia mais homens casados do que os que coabitam (OR = 4,0; IC95%: 1,5-12,4 e mulheres com quatro filhos ou mais fazem mais laqueadura do que aquelas com menos de quatro filhos (OR = 3,1; IC95%: 1,1-8,5.In 1999 the Municipal Health Department in Ribeirão Preto, São Paulo, Brazil, implemented the provision of surgical contraceptive methods according to prevailing legal requirements. This study aimed to characterize the candidates for surgical sterilization and study the variables associated with the type of procedure. A total of 95 candidate patient records were studied, and statistical logistic regression analysis and Fisher's exact test were performed considering a significance level of ? = 0.05. Most candidates had stable partners, low schooling, and low income, were satisfied with their number of children, and had already tried to limit the number of children using reversible contraceptives. Mean age was 34.2 years, 45.3% underwent female sterilization

  9. Conflict among Testing Procedures?

    Science.gov (United States)

    1982-04-01

    AM4ONG TESTING PROCEDURES? Daniel F . Kohler April 1982 ( i’ 4:3 rpis tsnlb u lailtsd P-6765 8 8 O1 V 068 The Rand Paper Series Papers are issued by...TESTING PROCEDURES? Daniel F . Kohler April 1982 : i ! ,I I CONFLICT AMONG TESTING PROCEDURES? 1. Introduction "- Savin [1976] and Berndt and Savin [19771

  10. 肥胖及2型糖尿病代谢手术术式比较%Comparison of metabolic surgery procedures for obesity and type 2 diabetes mellitus

    Institute of Scientific and Technical Information of China (English)

    梁辉; 周红文; 管蔚; 曹庆; 刘欢

    2015-01-01

    代谢手术治疗肥胖和T2DM已成为内外科的共识,代谢手术的概念已逐渐代替原减重手术的名称。代谢手术目前主要有腹腔镜Roux‐en‐Y胃旁路术(LRYGB)、腹腔镜袖状胃切除术(LSG)、腹腔镜可调节胃束带术(LAGB)及腹腔镜胆胰转流术或腹腔镜胆胰转流术+十二指肠转位术(LBPD或 LB‐PD‐DS)。从目前的文献证据来看,减重降糖效果最好的是LBPD或LBPD‐DS ,其次是LRYGB ,最差的是LAGB。短期的随访结果表明,LSG和LRYGB减重及降糖效果相当,但随机对照研究表明,LRYGB降糖效果优于LSG。LBPD或LBPD‐DS术后营养并发症发生率较高。对于T2DM手术缓解率的预测因素除术式外,还有糖尿病病程,C‐P等。%Surgical treatment for obesity and type 2 diabetes (T2DM )has recently been accepted by physicians and surgeons. The concept of metabolic surgery has gradually replaced bariatric surgery. The main patterns of metabolic surgery include :laparoscopic Roux‐en‐Y gastric bypass (LRYGB ) ,sleeve gastrectomy (LSG) ,adjustable gastric banding (LAGB) and biliopancreatic diversion(LBPD) or LBPD +duodenal switch (DS ). The current literatures showed that LBPD or LBPD‐DS is the most effective procedure for weight loss and diabetes remission ,followed by LRYGB ,and LAGB as the least. The short‐term follow‐up results showed that LSG and LRYGB have the same effects on weight loss and diabetes remission ,but randomly controlled studies showed that LRYGB is more effective than LSG on diabetes remission. However ,the rate of nutrition related complications after LBPD or LBPD‐DS is relatively high than other three patterns. Predictive factors for T 2DM remission by surgery include duration of diabetes and C‐peptide level besides the operation pattern.

  11. Finite element procedures

    CERN Document Server

    Bathe, Klaus-Jürgen

    2015-01-01

    Finite element procedures are now an important and frequently indispensable part of engineering analyses and scientific investigations. This book focuses on finite element procedures that are very useful and are widely employed. Formulations for the linear and nonlinear analyses of solids and structures, fluids, and multiphysics problems are presented, appropriate finite elements are discussed, and solution techniques for the governing finite element equations are given. The book presents general, reliable, and effective procedures that are fundamental and can be expected to be in use for a long time. The given procedures form also the foundations of recent developments in the field.

  12. Can Whole-Body Cryotherapy with Subsequent Kinesiotherapy Procedures in Closed Type Cryogenic Chamber Improve BASDAI, BASFI, and Some Spine Mobility Parameters and Decrease Pain Intensity in Patients with Ankylosing Spondylitis?

    Science.gov (United States)

    Stanek, Agata; Cholewka, Armand; Gadula, Jolanta; Drzazga, Zofia; Sieron, Aleksander; Sieron-Stoltny, Karolina

    2015-01-01

    The present study investigated whether whole-body cryotherapy (WBC) procedures could potentially have more beneficial effects on index of BASDAI and BASFI, pain intensity, and spine mobility parameters: Ott test, modified Schober test, chest expansion in ankylosing spondylitis (AS) patients, than kinesiotherapy procedures used separately. AS patients were exposed to a cycle of WBC procedures lasting 3 minutes a day, with a subsequent 60 minutes of kinesiotherapy or 60 minutes of kinesiotherapy only, for 10 consecutive days excluding weekend. After the completion of the cycle of WBC procedures with subsequent kinesiotherapy in the AS patients, BASDAI index decreased about 40% in comparison with the input value, whereas in the group of patients who received only kinesiotherapy it decreased only about 15% in comparison with the input value. After the completion of the treatment in the WBC group, BASFI index decreased about 30% in comparison with the input value, whereas in the kinesiotherapy group it only decreased about 16% in comparison with the input value. The important conclusion was that, in WBC group with subsequent kinesiotherapy, we observed on average about twice better results than in the group treated only by kinesiotherapy. PMID:26273618

  13. Can Whole-Body Cryotherapy with Subsequent Kinesiotherapy Procedures in Closed Type Cryogenic Chamber Improve BASDAI, BASFI, and Some Spine Mobility Parameters and Decrease Pain Intensity in Patients with Ankylosing Spondylitis?

    Directory of Open Access Journals (Sweden)

    Agata Stanek

    2015-01-01

    Full Text Available The present study investigated whether whole-body cryotherapy (WBC procedures could potentially have more beneficial effects on index of BASDAI and BASFI, pain intensity, and spine mobility parameters: Ott test, modified Schober test, chest expansion in ankylosing spondylitis (AS patients, than kinesiotherapy procedures used separately. AS patients were exposed to a cycle of WBC procedures lasting 3 minutes a day, with a subsequent 60 minutes of kinesiotherapy or 60 minutes of kinesiotherapy only, for 10 consecutive days excluding weekend. After the completion of the cycle of WBC procedures with subsequent kinesiotherapy in the AS patients, BASDAI index decreased about 40% in comparison with the input value, whereas in the group of patients who received only kinesiotherapy it decreased only about 15% in comparison with the input value. After the completion of the treatment in the WBC group, BASFI index decreased about 30% in comparison with the input value, whereas in the kinesiotherapy group it only decreased about 16% in comparison with the input value. The important conclusion was that, in WBC group with subsequent kinesiotherapy, we observed on average about twice better results than in the group treated only by kinesiotherapy.

  14. Can Whole-Body Cryotherapy with Subsequent Kinesiotherapy Procedures in Closed Type Cryogenic Chamber Improve BASDAI, BASFI, and Some Spine Mobility Parameters and Decrease Pain Intensity in Patients with Ankylosing Spondylitis?

    Science.gov (United States)

    Stanek, Agata; Cholewka, Armand; Gadula, Jolanta; Drzazga, Zofia; Sieron, Aleksander; Sieron-Stoltny, Karolina

    2015-01-01

    The present study investigated whether whole-body cryotherapy (WBC) procedures could potentially have more beneficial effects on index of BASDAI and BASFI, pain intensity, and spine mobility parameters: Ott test, modified Schober test, chest expansion in ankylosing spondylitis (AS) patients, than kinesiotherapy procedures used separately. AS patients were exposed to a cycle of WBC procedures lasting 3 minutes a day, with a subsequent 60 minutes of kinesiotherapy or 60 minutes of kinesiotherapy only, for 10 consecutive days excluding weekend. After the completion of the cycle of WBC procedures with subsequent kinesiotherapy in the AS patients, BASDAI index decreased about 40% in comparison with the input value, whereas in the group of patients who received only kinesiotherapy it decreased only about 15% in comparison with the input value. After the completion of the treatment in the WBC group, BASFI index decreased about 30% in comparison with the input value, whereas in the kinesiotherapy group it only decreased about 16% in comparison with the input value. The important conclusion was that, in WBC group with subsequent kinesiotherapy, we observed on average about twice better results than in the group treated only by kinesiotherapy.

  15. Actor-Network Procedures

    NARCIS (Netherlands)

    Pavlovic, Dusko; Meadows, Catherine; Ramanujam, R.; Ramaswamy, Srini

    2012-01-01

    In this paper we propose actor-networks as a formal model of computation in heterogenous networks of computers, humans and their devices, where these new procedures run; and we introduce Procedure Derivation Logic (PDL) as a framework for reasoning about security in actor-networks, as an extension

  16. Civil Procedure In Denmark

    DEFF Research Database (Denmark)

    Werlauff, Erik

    The book contains an up-to-date survey of Danish civil procedure after the profound Danish procedural reforms in 2007. It deals with questions concerning competence and function of Danish courts, commencement and preparation of civil cases, questions of evidence and burden of proof, international...

  17. Invasive procedures with questionable indications

    Directory of Open Access Journals (Sweden)

    Sergei V. Jargin

    2014-12-01

    Full Text Available Insufficient coordination of medical research and partial isolation from the international scientific community can result in application of invasive methods without sufficient indications. Here is presented an overview of renal and pancreatic biopsy studies performed in the course of the operations of pancreatic blood shunting into the systemic blood flow in type 1 diabetic patients. Furthermore a surgical procedure of lung denervation as a treatment method of asthma as well as the use of bronchoscopy for research in asthmatics are discussed here. Today, the upturn in Russian economy enables acquisition of modern equipment; and medical research is on the increase. Under these circumstances, the purpose of this letter was to remind that, performing surgical or other invasive procedures, the risk-to-benefit ratio should be kept as low as possible.

  18. Play vs. Procedures

    DEFF Research Database (Denmark)

    Hammar, Emil

    Through the theories of play by Gadamer (2004) and Henricks (2006), I will show how the relationship between play and game can be understood as dialectic and disruptive, thus challenging understandings of how the procedures of games determine player activity and vice versa. As such, I posit some...... analytical consequences for understandings of digital games as procedurally fixed (Boghost, 2006; Flannagan, 2009; Bathwaite & Sharp, 2010). That is, if digital games are argued to be procedurally fixed and if play is an appropriative and dialectic activity, then it could be argued that the latter affects...

  19. Instrument Calibration and Certification Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Davis, R. Wesley [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2016-05-31

    The Amptec 640SL-2 is a 4-wire Kelvin failsafe resistance meter, designed to reliably use very low-test currents for its resistance measurements. The 640SL-1 is a 2-wire version, designed to support customers using the Reynolds Industries type 311 connector. For both versions, a passive (analog) dual function DC Milliameter/Voltmeter allows the user to verify the actual 640SL output current level and the open circuit voltage on the test leads. This procedure includes tests of essential performance parameters. Any malfunction noticed during calibration, whether specifically tested for or not, shall be corrected before calibration continues or is completed.

  20. Canalith Repositioning Procedure

    Science.gov (United States)

    ... repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV), a condition in which you have brief, ... dizziness that occur when you move your head. Vertigo usually comes from a problem with the part ...

  1. Short Nuss bar procedure

    Science.gov (United States)

    2016-01-01

    The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years and then removed. This procedure significantly improves quality of life and, in most cases, also improves cardiac performance. Previously, the modified Ravitch procedure was used with resection of cartilage and the use of posterior support. This article details the new modified Nuss procedure, which requires the use of shorter bars than specified by the original technique. This technique facilitates the operation as the bar may be guided manually through the chest wall and no additional stabilizing sutures are necessary. PMID:27747185

  2. Procedures for Sampling Vegetation

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report outlines vegetation sampling procedures used on various refuges in Region 3. The importance of sampling the response of marsh vegetation to management...

  3. 21 CFR 226.40 - Production and control procedures.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Production and control procedures. 226.40 Section...) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Product Quality Control § 226.40 Production and control procedures. Production and control procedures shall include...

  4. Relative frequencies of interventional radiology procedures. Type of procedure, modality, dose, patient's gender and age. Final report; Erfassung der relativen Haeufigkeiten verschiedener Massnahmen in der interventionellen Radiologie. Art der Untersuchung, Modalitaet, Dosis, Geschlecht und Alter der Patienten fuer den stationaeren und ambulanten Bereich. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Heuser, Lothar; Bode-Schnurbus, Lucas [Bochum Univ. Klinikum (Germany). Inst. fuer Diagnostische Radiologie, Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin

    2012-02-15

    The assessment of the relative frequencies of interventional radiology procedures in Germany includes the following chapters: (1) Introduction and scope. (2) Radiological interventions: diagnostics, pain therapy, liver and kidneys, vascular re-opening and extending measures, devascularization, special neuroradiologic therapies. (3) History of AGIR (workgroup vascular diseases and interventional radiology). (4) Software development. (5) Data pool. (6) Categorization of institutes. (7) Statistics: patients data; radiation protection relevant data; CT guided intervention, MR-guided interventions; ultrasound-guided interventions; process quality; retrospective analysis (2000-2003).

  5. Mobile Energy Laboratory Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Armstrong, P.R.; Batishko, C.R.; Dittmer, A.L.; Hadley, D.L.; Stoops, J.L.

    1993-09-01

    Pacific Northwest Laboratory (PNL) has been tasked to plan and implement a framework for measuring and analyzing the efficiency of on-site energy conversion, distribution, and end-use application on federal facilities as part of its overall technical support to the US Department of Energy (DOE) Federal Energy Management Program (FEMP). The Mobile Energy Laboratory (MEL) Procedures establish guidelines for specific activities performed by PNL staff. PNL provided sophisticated energy monitoring, auditing, and analysis equipment for on-site evaluation of energy use efficiency. Specially trained engineers and technicians were provided to conduct tests in a safe and efficient manner with the assistance of host facility staff and contractors. Reports were produced to describe test procedures, results, and suggested courses of action. These reports may be used to justify changes in operating procedures, maintenance efforts, system designs, or energy-using equipment. The MEL capabilities can subsequently be used to assess the results of energy conservation projects. These procedures recognize the need for centralized NM administration, test procedure development, operator training, and technical oversight. This need is evidenced by increasing requests fbr MEL use and the economies available by having trained, full-time MEL operators and near continuous MEL operation. DOE will assign new equipment and upgrade existing equipment as new capabilities are developed. The equipment and trained technicians will be made available to federal agencies that provide funding for the direct costs associated with MEL use.

  6. Procedure and Program Examples

    Science.gov (United States)

    Britz, Dieter

    Here some modules, procedures and whole programs are described, that may be useful to the reader, as they have been, to the author. They are all in Fortran 90/95 and start with a generally useful module, that will be used in most procedures and programs in the examples, and another module useful for programs using a Rosenbrock variant. The source texts (except for the two modules) are not reproduced here, but can be downloaded from the web site www.springerlink.com/openurl.asp?genre=issue &issn=1616-6361&volume=666 (the two lines form one contiguous URL!).

  7. Arianespace streamlines launch procedures

    Science.gov (United States)

    Lenorovitch, Jeffrey M.

    1992-06-01

    Ariane has entered a new operational phase in which launch procedures have been enhanced to reduce the length of launch campaigns, lower mission costs, and increase operational availability/flexibility of the three-stage vehicle. The V50 mission utilized the first vehicle from a 50-launcher production lot ordered by Arianespace, and was the initial flight with a stretched third stage that enhances Ariane's performance. New operational procedures were introduced gradually over more than a year, starting with the V42 launch in January 1991.

  8. [Flow of molten metal in denture base in horizontal centrifugal casting procedure. (Part 1) Flow, inflow volume and casting time of molten metal passing through single aprue into disk type mold (author's transl)].

    Science.gov (United States)

    Okamura, H

    1976-01-01

    A pyrex glass plate was fitted at the bottom of casting ring, and disk type wax pattern (thickness. 0.43 mm) was put on the plate. Five types of sprueing were applied. Pure tin was casted using holizontal centrifugal casting machine. Flow of molten metal was filmed by the motor drive camera with the method of stroboscope. The results were summarized as follows. 1) When the sprue was attached at the center of the disk type mold vertically, moten metal flowed like a concentric circle at the early stage of casting. It was affected gradually by the direction of gravity and revolution, and it filled the mold from the lower part to the upper part. 2) When the sprue gate was attached to the side edge of the mold, and the sprue gate was placed to the forward and backward direction against the revolution direction, molten metal filled from lower part to the upper part. 3) When the sprue gate was placed against upper edge, molten metal flow was affected by the direction of gravity and revolution. When the sprue gate was placed against lower edge, molten metal filled quietry from the lower part to the upper part. 4) Inflow volume per unit time (inflow rate) was small at the early stage of casting. Inflow rate increased and became constant at the next stage. At the latter stage it became small again. 5) Inflow rate increased with the increase of area of sprue. 6) The time which was necessary to fill the volume of 1 cm (about 80% of the mold volume) became short with the increase of area of sprue. It was also influenced by the type of sprueing.

  9. Simulating Laboratory Procedures.

    Science.gov (United States)

    Baker, J. E.; And Others

    1986-01-01

    Describes the use of computer assisted instruction in a medical microbiology course. Presents examples of how computer assisted instruction can present case histories in which the laboratory procedures are simulated. Discusses an authoring system used to prepare computer simulations and provides one example of a case history dealing with fractured…

  10. Educational Accounting Procedures.

    Science.gov (United States)

    Tidwell, Sam B.

    This chapter of "Principles of School Business Management" reviews the functions, procedures, and reports with which school business officials must be familiar in order to interpret and make decisions regarding the school district's financial position. Among the accounting functions discussed are financial management, internal auditing,…

  11. Short Nuss bar procedure

    DEFF Research Database (Denmark)

    Pilegaard, Hans Kristian

    2016-01-01

    The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years...

  12. Procedural and Conceptual Knowledge: A Balanced Approach?

    Science.gov (United States)

    Kridler, Patricia Gaffney

    2012-01-01

    Mathematics curricula tend to focus either on the development of procedural knowledge or conceptual knowledge yet research support an iterative development of these knowledge types. Research also suggests that teachers should move beyond strictly using curriculum and move toward being the developers of their curricula. Using multiple case study…

  13. Civil Procedure In Denmark

    DEFF Research Database (Denmark)

    Werlauff, Erik

    , enforcement in Denmark of judgments pronounced by Danish or foreign courts, as well as arbitration in Danish and international arbitral cases, based on the extensive Danish arbitral reform 2005, taking the Uncitral pattern arbitration law as its model. The book is written parly based on traditional legal...... on the author's extensive personal experience as arbitrator in numerous Danish and international arbitral proceedings.......The book contains an up-to-date survey of Danish civil procedure after the profound Danish procedural reforms in 2007. It deals with questions concerning competence and function of Danish courts, commencement and preparation of civil cases, questions of evidence and burden of proof, international...

  14. CTO PCI Procedural Planning.

    Science.gov (United States)

    Lembo, Nicholas J; Karmpaliotis, Dimitri; Kandzari, David E

    2012-07-01

    Chronic total occlusion percutaneous coronary intervention (CTO PCI) procedural planning involves much thought and deliberation before one actually attempts to cross the CTO lesion in the cardiac catheterization laboratory. Careful preprocedural angiographic assessment is a key to successful CTO PCI. CTO PCI represents the most complex PCI one can perform, and thus operator and staff training as well as the concept of CTO days are all essential for a successful CTO PCI program. Copyright © 2012. Published by Elsevier Inc.

  15. Crown lengthening procedures

    Directory of Open Access Journals (Sweden)

    AA. Khoshkhonejad

    1994-06-01

    Full Text Available Nowadays, due to recent developments and researches in dental science, it is possible to preserve and restore previously extracted cases such as teeth with extensive caries, fractured or less appropriate cases for crown coverage as well as teeth with external perforation caused by restorative pins. In order to restore the teeth with preservation of periodontium, we should know thoroughly physiological aspects of periodontium and protection of Biologic Width which is formed by epithelial and supracrestal connective tissue connections. Considering biologic width is one of the principal rules of teeth restoration, otherwise we may destruct periodontal tissues. Several factors are involved in placing a restoration and one of the most important ones is where the restoration margin is terminated. Many studies have been conducted on the possible effects of restoration margin on the gingiva and due to the results of these studies it was concluded that restoration margin should be finished supragingivally. However, when we have to end the restoration under Gingival Crest, First a healthy gingival sulcus is required. Also, we should not invade the biological width. Since a normal biologic with is reported 2 mm and sound tooth tissue should be placed at least 2 mm coronal to the epithelial tissue, the distance between sound tooth tissue and crown margin should be at least 4mm. Thus, performing crown lengthening is essential to increase the clinical crown length. Basically, two objectives are considered: 1 restorative 2 esthetic (gummy smile Surgical procedure includes gingivectomy and flap procedure. Orthodontic procedure involves orthodontic extrusion or force eruption technique which is controlled vertical movements of teeth into occlusion. Besides, this procedure can also used to extrude teeth defects from the gingival tissue. By crown lengthening, tooth extraction is not required and furthermore, adjacent teeth preparation for placing a fixed

  16. Ice anaesthesia in procedural dermatology.

    Science.gov (United States)

    Dixit, Shreya; Lowe, Patricia; Fischer, Gayle; Lim, Adrian

    2013-11-01

    This article presents findings from a survey of Australian dermatologists who were questioned about their preferred pain control methods when carrying out injectable procedures. We also present, what is to the best of our knowledge, the first proof-of-concept experiment exploring the relationship between ice-to-skin contact time and skin surface temperature, using both ice wrapped in latex and ice wrapped in aluminium foil. Of 79 dermatologists 32 responded to the survey (41% response rate): 31 (97%) injected botulinum toxin type A (BTA) for dynamic lines, 26 (81%) injected BTA for hyperhidrosis, and 24 (75%) injected skin fillers. Ice anaesthesia was the most common method of pain control (75%) followed by use of topical anaesthesia (50%) such as EMLA, compound agents and lignocaine 4%. Ice wrapped in latex or latex-like material was the most common ice packaging used by those surveyed and the median ice-to-skin contact time was 10 s. The ice experiment results indicated that ice wrapped with aluminium foil was equivalent to ice wrapped in latex for short contact times (skin temperature with longer contact times (> 20 s). These findings will be of relevance to cosmetic and paediatric dermatologists or any area of procedural medicine where effective non-injectable pain control is required.

  17. Loop electrosurgical excisional procedure.

    Science.gov (United States)

    Mayeaux, E J; Harper, M B

    1993-02-01

    Loop electrosurgical excisional procedure, or LEEP, also known as loop diathermy treatment, loop excision of the transformation zone (LETZ), and large loop excision of the transformation zone (LLETZ), is a new technique for outpatient diagnosis and treatment of dysplastic cervical lesions. This procedure produces good specimens for cytologic evaluation, carries a low risk of affecting childbearing ability, and is likely to replace cryotherapy or laser treatment for cervical neoplasias. LEEP uses low-current, high-frequency electrical generators and thin stainless steel or tungsten loops to excise either lesions or the entire transformation zone. Complication rates are comparable to cryotherapy or laser treatment methods and include bleeding, incomplete removal of the lesion, and cervical stenosis. Compared with other methods, the advantages of LEEP include: removal of abnormal tissue in a manner permitting cytologic study, low cost, ease of acquiring necessary skills, and the ability to treat lesions with fewer visits. Patient acceptance of the procedure is high. Widespread use of LEEP by family physicians can be expected.

  18. Accuracy of Two Types of Tray for Mobile Teeth during Impression Procedure%2种托盘制取松动基牙模型的精度比较

    Institute of Scientific and Technical Information of China (English)

    危薇

    2012-01-01

    目的:评价成品托盘和个别托盘使用海藻酸盐印模材料对松动牙取模时模型的精度的影响.方法:用成品托盘和个别托盘对同一松动牙模型取模,各制得20个超硬人造石模型.使用电子游标卡尺测量取得的人造石模型上标各记点间距离,测量精度为0.001 mm,将测得数据进行统计分析.结果:采用2种托盘对松动牙取模精度无显著性差异,2种托盘对于松动牙取模精度均已超出临床所允许范围.结论:当使用海藻酸盐作为印模材料时,成品托盘和按照常规方法制作的个别托盘不适于松动牙的取模,及对于松动牙,应尽可能避免使用海藻酸盐印模材料.%Objective: To investigate the accuracy of stock tray and custom tray for the mobile teeth during the impression procedure with alginate as impression material. Methods: 20 artificial stone replication models were made for stock tray and custom tray with alginate on the same master model of mobile tooth respectively. The dimensions between landmarks on the master and artifical stone were measured with an electronic caliper. ANOVA was used to compare the measurements. Results; There was no significant difference of stock tray and custom tray when taking impression for the mobile teeth. The accuracy of the two kinds of tray were both beyond the clinical requiment. Conclusion; The stock tray and custom tray made in the experiment are not adequeat for mobile teeth impression taking when the alginate was used.

  19. The calcaneo-stop procedure.

    Science.gov (United States)

    Usuelli, F G; Montrasio, U Alfieri

    2012-06-01

    Flexible flatfoot is one of the most common deformities. Arthroereisis procedures are designed to correct this deformity. Among them, the calcaneo-stop is a procedure with both biomechanical and proprioceptive properties. It is designed for pediatric treatment. Results similar to endorthesis procedure are reported. Theoretically the procedure can be applied to adults if combined with other procedures to obtain a stable plantigrade foot, but medium-term follow up studies are missing.

  20. [Physical restraint and procedure].

    Science.gov (United States)

    Van de Vyvere, A; Dumont, C

    2013-09-01

    The widespread practice of physical restraint of the elderly has used in most case in order to protect elders against injuries after falls or to manage behaviour agitation during delirium for example. However, "protect" isn't correct because of the adverse effects have been reported as falls increase, pressures sores, depression, aggression and death. In fact, efficacy of restraints for safeguarding patients from injury has not been demonstrated clinically. This paper reviews the current medico-legal knowledge regarding physical restraint use in this frail population and suggests some considerations about ethical practice and procedure evaluation.

  1. CELT optics Alignment Procedure

    Science.gov (United States)

    Mast, Terry S.; Nelson, Jerry E.; Chanan, Gary A.; Noethe, Lothar

    2003-01-01

    The California Extremely Large Telescope (CELT) is a project to build a 30-meter diameter telescope for research in astronomy at visible and infrared wavelengths. The current optical design calls for a primary, secondary, and tertiary mirror with Ritchey-Chretién foci at two Nasmyth platforms. The primary mirror is a mosaic of 1080 actively-stabilized hexagonal segments. This paper summarizes a CELT report that describes a step-by-step procedure for aligning the many degrees of freedom of the CELT optics.

  2. Interventional radiology neck procedures.

    Science.gov (United States)

    Zabala Landa, R M; Korta Gómez, I; Del Cura Rodríguez, J L

    2016-05-01

    Ultrasonography has become extremely useful in the evaluation of masses in the head and neck. It enables us to determine the anatomic location of the masses as well as the characteristics of the tissues that compose them, thus making it possible to orient the differential diagnosis toward inflammatory, neoplastic, congenital, traumatic, or vascular lesions, although it is necessary to use computed tomography or magnetic resonance imaging to determine the complete extension of certain lesions. The growing range of interventional procedures, mostly guided by ultrasonography, now includes biopsies, drainages, infiltrations, sclerosing treatments, and tumor ablation.

  3. Regulations and Procedures Manual

    Energy Technology Data Exchange (ETDEWEB)

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

    2011-07-25

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

  4. Designing Flight Deck Procedures

    Science.gov (United States)

    Degani, Asaf; Wiener, Earl

    2005-01-01

    Three reports address the design of flight-deck procedures and various aspects of human interaction with cockpit systems that have direct impact on flight safety. One report, On the Typography of Flight- Deck Documentation, discusses basic research about typography and the kind of information needed by designers of flight deck documentation. Flight crews reading poorly designed documentation may easily overlook a crucial item on the checklist. The report surveys and summarizes the available literature regarding the design and typographical aspects of printed material. It focuses on typographical factors such as proper typefaces, character height, use of lower- and upper-case characters, line length, and spacing. Graphical aspects such as layout, color coding, fonts, and character contrast are discussed; and several cockpit conditions such as lighting levels and glare are addressed, as well as usage factors such as angular alignment, paper quality, and colors. Most of the insights and recommendations discussed in this report are transferable to paperless cockpit systems of the future and computer-based procedure displays (e.g., "electronic flight bag") in aerospace systems and similar systems that are used in other industries such as medical, nuclear systems, maritime operations, and military systems.

  5. Regulations and Procedures Manual

    Energy Technology Data Exchange (ETDEWEB)

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

    2010-09-30

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

  6. An extended Coleman-Noll procedure for generalized continuum theories

    Science.gov (United States)

    Hütter, Geralf

    2016-11-01

    Within rational continuum mechanics, the Coleman-Noll procedure is established to derive requirements to constitutive equations. Aiming in particular at generalized continuum theories, the present contribution demonstrates how this procedure can be extended to yield additionally the underlying balance equations of stress-type quantities. This is demonstrated for micromorphic and strain gradient media as well as for the microforce theory. The relation between the extended Coleman-Noll procedure and the method of virtual powers is pointed out.

  7. Declarative vs. Procedural Memory: Roles in Second Language Acquisition

    Directory of Open Access Journals (Sweden)

    Laleh Fakhraee Faruji

    2012-04-01

    Full Text Available Memory is not a single faculty but is a combination of multiple distinct abilities (Schacter, 1987. The declarative-procedural distinction is used both with regard to knowledge and memory that stores this knowledge. Ellis (2008 used the terms explicit/implicit, and declarative/procedural interchangeably. In this article the researcher aims at identifying the different aspects of declarative/procedural memory, interaction between these two types of memory, and the role they may play in second language acquisition.

  8. How to Reduce Radiation Exposure to Physicians Performing Fluoroscopy Procedures?

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kwang Pyo [Dept. of Nuclear Engineering, Kyung Hee University, Seoul (Korea, Republic of)

    2009-04-15

    Fluoroscopy procedures refer to a group of procedures which use real-time moving radiological images of patient internal organs and blood vessels. The procedure can be diagnostic, therapeutic, or both. The fluoroscopy procedures have substantially expanded both in scope and in number. Currently various medical specialties, including radiology, neurology, cardiology, electrophysiology, surgery, orthopedics, urology, gastroenterology etc. perform fluoroscopy procedures One concern of the fluoroscopy procedures is radiation exposure to physicians and thus potential cancer risk. Physicians generally stand close to a patient during a procedure and are exposed radiation scattered from the patient. Physicians perform numbers of procedures during the lifetime and receive cumulative radiation doses. According to a recent systematic review of occupation radiation dose from cardiac fluoroscopy procedures, physician doses varied by 100-1000 times for the same type of procedure. The large variation in the doses suggests that occupational dose can be greatly reduced by considering what factors and how much these factor influence physician doses from fluoroscopy procedures. The present study identifies and discusses various factors that affect radiation dose to physicians performing fluoroscopy procedures.

  9. Standard Operating Procedure

    Science.gov (United States)

    1997-01-01

    l^m .:#,"■• y’’:>’£l’S ABO GROUP CONFIRMED |[ Rh OF .NEGATIVE UNITS CONFIRMED fe^/w’H’o’^Ä^ ■ •:.■.■:•• •■’ .Tv-v^l^.>’-V.^^V’ir;i-.^K-V.^’vV-i...using 0.02 ml of whole blood diluted with 5.98 ml of Drabkin’s reagent (1:251 dilution). 51 I. Measure the supernatant hemoglobin concentration...34NcUiod fef*ɜ 17-0? STANDARD OPERATING PROCEDURE Red Blood Cells Collected in the CPDA-1 800 ml Primary PVC Plastic Bag Collection System and

  10. Preschooler test or procedure preparation

    Science.gov (United States)

    ... them less likely to cry and resist the procedure. Research shows that lowering anxiety can decrease the sensation ... days or weeks in advance. Here are some general guidelines for ... Explain the procedure in language your child understands, ...

  11. Quantization Procedures; Sistemas de cuantificacion

    Energy Technology Data Exchange (ETDEWEB)

    Cabrera, J. A.; Martin, R.

    1976-07-01

    We present in this work a review of the conventional quantization procedure, the proposed by I.E. Segal and a new quantization procedure similar to this one for use in non linear problems. We apply this quantization procedures to different potentials and we obtain the appropriate equations of motion. It is shown that for the linear case the three procedures exposed are equivalent but for the non linear cases we obtain different equations of motion and different energy spectra. (Author) 16 refs.

  12. 46 CFR 160.005-7 - Procedure for approval.

    Science.gov (United States)

    2010-10-01

    ...: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Preservers, Fibrous Glass, Adult and Child (Jacket Type), Models 52 and 56 § 160.005-7 Procedure for approval. General. Manufacturers seeking approval of a life...

  13. 46 CFR 160.002-7 - Procedure for approval.

    Science.gov (United States)

    2010-10-01

    ...: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Life Preservers, Kapok, Adult and Child (Jacket Type), Models 3 and 5 § 160.002-7 Procedure for approval. General. Manufacturers seeking approval of a life preserver...

  14. The selective therapeutic apheresis procedures.

    Science.gov (United States)

    Sanchez, Amber P; Cunard, Robyn; Ward, David M

    2013-02-01

    Selective apheresis procedures have been developed to target specific molecules, antibodies, or cellular elements in a variety of diseases. The advantage of the selective apheresis procedures over conventional therapeutic plasmapheresis is preservation of other essential plasma components such as albumin, immunoglobulins, and clotting factors. These procedures are more commonly employed in Europe and Japan, and few are available in the USA. Apheresis procedures discussed in this review include the various technologies available for low-density lipoprotein (LDL) apheresis, double filtration plasmapheresis (DFPP), cryofiltration, immunoadsorption procedures, adsorption resins that process plasma, extracorporeal photopheresis, and leukocyte apheresis.

  15. Realism of procedural task trainers in a pediatric emergency medicine procedures course

    Directory of Open Access Journals (Sweden)

    Allan Shefrin

    2015-04-01

    Conclusions: Task training models utilized in our course received variable realism ratings. When deciding what type of task trainer to use future courses should carefully consider the desired aspect of realism, and how it aligns with the procedural skill, balanced with cost considerations.

  16. Evaluation of surgical procedures for trigeminal neuralgia.

    OpenAIRE

    Ong, K. S.; Keng, S. B.

    2003-01-01

    Trigeminal neuralgia is a type of facial pain that is difficult to treat. The pain can be excruciating and debilitating. The wide range of treatments currently used for trigeminal neuralgia is ample evidence that there is no simple answer to how it should be managed. This review will evaluate the current surgical procedures used for the treatment of trigeminal neuralgia. A critical analysis of the evidence-based studies to date was done to evaluate and compare the efficacy of the different su...

