Computerized dosimetry of I-125 sources model 6711; Dosimetria computarizada de las fuentes de I-125 modelo 6711

Energy Technology Data Exchange (ETDEWEB)

Isturiz, J [Centre de Radiotherapie du Parc, Dijon (France)

2001-07-01

It tries on: physical presentation of the sources; radiation protection; mathematical model of I-125 source model 6711; data considered for the calculation program; experimental com probation of the dose distribution; exposure rate and apparent activity; techniques of the use given to the sources I-125; and the calculation planning systems. [Spanish] Trata sobre presentacion fisica de las fuentes, radioproteccion, modelo matematico de las fuentes I-125 modelo 6711, datos considerados en el programa de calculo, comprobacion experimental de la distribucion de dosis, tasa de exposicion y actividad aparente, tecnicas de utilizacion de las fuentes I-125; y los sistemas de planificacion del calculo de las dosis.

Dosimetric calculations by Monte Carlo for treatments of radiosurgery with the Leksell Gamma Knife, homogeneous and non homogeneous cases; Calculos dosimetricos por Monte Carlo para tratamientos de radiocirugia con el Leksell Gamma Knife, casos homogeneo y no homogeneo

Energy Technology Data Exchange (ETDEWEB)

Rojas C, E.L. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico); Lallena R, A.M. [Universidad de Granada (Spain)

2004-07-01

In this work dose profiles are calculated that are obtained modeling treatments of radiosurgery with the Leksell Gamma Knife. This was made with the simulation code Monte Carlo Penelope for an homogeneous mannequin and one not homogeneous. Its were carried out calculations with the irradiation focus coinciding with the center of the mannequin as in near areas to the bone interface. Each one of the calculations one carries out for the 4 skull treatment that it includes the Gamma Knife and using a model simplified of their 201 sources of {sup 60} Co. It was found that the dose profiles differ of the order of 2% when the isocenter coincides with the center of the mannequin and they ascend to near 5% when the isocenter moves toward the skull. (Author)

Minimal requirements for quality controls in radiotherapy with external beams; Controlli di qualita' essenziali in radioterapia con fasci esterni

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-07-01

Physical dosimetric guidelines have been developed by the Italian National Institute of Health study group on quality assurance in radiotherapy to define protocols for quality controls in external beam radiotherapy. While the document does not determine strict rules or firm recommendations, it suggests minimal requirements for quality controls necessary to guarantee an adequate degree of accuracy in external beam radiotherapy. [Italian] Il gruppo di studio Assicurazione di qualita' in radioterapia dell'Istituto Superiore di Sanita' presenta le linee guida per la stesura dei protocolli di controllo di qualita' essenziali necessari a garantire un adeguato livello di accuratezza del trattamento radiante e rappresenta pertanto una parte essenziale del contributo fisico-dosimetrico globale di assicurazione di qualita' in radioterapia con fasci esterni.

Minimal requirements for quality controls in radiotherapy with external beams; Controlli di qualita' essenziali in radioterapia con fasci esterni

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-07-01

Physical dosimetric guidelines have been developed by the Italian National Institute of Health study group on quality assurance in radiotherapy to define protocols for quality controls in external beam radiotherapy. While the document does not determine strict rules or firm recommendations, it suggests minimal requirements for quality controls necessary to guarantee an adequate degree of accuracy in external beam radiotherapy. [Italian] Il gruppo di studio Assicurazione di qualita' in radioterapia dell'Istituto Superiore di Sanita' presenta le linee guida per la stesura dei protocolli di controllo di qualita' essenziali necessari a garantire un adeguato livello di accuratezza del trattamento radiante e rappresenta pertanto una parte essenziale del contributo fisico-dosimetrico globale di assicurazione di qualita' in radioterapia con fasci esterni.

Torque calculation in the induction motor with the finite element method; Calculo del par en el motor de induccion con el metodo del elemento finito

Energy Technology Data Exchange (ETDEWEB)

Castillo Diaz, Ramon

2002-06-15

In this work the method of the finite element is applied to the bi-dimensional analysis of the induction motor in operation in steady state, excited by sine sources of laminar currents and sine sources of voltage. The analysis is focused mainly in the calculation of the electromagnetic torque. The topics of electromagnetic theory are covered and in an idealized model of the induction motor, analytically and numerically with the method of the finite element, in the variant method of Galerkin, the vectorial potential and the torque are calculated. The results obtained with the analytical and numerical methods are compared. Three formulations are developed to calculate the torque with the method of the finite element, using triangular elements of first order, based in the equation of force of Lorentz, the Maxwell tensor and the principle of the virtual work. Finally, a motor of induction of real characteristics is simulated, assuming it is connected to a three-phase voltage source. In this motor it is analyzed the convergence and the evolution in the results obtained of the torque with different discretions, and the torque-velocity performance curve is calculated. [Spanish] En este trabajo se aplica el metodo del elemento finito al analisis bidimensional del motor de induccion en operacion en estado estable, excitado por fuentes de corriente laminar senoidales y fuentes de voltaje senoidales. El analisis se enfoca principalmente en el calculo del par electromagnetico. Se tratan los topicos de teoria electromagnetica involucrados y en un modelo idealizado del motor de induccion, se calculan analitica y numericamente con el metodo del elemento finito, en la variante metodo de Galerkin, el potencial vectorial y el par. Se comparan resultados obtenidos con los metodos analiticos y numericos. Se desarrollan tres formulaciones para calcular el par con el metodo del elemento finito, utilizando elementos triangulares de primer orden, basadas en la ecuacion de fuerza de

Calculation of economic viability of alternative energy sources considering its environmental costs for small communities of Northeast Brazil; Calculo de viabilidade economica de fontes alternativas de energia considerando seus custos ambientais para pequenas comuidades da regiao nordeste brasileira

Energy Technology Data Exchange (ETDEWEB)

Stecher, Luiza Chourkalo

2014-09-01

There has been an increasing concern about current environmental issues caused by human activity, as the world searches for development. The production of electricity is an extremely relevant factor in this scenario since it is responsible for a large portion of the emissions that cause the greenhouse effect. Due to this fact, a sustainable development with alternative energy sources, which are attractive for such purpose, must be proposed, especially in places that are not supplied by the conventional electricity grid such as many communities in the Northeast Brazil. This work aims to calculate the environmental cost for the alternative sources of energy - solar, wind and biomass - during electricity generation, and to estimate the economic feasibility of those sources in small communities of Northeast Brazil, considering the avoided costs. The externalities must be properly identified and valued so the costs or benefits can be internalized and reflect accurately the economic feasibility or infeasibility of those sources. For this, the method of avoided costs was adopted for the calculation of externalities. This variable was included in the equation developed for all considered alternative energy sources. The calculations of economic feasibility were performed taking the new configurations in consideration, and the new equation was reprogrammed in the Programa de Calculo de Custos de Energias Alternativas, Solar, Eolica e Biomassa (PEASEB). The results demonstrated that the solar photovoltaic energy in isolated systems is the most feasible and broadly applicable source for small communities of Northeast Brazil. (author)

RENTA.NB. Una experiencia sobre aplicación de Mathematica a las Matemáticas Financieras.

Directory of Open Access Journals (Sweden)

Seijas Macías, J. A.

1999-01-01

Full Text Available Este articulo se enmarca dentro del trabajo que los autores realizan para la progresiva introducción del programa de calculo simbólico Mathematica, dentro de la asignatura de Análisis y Cálculo de las Operaciones Financieras. En esta comunicación presentamos el archivo de Mathematica "Renta.nb", diseñado para su aplicación en el entorno del Mathematica 3.0, y que pretende servir de ayuda en la introducción al calculo y gestión de operaciones de rentas financieras. Mediante dicho programa los alumnos disponen de una herramienta que les permite realizar todos los cálculos sobre rentas y al mismo tiempo, puede utilizarse en los problemas sobre otras operaciones financieras que se diseñan como rentas (caso de operaciones de amortización y constitución.

Guides for flow sensors selection; Guias para la seleccion de sensores de flujo

Energy Technology Data Exchange (ETDEWEB)

Gomez Garcia, Gustavo; Guzman Flores, Roberto; Rodriguez Martinez, Arnulfo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1995-12-31

In this paper a system is presented that allows the selection and calculation on instruments for flow measurement, based on practical experiences, standards an taking into consideration the process operational characteristics such as fluid type, maximum flow rate, piping diameter, etc. The system is composed of a knowledge base and a software for the selection, calculation and de adequate recommendation of flow sensing elements for the different services needed in the power plants. [Espanol] En este trabajo se presenta un sistema que permite realizar la seleccion y calculo de instrumentos para la medicion de flujo con base en experiencias practicas, normas y tomando en cuenta las caracteristicas de operacion del proceso como el tipo de fluido, flujo maximo, diametro de tuberia, etcetera. El sistema esta compuesto por una base de conocimiento y un software para la seleccion, calculo y la recomendacion adecuada de elementos sensores de flujo para los diferentes servicios que se tienen en centrales generadoras.

Guides for flow sensors selection; Guias para la seleccion de sensores de flujo

Energy Technology Data Exchange (ETDEWEB)

Gomez Garcia, Gustavo; Guzman Flores, Roberto; Rodriguez Martinez, Arnulfo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1996-12-31

In this paper a system is presented that allows the selection and calculation on instruments for flow measurement, based on practical experiences, standards an taking into consideration the process operational characteristics such as fluid type, maximum flow rate, piping diameter, etc. The system is composed of a knowledge base and a software for the selection, calculation and de adequate recommendation of flow sensing elements for the different services needed in the power plants. [Espanol] En este trabajo se presenta un sistema que permite realizar la seleccion y calculo de instrumentos para la medicion de flujo con base en experiencias practicas, normas y tomando en cuenta las caracteristicas de operacion del proceso como el tipo de fluido, flujo maximo, diametro de tuberia, etcetera. El sistema esta compuesto por una base de conocimiento y un software para la seleccion, calculo y la recomendacion adecuada de elementos sensores de flujo para los diferentes servicios que se tienen en centrales generadoras.

Reliability of hydroelectric generation components, systems and units; Confiabilidad de componentes, sistemas y unidades de generacion hidroelectrica

Energy Technology Data Exchange (ETDEWEB)

Sanchez Sanchez, Ramon; Torres Toledano, Gerardo; Franco Nava, Jose Manuel [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1996-12-31

This article presents a methodology for the calculation of the reliability of components, systems and hydroelectric generating units, as well as the scope of a computational system for the evaluation of such reliability. In the case of the reliability calculation of components and systems, the computer programs is not limited to hydro stations and can be used in other type of systems. [Espanol] En este articulo se presenta una metodologia para calcular la confiabilidad de componentes, sistemas y unidades de generacion hidroelectrica, asi como el alcance de un sistema computacional para evaluar dicha confiabilidad. En el caso del calculo de confiabilidad de componentes y sistemas, el programa de computo no se limita a centrales hidroelectricas y puede utilizarse en otro tipo de sistemas.

Reliability of hydroelectric generation components, systems and units; Confiabilidad de componentes, sistemas y unidades de generacion hidroelectrica

Energy Technology Data Exchange (ETDEWEB)

Sanchez Sanchez, Ramon; Torres Toledano, Gerardo; Franco Nava, Jose Manuel [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1997-12-31

This article presents a methodology for the calculation of the reliability of components, systems and hydroelectric generating units, as well as the scope of a computational system for the evaluation of such reliability. In the case of the reliability calculation of components and systems, the computer programs is not limited to hydro stations and can be used in other type of systems. [Espanol] En este articulo se presenta una metodologia para calcular la confiabilidad de componentes, sistemas y unidades de generacion hidroelectrica, asi como el alcance de un sistema computacional para evaluar dicha confiabilidad. En el caso del calculo de confiabilidad de componentes y sistemas, el programa de computo no se limita a centrales hidroelectricas y puede utilizarse en otro tipo de sistemas.

Transactions of the Second All-Union Conference on Charged Particle Accelerators (Moscow, 11-18 November 1970). Volume 2

Science.gov (United States)

1980-10-09

vectorial addition of dipola and quadruDole the component of field in ouerating regicn, whicn leads to the relatively smaller values of induction in...hetarogenaity of impuises/momenta/pulses is assumed to be equal to 6=+-1O-3. In the calculo -..ions were utilized the geometric and magnetic parameters of

Critical experiments and nuclear calculations - LAMPRE-I; Experiences critiques et calculs nucleaires concernant le LAMPRE-I; Kriticheskie opyty i yadernye raschety - LAMPRE-I; Experimentos criticos u calculos nucleares relativos al LAMPRE-I

Energy Technology Data Exchange (ETDEWEB)

Battat, M E [Los Alamos Scientific Laboratory, University of California, Los Alamos, NM (United States)

1962-03-15

utilise la methode S{sub n} pour resoudre le probleme du transport neutronique. La comparaison entre les valeurs calculees et les valeurs mesurees des parametres, tels que le coefficient thermique, l'efficacite des barres de controle et la masse critique, presente aussi de l'interet pour evaluer le degre de confiance que l'on peut accorder aux calculs des bureaux d'etudes. (author) [Spanish] Como parte de un programa de ensayos de combustibles de plutonio para reactores reproductores de neutrones rapidos, se ha construido y puesto en marcha en el Los Alamos Scientific Laboratory un reactor experimental de 1 MW refrigerado por sodio, cuyo cuerpo contiene una aleacion fundida de plutonio y hierro (90 atomos por ciento de Pu y 10 atomos por ciento de Fe; punto de fusion: 410 deg. C). La reactividad se regula por medio de un reflector de acero inoxidable y de cuatro barras de control de niquel situadas fuera del nucleo. Se han llevado a cabo experimentos a temperaturas (isotermicas) de 80, 160 y 480 deg. C en el cuerpo, a fin de determinar la masa critica y la eficacia del reflector a cada una de esas temperaturas. Tambien se midio la eficacia de las barras de control, por registro de los periodos y del coeficiente termico de la reactividad. Aplicando el metodo S{sub n} de resolucion del problema del transporte neutronico, se efectuaron calculos para determinar los parametros nucleares basicos del reactor. La comparacion entre los valores calculados y los valores medidos de parametros tales como el coeficiente termico, la eficacia de las barras de control y la masa critica, presenta tambien interes en lo que se refiere a la evaluacion del grado de confianza que puede atribuirse a los calculos del proyectista. (author) [Russian] V kachestve chasti programmy po razvitiyu plutonievogo topliva dlya reaktorov-razmnozhitele j na bystrykh nejtronakh Los-Alamosskaya nauchnaya laboratoriya skonstruirovala i ehkspluatiruet ispytatel'nyj reaktor s natrievym okhlazhdeniem moshchnost'yu v

Pulsation, Mass Loss and the Upper Mass Limit

Science.gov (United States)

Klapp, J.; Corona-Galindo, M. G.

1990-11-01

RESUMEN. La existencia de estrellas con masas en exceso de 100 M0 ha sido cuestionada por mucho tiempo. Lfmites superiores para la masa de 100 M0 han sido obtenidos de teorfas de pulsaci6n y formaci6n estelar. En este trabajo nosotros primero investigamos la estabilidad radial de estrellas masivas utilizando la aproximaci6n clasica cuasiadiabatica de Ledoux, la aproximaci6n cuasiadiabatica de Castor y un calculo completamente no-adiabatico. Hemos encontrado que los tres metodos de calculo dan resultados similares siempre y cuando una pequefia regi6n de las capas externas de la estrella sea despreciada para la aproximaci6n clasica. La masa crftica para estabilidad de estrellas masivas ha sido encontrada en acuerdo a trabajos anteriores. Explicamos Ia discrepancia entre este y trabajos anteriores por uno de los autores. Discunmos calculos no-lineales y perdida de masa con respecto a) lfmite superior de masa. The existence of stars with masses in excess of 100 M0 has been questioned for a very long time. Upper mass limits of 100 Me have been obtained from pulsation and star formation theories. In this work we first investigate the radial stability of massive stars using the classical Ledoux's quasiadiabatic approximation. the Castor quasiadiabatic approximation and a fully nonadiabatic calculation. We have found that the three methods of calculation give similar results provided that a small region in outer layers of the star be neglected for the classical approximation. The critical mass for stability of massive stars is found to be in agreement with previous work. We explain the reason for the discrepancy between this and previous work by one of the authors. We discuss non-linear calculations and mass loss with regard to the upper mass limit. Key words: STARS-MASS FUNCTION - STARS-MASS LOSS - STARS-PULSATION

Calculation of attenuation by rain using the DAH model and diameter of antennas for the Ka Band in Mexico; Calculo de atenuacion por lluvia usando el modelo DAH y diametro de antena para Banda Ka en Mexico

Energy Technology Data Exchange (ETDEWEB)

Landeros-Ayala, S.; Neri-Vela, R; Cruz-Sanchez, H.; Hernandez-Bautista, H. [Universidad Nacional Autonoma de Mexico, Mexico, D.F. (Mexico)

2002-03-01

In the last years, the peak in the demand of satellite communication service has caused the saturation in the use of the frequencies corresponding to the band, Cand Ku. Due to this, the engineers have looked for viable alternatives, in order to satisfy the current requisition, as well as the future demand, for which a considerable increment is expected. One of these alternatives is the use of the Ka Band (20Hz/30Hz), that is why the importance of studying the propagation effects that are experienced at these frequencies, especially the attenuation effect by rain, as in this case, where it is significant. The present article has the purpose to describe the use of the Modelo DAH (whose authors are Asoka Dissanayake, Jeremy Allnutt and Fatim Haidara), mixed with the global maps of distribution of rain by Crane, for the calculation of the attenuation by rain in satellite communication systems operated in the Ka Band. Besides, antenna diameters for the systems of communications in Ka Band in different locations of the Mexican Republic, using for it the attenuation margins for rain obtained through the Modelo DAH, and using as references the characteristics of the ANIK F2 satellite and a terrestrial station VSAT, are proposed. [Spanish] En los ultimos anos, el auge en la demanda de servicios de comunicacion por satelite ha provocado la saturacion en los uso de la frecuencia correspondientes a las bandas C y Ku. Debido a esta razon, se han buscado alternativas viables para poder satisfacer la demanda actual, asi como la demanda futura, para la cual se espera un incremento considerable. Una de estas alternativas es el uso de Banda Ka (20Hz/30Hz), de ahi la importancia del estudio sobre los efectos de programacion que se experimentan a esta frecuencia, en especial, el efecto de atencion por lluvias, ya que sen este caso resulta ser significativa. El presente articulo tiene como finalidad describir el uso del Modelo DAH (cuyos autores son Asoka Dissanayake, Jeremy Allnutt y

Calculation of the temperature distribution and thermal stresses in a gas turbine nozzle cooled by air film; Calculo de la distribucion de temperaturas y esfuerzos termicos en una tobera de turbina de gas enfriada por pelicula de aire

Energy Technology Data Exchange (ETDEWEB)

Hernandez R, Alejandro; Garcia I, Rafael; Mazur C, Zdislaw [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

2004-07-01

temperaturas. Con las temperaturas correctamente importadas, se realizaron las simulaciones para el calculo de los esfuerzos termicos en la tobera.

The Hanford Emergency Dosimetry System; Le Systeme de Dosimetrie pour les Cas d'Urgence a Hanford; 0421 0418 0421 0422 0414 ; El Sistema Dosimetrico de Hanford para Casos de Urgencia

Energy Technology Data Exchange (ETDEWEB)

Larson, H. V.; Keene, A. R. [Radiation Protection Operation, Hanford Laboratories, General Electric Company, Hanford Atomic Products Operation, Richland, WA (United States)

1965-06-15

'equipes de controle et la cooperation de l'administration pour permettre l'identification, le controle et l'isolement rapide des travailleurs atteints. A l'aide d'appareils portatifs, le personnel de controle procede sur place a des mesures in vivo du {sup 24}Na ou analyse les feuilles d'indium active des dosimetres a film, afin d'obtenir des evaluations preliminaires des doses recues. Les postes d'information du personnel et de controle en cas d'accident donnent des conseils techniques et sont pourvus de materiel auxiliaire mobile, notamment d'un anthroporadiametre. Un service de laboratoire assiste les operations de dosimetrie: il procede a des analyses du sang pour determiner l'activation due au {sup 24}Nat en determinant la teneur des cheveux en {sup 32}P, evalue les differents nucleides contenus dans les excreta, assure l'anthroporadiametrieetla detection des blessures contaminees. Les dosimetres de Hanford pour les accidents de criticite, places dans toute l'installation a des endroits facilement accessibles, sont ramasses et analyses. Ces dosimetres contiennent les memes feuilles d'elements que les dosimetres a film et constituent un second moyen d'estimer la dose recue par les personnes. (author) [Spanish] Hanford constituye un importante centro atomico industrial, de caracter complejo, que comprende reactores nucleares, plantas de elaboracion de combustible, instalaciones de separacion quimica y laboratorios de investigacion. Ademas de un programa de vigilancia y control de la exposicion del personal a las radiaciones, se ha organizado un sercicio dosimetrico de urgencia destinado a: evaluar rapidamente dosis elevadas, identificar y vigilar los empleados, prevenir al personal y crear centros de vigilancia del mismo en casos de urgencia, determinar las dosis de irradiacion externa y la carga corporal de sustancias radiactivas, detectar y vigilar la contaminacion radiactiva del medio ambiente y evaluar con rapidez el grado de exposicion, a fin de orientar a los

The band gap of II-Vi ternary alloys in a tight-binding description

Energy Technology Data Exchange (ETDEWEB)

Olguin, Daniel; Blanquero, Rafael [Instituto Politecnico Nacional, Mexico, D.F (Mexico); De Coss, Romeo [Instituto Politecnico Nacional, Yucatan (Mexico)

2001-02-01

We present tight-binding calculations for the band gap of II-Vi pseudobinary ternary alloys. We use an sp{sup 3} s* tight-binding Hamiltonian which include spin-orbit coupling. The band gap composition dependence is calculated using a extended version of the virtual crystal approximation, which introduce an empirical correction factor that takes into account the non-linear dependence of the band gap with the composition. The results compare quite well with the experimental data, both for the ternary alloys with wide band gap and for the narrow band gap ones. [Spanish] Presentamos el calculo de la banda de energia prohibida de aleaciones ternarias de compuestos II-VI. El calculo, que incluye interaccion espin-orbita, se hace con el metodo de enlace fuerte, utilizando una base ortogonal de cinco orbitales atomicos por atomo (sp{sup 3} s*), en conjunto con la aproximacion del cristal virtual. En la aproximacion del cristal virtual, incluimos un factor de correccion que toma en cuenta la no linealidad de la banda de energia prohibida como funcion de la concentracion. Con esta correccion nuestros resultados reproducen aceptablemente los datos experimentales hallados en la literatura.

Reinvestigación de la formación de alquinilciclopropanocarbonitrilos a partir de complejos carbeno de Fischer: Diastereoselectividad y Mecanismo

OpenAIRE

Solis Moreno, Guillermo

2015-01-01

La reinvestigación de la síntesis de los alquinilciclopropanocarbonitrilos ha permitido corregir la configuración asignada al diastereoisómero mayoritario de la reacción, en la publicación original a través de experimentos de RMN de NOE y NOESY. Adicionalmente, aparece detallado el mecanismo de la reacción estudiado a través de calculos computacionales.

Molecular Engineering of dosimetric materials; Ingenieria Molecular de materiales dosimetricos

Energy Technology Data Exchange (ETDEWEB)

Salas, P.; Castano, V.M. [Instituto de Fisica, UNAM, A.P. 1-1010, Queretaro (Mexico); Mendoza, D.; Gonzalez, P. [Instituto Nacional de Investigaciones Nucleares, A.P. 18-1027 Mexico D.F. (Mexico)

1999-07-01

It was studied the thermoluminescent response to the gamma radiation of a new family of solid materials of zircon-silica. In this study some materials have been prepared by the sol-gel method with different stoichiometric relations, finding that it is possible to control, at least, partially, the thermoluminescent behavior starting from the Molecular Engineering of those materials, since the mixture of both ceramics allows to produce materials with different spatial structures. (Author)

Evaluation and temporal evolution of image quality and its dosimetric effect on the dose distributions calculated on megavoltage CT images from tomotherapy unit; Evaluacion y evolucion temporal de la calidad de imagen y su impacto dosimetrico en el calculo de distribuciones realizadas sobre imagenes de megavoltaje de la unidad de tomoterapia

Energy Technology Data Exchange (ETDEWEB)

Sanchez Rubio, P.; Castro Tejero, P.; Rodriguez Romero, R.

2015-05-01

Over a period of five years the temporal evolution of the image quality parameters and the linearity of the Hounsfield units (HU) of megavoltage studies (MVCT) were analyzed as well as the influence of the actions of the field service engineer. Furthermore the dosimetric impact of HU variation as a result of such actions was studied in three clinical cases (prostate, head and neck, and lung). MVCT images showed an appropriate image quality for image-guided radiotherapy and adaptive radiation therapy despite its lower contrast to noise ratio in comparison to the kilo voltage studies. Because of temporal stability of the linearity between HU and mass density, MVCT studies were appropriate for dose calculation especially to avoid artifacts due to high density metallic structures. Target changes had the largest effect on the imaging parameters analyzed. Variations around 30 and 50 HU for water and bone, respectively, led to a dosimetric error of 1% for the studied locations; while discrepancies about 6% were found as a result of higher HU changes. (Author)

Individual monitoring program for internal contamination by inhaled uranium. Programacion de los controles dosimetricos individuales para contaminacion interna por inhalacion de uranio

Energy Technology Data Exchange (ETDEWEB)

Vazquez, C.; Chapel, M.L.; Saenz, R.

1988-02-01

The metabolic behaviour of inhaled uranium is studied. using a particular analytical method applied to the models and dose assessment methods recommended by ICRP, The organ committed equivalent dose and effective equivalent dose are calculated. The exact ALI and DAC are derived from there. In the paper, the influence that various parameters have on those results are considered for the specific case of a particular nuclear element fabrication factory. Different AMAD and solubility type of inhaled material are specially analyzed. The results show the paramount importance of some of these parameters on the secondary and derived dose limits. Relationships between the real intake, as a fraction of ALI, and the lung retention or urine excretion are ahown for different cases ands intake forms hypothesis. Minimum dsetectable intakes with the available experimental techniques are then established.

Cost-Effective Optimization of Rubble-Mound Breakwater Cross Sections.

Science.gov (United States)

1986-02-01

of a Conference Held in London, London, England, p 20. Iribarren, Cavanilles R. 1938. "Una formula para el calculo de los diques de escollera," M...NAME AND ADDRESS 10. PROGRAM ELEMENT PROJECT, TASK" AREA & WORK UNIT NUMBERS US Army Engineer Waterways Experiment Station Civil Works Research...purpose as a wave barrier. A breakwater protecting a harbor entrance and mooring area from wave attack might serve q 6 to divert currents and longshore

Long Period Seismic Waves

Science.gov (United States)

1976-08-01

Geoffsica, TPHM. No. 5 , p. 161. Vargas, Freddy (To he published in 1976) 1 .-DTSCRP1TNACTON DE EVENTO«; NATHDALE«; Y ARTTFTCT ALES. 2.- CALCULO DEL...seismic risk, bv de - fininn relative weiqht of maximum MM intensity at a pivon distance ponulation density, area feolupy and attenuation of intensity wit...Population densitv, area peolopv and attenuation of intensitv with distance, is presented topether with a map anplvinp theorv to Bo- livia. ^«^a

Cálculo termodinámico de los diagramas de fases

OpenAIRE

Pena, Pilar; Aza Pendas, Salvador de

1980-01-01

Partiendo del concepto de energía libre de Gibbs como criterio de equilibrio^e hace una breve introducción sobre las posibilidades de los métodos termodinámicos para el calculo de los diagramas de equilibrio de fases. A continuación se presentan varias aplicaciones concretas para la constmcción de diagramas binarios del tipo de solubilidad sólida completa y del tipo eutéctico.

Calculation of Viscous Effects on Ship Wave Resistance Using Axisymmetric Boundary Layer Approaches

Science.gov (United States)

1985-05-13

Layers in Pressure Gradients," NSRDC Report 3308, April 1970. 38. Garcia, J.M. and Zazurca, J.A.A., " Calculo de la Resistencia Viscosa de un Buque a...none USERS 21 ABSTRACT SECURITY CLASSIFICATION UNCLASSIFIED 22a NAME OF RESPONSIBLE INDIVIDUAL Henry T. Wang 22b TELEPHONE (Include Area Code...theory. Since then, calculation of the resistance due to the waves generated by a surface ship advancing at constant forward speed has been an area of

Systems for the calculation of electrical parameters and energy efficiency for high-capacity hydroelectric generators; Sistemas para el calculo de parametros electricos y eficiencia energetica para generadores hidroelectricos de gran capacidad

Energy Technology Data Exchange (ETDEWEB)

Reyes Martinez, Oscar Alfonso; Pascacio de los Santos, Alberth; Perez Abad, Carlos Alberto [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Leon Rivera, Nicolas [CFE-LAPEM, Irapuato, Guanajuato (Mexico)

2012-07-01

construccion es la Central Hidroelectrica La Yesca, el cual concluira a finales de 2012 y consiste en dos generadores electricos de 375 MW, 17 kV. Sera el segundo en potencia y el tercero en generacion electrica en el sistema. De acuerdo con las normas nacionales e internacionales, debe efectuarse un conjunto de pruebas estaticas y dinamicas en estos generadores antes de la puesta en servicio, para asegurar su operacion apropiada. La prueba de resistencia de alto voltaje del devanado del estator, la prueba de corto circuito subito trifasico y el calculo de eficiencia energetica son algunas de las pruebas mas importantes por realizar en un nuevo generador electrico. Estas pruebas son dificiles de efectuar en sitio debido a la capacidad del equipo requerido, por lo que muy pocas companias en el mundo pueden conducirlas.

Dosimetric calculation of I-131 activity for the treatment to patients having differentiated thyroid cancer. Benefits and limitations; Calculo dosimetrico de la actividad de I-131 para tratamiento de pacientes con cancer diferenciado de tiroides (CADT). Beneficios y limitaciones

Energy Technology Data Exchange (ETDEWEB)

Cabrejas, R. C.; Chebel, G. M.; Fadel, A. M.; Rojo, A. M.; Deluca, G.; Degross, O. J.; Valdivieso, C. M.; Carbejas, M. L.