  17. 77 FR 71691 - Type Certification Procedures for Changed Products

    Science.gov (United States)

    2012-12-04

    ... the certification of significant design changes of aircraft, aircraft engines, and propellers. The... ``product'' is defined in Sec. 21.1(b) as ``aircraft, aircraft engine, or propeller.'' II. Background On... of aircraft, aircraft engines, and propellers. Before this final rule, many changes to...

  18. The mediation procedure in Romania

    Directory of Open Access Journals (Sweden)

    Alexandrina Zaharia

    2009-06-01

    Full Text Available The mediation activity as an alternative way of solving conflicts occupies an important place in modernsociety. Currently, the mediation reached its maturity worldwide being adopted without reservations.The future of solving conflicts is undoubtedly closely related to mediation. XXth century is the century of solvingconflicts amiably outside the court room. In Romania and the mediation profession were regulated by the Law no.192/2006, on the basis of the idea that mediation is one of the major themes of the reform strategy of the judicialsystem 2005-2007. By adopting the mentioned law it was followed the idea of reducing the volume of activitycourts, and therefore, relieve them of as many cases, with the direct effect on the quality of justice. Mediation is avoluntary process in which the parties with a neutral and impartial third party, without power of decision - themediator - who is qualified to assist the parties to negotiate, facilitating the communication between them andhelping them to reach a unanimous effective and sustainable agreement. The parties may resort to mediation beforeor after triggering a trial. Mediation can be applied, in principle, on any type of conflict. However, theRomanian legislator has established special stipulations on conflict mediation in criminal, civil and familylaw. Although not expressly provided, the stipulations regarding the civil conflicts and also apply to commercialconflicts. Therefore, the mediation is applicable to most types of lawsuits, except those relating to personalrights. As a "win- win" principle, the mediation does not convert any of the parties defeated or victorious; allthose involved have gained by applying this procedure.

  19. Standardized Procedure Content And Data Structure Based On Human Factors Requirements For Computer-Based Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Bly, Aaron; Oxstrand, Johanna; Le Blanc, Katya L

    2015-02-01

    Most activities that involve human interaction with systems in a nuclear power plant are guided by procedures. Traditionally, the use of procedures has been a paper-based process that supports safe operation of the nuclear power industry. However, the nuclear industry is constantly trying to find ways to decrease the human error rate, especially the human errors associated with procedure use. Advances in digital technology make computer-based procedures (CBPs) a valid option that provides further enhancement of safety by improving human performance related to procedure use. The transition from paper-based procedures (PBPs) to CBPs creates a need for a computer-based procedure system (CBPS). A CBPS needs to have the ability to perform logical operations in order to adjust to the inputs received from either users or real time data from plant status databases. Without the ability for logical operations the procedure is just an electronic copy of the paper-based procedure. In order to provide the CBPS with the information it needs to display the procedure steps to the user, special care is needed in the format used to deliver all data and instructions to create the steps. The procedure should be broken down into basic elements and formatted in a standard method for the CBPS. One way to build the underlying data architecture is to use an Extensible Markup Language (XML) schema, which utilizes basic elements to build each step in the smart procedure. The attributes of each step will determine the type of functionality that the system will generate for that step. The CBPS will provide the context for the step to deliver referential information, request a decision, or accept input from the user. The XML schema needs to provide all data necessary for the system to accurately perform each step without the need for the procedure writer to reprogram the CBPS. The research team at the Idaho National Laboratory has developed a prototype CBPS for field workers as well as the

  20. Do dental procedures affect lung function and arterial oxygen saturation in asthmatic patients?

    Directory of Open Access Journals (Sweden)

    Magdy Mahmoud Emara

    2013-04-01

    Conclusion: Asthmatic patients may be at a higher risk of developing oxygen desaturation after dental procedures regardless of their type with and without local anesthesia and a decrease in PEF after dental procedures with local anesthesia.

  1. AGREED-UPON PROCEDURES, PROCEDURES FOR AUDITING EUROPEAN GRANTS

    Directory of Open Access Journals (Sweden)

    Daniel Petru VARTEIU

    2016-12-01

    The audit of EU-funded projects is an audit based on agreed-upon procedures, which are established by the Managing Authority or the Intermediate Body. Agreed-upon procedures can be defined as engagements made in accordance with ISRS 4400, applicable to agreed-upon procedures, where the auditor undertakes to carry out the agreed-upon procedures and issue a report on factual findings. The report provided by the auditor does not express any assurance. It allows users to form their own opinions about the conformity of the expenses with the project budget as well as the eligibility of the expenses.

  2. AGREED-UPON PROCEDURES, PROCEDURES FOR AUDITING EUROPEAN GRANTS

    Directory of Open Access Journals (Sweden)

    Daniel Petru VARTEIU

    2016-12-01

    The audit of EU-funded projects is an audit based on agreed-upon procedures, which are established by the Managing Authority or the Intermediate Body. Agreed-upon procedures can be defined as engagements made in accordance with ISRS 4400, applicable to agreed-upon procedures, where the auditor undertakes to carry out the agreed-upon procedures and issue a report on factual findings. The report provided by the auditor does not express any assurance. It allows users to form their own opinions about the conformity of the expenses with the project budget as well as the eligibility of the expenses.

  3. Relations among conceptual knowledge, procedural knowledge, and procedural flexibility in two samples differing in prior knowledge.

    Science.gov (United States)

    Schneider, Michael; Rittle-Johnson, Bethany; Star, Jon R

    2011-11-01

    Competence in many domains rests on children developing conceptual and procedural knowledge, as well as procedural flexibility. However, research on the developmental relations between these different types of knowledge has yielded unclear results, in part because little attention has been paid to the validity of the measures or to the effects of prior knowledge on the relations. To overcome these problems, we modeled the three constructs in the domain of equation solving as latent factors and tested (a) whether the predictive relations between conceptual and procedural knowledge were bidirectional, (b) whether these interrelations were moderated by prior knowledge, and (c) how both constructs contributed to procedural flexibility. We analyzed data from 2 measurement points each from two samples (Ns = 228 and 304) of middle school students who differed in prior knowledge. Conceptual and procedural knowledge had stable bidirectional relations that were not moderated by prior knowledge. Both kinds of knowledge contributed independently to procedural flexibility. The results demonstrate how changes in complex knowledge structures contribute to competence development.

  4. Documenting Laboratory Procedures with Video.

    Science.gov (United States)

    Wyttenbach, Robert A

    2015-01-01

    Demonstrating laboratory procedures in person during class time can be time-consuming. When procedures are done under a microscope, live demonstration is also impractical because of the limited number of students who can view the demonstration at once. Creating videos beforehand, which students can watch before class and review during lab sessions, solves both of these problems. This article suggests ways to make and distribute high quality video of microscopic procedures.

  5. Electronic Procedures for Medical Operations

    Science.gov (United States)

    2015-01-01

    Electronic procedures are replacing text-based documents for recording the steps in performing medical operations aboard the International Space Station. S&K Aerospace, LLC, has developed a content-based electronic system-based on the Extensible Markup Language (XML) standard-that separates text from formatting standards and tags items contained in procedures so they can be recognized by other electronic systems. For example, to change a standard format, electronic procedures are changed in a single batch process, and the entire body of procedures will have the new format. Procedures can be quickly searched to determine which are affected by software and hardware changes. Similarly, procedures are easily shared with other electronic systems. The system also enables real-time data capture and automatic bookmarking of current procedure steps. In Phase II of the project, S&K Aerospace developed a Procedure Representation Language (PRL) and tools to support the creation and maintenance of electronic procedures for medical operations. The goal is to develop these tools in such a way that new advances can be inserted easily, leading to an eventual medical decision support system.

  6. Guidelines for hazard evaluation procedures

    National Research Council Canada - National Science Library

    2008-01-01

    ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi 1 . Hazard Evaluation Procedures ... Management Overview ... ... Part I Preface 11 Introduction to the Guidelines 1.1 Background ... 1.2 Relationship...

  7. Training for advanced endoscopic procedures.

    Science.gov (United States)

    Feurer, Matthew E; Draganov, Peter V

    2016-06-01

    Advanced endoscopy has evolved from diagnostic ERCP to an ever-increasing array of therapeutic procedures including EUS with FNA, ablative therapies, deep enteroscopy, luminal stenting, endoscopic suturing and endoscopic mucosal resection among others. As these procedures have become increasingly more complex, the risk of potential complications has also risen. Training in advanced endoscopy involves more than obtaining a minimum number of therapeutic procedures. The means of assessing a trainee's competence level and ability to practice independently continues to be a matter of debate. The use of quality indicators to measure performance levels may be beneficial as more advanced techniques and procedures become available.

  8. Model of Procedure Usage – Results from a Qualitative Study to Inform Design of Computer-Based Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Johanna H Oxstrand; Katya L Le Blanc

    2012-07-01

    The nuclear industry is constantly trying to find ways to decrease the human error rate, especially the human errors associated with procedure use. As a step toward the goal of improving procedure use performance, researchers, together with the nuclear industry, have been looking at replacing the current paper-based procedures with computer-based procedure systems. The concept of computer-based procedures is not new by any means; however most research has focused on procedures used in the main control room. Procedures reviewed in these efforts are mainly emergency operating procedures and normal operating procedures. Based on lessons learned for these previous efforts we are now exploring a more unknown application for computer based procedures - field procedures, i.e. procedures used by nuclear equipment operators and maintenance technicians. The Idaho National Laboratory, the Institute for Energy Technology, and participants from the U.S. commercial nuclear industry are collaborating in an applied research effort with the objective of developing requirements and specifications for a computer-based procedure system to be used by field operators. The goal is to identify the types of human errors that can be mitigated by using computer-based procedures and how to best design the computer-based procedures to do this. The underlying philosophy in the research effort is “Stop – Start – Continue”, i.e. what features from the use of paper-based procedures should we not incorporate (Stop), what should we keep (Continue), and what new features or work processes should be added (Start). One step in identifying the Stop – Start – Continue was to conduct a baseline study where affordances related to the current usage of paper-based procedures were identified. The purpose of the study was to develop a model of paper based procedure use which will help to identify desirable features for computer based procedure prototypes. Affordances such as note taking, markups

  9. 40 CFR 60.564 - Test methods and procedures.

    Science.gov (United States)

    2010-07-01

    ... production capacity, feedstock type or catalyst type, or whenever there is replacement, removal, or addition... the necessity of actual testing for purposes of calculating the uncontrolled annual emissions and... appropriate test procedures specified in this section. (1) The uncontrolled annual emissions of the...

  10. Types for DSP Assembler Programs

    DEFF Research Database (Denmark)

    Larsen, Ken

    2006-01-01

    for reuse, and a procedure that computes point-wise vector multiplication. The latter uses a common idiom of prefetching memory resulting in out-of-bounds reading from memory. I present two extensions to the baseline type system: The first extension is a simple modification of some type rules to allow out...... the requirements of a procedure. I implement a proof-of-concept type checker for both the baseline type system and the extensions. I get good performance results on a small benchmark suite of programs representative of handwritten DSP assembler code. These empirical results are encouraging and strongly suggest...

  11. Comparison of Power for Multiple Comparison Procedures

    Directory of Open Access Journals (Sweden)

    Robert S. Rodger

    2013-11-01

    Full Text Available The number of methods for evaluating, and possibly making statistical decisions about, null contrasts - or their small sub-set, multiple comparisons - has grown extensively since the early 1950s. That demonstrates how important the subject is, but most of the growth consists of modest variations of the early methods. This paper examines nine fairly basic procedures, six of which are methods designed to evaluate contrasts chosen post hoc, i.e., after an examination of the test data. Three of these use experimentwise or familywise type 1 error rates (Scheffé 1953, Tukey 1953, Newman-Keuls, 1939 and 1952, two use decision-based type 1 error rates (Duncan 1951 and Rodger 1975a and one (Fisher's LSD 1935 uses a mixture of the two type 1 error rate definitions. The other three methods examined are for evaluating, and possibly deciding about, a limited number of null contrasts that have been chosen independently of the sample data - preferably before the data are collected. One of these (planned t-tests uses decision-based type 1 error rates and the other two (one based on Bonferroni's Inequality 1936, and the other Dunnett's 1964 Many-One procedure use a familywise type 1 error rate. The use of these different type 1 error rate definitionsA creates quite large discrepancies in the capacities of the methods to detect true non-zero effects in the contrasts being evaluated. This article describes those discrepancies in power and, especially, how they are exacerbated by increases in the size of an investigation (i.e., an increase in J, the number of samples being examined. It is also true that the capacity of a multiple contrast procedure to 'unpick' 'true' differences from the sample data is influenced by the type of contrast the procedure permits. For example, multiple range procedures (such as that of Newman-Keuls and that of Duncan permit only comparisons (i.e., two-group differences and that greatly limits their discriminating capacity (which is not

  12. Procedural Personas for Player Decision Modeling and Procedural Content Generation

    DEFF Research Database (Denmark)

    Holmgård, Christoffer

    2016-01-01

    in specific games. It further explores how simple utility functions, easily defined and changed by game designers, can be used to construct agents expressing a variety of decision making styles within a game, using a variety of contemporary AI approaches, naming the resulting agents "Procedural Personas......." These methods for constructing procedural personas are then integrated with existing procedural content generation systems, acting as critics that shape the output of these systems, optimizing generated content for different personas and by extension, different kinds of players and their decision making styles...

  13. Extrapolation procedures in Mott electron polarimetry

    Science.gov (United States)

    Gay, T. J.; Khakoo, M. A.; Brand, J. A.; Furst, J. E.; Wijayaratna, W. M. K. P.; Meyer, W. V.; Dunning, F. B.

    1992-01-01

    In standard Mott electron polarimetry using thin gold film targets, extrapolation procedures must be used to reduce the experimentally measured asymmetries A to the values they would have for scattering from single atoms. These extrapolations involve the dependent of A on either the gold film thickness or the maximum detected electron energy loss in the target. A concentric cylindrical-electrode Mott polarimeter, has been used to study and compare these two types of extrapolations over the electron energy range 20-100 keV. The potential systematic errors which can result from such procedures are analyzed in detail, particularly with regard to the use of various fitting functions in thickness extrapolations, and the failure of perfect energy-loss discrimination to yield accurate polarizations when thick foils are used.

  14. Laparoscopic reversal of Hartmann's procedure

    DEFF Research Database (Denmark)

    Svenningsen, Peter Olsen; Bulut, Orhan; Jess, Per

    2010-01-01

    INTRODUCTION: A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients. MATERIAL AND METHODS: The medical records...... of all patients who underwent reversal of a colostomy after a primary Hartmann's procedure during the period May 2005 to December 2008 were reviewed retrospectively in a case-control study. RESULTS: A total of 43 patients were included. Twenty-one had a laparoscopic and 22 an open procedure. The two...

  15. [Mood induction procedures: a critical review].

    Science.gov (United States)

    Gilet, A-L

    2008-06-01

    For a long period in the history of psychological research, emotion and cognition have been studied independently, as if one were irrelevant to the other. The renewed interest of researchers for the study of the relations between cognition and emotion has led to the development of a range of laboratory methods for inducing temporary mood states. This paper aims to review the main mood induction procedures allowing the induction of a negative mood as well as a positive mood, developed since the pioneer study of Schachter and Singer [Psychol Rev 69 (1962) 379-399] and to account for the usefulness and problems related to the use of such techniques. The first part of this paper deals with the detailed presentation of some of the most popular mood induction procedures according to their type: simple (use of only one mood induction technique) or combined (association of two or more techniques at once). The earliest of the modern techniques is the Velten Mood Induction Procedure [Behav Res Ther 6 (1968) 473-482], which involves reading aloud sixty self-referent statements progressing from relative neutral mood to negative mood or dysphoria. Some researchers have varied the procedure slightly by changing the number of the statements [Behav Res Ther 21 (1983) 233-239, Br J Clin Psychol 21 (1982) 111-117, J Pers Soc Psychol 35 (1977) 625-636]. Various other mood induction procedures have been developed including music induction [Cogn Emotion 11 (1997) 403-432, Br J Med Psychol 55 (1982) 127-138], film clip induction [J Pers Soc Psychol 20 (1971) 37-43, Cogn Emotion 7 (1993) 171-193, Rottenberg J, Ray RR, Gross JJ. Emotion elicitation using films. In: Coan JA, Allen JJB, editors. The handbook of emotion elicitation and assessment. New York: Oxford University Press, 2007], autobiographical recall [J Clin Psychol 36 (1980) 215-226, Jallais C. Effets des humeurs positives et négatives sur les structures de connaissances de type script. Thèse de doctorat non publi

  16. Safety procedures for shotfiring in coal mines

    Energy Technology Data Exchange (ETDEWEB)

    Carbonel, P.

    1984-01-01

    A marked increase in the number of incidents reported during shotfiring operations in collieries, together with the nature of these incidents, has prompted the author to review the basic safety procedures to be observed during shotfiring. These include minimizing the risk of methane or dust ignition caused by the explosive or the igniter cord and the careful selection of a particular type of explosive to suit the job in hand. It should be remembered that the use of a permitted explosive never rules out the possibility of ignition taking place. (In French)

  17. Surface Environmental Surveillance Procedures Manual

    Energy Technology Data Exchange (ETDEWEB)

    Hanf, RW; Dirkes, RL

    1990-02-01

    This manual establishes the procedures for the collection of environmental samples and the performance of radiation surveys and other field measurements. Responsibilities are defined for those personnel directly involved in the collection of samples and the performance of field measurements.

  18. Coast guard STD calibration procedures

    National Research Council Canada - National Science Library

    Freeman, R.H; Krug, W.S

    1973-01-01

    This manual describes the procedures used by the Coast Guard Oceanographic UNIT (CGOU) to calibrate several Model 9040 STD systems, manufactured by Plessey Environmental Systems, currently in use within the Coast Guard...

  19. Interventional procedures in the chest.

    Science.gov (United States)

    Vollmer Torrubiano, I; Sánchez González, M

    2016-05-01

    Many thoracic conditions will require an interventional procedure for diagnosis and/or treatment. For this reason, radiologists need to know the indications and the technique for each procedure. In this article, we review the various interventional procedures that radiologists should know and the indications for each procedure. We place special emphasis on the potential differences in the diagnostic results and complications between fine-needle aspiration and biopsy. We also discuss the indications for radiofrequency ablation of lung tumors and review the concepts related to the drainage of pulmonary abscesses. We devote special attention to the management of pleural effusion, covering the indications for thoracocentesis and when to use imaging guidance, and to the protocol for pleural drainage. We also discuss the indications for percutaneous treatment of pericardial effusion and the possible complications of this treatment. Finally, we discuss the interventional management of mediastinal lesions and provide practical advice about how to approach these lesions to avoid serious complications.

  20. Procedural Aspects regarding International Arbitration

    National Research Council Canada - National Science Library

    Berlingher, Remus Daniel; Cret, Daniela Cristina

    2015-01-01

    ... no. 105/1992 on the regulation of private international law. Among the institutions that have undergone these reconfigurations in the regulation of the Code of Civil Procedure, which entered into force in 2013, one that stands out is arbitration...

  1. Polarization of perceived Procedural Justice.

    Science.gov (United States)

    Flint, Douglas H; Hernandez-Marrero, Pablo; Wielemaker, Martin

    2006-02-01

    This study examined polarization of perceptions of Procedural Justice. Two polarization mechanisms are examined, Persuasive Arguments and Social Comparisons. Participants were students enrolled in a first-year introductory business class. There were 216 participants in the Persuasive Arguments study, 429 in the Social Comparisons study. The average age of all participants was 22.3 yr. (SD = 2.1); 56% were women. Fields of study represented were business, engineering, information technology, and sports. Analysis showed under conditions of low Procedural Justice, polarization effects were only found with the Persuasive Arguments mechanism. Under conditions of high Procedural Justice, polarization effects were only found with Social Comparisons. Implications for group polarization and Procedural Justice theories are considered.

  2. Assisted Medical Procedures (AMP) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Documentation and Development: The AMP was initially being developed as part the Advanced Integrated Clinical System (AICS)-Guided Medical Procedure System for the...

  3. Fairness That Money Can Buy - Procedural Egalitarianism in Practice

    OpenAIRE

    Werner Gueth; Hartmut Kliemt

    2013-01-01

    Contrary to communitarian market criticism institutions relying on money and bidding can strengthen faculties of 'self-governance'. Securing procedurally egalitarian bidding on the basis of declared monetary evaluations guarantees that all realized changes of a status quo are in an 'objective' (pecuniary) sense equally advantageous for all members of the community. We show how to use this idea in the context of Elinor Ostrom type common(s) projects. Empirical evidence on 'procedurally fair bi...

  4. Laparoscopic reversal of Hartmann's procedure

    DEFF Research Database (Denmark)

    Svenningsen, Peter Olsen; Bulut, Orhan; Jess, Per

    2010-01-01

    A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients.......A change in procedure from open to laparoscopic reversal of Hartmann's colostomy was implemented at our department between May 2005 and December 2008. The aim of the study was to investigate if this change was beneficial for the patients....

  5. Translation Procedures (a Case Study)

    OpenAIRE

    Silalahi, Roswita; Lestari, Disa Evawani

    2012-01-01

    Roswita Silalahi This research is entitled Translation Procedures (A Case Study) which analysis translation procedures used in translating economic terms from English language book Principles of Economics by N. Gregory Mankiw into Bahasa Indonesia book Pengantar Ekonomi by Haris Munandar. The improvement of economic science which creates new economic terms challenges translator especially in translating a word or phrase, which in some cases, does not exist in the target l...

  6. Nominating Procedures in Democratic Polities

    OpenAIRE

    Kasapović, Mirjana

    2002-01-01

    One of the focuses of the study of political parties at the end of the 20th century has been the organizational structure and the relations within political parties, including the nominating procedures for the candidate selection for general elections. The manner in which parties fulfill their recruiting function and, eventually, the quality of the political and the governing elite in a “party” state directly depends on these procedures. Typologically, there are differences between the nomina...

  7. [Euthanasia: medications and medical procedures].

    Science.gov (United States)

    Lossignol, D

    2008-09-01

    The Belgian law relative to euthanasia has been published in 2002. A physician is allowed to help a patient with intractable suffering (physical or psychological). Legal conditions are clear. However, nothing is said about medical procedures or medications to be used. The present paper will present specific clinical situations at the end of life, practical procedures and medications. A special focus is made on psychological impact of euthanasia.

  8. Safety analysis procedures for PHWR

    Energy Technology Data Exchange (ETDEWEB)

    Min, Byung Joo; Kim, Hyoung Tae; Yoo, Kun Joong

    2004-03-01

    The methodology of safety analyses for CANDU reactors in Canada, a vendor country, uses a combination of best-estimate physical models and conservative input parameters so as to minimize the uncertainty of the plant behavior predictions. As using the conservative input parameters, the results of the safety analyses are assured the regulatory requirements such as the public dose, the integrity of fuel and fuel channel, the integrity of containment and reactor structures, etc. However, there is not the comprehensive and systematic procedures for safety analyses for CANDU reactors in Korea. In this regard, the development of the safety analyses procedures for CANDU reactors is being conducted not only to establish the safety analyses system, but also to enhance the quality assurance of the safety assessment. In the first phase of this study, the general procedures of the deterministic safety analyses are developed. The general safety procedures are covered the specification of the initial event, selection of the methodology and accident sequences, computer codes, safety analysis procedures, verification of errors and uncertainties, etc. Finally, These general procedures of the safety analyses are applied to the Large Break Loss Of Coolant Accident (LBLOCA) in Final Safety Analysis Report (FSAR) for Wolsong units 2, 3, 4.

  9. Collected radiochemical and geochemical procedures

    Energy Technology Data Exchange (ETDEWEB)

    Kleinberg, J [comp.

    1990-05-01

    This revision of LA-1721, 4th Ed., Collected Radiochemical Procedures, reflects the activities of two groups in the Isotope and Nuclear Chemistry Division of the Los Alamos National Laboratory: INC-11, Nuclear and radiochemistry; and INC-7, Isotope Geochemistry. The procedures fall into five categories: I. Separation of Radionuclides from Uranium, Fission-Product Solutions, and Nuclear Debris; II. Separation of Products from Irradiated Targets; III. Preparation of Samples for Mass Spectrometric Analysis; IV. Dissolution Procedures; and V. Geochemical Procedures. With one exception, the first category of procedures is ordered by the positions of the elements in the Periodic Table, with separate parts on the Representative Elements (the A groups); the d-Transition Elements (the B groups and the Transition Triads); and the Lanthanides (Rare Earths) and Actinides (the 4f- and 5f-Transition Elements). The members of Group IIIB-- scandium, yttrium, and lanthanum--are included with the lanthanides, elements they resemble closely in chemistry and with which they occur in nature. The procedures dealing with the isolation of products from irradiated targets are arranged by target element.

  10. Fairness That Money Can Buy. Procedural Egalitarianism in Practice

    Directory of Open Access Journals (Sweden)

    Werner Gueth

    2013-01-01

    Full Text Available Contrary to communitarian market criticism institutions relying on money and bidding can strengthen faculties of 'self-governance'. Securing procedurally egalitarian bidding on the basis of declared monetary evaluations guarantees that all realized changes of a status quo are in an 'objective' (pecuniary sense equally advantageous for all members of the community. We show how to use this idea in the context of Elinor Ostrom type common(s projects. Empirical evidence on 'procedurally fair bidding' is presented. The practical scope and limits of procedural egalitarianism need further empirical exploration but money may be the best means to express moral values in 'communitarian consent'.

  11. Two-step procedures in Palm theory

    Directory of Open Access Journals (Sweden)

    Gert Nieuwenhuis

    2001-01-01

    Full Text Available Random time changes (RTCs are right-continuous and non-decreasing random functions passing the zero-level at 0. The behavior of such systems can be studied from a randomly chosen time-point and from a randomly chosen level. From the first point of view, the probability characteristics are described by the time-stationary distribution P. From the second point of view, the detailed Palm distribution (DPD is the ruling probability mechanism. The main topic of the present paper is a relationship between P and its DPD. Under P, the origin falls in a continuous part of the graph. Under the DPD, there are two typical situations: the origin lies in a jump-part of the extended graph or it lies in a continuous part. These observations lead to two conditional DPDs. We derive two-step procedures, which bridge the gaps between the several distributions. One step concerns the application of a shift, the second is just a change of measure arranged by a weight-function. The procedures are used to derive local characterization results for the distributions of Palm type. We also consider simulation applications. For instance, a procedure is mentioned to generate a simulation of the RTC as seen from a randomly chosen level in a jump-part when starting with simulations from a randomly chosen time-point. The point process with batch-arrivals is often used as an application.

  12. Windprofiler optimization using digital deconvolution procedures

    Science.gov (United States)

    Hocking, W. K.; Hocking, A.; Hocking, D. G.; Garbanzo-Salas, M.

    2014-10-01

    Digital improvements to data acquisition procedures used for windprofiler radars have the potential for improving the height coverage at optimum resolution, and permit improved height resolution. A few newer systems already use this capability. Real-time deconvolution procedures offer even further optimization, and this has not been effectively employed in recent years. In this paper we demonstrate the advantages of combining these features, with particular emphasis on the advantages of real-time deconvolution. Using several multi-core CPUs, we have been able to achieve speeds of up to 40 GHz from a standard commercial motherboard, allowing data to be digitized and processed without the need for any type of hardware except for a transmitter (and associated drivers), a receiver and a digitizer. No Digital Signal Processor chips are needed, allowing great flexibility with analysis algorithms. By using deconvolution procedures, we have then been able to not only optimize height resolution, but also have been able to make advances in dealing with spectral contaminants like ground echoes and other near-zero-Hz spectral contamination. Our results also demonstrate the ability to produce fine-resolution measurements, revealing small-scale structures within the backscattered echoes that were previously not possible to see. Resolutions of 30 m are possible for VHF radars. Furthermore, our deconvolution technique allows the removal of range-aliasing effects in real time, a major bonus in many instances. Results are shown using new radars in Canada and Costa Rica.

  13. The Case for Laboratory Developed Procedures

    Science.gov (United States)

    Sabatini, Linda M.; Tsongalis, Gregory J.; Caliendo, Angela M.; Olsen, Randall J.; Ashwood, Edward R.; Bale, Sherri; Benirschke, Robert; Carlow, Dean; Funke, Birgit H.; Grody, Wayne W.; Hayden, Randall T.; Hegde, Madhuri; Lyon, Elaine; Pessin, Melissa; Press, Richard D.; Thomson, Richard B.

    2017-01-01

    An explosion of knowledge and technology is revolutionizing medicine and patient care. Novel testing must be brought to the clinic with safety and accuracy, but also in a timely and cost-effective manner, so that patients can benefit and laboratories can offer testing consistent with current guidelines. Under the oversight provided by the Clinical Laboratory Improvement Amendments, laboratories have been able to develop and optimize laboratory procedures for use in-house. Quality improvement programs, interlaboratory comparisons, and the ability of laboratories to adjust assays as needed to improve results, utilize new sample types, or incorporate new mutations, information, or technologies are positive aspects of Clinical Laboratory Improvement Amendments oversight of laboratory-developed procedures. Laboratories have a long history of successful service to patients operating under Clinical Laboratory Improvement Amendments. A series of detailed clinical examples illustrating the quality and positive impact of laboratory-developed procedures on patient care is provided. These examples also demonstrate how Clinical Laboratory Improvement Amendments oversight ensures accurate, reliable, and reproducible testing in clinical laboratories. PMID:28815200

  14. The Case for Laboratory Developed Procedures

    Directory of Open Access Journals (Sweden)

    Karen L. Kaul MD, PhD

    2017-07-01

    Full Text Available An explosion of knowledge and technology is revolutionizing medicine and patient care. Novel testing must be brought to the clinic with safety and accuracy, but also in a timely and cost-effective manner, so that patients can benefit and laboratories can offer testing consistent with current guidelines. Under the oversight provided by the Clinical Laboratory Improvement Amendments, laboratories have been able to develop and optimize laboratory procedures for use in-house. Quality improvement programs, interlaboratory comparisons, and the ability of laboratories to adjust assays as needed to improve results, utilize new sample types, or incorporate new mutations, information, or technologies are positive aspects of Clinical Laboratory Improvement Amendments oversight of laboratory-developed procedures. Laboratories have a long history of successful service to patients operating under Clinical Laboratory Improvement Amendments. A series of detailed clinical examples illustrating the quality and positive impact of laboratory-developed procedures on patient care is provided. These examples also demonstrate how Clinical Laboratory Improvement Amendments oversight ensures accurate, reliable, and reproducible testing in clinical laboratories.

  15. The attractor mechanism as a distillation procedure

    CERN Document Server

    Lévay, Péter

    2010-01-01

    In a recent paper it has been shown that for double extremal static spherically symmetric BPS black hole solutions in the STU model the well-known process of moduli stabilization at the horizon can be recast in a form of a distillation procedure of a three-qubit entangled state of GHZ-type. By studying the full flow in moduli space in this paper we investigate this distillation procedure in more detail. We introduce a three-qubit state with amplitudes depending on the conserved charges the warp factor, and the moduli. We show that for the recently discovered non-BPS solutions it is possible to see how the distillation procedure unfolds itself as we approach the horizon. For the non-BPS seed solutions at the asymptotically Minkowski region we are starting with a three-qubit state having seven nonequal nonvanishing amplitudes and finally at the horizon we get a GHZ state with merely four nonvanishing ones with equal magnitudes. The magnitude of the surviving nonvanishing amplitudes is proportional to the macros...

  16. Type Inference of Turbo Pascal

    DEFF Research Database (Denmark)

    Hougaard, Ole Ildsgaard; Schwartzbach, Michael I; Askari, Hosein

    1995-01-01

    of Turbo Pascal. It has the form of a preprocessor that analyzes programs in which the type annotations are only partial or even absent. The resulting program has full type annotations, will be accepted by the standard Turbo Pascal compiler, and has polymorphic use of procedures resolved by means of code...

  17. Procedural Personas for Player Decision Modeling and Procedural Content Generation

    DEFF Research Database (Denmark)

    Holmgård, Christoffer

    2016-01-01

    ." These methods for constructing procedural personas are then integrated with existing procedural content generation systems, acting as critics that shape the output of these systems, optimizing generated content for different personas and by extension, different kinds of players and their decision making styles....... This thesis explores methods for creating low-complexity, easily interpretable, generative AI agents for use in game and simulation design. Based on insights from decision theory and behavioral economics, the thesis investigates how player decision making styles may be defined, operationalised, and measured...... in specific games. It further explores how simple utility functions, easily defined and changed by game designers, can be used to construct agents expressing a variety of decision making styles within a game, using a variety of contemporary AI approaches, naming the resulting agents "Procedural Personas...

  18. Session Types = Intersection Types + Union Types

    CERN Document Server

    Padovani, Luca

    2011-01-01

    We propose a semantically grounded theory of session types which relies on intersection and union types. We argue that intersection and union types are natural candidates for modeling branching points in session types and we show that the resulting theory overcomes some important defects of related behavioral theories. In particular, intersections and unions provide a native solution to the problem of computing joins and meets of session types. Also, the subtyping relation turns out to be a pre-congruence, while this is not always the case in related behavioral theories.

  19. Expertise of body injuries in criminal procedure.

    Science.gov (United States)

    Gutevska, A; Cakar, Z; Duma, A; Poposka, V

    2008-10-01

    In the every day practice of answering questions from the area of medicine, today there is growing need for forensic medical expertise of body injuries in the criminal procedure. Furthermore, when qualifying the body injury, the expert must possess knowledge and experience not only medical, but also he/she must be aware of the legal requirements and norms from the Code of Criminal Procedure and the Criminal Code of R. Macedonia. This will enable the expert to contribute to explanation and clarification of certain facts and issues related to the body injury. In this paper, by citing Articles 255 and 256 from the Code of Criminal Procedure, it is explained how expert can be adequately selected by the court. In addition to this, by citing Article 271 from the aforementioned Code, a way of analysing body injuries is defined; and finally, defining of body injuries is explained through citing of Article 130 and 131 from the Criminal Code of R. Macedonia, which is regarding body injury and grave body injury. The aim of this paper is to outline the method of performing these forensic medical expertises, i.e. by who and when can expertise of body injuries be asked and moreover, what is the legal and ethical responsiblity of the expert during the execution of the expertise. Additionally, the steps that the expert should follow when preparing a written statement and opinion for the type of the body injury are explained. More specifically, emphasis is placed on expert's requirements after examination of injured individual; after revision of the medical documentation during expertise of body injuries in criminal subjects; and providing oral statement and opinion during the criminal procedure.