2006-07-01

Maximum safe activity calculation, that has to be administered for treatment to patients having Differentiated Thyroid Cancer (CADT). No important side effects should be produced. Post treatment evolution was analysed. 23 Dosimetric studies were performed determining blood and whole body uptake curves (CE)during 5 days. Using the MIRDOSE software, the maximum safe activity in the whole body (CE)was calculated. The retained activity in the body (AR), 48 hs. post tracer dose. Should have been less than 2.96 GBq so as to avoid lung fibrosis. 17 patients that received activities<11.1 GBq, had no side effects. Three patients presents special situations: high AR, users in the mouth, and plaque to and leucopenia. This methodology has benefits because AT can be estimated. This was possible for 85% of the patients. When AR was high at 48 hr, AT was diminished to avoid pulmonary lesions. Tumor absorbed dose estimation, will allow the administration of AT>11.1 GBq in the future. (Author)

Measurements and Calculations of the Slowing-Down and Migration Time; Mesures et Calcul du Temps de Ralentissement et de Migration; Izmereniya i raschety vremeni zamedleniya i migratsii; Medicion y Calculo del Tiempo de Moderacion y de Migracion

Energy Technology Data Exchange (ETDEWEB)

Profio, A. E.; Koppel, J. U. [General Atomic Division of General Dynamics Corporation, John Jay Hopkins Laboratory for Pure and Applied Science, San Diego, CA (United States); Adamantiades, A. [Massachusetts Institute of Technology, Cambridge, MA (United States)

1965-08-15

transcurre hasta que la velocidad de los neutrones pulsados disminuya en la medida necesaria para que estos alcancen la energia, el angulo y la posicion de observacion apetecidas. El tiempo medio es una correccion de las mediciones de espectros neutronicos en la masa hechas segun el metodo del tiempo de vuelo, y la variacion impone limites al poder de resolucion efectivo de tales experimentos. Estos parametros son igualmente importantes en los detectores cuyo funcionamiento se base en la moderacion, en los experimentos con el metodo de tiempo de vuelo en los que un moderador situado cerca de la fuente de neutrones pulsados proporciona neutrones de baja energia, y en la espectrometria del tiempo de moderacion. Se han ideado diversos metodos analfticos y numericos para calcular la distribucion espacio-energia angulo-tiempo o sus integrales. Ha podido demostrarse que los momentos temporales Empty-Set {sup (n)} (r, {Omega}, v, t) = {integral}{sub 0}{sup {infinity}}t{sup n} Empty-Set (r, {Omega}, v, t)dt, pueden calcularse aplicando repetidamente una clave de transporte en regimen estacionario. El termino de la fuente para el calculo del momento 'n'es igual a nv{sup -1} Empty-Set {sup (n-1)}. Los autores presentan los resultados correspondientes a maquetas del reactor TRIGA en las que se emplean medios multiplicadores y no multiplicadores. Otro valioso metodo de calculo consiste en emplear una clave de Monte Cario en funcion del tiempo. Los autores exponen los resultados del calculo de un flujo que escapa de una delgada placa de plomo. Se han hecho mediciones del tiempo de moderacion hasta la energia de corte del Cd y hasta la resonancia de 1,46 eV del In en agua y en tolueno. Los rayos gamma de captura se detectaron con un contador de centelleo. Esta tecnica exige disponer de una fuente de suficiente intensidad y de un detector eficaz debido a la brevedad del ciclo de trabajo (escasa anchura de las rafagas para la resolucion del tiempo de moderacion y amplio intervalo entre los

The Coast Artillery Journal. Volume 59, Number 6, December 1923

Science.gov (United States)

1923-12-01

Remarques sur Ie tir Fusant.-F-12, January, 1923. RegIa de Calculo Para Muelles Cilindricos.-Spa-2, June, 1923. Terrain Reduit pour Exercices de tir Fictif au...I to V, on a front Brussels-Metz, pivoting on the fortified area Metz- Thionville. The inner flank of the wheel was to be covered by the VI and VII...rapidly on the fron t Beauraing-Gedinne- Paliseul- Fay- des -Veneurs-Cuignon (5th Army) and Tetaigne-Margut-Quincy (4th Army)." Fearing the German advance

ESFER computer tool for the evaluation of photovoltaic systems used in rural electrification; ESFER herramienta de computadora para evaluar sistemas fotovoltaicos utilizados en electrificacion rural

Energy Technology Data Exchange (ETDEWEB)

Villasenor, Francisco; Perez, Miguel; Huacuz, Jorge M [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1996-12-31

ESFER (Evaluacion de Sistemas Fotovoltaicos para Electrificacion Rural) Photovoltaic Systems Evaluation for Rural Electrification is a computerized calculation tool for the analysis of information and evaluation of photovoltaic systems for rural electrification. This article describes such a tool, as well as the parameters that are taken into account for analyzing the systems, the methodology to qualify and the computer program operation. The graphic results of a typical case are presented. ESFER pretends to be a program of general use for the evaluation of photovoltaic systems for rural electrification. [Espanol] ESFER, Evaluacion de Sistemas Fotovoltaicos para Electrificacion Rural, es una herramienta de calculo computarizada para el analisis de informacion y evaluacion de sistemas fotovoltaicos para electrificacion rural. En el presente articulo se describe dicha herramienta, asi como los parametros que se toman en cuenta para analizar los sistemas, la metodologia de calificacion y la operacion del programa de computadora. Se presentan los resultados graficos de un caso tipico. ESFER pretende ser un programa de uso generalizado para la evaluacion de sistemas fotovoltaicos de electrificacion rural.

ESFER computer tool for the evaluation of photovoltaic systems used in rural electrification; ESFER herramienta de computadora para evaluar sistemas fotovoltaicos utilizados en electrificacion rural

Energy Technology Data Exchange (ETDEWEB)

Villasenor, Francisco; Perez, Miguel; Huacuz, Jorge M. [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1995-12-31

ESFER (Evaluacion de Sistemas Fotovoltaicos para Electrificacion Rural) Photovoltaic Systems Evaluation for Rural Electrification is a computerized calculation tool for the analysis of information and evaluation of photovoltaic systems for rural electrification. This article describes such a tool, as well as the parameters that are taken into account for analyzing the systems, the methodology to qualify and the computer program operation. The graphic results of a typical case are presented. ESFER pretends to be a program of general use for the evaluation of photovoltaic systems for rural electrification. [Espanol] ESFER, Evaluacion de Sistemas Fotovoltaicos para Electrificacion Rural, es una herramienta de calculo computarizada para el analisis de informacion y evaluacion de sistemas fotovoltaicos para electrificacion rural. En el presente articulo se describe dicha herramienta, asi como los parametros que se toman en cuenta para analizar los sistemas, la metodologia de calificacion y la operacion del programa de computadora. Se presentan los resultados graficos de un caso tipico. ESFER pretende ser un programa de uso generalizado para la evaluacion de sistemas fotovoltaicos de electrificacion rural.

Particularidades del cálculo de engranajes plásticos. // Particularities of plastic gear calculation.

Directory of Open Access Journals (Sweden)

J. L. Moya Rodríguez

2003-05-01

Full Text Available En los últimos tiempos los materiales plásticos han tenido una proliferación en todos los campos de la Industria Mecánica,debido esencialmente a su bajo costo y a las mejoras de las propiedades mecánicas que se han ido logrando. En el casoparticular de las transmisiones por engranajes existe una gran cantidad de estos materiales que pueden ser usados y dehecho se utilizan para la fabricación de ruedas dentadas de características muy disímiles. En la literatura científica existemuy poca información disponible sobre las fallas de engranajes plásticos, métodos de calculo a resistencia y posiblesmateriales a emplear con sus respectivas propiedades mecánicas. Inclusive este tema no se aborda en los currículos deestudio tradicionales en Ibero-América. Queda mucho por discutir aun acerca del empleo de las correcciones del dentado enestas ruedas dentadas plásticas. En el presente trabajo se hace un análisis de los materiales, características, estudio de lasfallas principales, métodos de calculo y ejemplos de aplicación de los engranajes plásticos.Palabras claves: Plásticos, engranes, perfil dentado.__________________________________________________________________________Abstract.Recently the use of plastic materials has been growing up due to their low cost and the improvements achieved on theirmechanical properties. In the particular case of gear transmissions there are great quantities of polymers that can be usedfor gears. Plastic gears are powerful means of cutting drive cost, weight, noise, and wear. Plastic gears also open newopportunities for smaller and more efficient transmissions. There is few information in Scientific literature about plasticgears failures, designing methods and materials. Most engineering reference books are desicated to steel gears but there areremarkably silent about plastic gears. Design methods for plastic gears and gear trains must be modernized, because muchof the information available is derived

Construction of a computational exposure model for dosimetric calculations using the EGS4 Monte Carlo code and voxel phantoms; Construcao de um modelo computacional de exposicao para calculos dosimetricos utilizando o codigo Monte Carlo EGS4 e fantomas de voxels

Energy Technology Data Exchange (ETDEWEB)

Vieira, Jose Wilson

2004-07-15

The MAX phantom has been developed from existing segmented images of a male adult body, in order to achieve a representation as close as possible to the anatomical properties of the reference adult male specified by the ICRP. In computational dosimetry, MAX can simulate the geometry of a human body under exposure to ionizing radiations, internal or external, with the objective of calculating the equivalent dose in organs and tissues for occupational, medical or environmental purposes of the radiation protection. This study presents a methodology used to build a new computational exposure model MAX/EGS4: the geometric construction of the phantom; the development of the algorithm of one-directional, divergent, and isotropic radioactive sources; new methods for calculating the equivalent dose in the red bone marrow and in the skin, and the coupling of the MAX phantom with the EGS4 Monte Carlo code. Finally, some results of radiation protection, in the form of conversion coefficients between equivalent dose (or effective dose) and free air-kerma for external photon irradiation are presented and discussed. Comparing the results presented with similar data from other human phantoms it is possible to conclude that the coupling MAX/EGS4 is satisfactory for the calculation of the equivalent dose in radiation protection. (author)

Dosimetry using radiochromic film and planning algorithms in heterogeneous phantoms; Estudo dosimetrico com filme radiocromico e algoritmos de planejamento em fantomas heterogeneos

Energy Technology Data Exchange (ETDEWEB)

Leite, Vinicius Freitas

2012-07-01

This work analyzes, through the study of the interaction of electromagnetic radiation with matter, two schemes of heterogeneous phantoms schematised to simulate real cases of planning with different electronic densities through the Pencil Beam, Collapsed Cone and Analytical Anisotropic Algorithm algorithms and compare with measurements Of relative absorbed dose in an IBA CC13 ionization chamber and Gafchromic® EBT2 radiochromic film. Epichlorohydrin rubber and its compatibility in comparison with human bone has also been evaluated. The assembly of the heterogeneous phantoms was feasible and the results regarding the density and attenuation of the rubber presented consistent values. However, the study of PDPs in constructed phantoms showed a considerable percentage discrepancy between measurements and planning.

Analysis of the interconnection of small generating power plants to the rural networks of medium tension; Analisis de la interconexion de pequenas plantas de generacion a las redes rurales de media tension

Energy Technology Data Exchange (ETDEWEB)

Santos Erape, Salomon

2008-12-15

This paper deals on a subject related to distributed generation, specifically deals with a real case of the interconnection request of 2 hydroelectric power stations with synchronous generators, property of an independent power producer, who intends to interconnect himself to the medium tension network, this interconnection has a particularity that does not make the analysis so simple, this characteristic is that it has a power generation capacity superior to the local load demand. The analysis focuses mainly in the regulation effects and losses, thus, calculations are also made of short circuit and revision of the interruptive capacities. Next, a brief description is made of the most relevant that is addressed in each chapter: Chapter 1. - It is an introduction to the subject, background of distributed generation, what the scope of the investigation is, methodology, definition of terms and abbreviations that are used in the document. Chapter 2 .- In this chapter an exposition of the problem is made, a description of the power system analysis background is also made and of distribution systems and the problems are exposed when the generator capacity has enough power to supply energy up to sub transmission levels. Chapter 3. - This chapter essentially deals with the acquisition of the information for the analysis, in it, the location of the base case is defined, description of the electrical infrastructure considered in the study, statistical information of the generation capacity of the power plants, information of the medium tension network that is exported from a distribution studies program to a high voltage flows program. It is also described how the minimum and maximum demand is made coincident, as well as the form in which the sequence components are obtained or calculated to be used in short circuit calculations. Chapter 4. - This chapter is the essential part of the thesis; diverse simulations are made of a case denominated Real Base Case in face of

Geochemical model of a geothermal system: an approach on the analytical uncertainty; Modelo geoquimico de sistema geotermico: un enfoque sobre la incertidumbre analitica

Energy Technology Data Exchange (ETDEWEB)

Pal Verma, Mahendra [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

2008-07-01

A procedure was developed to consider the analytical uncertainty in each parameter of geochemical analysis of geothermal fluid. The estimation of the uncertainty is based on the results of the geochemical analyses of geothermal fluids (numbered from the 0 to the 14), obtained within the framework of the comparisons program among the geochemical laboratories in the last 30 years. Also the propagation of the analytical uncertainty was realized in the calculation of the parameters of the geothermal fluid in the reservoir, through the methods of interval of uncertainty and GUM (Guide to the expression of Uncertainty of Measurement). The application of the methods is illustrated in the pH calculation of the geothermal fluid in the reservoir, considering samples 10 and 11 as separated waters at atmospheric conditions. [Spanish] Se desarrollo un procedimiento para estimar la incertidumbre analitica en cada parametro de analisis geoquimico de fluido geotermico. La estimacion de la incertidumbre esta basada en los resultados de los analisis geoquimicos de fluidos geotermicos (numerados del 0 al 14), obtenidos en el marco del programa de comparaciones entre los laboratorios geoquimicos en los ultimos 30 anos. Tambien se realizo la propagacion de la incertidumbre analitica en el calculo de los parametros del fluido geotermico en el yacimiento, a traves de los metodos de intervalo de incertidumbre y GUM (Guide to the expression of Uncertainty of Measurement). La aplicacion de los metodos se ilustra en el calculo de pH del fluido geotermico en el yacimiento, considerando las muestras 10 y 11 como aguas separadas a las condiciones atmosfericas.

Estimation of hydraulic conductivity on clay content in soil determined from resistivity data

Energy Technology Data Exchange (ETDEWEB)

Shevnin, Vladimir; Delgado-Rodriguez, Omar; Mousatov, Aleksandr [Mexican Petroleum Institute, Mexico, D.F. (Mexico); Ryjov, Albert [Moscow State Geological Prospecting Academy, Geophysical Faculty, Moscow (Russian Federation)

2006-07-15

The influence of clay content in sandy and clayey soils on hydraulic conductivity (filtration coefficient) is considered. A review of published experimental data on the relationship of hydraulic conductivity with soil lithology and grain size, as dependent on clay content is presented. Theoretical calculations include clay content. Experimental and calculated data agree, and several approximation formulas for filtration coefficient vs clay content are presented. Clay content in soil is estimated from electric resistivity data obtained from 2D VES interpretation. A two-step method is proposed, the first step including clay content calculating from soil resistivity and groundwater salinity, and the second step including filtration coefficient estimating from clay content. Two applications are presented. [Spanish] El contenido de arcilla en suelos areno-arcillosos influye sobre la permeabilidad hidraulica (coeficiente de filtracion). Se presenta una revision de datos experimentales publicados que relacionan el coeficiente de filtracion con el tipo litologico del suelo y el tamano de las particulas. A partir de calculos teoricos, se modifican las conocidas formulas que relacionan el coeficiente de filtracion con el contenido de arcilla. Se estima el contenido de arcilla a partir de los datos interpretados por el metodo SEV, y se propone un procedimiento para la estimacion del coeficiente de filtracion: (a) calculo del contenido de arcilla a partir de la resistividad del suelo y de la salinidad del agua subterranea, (b) estimacion del coeficiente de filtracion a partir del contenido de arcilla. Se presentan algunos ejemplos de la aplicacion de esta metodologia.

Iteración de funciones e introducción al caos con Mathematica

OpenAIRE

Rojas, Ángela

2000-01-01

En este trabajo se estudio la iteración de punto fijo muy habitual en todos los programas de calculo numérico y su aplicación en un caso particularmente interesante: la función logística. De esta forma se pueden introducir elementos característicos de la teoría del caos: efecto mariposa o exponente de Lyaponuv, bifurcaciones por duplicación de periodo. Esta experiencia se ha realizado en la escuela de ingeniería técnica de Córdoba, usando Mathematica por la potencia y verticalidad que posee e...

La importancia del ciclo de caja y cálculo del capital de trabajo en la gerencia PYME

OpenAIRE

Jorge Iván Jiménez Sánchez; Farley Saray Rojas Restrepo; Heidy Julieth Ospina Galvis

2014-01-01

 El artículo aborda las finanzas en la pyme moderna, la cual necesita de un gerente dinámico y hábil en la gestión administrativa, la información contable y las finanzas, con conocimiento de los días necesarios para cubrir el ciclo de caja y el capital que se requiere para operar a corto plazo, calculo necesario para determinar si va a alcanzar el dinero o si va a necesitar financiación y su valor exacto. Las cifras de fracaso de las pymes en América Latina son abrumadoras, ochenta por ciento...

Computação algébrica no cálculo das variações: determinação de simetrias e leis de conservação

OpenAIRE

Gouveia, Paulo D.F.; Torres, Delfim F.M.

2005-01-01

Os problemas de optimização dinâmica (em espaços de funções) tratados pelo calculo das variações, são normalmente resolvidos por recurso às condições necessárias de Euler-Lagrange, que são equações diferenciais de segunda ordem (ou de ordem superior, quando os problemas variacionais envolvem derivadas de ordem superior a um). Estas equações são, em geral, não lineares e de difícil resolução. Uma forma de as simplificar consiste em obter leis de conservação: primeiros integrais ...

A FORTRAN program for the use of digital terrain elevation models of the Instituto Nacional de Estadistica, Geografia e Informatica of Mexico (INEGI); Programa en FORTRAN para el manejo de modelos digitales de elevacion del terreno del Instituto Nacional de Estadistica, Geografia e Informatica de Mexico (INEGI)

Energy Technology Data Exchange (ETDEWEB)

Garcia Estrada, Gerardo [Gerencia de Proyectos Geotermoelectricos de la Comision Federal de Electricidad, Morelia (Mexico)

1996-09-01

producir un mapa en coordenadas planas rectangulares en metros. Durante la delimitacion de la ventana se hace un filtrado simple para disminuir los errores numericos que existen en el archivo y si se desea puede elegirse un submuestreo de los datos para preparar mapas menos detallados pero de gran cobertura. El programa ha sido desarrollado y probado extensamente en la Gerencia de Proyectos Geotermoelectricos de la Comision Federal de Electricidad (CFE) de Mexico, en donde se utiliza en estudios regionales para la elaboracion de mapas base, el trazo automatico de perfiles topograficos y el calculo de condiciones de frontera para modelos termicos. Otros usos directos son el calculo de las correcciones por rugosidad o la estimacion de efectos isostaticos en estudios gravimetricos, la estimacion de cotas topograficas para puntos de coordenadas horizontales conocidas, el modelado termico de efectos climaticos en funcion de la topografia, el calculo automatico de volumenes de material y muchos otros.

Theory and control calculations. Application to BWR and PWR; Teoria y calculo de elementos de control, Aplicacion a PWR y BWR

Energy Technology Data Exchange (ETDEWEB)

Velarde, G; Guerra, J

1972-07-01

A theoretical method to extend the applicability of P{sub 1} approximation to strong absorbers is given. Tables of effective diffusion parameters for slab and cylindrical geometry as well as a summary of expressions for obtaining the extrapolation length in cases of interest, are included. (Author) 21 refs.

Developing a verification tool for calculations dissemination through COBAYA; Desarrollo de una herramienta de verificacion para calculos de difusion mediante COBAYA

Energy Technology Data Exchange (ETDEWEB)

Sabater Alcaraz, A.; Rucabado Rucabado, G.; Cuervo Gomez, D.; Garcia Herranz, N.

2014-07-01

The development of a software tool that automates the comparison of results with previous versions of the code and results using models of accuracy is crucial for implementing the code new functionalities. The work presented here has been the generation the mentioned tool and the set of reference cases that have set up the afore mentioned matrix. (Author)

Cálculo de patana especializada construida de PRFV. // Calculation of specialized shalow water vessels designed and manufactured with PRFV.

Directory of Open Access Journals (Sweden)

J. García de la Figal

2003-05-01

Full Text Available Se trata del cálculo de resistencia y rigidez de una patana especializada para el tratamiento de aguas residuales en la zonapantanosa de la Ciénaga de Zapata, Cuba, por lo que se recurre a materiales altamente duraderos y resistentes a la acción deun medio tan agresivo. Se trata de plásticos y fibra de vidrio. Por los altos pesos en la cubierta, su calculo no estaestablecido en los Registros de Buques, haciéndose necesario el calculo completo de la patana con este material ortotrópico.Para ello se recurrió al Método de los Elementos Finitos, a través del empleo de un programa de computación. Se llega aldiseño completo de las diferentes partes de la patana con este complejo material. Ya ha sido construida y está en operación.Palabras claves: Elementos finitos, embarcaciones, tratamiento de aguas,PRFV._______________________________________________________________________________AbstractThis paper deals with the calculations of resistance and rigidity of a specialized shalow water vessel for the treatment ofwaste waters. It will be located in the marshy area of Cienaga de Zapata, Cuba, for this reason highly durable and resistantmaterials to the action of such aggressive environment are used. We are dealing with plastics and glass fiber due to the highweight in the cover the calculation is not established by Ships Registrations and therefore became necessary to carried outthe complete vessel calculation with this orthotropic material. It was neccesary applied the Finite Elements Method bymeans of a computation program. We arrived to the complete design of different parts of the vessel with this complexmaterial. It has already been built and it is in operation.Key words: Finite element, vessel, water treatment, PRFV.

Cálculo de patana especializada construida de PRFV. // Calculation of specialized shalow water vessels designed and manufactured with PRFV.

Directory of Open Access Journals (Sweden)

J. García de la Figal

2006-09-01

Full Text Available Se trata del cálculo de resistencia y rigidez de una patana especializada para el tratamiento de aguas residuales en la zonapantanosa de la Ciénaga de Zapata, Cuba, por lo que se recurre a materiales altamente duraderos y resistentes a la acción deun medio tan agresivo. Se trata de plásticos y fibra de vidrio. Por los altos pesos en la cubierta, su calculo no estaestablecido en los Registros de Buques, haciéndose necesario el calculo completo de la patana con este material ortotrópico.Para ello se recurrió al Método de los Elementos Finitos, a través del empleo de un programa de computación. Se llega aldiseño completo de las diferentes partes de la patana con este complejo material. Ya ha sido construida y está en operación.Palabras claves: Elementos finitos, embarcaciones, tratamiento de aguas,PRFV.___________________________________________________________________________________AbstractThis paper deals with the calculations of resistance and rigidity of a specialized shalow water vessel for the treatment ofwaste waters. It will be located in the marshy area of Cienaga de Zapata, Cuba, for this reason highly durable and resistantmaterials to the action of such aggressive environment are used. We are dealing with plastics and glass fiber due to the highweight in the cover the calculation is not established by Ships Registrations and therefore became necessary to carried outthe complete vessel calculation with this orthotropic material. It was neccesary applied the Finite Elements Method bymeans of a computation program. We arrived to the complete design of different parts of the vessel with this complexmaterial. It has already been built and it is in operation.Key words: Finite element, vessel, water treatment, PRFV.

Estimation of charges for services of transmission of electrical energy between regions of the national electrical system; Estimacion de cargos por servicios de transmision de energia electrica entre regiones del sistema electrico nacional

Energy Technology Data Exchange (ETDEWEB)

Inda Ruiz, Adrian; Flores Alba, Dora Elia [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Escobar Lopez, Akihito [Comision Federal de Electricidad (Mexico)

2002-07-01

In order to facilitate the answer of the Comision Federal de Electricidad (CFE) to the requests of services of transmission of authorized or potential licensees, this organism devised the construction of matrices of charges that allow in a fast and direct way for specific transactions, to know the charges in which different types of transmission services incur classified by transport levels and by tension levels in which the service is asked for. These tables could be published in the media that might be judged advisable, in order that the applicant licensees have access to a preliminary estimation of the charges for the required services, without the need of going, for one first estimation, directly to the CFE for their calculation. This article presents the results of the development of a calculation tool that allows estimating, in a fast and efficient way, charges for transmission services between regions of the national electrical system. [Spanish] Para facilitar la respuesta de la Comision Federal de Electricidad (CFE) a las solicitudes de servicios de transmision de permisionarios autorizados o potenciales, esta ideo la construccion de matrices de cargos que permitan de manera rapida y directa para transacciones especificas, conocer los cargos en que incurren diferentes tipos de servicios de transmision clasificados por niveles de transporte y por niveles de tension en los que se solicita el servicio. Dichas tablas podran ser publicadas en los medios que se juzguen convenientes, con el fin de que los permisionarios solicitantes tengan acceso a una estimacion preliminar de los cargos por los servicios requeridos, sin necesidad de acudir, para una primera estimacion, directamente a la CFE para su calculo. Este articulo presenta los resultados del desarrollo de una herramienta de calculo que permite estimar, de manera rapida y eficiente, matrices de cargos por servicios de transmision entre regiones del sistema electrico nacional.

Manual method for dose calculation in gynecologic brachytherapy; Metodo manual para o calculo de doses em braquiterapia ginecologica

Energy Technology Data Exchange (ETDEWEB)

Vianello, Elizabeth A.; Almeida, Carlos E. de [Instituto Nacional do Cancer, Rio de Janeiro, RJ (Brazil); Biaggio, Maria F. de [Universidade do Estado, Rio de Janeiro, RJ (Brazil)

1998-09-01

This paper describes a manual method for dose calculation in brachytherapy of gynecological tumors, which allows the calculation of the doses at any plane or point of clinical interest. This method uses basic principles of vectorial algebra and the simulating orthogonal films taken from the patient with the applicators and dummy sources in place. The results obtained with method were compared with the values calculated with the values calculated with the treatment planning system model Theraplan and the agreement was better than 5% in most cases. The critical points associated with the final accuracy of the proposed method is related to the quality of the image and the appropriate selection of the magnification factors. This method is strongly recommended to the radiation oncology centers where are no treatment planning systems available and the dose calculations are manually done. (author) 10 refs., 5 figs.

PRUEBAS DE CARGA NO DESTRUCTIVAS EN PILOTES

Directory of Open Access Journals (Sweden)

LUIS IBAÑEZ MORA

2008-01-01

Full Text Available En el presente trabajo se abordan las experiencias en la utilización de la modelación matemática y la realización de pruebas de carga no destructivas en cimentaciones sobre pilotes para evaluar su capacidad de carga. Para ello se exponen los resultados obtenidos en pruebas de carga de más de 200 Toneladas, y la distribución de cargas en una estructura portuaria, evaluando su capacidad resistente. Se establecen comparaciones entre los métodos teóricos de calculo de la capacidad de carga del pilote aislado y modelos matemáticos, así como los resultados de la pruebas de carga a escala real.

e-Science initiatives in Venezuela

Energy Technology Data Exchange (ETDEWEB)

Chaves, J. L.; Diaz, G.; Hamar, V.; Isea, R.; Rojas, F.; Ruiz, N.; Torrens, R.; Uzcategui, M.; Florez-Lopez, J.; Hoeger, H.; Mendoza, C.; Nunez, L. A.

2007-07-01

Within the context of the nascent e-Science infrastructure in Venezuela, we describe several webbased scientific applications developed at the Centro Nacional de Calculo Cientifico Universidad de Los Andes (CECALCULA), Merida, and at the Instituto Venezolano de Investigaciones Cientificas (IVIC), Caracas. The different strategies that have been followed for implementing quantum chemistry and atomic physics applications are presented. We also briefly discuss a damage portal based on dynamic, nonlinear, finite elements of lumped damage mechanics and a biomedical portal developed within the framework of the E-Infrastructure shared between Europe and Latin America (EELA) initiative for searching common sequences and inferring their functions in parasitic diseases such as leishmaniasis, chagas and malaria. (Author)

Ideología y matemáticas: Algunos problemas metodológicos

Directory of Open Access Journals (Sweden)

Emilio Costa Reparaz

2004-01-01

Full Text Available Con este trabajo pretendemos poner de manifiesto los usos y abusos del lenguaje matemático y del intento de convertir un texto vulgar en otro científico mediante la utilización de la jerga matemática. En este trabajo se pretende, por una parte señalar determinados problemas metodológicos a la vez que unificar el leguaje. Conceptos como conocer, saber, verdad, realidad, racionalidad,... son conceptos teoréticos que debemos matizar y acotar su significado y utilización. Otro aspecto que es preciso destacar es el de la matematización frente al cientifismo. Tratamos de separar la Matemática del calculo y esta del lenguaje

Analysis methodology for economic technical feasibility studies in offshore electrical generation systems; Metodologia de analisis para estudios de factibilidad tecnica economica en sistemas de generacion electrica costa fuera

Energy Technology Data Exchange (ETDEWEB)

Fiscal Escalante, Raul [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

2007-07-01

An analysis methodology followed in the development of technique-economic feasibility studies of systems of electrical generation in offshore electrical installations is presented, including the obtaining of the curves of the turbine and generator performance, the technical considerations for the formulation of the operation scenes and the calculations of the economic evaluation of a real scenario. [Spanish] Se muestra una metodologia de analisis seguida en el desarrollo de estudios de factibilidad tecnica-economica de sistemas de generacion electrica en instalaciones electricas costa fuera, incluyendo la obtencion de las curvas de comportamiento de la turbina y el generador, las consideraciones tecnicas para la formulacion de los escenarios de operacion y los calculos de la evaluacion economica de un escenario real.

Cálculos neutrônicos, termo-hidráulicos e de segurança de um dispositivo para irradiação de miniplacas (DIM) de elementos conbustíveis tipo dispersão

OpenAIRE

Douglas Borges Domingos

2010-01-01

Neste trabalho foram desenvolvidos calculos neutrônicos, termo-hidráulicos e de segurança para avaliar a seguranca operacional de um dispositivo de irradiação a ser colocado no núcleo do reator IEA-R1 do IPEN-CNEN/SP. Este dispositivo de irradiação é utilizado para alojar miniplacas de combustvel do tipo dispers~ao de U3O8-Al e U3Si2-Al, com 19,75% em peso de 235U e densidades, respectivamente, de ate 3,2 gU/cm3 e 4,8 gU/cm3. Estas miniplacas serão irradiadas a queimas acima de 50% do 235U, d...