  20. Expertise in bodily injuries in criminal procedure.

    Science.gov (United States)

    Gutevska, A; Cakar, Z; Duma, A; Poposka, V

    2008-07-01

    In the day-to-day practice of answering questions from the area of medicine today, there is a growing need for forensic medical expertise in bodily injuries in criminal procedure. Furthermore, when qualifying a bodily injury, the expert must possess knowledge and experience not only medical, but s/he must also be aware of the legal requirements and norms of the Code of Criminal Procedure and the Criminal Code of R. Macedonia. This will enable the expert to contribute to the explanation and clarification of certain facts and issues relating to the bodily injury. In this paper, by citing Articles 255 and 256 of the Code of Criminal Procedure, it is explained how an expert can be appropriately selected by the court. In addition to this, by citing Article 271 of the afore-mentioned Code, a way of analysing bodily injuries is defined; and finally, the definition of bodily injuries is explained through citing Articles 130 and 131 of the Criminal Code of R. Macedonia, relating to bodily injury and grave bodily injury. The aim of this paper is to outline the method of performing this forensic medical expertise, i.e. by whom and when can expertise in bodily injuries be sought and, moreover, what is the legal and ethical responsibility of the expert during the execution of the expertise. Additionally, the steps that the expert should follow when preparing a written statement and opinion on the type of the bodily injury are explained. More specifically, emphasis is placed on the expert's requirements after examination of the injured individual; after revision of the medical documentation during expert assessment of bodily injuries in the case of criminal subjects; and providing oral statements and opinions during the criminal procedure.

  1. Designing Flightdeck Procedures: Literature Resources

    Science.gov (United States)

    Feldman, Jolene; Barshi, Immanuel; Degani, Asaf; Loukopoulou, Loukia; Mauro, Robert

    2017-01-01

    This technical publication contains the titles, abstracts, summaries, descriptions, and/or annotations of available literature sources on procedure design and development, requirements, and guidance. It is designed to provide users with an easy access to available resources on the topic of procedure design, and with a sense of the contents of these sources. This repository of information is organized into the following publication sources: Research (e.g., journal articles, conference proceedings), Manufacturers' (e.g., operation manuals, newsletters), and Regulatory and/or Government (e.g., advisory circulars, reports). An additional section contains synopses of Accident/Incident Reports involving procedures. This work directly supports a comprehensive memorandum by Barshi, Mauro, Degani, & Loukopoulou (2016) that summarizes the results of a multi-year project, partially funded by the FAA, to develop technical reference materials that support guidance on the process of developing cockpit procedures (see "Designing Flightdeck Procedures" https://ntrs.nasa.gov/archive/nasa/casi.ntrs.nasa.gov/20160013263.pdf). An extensive treatment of this topic is presented in a forthcoming book by the same authors.

  2. Photovoltaic module energy rating procedure. Final subcontract report

    Energy Technology Data Exchange (ETDEWEB)

    Whitaker, C.M.; Newmiller, J.D. [Endecon Engineering (United States)

    1998-01-01

    This document describes testing and computation procedures used to generate a photovoltaic Module Energy Rating (MER). The MER consists of 10 estimates of the amount of energy a single module of a particular type (make and model) will produce in one day. Module energy values are calculated for each of five different sets of weather conditions (defined by location and date) and two load types. Because reproduction of these exact testing conditions in the field or laboratory is not feasible, limited testing and modeling procedures and assumptions are specified.

  3. 14 CFR 21.31 - Type design.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Type design. 21.31 Section 21.31... PROCEDURES FOR PRODUCTS AND PARTS Type Certificates § 21.31 Type design. The type design consists of— (a) The... configuration and the design features of the product shown to comply with the requirements of that part of...

  4. 76 FR 971 - Energy Conservation Program for Consumer Products: Test Procedures for Clothes Dryers and Room...

    Science.gov (United States)

    2011-01-06

    ...) Standard HLD-1-1974, ``AHAM Performance Evaluation Procedure for Household Tumble Type Clothes Dryers... Consumption of Household Tumble Type Clothes Dryers'' December 1975 (AHAM Standard HLD-2EC). The test... test procedure additional language based on provisions from European Standard EN 61121, ``Tumble...

  5. 31 CFR 547.801 - Procedures.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Procedures. 547.801 Section 547.801 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN... Procedures § 547.801 Procedures. For license application procedures and procedures relating to amendments...

  6. Knowledge expression and reasoning process in an expert system for welding procedure qualification

    Institute of Scientific and Technical Information of China (English)

    Zhang Jianxun; Wang Hongyu; Song Xu

    2007-01-01

    After analyzing the welding procedure knowledge in Chinese national standards for welding procedure qualification of steel pressure vessel from the point of establishing expert system, it can be divided into five types of knowledge, i.e. practice, definition, regularity, process and description knowledge. The knowledge expression methods are established according to the different type of welding procedure knowledge. The reasoning process based on rule is adopted. And the reasoning engine is embedded among objects integrated with the knowledge base.

  7. Complications of the Latarjet procedure.

    Science.gov (United States)

    Gupta, Ashish; Delaney, Ruth; Petkin, Kalojan; Lafosse, Laurent

    2015-03-01

    The Latarjet procedure is an operation performed either arthroscopically or open for recurrent anterior shoulder instability, in the setting of glenoid bone loss; with good to excellent functional results. Despite excellent clinical results, the complication rates are reported between 15 and 30 %. Intraoperative complications such as graft malpositioning, neurovascular injury, and graft fracture can all be mitigated with meticulous surgical technique and understanding of the local anatomy. Nonunion and screw breakage are intermediate-term complications that occur in less than 5 % of patients. The long-term complications such as graft osteolysis are still an unsolved problem, and future research is required to understand the etiology and best treatment option. Recurrent instability after the Latarjet procedure can be managed with iliac crest bone graft reconstruction of the anterior glenoid. Shoulder arthritis is another complication reported after the Latarjet procedure, which poses additional challenges to both the surgeon and patient.

  8. New procedure for departure formalities

    CERN Multimedia

    HR & GS Departments

    2011-01-01

    As part of the process of simplifying procedures and rationalising administrative processes, the HR and GS Departments have introduced new personalised departure formalities on EDH. These new formalities have applied to students leaving CERN since last year and from 17 October 2011 this procedure will be extended to the following categories of CERN personnel: Staff members, Fellows and Associates. It is planned to extend this electronic procedure to the users in due course. What purpose do departure formalities serve? The departure formalities are designed to ensure that members of the personnel contact all the relevant services in order to return any necessary items (equipment, cards, keys, dosimeter, electronic equipment, books, etc.) and are aware of all the benefits to which they are entitled on termination of their contract. The new departure formalities on EDH have the advantage of tailoring the list of services that each member of the personnel must visit to suit his individual contractual and p...

  9. Radiation control standards and procedures

    Energy Technology Data Exchange (ETDEWEB)

    1956-12-14

    This manual contains the Radiation Control Standards'' and Radiation Control Procedures'' at Hanford Operations which have been established to provide the necessary control radiation exposures within Irradiation Processing Department. Provision is also made for including, in the form of Bulletins'', other radiological information of general interest to IPD personnel. The purpose of the standards is to establish firm radiological limits within which the Irradiation Processing Department will operate, and to outline our radiation control program in sufficient detail to insure uniform and consistent application throughout all IPD facilities. Radiation Control Procedures are intended to prescribe the best method of accomplishing an objective within the limitations of the Radiation Control Standards. A procedure may be changed at any time provided the suggested changes is generally agreeable to management involved, and is consistent with department policies and the Radiation Control Standards.

  10. Procedural Aspects Regarding International Arbitration

    Directory of Open Access Journals (Sweden)

    Berlingher Remus Daniel

    2015-07-01

    Full Text Available Socio-economic changes have led to significant changes with regard to the institutions regulated by the 1865 Code of Civil Procedure and other laws, such as Law no. 105/1992 on the regulation of private international law. Among the institutions that have undergone these reconfigurations in the regulation of the Code of Civil Procedure, which entered into force in 2013, one that stands out is arbitration. Our study will analyze the main aspects of private international law arbitration: arbitration agreement, the arbitral tribunal, the proceedings in the matter, as well as the recognition and enforcement of foreign arbitral awards

  11. Interventional chest procedures in pregnancy.

    LENUS (Irish Health Repository)

    Morgan, Ross K

    2012-02-01

    Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for which these interventions have a role are malignant and nonmalignant airway disease, pleural effusion, pneumothorax, and artificial airways. There are no data from well-designed prospective trials to guide recommendations for interventional pulmonary procedures in pregnancy. The recommendations provided in this article are based on critical review of reported case series, opinion from recognized experts, and personal observations.

  12. Interventional chest procedures in pregnancy.

    LENUS (Irish Health Repository)

    Morgan, Ross K

    2011-03-01

    Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for which these interventions have a role are malignant and nonmalignant airway disease, pleural effusion, pneumothorax, and artificial airways. There are no data from well-designed prospective trials to guide recommendations for interventional pulmonary procedures in pregnancy. The recommendations provided in this article are based on critical review of reported case series, opinion from recognized experts, and personal observations.

  13. Effects of different types and concentration of oral sweet solution on reducing neonatal pain during heel lance procedures%口服不同种类和浓度的甜味剂对新生儿足跟采血所致疼痛的影响

    Institute of Scientific and Technical Information of China (English)

    冷虹瑶; 郑显兰; 颜莉; 张先红; 何华云; 项明

    2013-01-01

    Objective To compare the effect of different types and concentrations of sweet solutions on neonatal pain during heel lance procedure.Method Totally 560 full term neonates (male 295,female 265) were randomized into 7 groups:placebo group (plain water),10% glucose,25% glucose,50% glucose,12% sucrose,24% sucrose and 30% sucrose groups.In each group,2 ml corresponding oral solutions were administered through a syringe by dripping into the neonate's mouth 2 minute before heel lance.The procedure process was recorded by videos,from which to collect heart rate,oxygen saturation and pain score 1 min before puncture,3,5 and 10 min after puncture.Result The average heart rate increase 3,5 and 10 min after procedure in the 25% and 50% glucose groups,12% and 24% and 30% sucrose groups was significantly lower than those in the placebo group (P < 0.01 or 0.05).The average heart rate increase 3 min after procedure in the sucrose group was lower than that in the glucose group (P <0.01).Neonates who received 30% sucrose has a significantly lower average heart rate increase than those who received 12% and 24% sucrose 3 min after heel lance (both P < 0.05).The average oxygen saturation decrease 3,5,10 min after procedure was significantly lower than those in the placebo group (P < 0.01).The average oxygen saturation decrease 3 min after procedure in the sucrose groups was significantly lower than that in the glucose groups (P < 0.01).The average pain score 3,5,10 min after procedure was significantly lower than those in the placebo group (P < 0.01).The average pain score 3 min after procedure in the sucrose groups was significantly lower than that in the glucose groups (P < 0.01).Conclusion Oral administration of sweet solutions is an effective way to relieve neonatal pain on procedure,and sucrose has a better pain relief action than glucose,moreover,30% sucrose provides better effect in control of heart rate increase 3 min after heel

  14. In-office vs. operating room procedures for recurrent respiratory papillomatosis.

    Science.gov (United States)

    Miller, Anya J; Gardner, Glendon M

    2017-01-01

    We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

  15. FFTF operations procedures preparation guide. Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    1976-12-01

    The Guide is intended to provide guidelines for the initial preparation of FFTF Operating Procedures. The Procedures Preparation Guide was developed from the plan presented and approved in the FFTF Reactor Plant Procedures Plan, PC-1, Revision 3.

  16. Illustration of a Learning Procedure.

    Science.gov (United States)

    Borghouts-van Erp, J. W. M.

    The paper describes evolution of an approach to teaching mathematically disabled and slow learning students through a Piagetian framework. It is explained that a step-by-step procedure is used to internalize material actions into mental actions via perception and verbalization. Formulae are introduced early, and emphasis is placed on promoting…

  17. Validation procedures in computerized dentistry

    NARCIS (Netherlands)

    Vlaar, S.T.

    2012-01-01

    In de laatste tien jaar zijn veel handmatige procedures in de restauratieve tandheelkunde vervangen door de computer. De hapafdruk van de tandarts bijvoorbeeld wordt steeds meer vervangen door een optische afdruk met een scanner. Deze nieuwe techniek vraagt om een zorgvuldige validatie. Simon Vlaar

  18. 77 FR 34186 - Appeal Procedures

    Science.gov (United States)

    2012-06-11

    ... appeal procedures as required by Title II of the Federal Crop Insurance Reform and Department of... Insurance Reform and Department of Agriculture Reorganization Act of 1994 The Federal Crop Insurance Reform... including Flood Plain Easements; (iii) Great Lakes Restoration Initiative; (iv) Healthy Forest Reserve...

  19. Postoperative Complications of Beger Procedure

    Directory of Open Access Journals (Sweden)

    Nayana Samejima Peternelli

    2015-01-01

    Full Text Available Introduction. Chronic pancreatitis (CP is considered an inflammatory disease that may cause varying degrees of pancreatic dysfunction. Conservative and surgical treatment options are available depending on dysfunction severity. Presentation of Case. A 36-year-old male with history of heavy alcohol consumption and diagnosed CP underwent a duodenal-preserving pancreatic head resection (DPPHR or Beger procedure after conservative treatment failure. Refractory pain was reported on follow-up three months after surgery and postoperative imaging uncovered stones within the main pancreatic duct and intestinal dilation. The patient was subsequently subjected to another surgical procedure and intraoperative findings included protein plugs within the main pancreatic duct and pancreaticojejunal anastomosis stricture. A V-shaped enlargement and main pancreatic duct dilation in addition to the reconstruction of the previous pancreaticojejunal anastomosis were performed. The patient recovered with no further postoperative complications in the follow-up at an outpatient clinic. Discussion. Main duct and pancreaticojejunal strictures are an unusual complication of the Beger procedure but were identified intraoperatively as the cause of patient’s refractory pain and explained intraductal protein plugs accumulation. Conclusion. Patients that undergo Beger procedures should receive close outpatient clinical follow-up in order to guarantee postoperative conservative treatment success and therefore guarantee an early detection of postoperative complications.

  20. Environmental Impact Assessment: A Procedure.

    Science.gov (United States)

    Stover, Lloyd V.

    Prepared by a firm of consulting engineers, this booklet outlines the procedural "whys and hows" of assessing environmental impact, particularly for the construction industry. Section I explores the need for environmental assessment and evaluation to determine environmental impact. It utilizes a review of the National Environmental Policy Act and…

  1. Toddler test or procedure preparation

    Science.gov (United States)

    ... care for other siblings or meals for the family so you can focus on supporting your child. Other considerations: Your child will probably resist the procedure and may even try to run away. A firm, direct approach from you and the health care ...

  2. Security procedures in wireless networks

    Institute of Scientific and Technical Information of China (English)

    郑光

    2009-01-01

    In the paper, we will introduce the mechanisms and the weaknesses of the Wired Equivalent Privacy (WEP) and 802.1 li security procedures in the wireless networks. After that, the Wi-Fi Protected Access (WPA), a standards-based security mechanism that can eliminate most of 802.11 security problems will be introduced.

  3. Computer-Based Procedures for Field Workers in Nuclear Power Plants: Development of a Model of Procedure Usage and Identification of Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Katya Le Blanc; Johanna Oxstrand

    2012-04-01

    The nuclear industry is constantly trying to find ways to decrease the human error rate, especially the human errors associated with procedure use. As a step toward the goal of improving procedure use performance, researchers, together with the nuclear industry, have been looking at replacing the current paper-based procedures with computer-based procedure systems. The concept of computer-based procedures is not new by any means; however most research has focused on procedures used in the main control room. Procedures reviewed in these efforts are mainly emergency operating procedures and normal operating procedures. Based on lessons learned for these previous efforts we are now exploring a more unknown application for computer based procedures - field procedures, i.e. procedures used by nuclear equipment operators and maintenance technicians. The Idaho National Laboratory and participants from the U.S. commercial nuclear industry are collaborating in an applied research effort with the objective of developing requirements and specifications for a computer-based procedure system to be used by field workers. The goal is to identify the types of human errors that can be mitigated by using computer-based procedures and how to best design the computer-based procedures to do so. This paper describes the development of a Model of Procedure Use and the qualitative study on which the model is based. The study was conducted in collaboration with four nuclear utilities and five research institutes. During the qualitative study and the model development requirements and for computer-based procedures were identified.

  4. Scapular dyskinesis after Latarjet procedure.

    Science.gov (United States)

    Carbone, Stefano; Moroder, Philipp; Runer, Armin; Resch, Herbert; Gumina, Stefano; Hertel, Ralph

    2016-03-01

    Because of detachment of the pectoralis minor and variation of the vector of the conjoint tendons, we hypothesized that the Latarjet procedure may alter scapular position and motion. The purpose of this study was to evaluate scapular position and motion in patients who underwent a Latarjet or a modified iliac crest bone graft transfer (ICBGT) procedure (J-bone graft). Forty-six consecutive patients treated for recurrent anterior shoulder dislocation between 2010 and 2012 were retrospectively enrolled. Twenty-three were treated with a Latarjet and 23 with an ICBGT procedure. Twenty Latarjet and 20 ICBGT patients were available at a mean follow-up of 20 months (min, 12; max, 60). We recorded the Western Ontario Instability Index, the Rowe Score, and the Subjective Shoulder Value. Scapulothoracic position was studied according to the dyskinesis yes/no method. Intraobserver and interobserver reliability of the dyskinesis assessment was assessed. Intraobserver and interobserver reliability of scapula dyskinesis assessment was high (Latarjet: intratester, κ = 0.84; intertester, κ = 0.75; ICBGT: intratester, κ = 0.78; intertester, κ = 0.71). Scapular dyskinesis was observed after 5 of 20 Latarjet and after 0 of 20 ICBGT procedures (P = .047). Patients with dyskinesis had lower scores (Western Ontario Instability Index, P = .043; Rowe, P = .047; Subjective Shoulder Value, P = .046), but no statistically significant difference was found between the Latarjet and ICBGT groups. Two of the 5 scapular dyskinesis patients reached the SICK (Scapular malposition, Inferior medial scapular winging, Coracoid tenderness, and scapular dysKinesis) scapula syndrome definition. Scapular dyskinesis was found in 5 of 20 patients who underwent a Latarjet procedure. Dyskinesis may be related to the detachment of the pectoralis minor, and variation of the vector and the working length of the coracobrachialis and the short head of the biceps. Copyright © 2016 Journal of Shoulder and Elbow

  5. Arthroscopic latarjet procedure: safety evaluation in cadavers

    National Research Council Canada - National Science Library

    Gracitelli, Mauro Emilio Conforto; Ferreira, Arnaldo Amado; Benegas, Eduardo; Malavolta, Eduardo Angeli; Sunada, Edwin Eiji; Assunção, Jorge Henrique

    2013-01-01

    To evaluate the safety of arthroscopic Latarjet procedure in cadavers. : Twelve cadaveric shoulders underwent arthroscopic Latarjet procedure in our laboratory for arthroscopy, by four different surgeons...

  6. A two-step procedure of fractal analysis

    Science.gov (United States)

    Dedovich, T. G.; Tokarev, M. V.

    2016-03-01

    A two-step procedure for the analysis of different-type fractals is proposed for the PaC and SePaC methods. An advantage of the two-step procedures of the PaC and SePaC methods over the basic and modified PaC and SePaC methods is shown. Results of comparative analysis of the unified data set using different approaches (the BC method and two-step procedures of the PaC and SePaC methods) are given. It is shown that the two-step procedure of the SePaC method is most efficient in reconstructing the overall data set.

  7. Type-indexed data types

    OpenAIRE

    Hinze, R.; Jeuring, J.T.; Löh, A.

    2004-01-01

    A polytypic function is a function that can be instantiated on many data types to obtain data type specific functionality. Examples of polytypic functions are the functions that can be derived in Haskell, such as show, read, and ‘==’.More advanced examples are functions for digital searching, pattern matching, unification, rewriting, and structure editing. For each of these problems, we not only have to define polytypic functionality, but also a type-indexed data type: a data type that is con...

  8. Time Impact of Expanded Process Control Procedures (EPCP)

    Science.gov (United States)

    2014-06-01

    than the Organizational maintenance. Depot maintenance occurs in the manufacturer’s specialized shops . This type of work is generally the most...EXPANDED PROCESS CONTROL PROCEDURES (EPCP) by Jeremy C. Joseph June 2014 Thesis Advisor: Gary O. Langford Second Reader: Diana I. Angelis...

  9. Procedures for monitoring recombinant erythropoietin and analogs in doping.

    Science.gov (United States)

    Lamon, Séverine; Robinson, Neil; Saugy, Martial

    2010-03-01

    Hemoglobin concentration is one of the principal factors of aerobic power and, consequently, of performance in many types of physical activities. The use of recombinant human erythropoietin is, therefore, particularly powerful for improving the physical performances of patients, and, more generally, improving their quality of life. This article discusses procedures for monitoring recombinant erythropoietin and its analogues in doping for athletic performance.

  10. Diagnosis with near infrared spectroscopy during minimally invasive procedures

    NARCIS (Netherlands)

    R. Nachabé (Rami)

    2012-01-01

    textabstract The goal of this dissertation is to present the potential of diffuse optical spectroscopy technique to characterize and differentiate types of tissue, including dysplastic and cancerous tissues, when measuring the tissue spectra during a surgical or an interventional procedure under med

  11. 78 FR 8964 - Environmental Impact and Related Procedures

    Science.gov (United States)

    2013-02-07

    ...-AB03 Environmental Impact and Related Procedures AGENCY: Federal Transit Administration (FTA), Federal... environmental assessment or an environmental impact statement. DATES: Effective on February 7, 2013. FOR FURTHER... the list of project types that normally result in the preparation of an Environmental Impact Statement...

  12. Using GOMS models and hypertext to create representations of medical procedures for online display

    Science.gov (United States)

    Gugerty, Leo; Halgren, Shannon; Gosbee, John; Rudisill, Marianne

    1991-01-01

    This study investigated two methods to improve organization and presentation of computer-based medical procedures. A literature review suggested that the GOMS (goals, operators, methods, and selecton rules) model can assist in rigorous task analysis, which can then help generate initial design ideas for the human-computer interface. GOMS model are hierarchical in nature, so this study also investigated the effect of hierarchical, hypertext interfaces. We used a 2 x 2 between subjects design, including the following independent variables: procedure organization - GOMS model based vs. medical-textbook based; navigation type - hierarchical vs. linear (booklike). After naive subjects studies the online procedures, measures were taken of their memory for the content and the organization of the procedures. This design was repeated for two medical procedures. For one procedure, subjects who studied GOMS-based and hierarchical procedures remembered more about the procedures than other subjects. The results for the other procedure were less clear. However, data for both procedures showed a 'GOMSification effect'. That is, when asked to do a free recall of a procedure, subjects who had studies a textbook procedure often recalled key information in a location inconsistent with the procedure they actually studied, but consistent with the GOMS-based procedure.

  13. Blood Types

    Science.gov (United States)

    ... blood, safe blood transfusions depend on careful blood typing and cross-matching. The ABO Blood Group System ... that provided by the ABO positive/negative blood typing. For example, sometimes if the donor and recipient ...

  14. Blood typing

    Science.gov (United States)

    A blood sample is needed. The test to determine your blood group is called ABO typing. Your blood sample is mixed with antibodies against type A and B blood. Then, the sample is checked to see whether ...

  15. Structured programming: Principles, notation, procedure

    Science.gov (United States)

    JOST

    1978-01-01

    Structured programs are best represented using a notation which gives a clear representation of the block encapsulation. In this report, a set of symbols which can be used until binding directives are republished is suggested. Structured programming also allows a new method of procedure for design and testing. Programs can be designed top down, that is, they can start at the highest program plane and can penetrate to the lowest plane by step-wise refinements. The testing methodology also is adapted to this procedure. First, the highest program plane is tested, and the programs which are not yet finished in the next lower plane are represented by so-called dummies. They are gradually replaced by the real programs.

  16. Regenerative Endodontic Procedures: Clinical Outcomes.

    Science.gov (United States)

    Diogenes, Anibal; Ruparel, Nikita B

    2017-01-01

    Immature teeth are at risk for pulp necrosis, resulting in arrested root development and poor long-term prognosis. There is growing evidence that regenerative endodontic procedures promote desirable clinical outcomes. Despite significant advances in the field of regenerative endodontics and acceptable clinical outcomes, current evidence suggests that the tissues formed following currently used procedures do not completely recapitulate the former pulp-dentin complex. Further research is needed to identify prognostic factors and predictors of successful outcomes and to develop different treatment strategies to better predictably achieve all identified clinical outcomes, while favoring tissue formation that more closely resembles the pulp-dentin complex. Copyright © 2016. Published by Elsevier Inc.

  17. Aesthetic Surgical Crown Lengthening Procedure.

    Science.gov (United States)

    de Oliveira, Pablo Santos; Chiarelli, Fabio; Rodrigues, José A; Shibli, Jamil A; Zizzari, Vincenzo Luca; Piattelli, Adriano; Iezzi, Giovanna; Perrotti, Vittoria

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

  18. Aesthetic Surgical Crown Lengthening Procedure

    OpenAIRE

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most h...

  19. Aesthetic Surgical Crown Lengthening Procedure

    Science.gov (United States)

    de Oliveira, Pablo Santos; Chiarelli, Fabio; Rodrigues, José A.; Shibli, Jamil A.; Zizzari, Vincenzo Luca; Piattelli, Adriano; Iezzi, Giovanna; Perrotti, Vittoria

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment. PMID:26609452

  20. Aesthetic Surgical Crown Lengthening Procedure

    Directory of Open Access Journals (Sweden)

    Pablo Santos de Oliveira

    2015-01-01

    Full Text Available The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey, crown lengthening is the most habitual surgical periodontal treatment.

  1. Flexible Execution of Cognitive Procedures.

    Science.gov (United States)

    1987-06-30

    Rosenbloom. P. (1988). Symbolic Architectures. In Posner, M. (Ed.), FoundatiCns of Cogniive Science . Cambridge. MKA MIT Press. In preparation. Nii. P. , 1986...Procedures 00 Technical Report PCG-5 14 Kurt VanLehn and William Ball Departments of Psychology and Computer Science Carnegie-Mellon University...Psychology and Computer Science Carnegie-Mellon University Pittsburgh, PA 15213 U.S.A 30 June 1987 Running head: Flexible Execution of Cognitive

  2. Procedures for restoring vestibular disorders

    OpenAIRE

    2005-01-01

    This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vert...

  3. Surface Environmental Surveillance Procedures Manual

    Energy Technology Data Exchange (ETDEWEB)

    RW Hanf; TM Poston

    2000-09-20

    Environmental surveillance data are used in assessing the impact of current and past site operations on human health and the environment, demonstrating compliance with applicable local, state, and federal environmental regulations, and verifying the adequacy of containment and effluent controls. SESP sampling schedules are reviewed, revised, and published each calendar year in the Hanford Site Environmental Surveillance Master Sampling Schedule. Environmental samples are collected by SESP staff in accordance with the approved sample collection procedures documented in this manual.

  4. A role-play Rorschach procedure.

    Science.gov (United States)

    Bricklin, B

    1975-10-01

    Rorschach responses of three subjects were used to stimulate the type of role-playing popularized by Fritz Perls' Gestalt therapy. The standard Rorschachs were given first. Afterwards, each subject was presented with certain of his or her own images as a stimulus for the role-playing. The subjects consisted of a 19-year-old female with severe anxiety attacks, an 11-year-old lad diagnosed as having minimal cerebral dysfunction, and a 46-year-old man who had undergone two years of successful psychotherapy. It is proposed that the resulting data are valuable in expanding and clarifying the psychological meaning of the Rorschach images. Further, the procedure can be utilized, if desired, as a spur to therapeutic involvement.

  5. Compensation of Disadvantages in University Examination Procedures

    Directory of Open Access Journals (Sweden)

    Ulrike Quapp

    2016-08-01

    Full Text Available Active social participation of disabled people is one of the major tasks of modern society. That also includes access to the academic community by higher education. Universities all over the world work hard to give handicapped students a chance to graduate. In this context, compensation of disadvantages in examination procedures is an important matter. But, also chronic illness may impair the student's examination performance. To ensure equal examination opportunities for all students, responsible university officials must be creative to find individual compensation solutions. The paper analyzes examination regulations at universities in different countries and offers solutions to compensate disabled and chronic ill students' disadvantages. It discusses the necessity of compensation for different types of disability and chronic illness. Finally, an overview of current German case law and solutions for compensation problems are provided.

  6. National Ignition Facility (NIF) operations procedures plan

    Energy Technology Data Exchange (ETDEWEB)

    Mantrom, D.

    1998-05-06

    The purpose of this Operations Procedures Plan is to establish a standard procedure which outlines how NIF Operations procedures will be developed (i.e , written, edited, reviewed, approved, published, revised) and accessed by the NIF Operations staff who must use procedures in order to accomplish their tasks. In addition, this Plan is designed to provide a guide to the NIF Project staff to assist them in planning and writing procedures. Also, resource and scheduling information is provided.

  7. Type inference for correspondence types

    DEFF Research Database (Denmark)

    Hüttel, Hans; Gordon, Andy; Hansen, Rene Rydhof

    2009-01-01

    We present a correspondence type/effect system for authenticity in a π-calculus with polarized channels, dependent pair types and effect terms and show how one may, given a process P and an a priori type environment E, generate constraints that are formulae in the Alternating Least Fixed-Point (A...

  8. Midazolam for sedation before procedures.

    Science.gov (United States)

    Conway, Aaron; Rolley, John; Sutherland, Joanna R

    2016-05-20

    Midazolam is used for sedation before diagnostic and therapeutic medical procedures. It is an imidazole benzodiazepine that has depressant effects on the central nervous system (CNS) with rapid onset of action and few adverse effects. The drug can be administered by several routes including oral, intravenous, intranasal and intramuscular. To determine the evidence on the effectiveness of midazolam for sedation when administered before a procedure (diagnostic or therapeutic). We searched the Cochrane Central Register of Controlled Trials (CENTRAL to January 2016), MEDLINE in Ovid (1966 to January 2016) and Ovid EMBASE (1980 to January 2016). We imposed no language restrictions. Randomized controlled trials in which midazolam, administered to participants of any age, by any route, at any dose or any time before any procedure (apart from dental procedures), was compared with placebo or other medications including sedatives and analgesics. Two authors extracted data and assessed risk of bias for each included study. We performed a separate analysis for each different drug comparison. We included 30 trials (2319 participants) of midazolam for gastrointestinal endoscopy (16 trials), bronchoscopy (3), diagnostic imaging (5), cardioversion (1), minor plastic surgery (1), lumbar puncture (1), suturing (2) and Kirschner wire removal (1). Comparisons were: intravenous diazepam (14), placebo (5) etomidate (1) fentanyl (1), flunitrazepam (1) and propofol (1); oral chloral hydrate (4), diazepam (2), diazepam and clonidine (1); ketamine (1) and placebo (3); and intranasal placebo (2). There was a high risk of bias due to inadequate reporting about randomization (75% of trials). Effect estimates were imprecise due to small sample sizes. None of the trials reported on allergic or anaphylactoid reactions. Intravenous midazolam versus diazepam (14 trials; 1069 participants)There was no difference in anxiety (risk ratio (RR) 0.80, 95% confidence interval (CI) 0.39 to 1.62; 175

  9. A procedure to estimate proximate analysis of mixed organic wastes.

    Science.gov (United States)

    Zaher, U; Buffiere, P; Steyer, J P; Chen, S

    2009-04-01

    In waste materials, proximate analysis measuring the total concentration of carbohydrate, protein, and lipid contents from solid wastes is challenging, as a result of the heterogeneous and solid nature of wastes. This paper presents a new procedure that was developed to estimate such complex chemical composition of the waste using conventional practical measurements, such as chemical oxygen demand (COD) and total organic carbon. The procedure is based on mass balance of macronutrient elements (carbon, hydrogen, nitrogen, oxygen, and phosphorus [CHNOP]) (i.e., elemental continuity), in addition to the balance of COD and charge intensity that are applied in mathematical modeling of biological processes. Knowing the composition of such a complex substrate is crucial to study solid waste anaerobic degradation. The procedure was formulated to generate the detailed input required for the International Water Association (London, United Kingdom) Anaerobic Digestion Model number 1 (IWA-ADM1). The complex particulate composition estimated by the procedure was validated with several types of food wastes and animal manures. To make proximate analysis feasible for validation, the wastes were classified into 19 types to allow accurate extraction and proximate analysis. The estimated carbohydrates, proteins, lipids, and inerts concentrations were highly correlated to the proximate analysis; correlation coefficients were 0.94, 0.88, 0.99, and 0.96, respectively. For most of the wastes, carbohydrate was the highest fraction and was estimated accurately by the procedure over an extended range with high linearity. For wastes that are rich in protein and fiber, the procedure was even more consistent compared with the proximate analysis. The new procedure can be used for waste characterization in solid waste treatment design and optimization.

  10. Procedural memory in recent-onset Parkinson's disease.

    Science.gov (United States)

    Thomas-Ollivier, V; Reymann, J M; Le Moal, S; Schück, S; Lieury, A; Allain, H

    1999-01-01

    Parkinson's disease is accompanied by cognitive disorders which may affect procedural memory. Procedural memory uses a specific knowledge resource that expresses itself through pre-established acting procedures. The aim of this study was to better define the characteristics of procedural memory, first of all, by trying to determine the level of involvement of that memory in the acquisition process (during learning and/or during procedure maintenance), then by specifying the effect of the type of resource involved (verbal or motor). To achieve this, we compared the mnestic performances of 20 recent-onset parkinsonian patients with those of 20 healthy controls, using two memory tasks with a fixed rule (poetry, visuomotor tracking). Result analysis revealed that parkinsonian patients had more difficulty than controls in learning the two rules, regardless of the material involved. Their deficiencies were often associated with an impairment of executive functions, and the procedural memory problems described in parkinsonian patients are linked to the involvement of these resources in the various tasks.

  11. Computer-Based Procedures for Field Workers - Identified Benefits

    Energy Technology Data Exchange (ETDEWEB)

    Oxstrand, Johanna [Idaho National Lab. (INL), Idaho Falls, ID (United States); Le Blanc, Katya L. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    The Idaho National Laboratory (INL) computer-based procedure (CBP) research team is exploring how best to design a CBP system that will deliver the intended benefits of increased efficiency and improved human performance. It is important to note that no “off-the-shelf” technology exists for the type of CBP system that is investigated and developed by the INL researchers. As more technology is integrated into the procedure process the importance of an appropriate and methodological approach to the design of the procedure system increases. Technological advancements offer great opportunities for efficiency and safety gains, however if the system is not designed correctly there is a large risk of unintentionally introducing new opportunities for human errors. The INL research team is breaking new ground in the area of CBPs with the prototype they have developed. Current electronic procedure systems are most commonly electronic versions of the paper-based procedures with hyperlinks to other procedures, limited user input functionality, and the ability to mark steps completed. These systems do not fully exploit the advantages digital technology. It is a part of the INL researchers’ role to develop and validate new CBP technologies that greatly increase the benefits of a CBP system to the nuclear industry.