Device for measuring the exposure time in dental X-ray - Cronox

International Nuclear Information System (INIS)

Menezes, Claudio J.M.; Santos, Luiz A.P. dos

2009-01-01

The Centro Regional de Ciencias Nucleares do Nordeste (CRCN-NE) developed a test device for monitoring the X-ray beam in dental equipment to its application in quality control programs. This device, called Odontologic Dosimetric Card (CDO of Cartao Dosimetrico Odontologico in Portuguese) uses thermoluminescent dosimeters (TLD) for the measurement of some parameters of the X-ray beam as the entrance surface dose, the peak tension and half value layer (HVL). Radiographic films record the size of the radiation field. However, the TLD does not allow the assessment of exposure time, a parameter that complements the requirements of the Diretrizes de Protecao Radiologica em Radiodiagnostico Medico e Odontologico of Department of Health in Brazil for such equipment. Thus was developed a system based on sensitivity to ionizing radiation of phototransistors for measurement of exposure time when a patient is put in a clinical dental radiography. The system, called CRONOX was sized to be inserted within the CDO. The results showed that the measuring error had developed for less than 3% when compared to reference values obtained with the Tektronix digital oscilloscope, TDS2022 model. The readings obtained with the CRONOX were also compared with the nominal values selected in the X-ray equipment and with the values measured with the instrument of trade PTW Diavolt Universal. The results showed that the measuring device developed showed a maximum deviation of 5.92% on the nominal value selected, while for the instrument of PTW was 17.86%. (author)

Quantitative Evaluation of Nuclear Power Station Siting from the Point of View of Safety; Evaluacion Cuantitativa del Emplazamiento de Centrales Nucleoelectricas desde el Punto de Vista de la Seguridad

Energy Technology Data Exchange (ETDEWEB)

Serment Cabrero, V. [Comision Nacional de Energia Nuclear y Universidad Nacional Autonomia de Mexico (Mexico); Velez, C. [Instituto Politecnico Nacional y Comision Federal de Electricidad (Mexico)

1967-09-15

Apart from the minimum operational and safety requirements for the siting of nuclear power stations, the paper proposes introducing the total mean dose to the general population as an additional criterion. Although the calculation of this dose presupposes a detailed knowledge of the main pathways by which the population may be irradiated in case of an accident, the present state of power reactor technology makes it possible to tackle the problem already. An estimate of the total mean dose per unit time involves the safety aspects of the reactor, the features of the site considered, and the way in which these features affect safety. The authors derive the general formula expressing the total mean dose as a function of all the parameters concerned. It is pointed out that in the case of accidents in which the release of fission products is independent of the mechanisms of irradiation, this formula is considerably simplified and makes it possible to establish a classification of the relative suitability, from the safety point of view, of the sites proposed, without touching upon the difficult problem of the definition of accidents and their probabilities of occurrence. A further simplification accrues when there exist predominant mechanisms governing the accidental irradiation of the population. The approach adopted is particularly well suited to calculations with digital computers, and helps to identify the areas in which information is lacking and to direct research intended to remove these deficiencies. (author) [Spanish] Ademas de los requisitos mfnimos opecacionales y de seguridad para el emplazamiento de centrales nucleoelectricas, se sugiere utilizar como criterio adicional la dosis total promedio a la poblacion. Aunque el calculo de esa dosis implica el conocimiento detallado de los caminos principales por los cuales la poblacion puede ser irradiada en el caso de un accidente, el estado actual de la tecnologia de los reactores nucleares de potencia permite ya

DIMCO. A new system for mechanical and bidimensional, of nuclear fuel pins; DIMCO un nuevo sistema de calculo mecanico de combustibles nucleares

Energy Technology Data Exchange (ETDEWEB)

Moreno, A

1977-07-01

The system developed in JEN, for: the mechanical analysis uni and bidimensional, of nuclear fuels is presented. The mathematical and numerical foundations used, are here described. And so the models developed for effects such as swelling, cracking, clad growth etc. Numerical results for several cases are presented. a) Numerical test in one and two dimensions. b) Applicability range, c) Interaction effects. d) Influence of the power history. (Author) 17 refs.

Analisis del rendimiento y consumo de programas orientados al calculo

OpenAIRE

Ruiz Ramírez, Marcos

2016-01-01

Estudio que pretende crear una implementación de computación paralela/vectorial a las funciones y rutinas de cálculo del primer nivel del BLAS, recogida en una librería (estática o dinámica), analizando su impacto energético.

Calculo de volúmenes en modelos remallados de elementos finitos

Directory of Open Access Journals (Sweden)

Andrés Lapuebla-Ferri

2011-06-01

Full Text Available El Método de los Elementos Finitos asistido por ordenador es una herramienta muy extendida en ingeniería. En ciertas aplicaciones, se precisa modificar la malla del modelo a lo largo del proceso de simulación, lo que se conoce como remallado. En estos casos, además, suele ser necesario realizar mediciones en el modelo de elementos finitos, como por ejemplo calcular el volumen de ciertas regiones del mismo. Los paquetes comerciales disponibles en la actualidad permiten satisfacer algunas de estas necesidades, aunque adolecen de ciertas limitaciones. En este trabajo se presenta una aplicación desarrollada en el código propio de MatlabQc, que permite el cálculo aproximado del volumen de una región del espacio comprendida entre una malla de elementos finitos cuadriláteros lineales y otra malla topológicamente equivalente a la anterior, esta última obtenida a través de un proceso de remallado.

Precise magnetostatic field using the finite element method; Calculo de campos magnetostaticos com precisao utilizando o metodo dos elementos finitos

Energy Technology Data Exchange (ETDEWEB)

Nascimento, Francisco Rogerio Teixeira do

2013-07-01

The main objective of this work is to simulate electromagnetic fields using the Finite Element Method. Even in the easiest case of electrostatic and magnetostatic numerical simulation some problems appear when the nodal finite element is used. It is difficult to model vector fields with scalar functions mainly in non-homogeneous materials. With the aim to solve these problems two types of techniques are tried: the adaptive remeshing using nodal elements and the edge finite element that ensure the continuity of tangential components. Some numerical analysis of simple electromagnetic problems with homogeneous and non-homogeneous materials are performed using first, the adaptive remeshing based in various error indicators and second, the numerical solution of waveguides using edge finite element. (author)

DOSEFU: Computer application for dose calculation and effluent management in normal operation

International Nuclear Information System (INIS)

Martin Garcia, J. E.; Gonzalvo Manovel, A.; Revuelta Garcia, L.

2002-01-01

DOSEFU is a computer application on Windows that develops the methodology of nuclear power plant Exterior Dose Calculation Manuals (Manuals de Calculo de Dosis al Exterior-MACADE) for calculating doses in normal operation caused by radioactive liquid and gaseous effluents, for the purpose of enforcing the new Spanish Regulation on Health Protection against Ionizing Radiations, Royal Decree 783/2001 resulting from transposition of Directive 96/29/Euratom whereby the basic rules regarding health protection of workers and the population against risks resulting from ionizing radiations are established. In addition to making dose calculations, DOSEFU generates, on a magnetic support, the information regarding radioactive liquid and gaseous effluents that plants must periodically send to the CSN (ELGA format). The computer application has been developed for the specific case of Jose Cabrera NPP, which is called DOEZOR. This application can be easily implemented in any other nuclear or radioactive facility. The application is user-friendly, as the end user inputs data and executes the different modules through keys and dialogue boxes that are enabled by clicking on the mouse (see figures 2, 3, 4 and 5 ), The application runs under Windows 95. Digital Visual Fortran has been used as the development program, as this does not require additional libraries (DLLs), it can be installed in any computer without affecting other programs that are already installed. (Author)

CASE REPORT CASE CASE Post-traumatic cholesteatoma … a ...

African Journals Online (AJOL)

CASE REPORT. CASE. 46. SA JOURNAL OF RADIOLOGY • July 2008. CASE. Abstract. Temporal bone fractures and their acute complications have been well described in radiology and ENT journals; this is in contrast to ... post-traumatic cholesteatomas and made postulations on their origin. Since then, there have been ...

Reacting fluids analysis and polluting emissions; Analisis de fluidos reactivos y emisiones contaminantes

Energy Technology Data Exchange (ETDEWEB)

Munoz Ledo, Ramon; Ley Koo, Marcos [Instituto de Investigaciones Electricas, Cuernavaca (Mexico); Varela Ham, Ruben [Universidad Autonoma Metropolitana, Mexico, D. F. (Mexico)

1993-12-31

A problem is set up of a reacting flow which occurs in a gas exhausting duct, which is boiled down to a problem of initial conditions (temperature, pressure and concentration of species) freeing the selection of reaction mechanisms. Through some pre-established algorithms calculation routines can be programmed in specific problems of chemistry kinetics. With the calculation routines set forth in base of the selected mechanism, the temperature, pressure, etc., conditions, a general program is obtained containing the differential equations for the mechanisms, and with its solution, with a certain degree of uncertainty, the gases at a duct outlet can be predicted. The exhaust gases will carry unburned particles and products that can be polluting or not. If we vary the working conditions, we can find the optimum values to work with equipment that produces exhaust gases, anticipating with it the more efficient utilization of the equipment and the energy with the least possible pollution. [Espanol] Se plantea un problema de un flujo reactivo que se lleva a cabo en un ducto de salida de gases de escape, para lo cual se reduce a un problema de condiciones iniciales (temperatura, presion y concentracion de especies), y dejando en libertad la seleccion de mecanismos de reaccion. Mediante algunos algoritmos preestablecidos se pueden programar las rutinas de calculo en problemas especificos de cinetica quimica. Con las rutinas de calculo planteadas en base al mecanismo seleccionado, las condiciones de temperatura, presion, etc. se obtiene un programa general que contiene las ecuaciones diferenciales para el mecanismo y con su solucion se puede predecir con cierto grado de incertidumbre los gases a la salida de un ducto, los gases de salida llevaran particulas inquemadas y productos que pueden ser contaminantes o no, si hacemos variacion en las condiciones de trabajo podemos encontrar los valores optimos para trabajar con equipos que producen gases de escape, previendo con ello

Brote de gastroenteritis por virus Norwalk en una residencia de ancianos de Granada

Directory of Open Access Journals (Sweden)

Almagro Nievas Diego

2003-01-01

Full Text Available Fundamento: Los brotes de gastroenteritis aguda de origen vírico son actualmente uno de los problemas de salud que más están afectando a las personas residentes en instituciones de la tercera edad. El objetivo del estudio es investigar las causas del origen y transmisión de un brote de gastroenteritis aguda por virus Norwal-Like. Método: En una residencia de ancianos con 141 residentes y 71 trabajadores expuestos, se investigó la relación entre un brote de gastroenteritis aguda y distintas variables: características personales, de lugar, fecha de inicio de los síntomas, clínica de la enfermedad y factores causales (alimentos y agua de consumo. Se realizó un estudio descriptivo, tabla de contingencia y test de hipótesis 2, diseño de casos y controles con el calculo de Odds Ratio cruda y posteriormente ajustada (IC al 95% utilizando regresión logística. Resultados: No se observaron diferencias significativas en las variables de características personales y de lugar. La tasa de ataque en los residentes fue del 30,1% y en trabajadores fue del 21,12%. En el calculo de la Odds Ratio ajustada sólo tuvo valores de relación causal la mousse de nata (Odds Ratio ajustada=4,66; IC-95% 1,15-18,91; p=0,031. Se remitieron 10 muestras de heces de enfermos para su análisis, no detectándose ninguna bacteria patógena, pero si se aisló en 3 de ellas virus Norwal-Like. Conclusiones: El hallazgo de la mousse de nata como posible responsable del brote supone una primicia en la presencia de virus Norwalk, pero este resultado está sujeto a limitaciones, como el posible sesgo de clasificación por no recuerdo de consumo de alimentos. Aún así, supone un elemento a tener en cuenta en el control de gastroenteritis agudas por virus.

BROTE DE GASTROENTERITIS POR VIRUS NORWALK EN UNA RESIDENCIA DE ANCIANOS DE GRANADA

Directory of Open Access Journals (Sweden)

Diego Almagro Nievas

2003-01-01

Full Text Available vírico son actualmente uno de los problemas de salud que más están afectando a las personas residentes en instituciones de la tercera edad. El objetivo del estudio es investigar las causas del origen y transmisión de un brote de gastroenteritis aguda por virus Norwal- Like. Método: En una residencia de ancianos con 141 residentes y 71 trabajadores expuestos, se investigó la relación entre un brote de gastroenteritis aguda y distintas variables: características personales, de lugar, fecha de inicio de los síntomas, clínica de la enfermedad y factores causales (alimentos y agua de consumo. Se realizó un estudio descriptivo, tabla de contingencia y test de hipótesis 2, diseño de casos y controles con el calculo de Odds Ratio cruda y posteriormente ajustada (IC al 95% utilizando regresión logística. Resultados: No se observaron diferencias significativas en las variables de características personales y de lugar. La tasa de ataque en los residentes fue del 30,1% y en trabajadores fue del 21,12%. En el calculo de la Odds Ratio ajustada sólo tuvo valores de relación causal la mousse de nata (Odds Ratio ajustada=4,66; IC-95% 1,15- 18,91; p=0,031. Se remitieron 10 muestras de heces de enfermos para su análisis, no detectándose ninguna bacteria patógena, pero si se aisló en 3 de ellas virus Norwal-Like. Conclusiones: El hallazgo de la mousse de nata como posible responsable del brote supone una primicia en la presencia de virus Norwalk, pero este resultado está sujeto a limitaciones, como el posible sesgo de clasificación por no recuerdo de consumo de alimentos. Aún así, supone un elemento a tener en cuenta en el control de gastroenteritis agudas por virus.

Reacting fluids analysis and polluting emissions; Analisis de fluidos reactivos y emisiones contaminantes

Energy Technology Data Exchange (ETDEWEB)

Munoz Ledo, Ramon; Ley Koo, Marcos [Instituto de Investigaciones Electricas, Cuernavaca (Mexico); Varela Ham, Ruben [Universidad Autonoma Metropolitana, Mexico, D. F. (Mexico)

1992-12-31

A problem is set up of a reacting flow which occurs in a gas exhausting duct, which is boiled down to a problem of initial conditions (temperature, pressure and concentration of species) freeing the selection of reaction mechanisms. Through some pre-established algorithms calculation routines can be programmed in specific problems of chemistry kinetics. With the calculation routines set forth in base of the selected mechanism, the temperature, pressure, etc., conditions, a general program is obtained containing the differential equations for the mechanisms, and with its solution, with a certain degree of uncertainty, the gases at a duct outlet can be predicted. The exhaust gases will carry unburned particles and products that can be polluting or not. If we vary the working conditions, we can find the optimum values to work with equipment that produces exhaust gases, anticipating with it the more efficient utilization of the equipment and the energy with the least possible pollution. [Espanol] Se plantea un problema de un flujo reactivo que se lleva a cabo en un ducto de salida de gases de escape, para lo cual se reduce a un problema de condiciones iniciales (temperatura, presion y concentracion de especies), y dejando en libertad la seleccion de mecanismos de reaccion. Mediante algunos algoritmos preestablecidos se pueden programar las rutinas de calculo en problemas especificos de cinetica quimica. Con las rutinas de calculo planteadas en base al mecanismo seleccionado, las condiciones de temperatura, presion, etc. se obtiene un programa general que contiene las ecuaciones diferenciales para el mecanismo y con su solucion se puede predecir con cierto grado de incertidumbre los gases a la salida de un ducto, los gases de salida llevaran particulas inquemadas y productos que pueden ser contaminantes o no, si hacemos variacion en las condiciones de trabajo podemos encontrar los valores optimos para trabajar con equipos que producen gases de escape, previendo con ello

The Case for Case Reports

Directory of Open Access Journals (Sweden)

George R. Saade

2011-09-01

Full Text Available If you are reading a hard copy of this editorial, then you are holding in hand the first issue of the American Journal of Perinatology Reports, or AJP Reports as we like to refer to it. Welcome to AJP Reports and thank you for taking the time to peruse it. I hope you find many of the reports interesting and helpful. The editorial team and publisher are very pleased to be able to bring this journal to our readers. Judging by the journal title, the editorial team, and the layout you may have already guessed that this is a companion to the American Journal of Perinatology. We will continue to publish original articles and topical reviews in the American Journal of Perinatology, but all case reports or case series will be referred to AJP Reports. Some may question the need for more case reports. Our decision to start AJP Reports obviously indicates that we think that case reports can be useful. I can refer to several diseases, treatment complications, and procedures that were first brought to the attention of healthcare providers through case reports. The best example of the usefulness of case reports is probably in infectious diseases. In the early phases of an emerging infectious disease, the case report or case series are usually the first clues of a problem. HIV was first brought to the attention of the medical community by case reports.[1] [2] [3] In our own field, the first attempts at treatment of twin-to-twin transfusion syndrome (TTTS using laser coagulation were reported in a case series.[4] After additional reports about the use of laser in TTTS, a randomized trial was performed that cemented laser photocoagulation as a therapeutic modality for TTTS.[5] While case reports or series are not considered the highest form of evidence, they are frequently the first form of evidence and the nudge that starts the cascade of investigation that ultimately leads to high-level evidence. Therefore, their impact on clinical practice may be easily

Development of a dosimetric system for emergency situation involving person of the public; Desenvolvimento de um sistema dosimetrico para situacoes de emergencia envolvendo pessoas do publico em geral

Energy Technology Data Exchange (ETDEWEB)

Costa, Zelia Maria da

1999-07-01

A dosimetric system was developed for emergency situation based on electron spin resonance spectrometry (E.S.R.) and some materials such as tooth enamel, bovine bone, CaCO{sub 3} and sugar as detector. The purpose of this work was to find common materials, which are both reliable and sensitive and make possible quickly to assess the absorbed dose. The research includes the collection and preparation of samples, the evaluation, treatment and interpretation of ESR signal and the procedure for dose reconstruction. The calibration of the dosemeter was performed using gamma radiation from a Co-60 source. The results obtained confirm the variability of the use of this system in case of an accident. (author)

Preparando um ambiente de desenvolvimento para a plataforma android

Directory of Open Access Journals (Sweden)

Felipe Pires de Oliveira

2015-11-01

Full Text Available Este artigo descreve as etapas para a criação de um ambiente de desenvolvimento para a plataforma Android. O artigo foi dividido em quatro partes: Primeiro uma introdução sobre o assunto. Na segunda seção são mostrados os passos necessários para a configuração do ambiente de desenvolvimento. Na terceira seção, é demonstrado como criar uma aplicação para dispositivo Android que calculo Índice de Massa Corporal (IMC. A quarta seção apresenta as considerações finais. A solução abordada tem como base a IDE Eclipse e o SDK do Android, bem como o Kit de Desenvolvimento Java da Oracle (JDK.

Preparando um ambiente de desenvolvimento para a plataforma android

Directory of Open Access Journals (Sweden)

Felipe Pires de Oliveira

2015-12-01

Full Text Available Este artigo descreve as etapas para a criação de um ambiente de desenvolvimento para a plataforma Android. O artigo foi dividido em quatro partes: Primeiro uma introdução sobre o assunto. Na segunda seção são mostrados os passos necessários para a configuração do ambiente de desenvolvimento. Na terceira seção, é demonstrado como criar uma aplicação para dispositivo Android que calculo Índice de Massa Corporal (IMC. A quarta seção apresenta as considerações finais. A solução abordada tem como base a IDE Eclipse e o SDK do Android, bem como o Kit de Desenvolvimento Java da Oracle (JDK.

System for the design of electrical distribution substations; Sistema para el diseno de subestaciones electricas de distribucion

Energy Technology Data Exchange (ETDEWEB)

Zayas Perez, Benjamin Eddie; Islas Perez, Eduardo; Bahena Rada, Jessica Liliana; Romero Lima, Jesus [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Sierra Rodriguez, Benjamin; Moreno Diaz, Humberto [Comision Federal de Electricidad (Mexico)

2011-07-01

llevan a cabo en las Divisiones de Distribucion de la Comision Federal de Electricidad (CFE) en dos procesos por separado: elaboracion de planos de ingenieria con software para diseno asistido por computadora (CAD, Computer-Aided Design) y calculo de la volumetria para la elaboracion del presupuesto base, con hojas de calculo convencionales. Los documentos se elaboran manualmente y de forma individual, sin existir alguna funcionalidad que permita actualizar automaticamente las modificaciones del diseno en todos los planos, y el correspondiente presupuesto base, resultando un proceso tardado, laborioso y factible de inconsistencia entre los documentos. Con la finalidad de optimizar el proceso de diseno de la obra civil y electromecanica de subestaciones electricas (SE) en un ambiente grafico tridimensional (3D), la Gerencia de Supervision de Proceso del Instituto de Investigaciones Electricas (IIE), en coordinacion con la Subdireccion de Distribucion de la CFE, desarrollo el Sistema para el Diseno de Subestaciones Electricas de Distribucion (DiDSED), el cual aprovecha las ventajas de la tecnologia CAD3D para el desarrollo de la ingenieria de detalle, ingenieria de costos para el calculo del presupuesto base y realidad virtual para navegacion tridimensional interactiva. Cabe destacar que actualmente, este sistema se encuentra en la etapa de implantacion en la Subdireccion de Distribucion de la CFE. En este articulo se describen brevemente las etapas principales del desarrollo del proyecto, asi como la funcionalidad y los componentes principales del sistema.

Neutron spectra calculation and doses in a subcritical nuclear reactor based on thorium; Calculo de espectros de neutrones y dosis en un reactor nuclear subcritico a base de Torio

Energy Technology Data Exchange (ETDEWEB)

Medina C, D.; Hernandez A, P. L.; Hernandez D, V. M.; Vega C, H. R. [Universidad Autonoma de Zacatecas, Unidad Academica de Estudios Nucleares, Cipres No. 10, Fracc. La Penuela, 98068 Zacatecas, Zac. (Mexico); Sajo B, L., E-mail: dmedina_c@hotmail.com [Universidad Simon Bolivar, Laboratorio de Fisica Nuclear, Apdo. Postal 89000, Caracas 1080A (Venezuela, Bolivarian Republic of)

2015-10-15

This paper describes a heterogeneous subcritical nuclear reactor with molten salts based on thorium, with graphite moderator and a source of {sup 252}Cf, whose dose levels in the periphery allows its use in teaching and research activities. The design was done by the Monte Carlo method with the code MCNP5 where the geometry, dimensions and fuel was varied in order to obtain the best design. The result is a cubic reactor of 110 cm side with graphite moderator and reflector. In the central part they have 9 ducts that were placed in the direction of axis Y. The central duct contains the source of {sup 252}Cf, of 8 other ducts, are two irradiation ducts and the other six contain a molten salt ({sup 7}LiF - BeF{sub 2} - ThF{sub 4} - UF{sub 4}) as fuel. For design the k{sub eff}, neutron spectra and ambient dose equivalent was calculated. In the first instance the above calculation for a virgin fuel was called case 1, then a percentage of {sup 233}U was used and the percentage of Th was decreased and was called case 2. This with the purpose to compare two different fuels working inside the reactor. In the case 1 a value was obtained for the k{sub eff} of 0.13 and case 2 of 0.28, maintaining the subcriticality in both cases. In the dose levels the higher value is in case 2 in the axis Y with a value of 3.31 e-3 ±1.6% p Sv/Q this value is reported in for one. With this we can calculate the exposure time of personnel working in the reactor. (Author)

Temperature Distribution in Radioactive Solid Wastes. Part I - Beta-Active Solids; Repartition des Temperatures dans les Dechets Radioactifs Solides. Partie I - Solides Radioactifs Beta; 0420 0410 0421 041f 0420 0415 0414 ; Distribucion de la Temperatura en los Desechos Radiactivos Solidos. Parte I - Desechos Solidos Emisores de Radiaciones Beta

Energy Technology Data Exchange (ETDEWEB)

Kotewale, D. A.; Ganguly, A. K. [Atomic Energy Establishment, Trombay (India)

1960-07-01

The paper deals with the calculations for temperature distribution over time in a radioactive sphere and in a finite radioactive cylinder buried in a medium having the same thermal properties. Formulae are given for such calculations. Numerical results on temperature build-up are presented graphically for the cases where the activity is due to beta-emitters such as P{sup 32}, Sr{sup 89}, Cs{sup 135} and Sr{sup 90} + (Y{sup 90}). General graphs for calculation of temperature build-up for any long-lived beta-emitter at certain points of interest in a sphere and in a cylinder of particular dimensions and diffusivity are presented. (author) [French] Ce memoire a trait aux calculs servant a evaluer la variation des temperatures en fonction du temps dans une sphere radioactive et dans un cylindre radioactif limite enfouis dans un milieue ayant les memes proprietes thermiques. Les formules utilisees dans ces calculs sont indiquees. Les resultats numeriques concernant la formation des temperatures sont representes graphiquement pour les cas ou l'activite est due a des emetteurs beta tels que {sup 32}P, {sup 89}Sr, {sup 135}Cs et {sup 90}Sr + ({sup 90}Y). Le memoire contient des abaques pour le calcul de la formation des temperatures dans les emetteurs gamma de longue periode a certains points interessants des spheres et des cylindres ayant des dimensions et une capacite de diffusion particulieres. (author) [Spanish] En la memoria se estudia el calculo de la distribucion de temperaturas en funcion del tiempo en una esfera radiactiva y en un cilindro radiactivo finito enterrados en un medio de identicas propiedades termicas. Se dan formulas para efectuar dicho calculo. En el caso en que la actividad se deba a emisores beta, tales como {sup 32}P, {sup 89}Sr, {sup 135}Cs y {sup 90}Sr + ({sup 90}Y), se representan graficamente los resultados numericos relativos al incremento de ]a temperatura. Asimismo, se proporcionan graficos generales para calcular el incremento de la

Case Study: Testing with Case Studies

Science.gov (United States)

Herreid, Clyde Freeman

2015-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

Methods in nuclear reactors calculations; Metodos de calculo en reactores nucleares

Energy Technology Data Exchange (ETDEWEB)

Velarde, G

1966-07-01

Studies are made of the neutron transport equation corresponding to the the real and virtual reactors, as well as the starting hypotheses. Methods are developed to solve the transport equation in slab geometry, and P{sub l}; B{sub l}; M{sub l}; S{sub n} and discrete ordinates approximations. (Author)

Shield calculations, optimization vs. paradigm; Calculos de blindajes, optimizacion vs. paradigma

Energy Technology Data Exchange (ETDEWEB)

Cornejo D, N.; Hernandez S, A.; Martinez G, A. [Centro de Proteccion e Higiene de las Radiaciones, Calle 20 No. 4113 e/41 y 47 Playa C.P. 11300 LaHabana (Cuba)]. e-mail: nestor@cphr.edu.cu

2006-07-01

Many shieldings have been designed under the criteria of 'Maximum dose rates of project'. It has created the paradigm of those 'low dose rates', for the one which not few specialists would consider unacceptable levels of dose rate superior to the units of {mu}Sv.h{sup -1}, independently of the exposure times. At the present time numerous shieldings are being designed considering dose restrictions in real times of exposure. After these new shieldings, the dose rates could be notably superior to those after traditional shieldings, without it implies inadequate designs or constructive errors. In the work significant differences in levels of dose rates and thickness of shieldings estimated by both methods for some typical facilities. It was concluded that the use of real times of exposure is more adequate for the optimization of the Radiological Protection, although this method demands bigger care in its application. (Author)

Case - Case-Law - Law

DEFF Research Database (Denmark)

Sadl, Urska

2013-01-01

Reasoning of the Court of Justice of the European Union – Constr uction of arguments in the case-law of the Court – Citation technique – The use of formulas to transform case-law into ‘law’ – ‘Formulaic style’ – European citizenship as a fundamental status – Ruiz Zambrano – Reasoning from...

Diseño de rotor para un aerogenerador de bajas velocidades

Directory of Open Access Journals (Sweden)

Hugo A. Arevalo

2009-01-01

Full Text Available En los ultimos afios ha existido un creciente interes en el disefio y el estudio de turbinas eólicas de baja velocidad debido a la mayor cantidad de lugares donde este potencial eólico esta presente. Usando elementos de Ia teoría de momentum del alabe (BEM y la teoría de la circulación, este articulo describe un metodo basado en el analisis del cambio de circulación y momentum a traves de cada estación del alabe, permitiendo calculos mas precisos y optimizando así el rendimiento del rotor en turbinas eólicas de eje horizontal, baja velocidad de viento y paso fijo. La comparaci6n de los resultados obtenidos con datos provenientes de turbinas eólicas reales muestra una alta similitud.

Gradually varied flow in compound open channels; Flujo gradualmente variado en canales de seccion compuesta

Energy Technology Data Exchange (ETDEWEB)

Sotela Avila, Gilberto [Universidad Nacional Autonoma de Mexico (Mexico)

2001-03-01

The author shows that the computation of gradually-varied-flow profiles in prismatic compound channels involves the solution of the dynamic equation, but using the compound channel Froude number defined by Blalock and Sturm. The same equation is used for non-prismatic channels by dividing the channel into short reaches and carrying the computation step by step through an iterative process. [Spanish] El autor demuestra que los perfiles del flujo gradualmente variado en canales prismaticos de seccion compuesta se pueden determinar mediante la integracion de la llamada ecuacion dinamica, pero usando el numero de Froude definido por Blalock y Sturm para este tipo de canales. Cuando no son prismaticos, tambien se aplica la ecuacion de la energia por tramos y el calculo sigue un proceso iterativo una vez definidos los tirantes criticos multiples y la zona en que se desarrolla el perfil.

Prenatal radiation doses from radiopharmaceuticals; Dosis absorbida en el feto por administracion de radiofarmacos

Energy Technology Data Exchange (ETDEWEB)

Rojo, A M; Gomez Parada, I M; Di Trano, J L

1999-12-31

The radiopharmaceutical administration with diagnostic or therapeutic purpose during pregnancy implies a prenatal radiation dose. The dose assessment and the evaluation of the radiological risks become relevant due to the great radiosensitivity of the fetal tissues in development. This paper is a revision of the available data for estimating fetal doses in the cases of the more frequently used radiopharmaceuticals in nuclear medicine, taking into account recent investigation in placental crossover. The more frequent diagnostic and therapeutic procedures were analyzed according to the radiation doses implied. (author) 8 refs. [Espanol] La administracion de radiofarmacos con fines diagnosticos o terapeuticos durante el embarazo, resulta en una dosis absorbida en el feto. La evaluacion de esta dosis y la consiguiente estimacion del riesgo radiologico asociado, adquiere relevancia dada la mayor radiosensibilidad de los tejidos fetales con respecto a la de los adultos. El proposito de este trabajo es hacer una revision de los lineamientos existentes sobre las hipotesis a considerar en el calculo de dosis al feto para los radiofarmacos de uso mas frecuente, incorporando las investigaciones recientes que aportan informacion sobre la transferencia placentaria, teniendo en cuenta la edad gestacional. Se analizan las practicas diagnosticas y terapeuticas mas frecuentes comparando las dosis que implican en el feto con los limites internacionalmente aceptados. Se pretende asi disponer de las herramientas necesarias para responder a las consultas sobre los riesgo radiologicos debidos a la administracion de radiofarmacos a embarazadas. (autor)

Casing study

Energy Technology Data Exchange (ETDEWEB)

Roche, P.

2000-12-01

An unorthodox method of casing drilling used by Tesco Corporation at a gas well in Wyoming to drill deeper using casings as drillpipe is discussed. The process involves either rotating the casing as drill string or using a downhole mud motor to rotate the bit. In this instance, the surface hole and the production hole were casing-drilled to a record 8,312 feet by rotating the casing. The 8 1/2-inch surface hole was drilled with 7-inch casing to 1,200 feet using a Tesco underreamer and a polycrystalline pilot bit; drilling and cementing was completed in 12 1/2 hours. The 6 1/4-inch production hole was drilled with 4 1/2-inch casing and the bottomhole assembly was retrieved after 191 hours rotating. This case was the first in which the entire well was casing-drilled from surface to TD. Penetration rate compared favorably with conventional methods: 12 1/2 hours for casing-drilling to 18.9 hours for conventional drilling, despite the fact that the casing-drilling technology is still in its infancy. It is suggested that casing-drilling has the potential to eliminate the need for the drillpipe entirely. If these expectations were to be realised, casing-drilling could be one of the most radical drilling changes in the history of the oil and gas industry. 1 photo.

Use of the 'DRAGON' program for the calculation of reactivity devices; Utilizacion del programa DRAGON para el calculo de mecanismos de reactividad

Energy Technology Data Exchange (ETDEWEB)

Mollerach, Ricardo; Fink, Jose [Nucleoelectrica Argentina SA (NASA), Buenos Aires (Argentina)

2003-07-01

DRAGON is a computer program developed at the Ecole Polytechnique of the University of Montreal and adopted by AECL for the transport calculations associated to reactivity devices. This report presents aspects of the implementation in NASA of the DRAGON program. Some cases of interest were evaluated. Comparisons with results of known programs as WIMS D5, and with experiments were done. a) Embalse (CANDU 6) cell without burnup and leakage. Calculations of macroscopic cross sections with WIMS and DRAGON show very good agreement with smaller differences in the thermal constants. b) Embalse fresh cell with different leakage options. c) Embalse cell with leakage and burnup. A comparison of k-infinity and k-effective with WIMS and DRAGON as a function of burnup shows that the differences ((D-W)/D) for fresh fuel are -0.17% roughly constant up to about 2500 MWd/tU, and then decrease to -0.06 % for 8500 MWd/tU. Experiments made in 1977 in ZED-2 critical facility, reported in [3], were used as a benchmark for the cell and supercell DRAGON calculations. Calculated fluxes were compared with experimental values and the agreement is so good. d) ZED-2 cell calculation. The measured buckling was used as geometric buckling. This case can be considered an experimental verification. The calculated reactivity with DRAGON is about 2 mk, and can be considered satisfactory. WIMS k-effective value is about one mk higher. e) Supercell calculations for ZED-2 vertical and horizontal tube and rod adjuster using 2D and 3D models were done. Comparisons between measured and calculated fluxes in the vicinity of the adjuster rods. Incremental cross sections for these adjusters were calculated using different options. f) ZED-2 reactor calculations with PUMA reveal a good concordance with critical heights measured in experiments. The report describes also particular features of the code and recommendations regarding its use that may be useful for new users. (author)

Parameter calculation tool for the application of radiological dose projection codes; Herramienta de calculo de parametros para la aplicacion de codigos de proyeccion de dosis radiologicas

Energy Technology Data Exchange (ETDEWEB)

Galindo G, I. F.; Vergara del C, J. A.; Galvan A, S. J. [Instituto Nacional de Electricidad y Energias Limpias, Reforma 113, Col. Palmira, 62490 Cuernavaca, Morelos (Mexico); Tijerina S, F., E-mail: francisco.tijerina@cfe.gob.mx [CFE, Central Nucleoelectrica Laguna Verde, Carretera Federal Cardel-Nautla Km 42.5, 91476 Municipio Alto Lucero, Veracruz (Mexico)

2016-09-15

The use of specialized codes to estimate the radiation dose projection to an emergency postulated event at a nuclear power plant requires that certain plant data be available according to the event being simulated. The calculation of the possible radiological release is the critical activity to carry out the emergency actions. However, not all of the plant data required are obtained directly from the plant but need to be calculated. In this paper we present a computational tool that calculates the plant data required to use the radiological dose estimation codes. The tool provides the required information when there is a gas emergency venting event in the primary containment atmosphere, whether well or dry well and also calculates the time in which the spent fuel pool would be discovered in the event of a leak of water on some of the walls or floor of the pool. The tool developed has mathematical models for the processes involved such as: compressible flow in pipes considering area change and for constant area, taking into account the effects of friction and for the case of the spent fuel pool hydraulic models to calculate the time in which a container is emptied. The models implemented in the tool are validated with data from the literature for simulated cases. The results with the tool are very similar to those of reference. This tool will also be very supportive so that in postulated emergency cases can use the radiological dose estimation codes to adequately and efficiently determine the actions to be taken in a way that affects as little as possible. (Author)

ORBITALES. A program for the calculation of wave functions with an analytical central potential; ORBITALES. Programa de calculo de Funciones de Onda para una Potencial Central Analitico

Energy Technology Data Exchange (ETDEWEB)

Carretero, Yunta; Rodriguez Mayquez, E

1974-07-01

In this paper is described the objective, basis, carrying out in FORTRAN language and use of the program ORBITALES. This program calculate atomic wave function in the case of ths analytical central potential (Author) 8 refs.

Structural integrity assessment of a pressure container component. Design and service code implementation. Case studies; Evaluacion de la integridad estructural de un componente contenedor de presion. Aplicacion de los codigos para el disenio y servicio. Estudio de casos

Energy Technology Data Exchange (ETDEWEB)

Sanzi, H C [Universidad Tecnologica Nacional, Buenos Aires (Argentina)

2006-07-01

In the present work, the most important results of the local stresses occurred in the cracked pipes with a axial through-wall crack (outer), produced during operation of a Petrochemical Plant, using finite elements method, are presented. As requested, the component has been verified based 3D FE plastic analysis, under the postulated failure loading, assuring with this method a high degree of accuracy in the results. Codes used by Design and Service, as ASME Section VIII Div. 2 and API 579, have been used in the analysis. (author) [Spanish] La correcta evaluacion de la integridad estructural de componentes contenedores de presion y canierias requiere del conocimiento y la participacion de especialistas en 'Stress Analysis' y materiales e inspectores. En la actualidad, las tecnicas avanzadas de analisis, que incluyen un detallado 'Stress Analysis', a partir de la utilizacion del metodo de elementos finitos y la mecanica de Fractura, junto con el conocimiento del comportamiento de los materiales y la capacidad para detectar fisuras o discontinuidades - tales como los ensayos no destructivos y la emision acustica - permiten garantizar la seguridad de los componentes a lo largo de su vida util. En este camino los codigos de aplicacion, tanto en el disenio como en el servicio, son utilizados para llevar a cabo un estudio de integridad. En este trabajo se presenta un procedimiento de calculo para evaluar la integridad estructural de un componte contenedor de presion que posee una falla superficial no pasante, en donde se aplica el Codigo API 579, utilizando el metodo de elementos finitos y la mecanica de fractura. (autor)

Case management.

Science.gov (United States)

Woodward, Judy; Rice, Eve

2015-03-01

Health care in the United States is changing rapidly under pressure from both political and professional stakeholders, and one area on the front line of required change is the discipline of case management. Historically, case management has worked to defragment the health care delivery system for clients and increase access to health care. Case management will have an expanded role resulting from Affordable Care Act initiatives to improve health care. This article includes definitions of case management, current issues related to case management, case management standards of practice, and a case study of the management of pediatric chronic disease. Copyright © 2015 Elsevier Inc. All rights reserved.

Stories as case knowledge: case knowledge as stories.

Science.gov (United States)

Cox, K

2001-09-01

Every case contains a human story of illness and a medical story of disease, which together cover person management, case management, health system management and self-management. Much of that management can be learned via a thorough set of stories of typical and atypical core cases compiled by clinical teachers. Stories provide a highly flexible framework for illustrating the lessons of experience, the tips and traps for young players, and the dilemmas requiring careful judgement in the trade-offs between benefits and risks. Listening to real stories unfold is much more fun than being lectured (and better remembered). Stories illustrate 'what can happen' in a case as a guide to 'what to do'. A story begins with a real world situation with some predicament and a (causal) sequence of events or plot in which things are resolved one way or another. Patients tell their illness story; their clinician translates that into a disease story. Stories sort out what is important in such a predicament, consider the strategy and tactics of what to do, and speak about the outcomes. Each local situation provides relevance, context and circumstantial detail. Stories about case management can encapsulate practical knowledge, logical deduction, judgement and decision making, sharing with the student all the ingredients that develop expertise. Sometimes it is the plot that is important, sometimes the detail, sometimes it is the underlying message, the parable that resonates with the listener's experiences and feelings.1 Stories can also accommodate the complexity of multiple variables and the influence of other stakeholders, the uncertainties and dilemmas within the trade-offs, and the niceties of 'informed judgement'. This paper makes four points. First, clinical stories recount pointed examples of 'what happened' that expand our expertise in handling 'a case like that'. Second, cases are the unit of clinical work. Case stories expand the dimensions and details of case knowledge

Geothermal potential in Mexico; Potencial geotermico de la republica mexicana

Energy Technology Data Exchange (ETDEWEB)

Ordaz Mendez, Christian Arturo; Flores Armenta, Magaly; Ramirez Silva, German [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico)]. E-mail: christian.ordaz@cfe.gob.mx

2011-01-15

parte de la estrategia de la CFE para incrementar la generacion de energia electrica mediante fuentes no convencionales llevo a cabo un calculo del potencial geotermico del pais. Este calculo se efectuo a traves del inventario nacional de manifestaciones termales con que cuenta la GPG, el cual ha permitido identificar 1380 manifestaciones termales distribuidas en todo el pais, con informacion de las temperaturas tomadas superficialmente y las temperaturas obtenidas por medio de geotermometros. El calculo del potencial geotermico se hizo con base en la clasificacion de estas manifestaciones por rangos de temperatura geotermometrica, obteniendose asi recursos de alta, media y baja entalpia. Posteriormente se utilizo el metodo volumetrico para obtener el potencial geotermico nacional. Los resultados indican que para las Reservas Posibles los recursos de alta entalpia ascienden a 5691 MWe, para los de moderada entalpia son de 881 MWe y los de baja entalpia de 849 MWe dando un total de 7422 MWe. Por otra parte, las Reservas Probables para el recurso de alta entalpia son de 1643 MWe, para los de moderada entalpia de 220 MWe y para los de baja entalpia de 212 MWe dando un total de 2077 MWe. Por ultimo las Reservas Probadas se tomaron como la capacidad adicional que puede instalarse en cada uno de los campos geotermicos conocidos, dando un total de 186 MWe. La informacion se proceso y se integro por medio del Sistema de Informacion Geografica (SIG) ArcGis 9.2 (c), dando como resultado la publicacion via Intranet del Mapa del Potencial Geotermico de la Republica Mexicana.

Location of gliomas in relation to mobile telephone use: a case-case and case-specular analysis

DEFF Research Database (Denmark)

Larjavaara, Suvi; Schüz, Joachim; Swerdlow, Anthony

2011-01-01

approaches: In a case-case analysis, tumor locations were compared with varying exposure levels; in a case-specular analysis, a hypothetical reference location was assigned for each glioma, and the distances from the actual and specular locations to the handset were compared. The study included 888 gliomas......The energy absorbed from the radio-frequency fields of mobile telephones depends strongly on distance from the source. The authors' objective in this study was to evaluate whether gliomas occur preferentially in the areas of the brain having the highest radio-frequency exposure. The authors used 2...... from 7 European countries (2000-2004), with tumor midpoints defined on a 3-dimensional grid based on radiologic images. The case-case analyses were carried out using unconditional logistic regression, whereas in the case-specular analysis, conditional logistic regression was used. In the case-case...

[Case-non case studies: Principles, methods, bias and interpretation].

Science.gov (United States)

Faillie, Jean-Luc

2017-10-31

Case-non case studies belongs to the methods assessing drug safety by analyzing the disproportionality of notifications of adverse drug reactions in pharmacovigilance databases. Used for the first time in the 1980s, the last few decades have seen a significant increase in the use of this design. The principle of the case-non case study is to compare drug exposure in cases of a studied adverse reaction with that of cases of other reported adverse reactions and called "non cases". Results are presented in the form of a reporting odds ratio (ROR), the interpretation of which makes it possible to identify drug safety signals. This article describes the principle of the case-non case study, the method of calculating the ROR and its confidence interval, the different modalities of analysis and how to interpret its results with regard to the advantages and limitations of this design. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

Simplified calculation of investment costs involved in purifying industrial waste water. Calculo simplificado de los costes de inversion en la depuracion de aguas residuales industriales

Energy Technology Data Exchange (ETDEWEB)

Queralt, R. (Junta de Saneamientos. Generalidad de Catalua (Spain))

1993-03-01

The calculation of the investment involved in purifying industrial waste water poses certain problems since this is affected either by employing complicated methods which require a great deal of data or, as the sole alternative, through subjective estimates. The present article purposes an intermediate system based on simplified formulas for which it is only necessary to know three parameters, namely, (in the majority of cases) the industrial activity, the flow and the Q.O.D. (Author)

Comparative analysis of the serial/parallel numerical calculation of boiling channels thermohydraulics; Analisis comparativo del calculo numerico serie/paralelo de la termohidraulica de canales con ebullicion

Energy Technology Data Exchange (ETDEWEB)

Cecenas F, M., E-mail: mcf@iie.org.mx [Instituto Nacional de Electricidad y Energias Limpias, Reforma 113, Col. Palmira, 62490 Cuernavaca, Morelos (Mexico)

2017-09-15

A parallel channel model with boiling and punctual neutron kinetics is used to compare the implementation of its programming in C language through a conventional scheme and through a parallel programming scheme. In both cases the subroutines written in C are practically the same, but they vary in the way of controlling the execution of the tasks that calculate the different channels. Parallel Virtual Machine is used for the parallel solution, which allows the passage of messages between tasks to control convergence and transfer the variables of interest between the tasks that run simultaneously on a platform equipped with a multi-core microprocessor. For some problems defined as a study case, such as the one presented in this paper, a computer with two cores can reduce the computation time to 54-56% of the time required by the same program in its conventional sequential version. Similarly, a processor with four cores can reduce the time to 22-33% of execution time of the conventional serial version. These results of substantially reducing the computation time are very motivating of all those applications that can be prepared to be parallelized and whose execution time is an important factor. (Author)

Custo de capital próprio em mercados emergentes: uma abordagem empírica no Brasil com o downside risk

Directory of Open Access Journals (Sweden)

Graziela Xavier Fortunato

2010-02-01

Full Text Available Este artigo visa testar empiricamente a proposta de Estrada (2000 para as empresas que compoem o Ibovespa, avaliando se para mercados emergentes existem outras medidas de risco sistematico diferentes do beta do capital asset pricing model (CAPM. Dessa forma, testou-se o downside risk que capta a parte negativa do retorno. Alem de dados em cross section, utilizaram-se dados em painel, como uma contribuição adicional ao trabalho de Estrada (2000. Os resultados encontrados não confirmam que o downside risk seja uma medida apropriada ao mercado brasileiro. Outras medidas de risco apresentaram melhor correlacao com o retorno, permitindo o calculo do custo de capital com valor diferente daquele obtido pela aplicacao do beta. De acordo com Estrada (2000, os resultados sugerem que os mercados emergentes estao em posicao intermediaria entre os mercados integrados e segmentados, tal como confirmado para o mercado brasileiro.

Diagnosis of the policy for agricultural finance support in the State of Paraná during the 80's values, credit liberation and financial costs Diagnóstico da política de crédito de custeio agrícola no Paraná na década de 80: valores, liberações e encargos financeiros

Directory of Open Access Journals (Sweden)

Antonio Carlos Moretto

1990-08-01

Full Text Available This paper is meant to analyze the development of the credit policy for small producers of six major cultures in the state of Paraná during the 80's. A comparative analysis official/ norms for the basic cost value in relation to the real financial obligations established by OCEPA R IOCB along with the agricultural seasonal plan of the State was made in this work. Este artigo se propõe a analisar o desempenho da pol/tica de crédito de Custeio para os pequenos produtores das seis principais culturas do Estado do Paraná, na década de 80, baseando-se na análise comparativa das normas oficiais para o Valor Básico de Custeio (VBC com as planilhas de calculo do Desembolso Real do Agricultor (ORA elaboradas pela OCEPAR/OCB e com o calendário agrícola do Estado.

Probabilistic fracture mechanics in the integrity evaluation of components; Mecanica de fractura probabilista en la evaluacion de la integridad de componentes

Energy Technology Data Exchange (ETDEWEB)

Franco Nava, Jose Manuel; Torres Toledano, Jose Gerardo; Sanchez Sanchez, Ramon [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1996-12-31

Because of the importance of fracture mechanics in applications to pressure vessels, piping and other components used in thermal power plants, the Mechanical Engineering Unit of the Instituto de Investigaciones Electricas (IIE) has been developing activities in this field since some years ago. In this paper, the process for the analysis of probabilistic fracture mechanics is described. As an example, an application to the calculation of fault probability in piping systems, is presented. [Espanol] Dada la importancia de la mecanica de fractura en aplicaciones de recipientes a presion, tuberias y otros componentes utilizados en centrales termicas, la Unidad de Ingenieria Mecanica del Instituto de Investigaciones Electricas (IIE) ha venido desarrollando actividades en este campo desde hace algunos anos. En el presente trabajo, se describe el proceso para el analisis de mecanica de fractura probabilista. Como ejemplo se presenta una aplicacion al calculo de probabilidad de falla en tuberias.

Local IgG synthesis in three pediatric patients with cuban epidemic neuropathy Sintesis local de IgG en tres pacientes pediátricos com neuropatía epidêmica cubana

Directory of Open Access Journals (Sweden)

Alberto Dorta-Contreras

1996-03-01

Full Text Available Three pediatric patients with Cuban epidemic neuropathy were studied. Cerebrospinal fluid and sera were simultaneously obtained. Albumin and IgG were quantified by immunodifusion. Albumin quotient and local synthesis of IgG were calculated by Reiber/Felgenhauer formula. A patient with optic neuritis had a dysfunction of the blood-cerebrospinal fluid barrier. All the group had local synthesis of IgG.Se estudiaron tres pacientes pediátricos con neuropatia epidêmica cubana. Se obtuvieron suero y liquido cefalorraquídeo simultaneamente. Se cuantificaran los niveles de albúmina e IgG por inmunodifusion radial. Se calculo la razón albúmina y la fórmula de Reiber/Felgenhauer. Un paciente con neuritis óptica tuvo una disfunción de la barrera sangre-líquido cefaloraquídeo. Todo el grupo tuvo síntesis local de IgG.

Probabilistic fracture mechanics in the integrity evaluation of components; Mecanica de fractura probabilista en la evaluacion de la integridad de componentes

Energy Technology Data Exchange (ETDEWEB)

Franco Nava, Jose Manuel; Torres Toledano, Jose Gerardo; Sanchez Sanchez, Ramon [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

1997-12-31

Because of the importance of fracture mechanics in applications to pressure vessels, piping and other components used in thermal power plants, the Mechanical Engineering Unit of the Instituto de Investigaciones Electricas (IIE) has been developing activities in this field since some years ago. In this paper, the process for the analysis of probabilistic fracture mechanics is described. As an example, an application to the calculation of fault probability in piping systems, is presented. [Espanol] Dada la importancia de la mecanica de fractura en aplicaciones de recipientes a presion, tuberias y otros componentes utilizados en centrales termicas, la Unidad de Ingenieria Mecanica del Instituto de Investigaciones Electricas (IIE) ha venido desarrollando actividades en este campo desde hace algunos anos. En el presente trabajo, se describe el proceso para el analisis de mecanica de fractura probabilista. Como ejemplo se presenta una aplicacion al calculo de probabilidad de falla en tuberias.

ESTUDIO TEÓRICO DE LA MOLÉCULA DE HIDROGENO CALCULO AB-INITIO

Directory of Open Access Journals (Sweden)

N. Quitián

2010-09-01

Full Text Available Utilizando la técnica LCGO-SCF-MO (Combinación Lineal de los Orbitales Moleculares en Orbitales Gausianos, en el método del Campo Auto-Coherente, se determinaron las energías de orbital, la energía electrónica total, la energía de repulsión nuclear y la energía de Hartree-Fock de la molécula de hidrógeno en su estado fundamental, mediante un cálculo ab initio y utilizando una base de funciones gausianas. Los orbitales moleculares fueron desarrollados en términos de una función Is contraída por átomo de hidrógeno, obtenida por la minimización de los coeficientes y de los exponentes de los orbitales gausianos para el átomo aislado. Los resultados obtenidos nos permiten afirmar que la base molecular mejora sensiblemente los resultados, acercándose más al límite de Hartree-Fock.

Sugarcane exergy calculation; Calculo de la exergia de la cana de azucar

Energy Technology Data Exchange (ETDEWEB)

Fernandez P, Maria I.; Nebra P, Silvia A. [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Engenharia Mecanica. Dept. de Energia]. E-mails: mariai@fem.unicamp.br.; sanebra@fem.unicamp.br; Martinez R, Arnaldo [Universidade de Oriente, Santiago de Cuba (Cuba). Facultad de Ingenieria Mecanica. Centro de Estudios de Refrigeracion Luis Fernando Brossard Perez]. E-mail: arnaldo@fim.ceefe.uo.edu.cu

2000-07-01

This paper presents a sugarcane exergy calculation, carried out considering the material as constituted by dry fiber and juice, being the last one that includes all the sucrose and water present in sugarcane. The variation intervals of sugarcane chemical composition and consequently the chemical composition of fibre and juice were obtained from a bibliography research. the finals results show that, the fibre exergy, as was considered totally dry and without sucrose, is a function of it chemical composition only. The quotient between the exergy and low calorific value has a middle value of 1,14 and the middle value of it exergy was 2329 kJ/kg of cane. Based on the environmental reference proposed by Szargut for the sugarcane juice exergy determination, it was obtained that the mixture component of the juice exergy has no piratical influence in the total exergy juice value, being the value of the reactive exergy component the determining of a middle value of sugarcane juice exergy of 2814,25 kJ/kg of juice and 2380Kj/Kg of cane. The sugarcane exergy value obtained for 8-18% of fiber, 75-82% of water and 14.5-22% of sucrose was 4709Kj/kg of cane. (author)

Calculo de Parámetros Electrónicos Para el Grafito Bernal

Directory of Open Access Journals (Sweden)

Claudia Villaquirán

2002-06-01

Full Text Available Using ab-initio calculation, we have computed different electronic parameters associated with the transport coefficients of graphite Bernal. Software CRYSTAL¹ was used with a Pople standard STO- 21G* basis set. Different hamiltonians were tested, choosing a restricted Hartree-Fock one, because it generated the best qualitative results. All graphites studied present a valence bandwidth near 0.60 a.u., in agreement with the literature. In hexagonal Bernal graphite the splitting of the valence P band was accentuated, and E F = -0.00140 a.u. The surface Fermi is located around the HKH edge of the first Brillouin zone. In general such surfaces present a central electron orbit of maximal size in the plane, which diminish in size when the z component of the vector moves in KH direction. Integrating on the surface Fermi calculates the time relaxation parallel and the time relaxation perpendicular and finally we evaluate the parallel and perpendicular resistivity.

Shielding calculations using computer techniques; Calculo de blindajes mediante tecnicas de computacion

Energy Technology Data Exchange (ETDEWEB)

Gonzalez Portilla, M. I.; Marquez, J.

2011-07-01

Radiological protection aims to limit the ionizing radiation received by people and equipment, which in numerous occasions requires of protection shields. Although, for certain configurations, there are analytical formulas, to characterize these shields, the design setup may be very intensive in numerical calculations, therefore the most efficient from to design the shields is by means of computer programs to calculate dose and dose rates. In the present article we review the codes most frequently used to perform these calculations, and the techniques used by such codes. (Author) 13 refs.

Using existing case-mix methods to fund trauma cases.

Science.gov (United States)

Monakova, Julia; Blais, Irene; Botz, Charles; Chechulin, Yuriy; Picciano, Gino; Basinski, Antoni

2010-01-01

Policymakers frequently face the need to increase funding in isolated and frequently heterogeneous (clinically and in terms of resource consumption) patient subpopulations. This article presents a methodologic solution for testing the appropriateness of using existing grouping and weighting methodologies for funding subsets of patients in the scenario where a case-mix approach is preferable to a flat-rate based payment system. Using as an example the subpopulation of trauma cases of Ontario lead trauma hospitals, the statistical techniques of linear and nonlinear regression models, regression trees, and spline models were applied to examine the fit of the existing case-mix groups and reference weights for the trauma cases. The analyses demonstrated that for funding Ontario trauma cases, the existing case-mix systems can form the basis for rational and equitable hospital funding, decreasing the need to develop a different grouper for this subset of patients. This study confirmed that Injury Severity Score is a poor predictor of costs for trauma patients. Although our analysis used the Canadian case-mix classification system and cost weights, the demonstrated concept of using existing case-mix systems to develop funding rates for specific subsets of patient populations may be applicable internationally.

The criteria for setting the natural gas reference price for purposes of government take calculation; Os criterios para fixacao do preco de referencia do gas natural para fins de calculo das participacoes governamentais

Energy Technology Data Exchange (ETDEWEB)

Lima, Flavio Augusto Pimentel de; Rosa, Renata Gualberto Cordeiro [PETROBRAS, Rio de Janeiro, RJ (Brazil)

2008-07-01

The Petroleum Law states that the concession contract will also have provisions regarding the government takes established by the bid tender. However, the criteria for calculating the value of Royalties are set forth in the Decree 2.705/98, enacted to set such criteria, taking into account the volumes of production and the reference prices for oil and natural gas. The following aspects are analyzed in this paper: the method for calculating the volumes subject to the impact of Royalties; definition of the reference price for natural gas, the general rule for setting up the reference price in case the sale was made at market price; the special rule in case the sale was not made on a market basis, in case there is no sale or in case of breach of the conditions set in that Decree; and the settlement of the reference price in situations where only part of the volumes produced are sold on contracts that meet the requirements of the Decree. In conclusion the problems caused by gaps in legislation will be highlighted, particularly with regard to concessions granted to consortia as well as the inconsistencies between the applicable legislation, which may provide different analysis, including by the ANP, according to the features of each case. (author)

CASING DRILLING TECHNOLOGY

Directory of Open Access Journals (Sweden)

Nediljka Gaurina-Međimurec

2005-12-01

Full Text Available Casing drilling is an alternative option to conventional drilling and uses standard oilfield casing instead of drillstring. This technology is one of the greatest developments in drilling operations. Casing drilling involves drilling and casing a well simultaneously. In casing driling process, downhole tools can be retrieved, through the casing on wire-line, meaning tool recovery or replacement of tools can take minutes versus hours under conventional methods. This process employs wireline-retrievable tools and a drill-lock assembly, permitting bit and BHA changes, coring, electrical logging and even directional or horizontal drilling. Once the casing point is reached, the casing is cemented in place without tripping pipe.

The case for the case report: refine to save.

LENUS (Irish Health Repository)

Lennon, P

2012-01-31

INTRODUCTION: The case report is the cornerstone of both medical teaching and writing. However, during recent years the value of the case report has been questioned, so much so that it has been abandoned by many journals. The aim of this study was to assess case reports published by the Irish Journal of Medical Science (IJMS) and to examine ways to preserve this type of article. METHODS: A review of all single-patient case reports published in the IJMS in 2008 and 2009. RESULTS: Forty-eight cases were published from nine countries. The range of authors was 2-11, length 525-1,787 words and number of references 4-24. All cases contained abstracts. CONCLUSION: Stricter guidelines with regards to a shorter more focused article should help to preserve this form of publication.

CASE REPORT CASE CASE R The many faces of hydatid disease

African Journals Online (AJOL)

CASE R. Case report. A 35-year-old man presented with a right chest wall mass. Chest radio- graphs revealed pleural thickening underlying a soft tissue mass which obscured the 5th to 7th ribs, and an expansile osteolytic lesion of the 7th rib. Ultrasound examination demonstrated a fluid-filled cystic lesion of the chest wall ...

CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

Science.gov (United States)

Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

Case series

African Journals Online (AJOL)

ebutamanya

2015-01-29

Jan 29, 2015 ... for tinnitus (Table 1). The otomicroscopic examination shows: central non marginal perforation in 29 patients, posterior perforation in 17 patients and anterior perforation in 14 patients. The tympanic cavity was dry in 27 cases, wet in 18 cases and inflammatory in the. 15 remaining cases. The conralateral ear ...

Case report

African Journals Online (AJOL)

ebutamanya

2015-02-12

Feb 12, 2015 ... Abstract. Vaginal metastasis from pancreatic cancer is an extreme case and often indicates a poor prognosis. We present a case of pancreatic carcinoma with metastasis to the vagina that was discovered by vaginal bleeding. To our knowledge, this is the third case in the world of a primary pancreatic.