  12. PRINCIPLES AND PROCEDURES ON FISCAL

    Directory of Open Access Journals (Sweden)

    Morar Ioan Dan

    2011-07-01

    Full Text Available Fiscal science advertise in most analytical situations, while the principles reiterated by specialists in the field in various specialized works The two components of taxation, the tax system relating to the theoretical and the practical procedures relating to tax are marked by frequent references and invocations of the underlying principles to tax. This paper attempts a return on equity fiscal general vision as a principle often invoked and used to justify tax policies, but so often violated the laws fiscality . Also want to emphasize the importance of devising procedures to ensure fiscal equitable treatment of taxpayers. Specific approach of this paper is based on the notion that tax equity is based on equality before tax and social policies of the executive that would be more effective than using the other tax instruments. I want to emphasize that if the scientific approach to justify the unequal treatment of the tax law is based on the various social problems of the taxpayers, then deviates from the issue of tax fairness justification explaining the need to promote social policies usually more attractive to taxpayers. Modern tax techniques are believed to be promoted especially in order to ensure an increasing level of high efficiency at the expense of the taxpayers obligations to ensure equality before the law tax. On the other hand, tax inequities reaction generates multiple recipients from the first budget plan, but finalities unfair measures can not quantify and no timeline for the reaction, usually not known. But while statistics show fluctuations in budgetary revenues and often find in literature reviews and analysis relevant to a connection between changes in government policies, budget execution and outcome. The effects of inequality on tax on tax procedures and budgetary revenues are difficult to quantify and is among others to this work. Providing tax equity without combining it with the principles of discrimination and neutrality

  13. EFFECTIVE PROCEDURES FOR EXECUTIVE'S PREPARATION

    Directory of Open Access Journals (Sweden)

    Elisabet Martínez Mondéjar

    2014-05-01

    The aim of this article is to present methodological procedure that facilitates the executives  work with teachers that are preparing themselves to by promoting post from their  workplace from  a manual directed towards counseling executives  on how to develop the focalization, the selection and the evaluation and promotion of its teachers that are preparing themselves to by promoting post  from the work system itself  of the different levels of management from the University of Pedagogical Sciences " Felix Varela Morales " of Villa Clara.

  14. Forthcoming indefinite contract review procedure

    CERN Multimedia

    Human Resources Department

    2011-01-01

    The vacancy notices for posts opened with a view to the award of an indefinite contract will be published in early April 2011. In the meantime, the list of posts to be opened this spring is available at the following address: Indefinite contract posts - spring 2011 A second exercise will take place in autumn 2011 and, as of 2012, the indefinite contract award procedure will only be held once a year, in autumn. For more information please consult: https://hr-recruit.web.cern.ch/hr-recruit/staff/IndefiniteContracts.asp  

  15. Scheduling of procedures and staff in an ambulatory surgery center.

    Science.gov (United States)

    Pash, Joel; Kadry, Bassam; Bugrara, Suhabe; Macario, Alex

    2014-06-01

    For ambulatory surgical centers (ASC) to succeed financially, it is critical for ASC managers to schedule surgical procedures in a manner that optimizes operating room (OR) efficiency. OR efficiency is maximized by using historical data to accurately predict future OR workload, thereby enabling OR time to be properly allocated to surgeons. Other strategies to maintain a well-functioning ASC include recruiting and retaining the right staff and ensuring patients and surgeons are satisfied with their experience. This article reviews different types of procedure scheduling systems. Characteristics of well-functioning ASCs are also discussed.

  16. Clinical effect of two different types of surgical procedures under nasal endoscope in the treatment of pediatric adenoidal hypertrophy%鼻内镜下两种不同手术方式治疗儿童腺样体肥大的临床效果

    Institute of Scientific and Technical Information of China (English)

    韦一; 曾莉

    2015-01-01

    目的:比较鼻内镜下两种不同手术方式治疗儿童腺样体肥大的临床效果。方法选取本院2012年6月~2014年9月收治的74例腺样体肥大患儿作为研究对象,随机分成实验组和对照组,各37例。对照组给予鼻内镜下腺样体切除术,实验组给予鼻内镜下低温射频消融切除术,比较两组的临床效果。结果实验组的总有效率为97.30豫,显著高于对照组的81.08豫,差异有显著统计学意义(P<0.05)。实验组的手术时间、鼻腔恢复至正常通气时间显著短于对照组,差异有统计学意义(P<0.05)。实验组的出血量显著少与对照组,差异有统计学意义(P<0.05)。实验组的并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜下低温射频消融切除术治疗儿童腺样体肥大的临床效果优于电动切割器行腺样体切除术,值得临床推广应用。%Objective To compare the clinical effect of two different types of surgical procedures under nasal endo-scope in the treatment of pediatric adenoidal hypertrophy. Methods 74 children patients with adenoidal hypertrophy in our hospital from June 2012 to September 2014 were selected and randomly divided into the control group and the ex-periment group,37 cases in each group.The control group was given adenoidectomy under nasal endoscope,the experi-ment group was given low-temperature radiofrequency ablation and resection under nasal endoscope.The clinical effect of two groups was compared. Results The total effective rate in the experiment group was 97.30%,which was higher than 81.08%in the control group,with significant difference(P<0.05).The operation time,the time of nasal cavity ventila-tion recovery to normal in the experimental group was shorter than that in the control group,with significant difference (P<0.05).The amount of bleeding in the experiment group was less than that in the control group,with significant differ-ence(P<0

  17. Procedures for computing site seismicity

    Science.gov (United States)

    Ferritto, John

    1994-02-01

    This report was prepared as part of the Navy's Seismic Hazard Mitigation Program. The Navy has numerous bases located in seismically active regions throughout the world. Safe effective design of waterfront structures requires determining expected earthquake ground motion. The Navy's problem is further complicated by the presence of soft saturated marginal soils that can significantly amplify the levels of seismic shaking as evidenced in the 1989 Loma Prieta earthquake. The Naval Facilities Engineering Command's seismic design manual, NAVFAC P355.l, requires a probabilistic assessment of ground motion for design of essential structures. This report presents the basis for the Navy's Seismic Hazard Analysis procedure that was developed and is intended to be used with the Seismic Hazard Analysis computer program and user's manual. This report also presents data on geology and seismology to establish the background for the seismic hazard model developed. The procedure uses the historical epicenter data base and available geologic data, together with source models, recurrence models, and attenuation relationships to compute the probability distribution of site acceleration and an appropriate spectra. This report discusses the developed stochastic model for seismic hazard evaluation and the associated research.

  18. Cardiovascular procedures/diagnostic techniques and therapeutic procedures

    Energy Technology Data Exchange (ETDEWEB)

    Tilkian, A.G.; Daily, E.K.

    1986-01-01

    This book covers the technical and therapeutic aspects of cardiovascular procedures in immense detail. There are large and appropriate diagrams and tables. The topics of the chapters are tools for catheterization, venous access, arterial access, hemodynamic monitoring, cardiac catheterization and coronary arteriography, ergonovine provocation testing for coronary artery spasm, pulmonary angiography, endomyocredial biopsy, electrophysiologic studies, pericardiocentesis and drainage, intraaortic balloon pumping, direct current cardioversion and defibrilaltion, pacemaker implantation of the automatic implantable cardioverter/defibrillator, coronary angioplasty, thrombolytic therapy, transluminal catheter extraction and resolution of intracardiac catheter knots, cardiopulmonary resuscitation, contrast media toxicity and allergic reactions, radiation hazards, and medicolegal concerns. An appendix and index follow these chapters. In general, each chapter covers historical aspects, indications, complications, techniques, and preoperative and postoperative care.

  19. Type Tricks

    DEFF Research Database (Denmark)

    Beier, Sofie

    2017-01-01

    an expert as a typography professor, Sofie Beier knows exactly what the students need to know and how they can improve their skills. ‘Type Tricks’ is not only perfect for students, it also comes in handy for every type designer. It gives them the opportunity to reread information they were thaught at during...

  20. Effects of extraction procedures on metal binding properties of extracellular polymeric substances (EPS) from anaerobic granular sludges

    NARCIS (Netherlands)

    Abzac, D' P.; Bordas, F.; Hullebusch, E.; Lens, P.N.L.; Guibaud, G.

    2010-01-01

    The effects of the extraction procedure of extracellular polymeric substances (EPS) on their proton/metal binding properties were studied. Nine extraction procedures (one control, four physical and four chemical procedures) were applied to four types of anaerobic granular sludges. The binding capaci

  1. Physiotherapy following elective orthopaedic procedures.

    Science.gov (United States)

    De Kleijn, P; Blamey, G; Zourikian, N; Dalzell, R; Lobet, S

    2006-07-01

    As haemophilic arthropathy and chronic synovitis are still the most important clinical features in people with haemophilia, different kinds of invasive and orthopaedic procedures have become more common during the last decades. The availability of clotting factor has made arthroplasty of one, or even multiple joints possible. This article highlights the role of physiotherapy before and after such procedures. Synovectomies are sometimes advocated in people with haemophilia to stop repetitive cycles of intra-articular bleeds and/or chronic synovitis. The synovectomy itself, however, does not solve the muscle atrophy, loss of range of motion (ROM), instability and poor propriocepsis, often developed during many years. The key is in taking advantage of the subsequent, relatively safe, bleed-free period to address these important issues. Although the preoperative ROM is the most important variable influencing the postoperative ROM after total knee arthroplasty, there are a few key points that should be considered to improve the outcome. Early mobilization, either manual or by means of a continuous passive mobilization machine, can be an optimal solution during the very first postoperative days. Muscle isometric contractions and light open kinetic chain exercises should also be started in order to restore the quadriceps control. Partial weight bearing can be started shortly after, because of quadriceps inhibition and to avoid excessive swelling. The use of continuous clotting factor replacement permits earlier and intensive rehabilitation during the postoperative period. During the rehabilitation of shoulder arthroplasty restoring the function of the rotator cuff is of utmost importance. Often the rotator cuff muscles are inhibited in the presence of pain and loss of ROM. Physiotherapy also assists in improving pain and maintaining ROM and strength. Functional weight-bearing tasks, such as using the upper limbs to sit and stand, are often discouraged during the first 6

  2. GNCCP-Graduated NonConvexityand Concavity Procedure.

    Science.gov (United States)

    Zhi-Yong Liu; Hong Qiao

    2014-06-01

    In this paper we propose the graduated nonconvexity and concavity procedure (GNCCP) as a general optimization framework to approximately solve the combinatorial optimization problems defined on the set of partial permutation matrices. GNCCP comprises two sub-procedures, graduated nonconvexity which realizes a convex relaxation and graduated concavity which realizes a concave relaxation. It is proved that GNCCP realizes exactly a type of convex-concave relaxation procedure (CCRP), but with a much simpler formulation without needing convex or concave relaxation in an explicit way. Actually, GNCCP involves only the gradient of the objective function and is therefore very easy to use in practical applications. Two typical related NP-hard problems, partial graph matching and quadratic assignment problem (QAP), are employed to demonstrate its simplicity and state-of-the-art performance.

  3. Torsional Newton-Cartan Geometry from the Noether Procedure

    CERN Document Server

    Festuccia, Guido; Hartong, Jelle; Obers, Niels A

    2016-01-01

    We apply the Noether procedure for gauging space-time symmetries to theories with Galilean symmetries, analyzing both massless and massive (Bargmann) realizations. It is shown that at the linearized level the Noether procedure gives rise to (linearized) torsional Newton-Cartan geometry. In the case of Bargmann theories the Newton-Cartan form $M_\\mu$ couples to the conserved mass current. We show that even in the case of theories with massless Galilean symmetries it is necessary to introduce the form $M_\\mu$ and that it couples to a topological current. Further, we show that the Noether procedure naturally gives rise to a distinguished affine (Christoffel type) connection that is linear in $M_\\mu$ and torsionful. As an application of these techniques we study the coupling of Galilean electrodynamics to TNC geometry at the linearized level.

  4. Torsional Newton-Cartan geometry from the Noether procedure

    Science.gov (United States)

    Festuccia, Guido; Hansen, Dennis; Hartong, Jelle; Obers, Niels A.

    2016-11-01

    We apply the Noether procedure for gauging space-time symmetries to theories with Galilean symmetries, analyzing both massless and massive (Bargmann) realizations. It is shown that at the linearized level the Noether procedure gives rise to (linearized) torsional Newton-Cartan geometry. In the case of Bargmann theories the Newton-Cartan form Mμ couples to the conserved mass current. We show that even in the case of theories with massless Galilean symmetries it is necessary to introduce the form Mμ and that it couples to a topological current. Further, we show that the Noether procedure naturally gives rise to a distinguished affine (Christoffel type) connection that is linear in Mμ and torsionful. As an application of these techniques we study the coupling of Galilean electrodynamics to TNC geometry at the linearized level.

  5. A new general pressure-analysis procedure for slug tests

    Energy Technology Data Exchange (ETDEWEB)

    Peres, A.M.M.; Onur, M.; Reynolds, A.C. (Univ. of Tulsa, OK (United States))

    1993-12-01

    A new analysis procedure for determining formation flow capacity and skin factor from slug-test data is presented. The procedure arises from exact deconvolution equations that convert measured slug-test pressure data into equivalent pressure and pressure-derivative responses that would be obtained if the well were produced at a constant surface flow rate. The converted data then can be analyzed by use of existing wellbore-storage and skin type curves for the particular reservoir or well model represented by the field data. For cases where the slug test is short, the authors show that flow rate convolution can be incorporated to improve analysis reliability. The analysis procedures do not require direct knowledge of the sandface flow rate.

  6. Procedures for the ethical review of public health surveillance protocols

    Directory of Open Access Journals (Sweden)

    Carlo Petrini

    2014-03-01

    Full Text Available The present commentary is based on the following considerations: 1 for the purposes of authorisation, a distinction is drawn between "research" and "intervention". The procedures for authorising the former are more complex, the relevant controls are stricter and approval has to be granted by a Research Ethics Committee (REC; 2 although the debate is still open, it is barely credible to claim that public health surveillance is not a form of research. It should, therefore, be subject to rigorous ethical assessment; 3 when addressing specifically the issue of surveillance, it would be appropriate to shift the focus of attention from the type of procedure (research/intervention to the risk implied in that procedure; 4 much emphasis has hitherto been placed on the risks that public health surveillance may imply for the protection of personal data; 5 the emphasis on the protection of personal data is frequently excessive and the risks should be examined in a broader context.

  7. Validation of Rheological Models of Typical Structures : an Attempt to Work Out an Insurance-Quality Procedure Validation des modèles rhéologiques sur ouvrages types : une tentative de démarche d'assurance-qualité

    Directory of Open Access Journals (Sweden)

    Meimon Y.

    2006-11-01

    Full Text Available For four years now, a validation of models for typical structuresgroup has been constituted inside the GRECO group on Rheology of Geomaterialssponsored by CNRS (French National Research Council. It has been working on the development of a methodology for validating rheological models of geomaterials. The aim was to reduce the gap between the theory and the practice of geomechanical computing. In a first step, the group work has been applied to shallow fondations. A complete validation process, which can be understood as an insurance-quality procedure, has been worked out, ranging from validation on the basis of homogeneous laboratory tests to validation based on boundary problems. Partial computerization of validation has been achieved with the help of a suitable software environment. A databank of laboratory and centrifuge tests has been created. An attempt has been made to define qualification criteria for models. Numerous rheological models have been applied, including some relatively sophisticated ones. This work has reached the point where the generalization of the procedure can been foreseen within the wider setting of the validation of geomechanical programs. Les travaux de validation Durant quatre ans (1986-1989, le groupe Validation des Modèles sur Ouvrages Typesdu GRECO CNRS Rhéologie des Géomatériaux , s'est efforcé de développer une méthodologie de validation des modèles rhéologiques de géomatériaux dans le but de réduire le décalage entre théorie et pratique des calculs en géomécanique, en appuyant son travail sur l'ouvrage type fondation superficielleet sur une collaboration étroite entre des équipes universitaires et des centres techniques et industriels. Les principaux travaux du groupe, constitué, d'une part de laboratoires universitaires français ou européen (École Centrale de Lyon (ECL, École Centrale de Paris (ECP, École Nationale des Travaux Publics de l'État (ENTPE, Institut de Mécanique de

  8. 9 CFR 147.6 - Procedure for determining the status of flocks reacting to tests for Mycoplasma gallisepticum...

    Science.gov (United States)

    2010-01-01

    ... (SPD) test shall be conducted. Provided, that for egg-type and meat-type chicken and waterfowl... randomly selected birds shall be taken promptly and cultured individually or a PCR-based procedure...

  9. Geometric procedures for civil engineers

    CERN Document Server

    Tonias, Elias C

    2016-01-01

    This book provides a multitude of geometric constructions usually encountered in civil engineering and surveying practice.  A detailed geometric solution is provided to each construction as well as a step-by-step set of programming instructions for incorporation into a computing system. The volume is comprised of 12 chapters and appendices that may be grouped in three major parts: the first is intended for those who love geometry for its own sake and its evolution through the ages, in general, and, more specifically, with the introduction of the computer. The second section addresses geometric features used in the book and provides support procedures used by the constructions presented. The remaining chapters and the appendices contain the various constructions. The volume is ideal for engineering practitioners in civil and construction engineering and allied areas.

  10. Radiological Work Planning and Procedures

    CERN Document Server

    Kurtz, J E

    2000-01-01

    Each facility is tasked with maintaining personnel radiation exposure as low as reasonably achievable (ALARA). A continued effort is required to meet this goal by developing and implementing improvements to technical work documents (TWDs) and work performance. A review of selected TWDs from most facilities shows there is a need to incorporate more radiological control requirements into the TWD. The Radioactive Work Permit (RWP) provides a mechanism to place some of the requirements but does not provide all the information needed by the worker as he/she is accomplishing the steps of the TWD. Requiring the engineers, planners and procedure writers to put the radiological control requirements in the work steps would be very easy if all personnel had a strong background in radiological work planning and radiological controls. Unfortunately, many of these personnel do not have the background necessary to include these requirements without assistance by the Radiological Control organization at each facility. In add...

  11. [Clinical psychodiagnosis using psychophysiologic procedures].

    Science.gov (United States)

    Grünberger, J; Linzmayer, L; Saletu, B

    1984-01-31

    The present paper presents several new psychophysiological test methods and measures, which have been developed by the authors for utilization in the field of psychopathology and psychopharmacology. The main advantage of these new techniques seems to lie in the fact, that control and evaluation procedures are microprocessor-assisted which ensures objectivity, reliability and validity. The multidimensionality, e.g. the possibility to concomitantly evaluate several variables at the same time, and the economics, e.g. the short time effort involved in completing the tests, are further advantages. By means of the newly developed techniques several sensitive measures may be obtained which are of great value in the diagnostic process as well as in the assessment of drug effects in clinical psychopharmacology.

  12. Nitrogenase Assembly: Strategies and Procedures.

    Science.gov (United States)

    Sickerman, Nathaniel S; Hu, Yilin; Ribbe, Markus W

    2017-01-01

    Nitrogenase is a metalloenzyme system that plays a critical role in biological nitrogen fixation, and the study of how its metallocenters are assembled into functional entities to facilitate the catalytic reduction of dinitrogen to ammonia is an active area of interest. The diazotroph Azotobacter vinelandii is especially amenable to culturing and genetic manipulation, and this organism has provided the basis for many insights into the assembly of nitrogenase proteins and their respective metallocofactors. This chapter will cover the basic procedures necessary for growing A. vinelandii cultures and subsequent recombinant transformation and protein expression techniques. Furthermore, protocols for nitrogenase protein purification and substrate reduction activity assays are described. These methods provide a solid framework for the assessment of nitrogenase assembly and catalysis. © 2017 Elsevier Inc. All rights reserved.

  13. Enti ecclesiastici e procedure concorsuali

    Directory of Open Access Journals (Sweden)

    Antonio Maria Leozappa

    2015-02-01

    SOMMARIO: 1. Premessa – 2. L’assoggettabilità dell’ente ecclesiastico alle procedure concorsuali negli indirizzi giurisprudenziali – 3. La normativa in materia di enti ecclesiastici nell’ambito degli accordi tra la Repubblica Italiana e la Santa Sede. La nozione di “ente ecclesiastico” – 4. L’art. 7 della legge 25 marzo 1985, n. 121 – 5. La compatibilità della normativa concorsuale ai sensi dell’art. 7 della legge n. 121 del 2013 Il fallimento e l’amministrazione straordinaria – 5.1 (segue: il fallimento dell’associazione/società di fatto che esercita l’attività di impresa nell’ambito dell’ente ecclesiastico – 5.2 (segue: il concordato preventivo e la composizione delle crisi da sovraindebitamento – 5.3 (segue: la liquidazione coatta amministrativa e il d.lsg. 24 marzo 2006, n. 155, di disciplina dell’impresa sociale.

  14. Procedure Integrated Development Environment (PRIDE) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA captures and distributes operational knowledge in the form of procedures. These procedures are created and accessed by a range of people performing many...

  15. Measurement procedure for optomechanical hole plate

    DEFF Research Database (Denmark)

    Larsen, Erik

    2003-01-01

    Measurement procedure for optomechanical hole plate in connection with CIRP interlaboratory comparison on measuring machines.......Measurement procedure for optomechanical hole plate in connection with CIRP interlaboratory comparison on measuring machines....

  16. Children Procedures and Treatment (Fertility Issues)

    Medline Plus

    Full Text Available Oncofertility Consortium Children Procedures and Treatment Share My Story Share my story! Children Procedures and Treatment Is ovarian tissue cryopreservation available to girls under 18? How can ...

  17. 48 CFR 225.7502 - Procedures.

    Science.gov (United States)

    2010-10-01

    ... OF DEFENSE SOCIOECONOMIC PROGRAMS FOREIGN ACQUISITION Balance of Payments Program 225.7502 Procedures. If the Balance of Payments Program applies to the acquisition, follow the procedures at PGI 225.7502....

  18. 12 CFR 303.221 - Filing procedures.

    Science.gov (United States)

    2010-01-01

    ... PROCEDURES Section 19 of the FDI Act (Consent to Service of Persons Convicted of Certain Criminal Offenses) § 303.221 Filing procedures. (a) Where to file. An application under section 19 of the FDI Act shall...

  19. Children Procedures and Treatment (Fertility Issues)

    Medline Plus

    Full Text Available Oncofertility Consortium Children Procedures and Treatment Share My Story Share my story! Children Procedures and Treatment Is ovarian tissue cryopreservation available to girls under 18? How can ...

  20. 7 CFR 3.62 - Procedures.

    Science.gov (United States)

    2010-01-01

    ... conclusions; and (iii) Resolution of any significant procedural matter which was in dispute before or during... action for purposes of judicial review under the Administrative Procedure Act (5 U.S.C. 701 et seq.)...

  1. Procedure Integrated Development Environment (PRIDE) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA captures and distributes operational knowledge in the form of procedures. These procedures are created and accessed by a range of people performing many...

  2. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose an alternative to using Microsoft Word for representing medical procedures that will make the procedures easier to construct and maintain, particularly...

  3. Headache following intracranial neuroendovascular procedures.

    Science.gov (United States)

    Baron, Eric P; Moskowitz, Shaye I; Tepper, Stewart J; Gupta, Rishi; Novak, Eric; Hussain, Muhammad Shazam; Stillman, Mark J

    2012-05-01

    Predicting who will develop post-procedure headache (PPH) following intracranial endovascular procedures (IEPs) would be clinically useful and potentially could assist in reducing the excessive diagnostic testing so often obtained in these patients. Although limited safety data exist, the use of triptans or dihydroergotamine (DHE) often raise concern when used with pre/post-coiled aneurysms. We sought to determine risk factors for PPH following IEP, to evaluate the utility of diagnostic testing in patients with post-coil acute headache (HA), and to record whether triptans and DHE have been used safely in this clinical setting. We conducted a retrospective chart review of adult patients undergoing IEPs. Bivariate analyses were conducted to compare patients who did and did not develop PPH. We reviewed records pertaining to 372 patients, of whom 263 underwent intracranial coil embolizations, 21 acrylic glue embolizations, and 88 stent placements. PPH occurred in 72% of coil patients, 33% of glue patients, and 14% of stent patients. Significant risk factors for post-coil HA were female gender, any pre-coil HA history, smoking, and anxiety/depression. A pre-stent history of HA exceeding 1 year's duration, and smoking were risk factors for post-stent HA. A pre-glue history of HA exceeding 1 year was the only risk factor for post-glue HA. In the small subgroup available for study, treatment with triptans or DHE was not associated with adverse events in pre/post-coiled aneurysms. Diagnostic testing was low yield. Occurrence of PPH was common after IEPs and especially so with coiling and in women, smokers, and those with anxiety/depression, and was often of longer duration than allowed by current International Classification of Headache Disorders-II criteria. The yield of diagnostic testing was low, and in a small subgroup treatment with triptans or DHE did not cause adverse events in pre/post-coiled aneurysms. Prospective studies are needed to confirm these findings.

  4. Type-indexed data types

    NARCIS (Netherlands)

    Hinze, R.; Jeuring, J.T.; Löh, A.

    2002-01-01

    A polytypic function is a function that can be instantiated on many data types to obtain data type specific functionality. Examples of polytypic functions are the functions that can be derived in Haskell, such as show, read, and ‘==’.More advanced examples are functions for digital searching, patter

  5. Arithmetic Procedures are Induced from Examples.

    Science.gov (United States)

    1985-08-13

    concrete numerals (eg. coins. Dienes blocks, poker chips. Montessori rods etc Analogy is included as a third hypothesis even though it is not particularly...collections of coins. Diennes blocks. Montessori rods and so forth. This is a mapping between two kinds of numerals. and not two procedures Later. this...of procedures are ubiquitous in adult life . Examples are cookbooks, user guides, repair shop manuals and office procedure manuals. In using procedure

  6. Two-Stage Sampling Procedures for Comparing Means When Population Distributions Are Non-Normal.

    Science.gov (United States)

    Luh, Wei-Ming; Olejnik, Stephen

    Two-stage sampling procedures for comparing two population means when variances are heterogeneous have been developed by D. G. Chapman (1950) and B. K. Ghosh (1975). Both procedures assume sampling from populations that are normally distributed. The present study reports on the effect that sampling from non-normal distributions has on Type I error…

  7. A Long-Term Memory Competitive Process Model of a Common Procedural Error

    Science.gov (United States)

    2013-08-01

    A novel computational cognitive model explains human procedural error in terms of declarative memory processes. This is an early version of a process ... model intended to predict and explain multiple classes of procedural error a priori. We begin with postcompletion error (PCE) a type of systematic

  8. Pollutant Types

    Science.gov (United States)

    Describes the types of air pollutants, including common or criteria pollutants, and hazardous air pollutants and links to additional information. Also links to resources on other air pollution issues.

  9. Assignment procedure biases in randomized policy experiments

    DEFF Research Database (Denmark)

    Aldashev, Gani; Kirchsteiger, Georg; Sebald, Alexander Christopher

    2017-01-01

    ’s propensity to act reciprocally. When people are motivated by reciprocity, the choice of assignment procedure influences the RCTs’ findings. We show that even credible and explicit randomization procedures do not guarantee an unbiased prediction of the impact of policy interventions; however, they minimize...... any bias relative to other less transparent assignment procedures....

  10. 40 CFR 1065.10 - Other procedures.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Other procedures. 1065.10 Section 1065.10 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Applicability and General Provisions § 1065.10 Other procedures. (a)...

  11. 20 CFR 363.3 - Procedure.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Procedure. 363.3 Section 363.3 Employees' Benefits RAILROAD RETIREMENT BOARD INTERNAL ADMINISTRATION, POLICY AND PROCEDURES GARNISHMENT OF REMUNERATION OF BOARD PERSONNEL § 363.3 Procedure. (a) Service of legal process brought for the enforcement...

  12. 40 CFR 205.54 - Test procedures.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Test procedures. 205.54 Section 205.54 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) NOISE ABATEMENT PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Medium and Heavy Trucks § 205.54 Test procedures. The procedures...

  13. Administrative Procedures for Small Institutions. Second Edition.

    Science.gov (United States)

    Mathews, Keith W., Ed.

    This guide offers sample administrative procedures and policies that can be used by small colleges and universities to prepare or revise administrative procedures manuals. The sample procedures and policies offered here have been compiled from a review of many manuals from many different institutions, and vary from the general to the specific.…

  14. Encoding and Decoding Procedures for Arrangements

    Directory of Open Access Journals (Sweden)

    Alexander A. Babaev

    2012-05-01

    Full Text Available This article discusses an algorithm based on the encoding procedure for representing a set of arrangement elements as a single number. Also the author provides the procedure for the inverse transformation of the code into arrangement elements. In addition the Article includes recommendations on the use of the above procedures in combinatorial algorithms of optimization.

  15. TMACS Test Procedure TP001: Alarm Management

    Energy Technology Data Exchange (ETDEWEB)

    Scanlan, P.K.

    1994-05-31

    The TMACS Software Project Test Procedures translate the project`s acceptance criteria into test steps. Software releases are certified when the affected Test Procedures are successfully performed and the customers authorize installation of these changes. This Test Procedure tests the TMACS Alarm management functions.

  16. 40 CFR 140.5 - Analytical procedures.

    Science.gov (United States)

    2010-07-01

    ...) MARINE SANITATION DEVICE STANDARD § 140.5 Analytical procedures. In determining the composition and quality of effluent discharge from marine sanitation devices, the procedures contained in 40 CFR part 136... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Analytical procedures. 140.5...

  17. 14 CFR 21.441 - Procedure manual.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Procedure manual. 21.441 Section 21.441... manual. (a) No DAS may exercise any authority under this subpart unless it submits, and obtains approval of, a procedure manual containing— (1) The procedures for issuing STCs; and (2) The names,...

  18. 7 CFR 1250.508 - Procedure.

    Science.gov (United States)

    2010-01-01

    ... AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE EGG RESEARCH AND PROMOTION Rules and Regulations General § 1250.508 Procedure. The organization of the Egg Board and the procedure for conducting... 7 Agriculture 10 2010-01-01 2010-01-01 false Procedure. 1250.508 Section 1250.508 Agriculture...

  19. 75 FR 32273 - Representation Election Procedure

    Science.gov (United States)

    2010-06-08

    ... 29 CFR Parts 1202 and 1206 RIN 3140-ZA00 Representation Election Procedure AGENCY: National Mediation... delaying the effective date of its rule regarding representation election procedures from June 10, 2010 to... Representation Election Procedure Rule have been made. The NMB will notify participants if there are any further...

  20. 76 FR 37291 - Representation Case Procedures

    Science.gov (United States)

    2011-06-27

    ... BOARD 29 CFR Parts 101, 102, 103 RIN 3142-AAO8 Representation Case Procedures AGENCY: National Labor... amendments to the Board's rules governing representation case procedures, published at 76 FR 15307 (June 22, 2011) and make other proposals for improving representation case procedures. DATES: The meeting will be...

  1. Licensing failure in the European decentralised procedure

    NARCIS (Netherlands)

    Langedijk, Joris; Ebbers, Hans C; Mantel-Teeuwisse, Aukje K; Kruger-Peters, Alexandra G; Leufkens, Hubert G M

    2016-01-01

    The majority of the licensing applications in the European Union are submitted via the decentralised procedure. Little is known about licensing failure (i.e. refusal or withdrawal of a marketing authorisation application) in the EU decentralised procedure compared to the EU centralised procedure and

  2. 40 CFR 791.31 - Expedited procedures.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Expedited procedures. 791.31 Section 791.31 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Hearing Procedures § 791.31 Expedited procedures. Unless the...

  3. 40 CFR 791.30 - Hearing procedures.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Hearing procedures. 791.30 Section 791.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Hearing Procedures § 791.30 Hearing procedures. (a) Representation by counsel...

  4. Procedural Attack! Procedural Generation for Populated Virtual Cities: A Survey

    Directory of Open Access Journals (Sweden)

    Werner Gaisbauer

    2017-06-01

    Full Text Available On the one hand, creating rich virtual worlds "by hand" like in the game Grand Theft Auto V is hugely expensive and limited to large studios. On the other hand, procedural content generation (PCG allows tiny teams to create huge worlds like Hello Games did with only four people (in the beginning for the recently released game No Man's Sky. Following in the footsteps of Hello Games, this paper tries to equip the reader with an overview about the state-of-the-art of how to build such a virtual world, i.e., a populated virtual city with buildings, streets, parks, vegetation, humans, and vehicles, using just PCG assets. Each PCG asset that is envisioned to bring the city to life is grouped and discussed in detail and the latest research trends in PCG are presented together with open questions. Using the above-mentioned PCG assets, instead of months, a city can be built in a mere couple of minutes by a user without much experience in designing 3D assets. The city can then be used for many applications like games, virtual reality (VR, or film.

  5. Diffuse reflectance spectroscopy: a new guidance tool for improvement of biopsy procedures in lung malignancies

    NARCIS (Netherlands)

    Evers, Daniel; Evers, D.J.; Nachabe, R.; Klomp, H.M.; van Sandick, J.W.; Wouters, M.W.; Lucassen, G.W.; Lucassen, Gerald; Hendriks, B.H.; Wesseling, J.; Ruers, Theo J.M.

    2012-01-01

    Background: A significant number of percutaneous intrathoracic biopsy procedures result in indeterminate cytologic or histologic diagnosis in clinical practice. Diffuse reflectance spectroscopy (DRS) is an optical technique that can distinguish different tissue types on a microscopic level. DRS may

  6. 9 CFR 147.11 - Laboratory procedure recommended for the bacteriological examination of salmonella.

    Science.gov (United States)

    2010-01-01

    ... procedure recommended for the bacteriological examination of salmonella. (a) For egg- and meat-type chickens... 25 birds, and birds from Salmonella enteritidis (SE) positive environments should be cultured in...

  7. 12 CFR 261b.7 - Meetings closed to public observation under expedited procedures.

    Science.gov (United States)

    2010-01-01

    ..., such as cease-and-desist and officer removal proceedings; monetary policy matters, such as discount... public observation under the expedited procedures of this section. Following are examples of types...

  8. Diffuse reflectance spectroscopy: a new guidance tool for improvement of biopsy procedures in lung malignancies

    NARCIS (Netherlands)

    Evers, D.J.; Nachabe, R.; Klomp, H.M.; Sandick, van J.W.; Wouters, M.W.; Lucassen, G.W.; Hendriks, B.H.; Wesseling, J.; Ruers, T.J.M.

    2012-01-01

    Background: A significant number of percutaneous intrathoracic biopsy procedures result in indeterminate cytologic or histologic diagnosis in clinical practice. Diffuse reflectance spectroscopy (DRS) is an optical technique that can distinguish different tissue types on a microscopic level. DRS may

  9. Invasive procedures with questionable indications and possible placebo effects

    Directory of Open Access Journals (Sweden)

    Sergei V. Jargin

    2015-12-01

    Full Text Available This article provides an overview of surgical procedures performed with questionable or excessively radical indications, such as the lung denervation as a treatment of asthma, or the porto-systemic shunting for Type 1 diabetes mellitus. An immediate effect of an invasive procedure including a surgical operation can be influenced by different non-specific factors including a placebo effect. There is an opinion that surgery is associated with a placebo-effect, which can be stronger in case of a more invasive procedure. Reported moderate efficiency of the procedures discussed here could have been caused by placebo effect and/or inexact evaluation. These days, the improvement of Russian economy has enabled the acquisition of modern equipment and supported increasing levels of medical research. Under these circumstances, the purpose of this review is to help to correct the historical problems of surgery in Russia and to remind that, when performing surgical or other invasive procedures, the risk-to-benefit ratio should be minimized. [Arch Clin Exp Surg 2015; 4(4.000: 215-221

  10. Policemen and procedures for complaints: the effect of defence mechanisms

    Directory of Open Access Journals (Sweden)

    Aleksander Koporec

    2003-12-01

    Full Text Available Recently the law about the police and the procedures for the resolution of complaints have undergone some changes, which are not, however, the subject of this paper. A short description is given of both sets of regulations, with particular emphasis on the procedures for complaints, and ways in which policemen are required to participate in these procedures. The authors consider that certain unconsciously-caused behaviour of policemen can be described by means of different types of defence mechanisms. The paper also provides a description of Freud's structural theory of personality. Since the modified Kellerman's life-style questionnaire was used in the research, the operation of defence mechanisms has also been described with regard to feelings. The results show us the general opinion of policemen, both men and women, regarding procedures for complaints, as well as indicating, which are the defence mechanisms most frequently used by them, what is their opinion regarding the procedure concerned, what is their opinion regarding their preparation for meetings to discuss complaints, that have been made, how competent they feel about performing their work, and similar questions. The results of the research are intended primarily for all concerned in the resolution of complaints, including policemen and senior police officers.