Useful Business Cases

DEFF Research Database (Denmark)

Nielsen, Peter Axel; Persson, John Stouby

2017-01-01

during implementation and value creation. This article presents lessons learned from our action research, lessons that we incorporated into a business case method and subsequently evaluated with IS managers. There are three lessons on: (1) improving the content of business cases, (2) how to develop...... research study seeks to improve the usefulness of business cases in IS projects. We used collaborative action research with Danish municipalities to improve their practices when developing and using business cases and to change their perceptions of what constitutes a good business case that is useful...... business cases, and (3) the use of business cases in subsequent value creation. These lessons summarize our findings and the contributions are that we in the business case method propose to: (1) include minimal contents, (2) develop social commitment, and (3) structure for dynamic use during value creation...

Pure Case and Prepositional Case in Russian

DEFF Research Database (Denmark)

Durst-Andersen, Per; Lorentzen, Elena

2017-01-01

By considering Russian case as the nominal equivalent to mood whereby its semantic functions are emphasized at the expense of its syntactic functions, it is demonstrated that the nominative, accusative, vocative and genitive cases constitute a mini system in which the nominative and the accusative...

Running casing on conventional wells with Casing Drilling {sup TM} technology

Energy Technology Data Exchange (ETDEWEB)

Warren, T.M.; Schneider, W.P.; Johns, R.P.; Zipse, K.D. [Tesco Corp., Calgary, AB (Canada)

2004-07-01

Casing Drilling{sup TM} is a newly developed and efficient well construction method that combines drilling and casing running processes into a single operation. This radical change to the entire well casing running process eliminates standard components and processes that are inefficient and hazardous. The commercialization of this new technology has resulted in the development of custom equipment and procedures designed to efficiently handle casings on a drilling rig, including conventionally drilled wells. The technology offers safer casing running operations and makes it possible to ream casing to the bottom. In addition, less people are needed to operate the portable Casing Drive System (CDS). One of the primary components of the system is the top drive which provides the power for rotation and torque. The CDS supports full axial and torsional load for running the casing. The well can be circulated while running the casing. The casing can be washed and reamed to the bottom whenever a tight hole is encountered. Thirty one operators have successfully used the CDS on more than 150 onshore and offshore wells in 7 countries. 13 refs., 2 tabs., 12 figs.

Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases.

Science.gov (United States)

Gurley, Kiersten L; Grossman, Shamai A; Janes, Margaret; Yu-Moe, C Winnie; Song, Ellen; Tibbles, Carrie D; Shapiro, Nathan I; Rosen, Carlo L

2018-04-17

Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013. The CBS database is a national repository that contains professional liability data on > 400 hospitals and > 165,000 physicians, representing over 30% of all malpractice cases in the U.S (> 350,000 claims). We compared cases naming residents (either alone or in combination with an attending) to those that did not involve a resident (non-resident cohort). We reported the case statistics, allegation categories, severity scores, procedural data, final diagnoses and contributing factors. Fisher's exact test or t-test was used for comparisons (alpha set at 0.05). Eight hundred and forty-five EM cases were identified of which 732 (87%) did not name a resident (non-resident cases), while 113 (13%) included a resident (resident cases) (Figure 1). There were higher total incurred losses for non-resident cases (Table 1). The most frequent allegation categories in both cohorts were "Failure or Delay in Diagnosis/Misdiagnosis" and "Medical Treatment" (non-surgical procedures or treatment regimens i.e. central line placement). Allegation categories of Safety and Security, Patient Monitoring, Hospital Policy and Procedure and Breach of Confidentiality were found in the non-resident cases. Resident cases incurred lower payments on average ($51,163 vs. $156,212 per case). Sixty six percent (75) of resident vs 57% (415) of non-resident cases were high severity claims

Electronic spreadsheet to acquire the reflectance from the TM and ETM+ Landsat images

Directory of Open Access Journals (Sweden)

Antonio R. Formaggio

2005-08-01

Full Text Available The reflectance of agricultural cultures and other terrestrial surface "targets" is an intrinsic parameter of these targets, so in many situations, it must be used instead of the values of "gray levels" that is found in the satellite images. In order to get reflectance values, it is necessary to eliminate the atmospheric interference and to make a set of calculations that uses sensor parameters and information regarding the original image. The automation of this procedure has the advantage to speed up the process and to reduce the possibility of errors during calculations. The objective of this paper is to present an electronic spreadsheet that simplifies and automatizes the transformation of the digital numbers of the TM/Landsat-5 and ETM+/Landsat-7 images into reflectance. The method employed for atmospheric correction was the dark object subtraction (DOS. The electronic spreadsheet described here is freely available to users and can be downloaded at the following website: http://www.dsr.inpe.br/Calculo_Reflectancia.xls.

Terrestrial Carbon Fluxes from Deforestation in the Brazilian Amazon and Cerrado Regions Predicted from MODIS Satellite Data and Ecosystem Modeling

Science.gov (United States)

Klooster, S.; Potter, C.; Genovese, V.

2008-12-01

The NASA-CASA (Carnegie Ames Stanford Approach) simulation model based on satellite observations of monthly vegetation cover from the Moderate Resolution Imaging Spectroradiometer (MODIS) was used to estimate tropical forest and savanna (Cerrado) carbon pools for the Brazilian Amazon region over the period 2000-2004. Adjustments for mean age of forest stands were carried out across the region, resulting in a new mapping of aboveground biomass pools based on MODIS satellite data. Yearly maps of newly deforested lands from the Brazilian PRODES (Programa de calculo do desflorestamento da Amazonia ) project were combined with these NASA-CASA biomass predictions to generate seasonal budgets of potential carbon and nitrogen trace gas losses from biomass burning events. Simulations of plant residue and soil carbon decomposition were conducted in the NASA-CASA model during and following deforestation events to track the fate of aboveground biomass pools that were cut and burned each year across the region.

Problems Associated with the Monochromatisation of Slow Neutrons; Quelques aspects de la monochromatisation des neutrons thermiques; Nekotorye voprosy monokhromatizatsii medlennykh nejtronov; Algunos problemas de la monocromatizacion de neutrones lentos

Energy Technology Data Exchange (ETDEWEB)

Vertebnyj, V P; Kolotyj, V V; Majstrenko, A N

1963-01-15

The paper sets out the result of calculations to determine the shape of the spectral line of twin-rotor, pulsing, slow-neutron monochromators, as a function of the shifts in the phases between the rotors. Consideration is also given to die possibility of using certain light elements as slow-neutron filters. (author) [French] Les auteurs exposent les resultats de leurs calculs relatifs a la forme du spectre des monochromateurs a impulsions et a deux rotors pour neutrons thermiques en fonction de la distance et du dephasage entre les rotors. Ils examinent egalement la possibilite d*utiliser certains elements legers comme filtres a neutrons lents. (author) [Spanish] Los autores exponen ios resultadas de sus calculos relativos a la forma de la linea espectral de los monocromadores pulsantes de dos rotores para neutrones lentos en funcion de la distancia y del desias amiento de los rotores. Examinan asimismo la posibilidad de utilizar algunos elementos ligeros como filtros de neutrones lentos. (author)

Operation of industrial electrical substations. Part II: practical applications

Energy Technology Data Exchange (ETDEWEB)

Sanchez Jimenez, Juan J; Zerquera Izquierdo, Mariano D; Beltran Leon, Jose S; Garcia Martinez, Juan M; Alvarez Urena, Maria V; Meza Diaz, Guillermo [Universidad de Guadalajara (Mexico)]. E-mails: cheosj@yahoo.com; mdzi@hotmail.com; beltran5601@yahoo.com.mx; jmargarmtz@yahoo.com; victory_alvarez@telmexmail.com; depmec@cucei.udg.mx

2013-03-15

The practical application of the methodology explained in Part 1 in a Cuban industry is the principal objective of this paper. The calculus of the economical operation of the principal transformers of the industrial plant is shown of the one very easy form, as well as the determination of the equations of the losses when the transformers operate under a given load diagram. It is calculated the state load which will be passed to the operation in parallel. [Spanish] El objetivo principal de este trabajo es la aplicacion practica de la metodologia, en una industria cubana, que se explico en la Parte 1. El calculo de la operacion economica de los principales transformadores de la planta industrial se muestra de una forma muy facil, asi como la determinacion de las ecuaciones de las perdidas cuando los transformadores operan bajo un diagrama de carga dado. Se calcula la carga de estado que se pasa a la operacion en paralelo.

Cuestionarios Interactivos para Autoevaluación

Directory of Open Access Journals (Sweden)

Sánchez García, Juan Francisco

2007-01-01

Full Text Available La autoevaluación es un instrumento valioso para que el propio alumno pueda medir el grado de conocimientos adquiridos de la materia en cuestión, al tiempo sirve para adiestrarlo en el tipo de prueba que se utilizará posteriormente en el examen. Por otro lado, dado que en la adaptación al Espacio Europeo de Educación Superior (E3S tiene particular importancia la labor realizada por el propio alumno, los pruebas de autoevalución adquieren, si cabe, una mayor relevancia. Por todo ello, hemos elaborado unos test interactivos con hoja de calculo, para cubrir el doble propósito de evaluar los conocimientos alcanzados por nuestros alumnos, relativos tanto a la materia, como al manejo en sí de la propia herramienta informática de la hoja de cálculo. Se muestran ejemplos concretos relacionados con las matemáticas y la hoja de cálculo Excel.

Reduction of incidents in the report dosimetry using checklist; Reduccion de incidencias en el informe dosimetrico mediante checklist

Energy Technology Data Exchange (ETDEWEB)

Beltran Vilagrasa, M.; Saez Beltran, J.; Fa Asensio, X.; Seoane Ramallo, A.; Hermida Lopez, M.; Toribio Berruete, J.; Sanchez Hernandez, N.

2011-07-01

Treatment of patients with External radiation therapy is complex and composed of different stages where different professionals involved. In order to reduce the number of errors in the technical reports that the dosemeters dosimetry presented for approval to the physical, Physical Service Hospital Universitari Vail d'Hebron in Barcelona includes a checklist of clinical dosimetry. This paper describes this checklist, its effectiveness and acceptance of this by members of the team.

Chilean Nuclear Energy Commission dosimetric information system; Sistema de informacion dosimetrico de la Comision Chilena de Energia Nuclear

Energy Technology Data Exchange (ETDEWEB)

Guerrero Vallejos, Patricia Andrea

1998-12-31

This thesis discusses the nuclear radiation that people who work with radioactive material is exposed to and its control by the Chilean Nuclear Energy Commission. A full analysis of the System is presented with information about the Commission and the Department of Nuclear and Radiological Safety which runs the System. Ana analysis of the System is presented in order to obtain requirements. Management flow diagrams, the processes involved and current problems experienced by the users are described. A design logic is modeled producing Data Flow Diagrams (DFD). based on this physical design, or, Model of Physical Data, is prepared including tables, attributes, types of data, primary and foreign keys. A description is presented of how the System is implemented, the tools that are used and how the testing phase is carried out. The Dosimetry System meets the criteria for a Software Engineering project, where the basic cycle was used as a working methodology. The System developed supports the dosimetric control of people exposed to radioactive material. (author) Dissertation to obtain the degree of Computing and Informatics Engineer; 16 refs., 96 figs., 31 tabs.

Development of Software for dose Records Data Base Access; Programacion para la consulta del Banco de Datos Dosimetricos

Energy Technology Data Exchange (ETDEWEB)

Amaro, M

1990-07-01

The CIEMAT personal dose records are computerized in a Dosimetric Data Base whose primary purpose was the individual dose follow-up control and the data handling for epidemiological studies. Within the Data Base management scheme, software development to allow searching of individual dose records by external authorised users was undertaken. The report describes the software developed to allow authorised persons to visualize on screen a summary of the individual dose records from workers included in the Data Base. The report includes the User Guide for the authorised list of users and listings of codes and subroutines developed. (Author) 2 refs.

'Odontologic dosimetric card' experiments and simulations using Monte Carlo methods

International Nuclear Information System (INIS)

Menezes, C.J.M.; Lima, R. de A.; Peixoto, J.E.; Vieira, J.W.

2008-01-01

The techniques for data processing, combined with the development of fast and more powerful computers, makes the Monte Carlo methods one of the most widely used tools in the radiation transport simulation. For applications in diagnostic radiology, this method generally uses anthropomorphic phantoms to evaluate the absorbed dose to patients during exposure. In this paper, some Monte Carlo techniques were used to simulation of a testing device designed for intra-oral X-ray equipment performance evaluation called Odontologic Dosimetric Card (CDO of 'Cartao Dosimetrico Odontologico' in Portuguese) for different thermoluminescent detectors. This paper used two computational models of exposition RXD/EGS4 and CDO/EGS4. In the first model, the simulation results are compared with experimental data obtained in the similar conditions. The second model, it presents the same characteristics of the testing device studied (CDO). For the irradiations, the X-ray spectra were generated by the IPEM report number 78, spectrum processor. The attenuated spectrum was obtained for IEC 61267 qualities and various additional filters for a Pantak 320 X-ray industrial equipment. The results obtained for the study of the copper filters used in the determination of the kVp were compared with experimental data, validating the model proposed for the characterization of the CDO. The results shower of the CDO will be utilized in quality assurance programs in order to guarantee that the equipment fulfill the requirements of the Norm SVS No. 453/98 MS (Brazil) 'Directives of Radiation Protection in Medical and Dental Radiodiagnostic'. We conclude that the EGS4 is a suitable code Monte Carlo to simulate thermoluminescent dosimeters and experimental procedures employed in the routine of the quality control laboratory in diagnostic radiology. (author)

An Alpha spectrometer for measuring radon daughter individual activity concentration; Spettrometro Alfa per la misura delle concentrazioni individuali in attivita' della progenie del radon

Energy Technology Data Exchange (ETDEWEB)

Berico, M.; Formignani, M. [ENEA, Div. Protezione dell' Uomo e degli Ecosistemi, Centro Ricerche E. Clementel, Bologna (Italy); Mariotti, F. [Bologna Univ., Bologna (Italy). Dipt. di Fisica

2001-07-01

In the frame of the program of the Institute for Radiation Protection of ENEA, related to the evaluation of dose from radon and thoron progeny, an alpha spectrometer for the continuous air monitoring (CAM type) of radon and thoron has been realized. The constructive characteristics of the device are here presented together with energy and efficiency calibration. The device allows, by means of a screen type diffusion battery and a filter, to determinate the single radioactivity of each radionuclide of the progeny selecting them in relation to their diffusive behaviour (dichotomous particle size selection). The three-count filter method has been employed to measure the concentrations of {sup 218}Po, {sup 214}Pb and {sup 214}Bi in air. Radon and thoron effective doses using a dosimetric, instead of an epidemiologic approach, will be then evaluated. [Italian] Presso l'Istituto per la Radioprotezione, nell'ambito del programma di valutazione di dose da radon e' stato progettato e realizzato uno spettrometro alfa per il monitoraggio continuo in aria (CAM) della progenie del radon e del toron. Le caratteristiche costruttive dello strumento permettono, tramite l'utilizzo di batterie a diffusione a reti, di determinare l'attivita' individuale della progenie per diverse dimensioni granulometriche in particolare per la frazione attaccata e non al particolato amosferico con un taglio granulometrico di qualche nanometro. E' stato inoltre applicato un metodo spettrometrico a tre conteggi per il calcolo delle concentrazioni individuali della progenie del radon, {sup 218}Po, {sup 214}Pb and {sup 214}Bi, effettuando un conteggio alfa di {sup 218}Po e due conteggi alfa di {sup 214}Po. Tale informazione consentira' una valutazione della dose di radon utilizzando il modello dosimetrico in alternativa a quello epidemiologico.

Cryptococcosis in captive cheetah (Acinonyx jubatus : two cases : case report

Directory of Open Access Journals (Sweden)

L.A. Bolton

1999-07-01

Full Text Available Cryptococcus neoformans is a yeast-like organism associated with pulmonary, meningoencephalitic, or systemic disease. This case report documents 2 cases of cryptococcosis with central nervous system involvement in captive cheetah (Acinonyx jubatus. In both cases the predominant post mortal lesions were pulmonary cryptococcomas and extensive meningoencephalomyelitis. Both cheetahs tested negative for feline immunodeficiency virus and feline leukaemia virus. The organism isolated in Case 2 was classified as Cryptococcus neoformans var. gattii, which is mainly associated with disease in immunocompetent hosts.

Project management case studies

CERN Document Server

Kerzner, Harold R

2013-01-01

A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re

Case Report Case Report

African Journals Online (AJOL)

User

2013-03-26

Mar 26, 2013 ... c Medicine and Palliative Cancer Care: A Case Report. Sanjoy Kumar Pal ... us complementary and alternative therapies for treatment about the .... controlled trials that homeopathy may be effective for the treatment of ...

Case Study: Guidelines for Producing Videos to Accompany Flipped Cases

Science.gov (United States)

Prud'homme-Généreux, Annie; Schiller, Nancy A.; Wild, John H.; Herreid, Clyde Freeman

2017-01-01

Three years ago, the "National Center for Case Study Teaching in Science" (NCCSTS) was inspired to merge the case study and flipped classroom approaches. The resulting project aimed to create the materials required to teach a flipped course in introductory biology by assigning videos as homework and case studies in the classroom. Three…

FHEO Filed Cases

Data.gov (United States)

Department of Housing and Urban Development — The dataset is a list of all the Title VIII fair housing cases filed by FHEO from 1/1/2007 - 12/31/2012 including the case number, case name, filing date, state and...

Analysis of uncertainties, associated to the calculating hypothesis, in discharge tables for high flows estimating, based on mathematics models for calculating water surface profiles fore steady gradually varied flow; Analisis de las incertidumbres, asociadas a las hipotesis de calculo, en la estimacion de curvas de gasto para crcidas, basada en el empleo de modelo matematico de calculo hidraulico en regimen permanente

Energy Technology Data Exchange (ETDEWEB)

Aldana Valverde, A. L.; Gonzalez Rodriguez, J. C.

1999-08-01

In this paper are analyzed some of the most important factors which can influence on the results of calculating water surface profiles for steady gradually varied flow. In this case, the objective of this kind of modeling, has been the estimation of discharges tables for high flows of river station gages connected to the hydrologic automatic information system (SAIH) of the Confederacion Hidrografica del Sur de Espana, system named red Hidrosur. (Author) 3 refs

Case series

African Journals Online (AJOL)

abp

2013-06-20

Jun 20, 2013 ... ... by a persistent neurological deficit in 2 cases, and infection in 2 cases controlled ... Upper cervical spine injuries are frequent due to increasing number .... the patient; it also takes more time for fracture healing and expose.

Un error en los calculos matematicos destroza el acelerador de particulas del CERN

CERN Multimedia

Cernuda, Olalla

2007-01-01

The most famous particle accelerator in the world, who is at CERN, has suffered a catastrophic damage after a great explosion took place in its depths. This explosion has an absolutely scientific explanation: a mathematical mistake in the design of the anchorages of great magnets. (1 page)

La Vision que tienen del Calculo los Diplomados en Empresariales: Un Test Final

Directory of Open Access Journals (Sweden)

Seijas Macías, J. Antonio

2008-01-01

Full Text Available Como docentes de Matemáticas Aplicadas a la Economía y Empresa somos conscientes de las a veces difíciles relaciones entre ambas disciplinas. ¿En qué sentido se diluyen las matemáticas en la economía? ¿Qué queda de ellas en los alumnos de empresa al acabar la carrera? ¿El lenguaje matemático sigue teniendo significado para ellos? Este trabajo pretende responder a estas preguntas tomando como referencia un test pasado a los alumnos del último año de la diplomatura de Ciencias Empresariales de la Universidad de A Coruña.

Equilibrio liquido-liquido-vapor de misturas ternarias : algoritimo de calculo e aspectos termodinamicos

OpenAIRE

Maria Helena Cano de Andrade

1991-01-01

Resumo: Este trabalho é uma contribuição ao estudo de processos de separação envolvendo fases em equilibrio liquido-liquido-vapor. Os seguintes aspectos são abordados: (1) desenvolvimento de um algoritmo eficiente de cálculo de flash liquido-liquido-vapor e sua aplicação para gerar diagramas de fases e em cálculos de destilação; (2) avaliação da utilização de parâmetros binários do modelo UNIQUAC obtidos de dados bifásicos em cálculos trifásicos de misturas ternárias; (3) medidas experimentai...

Comparative Test Case Specification

DEFF Research Database (Denmark)

Kalyanova, Olena; Heiselberg, Per

 This document includes a definition of the comparative test cases DSF200_3 and DSF200_4, which previously described in the comparative test case specification for the test cases DSF100_3 and DSF200_3 [Ref.1]....... This document includes a definition of the comparative test cases DSF200_3 and DSF200_4, which previously described in the comparative test case specification for the test cases DSF100_3 and DSF200_3 [Ref.1]....

The impact of staff case manager-case management supervisor relationship on job satisfaction and retention of RN case managers.

Science.gov (United States)

Hogan, Tierney D

2005-01-01

A positive relationship between staff RN case managers and their case management supervisor significantly impacts job satisfaction and retention in case managers. Literature review supports the premise that staff need to trust their supervisor and that there is a connection between this trust and job satisfaction. Staff case managers need to have a voice at work and feel empowered, and a supervisor's leadership style can influence job satisfaction and retention in their staff.

Case Study Research Methodology

Directory of Open Access Journals (Sweden)

Mark Widdowson

2011-01-01

Full Text Available Commenting on the lack of case studies published in modern psychotherapy publications, the author reviews the strengths of case study methodology and responds to common criticisms, before providing a summary of types of case studies including clinical, experimental and naturalistic. Suggestions are included for developing systematic case studies and brief descriptions are given of a range of research resources relating to outcome and process measures. Examples of a pragmatic case study design and a hermeneutic single-case efficacy design are given and the paper concludes with some ethical considerations and an exhortation to the TA community to engage more widely in case study research.

Case report

African Journals Online (AJOL)

abp

2015-08-31

Aug 31, 2015 ... Dual intersection syndrome of the forearm: a case report. Bouchra Zhari1,& ... We reported a case of a 60-year-old man presented to our formation with painful swelling on .... With a fiddling clinical observation and diagnosis.

Case-positive versus case-negative designs for low-rate lithium thionyl chloride cells

Science.gov (United States)

Mahy, T. X.

1982-03-01

Case polarity design choices are discussed. Two examples of case-negative designs are presented. One battery is thionyl chloride limited and the other is lithium limited. The case-positive design is thionyl chloride limited. It is found that the case-positive/case-negative design consideration does not seem to have much bearing on storage. However, during low rate discharge, the case-negative cells show a steadily decreasing capacity as you go to lower and lower rates.

CASE REPORT CASE CASE Conned by Conn's syndrome

African Journals Online (AJOL)

2008-01-08

Jan 8, 2008 ... ing of the aldosterone-producing adenoma (APA) can prove challenging but is nonetheless very important for surgical planning and cure. We present two patients with MRI (magnetic resonance imaging) confirma- tion of APA with negative and equivocal CT (computed tomography) scans. Case 1.

40 CFR 63.53 - Application content for case-by-case MACT determinations.

Science.gov (United States)

2010-07-01

... consistent with § 63.52(f). The owner or operator may recommend a specific design, equipment, work practice... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Application content for case-by-case... Act Sections, Sections 112(g) and 112(j) § 63.53 Application content for case-by-case MACT...

case series

African Journals Online (AJOL)

Administrator

Key words: Case report, case series, concept analysis, research design. African Health Sciences 2012; (4): 557 - 562 http://dx.doi.org/10.4314/ahs.v12i4.25. PO Box 17666 .... According to the latest version of the Dictionary of. Epidemiology ...

Case series

African Journals Online (AJOL)

abp

30 mai 2017 ... All patients underwent systematic plaster immobilization for a period of ... On average, nails were removed after about 6 ... cases), osteitis associated with material (2 cases), refracture (3 ... Although intramedullary nailing ideally is an osteosynthesis ..... intramedullary fixation of pediatric forearm fractures.

Improving Casing Integrity by Induction Brazing of Casing Connections

NARCIS (Netherlands)

Ernens, Dennis; Hariharan, Hari; van Haaften, Willem Maarten; Pasaribu, Rihard; Jabs, Matthew; McKim, Richard

2017-01-01

Brazing technology allows metallurgical joining of dissimilar materials using a filler material. In this paper brazing technology applied to casing connections is presented. The initial application was triggered by challenges with mechanical and pressure integrity after expansion of casing

Case-based reasoning

CERN Document Server

Kolodner, Janet

1993-01-01

Case-based reasoning is one of the fastest growing areas in the field of knowledge-based systems and this book, authored by a leader in the field, is the first comprehensive text on the subject. Case-based reasoning systems are systems that store information about situations in their memory. As new problems arise, similar situations are searched out to help solve these problems. Problems are understood and inferences are made by finding the closest cases in memory, comparing and contrasting the problem with those cases, making inferences based on those comparisons, and asking questions whe

Codification of Some Usage Cases of Lithuanian Language Cases and Prepositions

Directory of Open Access Journals (Sweden)

Vidas Valskys

2013-12-01

Full Text Available The present article is related to analysing several cases of the relationship between usage of cases and prepositions with the norms indicated in the syntax booklet “Language Advice”. The article is a discussion regarding some normative evaluation aspects regarding the usage of the preposition “greta” (next to having the meaning of exception (exclusion, usage of the adjectivised instrumental case in constructions with the verb “(pavirsti” (to turn, to become, to grow, to get and some cases of the postposition “dėka” (with the help of. Utmost attention is paid to discussion of (nonnormative evaluation of some constructions including usage of the said cases and prepositions that are doubtful in some aspects, their presentation in normative sources and further prospects related to further codification of the said cases. The article is based on vast empirical materials: examples from the “Corpus of the Contemporary Lithuanian”, the Internet and other texts related to contemporary usage.

Case Report

African Journals Online (AJOL)

Sarra

failure and/or per vaginum (PV) leaN of dialysate. Case report: A ... had PV leaN of the dialysate that was misinterpreted by the .... as part of the management of this infection. On the .... case, we believe that laparoscopy represents a good tool.

Clinical cases

International Nuclear Information System (INIS)

Servente, L.

2012-01-01

This presentation is about clinical cases and the contribution of the PET - CT Fag application in the diagnosis and treatment of different types of cancer. The cases presented were: neck diseases, epidermoid carcinoma, liver damage and metastasize, lymphoma, thrombosis, colonic cancer and lung disease

Dermatology case

Directory of Open Access Journals (Sweden)

Catarina Lacerda

2017-11-01

Full Text Available Aims: To report a case of uncharacteristic presentation of Parvovirus B19. This virus causes some atypical cutaneous rash such as papular-purpuric “gloves and socks” syndrome which is a rare entity, self-limited and resolves spontaneously to cure. Case Report: Authors describe a case of a six-year-old boy who went to the Emergency Department with a cutaneous rash initially on a finger and then mouth, hands and feet followed by fever. He fully recovered without sequelae. Conclusions: It is important to consider this agent as a possible responsible for atypical purpuric rash.

Contemplating case mix: A primer on case mix classification and management.

Science.gov (United States)

Costa, Andrew P; Poss, Jeffery W; McKillop, Ian

2015-01-01

Case mix classifications are the frameworks that underlie many healthcare funding schemes, including the so-called activity-based funding. Now more than ever, Canadian healthcare administrators are evaluating case mix-based funding and deciphering how they will influence their organization. Case mix is a topic fraught with technical jargon and largely relegated to government agencies or private industries. This article provides an abridged review of case mix classification as well as its implications for management in healthcare. © 2015 The Canadian College of Health Leaders.

Impact of lens case hygiene guidelines on contact lens case contamination.

Science.gov (United States)

Wu, Yvonne T; Teng, Yuu Juan; Nicholas, Mary; Harmis, Najat; Zhu, Hua; Willcox, Mark D P; Stapleton, Fiona

2011-10-01

Lens case contamination is a risk factor for microbial keratitis. The effectiveness of manufacturers' lens case cleaning guidelines in limiting microbial contamination has not been evaluated in vivo. This study compared the effectiveness of manufacturers' guidelines and an alternative cleaning regimen. A randomized cross-over clinical trial with two phases (n = 40) was performed. Participants used the lens types of their choice in conjunction with the provided multipurpose solution (containing polyhexamethylene biguanide) for daily wear. In the manufacturers' guideline phase, cases were rinsed with multipurpose solution and air dried. In the alternative regimen phase, cases were rubbed, rinsed with solution, tissue wiped, and air-dried face down. The duration of each phase was 1 month. Lens cases were collected at the end of each phase for microbiological investigation. The levels of microbial contamination were compared, and compliance to both regimens was assessed. The case contamination rate was 82% (32/39) in the manufacturers' guideline group, compared with 72% (28/39) in the alternative regimen group. There were significantly fewer (p = 0.004) colony forming units (CFU) of bacteria from cases used by following the alternative regimen (CFU range of 0 to 10, and median of 12 CFU per well) compared with that of the manufacturer's guidelines (CFU range of 0 to 10, and median of 28 CFU per well). The compliance level between both guidelines was not significantly different (p > 0.05). The alternative guidelines are more effective in eliminating microbial contamination from lens cases than that of the current manufacturer's guideline. Simply incorporating rubbing and tissue-wiping steps in daily case hygiene reduces viable organism contamination.

Case report

African Journals Online (AJOL)

abp

8 mai 2013 ... subsequent conception and placenta accreta: a case report. American Journal of Obstetrics and Gynecology. September. 2012; 207(3 ) : e7-e8. PubMed | Google Scholar. 5. Umashankar T, Patted S, Handigund R. Endometrial osseous metaplasia: Clinicopathological study of a case and literature review.

Case report

African Journals Online (AJOL)

ebutamanya

2015-12-04

Dec 4, 2015 ... was made, while maintaining of valproic acid and clonazepam.This combination allowed a partial remission, allowing a best level of adaptation, it has been maintained. The clozapine has not been tried in this case. Discussion. This case illustrates the presentation of Schizophrenia characterized.

CASE STUDY

African Journals Online (AJOL)

HIV infection has several oral manifestations, including oral candidiasis and oral hairy leucoplakia. Occasionally unusual presentations requiring rigorous investigations are seen, and in these cases the diagnosis sometimes remains a dilemma owing to limited investigation facilities.1-3 We present the case of a patient who.

Case Report

African Journals Online (AJOL)

the kidney could still be transplanted successfully. We describe a case of high ureteric injury during multi-organ recovery and successful implantation using a Boari flap ureterocystostomy. Case Report. The donor kidney was procured from a 55-year-old male brain stem deceased donor following intra-cerebral hemorrhage.

Case report

African Journals Online (AJOL)

abp

2016-02-08

Feb 8, 2016 ... pituitary metastases can be characteristic and evocative but in no case pathognomic. The diabetes insipidus is the most common clinical manifestation of the disease [2, 3]. We report herein a case of an acute adrenal insufficiency revealing pituitary metastases of lung cancer. Patient and observation.

Case report

African Journals Online (AJOL)

abp

2015-08-13

Aug 13, 2015 ... Middle East, Mediterranean region, Central Europe, Australia and. South America) [1, 2]. The incidence of musculoskeletal echinococcosis including involvement of subcutaneous tissue is 1%-. 5.4% among all cases of hydatid disease [2]. In this report, we present a case of recurrent hydatid cysts involving ...

[Case and studies].

Science.gov (United States)

Schubert, András

2015-11-15

Case studies and case reports form an important and ever growing part of scientific and scholarly literature. The paper deals with the share and citation rate of these publication types on different fields of research. In general, evidence seems to support the opinion that an excessive number of such publications may negatively influence the impact factor of the journal. In the literature of scientometrics, case studies (at least the presence of the term "case study" in the titles of the papers) have a moderate share, but their citation rate is practically equal to that of other publication types.

Code Betal to calculation Alpha/Beta activities in environmental samples; Programa de ordenador Betal para el calculo de la actividad Beta/Alfa de muestras ambientales

Energy Technology Data Exchange (ETDEWEB)

Romero, L.; Travesi, A.

1983-07-01

A codes, BETAL, was developed, written in FORTRAN IV, to automatize calculations and presentations of the result of the total alpha-beta activities measurements in environmental samples. This code performs the necessary calculations for transformation the activities measured in total counts, to pCi/1., bearing in mind the efficiency of the detector used and the other necessary parameters. Further more, it appraise the standard deviation of the result, and calculus the Lower limit of detection for each measurement. This code is written in iterative way by screen-operator dialogue, and asking the necessary data to perform the calculation of the activity in each case by a screen label. The code could be executed through any screen and keyboard terminal, (whose computer accepts Fortran IV) with a printer connected to the said computer. (Author) 5 refs.

No case for Case in locality: Case does not help interpretation when intervention blocks A-bar chains

Directory of Open Access Journals (Sweden)

Naama Friedmann

2017-04-01

Full Text Available We discuss a robust yet at first sight surprising fact: individuals who have problems understanding sentences with object A-bar movement cannot use overt Case marking of the object to interpret these sentences and to associate the DPs with thematic roles. We tested the effect of overt Case marking of the object in typically developing Hebrew-speaking children by comparing their comprehension of 'which 'object questions with and without the object Case marker 'et', and found that there was no difference in comprehension between the two. A similar pattern was found in an adolescent with syntactic SLI. We then tested the comprehension of object topicalized structures in the order OVS, where the only element identifying these sentences as object-first sentences and distinguishing them from simple SVO sentences was the object marker. We tested this in three populations with object A-bar movement problems: individuals with agrammatism, adolescents with syntactic SLI, and orally-trained children with hearing impairment, as well as in analysis of previous data on typically-developing children acquiring Hebrew. All populations failed to understand the sentence, but did not consistently reverse the thematic roles of the two noun phrases. This suggests that they were sensitive to the presence of the Case marker but could not use it for interpretation. We argue that these findings immediately follow from the way intervention and locality are computed, under the featural Relativized Minimality approach. Case is not among the features triggering movement, therefore a Case difference is not taken into account in trying to build a movement chain across an intervener. As a result, the object chain cannot be built across the intervening subject in the relevant cases, and overt Case marking of the object cannot help rescue the structure. Thematic role assignment in complex movement configurations requires the building of movement chains; if chain formation fails

Case Study: Puttin' on the Ritz: How to Put Science into Cases

Science.gov (United States)

Herreid, Clyde Freeman

2017-01-01

There are multiple ways to put science into a case. This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses different ways of presenting science in case studies.

Case series

African Journals Online (AJOL)

ebutamanya

2016-04-27

Apr 27, 2016 ... Laparoscopic surgery for groin hernia in a third world country: a report of 9 cases of ... Concerning mesh repair, the (open) LICHENSTEIN and laparoscopic inguinal hernia techniques are ... Two cases were bilateral, 5 unilateral and all of them primary. ... In Africa, This approach is still marginal; few studies.

Case law

International Nuclear Information System (INIS)

2016-01-01

This section treats of the following case laws: 1 - Case Law France: Conseil d'etat decision, 22 February 2016, EDF v. Republic and Canton of Geneva relative to the Bugey nuclear power plant (No. 373516); United States: Brodsky v. US Nuclear Regulatory Commission, 650 Fed. Appx. 804 (2. Cir. 2016)

Wave refraction in the presence of currents and variations of the marine bottom; Refraccion del oleaje en presencia de corrientes y variaciones del fondo marino

Energy Technology Data Exchange (ETDEWEB)

Diaz Hernandez, G.; Silva Casarin, R. [Instituto de Ingenieria, UNAM, Mexico, D.F. (Mexico)

2001-03-01

A method for solving the wave refraction phenomena through a computational model, which solves the wave height and propagation angle from deep to shallow water including wave breaking, is shown. The program considers the shoaling and refraction effects, wave-currents interaction and the non-linearity assumption. The numerical model is based in two principles: the irrotationality of the wave number, which is reduced to the Snell's law for planar bathymetry, and the conservation of wave action, which is reduced to the energy conservation concept when no current interaction occurs. The two-step Lax-Wendroff differential method was used to calculate and solve the entire computational grid. Three different examples that help represent the whole method are shown; the first case is based on an idealized plane and horizontal bathymetry, the second case is the experimental model developed by Berkhoff (1982), and finally the Noda (1974) example is reproduced. [Spanish] Se presenta un modelo numerico para estudiar el fenomeno de la refraccion del oleaje inducida por la presencia de corrientes, cambios batimetricos, rotura y disipacion. El modelo calcula sobre una malla computacional la altura y la direccion local del oleaje. El programa considera los efectos de asomeramiento, refraccion, interaccion oleaje-corriente y su no-linearidad. Los principios que utiliza el modelo son dos; la irrotacionalidad del numero de onda, que para batimetria plana se reduce a la ley de Snell y el principio de conservacion de la accion de ondas, que se simplifica al concepto de la conservacion de la energia cuando no existen corrientes. El metodo diferencial que se utiliza para el calculo e interpolacion de datos sobre la malla de discretizacion es Lax-Wendroff en dos pasos. Se muestran tres casos que ayudan a representar el metodo en su totalidad: el primero se modela con base en una batimetria idealizada, plana y horizontal, el segundo se simula a partir del medolo experimental de

Case-by-Case Adjudication and the Path of the Law

OpenAIRE

Anthony Niblett

2013-01-01

This paper presents a model of judging, illustrating how case law evolves when two types of judges with different policy preferences decide cases narrowly. The model shows that case law is unlikely to reflect the midpoint of the judges' ideal points. The result challenges the conventional wisdom suggesting that balancing ideologically extreme judges will likely yield moderate laws. The model suggests that a centrist executive faced with a sitting extreme left-wing judge should appoint a moder...

Teaching Business French through Case Studies: Presentation of a Marketing Case.

Science.gov (United States)

Federico, Salvatore; Moore, Catherine

The use of case studies as a means for teaching business French is discussed. The approach is advocated because of the realism of case studies, which are based on actual occurrences. Characteristics of a good case are noted: it tells a story, focuses on interest-arousing issues, is set in the past 10 years, permits empathy with the main…

Cases. Assisted suicide in The Netherlands : The Chabot Case

NARCIS (Netherlands)

Griffiths, John

1995-01-01

In earlier decisions the Dutch Supreme Court has recognised a defence of 'necessity," under narrowly-defined circumstances, to a charge of performing euthanasia.2 Its most recent decision deals with assistance with suicide in the case of a person whose suffering is not of somatic origin. The case is

Methodology for evaluating the grounding system in electrical substations; Metodologia para la evaluacion del sistema de puesta a tierra en subestaciones electricas

Energy Technology Data Exchange (ETDEWEB)

Torrelles Rivas, L.F [Universidad Nacional Experimental Politecnica: Antonio Jose de Sucre (UNEXPO), Guayana, Bolivar (Venezuela)]. E-mail: torrellesluis@gmail.com; Alvarez, P. [Petroleos de Venezuela S.A (PDVSA), Maturin, Monagas (Venezuela)]. E-mail: alvarezph@pdvsa.com

2013-03-15

The present work proposes a methodology for evaluating grounding systems in electrical substations from medium and high voltage, in order to diagnose the state of the elements of the grounding system and the corresponding electrical variables. The assessment methodology developed includes a visual inspection phase to the elements of the substation. Then, by performing measurements and data analysis, the electrical continuity between the components of the substation and the mesh ground is verified, the soil resistivity and resistance of the mesh. Also included in the methodology the calculation of the step and touch voltage of the substation, based on the criteria of the International IEEE standards. We study the case of the 115 kV Pirital Substation belonging to PDVSA Oriente Transmission Network. [Spanish] En el presente trabajo se plantea una metodologia para la evaluacion de sistemas de puesta a tierra en subestaciones electricas de media y alta tension, con la finalidad de diagnosticar el estado de los elementos que conforman dicho sistema y las variables electricas correspondientes. La metodologia de evaluacion desarrollada incluye una fase de inspeccion visual de los elementos que conforman la subestacion. Luego, mediante la ejecucion de mediciones y analisis de datos, se verifica la continuidad electrica entre los componentes de la subestacion y la malla de puesta a tierra, la resistividad del suelo y resistencia de la malla. Se incluye tambien en la metodologia el calculo de las tensiones de paso y de toque de la subestacion, segun lo fundamentado en los criterios de los estandares Internacionales IEEE. Se estudia el caso de la Subestacion Pirital 115 kV perteneciente a la Red de Transmision de PDVSA Oriente.

Assembling a Case Study Tool Kit: 10 Tools for Teaching with Cases

Science.gov (United States)

Prud'homme-Généreux, Annie

2017-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. The author shares the strategies and tools that teachers can use to manage a case study classroom effectively.

Case report

African Journals Online (AJOL)

ebutamanya

28 août 2015 ... (intra-osseous synovial cyst) Clinical and therapeutic aspect: case report. Chir Main. 2009 Feb; 28(1):37-41. PubMed |. Google Scholar. 10. Chantelot C, Laffargue P, Masmejean E, Peltier B, Barouk P,. Fontaine C. Fracture of the scaphoid carpal bone secondary to an intraosseous cyst: apropos of a case.

Case report

African Journals Online (AJOL)

ebutamanya

2015-01-21

Jan 21, 2015 ... Published in partnership with the African Field Epidemiology Network (AFENET). (www.afenet.net). Case report. Open Access ... La quantité de tissu neural immature permet d'établir une classification .... Wu X, Han LY, Xu X, Li Z. Recurrent immature teratoma of the ovary: a case report of radical secondary ...

Case report

African Journals Online (AJOL)

ebutamanya

2015-10-09

Oct 9, 2015 ... Aguas SC, Quarracino MC, Lence AN, Lanfranchi-Tizeira HE. Primary melanoma of the oral cavity: ten cases and review of. 177 cases from literature. Medicina oral, patologia oral y cirugia bucal. 2009;14(6):E265-71. PubMed | Google. Scholar. 6. Rapidis AD, Apostolidis C, Vilos G, Valsamis S. Primary.

Case series

African Journals Online (AJOL)

abp

2017-07-13

Jul 13, 2017 ... Its purpose is to assess the clinical and ... Other circumstances of discovery were atrial fibrillation, ... ventricular pacing (9.1%) and blood pressure intolerance to stress ... The mitral flow was a ... anterior mitral valve's pillar was found in one case with a left ... with a stop at the first level in another case.

Clinical case

International Nuclear Information System (INIS)

Garcia Fontes, M

2012-01-01

This presentation is about a case of a patient with liver tumor. The ultrasound scan and Tc technique were used for the diagnosis and treatment. The application of PET - CT FDG contributed to detect peripheral cholangiocarcinoma, the lymph node distance to guide the therapeutic and the recurrence in case of a negative morphological methods.

Dosimetric study in fluoroscopy procedures realized on Recife, PE, Brazil; Estudo dosimetrico em procedimentos de fluoroscopia realizados no Recife

Energy Technology Data Exchange (ETDEWEB)

Maia, Ana Figueiredo

2001-08-01

Fluoroscopy is a special radiological examination that uses radiation to visualize the image directly in a TV monitor. Due to of the large exposure times, these procedures often give high doses to the patient, usually higher than those from conventional radiology. Since there are not international diagnostic references levels for fluoroscopy procedures, this research had the objective of making the first study of the fluoroscopy procedures in the Northeast Region of Brazil, providing, therefore, data for the implementation of diagnostic reference levels. Three institutions were evaluated in Recife, two of them teaching hospitals. The quantities measured were the air kerma-area-product, the screening time and the number of radiographs taken in each exam. The results show that the value of the air kerma-area-product varied among the institutions and the results in the institution which uses the last generation equipment were better than those obtained in the other institutions. A relevant fact, and also alarming, is that the population in the institutions that showed the worse results are children. The results obtained in these institutions are higher than those observed in other countries. The results of this research show that there is a need for optimization in those procedures, specially the ones that involve older equipment. It is also points to the continuity of this study to gather more information to define the fluoroscopy reference levels in the country. (author)

Case Study: A Picture Worth a Thousand Words? Making a Case for Video Case Studies

Science.gov (United States)

Pai, Aditi

2014-01-01

A picture, they say, is worth a thousand words. If a mere picture is worth a thousand words, how much more are "moving pictures" or videos worth? The author poses this not merely as a rhetorical question, but because she wishes to make a case for using videos in the traditional case study method. She recommends four main approaches of…

Case report

African Journals Online (AJOL)

raoul

2011-10-20

Oct 20, 2011 ... Abstract. A 22-year old man was bitten by a snake on his scrotum. This interesting and unusual case occurred in the rural area of District Aligarh, India. The uniqueness of the case lies in the fact that scrotum is an extremely rare and unusual site for snake bite. Further, with negligible local signs of.

Teaching Case: MiHotel--Applicant Processing System Design Case

Science.gov (United States)

Miller, Robert E.; Dunn, Paul

2018-01-01

This teaching case describes the functionality of an applicant processing system designed for a fictitious hotel chain. The system detailed in the case includes a webform where applicants complete and submit job applications. The system also includes a desktop application used by hotel managers and Human Resources to track applications and process…

Eight cases of parapharyngeal space tumor. Case reports and MRI diagnosis

Energy Technology Data Exchange (ETDEWEB)

Takagi, Setsuo; Yoshimura, Tadashi; Tanaka, Katsuhiko

1988-03-01

Between 1977 and 1987, 8 cases of parapharyngeal space tumor (2 cases of pleomorphic adenoma, and schwannoma, respectively, a case of neurofibroma, neuroblastoma, retension cyst and branchial cleft cyst) were treated in our clinic. There were 4 males and 4 females. This papar reports these cases and discusses the availability of MRI diagnosis. We consider that the x-ray CT is presently most useful for the parapharyngeal space tumor. However, MRI imaged tumor clearly without bone artifacts such as recognized in x-ray CT, and be able to take a information of tumor vascularity. So that MRI is very useful for diagnosis of parapharyngeal space tumor.

Clinical Case Registries (CCR)

Data.gov (United States)

Department of Veterans Affairs — The Clinical Case Registries (CCR) replaced the former Immunology Case Registry and the Hepatitis C Case Registry with local and national databases. The CCR:HIV and...

Delusional Parasitosis : Series Of 25 Cases

Directory of Open Access Journals (Sweden)

Bhatia M S

1996-01-01

Full Text Available A series 25 cases of delusional parasitosis is being reported. There were three cases below 45 years, 12 cases between 46-45 years and 11 cases above 55 years of age, 64% cases were females. A majority of cases (92% had insidious onset. The duration of symptoms in all the cases (except one was 6 months or more. 13 cases presented with infestation with insects over body and 10 cases with insects crawling over scalp. There were three cases each with diabetes mellitus and leprosy. Three cased had dementia, 2 cases had depression and one case presented with trichotillomania. Pimozide was used in22 cases, amitriptyline in 2 cases and fluoxetine in one. 14 cases (52% showed complete remission while receiving drug, 8 cases showed partial improvement and 3 cases did not respond.

Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea

Directory of Open Access Journals (Sweden)

Jinjoo Oh, Ph.D., RN, GNP

2017-12-01

Full Text Available Purpose: The implementation of case management for long-term hospitalization use has been approved for controlling medical cost increases in other countries. But, introduction of the case management in Korea has created issues that hinder its effective operation. This qualitative study aimed to obtain further understanding of the issues surrounding the management of Medical Aid beneficiaries' use of long-term hospitalization from the case managers' perspectives and to provide suggestions for successful case management. Methods: Thematic analysis was employed to analyze the data. Medical Aid case managers with 3 or more years of case management experience were recruited from urban, suburban, and rural regions. Data were collected through in-depth interviews: 12 nurse case managers participated in focus group interviews and 11 participated in individual one-on-one interviews. Results: Four major themes emerged: on-site obstacles that hinder work progress; going in an opposite direction; ambiguous position of case managers; and work-related emotions. Eleven subthemes were discovered: chasing potential candidates; becoming an enemy; discharging patients who have nowhere to go; welfare-centered national policies increasing medical costs; Medical Aid Program that encourages hospitalization; misuse of hospitalization; feeling limited; working without authority; fulfilling the expected role; fretting about social criticism; and feeling neglected and unprotected. Conclusion: The findings highlight the complexity and ambiguity of the issues faced by case managers. Successful management of Medical Aid resources requires the orchestrated efforts and collaboration of multiple stakeholders. More systematized support and resources for nurse case managers are essential to fully implement this nursing innovation in Korea. Keywords: case management, focus groups, hospitalization, qualitative research, vulnerable populations

PSS Case Book

DEFF Research Database (Denmark)

Neugebauer, Line Maria; Mougaard, Krestine; Andersen, Jakob Bejbro

The transformation process towards a PSS-oriented company is describes, through the presentation of the best practice cases. Each case describes motivations, challenges, business models and PSS offerings....

Case law

International Nuclear Information System (INIS)

2015-01-01

This section treats of the two following case laws: Slovak Republic: Further developments in cases related to the challenge by Greenpeace Slovakia to the Mochovce nuclear power plant; United States: Judgment of the Nuclear Regulatory Commission denying requests from petitioners to suspend final reactor licensing decisions pending the issuance of a final determination of reasonable assurance of permanent disposal of spent fuel

Mining with Rare Cases

Science.gov (United States)

Weiss, Gary M.

Rare cases are often the most interesting cases. For example, in medical diagnosis one is typically interested in identifying relatively rare diseases, such as cancer, rather than more frequently occurring ones, such as the common cold. In this chapter we discuss the role of rare cases in Data Mining. Specific problems associated with mining rare cases are discussed, followed by a description of methods for addressing these problems.

Case series: Two cases of eyeball tattoos with short-term complications.

Science.gov (United States)

Duarte, Gonzalo; Cheja, Rashel; Pachón, Diana; Ramírez, Carolina; Arellanes, Lourdes

2017-04-01

To report two cases of eyeball tattoos with short-term post procedural complications. Case 1 is a 26-year-old Mexican man that developed orbital cellulitis and posterior scleritis 2 h after an eyeball tattoo. Patient responded satisfactorily to systemic antibiotic and corticosteroid treatment. Case 2 is a 17-year-old Mexican man that developed two sub-episcleral nodules in the ink injection sites immediately after the procedure. Eyeball tattoos are performed by non-ophthalmic trained personnel. There are a substantial number of short-term risks associated with this procedure. Long-term effects on the eyes and vision are still unknown, but in a worst case scenario could include loss of vision or permanent damage to the eyes.

Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea.

Science.gov (United States)

Oh, Jinjoo; Oh, Seieun

2017-12-01

The implementation of case management for long-term hospitalization use has been approved for controlling medical cost increases in other countries. But, introduction of the case management in Korea has created issues that hinder its effective operation. This qualitative study aimed to obtain further understanding of the issues surrounding the management of Medical Aid beneficiaries' use of long-term hospitalization from the case managers' perspectives and to provide suggestions for successful case management. Thematic analysis was employed to analyze the data. Medical Aid case managers with 3 or more years of case management experience were recruited from urban, suburban, and rural regions. Data were collected through in-depth interviews: 12 nurse case managers participated in focus group interviews and 11 participated in individual one-on-one interviews. Four major themes emerged: on-site obstacles that hinder work progress; going in an opposite direction; ambiguous position of case managers; and work-related emotions. Eleven subthemes were discovered: chasing potential candidates; becoming an enemy; discharging patients who have nowhere to go; welfare-centered national policies increasing medical costs; Medical Aid Program that encourages hospitalization; misuse of hospitalization; feeling limited; working without authority; fulfilling the expected role; fretting about social criticism; and feeling neglected and unprotected. The findings highlight the complexity and ambiguity of the issues faced by case managers. Successful management of Medical Aid resources requires the orchestrated efforts and collaboration of multiple stakeholders. More systematized support and resources for nurse case managers are essential to fully implement this nursing innovation in Korea. Copyright © 2017. Published by Elsevier B.V.

Building theories from case study research: the progressive case study

NARCIS (Netherlands)

Steenhuis, H.J.; de Bruijn, E.J.

2006-01-01

Meredith (1998) argues for more case and field research studies in the field of operations management. Based on a literature review, we discuss several existing approaches to case studies and their characteristics. These approaches include; the Grounded Theory approach which proposes no prior

Case-Based Fault Diagnostic System

International Nuclear Information System (INIS)

Mohamed, A.H.

2014-01-01

Nowadays, case-based fault diagnostic (CBFD) systems have become important and widely applied problem solving technologies. They are based on the assumption that “similar faults have similar diagnosis”. On the other hand, CBFD systems still suffer from some limitations. Common ones of them are: (1) failure of CBFD to have the needed diagnosis for the new faults that have no similar cases in the case library. (2) Limited memorization when increasing the number of stored cases in the library. The proposed research introduces incorporating the neural network into the case based system to enable the system to diagnose all the faults. Neural networks have proved their success in the classification and diagnosis problems. The suggested system uses the neural network to diagnose the new faults (cases) that cannot be diagnosed by the traditional CBR diagnostic system. Besides, the proposed system can use the another neural network to control adding and deleting the cases in the library to manage the size of the cases in the case library. However, the suggested system has improved the performance of the case based fault diagnostic system when applied for the motor rolling bearing as a case of study

Case vignettes of movement disorders.

Science.gov (United States)

Yung, C Y

1983-08-01

This paper reports five movement disorders cases to serve as a basis for discussion of the problems encountered in the clinical management of these cases, and the pathophysiological mechanisms involved in these disorders as presented. Case 1 is a description of the subjective experience of a patient with acute orofacial dystonia from promethazine. Case 2 is the use of clonazepam is post-head injury tics. Case 3 is the complication from discontinuation of haloperidol and benztropine mesylate treatment. Case 4 is myoclonus in subacute sclerosing Panencephalitis, and Case 5 is rebound tremor from withdrawal of a beta-adrenergic blocker.

Case series

African Journals Online (AJOL)

abp

7 avr. 2016 ... HTA were complicated by heart disease in 24% of cases and by renal disease in 20% of cases ... of clinical specificity. It is not unusual for HTA to be the only manifestation of the disease. In our study we .... Le syndrome de Cushing reste une cause rare d'HTA, sa prévalence dans des centres spécialisés en ...

The use of stochastic method for the calculation of liquid-vapor multicomponent equilibrium and the contribution of groups theory for the evaluation of fugacity coefficient; Uso de um metodo estocastico para calculo do equilibrio liquido-vapor de sistemas multicomponentes e avaliacao de uma abordagem por contribuicao de grupos para o calculo do coeficiente de fugacidade

Energy Technology Data Exchange (ETDEWEB)

Cavalcanti, Rafaelly L.; Oliveira, Jackson A. [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Dept. de Engenharia Quimica; Rojas, Leopoldo O.A. [Centro de Tecnologias do Gas (CTGAS), Natal, RN (Brazil)

2008-07-01

This work has the main objective of evaluating the mathematical model developed by Jaubert e Mutelet (2004) in terms of the prediction capacity for the calculation of the vapor-liquid equilibrium (VLE). This model is based on Peng-Robinson equation of state (EOS) and it considers the binary interaction parameters (Kij(T)) estimated by a contribution group method and dependent of the temperature. The model proposed by Jaubert e Mutelet (2004), named PPR78 (Predictive Peng-Robinson), was implemented in this work by using the Fortran language. An optimization approach based on the stochastic algorithm of Particle Swarm Optimization (PSO) was used in order to calculate the vapor-liquid equilibrium. Simulations were accomplished for several binary systems and the results were concordant with some experimental data of the investigated systems. However, for some systems different from those presented by Jaubert and Mutelet (2004), the model presented low prediction capacity. In spite of the great demand of computational performance, the algorithm PSO demonstrated robustness during the calculation of VLE and it assured convergence in most of the cases. (author)

Is case-chaos methodology an appropriate alternative to conventional case-control studies for investigating outbreaks?

Science.gov (United States)

Edelstein, Michael; Wallensten, Anders; Kühlmann-Berenzon, Sharon

2014-08-15

Case-chaos methodology is a proposed alternative to case-control studies that simulates controls by randomly reshuffling the exposures of cases. We evaluated the method using data on outbreaks in Sweden. We identified 5 case-control studies from foodborne illness outbreaks that occurred between 2005 and 2012. Using case-chaos methodology, we calculated odds ratios 1,000 times for each exposure. We used the median as the point estimate and the 2.5th and 97.5th percentiles as the confidence interval. We compared case-chaos matched odds ratios with their respective case-control odds ratios in terms of statistical significance. Using Spearman's correlation, we estimated the correlation between matched odds ratios and the proportion of cases exposed to each exposure and quantified the relationship between the 2 using a normal linear mixed model. Each case-control study identified an outbreak vehicle (odds ratios = 4.9-45). Case-chaos methodology identified the outbreak vehicle 3 out of 5 times. It identified significant associations in 22 of 113 exposures that were not associated with outcome and 5 of 18 exposures that were significantly associated with outcome. Log matched odds ratios correlated with their respective proportion of cases exposed (Spearman ρ = 0.91) and increased significantly with the proportion of cases exposed (b = 0.054). Case-chaos methodology missed the outbreak source 2 of 5 times and identified spurious associations between a number of exposures and outcome. Measures of association correlated with the proportion of cases exposed. We recommended against using case-chaos analysis during outbreak investigations. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Twelve cases of multiple myeloma in Nagasaki (especially seven atomic bombing casualty cases). [In Japanese

Energy Technology Data Exchange (ETDEWEB)

Ichimaru, M; Yasuhi, S; Ouchuru, S

1963-12-01

Since 1958, there have been 12 cases of multiple myeloma in Nagasaki, and among them were 7 cases representing atomic bombing casualties, with 3 cases being with 2 km distance from the hypocenter. The age of onset was between 51 and 69 years, and the sex ratio was 8:4, it occurring mostly in males. Symptoms were predominantly low back pain and chest pain caused by the bone changes in 8 cases. Two cases complained of general malaise and palpitation which resulted from anemia. One developed persistent epistaris, and another complained of diplopia caused by the paralysis of the oculomotor nerve. Peripheral blood in all cases showed anemia, 9 with hyperchromic and 3 with normochromic or hypochromic anemia. Low platelet counts were seen in 3 cases. All showed leukopenia. All cases showed typical ..gamma..-globulin change with a myeloma peak, and in 4 cases showed an increase of ..beta..-globulin. Bence-Jones proteinuria was present in 5 cases. Average course was 1 year 4 months. Among complications, myeloma nephrosis, aplastic anemia, and pneumonia were the most important ones.

Final report on case studies

DEFF Research Database (Denmark)

Ljungberg, Daniel; McKelvey, Maureen; Lassen, Astrid Heidemann

2012-01-01

Case study as a research design means investigating a single or multiple instance(s) or setting(s) (i.e. a case) and its entire context to explain a phenomenon and its processes. This is achieved through detailed understanding, usually comprised of multiple sources of information. In this way, case...... studies attempt to provide as a complete an understanding of a (complex) phenomenon as possible. Within the AEGIS project, survey and case study research are complementary. They are complementary in the sense that the former can provide more generalizable evidence on a phenomenon in terms of cross......-sectional data, while the latter can provide more in-depth (qualitative) understanding on specific issues. In systematically examining the case studies, however, this report goes beyond a typical single case study. Here we provide a synthesis of 86 case studies. Multiple case studies, following similar focus...

Psychotherapy trainees' multicultural case conceptualization content: thematic differences across three cases.

Science.gov (United States)

Lee, Debbiesiu L; Sheridan, Daniel J; Rosen, Adam D; Jones, Isaiah

2013-06-01

This study examined thematic differences in the multicultural case conceptualization content of 61 psychotherapy trainees across three different cases and trainee demographics (number of multicultural courses completed, years of supervised clinical practicum completed, and White trainee vs. trainee of color). Themes across cases included general counseling skills (attend to affect, build rapport, focus on specific client concerns, use of specific clinical interventions, and use of external resources not related to culture), as well as multicultural specific counseling skills (focus on culture, focus on discrimination, use of culturally competent interventions, and use of external resources related to culture). Thematic differences across case were found in three of the nine themes (affect, culture, discrimination). No systematic differences were found across multicultural training, clinical training, or race. Implications of these results are discussed.