  11. Procedures for restoring vestibular disorders

    Directory of Open Access Journals (Sweden)

    Walther, Leif Erik

    2005-09-01

    Full Text Available This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vertigo (bilateral vestibulopathy, kinetosis, height vertigo, vestibular disorders when diving (Tables 1 and 2. Glucocorticoid and training therapy encourage the compensation of unilateral vestibular loss. In the case of a bilateral vestibular loss, it is important to treat the underlying disease (e.g. Cogan's disease. Although balance training does improve the patient's sense of balance, it will not restore it completely.In the case of Meniere's disease, there are a number of medications available to either treat bouts or to act as a prophylactic (e.g. dimenhydrinate or betahistine. In addition, there are non-ablative (sacculotomy as well as ablative surgical procedures (e.g. labyrinthectomy, neurectomy of the vestibular nerve. In everyday practice, it has become common to proceed with low risk therapies initially. The physical treatment of mild postural vertigo can be carried out quickly and easily in outpatients (repositioning or liberatory maneuvers. In very rare cases it may be necessary to carry out a semicircular canal occlusion. Isolated disturbances of the otolith function or an involvement of the otolith can be found in roughly 50% of labyrinth disturbances. A specific surgical procedure to selectively block the otolith organs is currently being studied. When an external perilymph fistula involving loss of perilymph is suspected, an exploratory tympanotomy involving also the round and oval window niches must be carried out. A traumatic rupture of the

  12. HF Interference, Procedures and Tools (Interferences HF, procedures et outils)

    Science.gov (United States)

    2007-06-01

    such sources. The existing HF background noise possibly may be increased via ground wave and/or sky wave propagation. Increase of the existing HF...télécommunications filaires à large bande. Les télécommunications via le réseau électrique courant, dites PowerLine Communications (PLT ou PLC) et diverses...cumulative de nombreuses sources de même type. Le bruit de fond HF existant risque d’être augmenté par propagation de l’onde terrestre et/ou aérienne

  13. Procedures for Testing Color Vision,

    Science.gov (United States)

    1981-01-01

    uased on the principles of Helmholtz’s theory of color vision. Helmholtz (1866) had tentatively proposed that color blindness could manifest itself in...purple) specifically to detect the three proposed types of color blindness . As a result, the Holmgren test is based on an erroneous and misleading set...of color blindness categories and an unwise choice of test and match skeins. Pseudoisochromatic plates were first introduced by Stilling (1873). The

  14. Thinking about gender types: Cognitive organization of female and male types

    NARCIS (Netherlands)

    Vonk, R.; Ashmore, R.D.

    2003-01-01

    We examined the content and dimensional structure of a large and representative sample of gender types. In Study 1, using an open-ended procedure, participants generated 306 different labels for female types (e.g. housewife, feminist, femme fatale, secretary, slob) and 310 for male types (e.g. worka

  15. Thinking about gender types: Cognitive organization of female and male types

    NARCIS (Netherlands)

    Vonk, R.; Ashmore, R.D.

    2003-01-01

    We examined the content and dimensional structure of a large and representative sample of gender types. In Study 1, using an open-ended procedure, participants generated 306 different labels for female types (e.g. housewife, feminist, femme fatale, secretary, slob) and 310 for male types (e.g. worka

  16. Astronaut John Glenn during training exercise in Mercury Procedures Trainer

    Science.gov (United States)

    1962-01-01

    Close-up view of Mercury Astronaut John H. Glenn Jr. as he runs through a training exercise in the Mercury Procedures Trainer in use at Space Task Group, Langley Field, Virginia. This Link-type spacecraft simulator permits the practice of both normal and emergency modes of systems operations. Glenn is in the Mercury pressure suit and is wearing his helmet, just as he would if the flight were real.

  17. Procedures for Removal of Pesticides from the Environment

    OpenAIRE

    Đokić, M.; Bilandžić, N.; Briški, F.

    2012-01-01

    Pesticides are widely used in food production, and it is believed that more than 1000 types of pesticides are in use. Organochlorines and organophosphorous pesticides are used in large quantities due to their efficacy and low cost. These persistent organic pollutants remain in the soil, silt, and sediment long after application, and enter into watercourses, finding their way directly into the food chain. Today, the following procedures are used to remove pesticides from polluted localities: l...

  18. French approval procedures for pyrotechnical automotive safety equipments

    OpenAIRE

    Aufauvre, Lionel; Branka, Ruddy

    2005-01-01

    International audience; Pyrotechnical articles for civil uses may be subject to national procedures before placing on the market According to the French decree n°90-153, 16 February 1990 as modified; explosives that are dispensed with EC marking and that are not excluded of the decree application have to conform to approved types. Pyrotechnical automotive safety equipments such gas generators for airbag modules or seat-belt pretensioners, pyrotechnie relay compositions and/or igniters inside ...

  19. Diagnosis with near infrared spectroscopy during minimally invasive procedures

    OpenAIRE

    Nachabé, Rami

    2012-01-01

    textabstract The goal of this dissertation is to present the potential of diffuse optical spectroscopy technique to characterize and differentiate types of tissue, including dysplastic and cancerous tissues, when measuring the tissue spectra during a surgical or an interventional procedure under medical image guidance. This dissertation begins with a chapter that describes the different mathematical modeling of light transport in scattering media such as tissue. Each of the existing models us...

  20. Surgeon-patient communication during awake procedures.

    Science.gov (United States)

    Smith, Claire S; Guyton, Kristina; Pariser, Joseph J; Siegler, Mark; Schindler, Nancy; Langerman, Alexander

    2017-06-01

    Surgeons are increasingly performing procedures on awake patients. Communication during such procedures is complex and underexplored in the literature. Surgeons were recruited from the faculty of 2 hospitals to participate in an interview regarding their approaches to communication during awake procedures. Three researchers used the constant comparative method to transcribe, code, and review interviews until saturation was reached. Twenty-three surgeons described the advantages and disadvantages of awake procedures, their communication with the awake patient, their interactions with staff and with trainees, the environment of awake procedures, and how communication in this context is taught and learned. Surgeons recognized communication during awake procedures as important and reported varied strategies for ensuring patient comfort in this context. However, they also acknowledged challenges with multiparty communication during awake procedures, especially in balancing commitments to teaching with their duty to comfort the patient. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. HUMAN RELIABILITY ANALYSIS FOR COMPUTERIZED PROCEDURES

    Energy Technology Data Exchange (ETDEWEB)

    Ronald L. Boring; David I. Gertman; Katya Le Blanc

    2011-09-01

    This paper provides a characterization of human reliability analysis (HRA) issues for computerized procedures in nuclear power plant control rooms. It is beyond the scope of this paper to propose a new HRA approach or to recommend specific methods or refinements to those methods. Rather, this paper provides a review of HRA as applied to traditional paper-based procedures, followed by a discussion of what specific factors should additionally be considered in HRAs for computerized procedures. Performance shaping factors and failure modes unique to computerized procedures are highlighted. Since there is no definitive guide to HRA for paper-based procedures, this paper also serves to clarify the existing guidance on paper-based procedures before delving into the unique aspects of computerized procedures.

  2. Writer`s guide for technical procedures

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-01

    A primary objective of operations conducted in the US Department of Energy (DOE) complex is safety. Procedures are a critical element of maintaining a safety envelope to ensure safe facility operation. This DOE Writer`s Guide for Technical Procedures addresses the content, format, and style of technical procedures that prescribe production, operation of equipment and facilities, and maintenance activities. The DOE Writer`s Guide for Management Control Procedures and DOE Writer`s Guide for Emergency and Alarm Response Procedures are being developed to assist writers in developing nontechnical procedures. DOE is providing this guide to assist writers across the DOE complex in producing accurate, complete, and usable procedures that promote safe and efficient operations that comply with DOE orders, including DOE Order 5480.19, Conduct of Operations for DOE Facilities, and 5480.6, Safety of Department of Energy-Owned Nuclear Reactors.

  3. Crisis management and warning procedures

    Directory of Open Access Journals (Sweden)

    Valérie November

    2009-03-01

    territoriale du risque s’avère nécessaire.Based on two flood events that recently affected new housing areas in very different political, organisational and hydrological contexts, this article examines the practices of actors involved in emergency and crisis situations in Switzerland. In both cases, the actors are identified – through their role and their position in the various procedures related to crisis management – and an inventory is made of the documents used. The study examines how the flood events were managed, identifies the organisational changes that followed the crises, and determines how the risk was conceived and to what extent it was formalised by the different actors both before and after the floods. Finally new forecasting and warning procedures that were set up following the events are described. The study shows that floods have a decisive impact on the production of knowledge, but that this phenomenon varies according to the actors. Events such as floods also sometimes reveal the existence of "latent" knowledge, or knowledge that is available but has not yet been integrated into institutional procedures. In terms of both forecasting and crisis management, these events also provide the opportunity to test information channels and to identify and correct any problems relating to organisation, cooperation or the reliability of means of communication. Among other things, the risks and crises related to flooding modify the dynamics and policies of the local area as a result of readjustments in the networks of actors. The introduction of emergency and crisis management measures appears more effective, however, than the reorganisation of planning and development procedures, a process which generally takes a lot longer. Nevertheless, since the recollection of events tends to fade with time, it is important that risks find a more concrete form of spatial expression on the landscape.

  4. Augmented reality in surgical procedures

    Science.gov (United States)

    Samset, E.; Schmalstieg, D.; Vander Sloten, J.; Freudenthal, A.; Declerck, J.; Casciaro, S.; Rideng, Ø.; Gersak, B.

    2008-02-01

    Minimally invasive therapy (MIT) is one of the most important trends in modern medicine. It includes a wide range of therapies in videoscopic surgery and interventional radiology and is performed through small incisions. It reduces hospital stay-time by allowing faster recovery and offers substantially improved cost-effectiveness for the hospital and the society. However, the introduction of MIT has also led to new problems. The manipulation of structures within the body through small incisions reduces dexterity and tactile feedback. It requires a different approach than conventional surgical procedures, since eye-hand co-ordination is not based on direct vision, but more predominantly on image guidance via endoscopes or radiological imaging modalities. ARIS*ER is a multidisciplinary consortium developing a new generation of decision support tools for MIT by augmenting visual and sensorial feedback. We will present tools based on novel concepts in visualization, robotics and haptics providing tailored solutions for a range of clinical applications. Examples from radio-frequency ablation of liver-tumors, laparoscopic liver surgery and minimally invasive cardiac surgery will be presented. Demonstrators were developed with the aim to provide a seamless workflow for the clinical user conducting image-guided therapy.

  5. Best Practices in Customs Procedures

    Directory of Open Access Journals (Sweden)

    Ioan Popa

    2015-08-01

    Full Text Available The paper presents the main aspects related to the modernisation process of the European Union customs legislation and identifies a series of benefits that arise from implementing the measures of the Modernised Community customs code. In this context, foreign trade companies must adapt their logistics strategies to the new customs system, a necessary condition in order to obtain competitive advantages. In an increasingly competitive global environment, best practices in the customs activity have a positive influence both on the international trade as well as on the consumer safety and protection. The results of implementing best practices are also found in rankings made by different institutions and international organisations regarding the competitiveness in logistics and ease in the development of foreign trade transactions. They mainly relate to reducing the time for the necessary clearance procedure and reducing the logistics costs by decreasing the number of physical and documentation checks, giving a priority treatment to consignments when they are selected for control, the possibility to choose the location for customs controls and less information to submit in summary declarations.

  6. SURGICAL PROCEDURES IN SUSHRUTA SAMHITA

    Directory of Open Access Journals (Sweden)

    Singh R.K

    2011-05-01

    Full Text Available The Sushruta Samhita is an Ayurvedic text, by the legendary Sushruta, foundational to Ayurvedic medicine (Indian traditional medicine, with innovative chapters mainly on surgery. There is a general impression that Sushruta Samhita is only an ancient Indian Ayurvedic text book of surgery. Sushruta Samhita contains 184 chapters and description of 1120 illnesses, 700 medicinal plants, a detailed study on anatomy, 64 preparations from mineral sources and 57 preparations based on animal sources. It still retains the land mark position in the field of surgical texts. In addition to his worldwide known work of historical significance on plastic surgery, he also made similar unique contributions on numerous aspects of medicine, such as fracture and dislocations, urinary stones, skin diseases including leprosy, Pancha Karma (Purification procedures, toxicology, pediatrics, eye diseases, psychiatry, obstetrics and gynaecology, etc. A very limited conceptual work has been performed on the selected chapters of Sushruta Samhita. Therefore a review conceptual study has been carried out on the various surgical concepts of Sushruta Samhita. Outcome of this study shows, Sushruta Samhita is written in the aphorism form and the techniques described in it are eminently in line with technical abilities of the times. It is need of the hour to explore the hidden truth by decoding the versions of the texts.

  7. Anxiety in preoperative anesthetic procedures.

    Science.gov (United States)

    Valenzuela Millán, Jaquelyn; Barrera Serrano, José René; Ornelas Aguirre, José Manuel

    2010-01-01

    Preoperative anxiety is a common and poorly evaluated condition in patients who will undergo an anesthetic and surgical intervention. The objective of this study was to determine the prevalence of anxiety in a group of patients undergoing elective surgery, as assessed by the Amsterdam Anxiety Preoperative and Information (AAPI) scale. We studied 135 patients scheduled for elective surgery applying the AAPI scale 24 h before the surgical procedure to evaluate the presence of anxiety and patient characteristics. A descriptive analysis with mean +/- standard deviation for categorical variables was done. For intragroup differences, chi(2) test was used. Pearson correlation for the association between anxiety and postoperative complications was carried out. A value of p =0.05 was considered significant. One hundred six patients were surgically treated, 88% were female (average age 44 +/- 12 years). Some degree of preoperative anxiety was present in 72 patients (76%; p = 0.001) with a grade point average on the AAPI scale equal to 17 +/- 7 points, of which 95 (70%, OR = 5.08; p = 0.002) were females. Results of this study suggest the presence of high levels of preoperative anxiety in patients scheduled for elective surgery. The origin of the anxiety appears to be related to many factors that can be evaluated in pre-anesthetic consultation. Further study is needed to prevent the presence of this disorder.

  8. ON CONVERGENCE OF ISHIKA WAITERATION PROCEDURES WITH ERRORS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The general results on convergence of the Ishikawa iteration procedures with errors for Li pschitzian φ-strong pseudo-contractions and nonlinear operator equations of φ-strongly accretive type is established in arbitrary Banach spaces. As the direct applications, some stability results of the Ishikawa iteration methods for ψ-strong pseudo-contractions and nonlinear operator equations of φstrngly accretive type are also given. Our results in this paper improve and extend the recent results due to Osilike and other authors.

  9. Radiographic implications of procedures involving cardiac implantable electronic devices (CIEDs – Selected aspects

    Directory of Open Access Journals (Sweden)

    Roman Steckiewicz

    2017-06-01

    Full Text Available Background: Some cardiac implantable electronic device (CIED implantation procedures require the use of X-rays, which is reflected by such parameters as total fluoroscopy time (TFT and dose-area product (DAP – defined as the absorbed dose multiplied by the area irradiated. Material and Methods: This retrospective study evaluated 522 CIED implantation (424 de novo and 98 device upgrade and new lead placement procedures in 176 women and 346 men (mean age 75±11 years over the period 2012–2015. The recorded procedure-related parameters TFT and DAP were evaluated in the subgroups specified below. The group of 424 de novo procedures included 203 pacemaker (PM and 171 implantable cardioverter-defibrillator (ICD implantation procedures, separately stratified by single-chamber and dual-chamber systems. Another subgroup of de novo procedures involved 50 cardiac resynchronization therapy (CRT devices. The evaluated parameters in the group of 98 upgrade procedures were compared between 2 subgroups: CRT only and combined PM and ICD implantation procedures. Results: We observed differences in TFT and DAP values between procedure types, with PM-related procedures showing the lowest, ICD – intermediate (with values for single-chamber considerably lower than those for dual-chamber systems and CRT implantation procedures – highest X-ray exposure. Upgrades to CRT were associated with 4 times higher TFT and DAP values in comparison to those during other upgrade procedures. Cardiac resynchronization therapy de novo implantation procedures and upgrades to CRT showed similar mean values of these evaluated parameters. Conclusions: Total fluoroscopy time and DAP values correlated progressively with CIED implantation procedure complexity, with CRT-related procedures showing the highest values of both parameters. Med Pr 2017;68(3:363–374

  10. Eder Acquisition 2007 Habitat Evaluation Procedures Report.

    Energy Technology Data Exchange (ETDEWEB)

    Ashley, Paul R.

    2008-01-01

    A habitat evaluation procedures (HEP) analysis was conducted on the Eder acquisition in July 2007 to determine how many protection habitat units to credit Bonneville Power Administration (BPA) for providing funds to acquire the project site as partial mitigation for habitat losses associated with construction of Grand Coulee and Chief Joseph Dams. Baseline HEP surveys generated 3,857.64 habitat units or 1.16 HUs per acre. HEP surveys also served to document general habitat conditions. Survey results indicated that the herbaceous plant community lacked forbs species, which may be due to both livestock grazing and the late timing of the surveys. Moreover, the herbaceous plant community lacked structure based on lower than expected visual obstruction readings (VOR); likely a direct result of livestock impacts. In addition, introduced herbaceous vegetation including cultivated pasture grasses, e.g. crested wheatgrass and/or invader species such as cheatgrass and mustard, were present on most areas surveyed. The shrub element within the shrubsteppe cover type was generally a mosaic of moderate to dense shrubby areas interspersed with open grassland communities while the 'steppe' component was almost entirely devoid of shrubs. Riparian shrub and forest areas were somewhat stressed by livestock. Moreover, shrub and tree communities along the lower reaches of Nine Mile Creek suffered from lack of water due to the previous landowners 'piping' water out of the stream channel.

  11. Procedures in complex systems: the airline cockpit.

    Science.gov (United States)

    Degani, A; Wiener, E L

    1997-05-01

    In complex human-machine systems, successful operations depend on an elaborate set of procedures which are specified by the operational management of the organization. These procedures indicate to the human operator (in this case the pilot) the manner in which operational management intends to have various tasks done. The intent is to provide guidance to the pilots and to ensure a safe, logical, efficient, and predictable (standardized) means of carrying out the objectives of the job. However, procedures can become a hodge-podge. Inconsistent or illogical procedures may lead to noncompliance by operators. Based on a field study with three major airlines, the authors propose a model for procedure development called the "Four P's": philosophy, policies, procedures, and practices. Using this model as a framework, the authors discuss the intricate issue of designing flight-deck procedures, and propose a conceptual approach for designing any set of procedures. The various factors, both external and internal to the cockpit, that must be considered for procedure design are presented. In particular, the paper addresses the development of procedures for automated cockpits--a decade-long, and highly controversial issue in commercial aviation. Although this paper is based on airline operations, we assume that the principles discussed here are also applicable to other high-risk supervisory control systems, such as space flight, manufacturing process control, nuclear power production, and military operations.

  12. Dental procedures among children age birth to 20, United States, 1999 and 2009.

    Science.gov (United States)

    Manski, Richard J; Vargas, Clemencia M; Brown, Erwin; Carper, Kelly V; Macek, Mark D; Cohen, Leonard A

    2015-01-01

    To describe dental procedures received by US children and adolescents by poverty status and dental insurance coverage. Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures that were received during dental visits in the preceding year. Descriptive variables included dental insurance and poverty status. Analysis was restricted to children from birth to 20 years. Overall, diagnostic (41.2 percent) and preventive (35.8 percent) procedures accounted for most of the procedures received by children from birth to 20 years of age, while restorative procedures accounted for just 5 percent. Children from low-income families received a higher proportion of restorative procedures than children in higher-income families. The proportion of diagnostic and preventive services was lower among uninsured children than among publicly insured children. Orthodontic services, on the other hand, represented a greater percentage of these procedures among uninsured children than among publicly insured children. The vast majority of procedures received by children from birth to 20 years were diagnostic and preventive. Most children with at least one dental visit received a diagnostic or preventive service. Between 1999 and 2009, the proportion of all services received accounted for by diagnostic or preventive services increased. However, the proportion in which each type of procedure was received by children who made at least one visit who received did not change. © 2014 American Association of Public Health Dentistry.

  13. Procedural norms in the system of procedural law: general theoretical aspect

    OpenAIRE

    Атаманчук, Ірина Володимирівна; Університет сучасних знань

    2015-01-01

    Based on the distinguishing of particular system qualities, we study the concept, content, features of procedural rules, analize the development dynamics of the operating rules of the system of national procedural law. It’s concluded that there is a unity of procedural rules and the ways of their settlement, which states the need of substantive norms’ implementation. English abstract I. Atamanchuk Procedural norms in the system of procedural law: general theoretical aspect Based on the dist...

  14. PERFACT procedure to treat supralevator fistula-in-ano: A novel single stage sphincter sparing procedure

    Institute of Scientific and Technical Information of China (English)

    Pankaj Garg

    2016-01-01

    AIM: To prospectively perform the PERFACT procedure in supralevator anal fistula/abscess.METHODS: Magnetic resonance imaging was done preoperatively in all the patients. Proximal cauterization around the internal opening, emptying regularly of fistula tracts and curettage of tracts(PERFACT) was done in all patients with supralevator fistula or abscess. All types of anal fistula and/or abscess with supralevator extension, whether intersphincteric or transsphincteric, were included in the study. The internal opening along with the adjacent mucosa was electrocauterized. The resulting wound was left open to heal by secondary intention so as to heal(close) the internal opening by granulation tissue. The supralevator tract/abscess was drained and thoroughly curetted. It was regularly cleaned and kept empty in the postoperative period. The primary outcome parameter was complete fistula healing. The secondary outcome parameters were return to work and change in incontinence scores(Vaizey objective scoring system) assessed preoperatively and at 3 mo after surgery.RESULTS: Seventeen patients were prospectively enrolled and followed for a median of 13 mo(range 5-21 mo). Mean age was 41.1 ± 13.4 years, M:F-15:2. Fourteen(82.4%) had a recurrent fistula, 8(47.1%) had an associated abscess, 14(82.4%) had multiple tracts and 5(29.4%) had horseshoe fistulae. Infralevator part of fistula was intersphincteric in 4 and transsphincteric in 13 patients. Two patients were excluded. Eleven out of fifteen(73.3%) were cured and 26.7%(4/15) had a recurrence. Two patients with recurrence were reoperated on with the same procedure and one was cured. Thus, the overall healing rate was 80%(12/15). All the patients could resume normal work within 48 h of surgery. There was no deterioration in incontinence scores(Vaizey objective scoring system). This is the largest series of supralevator fistula-in-ano(SLF) published to date. CONCLUSION: PERFACT procedure is an effective single step sphincter

  15. Exactly integrable hyperbolic equations of Liouville type

    Energy Technology Data Exchange (ETDEWEB)

    Zhiber, A V [Institute of Mechanics, Ufa Centre of the Russian Academy of Sciences, Ufa (Russian Federation); Sokolov, Vladimir V [Centre for Non-linear Studies Landau Institute for Theoretical Physics, Moscow (Russian Federation)

    2001-02-28

    This is a survey of the authors' results concerning non-linear hyperbolic equations of Liouville type. The definition is based on the condition that the chain of Laplace invariants of the linearized equation be two-way finite. New results include a procedure for finding the general solution and a solution of the classification problem for Liouville type equations.

  16. Proteinuria: diagnostic principles and procedures.

    Science.gov (United States)

    Abuelo, J G

    1983-02-01

    Proteinuria has been thought of as the first sign of serious renal disease. However, in some patients proteinuria may last for years without other evidence of kidney damage, and in other patients it may only be an insignificant and transient laboratory finding. The nature and severity of renal involvement in a particular patient are often suggested by the clinical picture, and the pattern and amount of proteinuria. The physician should use this information in evaluating the severity of the patient's disease. An approach for such evaluations is offered by briefly reviewing the causes and prognosis of the various types of proteinuria and by suggesting steps to take in treating patients with increased protein excretion.

  17. Payment Procedures for Electronic Government Services

    OpenAIRE

    Pousttchi, Key; Wiedemann, Dietmar Georg

    2005-01-01

    In this paper, we analyse payment procedures for their suitability for electronic government. We provide an overview of the payment procedures currently available on the market, compare the situation in electronic government with the situation in electronic commerce and analyze what we can transfer. Based on functional requirements we propose a scheme that allows public agencies to examine the appropriateness of any given payment procedure for electronic government.

  18. Procedural specificity in laparoscopic simulator training

    DEFF Research Database (Denmark)

    Bjerrum, Flemming; Sørensen, Jette Led; Konge, Lars

    2014-01-01

    proficiency level on a virtual reality laparoscopy simulator. Upon reaching proficiency, the participants are randomised to either the intervention group, which practices two procedures (an appendectomy followed by a salpingectomy) or to the control group, practicing only one procedure (a salpingectomy...... of procedural practice in laparoscopic simulator training. METHODS/DESIGN: A randomised single-centre educational superiority trial. Participants are 96 surgical novices (medical students) without prior laparoscopic experience. Participants start by practicing a series of basic skills tasks to a predefined...

  19. Rapid Map Updating Procedures Using Orthophotos

    Science.gov (United States)

    Alrajhi, M.

    2009-04-01

    The General Directorate of Surveying and Mapping (GDSM) of the Ministry for Municipal and Rural Affairs (MOMRA) of the Kingdom of Saudi Arabia has the mandate for large scale mapping of 220 Saudi Arabian cities. During the last 30 years all of these cities have been mapped in 3D at least once using stereo photogrammetric procedures. The output of these maps is in digital vector files with more than 300 types of features coded. Mapping at the required scales of 1:10,000 for the urban and suburban areas and at 1:1,000 for the urban areas proper has been a lengthy and costly process, which did not lend itself to regular updating procedures. For this reason the major cities, where most of the developments took place, have been newly mapped at about 10 year intervals. To record the changes of urban landscapes more rapidly orthophotomapping has recently been introduced. Rather than waiting for about 5 years for the line mapping of a large city after the inception of a mapping project, orthophotos could be produced a few months after a new aerial flight was made. While new, but slow stereomapping in 3D provides accurate results in conformity with the usual urban mapping specifications, the geocoded superposition of outdated maps with the more recent orthophotos provided a very useful monitoring of the urban changes. At the same time the use of orthophotos opens up a new possibility for urban map updating by on-screen digitizing in 2D. This can at least be done for the most relevant features, such as buildings, walls, roads and vegetation. As this is a faster method than 3D stereo plotting a lesser geometric accuracy is to be expected for the on-screen digitization. There is a need to investigate and to compare the two methods with respect to accuracy and speed of operation as a basis for a decision, whether to continue with new 3D stereomapping every 10 years or to introduce rapid map updating in 2D via on-screen digitization every 3 to 5 years. This presentation is about

  20. Feature ratification procedures in some CIS countries

    Directory of Open Access Journals (Sweden)

    Eldar R. Hisamov

    2011-04-01

    Full Text Available This article attempts a comparative analysis of legislative procedures for the ratification of international treaties in various countries of the Commonwealth of Independent States (CIS.

  1. Safety of cosmetic dermatologic procedures during pregnancy.

    Science.gov (United States)

    Lee, Kachiu C; Korgavkar, Kaveri; Dufresne, Raymond G; Higgins, H William

    2013-11-01

    Safety of cosmetic procedures in pregnant women has not been extensively studied. Maternal and fetal health risks are important to consider in any procedure performed. With the increasing popularity of cosmetic procedures, dermatologic surgeons will be faced with scenarios necessitating knowledge regarding the safety of such procedures during pregnancy. Furthermore, dermatologic surgeons may inadvertently perform cosmetic procedures during the first trimester, before the patient is aware of the pregnancy. To investigate the safety of cosmetic procedures during pregnancy and the postpartum period. A literature search of PubMed and Google Scholar was conducted of all English-language articles published from 1960 through 2012. Definitive recommendations on the safety of procedures such as chemical peels, injectables, fillers, and most laser therapies during pregnancy cannot be made. The safety of onabotulinum toxin usage is well documented in the neurology literature, although isolated events of miscarriage have been reported with high doses of toxin in women with a previous history of miscarriage. Carbon dioxide laser therapy for genital condylomas has considerable evidence supporting its safety during pregnancy. There is a lack of controlled trials addressing the safety of cosmetic procedures during pregnancy and postpartum periods. It is advisable to delay elective cosmetic procedures until after the baby is born. © 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  2. Endovascular thrombectomy and post-procedural headache

    DEFF Research Database (Denmark)

    Khan, Sabrina; Amin, Faisal Mohammad; Holtmannspötter, Markus

    2017-01-01

    BACKGROUND: We investigated the prevalence of post-procedural headache in patients who have undergone thrombectomy for ischemic stroke, and correlated history of migraine with risk of peri-procedural complications. A total of 314 patients underwent thrombectomy at the Danish National Hospital from...... persisted at interview time for subjects with migraine. Out of 12 subjects with peri-procedural complications, 2 had a history of migraine with aura. CONCLUSION: Thrombectomy leads to a significant decrease in previously known migraine, and new onset of headache in a small subset of patients. A history...... of migraine does not appear to predispose to peri-procedural complications....

  3. Definition of an XML markup language for clinical laboratory procedures and comparison with generic XML markup.

    Science.gov (United States)

    Saadawi, Gilan M; Harrison, James H

    2006-10-01

    Clinical laboratory procedure manuals are typically maintained as word processor files and are inefficient to store and search, require substantial effort for review and updating, and integrate poorly with other laboratory information. Electronic document management systems could improve procedure management and utility. As a first step toward building such systems, we have developed a prototype electronic format for laboratory procedures using Extensible Markup Language (XML). Representative laboratory procedures were analyzed to identify document structure and data elements. This information was used to create a markup vocabulary, CLP-ML, expressed as an XML Document Type Definition (DTD). To determine whether this markup provided advantages over generic markup, we compared procedures structured with CLP-ML or with the vocabulary of the Health Level Seven, Inc. (HL7) Clinical Document Architecture (CDA) narrative block. CLP-ML includes 124 XML tags and supports a variety of procedure types across different laboratory sections. When compared with a general-purpose markup vocabulary (CDA narrative block), CLP-ML documents were easier to edit and read, less complex structurally, and simpler to traverse for searching and retrieval. In combination with appropriate software, CLP-ML is designed to support electronic authoring, reviewing, distributing, and searching of clinical laboratory procedures from a central repository, decreasing procedure maintenance effort and increasing the utility of procedure information. A standard electronic procedure format could also allow laboratories and vendors to share procedures and procedure layouts, minimizing duplicative word processor editing. Our results suggest that laboratory-specific markup such as CLP-ML will provide greater benefit for such systems than generic markup.

  4. A methodology to split the total cumulative Hp(10) dose into the Hp(10) i doses received during various procedures performed by interventional cardiologist.

    Science.gov (United States)

    Domienik, Joanna

    2017-03-01

    The methodology describing how to split the cumulative Hp(10) dose of interventional cardiologists into Hp(10) i doses received during procedures of various types based on procedure-specific ELDO coefficients and Hp(3) doses per procedure is presented. The appropriate equations for Hp(10) i (Hp(10) for procedure type i), depending on the number of various procedure types (i  =  1 … 4) performed by a particular physician, are derived. The methodology can be applied to whole-body doses measured on the lead apron and therefore can be used for optimisation of work practices in those catheterisation labs where routine dosimeter is worn above the apron.

  5. Medical Tourism for CCSVI Procedures in People with Multiple Sclerosis: An Observational Study.

    Science.gov (United States)

    Metz, Luanne M; Greenfield, Jamie; Marrie, Ruth Ann; Jette, Nathalie; Blevins, Gregg; Svenson, Lawrence W; Alikhani, Katayoun; Wall, Winona; Dhaliwal, Raveena; Suchowersky, Oksana

    2016-05-01

    Many Canadians with multiple sclerosis (MS) have recently travelled internationally to have procedures for a putative condition called chronic cerebrospinal venous insufficiency (CCSVI). Here, we describe where and when they went and describe the baseline characteristics of persons with MS who participated in this non-evidence-based medical tourism for CCSVI procedures. We conducted a longitudinal observational study that used online questionnaires to collect patient-reported information about the safety, experiences, and outcomes following procedures for CCSVI. A convenience sample of all Albertans with MS was recruited between July 2011 and March 2013. In total, 868 individuals enrolled; 704 were included in this cross-sectional, baseline analysis. Of these, 128 (18.2%) participants retrospectively reported having procedures for CCSVI between April 2010 and September 2012. The proportion of participants reporting CCSVI procedures declined from 80 (62.5%) in 2010, to 40 (31.1%) in 2011, and 8 (6.3%) in 2012. In multivariable logistic regression analysis, CCSVI procedures were independently associated with longer disease duration, secondary progressive clinical course, and greater disability status. Although all types of people with MS pursued procedures for CCSVI, a major driver of participation was greater disability. This highlights that those with the greatest disability are the most vulnerable to unproven experimental procedures. Participation in CCSVI procedures waned over time possibly reflecting unmet expectations of treated patients, decreased media attention, or that individuals who wanted procedures had them soon after the CCSVI hypothesis was widely publicized.

  6. THE CONSUMER PROTECTION ACT 68 OF 2008 AND PROCEDURAL FAIRNESS IN CONSUMER CONTRACTS

    Directory of Open Access Journals (Sweden)

    Philip N Stoop

    2015-11-01

    Full Text Available In general, the concept "contractual fairness" can be narrowed down, described and analysed with reference to the two interdependent types of fairness – substantive and procedural fairness. Measures aimed at procedural fairness in contracts address conduct during the bargaining process and generally aim at ensuring transparency. One could say that a contract is procedurally fair where its terms are transparent and do not mislead as to aspects of the goods, service, price and terms. Despite the noble aims of legislative measures aimed at procedural fairness there are certain limits to the efficacy of procedural measures and transparency. The special procedural measures which must be considered in terms of the Consumer Protection Act 68 of 2008 in order to decide if a contract is fair are analysed in this article, as are other measures contained in the Act, which may also increase procedural fairness, and are discussed so as to allow suppliers to predict whether their contracts will be procedurally fair or not in terms of the Act. The special procedural measures can be categorised under measures requiring disclosure and/or mandatory terms, and measures addressing bargaining position and choice. It is concluded that owing to the nature of all these factors and measures related to procedural fairness, it is clear that openness and transparency are required by the CPA.