A digital method for period measurements in a nuclear reactor

International Nuclear Information System (INIS)

Mundim, Sergio Gorretta

1971-02-01

The present paper begins by giving a theoretical treatment for the nuclear reactor period. The conventional method of measuring the period is analysed and some previously developed digital methods are described. The paper criticises the latter, pointing out some deficiencies which the proposed process is able to eliminate. All errors connected with this process are also analysed. The paper presents suitable solutions to reduce them to a minimum. The total error is found to he less than the error presented by the other methods described. A digital period meter is designed with memory resources and an automatic scaler changer. Integrated circuits specifications are used in it. Real time experiments with nuclear reactors were made in order to check te validity of the method. The data acquired were applied to a simulated digital period meter implemented in a general purpose computer. The nuclear part of the work was developed at the 'Comissao Nacional de Energia Nuclear' and the simulation work was dane at the 'Departamento de Calculo Cientifico' of COPPE, which also advised the author in the completion of this thesis. (author)

Proceedings of the 7 Annual conference of the Mexican association for the energy economy. The energy sector in Mexico: challenges and solutions. [Selected papers]; 7. Conferencia anual de la asociacion mexicana para la economia energetica. El sector energia en Mexico: retos y soluciones

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-07-01

The Mexican Association for the Energy Economy (AMEE) had its VII annual conference, The energy sector in Mexico: challenges and solutions, in October, 2004. Some of the expounded topics are: technical and environmental aspects of the combined cycle power stations; analysis of the generation of electric power across biogas from sanitary landfills in Mexico; cogeneration in large power plants; methodologies for the calculation of relative efficiency: description and application of natural gas distributors in Latin American and others. [Spanish] La Asociacion Mexicana para la Economia Energetica A. C. (AMEE), llevo acabo su VII conferencia anual El sector energia en Mexico: retos y soluciones, en octubre del 2004. Algunos de los temas tratados son: Aspectos tecnicos y medioambientales de las centrales de ciclo combinado con gasificacion integrada; Analisis de la generacion de energia electrica a traves de biogas procedente de rellenos sanitarios en Mexico; Cogeneracion en grandes centrales de proceso; Metodologias para el calculo de eficiencia relativa: descripcion y aplicacion para distribuidores de gas natural en Latinoamerica y otros.

La formación del directivo empresarial como variable estratégica de cambio

Directory of Open Access Journals (Sweden)

FRANCISCO PARRA LUNA

1997-01-01

Full Text Available desde una perspectiva critica, se pretende señalar que relevantes teorias organizacionales no han sido todavia incorporadas a los curricula basicos de los directivos empresariales, asi como la pervivencia de la tradicional desconexion universidad-empresa. entre los enfoques teoricos que formarian parte de esta "distancia conceptual" se encontrarian el concepto axiologico de empresa (productora, exclusivante, de sistemas de valores ; el calculo de la eficiencia empresarial (o relacion entre los valores producidos y medios empleados ; el concepto de entorno al que debe adaptarse la empresa (analisis de los cambios sociales, economicos, culturales y otros ; la concepcion de la empresa como "sistema suma no cero" (lo que potenciaria o daria lugar a procesos de negociacion sinergicos versus homeostaticos y, por ultimo, el diseño de un concepto de formacion como correlato del plan estrategico de la empresa en respuesta a los desarios del entorno. se apunta finalmente un proceso formativo al nivel global de empresa, que consta de ocho fases, llamado "plan estrategico-participativo de formacion".

Development of a therapeutic radiopharmaceutical {sup 177}Lu-DOTA- Minigastrin for potential use in PRRT; Desarrollo de un radiofarmaco terapeutico {sup 177}Lu-DOTA-Minigastrina para su potencial uso en PRRT

Energy Technology Data Exchange (ETDEWEB)

Lopez Bularte, A. C.; Nevares, N. N.; Zapata, A. M.; Perez, J. H.; Crudo, J. L. [Comision Nacional de Energia Atomica (Argentina); Puerta Yepes, N.; Rojo, A. M. [Autoridad Regulatoria Nuclear (Argentina)

2010-07-01

The aim of this work is to obtain {sup 177}Lu-DOTA-Minigastrin with high radiochemical purity (RP) and the highest specific activity (Ae) as possible, using a locally produced (Nuclear Reactor RA-3, Ezeiza Atomic Center) {sup 177}LuCl{sub 3} of an intermediate level of Ae (between 6.36 to 17.95 Ci/mg of {sup 176}Lu) ) and also to perform in vitro and in vivo stability tests, dose calculation in normal mice and its extrapolation to a human model. (authors) [Spanish] El objetivo de este trabajo consistio en obtener {sup 177}Lu-DOTA-Minigastrina con una alta pureza radioquimica (PR) y la mayor actividad especifica (Ae) posible, empleando {sup 177}LuCl{sub 3} de media Ae (entre 6,36-17,95 Ci/mg de {sup 176}Lu) de produccion local (Reactor Nuclear RA-3, Centro Atomico Ezeiza), y realizar los ensayos de estabilidad in vitro e in vivo, el calculo de dosis en ratones normales y su extrapolacion a un modelo humano. (autores)

A digital method for period measurements in a nuclear reactor; Um metodo digital para medidas de periodo em um reator nuclear

Energy Technology Data Exchange (ETDEWEB)

Mundim, Sergio Gorretta

1971-02-15

The present paper begins by giving a theoretical treatment for the nuclear reactor period. The conventional method of measuring the period is analysed and some previously developed digital methods are described. The paper criticises the latter, pointing out some deficiencies which the proposed process is able to eliminate. All errors connected with this process are also analysed. The paper presents suitable solutions to reduce them to a minimum. The total error is found to he less than the error presented by the other methods described. A digital period meter is designed with memory resources and an automatic scaler changer. Integrated circuits specifications are used in it. Real time experiments with nuclear reactors were made in order to check te validity of the method. The data acquired were applied to a simulated digital period meter implemented in a general purpose computer. The nuclear part of the work was developed at the 'Comissao Nacional de Energia Nuclear' and the simulation work was dane at the 'Departamento de Calculo Cientifico' of COPPE, which also advised the author in the completion of this thesis. (author)

Herramienta de Análisis y Diseño de Sistemas de Control Basada en Hojas de Cálculo Excel

Directory of Open Access Journals (Sweden)

Nourdine Aliane

2009-10-01

Full Text Available Resumen: Este artículo presenta una herramienta para el análisis y diseño de sistemas de control basada en hojas de cálculo Excel. Esta herramienta es un conjunto de subrutinas y funciones desarrolladas con el lenguaje VBA. En la actualidad, esta herramienta se limita al manejo de sistemas lineales representados mediante la función de transferencia. El usuario puede especificar modelos, obtener sus respuestas transitorias y en frecuencia, simular un sistema realimentado a través de un controlador, o ajustar los parámetros de un controlador de forma interactiva. Además, la herramienta permite al usuario mantener varias simulaciones en una misma hoja de cálculo, y su carácter interactivo hace posible observar el efecto de varios parámetros sobre el comportamiento de los sistemas de forma inmediata. Para ilustrar el alcance y algunas características de esta herramienta, se han incluido varios ejemplos. Palabras clave: Control, Sistemas lineales, Simulación, Hojas de Calculo

Defining a periodontitis case

DEFF Research Database (Denmark)

Baelum, Vibeke; Lopez, Rodrigo

2012-01-01

. Conclusions The results indicate that it should be feasible for the periodontal community to reach an agreement over the distinction between a case and a non-case. The classification system proposed by van der Velden is better suited for providing clinicians with a clear image of the case....

Leveraging tuberculosis case relative locations to enhance case detection and linkage to care in Swaziland.

Science.gov (United States)

Brunetti, Marie; Rajasekharan, Sathyanath; Ustero, Piluca; Ngo, Katherine; Sikhondze, Welile; Mzileni, Buli; Mandalakas, Anna; Kay, Alexander W

2018-01-01

In Swaziland, as in many high HIV/TB burden settings, there is not information available regarding the household location of TB cases for identifying areas of increased TB incidence, limiting the development of targeted interventions. Data from "Butimba", a TB REACH active case finding project, was re-analyzed to provide insight into the location of TB cases surrounding Mbabane, Swaziland. The project aimed to identify geographical areas with high TB burdens to inform active case finding efforts. Butimba implemented household contact tracing; obtaining landmark based, informal directions, to index case homes, defined here as relative locations. The relative locations were matched to census enumeration areas (known location reference areas) using the Microsoft Excel Fuzzy Lookup function. Of 403 relative locations, an enumeration area reference was detected in 388 (96%). TB cases in each census enumeration area and the active case finders in each Tinkhundla, a local governmental region, were mapped using the geographic information system, QGIS 2.16. Urban Tinkhundla predictably accounted for most cases; however, after adjusting for population, the highest density of cases was found in rural Tinkhundla. There was no correlation between the number of active case finders currently assigned to the 7 Tinkhundla surrounding Mbabane and the total number of TB cases (Spearman rho = -0.57, p  = 0.17) or the population adjusted TB cases (Spearman rho = 0.14, p  = 0.75) per Tinkhundla. Reducing TB incidence in high-burden settings demands novel analytic approaches to study TB case locations. We demonstrated the feasibility of linking relative locations to more precise geographical areas, enabling data-driven guidance for National Tuberculosis Programs' resource allocation. In collaboration with the Swazi National Tuberculosis Control Program, this analysis highlighted opportunities to better align the active case finding national strategy with the TB disease

Case Management Directors

Science.gov (United States)

Bankston White, Cheri; Birmingham, Jackie

2015-01-01

Purpose and Objectives: Case management directors are in a dynamic position to affect the transition of care of patients across the continuum, work with all levels of providers, and support the financial well-being of a hospital. Most importantly, they can drive good patient outcomes. Although the position is critical on many different levels, there is little to help guide a new director in attending to all the “moving parts” of such a complex role. This is Part 2 of a two-part article written for case management directors, particularly new ones. Part 1 covered the first 4 of 7 tracks: (1) Staffing and Human Resources, (2) Compliance and Accreditation, (3) Discharge Planning and (4) Utilization Review and Revenue Cycle. Part 2 addresses (5) Internal Departmental Relationships (Organizational), (6) External Relationships (Community Agency), and (7) Quality and Program Outcomes. This article attempts to answer the following questions: Are case management directors prepared for an expanded role that affects departments and organizations outside of their own?How does a case management director manage the transition of care of patients while managing required relationships outside the department?How does the director manage program outcomes in such a complex department? Primary Practice Setting: The information is most meaningful to those case management directors who work in either stand-alone hospitals or integrated health systems and have frontline case managers (CMs) reporting to them. Findings/Conclusions: Part 1 found that case management directors would benefit from further research and documentation of “best practices” related to their role, particularly in the areas of leadership and management. The same conclusion applies to Part 2, which addresses the director's responsibilities outside her immediate department. Leadership and management skills apply as well to building strong, productive relationships across a broad spectrum of external organizations

CASE REPORT CASE A super 'lead pipe' colon: radio-pathological ...

African Journals Online (AJOL)

2008-10-15

Oct 15, 2008 ... cancer in UC. Clearly, correct diagnosis is crucial. Our case not only had severe findings and a diagnosis that predated her surgery, but also had no clinical, radiological or histological features of the other alternative diagnoses. The case demonstrates an unusually severe form of 'lead pipe' colon occurring ...

High laboratory cost predicted per tuberculosis case diagnosed with increased case finding without a triage strategy.

Science.gov (United States)

Dunbar, R; Naidoo, P; Beyers, N; Langley, I

2017-09-01

Cape Town, South Africa. To model the effects of increased case finding and triage strategies on laboratory costs per tuberculosis (TB) case diagnosed. We used a validated operational model and published laboratory cost data. We modelled the effect of varying the proportion with TB among presumptive cases and Xpert cartridge price reductions on cost per TB case and per additional TB case diagnosed in the Xpert-based vs. smear/culture-based algorithms. In our current scenario (18.3% with TB among presumptive cases), the proportion of cases diagnosed increased by 8.7% (16.7% vs. 15.0%), and the cost per case diagnosed increased by 142% (US$121 vs. US$50). The cost per additional case diagnosed was US$986. This would increase to US$1619 if the proportion with TB among presumptive cases was 10.6%. At 25.9-30.8% of TB prevalence among presumptive cases and a 50% reduction in Xpert cartridge price, the cost per TB case diagnosed would range from US$50 to US$59 (comparable to the US$48.77 found in routine practice with smear/culture). The operational model illustrates the effect of increased case finding on laboratory costs per TB case diagnosed. Unless triage strategies are identified, the approach will not be sustainable, even if Xpert cartridge prices are reduced.

CASE REPORT Degenerative leiomyopathy CASE REPORT

African Journals Online (AJOL)

cases the condition was progressive and eventually affected the entire ... been discouraged because of the progressive nature of the disease. A gastrostomy and/or ... which eventually lead to their demise, usually in their late teens.4. 1.

Asynchronous asymmetric form of heterogeneous osteopetrosis: initial case expanded and a new case

International Nuclear Information System (INIS)

Young, L.W.; Lachman, R.S.

2001-01-01

We have discovered additional serial radiographs and clinical information on the initial case of ''regional osteopetrosis tarda'' that has been included in several editions of Caffey's Pediatric X-Ray Diagnosis. A definite second case was found after a search of radiology teaching files of other selected medical centers and the International Skeletal Dysplasia Registry. Analysis of the sequential unusual radiographic findings of the initial case and the equivalent compelling findings of the second case justifies renewed attention to an asynchronous asymmetric form of heterogeneous osteopetrosis. (orig.)

Recent Case Law

DEFF Research Database (Denmark)

Petz, Thomas; Sagaert, Vincent; Østergaard, Kim

2004-01-01

In this section authors from various European countries report the recent case law in their country on the field of private patrimonial law, that is decisions on the law of property, juridical acts, the law of obligations, contract law and prescription. The European Review of Private Law (ERPL......) started this section in 2003. The section aims to give our readers an overview of what is happening in the most recent European case law. We have asked the national reporters to report the juridical essence of the decisions given by the highest courts in their country. These national reports...... not relate the facts of the decision, nor the personal opinion of the reporter. One can find discussions on the most important decisions of European courts in ERPL’s case note section. The recent case law section gives overviews of decisions published in periods of four months. The period of January...

Case-control vaccine effectiveness studies: Preparation, design, and enrollment of cases and controls.

Science.gov (United States)

Verani, Jennifer R; Baqui, Abdullah H; Broome, Claire V; Cherian, Thomas; Cohen, Cheryl; Farrar, Jennifer L; Feikin, Daniel R; Groome, Michelle J; Hajjeh, Rana A; Johnson, Hope L; Madhi, Shabir A; Mulholland, Kim; O'Brien, Katherine L; Parashar, Umesh D; Patel, Manish M; Rodrigues, Laura C; Santosham, Mathuram; Scott, J Anthony; Smith, Peter G; Sommerfelt, Halvor; Tate, Jacqueline E; Victor, J Chris; Whitney, Cynthia G; Zaidi, Anita K; Zell, Elizabeth R

2017-06-05

Case-control studies are commonly used to evaluate effectiveness of licensed vaccines after deployment in public health programs. Such studies can provide policy-relevant data on vaccine performance under 'real world' conditions, contributing to the evidence base to support and sustain introduction of new vaccines. However, case-control studies do not measure the impact of vaccine introduction on disease at a population level, and are subject to bias and confounding, which may lead to inaccurate results that can misinform policy decisions. In 2012, a group of experts met to review recent experience with case-control studies evaluating the effectiveness of several vaccines; here we summarize the recommendations of that group regarding best practices for planning, design and enrollment of cases and controls. Rigorous planning and preparation should focus on understanding the study context including healthcare-seeking and vaccination practices. Case-control vaccine effectiveness studies are best carried out soon after vaccine introduction because high coverage creates strong potential for confounding. Endpoints specific to the vaccine target are preferable to non-specific clinical syndromes since the proportion of non-specific outcomes preventable through vaccination may vary over time and place, leading to potentially confusing results. Controls should be representative of the source population from which cases arise, and are generally recruited from the community or health facilities where cases are enrolled. Matching of controls to cases for potential confounding factors is commonly used, although should be reserved for a limited number of key variables believed to be linked to both vaccination and disease. Case-control vaccine effectiveness studies can provide information useful to guide policy decisions and vaccine development, however rigorous preparation and design is essential. Published by Elsevier Ltd.

[Case management process identified from experience of nurse case managers].

Science.gov (United States)

Park, Eun-Jun; Kim, Chunmi

2008-12-01

The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea. A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory. Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources. This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

Case-Based FCTF Reasoning System

Directory of Open Access Journals (Sweden)

Jing Lu

2015-10-01

Full Text Available Case-based reasoning uses old information to infer the answer of new problems. In case-based reasoning, a reasoner firstly records the previous cases, then searches the previous case list that is similar to the current one and uses that to solve the new case. Case-based reasoning means adapting old solving solutions to new situations. This paper proposes a reasoning system based on the case-based reasoning method. To begin, we show the theoretical structure and algorithm of from coarse to fine (FCTF reasoning system, and then demonstrate that it is possible to successfully learn and reason new information. Finally, we use our system to predict practical weather conditions based on previous ones and experiments show that the prediction accuracy increases with further learning of the FCTF reasoning system.

Calculation of reactivity without Lagrange interpolation; Calculo de la reactividad sin interpolacion de Lagrange

Energy Technology Data Exchange (ETDEWEB)

Suescun D, D.; Figueroa J, J. H. [Pontificia Universidad Javeriana Cali, Departamento de Ciencias Naturales y Matematicas, Calle 18 No. 118-250, Cali, Valle del Cauca (Colombia); Rodriguez R, K. C.; Villada P, J. P., E-mail: dsuescun@javerianacali.edu.co [Universidad del Valle, Departamento de Fisica, Calle 13 No. 100-00, Cali, Valle del Cauca (Colombia)

2015-09-15

A new method to solve numerically the inverse equation of punctual kinetics without using Lagrange interpolating polynomial is formulated; this method uses a polynomial approximation with N points based on a process of recurrence for simulating different forms of nuclear power. The results show a reliable accuracy. Furthermore, the method proposed here is suitable for real-time measurements of reactivity, with step sizes of calculations greater that Δt = 0.3 s; due to its precision can be used to implement a digital meter of reactivity in real time. (Author)

Comparison of two dosimetric protocols in water and solid phantoms for electron beams in an extension cone; Comparacion de dos protocolos dosimetricos en fantomas de agua y solido para haces de electrones en un cono de extension

Energy Technology Data Exchange (ETDEWEB)

Genis S, R.; Garcia C, C.; Martinez A, M. [Departamento de radioterapia, Hospital Medica Sur, Puente de Piedra 150, Col. Toriello Guerra, 14050 Mexico DF (Mexico)

1998-12-31

The objective of this work is to realize the dosimetry for an extension cone for electron beams and proposing a simple and reliable procedure for this purpose. Clinically it was sufficient to employ an energy not greater than 9 MeV, by the clinical conditions of the leisure. It was had nominally 6 or 9 MeV and it was decided to employ the second energy. This cone was elaborated for special cases that by the anatomical position of the leisure, it is not allowed the easy access with the usual cones. (Author)

Researches, development and characterization of dosimetric materials for monitoring in irradiation processes with high doses; Pesquisa, desenvolvimento e caracterizacao de materiais dosimetricos para monitoramento em processos de irradiacao com doses altas

Energy Technology Data Exchange (ETDEWEB)

Galante, Ana Maria Sisti

2003-07-01

Dosimetric materials that can be produced in Brazil with material acquired in the national market to replace the imported dosimeters used in radiation processing were developed in this work. Mixtures of potassium nitrate and sensitizers compounds as manganese dioxide, barium nitrate and potassium bromide were prepared in the pellet form. Dosimetric characteristics such as dose-response useful range, sensitivity, environmental conditions and dose rate influences were evaluated in {sup 60}Co gamma radiation fields. Dyed polymethylmethacrylate detectors were also produced and its dosimetric characteristics were evaluated. The main characteristics evaluated in this case were: dose response useful range sensitivity, environmental conditions, dose rate influences and radiation energy dependence in gamma radiation fields and accelerated electrons beam of 0.8 to 1.5 MeV. The applied analytic technique was spectrophotometry. The calibration was performed in the irradiation facilities belonging to IPEN and certified by the International Atomic Energy Agency by means of the program IDAS (International Dose Assurance Service ) using the Fricke dosimeter. The mixture of potassium nitrate and manganese dioxide presented the best results and a wide dose range between 200 and 600 kGy. The response of the developed polymethylmethacrylate detectors are similar to the imported detectors and the dose range is characteristic to each detector and depends on the dye added in its formulation. (author)

Breast cancer case using tamoxifen during pregnancy: a case report ...

African Journals Online (AJOL)

This is a case of 32 years old nulliparous female who was diagnosed in November 2004 as a case of carcinoma of the right breast , luminal A , (Estrogen Receptor positive Progesterone receptor negative, Her 2 negative, Ki67 10 %), poorly differentiated invasive ductal cancer, TNM stage,T2 N0 MO. She had a wide local ...

Case Study: Let's Get Personal--Putting Personality into Your Cases

Science.gov (United States)

Herreid, Clyde Freeman

2017-01-01

In this case study, the subject for discussion is the need to use teaching notes in order to add personality to case studies. Personality, it is said, is more important than policy, than demographics, than finances, or amorous peccadillos. Personality is essential. It is the interaction of people that capture our interest, yet, the question is…

RSG Deployment Case Testing Results

Energy Technology Data Exchange (ETDEWEB)

Owsley, Stanley L.; Dodson, Michael G.; Hatchell, Brian K.; Seim, Thomas A.; Alexander, David L.; Hawthorne, Woodrow T.

2005-09-01

The RSG deployment case design is centered on taking the RSG system and producing a transport case that houses the RSG in a safe and controlled manner for transport. The transport case was driven by two conflicting constraints, first that the case be as light as possible, and second that it meet a stringent list of Military Specified requirements. The design team worked to extract every bit of weight from the design while striving to meet the rigorous Mil-Spec constraints. In the end compromises were made primarily on the specification side to control the overall weight of the transport case. This report outlines the case testing results.

From Use Cases to Activity Cases

DEFF Research Database (Denmark)

Bækgaard, Lars

2005-01-01

Use cases can be used to capture requirements and to subdivide IT-systems into functionally coherent units. Information systems are activity systems that carry out important business activities. Many systems development methods recognize activity modeling as an important development activity. Use...

Case Study: What Makes a Good Case, Revisited: The Survey Monkey Tells All

Science.gov (United States)

Herried, Clyde Freeman; Prud'homme-Genereux, Annie; Schiller, Nancy A.; Herreid, Ky F.; Wright, Carolyn

2016-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. In this month's issue the authors provide a more definitive answer to the "What Makes a Good Case?" question based on a just-completed Survey Monkey survey given to NCCSTS teachers.

Portal cholangiopathy: case report

Directory of Open Access Journals (Sweden)

Maria Cecilia Almeida Maia

2014-01-01

Full Text Available The present report describes the case of a child that after blunt abdominal trauma presented with portal thrombosis followed by progressive splenomegaly and jaundice. Ultrasonography and percutaneous cholangiography revealed biliary dilatation secondary to choledochal stenosis caused by dilated peribiliary veins, characterizing a case of portal biliopathy. The present case report is aimed at presenting an uncommon cause of this condition.

New guidelines for case reports

Directory of Open Access Journals (Sweden)

Mario Delgado-Noguera

2013-09-01

Full Text Available The case report or case reports are a frequent type of narrative article in the biomedical literature. Case reports are useful to describe unusual clinical cases, identify adverse effects or benefits of therapies. They are also useful for the description of presentation of rare diseases for educational or scientific purposes. Several groups have worked on reporting guidelines for other designs such as the case of clinical trials (CONSORT Statement or observational studies (STROBE Statement and this journal has been adopted as the guide for authors. Recently, there were presented the Guidelines for writing CAseREports (CARE Statement. The aim of this article is to make them known and comment.

Casing drilling

Energy Technology Data Exchange (ETDEWEB)

Heenan, D. [Tesco Corp., Calgary, AB (Canada)

2003-07-01

This paper reviewed the experience that Tesco has gained by drilling several wells using only casings as the drill stem. Tesco has manufactured a mobile and compact hydraulic drilling rig called the Casing Drilling {sup TM} system. The system could be very effective and efficient for exploration and development of coalbed methane (CBM) reserves which typically require extensive coring. Continuous coring while drilling ahead, along wire line retrieval, can offer time savings and quick core recovery of large diameter core which is typically required for exploration core desorption tests. The proposed system may also have the potential to core or drill typically tight gas sands or underbalanced wells with air or foam. This would reduce drilling fluid damage while simultaneously finding gas. Compared to conventional drill pipes, Casing Drilling {sup TM} could also be effective with water production from shallow sands because of the smaller annual clearance which requires less air volumes to lift any produced water. 9 figs.

The Legal Case

NARCIS (Netherlands)

Sartor, Giovanni; Contissa, Giuseppe; Schebesta, H.; Laukyte, Migle; Lanzi, Paola; Marti, Patrizia; Paola, Tomasello

2013-01-01

This paper presents the first release of the Legal Case, recently developed by the ALIAS Project and still under refinement. The Legal Case is a methodological tool intended to address liability issues of automated ATM systems: it provides for a legal risk management process that can be applied

Tuberculosis case-finding in Cambodia: analysis of case notification data, 2000 to 2013

Science.gov (United States)

Furphy, Valérie Burrus; Kobayashi, Miwako; Nishikiori, Nobuyuki; Eang, Mao Tan; Yadav, Rajendra-Prasad

2015-01-01

The routine tuberculosis (TB) surveillance system in Cambodia has been strengthened under the National TB Programme (NTP). This paper provides an overview of the TB surveillance data for Cambodia at the national level for the period 2000 to 2013 and at the subnational level for 2013. The proportion of the total population that were screened for TB rose from 0.4% in 2001 to 1.1% in 2013, while the smear-positivity rate decreased from 28.9% to 8.1% in the same period. The total number of notified TB cases increased steadily from 2000; this has stabilized in recent years with 39 055 cases notified in 2013. The proportion of all TB cases that were smear-positive decreased from 78% in 2000 to 36% in 2013. Case notification rates (CNRs) for all forms of TB and new smear-positive TB in 2013 were 261 and 94 per 100 000 population, respectively. Higher CNRs were found in the north-western and south-eastern parts of the country and were higher for males especially in older age groups. The increase in TB screening, decline in the smear-positive rate and decline in notified smear-positive TB cases likely reflect a long-term positive impact of the NTP. A negative correlation between the proportion of the population screened and the smear-positivity rate at the subnational level helped identify where to find undiagnosed cases. Subnational differences in case notification of the elderly and in children provide more specific targets for case-finding and further encourage strategic resource allocation. PMID:25960919

Calculation of modification to the toroidal magnetic field of the Tokamak Novillo. Part II; Calculo de modificacion al campo magnetico toroidal del Tokamak nivillo. Parte II

Energy Technology Data Exchange (ETDEWEB)

Melendez L, L.; Chavez A, E.; Colunga S, S.; Valencia A, R.; Lopez C, R.; Gaytan G, E

1992-03-15

In a cylindrical magnetic topology. the confined plasma experiences 'classic' collisional transport phenomena. When bending the cylinder with the purpose of forming a toro, the magnetic field that before was uniform now it has a radial gradient which produces an unbalance in the magnetic pressure that is exercised on the plasma in the transverse section of the toro. This gives place to transport phenomena call 'neo-classicist'. In this work the structure of the toroidal magnetic field produced by toroidal coils of triangular form, to which are added even of coils of compensation with form of half moon is analyzed. With this type of coils it is looked for to minimize the radial gradient of the toroidal magnetic field. The values and characteristics of B (magnetic field) in perpendicular planes to the toro in different angular positions in the toroidal direction, looking for to cover all the cases of importance are exhibited. (Author)

Calculations of received dose for different points in the enrichment uranium oxide warehouse at 4%; Calculos de dosis recibida para diferentes puntos en el almacen de oxido de uranio enriquecido al 4%

Energy Technology Data Exchange (ETDEWEB)

Alonso V, G. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

1990-06-15

In order to verifying that the received dose so much inside as outside of the warehouse of enriched uranium dioxide to 4% it doesn't represent risk to the personnel, the modelling of this and the corresponding calculations for the extreme case of dose at contact are made. (Author)

Reported cases of selected diseases.

Science.gov (United States)

1994-06-01

The number of reported cases of measles, poliomyelitis, tetanus, diphtheria, and whooping cough for the period of January 1, 1994 to the date of the last report is presented in tabular form by country with a comparison for the same epidemiological period in 1993. The countries included are Bolivia, Colombia, Ecuador, Peru, Venezuela, Argentina, Chile, Paraguay, Uruguay, Brazil, Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Panama, Mexico, Cuba, Haiti, the Dominican Republic, Antigua and Barbuda, the Bahamas, Barbados, Dominica, Grenada, Guyana, Jamaica, Saint Kitts and Nevis, Saint Vincent, Saint Lucia, Suriname, Trinidad and Tobago, Canada, and the US. The figures for measles are given as reported and as confirmed. In some countries, the reported number of cases of measles decreased from 1993 figures (Venezuela 5275 vs. 6060, Paraguay 26 vs. 958, Brazil 272 vs. 958, Canada 30 vs. 38), but, in others, the figure increased from 1993 (Mexico 47 vs. 21, the US 155 vs. 86). There were no reported cases of poliomyelitis for either year in any country. The figures for tetanus are divided into nonneonatal and neonatal. In Brazil the number of nonneonatal cases decreased to 360 from 371 in 1993, and the number of neonatal cases decreased to 28 from 65. In Mexico, nonneonatal cases decreased to 28 from 45, but neonatal cases increased to 23 from 20 in 1993. The number of cases of diphtheria cases in Brazil decreased to 28 from 65 in the same period of 1993. The number of cases of whooping cough decreased to 431 from 1651 in Brazil and to 51 from 70 in Mexico. However, the number of cases in Canada increased to 1047 from 784.

Case Report

DEFF Research Database (Denmark)

Bilgin-Freiert, Arzu; Fugleholm, Kåre; Poulsgaard, Lars

2015-01-01

We report a case of an intraneural ganglion cyst of the hypoglossal canal. The patient presented with unilateral hypoglossal nerve palsy, and magnetic resonance imaging showed a small lesion in the hypoglossal canal with no contrast enhancement and high signal on T2-weighted imaging. The lesion...... irradiation as an option. This case illustrates a very rare location of an intraneural ganglion cyst in the hypoglossal nerve. To our knowledge there are no previous reports of an intraneural ganglion cyst confined to the hypoglossal canal....

Case Study: A Step-by-Step Guide to Students Writing Case Studies (and Tools for Novice Case Authors)

Science.gov (United States)

Prud'homme-Genereux, Annie

2015-01-01

In experimenting with ways of structuring the assignment and providing guidance to students, the author developed a series of tools that may be of interest to instructors wishing to implement a case-writing assignment in their course. This assignment is more suited for instructors experienced in case writing, as their knowledge of how to design a…

Case frames as contextual mappings to case law in BestPortal

NARCIS (Netherlands)

Hoekstra, R.; Lodder, A.; van Harmelen, F.