  7. An Investigation of Seventh Grade Students’ Performances on Conceptual, Procedural and Graphical Problems Regarding Circles

    Directory of Open Access Journals (Sweden)

    Lütfi İncikabı

    2015-04-01

    Full Text Available The purpose of this study is to determine seventh grade students’ preferences among the procedural, conceptual and graphical questions in the subject of circles, to define their success levels in their preferences, and to compare students’ success levels in one question type with their performances in other question types. The methodology adopted during this research was case study. Based on criterion-based purposive sampling strategy, 98 middle school students were selected as the participants. Data were collected through an achievement test consisting of nine questions (three per question type. The results obtained from the study indicated that students mostly preferred graphical question types. Moreover, majority of students could not succeeded high levels in their preferred question types. In addition, the students performed better in graphical question types; however, the failure in procedural question types was remarkable. Keywords: Multiple representations, middle school students, mathematics education, circles

  8. Type Inference for Guarded Recursive Data Types

    OpenAIRE

    Stuckey, Peter J.; Sulzmann, Martin

    2005-01-01

    We consider type inference for guarded recursive data types (GRDTs) -- a recent generalization of algebraic data types. We reduce type inference for GRDTs to unification under a mixed prefix. Thus, we obtain efficient type inference. Inference is incomplete because the set of type constraints allowed to appear in the type system is only a subset of those type constraints generated by type inference. Hence, inference only succeeds if the program is sufficiently type annotated. We present refin...

  9. Can bariatric surgery be done as an outpatient procedure?

    Science.gov (United States)

    McCarty, Todd M

    2006-01-01

    It has become increasing clear that some types of bariatric surgery can be performed as outpatient operations. This is currently limited to lap-band, lap-RYGB, and some lap-revision operations, but may soon be applicable to other bariatric procedures. In fact, most lap-band procedures are currently performed in ambulatory surgical centers that often lack the capacity for an overnight stay. Lap-RYGB has been recently reported with 23-hour outpatient admission requiring an overnight stay. Careful patient selection, surgeon experience, and integrating the appropriate perioperative care components are associated with clinical success. Surgeon recognition of these possibilities and patient demand are already pushing this care across the nation. Only time will tell how many other bariatric operations will be performed as outpatient procedures, but if the past is any indication of the future, this trend should continue to increase. The question thus is not whether bariatric surgery can be done as an outpatient procedure, but rather by whom and in what setting can patient outcome be optimized. In the end, rhetoric is rhetoric and data are data, and we should let documented patient outcome, the crown jewel of bariatric surgery, guide the future.

  10. Posthysterectomy vault prolapse of vaginal walls: Choice of operating procedure

    Directory of Open Access Journals (Sweden)

    Argirović Rajka

    2012-01-01

    Full Text Available Post-hysterectomy vaginal vault prolapse is a common complication following different types of hysterectomy with a negative impact on the woman’s quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanisms for the uterus and vagina is important in order to make the right choice of the corrective procedure and also to minimize the risk of posthysterectomy occurrence of vault prolapse. Preexisting pelvic floor defect prior to hysterectomy is the single most important risk factor for vault prolapse. Various surgical techniques have been advanced in hysterectomy to prevent vault prolapse. Vaginal vault repair can be carried out abdominally or vaginally. Sacrospinous fixation and abdominal sacrocolpopexy are the commonly performed procedures. The vaginal approach for vault prolapse is superior to the abdominal approach in terms of complication rates, blood loss, postoperative discomfort, length of hospital stay and costeffectiveness. Moreover, it allows the simultaneous repair of all coexistent pelvic floor defects, such as cystocele, enterocele and rectocele. Abdominal sacrocolpopexy is associated with a lower rate of recurrent vault prolapse and dyspareunia than the vaginal sacrospinous colpopexy. Other less commonly performed procedures include uterosacral ligament suspension and illeococcygeal fixation with a high risk of ureteric injury. Surgical mesh of non-absorbent material is gaining in popularity and preliminary data from vaginal mesh procedures is encouraging.

  11. Pleural procedures in the management of malignant effusions

    Science.gov (United States)

    Ferreiro, Lucía; Suárez-Antelo, Juan; Valdés, Luis

    2017-01-01

    Malignant pleural effusion (MPE) is common in clinical practice, and despite the existence of studies to guide clinical decisions, it often poses diagnostic and therapeutic dilemmas. Once it is diagnosed, median survival does not usually exceed 6 months. The management of these patients focuses on symptom relief since no treatments have been shown to increase survival to date. Conversely, poor management can shorten survival. The approach must be multidisciplinary and allow for individualized care. Initial diagnostic procedures should be minimally invasive and, according to the results and other factors, procedures of increasing complexity will be selecting. Likewise, the treatment of MPEs should be individualized according to factors such as type of tumor, patient functional status, means available, benefits of each procedure, or life expectancy. Currently, treatment seems to tend toward less interventional approaches, in which patients can be managed on an outpatient basis, thus minimizing both the discomfort that more aggressive approaches involve and the costs of care associated with this disease. This article reviews the pleural procedures employed in the management of MPEs with special emphasis on the indication for each one, its usefulness, benefits, and complications.

  12. Effectiveness of granite cleaning procedures in cultural heritage: A review.

    Science.gov (United States)

    Pozo-Antonio, J S; Rivas, T; López, A J; Fiorucci, M P; Ramil, A

    2016-11-15

    Most of the Cultural Heritage built in NW Iberian Peninsula is made of granite which exposition to the environment leads to the formation of deposits and coatings, mainly two types: biological colonization and sulphated black crusts. Nowadays, another form of alteration derives from graffiti paints when these are applied as an act of vandalism. A deep revision needs to be addressed considering the severity of these deterioration forms on granite and the different cleaning effectiveness achieved by cleaning procedures used to remove them. The scientific literature about these topics on granite is scarcer than on sedimentary carbonate stones and marbles, but the importance of the granite in NW Iberian Peninsula Cultural Heritage claims this review centred on biological colonization, sulphated black crusts and graffiti on granite and their effectiveness of the common cleaning procedures. Furthermore, this paper carried out a review of the knowledge about those three alteration forms on granite, as well as bringing together all the major studies in the field of the granite cleaning with traditional procedures (chemical and mechanical) and with the recent developed technique based on the laser ablation. Findings concerning the effectiveness evaluation of these cleaning procedures, considering the coating extraction ability and the damage induced on the granite surface, are described. Finally, some futures research lines are pointed out.

  13. type-0

    Directory of Open Access Journals (Sweden)

    Ravi Srinivasa Rao

    2006-01-01

    modular right ideal in a near-ring are initiated. Based on these J0r(R, the right Jacobson radical of type-0 of a near-ring R is introduced. It is obtained that J0r is a radical map and N(R⊆J0r(R, where N(R is the nil radical of a near-ring R. Some characterizations of J0r(R are given and its relation with some of the radicals is also discussed.

  14. 78 FR 151 - Energy Conservation Program: Test Procedures for Residential Clothes Dryers

    Science.gov (United States)

    2013-01-02

    ... clothes dryer to mean a cabinet-like appliance designed to dry fabrics in a tumble- type drum with forced... standard HLD-1-2009, ``Household Tumble Type Clothes Dryers,'' and the IEC test standard 61121, ``Tumble... Procedures for Residential Clothes Dryers; Proposed Rule #0;#0;Federal Register / Vol. 78 , No. 1 /...

  15. Continuous Descent Approach (CDA) compared to regular descent procedures : Less annoying?

    NARCIS (Netherlands)

    White, K.; Arntzen, M.; Bronkhorst, A.; Meeter, M.

    2014-01-01

    Annoyance reactions to different types of landing procedures were addressed in a controlled laboratory setting using a Virtual Community Noise Simulator (VCNS) with a head mounted display.Participants, standing on a virtual countryside road, experienced four types of descentflyovers by an A330

  16. REMARK ON STABILITY OF ISHIKAWA ITERATIVE PROCEDURES

    Institute of Scientific and Technical Information of China (English)

    薛志群; 田虹

    2002-01-01

    The stability of the Ishikawa iteration procedures was studied for one class ofcontinuity strong pseudocontraction and continuity strongly accretive operators with boundedrange in real uniformly smooth Banach space. Under parameters satisfying certainconditions, the convergence of iterative sequences was proved. The results improve andextend the recent corresponding results, and supply the basis of theory for further discussingconvergence of iteration procedures with errors.

  17. 7 CFR 27.34 - Classification procedure.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Classification procedure. 27.34 Section 27.34... REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Classification and Micronaire Determinations § 27.34 Classification procedure. Classification shall proceed as rapidly as possible, but...

  18. The Sauvé-Kapandji Procedure

    National Research Council Canada - National Science Library

    Lluch, Alberto

    2013-01-01

    .... This is known as the Sauvé-Kapandji (S-K) procedure. The Sauvé-Kapandji differs from the Darrach procedure in that it preserves ulnar support of the wrist, as the distal radioulnar ligaments and ulnocarpal ligaments are maintained...

  19. 12 CFR 611.510 - Approval procedures.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Approval procedures. 611.510 Section 611.510 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM ORGANIZATION Transfer of Authorities § 611.510 Approval procedures. (a) Upon receipt of approval of a resolution by the Farm...

  20. Procedure to Generate the MPACT Multigroup Library

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kang Seog [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-12-17

    The CASL neutronics simulator MPACT is under development for the neutronics and T-H coupled simulation for the light water reactor. The objective of this document is focused on reviewing the current procedure to generate the MPACT multigroup library. Detailed methodologies and procedures are included in this document for further discussion to improve the MPACT multigroup library.

  1. 32 CFR 623.4 - Accounting procedures.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Accounting procedures. 623.4 Section 623.4... ARMY MATERIEL § 623.4 Accounting procedures. (a) Loan document format. (1) When the lending accountable... property accounting purposes. (3) Loans will be processed by accountable property officers according...

  2. 32 CFR 57.6 - Procedures.

    Science.gov (United States)

    2010-07-01

    ... procedures for the provision of related services for DoDDS students with disabilities, ages 3 through 21, inclusive, are prescribed in appendix C of this part (d) Procedural safeguards and parent and student rights... for EIS for infants and toddlers with disabilities and their families are prescribed in appendix A...

  3. 25 CFR 225.21 - Negotiation procedures.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Negotiation procedures. 225.21 Section 225.21 Indians... SOLID MINERALS AGREEMENTS Minerals Agreements § 225.21 Negotiation procedures. (a) An Indian mineral... information during the negotiation process. The Secretary shall provide advice, assistance, and information...

  4. Multimodality imaging to guide cardiac interventional procedures

    NARCIS (Netherlands)

    Tops, Laurens Franciscus

    2010-01-01

    In recent years, a number of new cardiac interventional procedures have been introduced. Catheter ablation procedures for atrial fibrillation (AF) have been refined and are now considered a good treatment option in patients with drug-refractory AF. In cardiac pacing, cardiac resynchronization therap

  5. Emergency Planning and Procedures Guide for Schools

    Science.gov (United States)

    Minnesota Department of Education, 2005

    2005-01-01

    This "Emergency Planning and Procedures Guide for Schools" is a complete revision of "Emergency/Disaster Preparedness: A Planning Guide for Schools," published in November, 1999. These materials are intended for use by Minnesota schools to help them develop emergency procedures and crisis management policies. It should be used…

  6. 32 CFR 635.35 - Procedures.

    Science.gov (United States)

    2010-07-01

    ... INVESTIGATIONS LAW ENFORCEMENT REPORTING Victim and Witness Assistance Procedures § 635.35 Procedures. (a) As... must ensure that victims and witnesses rights are protected. Victim's rights include— (1) The right to... personnel are provided copies of DD Form 2701 (Initial Information for Victims and Witnesses of Crime). (2...

  7. Void fraction instrument acceptance test procedure

    Energy Technology Data Exchange (ETDEWEB)

    Pearce, K.L.

    1994-09-15

    This acceptance test procedure (ATP) was written to test the void fraction instrument (VFI) and verify that the unit is ready for field service. The procedure verifies that the mechanical and electrical features (not specifically addressed in the software ATP) and software alarms are operating as designed.

  8. Procedural Due Process Rights in Student Discipline.

    Science.gov (United States)

    Pressman, Robert; Weinstein, Susan

    To assist administrators in understanding procedural due process rights in student discipline, this manual draws together hundreds of citations and case summaries of federal and state court decisions and provides detailed commentary as well. Chapter 1 outlines the general principles of procedural due process rights in student discipline, such as…

  9. 75 FR 58331 - Revision of Enforcement Procedures

    Science.gov (United States)

    2010-09-24

    ... procedures. TSA makes several minor changes to the final rule TSA issued on July 21, 2009. TSA extends the... comments and makes one minor procedural change and corrects a section reference, discussed below. Response... offenders. As explained in the preamble to the rule published on July 21, 2009, TSA has adjusted the penalty...

  10. 18 CFR 401.84 - Hearing procedure.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Hearing procedure. 401.84 Section 401.84 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Administrative and Other Hearings § 401.84 Hearing...

  11. 21 CFR 1402.5 - Appeal procedure.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Appeal procedure. 1402.5 Section 1402.5 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.5 Appeal procedure. Appeals reviewed as a result of a denial will be routed to the Director of ONDCP, who will take action...

  12. 27 CFR 44.227 - Customs procedure.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Customs procedure. 44.227..., WITHOUT PAYMENT OF TAX, OR WITH DRAWBACK OF TAX Drawback of Tax § 44.227 Customs procedure. The customs... having inspected the articles and supervised the lading thereof on the export carrier, the...

  13. 49 CFR 1108.8 - Arbitration procedures.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Arbitration procedures. 1108.8 Section 1108.8... OF TRANSPORTATION RULES OF PRACTICE ARBITRATION OF CERTAIN DISPUTES SUBJECT TO THE STATUTORY JURISDICTION OF THE SURFACE TRANSPORTATION BOARD § 1108.8 Arbitration procedures. (a) The Arbitrator...

  14. A Cyclic Representation of Discrete Coordination Procedures

    CERN Document Server

    Agaev, Rafig

    2011-01-01

    We show that any discrete opinion pooling procedure with positive weights can be asymptotically approximated by DeGroot's procedure whose communication digraph is a Hamiltonian cycle with loops. In this cycle, the weight of each arc (which is not a loop) is inversely proportional to the influence of the agent the arc leads to.

  15. 25 CFR 212.20 - Leasing procedures.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Leasing procedures. 212.20 Section 212.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND MINERALS LEASING OF ALLOTTED LANDS FOR MINERAL DEVELOPMENT How To Acquire Leases § 212.20 Leasing procedures. (a) Application for leases shall...

  16. 25 CFR 211.20 - Leasing procedures.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Leasing procedures. 211.20 Section 211.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND MINERALS LEASING OF TRIBAL LANDS FOR MINERAL DEVELOPMENT How To Acquire Leases § 211.20 Leasing procedures. (a) Indian mineral owners may, with...

  17. 40 CFR 52.138 - Conformity procedures.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Conformity procedures. 52.138 Section...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Arizona § 52.138 Conformity procedures. (a) Purpose. The... plans for metropolitan transportation planning organizations (MPOs) to use when determining...

  18. 48 CFR 223.7101 - Procedures.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Procedures. 223.7101 Section 223.7101 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT... Materials 223.7101 Procedures. (a) If the contracting officer is uncertain as to whether...

  19. Void fraction instrument acceptance test procedure

    Energy Technology Data Exchange (ETDEWEB)

    Pearce, K.L.

    1994-09-15

    This acceptance test procedure (ATP) was written to test the void fraction instrument (VFI) and verify that the unit is ready for field service. The procedure verifies that the mechanical and electrical features (not specifically addressed in the software ATP) and software alarms are operating as designed.

  20. Alternative antimicrobial commercial egg washing procedures

    Science.gov (United States)

    Commercial table eggs are washed prior to packaging. Standard wash procedures use an alkaline pH and warm water. If a cool water method could be developed that would still provide a microbiologically safe egg, the industry may save energy costs associated with water heating. Four wash procedures ...

  1. 48 CFR 36.303 - Procedures.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Procedures. 36.303 Section 36.303 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Two-Phase Design-Build Selection Procedures...

  2. On generic representation of implicit induction procedures

    NARCIS (Netherlands)

    Naidich, D.

    1996-01-01

    We develop a generic representation of implicit induction proof procedures within the cover set induction framework. Our work further develops the approach of cover set induction on propositional orderings. We show that in order to represent a substantially wide range of implicit induction procedure

  3. 12 CFR 211.9 - Investment procedures.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Investment procedures. 211.9 Section 211.9... Investment procedures. (a) General provisions. 5 Direct and indirect investments shall be made in accordance... investments in excess of the limitations therein based on capital and surplus. (1) Minimum capital...

  4. Extended Resin Composite Restorations: Techniques and Procedures

    NARCIS (Netherlands)

    Loomans, B.A.C.; Hilton, T.

    2016-01-01

    This article gives an overview of the state of the art of different restorative treatment procedures and techniques needed for placing extended posterior resin composite restorations. Clinical aspects related to the procedure are discussed and reviewed based on the current literature, such as the

  5. 10 CFR 9.105 - Commission procedures.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Commission procedures. 9.105 Section 9.105 Energy NUCLEAR REGULATORY COMMISSION PUBLIC RECORDS Government in the Sunshine Act Regulations § 9.105 Commission procedures. (a) Action under § 9.104 shall be taken only when a majority of the entire membership of...

  6. 7 CFR 905.120 - Nomination procedure.

    Science.gov (United States)

    2010-01-01

    ... nominations for members and alternate members of the Citrus Administrative Committee. The manner of nominating... 7 Agriculture 8 2010-01-01 2010-01-01 false Nomination procedure. 905.120 Section 905.120..., AND TANGELOS GROWN IN FLORIDA Rules and Regulations § 905.120 Nomination procedure. Meetings shall...

  7. Procedures for ground-water investigations

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-01

    This manual was developed by the Pacific Northwest Laboratory (PNL) to document the procedures used to carry out and control the technical aspects of ground-water investigations at the PNL. Ground-water monitoring procedures are developed and used in accordance with the PNL Quality Assurance Program.

  8. Comparison of transition-matrix sampling procedures

    DEFF Research Database (Denmark)

    Yevick, D.; Reimer, M.; Tromborg, Bjarne

    2009-01-01

    We compare the accuracy of the multicanonical procedure with that of transition-matrix models of static and dynamic communication system properties incorporating different acceptance rules. We find that for appropriate ranges of the underlying numerical parameters, algorithmically simple yet high...... accurate procedures can be employed in place of the standard multicanonical sampling algorithm....

  9. Multimodality imaging to guide cardiac interventional procedures

    NARCIS (Netherlands)

    Tops, Laurens Franciscus

    2010-01-01

    In recent years, a number of new cardiac interventional procedures have been introduced. Catheter ablation procedures for atrial fibrillation (AF) have been refined and are now considered a good treatment option in patients with drug-refractory AF. In cardiac pacing, cardiac resynchronization

  10. 15 CFR 200.108 - Request procedure.

    Science.gov (United States)

    2010-01-01

    ..., PROCEDURES, AND FEES § 200.108 Request procedure. (a) A formal purchase order for the calibration or test should be sent before or at the time the instrument or standard is shipped. The purchase order should... by purchase order or by letter or document authorizing the cost of the work to be billed to...

  11. Motives for cosmetic procedures in Saudi women.

    Science.gov (United States)

    Al-Natour, Sahar H

    2014-01-01

    The media-fuelled obsession with beauty in modern society has led more women to seek elective cosmetic procedures to meet the portrayed ideals of beauty in different cultures. This study gives insights into incentives and desires to undergo cosmetic procedures in a conservative society with strict religious practices where women are veiled. Questionnaire data were obtained from 509 Saudi women who responded to a survey distributed randomly to a sample of Saudi women aged 17 to 72 years. At least 1 elective cosmetic procedure was performed in 42% of the women, of whom 77.8% wore a veil. Another 33% considered having a procedure. The motives for seeking a cosmetic procedure were to improve self-esteem in 83.7%, attract a husband in 63.3%, or prevent a husband from seeking another wife in 36.2%. The decision to seek a procedure was affected by the media, with high peer influence. Motivation for elective cosmetic procedures in Saudi women is influenced by a combination of emotional and cultural factors, level of education, marital status, and religious beliefs. The veil is not an impediment for seeking such procedures. The limitation of the study was missing data analysis as some items in the questionnaire were completed inaccurately or left unanswered.

  12. Short bowel syndrome after laparoscopic procedures.

    Science.gov (United States)

    McBride, Corrigan L; Oleynikov, Dmitry; Sudan, Debra; Thompson, Jon S

    2014-04-01

    Short bowel syndrome (SBS) is a potential postoperative complication after intra-abdominal procedures. Whether the laparoscopic approach is as likely to result in SBS or the causative mechanisms are similar to open procedures is unknown. Our aim was to evaluate potential mechanisms of SBS after laparoscopic procedures. The records of 175 adult patients developing SBS as a postoperative complication were reviewed. One hundred forty-seven patients had open procedures and 28 laparoscopic. Colectomy (39%), hysterectomy (11%), and appendectomy (11%) were the most common open procedures. SBS followed laparoscopic gastric bypass (46%) and cholecystectomy (32%) most frequently. The mechanisms of SBS were different: adhesive obstruction (57 vs 22%, P < 0.05) was more common in the open group, whereas volvulus (18 vs 46%, P < 0.05) was more common after laparoscopy. Overall, ischemia (25 vs 32%) was similar but significantly more laparoscopic patients had postoperative hypoperfusion (32 vs 67%, P < 0.05). Eleven of the 13 laparoscopic bariatric procedures had internal hernias and volvulus. Of the nine patients undergoing cholecystectomy, four developed ischemia early postoperatively presumably secondary to pneumoperitoneum. SBS is an increasingly recognized complication of laparoscopic procedures. The mechanisms of intestinal injury differ from open procedures with a higher incidence of volvulus and more frequent ischemia from hypoperfusion.

  13. 14 CFR 183.53 - Procedures manual.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Procedures manual. 183.53 Section 183.53... manual. No ODA Letter of Designation may be issued before the Administrator approves an applicant's procedures manual. The approved manual must: (a) Be available to each member of the ODA Unit; (b) Include...

  14. Spanish Basic Course: Radio Communications Procedures, USAF.

    Science.gov (United States)

    Defense Language Inst., Washington, DC.

    This guide to radio communication procedures is offered in Spanish and English as a means of securing a closer working relationship among United States Air Force personnel and Latin American aviators and technicians. Eight dialogues concerning routine flight procedures and aerospace technology are included. It is suggested that two rated students…

  15. Decision-Making Procedure and Decision Quality.

    Science.gov (United States)

    Burleson, Brant R.; And Others

    1984-01-01

    Strongly confirmed the hypothesis that groups employing an interacting decision procedure would produce better decisions than groups employing procedures that are either nominal (Delphi) or "staticized" (individual judgments statistically pooled). Provides clear and consistent support for the value of social interaction in small group decision…

  16. A Procedure for Socially Valid Goal Setting

    Science.gov (United States)

    Ogletree, Billy T.; Howell, Amber; Carpenter, Dale

    2005-01-01

    Goal setting poses a significant challenge for service providers in both clinical and educational settings. With today's call for services that contribute to meaningful changes in children, there is an increased need for goal-setting procedures that are socially valid. This article presents such a procedure and illustrates its use through a case…

  17. 18 CFR 1308.32 - Prehearing procedures.

    Science.gov (United States)

    2010-04-01

    ... as used in those Rules shall be deemed to mean “Hearing Officer”; the term plaintiff shall be deemed... in this part, prehearing procedures, including discovery, shall be conducted in accordance with Rules 6, 7(b), 16, 26, 28-37, and 56 of the Federal Rules of Civil Procedure, except that the...

  18. 47 CFR 15.613 - Measurement procedures.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Measurement procedures. 15.613 Section 15.613 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL RADIO FREQUENCY DEVICES Access Broadband Over Power Line (Access BPL) § 15.613 Measurement procedures. Compliance measurements for Access BPL shall be made...

  19. 29 CFR 1614.305 - Consideration procedures.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Consideration procedures. 1614.305 Section 1614.305 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Related Processes § 1614.305 Consideration procedures. (a) Once a petition is...

  20. 5 CFR 179.304 - Notification procedures.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Notification procedures. 179.304 Section 179.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CLAIMS COLLECTION STANDARDS Administrative Offset § 179.304 Notification procedures. Before collecting any...

  1. 5 CFR 179.308 - Accelerated procedures.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Accelerated procedures. 179.308 Section 179.308 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CLAIMS COLLECTION STANDARDS Administrative Offset § 179.308 Accelerated procedures. OPM may make an...

  2. Meniscectomy: indications, procedure, outcomes, and rehabilitation

    Directory of Open Access Journals (Sweden)

    Anetzberger H

    2013-12-01

    Full Text Available Hermann Anetzberger,1 Christof Birkenmaier,2 Stephan Lorenz3 1Orthopädische Gemeinschaftspraxis am OEZ, Munich, Germany; 2Department of Orthopedics, Ludwig-Maximilian-University Munich, Munich, Germany; 3Department of Orthopedic Sports Medicine, Technical University of Munich, Klinikum rechts der Isar, Munich, Germany Abstract: Meniscal injuries are among the most frequent reasons for knee problems. The goal of this manuscript is to review the biomechanical relevance of the human knee's menisci in relation to surgical indications, surgical techniques, rehabilitation, and outcomes. In order to identify the relevant literature, we performed a PubMed search for the years ranging from 1980–2013 using the following search terms: meniscus; biomechanical function; meniscectomy; meniscal repair; and clinical outcome. The meniscus helps to distribute the forces between the tibial and femoral articular cartilage layers in a load-sharing capacity. Meniscus damage or meniscectomy intuitively leads to an overloading of the cartilage and, hence, to the development of osteoarthrosis. Precise knowledge of meniscal shape and function, of the type of injury, of surgical techniques, as well as of postsurgical rehabilitative care are of decisive importance for an individually-adjusted treatment strategy. Other underlying coexisting knee pathologies also need to be considered. The diagnosis of a meniscal injury is based upon clinical history, physical examination, and imaging studies. The treatment of a meniscal lesion includes conservative, as well as operative, procedures. The goals of surgery are to reduce pain and disability, as well as to preserve meniscal function without causing additional cartilage damage. The resection of meniscal tissue should be restricted to as much as is necessary, and as little as is reasonably possible. Postoperative rehabilitation serves the purpose of improving functional deficits and pain, as well as of restoring a good range of

  3. Clause Elimination Procedures for CNF Formulas

    Science.gov (United States)

    Heule, Marijn; Järvisalo, Matti; Biere, Armin

    We develop and analyze clause elimination procedures, a specific family of simplification techniques for conjunctive normal form (CNF) formulas. Extending known procedures such as tautology, subsumption, and blocked clause elimination, we introduce novel elimination procedures based on hidden and asymmetric variants of these techniques. We analyze the resulting nine (including five new) clause elimination procedures from various perspectives: size reduction, BCP-preservance, confluence, and logical equivalence. For the variants not preserving logical equivalence, we show how to reconstruct solutions to original CNFs from satisfying assignments to simplified CNFs. We also identify a clause elimination procedure that does a transitive reduction of the binary implication graph underlying any CNF formula purely on the CNF level.

  4. Maintaining Stored Procedures in Database Application

    Directory of Open Access Journals (Sweden)

    Santosh Kakade

    2012-06-01

    Full Text Available Stored procedure and triggers have an irreplaceable importance in any database application, as they provide a powerful way to code application logic that can be stored on the server and execute according to the need of application. Writing stored procedures for database application involves set of sql statements with an assigned name that's stored in the database in compiled form so that it can be shared by a number of programs. The use of stored procedures can be helpful in controlling access to data end-users may enter or change data but do not write procedures, preserving data integrity and improving productivity statements in a stored procedure only need to be written one time

  5. Improving conceptual and procedural knowledge: The impact of instructional content within a mathematics lesson.

    Science.gov (United States)

    Rittle-Johnson, Bethany; Fyfe, Emily R; Loehr, Abbey M

    2016-12-01

    Students, parents, teachers, and theorists often advocate for direct instruction on both concepts and procedures, but some theorists suggest that including instruction on procedures in combination with concepts may limit learning opportunities and student understanding. This study evaluated the effect of instruction on a math concept and procedure within the same lesson relative to a comparable amount of instruction on the concept alone. Direct instruction was provided before or after solving problems to evaluate whether the type of instruction interacted with the timing of instruction within a lesson. We worked with 180 second-grade children in the United States. In a randomized experiment, children received a classroom lesson on mathematical equivalence in one of four conditions that varied in instruction type (conceptual or combined conceptual and procedural) and in instruction order (instruction before or after solving problems). Children who received two iterations of conceptual instruction had better retention of conceptual and procedural knowledge than children who received both conceptual and procedural instruction in the same lesson. Order of instruction did not impact outcomes. Findings suggest that within a single lesson, spending more time on conceptual instruction may be more beneficial than time spent teaching a procedure when the goal is to promote more robust understanding of target concepts and procedures. © 2016 The British Psychological Society.

  6. [Surgery for diabetes type 2?].

    Science.gov (United States)

    Müller, Markus K; Nocito, A; Schiesser, M

    2010-02-17

    Diabetes mellitus type 2 is a chronic disease with increasing prevalence in western society. Obesity represents a well established risk factor for the development of diabetes mellitus type 2. Several studies on surgical procedures for the treatment of obesity have shown a postoperative reduction of obesity-related co-morbidities. Thus, diabetes mellitus type 2 was shown to resolve or improve in more than 75% of morbidly obese patients (BMI >35) after bariatric surgery. These insights paved the way for the advent of metabolic surgery - a novel field with the goal to improve glucose metabolism in patients with a BMI of less than 35. Encouraging results from mostly observational studies have sparked the interest in the surgical management of diabetes mellitus type 2.

  7. Sisvar: a Guide for its Bootstrap procedures in multiple comparisons

    Directory of Open Access Journals (Sweden)

    Daniel Furtado Ferreira

    2014-04-01

    Full Text Available Sisvar is a statistical analysis system with a large usage by the scientific community to produce statistical analyses and to produce scientific results and conclusions. The large use of the statistical procedures of Sisvar by the scientific community is due to it being accurate, precise, simple and robust. With many options of analysis, Sisvar has a not so largely used analysis that is the multiple comparison procedures using bootstrap approaches. This paper aims to review this subject and to show some advantages of using Sisvar to perform such analysis to compare treatments means. Tests like Dunnett, Tukey, Student-Newman-Keuls and Scott-Knott are performed alternatively by bootstrap methods and show greater power and better controls of experimentwise type I error rates under non-normal, asymmetric, platykurtic or leptokurtic distributions.

  8. Potential effects of environmental regulatory procedures on geothermal development

    Energy Technology Data Exchange (ETDEWEB)

    Beeland, G.V.; Boies, D.B.

    1981-01-01

    The potential effects of several types of applicable environmental regulatory procedures on geothermal development were assessed, and particular problem areas were identified. The possible impact of procedures adopted pursuant to the following Federal statutes were analyzed: Clean Air Act; Clean Water Act; Safe Drinking Water Act; and Resource Conservation and Recovery Act. State regulations applicable, or potentially applicable, to geothermal facilities were also reviewed to determine: permit information requirements; pre-permit air or water quality monitoring requirements; effect of mandated time frames for permit approval; and potential for exemption of small facilities. The regulations of the following states were covered in the review: Alaska; Arizona; California; Colorado; Hawaii; Idaho; Montana; Nevada; New Mexico; Oregon; Utah; Washington; and Wyoming. (MHR)

  9. 76 FR 77111 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2011-12-12

    ... Federal Aviation Administration 14 CFR Part 97 Standard Instrument Approach Procedures, and Takeoff... Standard Instrument Approach Procedures (SIAPs) and associated Takeoff Minimums and Obstacle Departure... obtained from: 1. FAA Public Inquiry Center (APA-200), FAA Headquarters Building, 800 Independence...

  10. 78 FR 7650 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2013-02-04

    ... Federal Aviation Administration 14 CFR Part 97 Standard Instrument Approach Procedures, and Takeoff... Standard Instrument Approach Procedures (SIAPs) and associated Takeoff Minimums and Obstacle Departure... from: 1. FAA Public Inquiry Center (APA-200), FAA Headquarters Building, 800 Independence Avenue...

  11. Sentinel node biopsy (SNB) in malignant melanoma as same day procedure vs delayed procedure

    DEFF Research Database (Denmark)

    Rødgaard, Jes Christian; Kramer, Stine; Stolle, Lars B

    2013-01-01

    The aim of this study was to compare a delayed sentinel node biopsy (dSNB) procedure with a same-day procedure (sSNB) in malignant melanoma. In March 2012, Aarhus University Hospital went from the dSNB to the sSNB procedure defined by lymphoscintigraphy (LS) and sentinel node biopsy (SNB) perform......, essential to keep the morbidity and economic costs low, while keeping the quality of the procedure high....

  12. Effect of cooling procedure on final denture base adaptation.

    Science.gov (United States)

    Ganzarolli, S M; Rached, R N; Garcia, R C M R; Del Bel Cury, A A

    2002-08-01

    Well-fitted dentures prevent hyperplasic lesions, provide chewing efficiency and promote patient's comfort. Several factors may affect final adaptation of dentures, as the type of the acrylic resin, the flask cooling procedure and the water uptake. This investigation evaluated the effect of water storage and two different cooling procedures [bench cooling (BC) for 2 h; running water (RW) at 20 degrees C for 45 min] on the final adaptation of denture bases. A heat-cured acrylic resin (CL, Clássico, Clássico Artigos Odontológicos) and two microwave-cured acrylic resins [Acron MC, (AC) GC Dent. Ind. Corp.; Onda Cryl (OC), Clássico Artigos Odontológicos] were used to make the bases. Adaptation was assessed by measuring the weight of an intervening layer of silicone impression material between the base and the master die. Data was submitted to ANOVA and Tukey's test (0.05). The following means were found: (BC) CL=0.72 +/- 0.03 a; AC=0.70 +/- 0.03 b; OC=0.76 +/- 0.04 c//(RW) CL= 1.00 +/- 0.11 a; AC=1.00 +/- 0.12 a; OC=0.95 +/- 0.10 a. Different labels join groups that are not statistically different (P > 0.05). Comparisons are made among groups submitted to the same cooling procedure (BC or RW). The conclusions are: interaction of type of material and cooling procedure had a statistically significant effect on the final adaptation of the denture bases (P 0.05) on the final adaptation.

  13. Effect of surgical procedures on prostate tumor gene expression profiles

    Institute of Scientific and Technical Information of China (English)

    Jie Li; Zhi-Hong Zhang; Chang-Jun Yin; Christian Pavlovich; Jun Luo; Robert Getzenberg; Wei Zhang

    2012-01-01

    Current surgical treatment of prostate cancer is typically accomplished by either open radical prostatectomy (ORP) or robotic-assisted laparoscopic radical prostatectomy (RALRP).Intra-operative procedural differences between the two surgical approaches may alter the molecular composition of resected surgical specimens,which are indispensable for molecular analysis and biomarker evaluation.The objective of this study is to investigate the effect of different surgical procedures on RNA quality and genome-wide expression signature.RNA integrity number (RIN) values were compared between total RNA samples extracted from consecutive LRP (n=11 ) and ORP (n=24) prostate specimens.Expression profiling was performed using the Agilent human whole-genome expression microarrays.Expression differences by surgical type were analyzed by Volcano plot analysis and gene ontology analysis.Quantitative reverse transcription (RT)-PCR was used for expression validation in an independent set of LRP (n=8) and ORP (n=8) samples.The LRP procedure did not compromise RNA integrity.Differential gene expression by surgery types was limited to a small subset of genes,the number of which was smaller than that expected by chance.Unexpectedly,this small subset of differentially expressed genes was enriched for those encoding transcription factors,oxygen transporters and other previously reported surgery-induced stress-response genes,and demonstrated unidirectional reduction in LRP specimens in comparison to ORP specimens.The effect of the LRP procedure on RNA quality and genome-wide transcript levels is negligible,supporting the suitability of LRP surgical specimens for routine molecular analysis.Blunted in vivo stress response in LRP specimens,likely mediated by CO2 insufflation but not by longer ischemia time,is manifested in the reduced expression of stress-response genes in these specimens.

  14. Surgical site infection rates following laparoscopic urological procedures.

    Science.gov (United States)

    George, Arvin K; Srinivasan, Arun K; Cho, Jane; Sadek, Mostafa A; Kavoussi, Louis R

    2011-04-01

    Surgical site infections have been categorized by the Centers for Medicare and Medicaid Services as "never events". The incidence of surgical site infection following laparoscopic urological surgery and its risk factors are poorly defined. We evaluated surgical site infection following urological laparoscopic surgery and identified possible factors that may influence occurrence. Patients who underwent transperitoneal laparoscopic procedures during a 4-year period by a single laparoscopic surgeon were retrospectively reviewed. Surgical site infections were identified postoperatively and defined using the Centers for Disease Control criteria. Clinical parameters, comorbidities, smoking history, preoperative urinalysis and culture results as well as operative data were analyzed. Nonparametric testing using the Mann-Whitney U test, multivariable logistic regression and Spearman's rank correlation coefficient were used for data analysis. In 556 patients undergoing urological laparoscopic procedures 14 surgical site infections (2.5%) were identified at mean postoperative day 21.5. Of the 14 surgical site infections 10 (71.4%) were located at a specimen extraction site. Operative time, procedure type and increasing body mass index were significantly associated with the occurrence of surgical site infections (p = 0.007, p = 0.019, p = 0.038, respectively), whereas history of diabetes mellitus (p = 0.071) and intraoperative transfusion (p = 0.053) were found to trend toward significance. Age, gender, positive urine culture, steroid use, procedure type and smoking history were not significantly associated with surgical site infection. Body mass index and operative time remained significant predictors of surgical site infection on multivariate logistic regression analysis. Surgical site infection is an infrequent complication following laparoscopic surgery with the majority occurring at the specimen extraction site. Infection is associated with prolonged operative time and

  15. Judicial civil procedure dragging out in Kosovo

    Directory of Open Access Journals (Sweden)

    Rrustem Qehaja

    2016-03-01

    Full Text Available This article tends to deal with one of the most worrying issues in the judicial system of Kosovo the problem of judicial civil procedure dragging out. The article analyses the reasons of these dragging outs of the judicial civil procedure focusing on the context of one of the basic procedural principles in civil procedure-the principle of economy or efficiency in the courts. Dragging out of civil procedure in Kosovo has put in question not only the basic principles of civil procedure, but it also challenges the general principles related to human rights and freedoms sanctioned not only by the highest legal act of the country, but also with international treaties. The article tends to give a reflection to the most important reasons that effect and influence in these dragging outs of civil procedure, as well as, at the same time aims to give the necessary alternatives to pass through them by identifying dilemmas within the judicial practice. As a result, the motives of this scientific paper are exactly focused at the same time on identifying the dilemmas, as well as presenting ideas, to overstep them, including the judicial practice of the European Court of Human Rights on Article 6 of the European Convention on Human Rights, by which it is given the possibility to offering people efficient and within a reasonable time legal protection of their rights before national courts. For these reasons, the paper elaborates this issue based on both, the legal theory and judicial practice.

  16. Hierarchical characterization procedures for dimensional metrology

    Science.gov (United States)

    MacKinnon, David; Beraldin, Jean-Angelo; Cournoyer, Luc; Carrier, Benjamin

    2011-03-01

    We present a series of dimensional metrology procedures for evaluating the geometrical performance of a 3D imaging system that have either been designed or modified from existing procedures to ensure, where possible, statistical traceability of each characteristic value from the certified reference surface to the certifying laboratory. Because there are currently no internationally-accepted standards for characterizing 3D imaging systems, these procedures have been designed to avoid using characteristic values provided by the vendors of 3D imaging systems. For this paper, we focus only on characteristics related to geometric surface properties, dividing them into surface form precision and surface fit trueness. These characteristics have been selected to be familiar to operators of 3D imaging systems that use Geometrical Dimensioning and Tolerancing (GD&T). The procedures for generating characteristic values would form the basis of either a volumetric or application-specific analysis of the characteristic profile of a 3D imaging system. We use a hierarchical approach in which each procedure builds on either certified reference values or previously-generated characteristic values. Starting from one of three classes of surface forms, we demonstrate how procedures for quantifying for flatness, roundness, angularity, diameter error, angle error, sphere-spacing error, and unidirectional and bidirectional plane-spacing error are built upon each other. We demonstrate how these procedures can be used as part of a process for characterizing the geometrical performance of a 3D imaging system.

  17. The balanced business portfolio evaluation procedure at industrial enterprises

    Directory of Open Access Journals (Sweden)

    K.Yu. Yavorska

    2013-09-01

    Full Text Available The aim of the article. The aim of the article is to identify marketing aspects of balanced business portfolio evaluation; to form its procedure, which includes set of certain steps; to prove expediency of strategic business units integration into balanced business directions.The results of the analysis. The main marketing features of business portfolio evaluation process were shown in the article. It was emphasized, that market correlation between business portfolio components is strongly needed to be mentioned during its balance estimation. It was justified, that one of the most effective ways to investigate this correlation correctly is based on identification of business portfolios components. We mentioned that according to modern market conditions, business portfolio can include not only just strategic business units (SBU, but also its supporting market activities, which add value to the main SBUs. Third product level was given as an example of supporting marketactivities.Therefore, the procedure of balanced business portfolio evaluation was suggested, which includes five steps. On the first step distinguishing of SBUs and supporting market activities is proposed. For that issue set of criteria was suggested, according to which it is possible to come to the conclusion which type goes to each portfolio component. On the next stage, competitiveness and market attractiveness estimation for each portfolio component was lead, using traditional portfolio matrixes (BCG, GE/McCinsey, Shell/DPM, ADL/LC, etc.. The balance of business portfolio (which includes separately taken SBUs is evaluated. For that point, BSC method is commonly used. On the third step, the model of creation business directions is given. It includes the relationships nature investigation between all business portfolio components, which gives an answer whether it is appropriate to create business directions based on existing portfolio components or not. It gives the type of

  18. Efficient and robust relaxation procedures for multi-component mixtures including phase transition

    Energy Technology Data Exchange (ETDEWEB)

    Han, Ee, E-mail: eehan@math.uni-bremen.de [Zentrum für Technomathematik, Universität Bremen, Bibliothekstraße 1, D-28359 Bremen (Germany); Hantke, Maren, E-mail: maren.hantke@ovgu.de [Institut für Analysis und Numerik, Otto-von-Guericke-Universität Magdeburg, PSF 4120, D-39016 Magdeburg (Germany); Müller, Siegfried, E-mail: mueller@igpm.rwth-aachen.de [Institut für Geometrie und Praktische Mathematik, RWTH Aachen University, Templergraben 55, D-52056 Aachen (Germany)

    2017-06-01

    We consider a thermodynamic consistent multi-component model in multi-dimensions that is a generalization of the classical two-phase flow model of Baer and Nunziato. The exchange of mass, momentum and energy between the phases is described by additional source terms. Typically these terms are handled by relaxation procedures. Available relaxation procedures suffer from efficiency and robustness resulting in very costly computations that in general only allow for one-dimensional computations. Therefore we focus on the development of new efficient and robust numerical methods for relaxation processes. We derive exact procedures to determine mechanical and thermal equilibrium states. Further we introduce a novel iterative method to treat the mass transfer for a three component mixture. All new procedures can be extended to an arbitrary number of inert ideal gases. We prove existence, uniqueness and physical admissibility of the resulting states and convergence of our new procedures. Efficiency and robustness of the procedures are verified by means of numerical computations in one and two space dimensions. - Highlights: • We develop novel relaxation procedures for a generalized, thermodynamically consistent Baer–Nunziato type model. • Exact procedures for mechanical and thermal relaxation procedures avoid artificial parameters. • Existence, uniqueness and physical admissibility of the equilibrium states are proven for special mixtures. • A novel iterative method for mass transfer is introduced for a three component mixture providing a unique and admissible equilibrium state.

  19. Changes in surgical procedures for acromioclavicular joint dislocation over the past 30 years.

    Science.gov (United States)

    Takase, Katsumi; Yamamoto, Kengo

    2013-10-01

    Generally, surgical treatment is recommended for Rockwood type 5 traumatic acromioclavicular joint dislocations. Since 1980, the authors have performed the modified Dewar procedure, the modified Cadenat procedure, and anatomical reconstruction of the coracoclavicular ligaments for this injury. The goal of this study was to determine the ideal surgical procedure for acromioclavicular joint dislocations by comparing these 3 procedures. The modified Dewar procedure was performed on 55 patients (Dewar group), the modified Cadenat procedure was performed on 73 patients (Cadenat group), and anatomical reconstruction of the coracoclavicular ligaments was performed on 11 patients (reconstruction group). According to the UCLA scoring system, therapeutic results averaged 27.3 points in the Dewar group, 28.2 in the Cadenat group, and 28.4 in the reconstruction group. The incidence of residual subluxation or dislocation in the acromioclavicular joint was evaluated at final radiographic follow-up. Subluxation occurred in 21 patients in the Dewar group, 18 in the Cadenat group, and 3 in the reconstruction group. Dislocation occurred in 3 patients in the Dewar group. Osteoarthritic changes in the acromioclavicular joint occurred in 20 patients in the Dewar group, 9 in the Cadenat group, and 1 in the reconstruction group. The modified Cadenat procedure can provide satisfactory therapeutic results and avoid postoperative failure or loss of reduction compared with the modified Dewar procedure. However, the modified Cadenat procedure does not anatomically restore the coracoclavicular ligaments. Anatomic restoration of both coracoclavicular ligaments can best restore acromioclavicular joint function. Copyright 2013, SLACK Incorporated.

  20. Structure of non-reimbursed and reimbursed therapeutic procedures provided at a general dental care office

    Directory of Open Access Journals (Sweden)

    Zgardzinska Sylwia

    2014-09-01

    Full Text Available Dental care in Poland is based both on the public system (reimbursement by the National Health Fund and on the private funding (non-reimbursed. The aim of the paper was an analysis of the structure of non-reimbursed and reimbursed therapeutic procedures provided at a general dental care office. The study material was medical documentation of 669 patients treated for 3 months (the third quarter of 2013 at a general dental care office. The structure of therapeutic procedures, with the exception of orthodontic and prosthetic treatment, was analyzed, taking into account the patients’ gender, age, place of residence, the kind of procedure, and the payment type they made. The procedures reimbursed by the National Health Fund constituted 60.1% of all the procedures provided to patients at a dental office. Both among the procedures reimbursed by the National Health Fund and non-reimbursed procedures, the therapeutic procedures prevailed significantly over the prophylactic ones; in all age groups conservative treatment was predominant. An increase in the number of extractions in patients over 40 years of age, in comparison to younger patients, was found. The number of the dental procedures reimbursed by the National Health Fund, compared to the number of the non-reimbursed ones, increased with the patients’ age.

  1. Grupo de trabajo de Leiden sobre fibrinolysis : procedimientos de recogida y manipulación de sangre para la evaluación del activador del plasminógeno de tipo tisular (t-PA) y del inhibidor-1 del activador del plasminógeno (PAI-1) [Leiden fibrinolysis working party : blood collection and handling procedures for assessment of tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor-1 (PAI-1)

    NARCIS (Netherlands)

    Kluft, C.; Verheijen, J.H.

    1992-01-01

    Procedures of blood collection and handling are different for the various variables in haemostasis and tend to change gradually with progress in knowledge and methods. The Working Party has gathered background information about procedures and discussed minimal requirements specifically for t-PA and

  2. Grupo de trabajo de Leiden sobre fibrinolysis : procedimientos de recogida y manipulación de sangre para la evaluación del activador del plasminógeno de tipo tisular (t-PA) y del inhibidor-1 del activador del plasminógeno (PAI-1) [Leiden fibrinolysis working party : blood collection and handling procedures for assessment of tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor-1 (PAI-1)

    NARCIS (Netherlands)

    Kluft, C.; Verheijen, J.H.

    1992-01-01

    Procedures of blood collection and handling are different for the various variables in haemostasis and tend to change gradually with progress in knowledge and methods. The Working Party has gathered background information about procedures and discussed minimal requirements specifically for t-PA and

  3. Radiation safety in nuclear medicine procedures

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Sang Geon; Kim, Ja Hae; Song, Ho Chun [Dept. of Nuclear Medicine, Medical Radiation Safety Research Center, Chonnam National University Hospital, Gwangju (Korea, Republic of)

    2017-03-15

    Since the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant in 2011, radiation safety has become an important issue in nuclear medicine. Many structured guidelines or recommendations of various academic societies or international campaigns demonstrate important issues of radiation safety in nuclear medicine procedures. There are ongoing efforts to fulfill the basic principles of radiation protection in daily nuclear medicine practice. This article reviews important principles of radiation protection in nuclear medicine procedures. Useful references, important issues, future perspectives of the optimization of nuclear medicine procedures, and diagnostic reference level are also discussed.

  4. The modified procedures in coercivity scaling*

    Directory of Open Access Journals (Sweden)

    Najgebauer Mariusz

    2015-09-01

    Full Text Available The paper presents a scaling approach to the analysis of coercivity. The Widom-based procedure of coercivity scaling has been tested for non-oriented electrical steel. Due to insufficient results, the scaling procedure was improved relating to the method proposed by Van den Bossche. The modified procedure of coercivity scaling gave better results, in comparison to the original approach. The influence of particular parameters and a range of measurement data used in the estimations on the final effect of the coercivity scaling were discussed.

  5. Radiation Safety in Nuclear Medicine Procedures.

    Science.gov (United States)

    Cho, Sang-Geon; Kim, Jahae; Song, Ho-Chun

    2017-03-01

    Since the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant in 2011, radiation safety has become an important issue in nuclear medicine. Many structured guidelines or recommendations of various academic societies or international campaigns demonstrate important issues of radiation safety in nuclear medicine procedures. There are ongoing efforts to fulfill the basic principles of radiation protection in daily nuclear medicine practice. This article reviews important principles of radiation protection in nuclear medicine procedures. Useful references, important issues, future perspectives of the optimization of nuclear medicine procedures, and diagnostic reference level are also discussed.

  6. Health Code Number (HCN) Development Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Petrocchi, Rocky; Craig, Douglas K.; Bond, Jayne-Anne; Trott, Donna M.; Yu, Xiao-Ying

    2013-09-01

    This report provides the detailed description of health code numbers (HCNs) and the procedure of how each HCN is assigned. It contains many guidelines and rationales of HCNs. HCNs are used in the chemical mixture methodology (CMM), a method recommended by the department of energy (DOE) for assessing health effects as a result of exposures to airborne aerosols in an emergency. The procedure is a useful tool for proficient HCN code developers. Intense training and quality assurance with qualified HCN developers are required before an individual comprehends the procedure to develop HCNs for DOE.

  7. Optimisation of interventional cardiology procedures; Optimisation des procedures en cardiologie interventionnelle

    Energy Technology Data Exchange (ETDEWEB)

    Bar, Olivier [SELARL, Cardiologie Interventionnelle Imagerie Cardiaque - CIIC, 8, place de la Cathedrale - 37042 Tours (France)

    2011-07-15

    Radiation-guided procedures in interventional cardiology include diagnostic and/or therapeutic procedures, primarily coronary catheterization and coronary angioplasty. Application of the principles of radiation protection and the use of optimised procedures are contributing to dose reduction while maintaining the radiological image quality necessary for performance of the procedures. The mandatory training in patient radiation protection and technical training in the use of radiology devices mean that implementing continuous optimisation of procedures is possible in practice. This optimisation approach is the basis of patient radiation protection; when associated with the wearing of protective equipment it also contributes to the radiation protection of the cardiologists. (author)

  8. Predisposing cardiac conditions, interventional procedures, and antibiotic prophylaxis among patients with infective endocarditis.

    Science.gov (United States)

    Chirillo, Fabio; Faggiano, Pompilio; Cecconi, Moreno; Moreo, Antonella; Squeri, Angelo; Gaddi, Oscar; Cecchi, Enrico

    2016-09-01

    Efficacy and safety of antibiotic prophylaxis (AP) for prevention of infective endocarditis (IE) in patients with predisposing cardiac condition (PCC) undergoing invasive procedures is still debated. We sought to assess the prevalence of PCC, the type of interventional procedures preceding the onset of symptoms, and the usefulness of AP in a large cohort of consecutive patients with definite IE. We examined 677 (median age 65.34 years; male 492 [73%]) consecutive patients with IE enrolled from July 2007 through 2010 into the Italian Registry of Infective Endocarditis. Predisposing cardiac condition was present in 341 patients (50%).Thirty-two patients (4.7%) underwent dental procedures. Of 20 patients with PCC undergoing dental procedure, 13 had assumed AP. Viridans group streptococci were isolated from blood cultures in 8 of 20 patients with PCC and prior dental procedure. Nondental procedures preceded IE in 139 patients (21%). They were significantly older and had more comordibities compared with patients undergoing dental procedures. Predisposing cardiac condition was identified in 91 patients. Perioperative antimicrobial prophylaxis was administered to 67 patients. Staphylococcus aureus was the most frequent causative agent. Cardiac surgery was necessary in 85 patients (20 with prior dental and 65 with nondental procedure). Surgical mortality (12% vs 0%, P = .03) and hospital mortality (23% vs 3%, P = .001) were significantly larger among patients with nondental procedures. In a large unselected cohort of patients with IE, the incidence of preceding dental procedures was minimal. The number of cases potentially preventable by means of AP was negligible. Nondental procedures were more frequent than dental procedures and were correlated with poorer prognosis. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Implementing Computer-Based Procedures: Thinking Outside the Paper Margins

    Energy Technology Data Exchange (ETDEWEB)

    Oxstrand, Johanna; Bly, Aaron

    2017-06-01

    In the past year there has been increased interest from the nuclear industry in adopting the use of electronic work packages and computer-based procedures (CBPs) in the field. The goal is to incorporate the use of technology in order to meet the Nuclear Promise requirements of reducing costs and improve efficiency and decrease human error rates of plant operations. Researchers, together with the nuclear industry, have been investigating the benefits an electronic work package system and specifically CBPs would have over current paper-based procedure practices. There are several classifications of CBPs ranging from a straight copy of the paper-based procedure in PDF format to a more intelligent dynamic CBP. A CBP system offers a vast variety of improvements, such as context driven job aids, integrated human performance tools (e.g., placekeeping and correct component verification), and dynamic step presentation. The latter means that the CBP system could only display relevant steps based on operating mode, plant status, and the task at hand. The improvements can lead to reduction of the worker’s workload and human error by allowing the work to focus on the task at hand more. A team of human factors researchers at the Idaho National Laboratory studied and developed design concepts for CBPs for field workers between 2012 and 2016. The focus of the research was to present information in a procedure in a manner that leveraged the dynamic and computational capabilities of a handheld device allowing the worker to focus more on the task at hand than on the administrative processes currently applied when conducting work in the plant. As a part of the research the team identified type of work, instructions, and scenarios where the transition to a dynamic CBP system might not be as beneficial as it would for other types of work in the plant. In most cases the decision to use a dynamic CBP system and utilize the dynamic capabilities gained will be beneficial to the worker

  10. Optimality of the Holm procedure among general step-down multiple testing procedures.

    Science.gov (United States)

    Gordon, Alexander Y; Salzman, Peter

    2008-09-15

    We study the class of general step-down multiple testing procedures, which contains the usually considered procedures determined by a nondecreasing sequence of thresholds (we call them threshold step-down, or TSD, procedures) as a parametric subclass. We show that all procedures in this class satisfying the natural condition of monotonicity and controlling the family-wise error rate (FWER) at a prescribed level are dominated by one of them - the classical Holm procedure. This generalizes an earlier result pertaining to the subclass of TSD procedures (Lehmann and Romano, Testing Statistical Hypotheses, 3rd ed., 2005). We also derive a relation between the levels at which a monotone step-down procedure controls the FWER and the generalized FWER (the probability of k or more false rejections).

  11. One view on the position of crime victim in criminal procedure for organized crime

    Directory of Open Access Journals (Sweden)

    Škulić Milan Z.

    2004-01-01

    Full Text Available In this paper the position of victim in criminal procedure for organized crime is analyzed. Through recent changes of our criminal procedure law, the special type of procedure is created in relation to organized crime, with inclusion of large number of specific criminal procedure norms. These new solutions contribute to the protection of victims/witnesses, although there are still more space for the improvement. Legislative body still needs to overcome deeply embedded attitude that the witnesses and victims are the exclusive source of evidence, or, in other words, that the witness testimony is only way to find out evidence information. The victim has to be treated at the first place as a person to whom specific position in criminal procedure, with special regard on the protection of her basic rights, should be guaranteed.

  12. Vulvar procedures: biopsy, bartholin abscess treatment, and condyloma treatment.

    Science.gov (United States)

    Mayeaux, Edward J; Cooper, Danielle

    2013-12-01

    Several benign, premalignant, and malignant lesions may arise on the vulva, and multiple types of procedures may be used to diagnose and treat these conditions. Punch and shave biopsies may be used to diagnose most vulvar conditions, but lesions suspected of being melanomas may best be diagnosed with narrow-margin excisional biopsies. Bartholin gland cysts and abscesses may be treated with several different treatment modalities, the most common of which are fistulization and marsupialization. Genital warts may be treated with several medical and surgical modalities to relieve symptoms.

  13. Military Publications, Index of Test Operations Procedures

    Science.gov (United States)

    1981-10-01

    checkout equipmerit subtest and an MBGC assembly operacion subtest. Static performance subtests determine accuracy, sensitivity, dead band, drift, cross...opera- tional and functional -erformaice characteristics. Discusses preliminary operacions , facilities, and equipment required. Proviies procedures for

  14. 7 CFR 982.37 - Procedure.

    Science.gov (United States)

    2010-01-01

    ... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE HAZELNUTS GROWN IN OREGON AND WASHINGTON Order Regulating Handling Hazelnut Control Board § 982.37 Procedure. (a) Seven members of...

  15. Procedural Problems in LGBT Asylum Cases

    National Research Council Canada - National Science Library

    Lyra Jakuleviciene; Laurynas Bieksa; Egle Samuchovaite

    2012-01-01

    ...) attitudes are also frequent in many societies. However, the LGBT asylum seekers are frequently left outside the refugee definition due to many refugee qualification and procedural problems in LGBT cases...

  16. Residual bone growth after lengthening procedures

    National Research Council Canada - National Science Library

    Journeau, Pierre; Lascombes, Pierre; Barbier, Dominique; Popkov, Dmitry

    2016-01-01

    .... Using a large cohort of 150 children who had undergone bone lengthening procedures, we describe five patterns of post-intervention growth and identify factors that are favourable for normal residual growth...

  17. 28 CFR 541.63 - Hearing procedure.

    Science.gov (United States)

    2010-07-01

    ... AND SPECIAL HOUSING UNITS Procedures for Handling of HIV Positive Inmates Who Pose Danger to Others... the notice and this rule to the inmate and document that this explanation has occurred. (2) The...

  18. Children Procedures and Treatment (Fertility Issues)

    Medline Plus

    Full Text Available ... Story Share my story! Children Procedures and Treatment Is ovarian tissue cryopreservation available to girls under 18? ... fertility preservation with their cancer-stricken child? How is the Oncofertility Consortium addressing the fertility preservation needs ...

  19. Procedure Verification and Validation Toolset Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed research is aimed at investigating a procedure verification and validation toolset, which will allow the engineers who are responsible for developing...

  20. 32 CFR 191.6 - Procedures.

    Science.gov (United States)

    2010-07-01

    .... (7) Develop procedures for and implement a program to eliminate sexual harassment in Component work places, consistent with DoD Policy on Sexual Harassment memorandums, and to ensure compliance with...

  1. 78 FR 43753 - Practices and Procedures

    Science.gov (United States)

    2013-07-22

    ... INFORMATION CONTACT: William D. Spencer, Clerk of the Board, Merit Systems Protection Board, 1615 M Street NW... Administrative practice and procedure. William D. Spencer, Clerk of the Board. Interim Rule Adopted as...

  2. 16 CFR 1031.11 - Procedural safeguards.

    Science.gov (United States)

    2010-01-01

    ....11 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL COMMISSION PARTICIPATION AND COMMISSION EMPLOYEE INVOLVEMENT IN VOLUNTARY STANDARDS ACTIVITIES Employee Involvement § 1031.11 Procedural... involvement in voluntary standards activities set forth in subpart A of this part. (b) Commission...

  3. Procedures for health risk assessment in Europe

    NARCIS (Netherlands)

    Seeley, M.R.; Tonner-Navarro, L.E.; Beck, B.D.; Deskin, R.; Feron, V.J.; Johanson, G.; Bolt, H.M.

    2001-01-01

    This report compares cancer classification systems, health risk assessment approaches, and procedures used for establishing occupational exposure limits (OELs), in various European countries and scientific organizations. The objectives were to highlight and compare key aspects of these processes and

  4. 21 CFR 314.620 - Withdrawal procedures.

    Science.gov (United States)

    2010-04-01

    ... Efficacy Studies Are Not Ethical or Feasible § 314.620 Withdrawal procedures. (a) Reasons to withdraw... diligence; (3) Use after marketing demonstrates that postmarketing restrictions are inadequate to...

  5. Electronic Procedures for Medical Operations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Electronic procedures are currently being used to document the steps in performing medical operations for the Space Shuttle and/or the International Space Station...

  6. Anaesthesia for Ophthalmic Surgical Procedures | Onakpoya | East ...

    African Journals Online (AJOL)

    PROMOTING ACCESS TO AFRICAN RESEARCH ... Background: Ophthalmic surgical procedures are performed under anaesthesia to enhance ... Local anaesthesia was the more commonly (92.1%) employed while general anaesthesia was ...

  7. 19 CFR 10.591 - Filing procedures.

    Science.gov (United States)

    2010-04-01

    ... States Free Trade Agreement Post-Importation Duty Refund Claims § 10.591 Filing procedures. (a) Place of... preferential tariff treatment; (3) A written statement indicating whether the importer of the good provided...

  8. The Accelerated Procedure for Electrical Work (TPA)

    CERN Document Server

    Coelingh, G J

    2000-01-01

    The accelerated procedure for electrical work [in French: Travaux électriques selon Procédure Accélérée (TPA)] was introduced in October 1996. It allows the contractor to carry out minor electrical installation jobs (about 350 a year) independently. The special features of the TPA are that the number of hours to be worked is limited to 16 and the cost to less than 1000 CHF. This procedure has substantial advantages for both the requesters and ST division. Firstly, the requester benefits from direct contact with the contractor, prompt action and simplified invoicing. In addition, ST division, relieved of ordinary minor work, can concentrate on larger-scale projects and can take advantage of a simplified system of administration. The author sets out the course of the procedure, its advantages and drawbacks, the statistics and the results of a satisfaction questionnaire. This procedure could be adapted and extended to other operations linked to future contracts.

  9. Multifactor Screener in OPEN: Scoring Procedures & Results

    Science.gov (United States)

    Scoring procedures were developed to convert a respondent's screener responses to estimates of individual dietary intake for percentage energy from fat, grams of fiber, and servings of fruits and vegetables.

  10. Basic Stand Alone Medicare Outpatient Procedures PUF

    Data.gov (United States)

    U.S. Department of Health & Human Services — This release contains the Basic Stand Alone (BSA) Outpatient Procedures Public Use Files (PUF) with information from Medicare outpatient claims. The CMS BSA...

  11. [Surgical treatment of type 2 diabetes mellitus].

    Science.gov (United States)

    Carrillo-Esper, Raúl; Muciño-Bermejo, María Jimena

    2014-01-01

    Sustained remission of type 2 diabetes mellitus and significantly improved hyperlipidemia and arterial hypertension, control has been achieves in both lean and obese patient after bariatric surgery procedures or other gastrointestinal surgical procedures. It has been demonstrated that the metabolic effects of bariatric surgery in these patients derives not only in reducing weight and caloric intake, but also endocrine changes resulting from surgical manifestation gastrointestinal tract. In this article we review the clinical outcomes of such interventions (collectively called "metabolic surgery") and the perspectives on the role that these surgeries play in the treatment of patients with type 2 diabetes mellitus.

  12. Tooth-bleaching procedures and their controversial effects: A literature review

    OpenAIRE

    Alqahtani, Mohammed Q.

    2014-01-01

    Aim: This review article will help clinicians improve their understanding of the history of bleaching procedures, bleaching types, components, mechanisms, and their effects on soft tissue, tooth structures, resin composite, and bonding. Methods: The controversial issues about bleaching procedures and their effects are reviewed. Additionally, the consequences of pre- and post-bleaching on the bonding potential of composite resin restorations to tooth structure are discussed. Conclusion: ...

  13. Learning a Procedure from Multimedia Instructions: The Effects of Film and Practice.

    Science.gov (United States)

    1983-11-01

    Baggett, in press, b) the soundtrack of a film was shifted, so that an object shown in the visual image and its corresponding verbal label could be in...INSTITUTE OF COGNITIVE S CIENCE Learning a Procedure from Multimedia Instructions: Iwo* The Effects of Film and Practice Deprtment of psyhology...5ettlafej S. TYPE OF REPORT & PERIOD COVERED Learning a procedure from multimedia instructions: The effects of film and practice I. PERFORMING ORG

  14. 40 CFR Appendix B to Part 136 - Definition and Procedure for the Determination of the Method Detection Limit-Revision 1.11

    Science.gov (United States)

    2010-07-01

    .... Interferences are defined as systematic errors in the measured analytical signal of an established procedure... containing analyte. The MDL for an analytical procedure may vary as a function of sample type. The procedure requires a complete, specific, and well defined analytical method. It is essential that all...

  15. Comparison of speech intelligibility in quiet and in noise after hearing aid fitting according to a purely prescriptive and a comparative fitting procedure

    NARCIS (Netherlands)

    Metselaar, Mick; Maat, Bert; Krijnen, Pieta; Verschuure, Hans; Dreschler, Wouter; Feenstra, Louw

    2008-01-01

    We compared two different types of hearing-aid fitting procedures in a double-blind randomized clinical study. Hearing aid fittings based on a purely prescriptive procedure (the NAL-RP formula) were compared to a comparative fitting procedure based on optimizing speech intelligibility scores. Main o

  16. Comparison of speech intelligibility in quiet and in noise after hearing aid fitting according to a purely prescriptive and a comparative fitting procedure

    NARCIS (Netherlands)

    Metselaar, Mick; Maat, Bert; Krijnen, Pieta; Verschuure, Hans; Dreschler, Wouter; Feenstra, Louw

    We compared two different types of hearing-aid fitting procedures in a double-blind randomized clinical study. Hearing aid fittings based on a purely prescriptive procedure (the NAL-RP formula) were compared to a comparative fitting procedure based on optimizing speech intelligibility scores. Main

  17. YF-16 flight flutter test procedures

    Science.gov (United States)

    Brignac, W. J.; Ness, H. B.; Johnson, M. K.; Smith, L. M.

    1976-01-01

    The Random Decrement technique (Randomdec) was incorporated in procedures for flight testing of the YF-16 lightweight fighter prototype. Damping values obtained substantiate the adequacy of the flutter margin of safety. To confirm the structural modes which were being excited, a spectral analysis of each channel was performed using the AFFTC time/data 1923/50 time series analyzer. Inflight test procedure included the careful monitoring of strip charts, three axis pulses, rolls, and pullups.

  18. Complications in common general pediatric surgery procedures.

    Science.gov (United States)

    Linnaus, Maria E; Ostlie, Daniel J

    2016-12-01

    Complications related to general pediatric surgery procedures are a major concern for pediatric surgeons and their patients. Although infrequent, when they occur the consequences can lead to significant morbidity and psychosocial stress. The purpose of this article is to discuss the common complications encountered during several common pediatric general surgery procedures including inguinal hernia repair (open and laparoscopic), umbilical hernia repair, laparoscopic pyloromyotomy, and laparoscopic appendectomy. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Symposium on Lawyers' Role in Pretrial Procedures

    Institute of Scientific and Technical Information of China (English)

    OUR STAFF REPORTER

    2007-01-01

    @@ More than 70 law experts,lawyers and prosecutors attended a symposium held in Beijing of late on the role lawyers should play in pre-trial procedures. The symposium was sponsored jointly by the State Institute for Prosecutors, the Center for Research of Procedural Laws under the China Political Science and Law University and the Criminal Defense Committee of the All-China Lawyers' Association. This report highlights the debate that took place during the symposium.

  20. A new procedure for Uranium fractionation

    Energy Technology Data Exchange (ETDEWEB)

    Costas Costas, E.; Baselga Cervara, B.; Tarin garcia, F.

    2014-07-01

    Nowadays only few procedures are employed for uranium fractionation, all of them at physico-chemical level. Ideally, we would develop a procedure based in a von Neumann machines (a rapid self-replicating machine capable of perform the uranium fractionation). Microorganism behave as von Newmann machines and al l known enzymatic processes are able to isotopic fractionation, often enriching the living organism in the lighter isotope. (Author)

  1. Procedures for sampling radium-contaminated soils

    Energy Technology Data Exchange (ETDEWEB)

    Fleischhauer, H.L.

    1985-10-01

    Two procedures for sampling the surface layer (0 to 15 centimeters) of radium-contaminated soil are recommended for use in remedial action projects. Both procedures adhere to the philosophy that soil samples should have constant geometry and constant volume in order to ensure uniformity. In the first procedure, a ''cookie cutter'' fashioned from pipe or steel plate, is driven to the desired depth by means of a slide hammer, and the sample extracted as a core or plug. The second procedure requires use of a template to outline the sampling area, from which the sample is obtained using a trowel or spoon. Sampling to the desired depth must then be performed incrementally. Selection of one procedure over the other is governed primarily by soil conditions, the cookie cutter being effective in nongravelly soils, and the template procedure appropriate for use in both gravelly and nongravelly soils. In any event, a minimum sample volume of 1000 cubic centimeters is recommended. The step-by-step procedures are accompanied by a description of the minimum requirements for sample documentation. Transport of the soil samples from the field is then addressed in a discussion of the federal regulations for shipping radioactive materials. Interpretation of those regulations, particularly in light of their application to remedial action soil-sampling programs, is provided in the form of guidance and suggested procedures. Due to the complex nature of the regulations, however, there is no guarantee that our interpretations of them are complete or entirely accurate. Preparation of soil samples for radium-226 analysis by means of gamma-ray spectroscopy is described.

  2. Hepatic infarction following abdominal interventional procedures.

    Directory of Open Access Journals (Sweden)

    Fujiwara H

    2004-04-01

    Full Text Available To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5% in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock.

  3. Vision based flight procedure stereo display system

    Science.gov (United States)

    Shen, Xiaoyun; Wan, Di; Ma, Lan; He, Yuncheng

    2008-03-01

    A virtual reality flight procedure vision system is introduced in this paper. The digital flight map database is established based on the Geographic Information System (GIS) and high definitions satellite remote sensing photos. The flight approaching area database is established through computer 3D modeling system and GIS. The area texture is generated from the remote sensing photos and aerial photographs in various level of detail. According to the flight approaching procedure, the flight navigation information is linked to the database. The flight approaching area vision can be dynamic displayed according to the designed flight procedure. The flight approaching area images are rendered in 2 channels, one for left eye images and the others for right eye images. Through the polarized stereoscopic projection system, the pilots and aircrew can get the vivid 3D vision of the flight destination approaching area. Take the use of this system in pilots preflight preparation procedure, the aircrew can get more vivid information along the flight destination approaching area. This system can improve the aviator's self-confidence before he carries out the flight mission, accordingly, the flight safety is improved. This system is also useful in validate the visual flight procedure design, and it helps to the flight procedure design.

  4. Breast ductal endoscopy: how many procedures qualify?

    Directory of Open Access Journals (Sweden)

    Papalabros Alexandros

    2009-06-01

    Full Text Available Abstract Background Breast ductal endoscopy is a relatively new diagnostic method with ever growing importance in the work-up of patients with bloody nipple discharge. The ability to perform ductal endoscopy is very important and useful for breast fellows. Learning curve in breast ductal endoscopy remains a terra incognita, since no systematic studies have addressed this topic. The purpose of this study is to determine the point (number of procedures during training beyond which ductal endoscopy is successfully performed. Findings Ten breast fellows received training in our Breast Unit. For the training process, an ex vivo model was adopted. Fellows were trained on 20 surgical specimens derived from modified radical mastectomy for breast cancer. The target of the education program was to acquire proficiency in performing ductoscopy. The achievement of four consecutively successful ductal endoscopies was determined as the point beyond which proficiency had been achieved. The number of procedures needed for the achievement of proficiency as defined above ranged between 9 and 17 procedures. The median value was 13 procedures; i.e. 50% of trainees had achieved proficiency at the 13th procedure or earlier. Conclusion These pilot findings point to approximately 13 procedures as a point beyond which ductal endoscopy is successfully performed; studies on a larger number of fellows are nevertheless needed. Further research, focusing on the learning curves of different training models of ductal endoscopy, seems desirable.

  5. Breast ductal endoscopy: how many procedures qualify?

    Science.gov (United States)

    Zagouri, Flora; Sergentanis, Theodoros N; Giannakopoulou, Georgia; Panopoulou, Effrosyni; Chrysikos, Dimosthenis; Bletsa, Garifallia; Flessas, John; Filippakis, George; Papalabros, Alexandros; Bramis, Kostas J; Zografos, George C

    2009-01-01

    Background Breast ductal endoscopy is a relatively new diagnostic method with ever growing importance in the work-up of patients with bloody nipple discharge. The ability to perform ductal endoscopy is very important and useful for breast fellows. Learning curve in breast ductal endoscopy remains a terra incognita, since no systematic studies have addressed this topic. The purpose of this study is to determine the point (number of procedures during training) beyond which ductal endoscopy is successfully performed. Findings Ten breast fellows received training in our Breast Unit. For the training process, an ex vivo model was adopted. Fellows were trained on 20 surgical specimens derived from modified radical mastectomy for breast cancer. The target of the education program was to acquire proficiency in performing ductoscopy. The achievement of four consecutively successful ductal endoscopies was determined as the point beyond which proficiency had been achieved. The number of procedures needed for the achievement of proficiency as defined above ranged between 9 and 17 procedures. The median value was 13 procedures; i.e. 50% of trainees had achieved proficiency at the 13th procedure or earlier. Conclusion These pilot findings point to approximately 13 procedures as a point beyond which ductal endoscopy is successfully performed; studies on a larger number of fellows are nevertheless needed. Further research, focusing on the learning curves of different training models of ductal endoscopy, seems desirable. PMID:19566939

  6. Pragmatics of type-directed partial evaluation

    DEFF Research Database (Denmark)

    1996-01-01

    the user to annotate arrow types with effect information. It is achieved by delimiting and abstracting control, comparably to continuation-based specialization in direct style. It enables type-directed partial evaluation of programs with effects (e.g., a definitional lambda-interpreter for an imperative......Type-directed partial evaluation stems from the residualization of static values in dynamic contexts, given their type and the type of their free variables. Its algorithm coincides with the algorithm for coercing a subtype value into a supertype value, which itself coincides with Berger...... and Schwichtenberg's normalization algorithm for the simply typed lambda-calculus. Type-directed partial evaluation thus can be used to specialize a compiled, closed program, given its type. Since Similix, let-insertion is a cornerstone of partial evaluators for call-by-value procedural languages with computational...

  7. Type Classes for Lightweight Substructural Types

    Directory of Open Access Journals (Sweden)

    Edward Gan

    2015-02-01

    Full Text Available Linear and substructural types are powerful tools, but adding them to standard functional programming languages often means introducing extra annotations and typing machinery. We propose a lightweight substructural type system design that recasts the structural rules of weakening and contraction as type classes; we demonstrate this design in a prototype language, Clamp. Clamp supports polymorphic substructural types as well as an expressive system of mutable references. At the same time, it adds little additional overhead to a standard Damas-Hindley-Milner type system enriched with type classes. We have established type safety for the core model and implemented a type checker with type inference in Haskell.

  8. Standard working procedures in production of traditionally fermented Sremska sausage

    Directory of Open Access Journals (Sweden)

    Vesković-Moračanin Slavica

    2011-01-01

    Full Text Available Investigations conducted within project "Techonological and protective characteristics of autochthonous strains of lactic acid bacteria isolated from traditional fermented sausages and possibilities for their implementation in the meat industry" (Project Number: 20127, financed on behalf of the Ministry for Science and Technology of the Republic of Serbia, have provided an answer on the characteristics of the quality of the used raw materials for the production of Sremska sausage - one of the most well-known Serbian traditionally fermented sausages (choice of meat, fatty tissue, additives and spices, and data have been registered in connection with the procedures of their processing, microclimatic conditions have been established (temperature, relative humidity, and air circulation during the entire process of production and fermentation, as well as the presence and types of microorganisms, primarily lactic acid bacteria (BMK, the carrier of lactic fermentation. The most important characteristics of the filling have been established, the smoking regimen, the regimens of fermentation, maturing, drying, as well as the parameters for quality and safety of the finished product. At the same time, the standard working procedure has been determined for the preparation of the meat, fatty tissue, the forming and inserting of the filling into the wrappers, as well as the characteristics of the finished products. The given standard working procedure should serve as a guideline for the meat industry in the production process of this traditional fermented sausage.

  9. Impression Procedures for Metal Frame Removable Partial Dentures as Applied by General Dental Practitioners.

    Science.gov (United States)

    Fokkinga, Wietske A; van Uchelen, Judith; Witter, Dick J; Mulder, Jan; Creugers, Nico H J

    2016-01-01

    This pilot study analyzed impression procedures for conventional metal frame removable partial dentures (RPDs). Heads of RPD departments of three dental laboratories were asked to record features of all incoming impressions for RPDs during a 2-month period. Records included: (1) impression procedure, tray type (stock/custom), impression material (elastomer/alginate), use of border-molding material (yes/no); and (2) RPD type requested (distal-extension/tooth-bounded/combination). Of the 132 total RPD impressions, 111 (84%) involved custom trays, of which 73 (55%) were combined with an elastomer. Impression border-molding material was used in 4% of the cases. Associations between impression procedure and RPD type or dentists' year/university of graduation were not found.

  10. Convergence Properties of an Iterative Procedure of Ipsatizing and Standardizing a Data Matrix, with Applications to Parafac/Candecomp Preprocessing.

    Science.gov (United States)

    ten Berge, Jos M. F.; Kiers, Henk A. L.

    1989-01-01

    Centering a matrix row-wise and rescaling it column-wise to a unit sum of squares requires an iterative procedure. It is shown that this procedure converges to a stable solution that need not be centered row-wise. The results bear directly on several types of preprocessing methods in Parafac/Candecomp. (Author/TJH)

  11. Smile enhancement the conservative way: Tooth whitening procedures

    Directory of Open Access Journals (Sweden)

    Thosre Deepika

    2009-01-01

    Full Text Available This article presents clinical cases in which different bleaching modalities have been used to successfully treat unsightly teeth. Depending upon the type and severity of discoloration, in-office vital and nonvital bleaching procedures were carried out. Discoloration of a single tooth has been managed using nonvital bleaching alone or with a combination of other minimally invasive modalities for an acceptable esthetic outcome. The case selection was done by considering the patient′s needs and expectations, the type and cause of discoloration and patient economics. Moreover, prime importance was given to the conservation of the existing tooth structure and acquiring a complete change in the shade of teeth, which was comparable to that of the adjacent teeth. The desire to have a bright smile has become an important esthetic need of patients. The article explores various forms of bleaching and their successful usage in day-to-day clinical practice.

  12. Habitat Evaluation Procedures Report; Graves Property - Yakama Nation.

    Energy Technology Data Exchange (ETDEWEB)

    Ashley, Paul; Muse, Anthony

    2008-02-01

    A habitat evaluation procedures (HEP) analysis was conducted on the Graves property (140 acres) in June 2007 to determine the number of habitat units to credit Bonneville Power Administration (BPA) for providing funds to acquire the property as partial mitigation for habitat losses associated with construction of McNary Dam. HEP surveys also documented the general ecological condition of the property. The Graves property was significantly damaged from past/present livestock grazing practices. Baseline HEP surveys generated 284.28 habitat units (HUs) or 2.03 HUs per acre. Of these, 275.50 HUs were associated with the shrubsteppe/grassland cover type while 8.78 HUs were tied to the riparian shrub cover type.

  13. Simplified procedure for determining of drop and stilling basin

    Directory of Open Access Journals (Sweden)

    Ali R. Vatankhah

    2014-03-01

    Full Text Available Drops are used to effectively dissipate the surplus energy of the water flow. A closed conduit drop conveys water and stills it at its downstream. I-type pipe drop is one kind of the closed conduit drops which is used in irrigation networks as a typical hydraulic structure. Sump elevation is an important design parameter for I-type pipe drop. Similarly, in supercritical flow structures, such as open channel chutes, determination of stilling basin invert elevation is very important. At present, these key design parameters are determined by the momentum and energy equations using tedious trial-and-error procedure. In this study, square conduit drop, pipe drop, and rectangular stilling basin are considered, and three explicit equations have been developed by (multiple nonlinear regression technique to determine the sump and stilling basin invert elevations. Being very simple and accurate, these equations can be easily used to design the closed conduit drops and stilling basins by hydraulic engineers.

  14. Recognition of extended linear and cyclised polyketide mimics by a type II acyl carrier protein† †Electronic supplementary information (ESI) available: Detailed experimental procedures and characterisation data for all new compounds, additional spectra and structural statistics for derivatised ACP three-dimensional structures. See DOI: 10.1039/c5sc03864b Click here for additional data file.

    Science.gov (United States)

    Dong, Xu; Bailey, Christopher D.; Williams, Christopher; Crosby, John; Simpson, Thomas J.

    2016-01-01

    Polyketides are secondary metabolites which display both valuable pharmaceutical and agrochemical properties. Biosynthesis is performed by polyketide synthases (PKSs), and the acyl carrier protein (ACP), a small acidic protein, that transports the growing polyketide chain and is essential for activity. Here we report the synthesis of two aromatic probes and a linear octaketide mimic that have been tethered to actinorhodin ACP. These experiments were aimed at probing the ACP's capacity to sequester a non-polar versus a phenolic aromatic ring (that more closely mimics a polyketide intermediate) as well as investigations with extended polyketide chain surrogates. The binding of these mimics has been assessed using high-resolution solution NMR studies and high-resolution structure determination. These results reveal that surprisingly a PKS ACP is able to bind and sequester a bulky non-polar substrate containing an aromatic ring in a fatty acid type binding mode, but the introduction of even a small degree of polarity favours a markedly different association at a surface site that is distinct from that employed by fatty acid ACPs. PMID:28936328

  15. Use of dental services: an analysis of visits, procedures and providers, 1996.

    Science.gov (United States)

    Manski, Richard J; Moeller, John F

    2002-02-01

    While many studies have provided data on Americans' access to dental care, few have provided a detailed understanding of what specific treatments patients receive. This article provides detailed information about the types of dental services that Americans receive and the types of providers who render them. The authors provide national estimates for the U.S. civilian noninstitutionalized population in several socioeconomic and demographic categories regarding dental visits, procedures performed and the types of providers who performed them, using household data from the 1996 Medical Expenditure Panel Survey, or MEPS. Data show that while the combination of diagnostic and preventive services adds up to 65 percent of all dental procedures, the combination of periodontal and endodontic procedures represents only 3 percent. Additionally, while 81 percent of all dental visits were reported as visits to general dentists, approximately 7 percent and 5 percent of respondents who had had a dental visit reported having visited orthodontists or oral surgeons, respectively. MEPS data show the magnitude and nature of dental visits in aggregate and for each of several demographic and socioeconomic categories. This information establishes a nationally representative baseline for the U.S. population in terms of rates of utilization, number and types of procedures and variations in types of providers performing the procedures. These nationally representative estimates include data elements that describe specific dental visits, dental procedures and type of provider, and they offer details that are useful, important and not found elsewhere. By understanding these analyses, U.S. dentists will be better positioned to provide care and better meet the dental care needs of all Americans.

  16. A Menu Planning Guide for Type A School Lunches.

    Science.gov (United States)

    Food and Nutrition Service (USDA), Washington, DC.

    This is a guide designed to help school personnel to plan Type A school lunches and to understand the relationship of Type A lunch requirements to children's dietary needs. The nutritional requirements of the Federally established Type A lunch pattern, which utilizes agricultural surplus food, are described. Procedures and amounts for planning for…

  17. Wrist electrogoniometry: are current mathematical correction procedures effective in reducing crosstalk in functional assessment?

    Science.gov (United States)

    Foltran, Fabiana A; Silva, Luciana C C B; Sato, Tatiana O; Coury, Helenice J C G

    2013-01-01

    The recording of human movement is an essential requirement for biomechanical, clinical, and occupational analysis, allowing assessment of postural variation, occupational risks, and preventive programs in physical therapy and rehabilitation. The flexible electrogoniometer (EGM), considered a reliable and accurate device, is used for dynamic recordings of different joints. Despite these advantages, the EGM is susceptible to measurement errors, known as crosstalk. There are two known types of crosstalk: crosstalk due to sensor rotation and inherent crosstalk. Correction procedures have been proposed to correct these errors; however no study has used both procedures in clinical measures for wrist movements with the aim to optimize the correction. To evaluate the effects of mathematical correction procedures on: 1) crosstalk due to forearm rotation, 2) inherent sensor crosstalk; and 3) the combination of these two procedures. 43 healthy subjects had their maximum range of motion of wrist flexion/extension and ulnar/radials deviation recorded by EGM. The results were analyzed descriptively, and procedures were compared by differences. There was no significant difference in measurements before and after the application of correction procedures (Pcorrection procedures were less than 5° in most cases, having little impact on the measurements. Considering the time-consuming data analysis, the specific technical knowledge involved, and the inefficient results, the correction procedures are not recommended for wrist recordings by EGM.

  18. Wrist electrogoniometry: are current mathematical correction procedures effective in reducing crosstalk in functional assessment?

    Directory of Open Access Journals (Sweden)

    Fabiana A. Foltran

    Full Text Available BACKGROUND: The recording of human movement is an essential requirement for biomechanical, clinical, and occupational analysis, allowing assessment of postural variation, occupational risks, and preventive programs in physical therapy and rehabilitation. The flexible electrogoniometer (EGM, considered a reliable and accurate device, is used for dynamic recordings of different joints. Despite these advantages, the EGM is susceptible to measurement errors, known as crosstalk. There are two known types of crosstalk: crosstalk due to sensor rotation and inherent crosstalk. Correction procedures have been proposed to correct these errors; however no study has used both procedures in clinical measures for wrist movements with the aim to optimize the correction. OBJECTIVE: To evaluate the effects of mathematical correction procedures on: 1 crosstalk due to forearm rotation, 2 inherent sensor crosstalk; and 3 the combination of these two procedures. METHOD: 43 healthy subjects had their maximum range of motion of wrist flexion/extension and ulnar/radials deviation recorded by EGM. The results were analyzed descriptively, and procedures were compared by differences. RESULTS: There was no significant difference in measurements before and after the application of correction procedures (P<0.05. Furthermore, the differences between the correction procedures were less than 5° in most cases, having little impact on the measurements. CONCLUSIONS: Considering the time-consuming data analysis, the specific technical knowledge involved, and the inefficient results, the correction procedures are not recommended for wrist recordings by EGM.

  19. Endoscopic Submucosal Dissection of Gastric Superficial Lesions: Predictors for Time of Procedure in a Portuguese Center.

    Science.gov (United States)

    Ribeiro-Mourão, Francisco; Veloso, Nuno; Dinis-Ribeiro, Mário; Pimentel-Nunes, Pedro

    2015-01-01

    Endoscopic submucosal dissection (ESD), an endoscopic technique used for treatment of gastric superficial lesions, has been gaining importance on western countries. Procedural times have an impact on various outcomes. To define which factors from patients, lesions and procedure can predict longer procedural times. In a cohort of 127 lesions resected by ESD with IT-knife, after using needle-knife for submucosal layer access, by experienced gastroenterologists, characteristics from the patient (age, gender, presence of co-morbidities, usage and suspension of anti-platelet drugs and general physical condition), lesion (size, histopathological diagnosis at biopsy, location, macroscopic type and submucosal invasion) and procedure (adverse events) were retrospectively analyzed for its impact on time of procedure. Univariate and multivariate analysis were performed. Lesions larger than 20 mm (p 90 min. Lesion's size >20 mm and location in the upper third were independently associated with a procedure time longer than 90 min (OR 4.91 [95%CI 2.29-10.50] and OR 18.26 [95%CI 2.02-164.78], respectively). The time of procedure of ESD for gastric superficial lesions is influenced by size of lesion (>20 mm) and location (upper third of stomach), which predict a time longer than 90 min. This can be useful for better management of workflow, operation, training of teams and anesthesic procedures.

  20. Measuring temperature rise during orthopaedic surgical procedures.

    Science.gov (United States)

    Manoogian, Sarah; Lee, Adam K; Widmaier, James C

    2016-09-01

    A reliable means for measuring temperatures generated during surgical procedures is needed to recommend best practices for inserting fixation devices and minimizing the risk of osteonecrosis. Twenty four screw tests for three surgical procedures were conducted using the four thermocouples in the bone and one thermocouple in the screw. The maximum temperature rise recorded from the thermocouple in the screw (92.7±8.9°C, 158.7±20.9°C, 204.4±35.2°C) was consistently higher than the average temperature rise recorded in the bone (31.8±9.3°C, 44.9±12.4°C, 77.3±12.7°C). The same overall trend between the temperatures that resulted from three screw insertion procedures was recorded with significant statistical analyses using either the thermocouple in the screw or the average of several in-bone thermocouples. Placing a single thermocouple in the bone was determined to have limitations in accurately comparing temperatures from different external fixation screw insertion procedures. Using the preferred measurement techniques, a standard screw with a predrilled hole was found to have the lowest maximum temperatures for the shortest duration compared to the other two insertion procedures. Future studies evaluating bone temperature increase need to use reliable temperature measurements for recommending best practices to surgeons.

  1. New unifying procedure for PC index calculations.

    Science.gov (United States)

    Stauning, P.

    2012-04-01

    The Polar Cap (PC) index is a controversial topic within the IAGA scientific community. Since 1997 discussions of the validity of the index to be endorsed as an official IAGA index have ensued. Currently, there are now the three separate PC index versions constructed from the different procedures used at the three institutes: the Arctic and Antarctic Research Institute (AARI), the Danish Meteorological Institute (DMI), and the Danish National Space Institute (DTU Space). It is demonstrated in this presentation, that two consistent unifying procedures can be built from the best elements of the three different versions. One procedure uses a set of coefficients aimed at the calculation of final PC index values to be accepted by IAGA. The other procedure uses coefficients aimed at on-line real-time production of preliminary PC index values for Space Weather monitoring applications. For each of the two cases the same procedure is used for the northern (PCN) and the southern (PCS) polar cap indices, and the derived PCN and PCS coefficients are similar.

  2. Using Gagne's theory to teach procedural skills.

    Science.gov (United States)

    Buscombe, Charlotte

    2013-10-01

    Many key medical procedures are performed every day in clinical practice to yield important diagnostic information and to help determine the disease response to intensive treatments. Training clinicians to perform procedures competently and confidently thus carries considerable weight, helping to assure patient safety, the obtainment of adequate samples and minimising patient discomfort. This article considers how Robert Gagne's instructional design model may be effectively used to design lesson plans and teach procedural skills in small group settings. Gagne's model is based upon the information-processing model of mental events that occur when adults are presented with various stimuli. It highlights nine specific instructional events, which correlate with crucial conditions of learning, and are arranged to maximally enhance the learning process, improve session flow and, ultimately, ensure lesson objectives are comprehensively addressed. This article uses the nine points described by Gagne to outline a comprehensive lesson guide for teaching psychomotor skills, using a bone-marrow aspirate procedure as an example. Each of Gagne's instructional events is considered with specific activities for each, and with the variety of activities delineated to meet diverse learning styles. Gagne's instructional events can produce an effective and comprehensive lesson plan for teaching procedural skills, preparing learners with various preferred learning styles to perform psychomotor skills competently in clinical practice. This lesson plan can be of use for both teachers and students across clinical specialties, encouragingly outlining how Gagne's systematic and widely referenced theory can be creatively and practically used. © 2013 John Wiley & Sons Ltd.

  3. Detection Procedure for a Single Additive Outlier and Innovational Outlier in a Bilinear Model

    Directory of Open Access Journals (Sweden)

    Azami Zaharim

    2007-01-01

    Full Text Available A single outlier detection procedure for data generated from BL(1,1,1,1 models is developed. It is carried out in three stages. Firstly, the measure of impact of an IO and AO denoted by IO ω , AO ω , respectively are derived based on least squares method. Secondly, test statistics and test criteria are defined for classifying an observation as an outlier of its respective type. Finally, a general single outlier detection procedure is presented to distinguish a particular type of outlier at a time point t.

  4. Acts and procedures concerning procedure-related deaths in South Africa

    Directory of Open Access Journals (Sweden)

    Stefan Jansen van Vuuren

    2013-01-01

    Full Text Available Background: The act regarding procedure-related deaths in South Africa has changed recently (in 2007 and comprises a more encompassing description of possible procedure-related deaths. It subsequently includes unnatural deaths in cases where the patient died during aprocedure, or as a result of a procedure, or where it can be shown that any aspect of such a procedure has been a contributory cause. The act does not qualify the ‘procedure’ and by definition includes all procedures, including anaesthesia.Objective: The objective of this article is to bring awareness to general practitioners regarding the legal requirements when dealing with suspected procedure-related deaths, and to outline some of the regulations pertaining to the management of such incidents.Methods: A thorough study, interpretation and clarification of the new legislature on procedure-related deaths were performed.Discussion: The onus of deciding which procedure-related deaths are unnatural has been removed from the doctor as the new act includes all such deaths. Certain aspects of the acts remain difficult to interpret and consultation with the appointed forensic pathologist in your area is still essential in all cases of a suspected procedure-related death. Healthcare workers should acquaint themselves with all these regulations and acts that are readily available in the Government Gazette.

  5. Our patients do not need endocarditis prophylaxis for genitourinary tract procedures: insights from the 2007 American Heart Association guidelines.

    OpenAIRE

    Castillo, E.; Magee, LA; von Dadelszen, P.; Money, D; Blondel-Hill, E; van Schalkwyk, J

    2008-01-01

    The 2007 American Heart Association guidelines for the prevention of infective endocarditis have dramatically reduced both the types of eligible procedures and the types of eligible cardiac lesions that require prophylaxis. Antibiotic prophylaxis to prevent infective endocarditis is not indicated for any patient undergoing obstetric and/or gynaecological procedures, not even for patients with underlying cardiac lesions with the highest risk of developing complications from endocarditis. This ...

  6. Human Blood Typing: A Forensic Science Approach: Part II. Experiments.

    Science.gov (United States)

    Kobilinsky, Lawrence; Sheehan, Francis X.

    1988-01-01

    Describes several experiments that explore the methodology available to the forensic serologist for typing a human bloodstain in the ABH grouping system. Presents ABO blood group of wet blood, Lattes Crust test procedure, and the absorption-elution procedure. Uses outdated blood; equipment requirements are minimal. (ML)

  7. Four possible types of pulses for self-induced transparency

    Science.gov (United States)

    Lee, C. T.

    1974-01-01

    Four types of steady-state solutions were derived for the coupled Maxwell-Bloch equations which describe highly intense pulse propagation in a resonant medium. Essential in the derivation procedures is the replacement of the usual slowly varying envelope approximation with an alternative procedure, the omission of possible nonresonant losses, and the assumption that the relaxation times are infinite.

  8. Human Blood Typing: A Forensic Science Approach: Part II. Experiments.

    Science.gov (United States)

    Kobilinsky, Lawrence; Sheehan, Francis X.

    1988-01-01

    Describes several experiments that explore the methodology available to the forensic serologist for typing a human bloodstain in the ABH grouping system. Presents ABO blood group of wet blood, Lattes Crust test procedure, and the absorption-elution procedure. Uses outdated blood; equipment requirements are minimal. (ML)

  9. 42 CFR 493.1251 - Standard: Procedure manual.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Procedure manual. 493.1251 Section 493... Systems § 493.1251 Standard: Procedure manual. (a) A written procedure manual for all tests, assays, and.... (b) The procedure manual must include the following when applicable to the test procedure:...

  10. 40 CFR Appendix C to Part 61 - Quality Assurance Procedures

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 8 2010-07-01 2010-07-01 false Quality Assurance Procedures C Appendix...—Quality Assurance Procedures Procedure 1—Determination of Adequate Chromatographic Peak Resolution In this....” Procedure 2—Procedure for Field Auditing GC Analysis Responsibilities of audit supervisor and analyst at the...

  11. Guarded dependent type theory with coinductive types

    DEFF Research Database (Denmark)

    Bizjak, Aleš; Grathwohl, Hans Bugge; Clouston, Ranald

    2016-01-01

    , type based, way. Clock quantifiers are used for controlled elimination of the later modality and for encoding coinductive types using guarded recursive types. Key to the development of gDTT are novel type and term formers involving what we call delayed substitutions’. These generalise the applicative...... functor rules for the later modality considered in earlier work, and are crucial for programming and proving with dependent types. We show soundness of the type theory with respect to a denotational model....

  12. Practice increases procedural errors after task interruption.

    Science.gov (United States)

    Altmann, Erik M; Hambrick, David Z

    2017-05-01

    Positive effects of practice are ubiquitous in human performance, but a finding from memory research suggests that negative effects are possible also. The finding is that memory for items on a list depends on the time interval between item presentations. This finding predicts a negative effect of practice on procedural performance under conditions of task interruption. As steps of a procedure are performed more quickly, memory for past performance should become less accurate, increasing the rate of skipped or repeated steps after an interruption. We found this effect, with practice generally improving speed and accuracy, but impairing accuracy after interruptions. The results show that positive effects of practice can interact with architectural constraints on episodic memory to have negative effects on performance. In practical terms, the results suggest that practice can be a risk factor for procedural errors in task environments with a high incidence of task interruption. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  13. Neurovascular Compression After the Latarjet Procedure.

    Science.gov (United States)

    Galvin, Joseph W; Romanowski, James R; Boykin, Robert E; Eichinger, Josef K; Lafosse, Laurent

    2015-12-01

    The Latarjet procedure is an established and effective option for the treatment of recurrent anterior shoulder instability. Symptomatic compression of the vasculature around the shoulder and adjacent brachial plexus is uncommon and may be difficult to diagnose and treat. The purpose of this report is to describe a patient with neurovascular compression of the axillary artery and brachial plexus after an open Latarjet procedure. This is the first known report of documented combined vascular and neurologic thoracic outlet syndrome after a Latarjet procedure. Evaluation of this suspected problem requires a detailed clinical examination and a dynamic angiogram to verify which neurovascular structures are compressed. Treatment includes decompression of the brachial plexus and axillary vasculature by releasing tethering scar tissue or the remaining pectoralis minor that is creating a constricting sling effect. An arthroscopic approach provides for a careful and specific decompression. Additionally, the authors provide a review of the literature for neurologic complications and management for these complications.

  14. Assessment of Competence in EVAR Procedures

    DEFF Research Database (Denmark)

    Strøm, M; Lönn, L; Bech, B

    2017-01-01

    items with tentative anchors. Iterative Delphi rounds were executed. The panellists rated the importance of each item on a 5 point Likert scale. Consensus was defined as 80% of the panel rating an item 4 or 5 in the primary round and 90% in subsequent rounds. Consensus on the final assessment tool......, and superior performance on a 5 point Likert scale. CONCLUSION: The Delphi methodology allowed for international consensus on a new procedure specific global rating scale for assessment of competence in EVAR. The resulting scale, EndoVascular Aortic Repair Assessment of Technical Expertise (EVARATE......OBJECTIVE/BACKGROUND: To develop a procedure specific global rating scale for assessment of operator competence in endovascular aortic repair (EVAR). METHODS: A Delphi approach was used to achieve expert consensus. A panel of 32 international experts (median 300 EVAR procedures, range 200...

  15. Learning procedures from interactive natural language instructions

    Science.gov (United States)

    Huffman, Scott B.; Laird, John E.

    1994-01-01

    Despite its ubiquity in human learning, very little work has been done in artificial intelligence on agents that learn from interactive natural language instructions. In this paper, the problem of learning procedures from interactive, situated instruction is examined in which the student is attempting to perform tasks within the instructional domain, and asks for instruction when it is needed. Presented is Instructo-Soar, a system that behaves and learns in response to interactive natural language instructions. Instructo-Soar learns completely new procedures from sequences of instruction, and also learns how to extend its knowledge of previously known procedures to new situations. These learning tasks require both inductive and analytic learning. Instructo-Soar exhibits a multiple execution learning process in which initial learning has a rote, episodic flavor, and later executions allow the initially learned knowledge to be generalized properly.

  16. Minimally invasive aesthetic procedures in young adults

    Directory of Open Access Journals (Sweden)

    Wollina U

    2011-03-01

    Full Text Available Uwe Wollina1, Alberto Goldman21Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany; 2Clinica Goldman, Porto Alegre, Rio Grande du Sul, BrazilAbstract: Age is a significant factor in modifying specific needs when it comes to medical aesthetic procedures. In this review we will focus on young adults in their third decade of life and review minimally invasive aesthetic procedures other than cosmetics and cosmeceuticals. Correction of asymmetries, correction after body modifying procedures, and facial sculpturing are important issues for young adults. The implication of aesthetic medicine as part of preventive medicine is a major ethical challenge that differentiates aesthetic medicine from fashion.Keywords: acne scars, ice pick scars, boxcar scars, fillers 

  17. Still special? Harvesting procedures for industrial hemp

    Directory of Open Access Journals (Sweden)

    Hans-Jörg Gusovius

    2016-01-01

    Full Text Available A multitude of different harvesting procedures is available after the re-approval of hemp growing in Germany about 20 years ago. Established, but as well recent machine developments enable the supply of raw materials for further processing or as food and feed materials. The necessary specialization level results in high but, compared to other established crops, not exceeding procedural costs. In this study, harvesting procedures and technologies are analyzed that are currently used under Northern European cultivation conditions. However, technological enhancements are still needed in order to improve the competitiveness of fibre hemp in the crop rotation as well as of hemp-based semi-finished and finished products.

  18. Yahtzee: An Anonymized Group Level Matching Procedure

    CERN Document Server

    Jones, Jason J; Fariss, Christopher J; Settle, Jaime E; Kramer, Adam; Marlow, Cameron; Fowler, James H

    2011-01-01

    Researchers often face the problem of needing to protect the privacy of subjects while also needing to integrate data that contains personal information from diverse data sources in order to conduct their research. The advent of computational social science and the enormous amount of data about people that is being collected makes protecting the privacy of research subjects evermore important. However, strict privacy procedures can make joining diverse sources of data that contain information about specific individual behaviors difficult. In this paper we present a procedure to keep information about specific individuals from being "leaked" or shared in either direction between two sources of data. To achieve this goal, we randomly assign individuals to anonymous groups before combining the anonymized information between the two sources of data. We refer to this method as the Yahtzee procedure, and show that it performs as expected theoretically when we apply it to data from Facebook and public voter records.

  19. FRENCH CARDS - NEW PROCEDURE FOR INITIAL APPLICATION

    CERN Multimedia

    Human Resources Division

    2002-01-01

    The Human Resources Division would like to remind members of personnel that they are obliged to submit an application form for a French card as soon as they have a permanent address in either Switzerland or in France and they are actually living there. Following the rationalization of our administrative procedures, as of October 1st, 2002, the initial application procedure for a French card will now be as follows: The member of personnel should complete an application form. If necessary, an application form must also be completed for family members. These forms must then be transferred via e-mail to the appropriate Divisional Administrative Officer (DAO) who will forward them to the Cards Service. In parallel, the member of personnel should submit the necessary supporting documents to the Cards Service. The application form (Word format only), the procedural details, the necessary supporting documents as well as the conditions of issue are available here.   Human Resources Division Tel. 74469

  20. Procedures for ground-water investigations

    Energy Technology Data Exchange (ETDEWEB)

    1989-09-01

    This manual was developed by the Pacific Northwest Laboratory (PNL) to document the procedures used to carry out and control the technical aspects of ground-water investigations at the PNL. Ground-water investigations are carried out to fulfill the requirements for the US Department of Energy (DOE) to meet the requirements of DOE Orders. Investigations are also performed for various clients to meet the requirements of the Resource Conservation and Recovery Act of 1976 (RCRA) and the Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLA). National standards including procedures published by the American Society for Testing and Materials (ASTM) and the US Geological Survey were utilized in developing the procedures contained in this manual.