2010-01-01

This paper introduces case frames as a way to provide a more meaningful structure to vocabulary mappings used to bridge the gap between laymen and legal descriptions of court proceedings. Case frames both reduce the ambiguity of queries, and improve the ability of users to formulate good quality

Patterned genital injury in cases of rape - A case-control study

DEFF Research Database (Denmark)

Astrup, Birgitte Schmidt; Ravn, Pernille; Thomsen, Jørgen Lange

2013-01-01

A pattern of genital injury that separates trauma seen in sexual assault cases from trauma seen following consensual sexual intercourse has been a matter of debate. This study aimed at clarifying the question by eliminating as many confounders as possible in a prospective, case-control setup. A t...

Case management after long-term absence from work in China: a case report.

Science.gov (United States)

Tang, Dan; Yu, Ignatius Tak Sun; Luo, Xiaoyuan; Liang, Youxin; He, Yonghua

2011-03-01

Return-to-work (RTW) after occupational injuries is an important and challenging issue. Case managers are expected to play a vital role in successful RTW. In China, RTW intervention is in its early phase and requires further research and practice. This case report describes Mr. H's RTW process for illustrating the work of a case management team in China. Suggestions on developing and optimizing the process in China are given. After 9 years of absence from work due to severe burn injuries at work, Mr. H was referred for RTW interventions. Mr. H received social and occupational rehabilitation services of 3 months, and the following workplace visits and work trials. After the job placement, the case manager continued the liaison with the worker and employer. Mr. H showed positive changes in occupational and social adjustment after the case management interventions. This was reflected from the shift from the contemplation to action stage on the Lam Assessment of Stages of Employment Readiness. Despite he did not show significant changes on functional capacity and fear avoidance beliefs, Mr. H passed the job credential test and was offered a maintenance technician position at a new company. Both the worker and the employer were satisfied with the outcome of the case management. The RTW interventions carried out by the case managers appeared to be effective within the Chinese system. The results suggested that professional training of case managers, RTW-related policies and technological standards, early integrated interventions should be further developed in China. Disability Adjustment Group Therapy and RTW Support Groups perhaps are useful approaches in workers' returning to work.

Measles cases among adolescents in southern Pakistan 2012-2015: The case for revisiting vaccination strategies.

Science.gov (United States)

Shakoor, Sadia; Khan, Erum; Rajput, Muhammad Imran; Rahimoon, Wali Muhammad

2017-07-03

Surveillance of adult measles in Pakistan is a challenge as it does not enjoy the status of a reportable disease unlike childhood cases and therefore cases remain undetected and unreported or misdiagnosed. Consequently no data or estimates of young adult cases, seroprevalence, or estimates of susceptible preadolescent or young adult population exist. We have presented both laboratory conformed and clinically suspected cases of measles occurring in adolescents and adults in the southern province of Sindh in Pakistan. Through an examination of 2 independent databases, i.e. a laboratory database of measles IgM positive cases and clinically detected cases on surveillance performed by the Disease Early Warning System, we have analyzed and reported age-specific positivity rates from 2012 to 2015 in Sindh, Pakistan. High rates of laboratory confirmed measles were observed in those aged 9 y and younger. Among adolescents and adults, significantly higher positivity rates were observed among those aged 10-19 y. Clinically detected cases from Sindh showed similar distribution of cases. High burden of cases among children <9 y of age confirm that supplementary immunization activities (SIAs) among this age group are inadequate and need to be strengthened. Cases among those 10-19 y further demonstrate the need for consolidating SIAs with an additional strategy to vaccinate those who remain non-immune at college entry and in institutions where outbreaks can be prevented. Such measures are essential to achieving the goal of measles elimination in the country and region.

Example dated with {sup 210}Pb; Ejemplo de fechado con {sup 210}Pb

Energy Technology Data Exchange (ETDEWEB)

Ruiz-Fernandez, Ana Carolina [Universidad Nacional Autonoma de Mexico, Instituto de Ciencias del Mar y Limnologia (Mexico); Sanchez-Cabeza, Joan-Albert [Organismo Internacional de la Energia Atomica, Laboratorios del Medio Marino (Monaco)

2012-07-01

In this chapter we describe in detail, using an example, the procedure to date a core with the technique of {sup 210}Pb using the models described in Chapter 7. Described below, one by one, the spreadsheets containing the information and calculations necessary to complete a profile geochronology of {sup 210}Pb core adapted from Gulf of Tehuantepec, Mexico. In this case, the old model obtained from the CA model could not be validated with {sup 137}Cs because the peak age of {sup 137}Cs is too old (1985 {+-} 3 years). Moreover, there was an investment of age between sections 2-3 and 3-4 cm because the activity of the lower section is higher than at the top, most likely due to a change in sediment accumulation. The average value of MAR (obtained with the CFCS model: 0.222 {+-} 0.016 g cm{sup -2} yr{sup -1}) is in good agreement with the range obtained with the model MAR CF (0.03 {+-} 0.02 to 0.30 {+-} 0.01 g cm{sup -2} yr{sup -1}). The chronology obtained with the CF model is well validated with the peak of {sup 137}Cs (section 6-7 cm: 1960-1972). SAR profiles and MAR show a progressive increase from the late nineteenth century, due to economic development and population growth in the Gulf of Tehuantepec. This growth, which has altered the coastal marine circulation and sedimentation regimes, had its greatest impact during the past two decades, after the establishment of three major industrial complexes in the region. [Spanish] En este capitulo describimos con detalle, utilizando un ejemplo, el procedimiento para fechar un core con la tecnica de {sup 210}Pb utilizando los modelos descritos en el Capitulo 7. A continuacion describimos, una a una, las hojas de calculo que contienen la informacion y los calculos necesarios para realizar la geocronologia de un perfil de {sup 210}Pb adaptado de un core del Golfo de Tehuantepec, Mexico. En este caso, el modelo de edad obtenido a partir del model CA no pudo ser validado con {sup 137}Cs porque la edad del pico de {sup 137}Cs

Casing Out Evaluation: Expanding Student Interest in Program Evaluation through Case Competitions.

Science.gov (United States)

Obrecht, Michael; Porteous, Nancy; Haddock, Blair

1998-01-01

Describes the authors' experiences in organizing bilingual evaluation case competitions for the National Capital Chapter of the Canadian Evaluation Society for three years. Competition structure, eligibility, judging, contestant recruiting, and preparing cases are outlined. (SLD)

CLINICAL AND CEPHALOMETRIC ANALYSIS OF THREE CASES WITH PYCNODYSOSTOSIS: CASE REPORTS*

Directory of Open Access Journals (Sweden)

Eser ÇAPAN

2015-01-01

Full Text Available The aim of this article is to present intra- and extra-oral and cephalometric findings of three patients with a rare disease: the pycnodysostosis. Two cases had skeletal Class III malocclusion due to maxillary retrognathia and one had bimaxillary retrusion with Class I relationship. Total circular crossbite, increased gonial angle and vertical facial proportions, deep-narrow palates and retruded upper lip were found in all cases. Maxillary expansion, face mask treatment or/and orthognathic surgery are treatment alternatives, considering the growth and development. Bone fragility and the risk of osteomyelitis after extractions should be considered in such cases before orthodontic treatment and orthognatic surgery.

Safety case plan 2008

International Nuclear Information System (INIS)

2008-07-01

Following the guidelines set forth by the Ministry of Trade and Industry (now Ministry of Employment and Economy) Posiva is preparing to submit the construction license application for a spent fuel repository by the end of the year 2012. The long-term safety section supporting the license application is based on a safety case, which, according to the internationally adopted definition, is a compilation of the evidence, analyses and arguments that quantify and substantiate the safety and the level of expert confidence in the safety of the planned repository. In 2005, Posiva presented a plan to prepare such a safety case. The present report provides a revised plan of the safety case contents mentioned above. The update of the safety case plan takes into account the recommendations made by the Radiation and Nuclear Safety Authority (STUK) about improving the focus and further developing the plan. Accordingly, particular attention is given to the quality management of the safety case work, the management of uncertainties and the scenario methodology. The quality management is based on the ISO 9001:2000 standard process thinking enhanced with special features arising from STUK's YVL Guides. The safety case production process is divided into four main sub-processes. The conceptualisation and methodology sub-process defines the framework for the assessment. The critical data handling and modelling sub-process links Posiva's main technical and scientific activities to the production of the safety case. The assessment sub-process analyses the consequences of the evolution of the disposal system in various scenarios, classified either as part of the expected evolution or as disruptive scenarios. The compliance and confidence sub-process is responsible for final evaluation of compliance of the assessment results with the regulatory criteria and the overall confidence in the safety case. As in the previous safety case plan, the safety case will be based on several reports, but

A clear case. Selective investment in case management applications can yield significant returns.

Science.gov (United States)

Hagland, Mark

2009-03-01

Strategically conceived case management system implementation makes good patient care and business sense, CIOs agree. Significant financial savings can be achieved from case management IS implementations, if those implementations are executed in the context of partnership between clinical leaders and the CIO's team. CIOs agree that applying the concept of "investment" to the implementation of case management IT can make resource allocation decisions easier.

'Case reporting of rare adverse events in otolaryngology': can we defend the case report?

LENUS (Irish Health Repository)

Dias, Andrew

2012-01-31

The study of errors in medicine has proliferated since the publication of The Institute of Medicine Report \\'TO ERR IS HUMAN\\' in 2000. Case nuances and process of care issues are valuable areas to explore if the goal is to provide the health care worker with the knowledge to avoid future errors. Meta-analysis and randomized controlled trials provide a large data base of evidence towards improvement and opportunities, but it is suggested that case reports can still provide valuable clinical information. The aim is to use the published literature to produce a series of rare harm case reports in E.N.T. The methods include systematic literature review. Journals searched in PUBMED were 60. Rare harm case obtained from the search were 5,322. Rare harm case reports not reported in any other form of evidence-based medicine were 40. Yes, the case report can be defended as it is an important pillar of evidence-based medicine.

SARS: a comparative study on the chest radiography of the mortal cases and the cured cases

International Nuclear Information System (INIS)

Jiang Songfeng; Liu Jingxin; Chen Bihua; Zhang Lieguang; Yin Chibiao; Zhang Fuchun

2003-01-01

Objective: This study is mainly on the radiological findings of the mortal cases of SARS. Methods: The chest X-ray (CXR) findings of 11 mortal cases of SARS were retrospectively studied, and compared with those of the 249 cured cases. Results: The major CXR findings of the mortal cases were: patchy shadows in 10 cases out of 11 (90.90%), frosted glass like change of the lung fields in 9 (81.82%), diffuse lesions in 11 (100%), and involvement of the bilateral lung. There was a statistical difference between the mortal cases and the cured cases on the following 4 manifestations: large shadows, extensive consolidation, frosted glass like change of the lung fields, and diffuse lesions (P<0.01). Conclusion: Large shadows, extensive consolidation, frosted glass like change of the lung fields, diffuse lesions and the bilateral involvement of the lung are the main CXR findings of the mortal cases of SARS. And extensive consolidation and diffuse involvement are strongly indicative. In most of the mortal cases, the latest CXR demonstrated widespread frosted glass like appearance in the lung fields with air bronchogram

Non-ferromagnetic overburden casing

Science.gov (United States)

Vinegar, Harold J.; Harris, Christopher Kelvin; Mason, Stanley Leroy

2010-09-14

Systems, methods, and heaters for treating a subsurface formation are described herein. At least one system for electrically insulating an overburden portion of a heater wellbore is described. The system may include a heater wellbore located in a subsurface formation and an electrically insulating casing located in the overburden portion of the heater wellbore. The casing may include at least one non-ferromagnetic material such that ferromagnetic effects are inhibited in the casing.

"Since I have my case manager, I am back to life" case management in Croatia.

Science.gov (United States)

Gruber, Ema N; Ivezić-Strkalj, Sladana; Agius, Mark; Martić-Biocina, Sanja

2008-03-01

The authors present a case report of a patient who was treated by a case manager, a member of a Croatian Community Mental Health (CMH) Team, following the recommendations of WHO 2004 as well as the IRIS guidelines and the Basic Standards for Management of Patients with Serious Mental Illness in the Community (Agius 2005) and using the elements of Clinical case management (Muser 1998), Assertive community treatment model (Burns 1995, Scott 1995, Wolfsan 1990), the personal strength model (Rapp 1988) and Rehabilitation model (Anthony 1993). In order to emphasize the importance of the therapist-patient relationship in the treatment of chronic schizophrenic patients (Ivezic 2001) and creating the group atmosphere a Croatian model of case management is created where the patient's needs and risks are assessed by a multidisciplinary team which also conducts the recommended psychosocial interventions plan. The majority of interventions are conducted in groups. The case manager develops a confident relationship with a patient, nourishes the positive transference and aids the delivery of the treatment. The main goals of the interventions are empowerment of the patient, improvement of his abilities and decreasing of disabilities. The case manager also carries out a full assessment of the needs of the patient's family so that the family or carers are also included in the treatment or support if necessary (Gruber 2006). A case report of a patient and the work of her case manager as well as the case manager's diary (Gruber 2007) and the Croatian model of case management is presented in this article.

Nuclear Calculations of Light-Water Moderated Reactors and Experimental Correlations; Calculs de Riacteurs Ralentis a l'Eau Ordinaire et Comparaison avec les Risultats Expirimentaux; Raschet reaktorov s zamedlitelem iz obychnoj vody i sravnenie s ehksperimental'nymi rezul'tatami; Calculos Nucleares de Reactores Moderados por Agua Ligera y Correlacion Experimental

Energy Technology Data Exchange (ETDEWEB)

Solanilla, R. [Comision Nacional de Energia Atomica, Buenos Aires (Argentina)

1964-02-15

nombreuses geometries - faite par comparaison avec certains des principaux parametres d'un reseau y/o de multiplication effective, est satisfaisante, l'ecart entre la reactivite obtenue par le calcul et le chiffre donne par l'experience,n'etant pas, en general, superieur a 2%. (author) [Spanish] Con el empleo de la teoria de dos grupos modificados por fisiones epitermales, se ha analizado un conjunto de sistemas criticos dotados de reflector y moderador de agiia liviana y variado enriquecimiento en {sup 235}U del combustible nuclear. Las secciones eficaces del grupo termal empleadas son las consignadas en las Tablas de Amster para mezclas hidrogenadas a diferentes temperaturas; concentraciones de {sup 235}U y absorbedores en 1/v. El efecto de heterogeneidad en las secciones eficaces ha sido tratado aproximadamente modificando las concentraciones de los absorbedores por variacion espacial del flujo termico en la celda elemental. El factor de desventaja ha sido calculado empleando la formula de Amouyal-Benoist. El coeficiente de difusion termal ha sido definido como la inversa del triple de la seccion eficaz macroscopica de transporte homogeneizada sobre el volumen de la celda elemental. Las constantes del grupo rapido han sido calculadas'de acuerdo al esquema de Ombrellaro de tres grupos rapidos de difusion (10 MeV a 0,821 MeV; 0,821 MeV a 5,5 keV; 5,5 keV a 0,625 eV) con secciones eficacesmicroscopicas ajustadas para cada grupo. La definicion de Ombrellaro de las constantes neutionicas de los tres,grupos rapidos en funcion de las secciones eficaces ajustadas ha sido modificada para el tercer grupo de acuerdo al tratamiento de Hick de la absorcion efectiva de resonancia del {sup 238}U, basada en el computo de la integral de resonancia efectiva. Los calculos han sido realizadas computando la integral de resonancia efectiva del: {sup 238}U por la formula obtenida, por el autor, del calculo teorico, con reduccion de la relacion S/M de acuerdo a la aproximacion del Bell del

Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea

OpenAIRE

Jinjoo Oh, Ph.D., RN, GNP; Seieun Oh, Ph.D., RN

2017-01-01

Purpose: The implementation of case management for long-term hospitalization use has been approved for controlling medical cost increases in other countries. But, introduction of the case management in Korea has created issues that hinder its effective operation. This qualitative study aimed to obtain further understanding of the issues surrounding the management of Medical Aid beneficiaries' use of long-term hospitalization from the case managers' perspectives and to provide suggestions for ...

Timeliness of Operating Room Case Planning and Time Utilization: Influence of First and To-Follow Cases

Directory of Open Access Journals (Sweden)

Konrad Meissner

2017-04-01

Full Text Available Resource and cost constraints in hospitals demand thorough planning of operating room schedules. Ideally, exact start times and durations are known in advance for each case. However, aside from the first case’s start, most factors are hard to predict. While the role of the start of the first case for optimal room utilization has been shown before, data for to-follow cases are lacking. The present study therefore aimed to analyze all elective surgery cases of a university hospital within 1 year in search of visible patterns. A total of 14,014 cases scheduled on 254 regular working days at a university hospital between September 2015 and August 2016 underwent screening. After eliminating 112 emergencies during regular working hours, 13,547 elective daytime cases were analyzed, out of which 4,346 ranked first, 3,723 second, and 5,478 third or higher in the daily schedule. Also, 36% of cases changed start times from the day before to 7:00 a.m., with half of these (52% resulting in a delay of more than 15 min. After 7:00 a.m., 87% of cases started more than 10 min off schedule, with 26% being early and 74% late. Timeliness was 15 ± 72 min (mean ± SD for first, 21 ± 84 min for second, and 25 ± 93 min for all to-follow cases, compared to preoperative day planning, and 21 ± 45, 23 ± 61, and 19 ± 74 min compared to 7:00 a.m. status. Start time deviations were also related to procedure duration, with cases of 61–90 min duration being most reliable (deviation 9.8 ± 67 min compared to 7:00 a.m., regardless of order. In consequence, cases following after 61–90 min long cases had the shortest deviations of incision time from schedule (16 ± 66 min. Taken together, start times for elective surgery cases deviate substantially from schedule, with first and second cases falling into the highest mean deviation category. Second cases had the largest deviations from scheduled times compared to

Pressurized waterproof case electronic device

KAUST Repository

Berumen, Michael L.

2013-01-31

A pressurized waterproof case for an electronic device is particularly adapted for fluid-tight containment and operation of a touch-screen electronic device or the like therein at some appreciable water depth. In one example, the case may be formed as an enclosure having an open top panel or face covered by a flexible, transparent membrane or the like for the operation of the touchscreen device within the case. A pressurizing system is provided for the case to pressurize the case and the electronic device therein to slightly greater than ambient in order to prevent the external water pressure from bearing against the transparent membrane and pressing it against the touch screen, thereby precluding operation of the touch screen device within the case. The pressurizing system may include a small gas cartridge or may be provided from an external source.

An unusual case of neonatal mastocytoma: A case report

Directory of Open Access Journals (Sweden)

Guglielmo Pranteda

2017-08-01

Full Text Available Mastocytosis is a group of disorders characterized by the accumulation of mast cells in various tissues. In this article we report an interesting case of cutaneous mastocytoma in a 3-month-old infant. We describe two episodes characterized by an exacerbation of the skin lesion with the typical Darier’s sign. Both of them occurred after breastfeeding. In both episodes, the mother had eaten shrimps before the breastfeeding. This peculiar case, difficult to understand regarding its pathogenesis, was successful resolved just with dietary prescription given to the breast feeding mother.

Making a case for case studies in psychotherapy training

DEFF Research Database (Denmark)

Mackrill, Thomas Edward; Iwakabe, Shigeru

2013-01-01

articulated explicitly or researched systematically in spite of its cardinal importance. An analysis of the role of case studies in psychotherapy training is presented. Reading, watching, or hearing about cases can offer novice psychotherapists access to a closed world; access to psychological theory...... in action; access to whole courses of therapy; access to different approaches; access to significant moments; access to the therapeutic relationship; access to a wide range of client types; access to working in different contexts; and the opportunity of identifying with therapists and clients. Writing...

Case Report: A Unique Case Of Cystic Echinococcosis in a Sahiwal ...

African Journals Online (AJOL)

Case Report: A Unique Case Of Cystic Echinococcosis in a Sahiwal Cow in Narok County, Kenya. JA Omega, PK Koskei. Abstract. A three and a half year old pregnant Sahiwal cow born and reared just outside the Maasai Mara National Game Reserve in Narok County, Kenya was noticed to walk slowly, cough occasionally ...

[Rectal duplication cyst--case report].

Science.gov (United States)

Turyna, R; Horák, L; Kucera, E; Hejda, V; Krofta, L; Feyereisl, J

2009-06-01

The authors demonstrate a rare case of duplication anomaly of the rectum. Case report. Institute for the Care of Mother and Child, Prague. We present a rare case of cystic rectal duplication in adult, completely removed and histologically confirmed. A literature review was summarized. The case was complicated by delay in diagnosis, multiple operations, and by the association with endometriosis, as well. Mentioned anomaly is published in the Czech literature for the very first time.

Differences in the clinical-epidemiological profile between new cases of tuberculosis and retreatment cases after default

Directory of Open Access Journals (Sweden)

Aylana de Souza Belchior

Full Text Available Abstract OBJECTIVE To identify the socioeconomic and clinical-epidemiological factors related to tuberculosis in new cases and retreatment cases. METHOD Comparative study with 126 patients, of which 42 were retreatment cases after default attended in a reference center, and 84 were new cases completing the first treatment and treated in Basic Health Units. The collection of primary data was through interview, and of secondary data by records of the Notifiable Diseases Information System. Comparative analysis between the two groups. RESULTS The new cases differ from retreatment cases regarding educational level. The clinical-epidemiological profile shows a significant difference in relation to performance of the tuberculin skin test, and the HIV test result (positive in favor of new cases. In relation to performance of sputum culture and the result (positive of the first sputum smear of the first and second samples, in favor of retreatment cases. CONCLUSION The two groups are significantly different in clinical and epidemiological characteristics that show the access to exams.

Preliminary energy demand studies for Ireland: base case and high case for 1980, 1985 and 1990

Energy Technology Data Exchange (ETDEWEB)

Henry, E W

1981-01-01

The framework of the Base Case and the High Case for 1990 for Ireland, related to the demand modules of the medium-term European Communities (EC) Energy Model, is described. The modules are: Multi-national Macre-economic Module (EURECA); National Input-Output Model (EXPLOR); and National Energy Demand Model (EDM). The final results of the EXPLOR and EDM are described; one set related to the Base Case and the other related to the High Case. The forecast or projection is termed Base Case because oil prices are assumed to increase with general price inflation, at the same rate. The other forecast is termed High Case because oil prices are assumed to increase at 5% per year more rapidly than general price inflation. The EXPLOR-EDM methodology is described. The lack of data on energy price elasticities for Ireland is noted. A comparison of the Base Case with the High Case is made. (MCW)

Case Managers on the Front Lines of Ethical Dilemmas: Advocacy, Autonomy, and Preventing Case Manager Burnout.

Science.gov (United States)

Sortedahl, Charlotte; Mottern, Nina; Campagna, Vivian

The purpose of this article is to examine how case managers are routinely confronted by ethical dilemmas within a fragmented health care system and given the reality of financial pressures that influence life-changing decisions. The Code of Professional Conduct for Case Managers (Code), published by the Commission for Case Manager Certification, acknowledges "case managers may often confront ethical dilemmas" (Code 1996, Rev. 2015). The Code and expectations that professional case managers, particularly those who are board certified, will uphold ethical and legal practice apply to case managers in every practice setting across the full continuum of health care. This discussion acknowledges the ethical dilemmas that case managers routinely confront, which empowers them to seek support, guidance, and resources to support ethical practice. In addition, the article seeks to raise awareness of the effects of burnout and moral distress on case managers and others with whom they work closely on interdisciplinary teams.

Fractal analysis of the electrical discharges' surface paths in polymeric insulation considering different pollution levels; Analisis fractal de las trayectorias de descargas electricas superficiales en aislamiento polimerico considerando diferentes niveles de contaminacion

Energy Technology Data Exchange (ETDEWEB)

Palacios Lopez, Arturo

2002-07-01

In this thesis tree patterns of superficial breakdown in polymeric insulator of Silicon Rubber are generated. Experimental arrangement rod-rod was used on the basis of norm ASTM D 2303-85. Pollution levels on the basis of norm IEC 507 were also used. The experimental values of Fractal Dimension for each case of pollution were reported. A self similar method called Box Counting for the fractal dimension calculus and for the self affine methods an R/S and Variogram were used. According to the results, it was concluded that the tree patterns of superficial electric breakdown in Silicon Rubber is self similar and its value does not depend on the degree of pollution, that is equivalent to the concentration of salt for liter of water or to the Equivalent Salt Deposition (ESDD), in the surface of an insulator. [Spanish] En el presente trabajo se inducen descargas electricas superficiales en un aislamiento polimerico de Hule Silicon, el arreglo experimental que se utilice es punta-punta con base en la norma ASTM D 2303-85 y los niveles de contaminacion con base en la norma IEC 507. Se reportan los valores experimentales de la Dimension Fractal para cada caso de contaminacion, se utilice el metodo auto similar de conteo de cuadros, para el calculo de la Dimension Fractal y para metodos auto afines se utilice analisis R/S y variograma. Con los resultados obtenidos se concluye que la trayectoria de la descarga electrica superficial en un polimero de Hule Silicon es auto similar y su valor no depende del grado de contaminacion, el cual es equivalente a la concentracion de gramos de sal por litro de agua o a la densidad de sal depositada (DESD), en la superficie de un aislador.

Describing Case Study Method and Identifying the Factors that Contribute to the Successful Conduct of Case Studies

OpenAIRE

Ahmad H. Juma'h; Mustafa Cavus

2001-01-01

This article has attempted to describe case study, the limitations and critiques on case study methodology and how the proponents have responded to these. Our special focus have been on the debate on theory building from case study research, and a framework for conducting case study research as well as the factors for a successful case study research. The overall conclusion is that the case study has been inappropriately used to generate theories.

Cheilitis granulomatosa: Case series

Directory of Open Access Journals (Sweden)

Sudha Rani Chintagunta

2017-01-01

Full Text Available Granulomatous cheilitis is an idiopathic inflammatory disorder characterized by persistent, asymptomatic, diffuse swelling of one or both lips. It is also considered as an oligosymptomatic or monosymptomatic form of Melkersson–Rosenthal syndrome. We herewith report five cases of granulomatous cheilitis of which three cases were females and two were males. The mean age was 41 years. The average duration of symptoms was 2.5 years (2–3 years. Four patients presented with asymptomatic persistent swelling of the upper lip and one patient with lower lip. Two cases showed associated fissuring and angular cheilitis. One case also showed involvement of the left cheek. All the patients showed moderate improvement with combination of minocycline and intralesional triamcinolone therapy.

Measles (Rubeola) Cases and Outbreaks

Science.gov (United States)

... Address What’s this? Submit What's this? Submit Button Measles Cases and Outbreaks Language: English (US) Español (Spanish) ... Español: Casos y brotes de sarampión Number of measles cases by year since 2010 Measles cases per ...

Development of a computational code for calculations of shielding in dental facilities; Desenvolvimento de um codigo computacional para calculos de blindagem em instalacoes odontologicas

Energy Technology Data Exchange (ETDEWEB)

Lava, Deise D.; Borges, Diogo da S.; Affonso, Renato R.W.; Guimaraes, Antonio C.F.; Moreira, Maria de L., E-mail: deise_dy@hotmail.com, E-mail: diogosb@outlook.com, E-mail: raoniwa@yahoo.com.br, E-mail: tony@ien.gov.br, E-mail: malu@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

2014-07-01

This paper is prepared in order to address calculations of shielding to minimize the interaction of patients with ionizing radiation and / or personnel. The work includes the use of protection report Radiation in Dental Medicine (NCRP-145 or Radiation Protection in Dentistry), which establishes calculations and standards to be adopted to ensure safety to those who may be exposed to ionizing radiation in dental facilities, according to the dose limits established by CNEN-NN-3.1 standard published in September / 2011. The methodology comprises the use of computer language for processing data provided by that report, and a commercial application used for creating residential projects and decoration. The FORTRAN language was adopted as a method for application to a real case. The result is a programming capable of returning data related to the thickness of material, such as steel, lead, wood, glass, plaster, acrylic, acrylic and leaded glass, which can be used for effective shielding against single or continuous pulse beams. Several variables are used to calculate the thickness of the shield, as: number of films used in the week, film load, use factor, occupational factor, distance between the wall and the source, transmission factor, workload, area definition, beam intensity, intraoral and panoramic exam. Before the application of the methodology is made a validation of results with examples provided by NCRP-145. The calculations redone from the examples provide answers consistent with the report.

Case-control studies in neurosurgery.

Science.gov (United States)

Nesvick, Cody L; Thompson, Clinton J; Boop, Frederick A; Klimo, Paul

2014-08-01

Observational studies, such as cohort and case-control studies, are valuable instruments in evidence-based medicine. Case-control studies, in particular, are becoming increasingly popular in the neurosurgical literature due to their low cost and relative ease of execution; however, no one has yet systematically assessed these types of studies for quality in methodology and reporting. The authors performed a literature search using PubMed/MEDLINE to identify all studies that explicitly identified themselves as "case-control" and were published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Each paper was evaluated for 22 descriptive variables and then categorized as having either met or missed the basic definition of a case-control study. All studies that evaluated risk factors for a well-defined outcome were considered true case-control studies. The authors sought to identify key features or phrases that were or were not predictive of a true case-control study. Those papers that satisfied the definition were further evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. The search detected 67 papers that met the inclusion criteria, of which 32 (48%) represented true case-control studies. The frequency of true case-control studies has not changed with time. Use of odds ratios (ORs) and logistic regression (LR) analysis were strong positive predictors of true case-control studies (for odds ratios, OR 15.33 and 95% CI 4.52-51.97; for logistic regression analysis, OR 8.77 and 95% CI 2.69-28.56). Conversely, negative predictors included focus on a procedure/intervention (OR 0.35, 95% CI 0.13-0.998) and use of the word "outcome" in the Results section (OR 0.23, 95% CI 0.082-0.65). After exclusion of nested case-control studies, the negative correlation between focus on a procedure

Case-control studies in diabetes. Do they really use a case-control design?

Science.gov (United States)

Ramos, Analía; Mendoza, Lilian Cristina; Rabasa, Fernanda; Bolíbar, Ignasi; Puig, Teresa; Corcoy, Rosa

2017-07-01

Studies defined as case-control do not always use this design. We aimed to estimate the frequency of mislabelled case-control studies in published articles in the area of diabetes and to identify the predictors of incorrect labelling. We searched Medline and Web of Science for articles with "diabetes" and "case control" in title and filtered for language (English/Romance) and period (January 2010-December 2014). Inclusion criteria were: (1) statement to use a case-control design in title, (2) to be a final full-length publication and (3) to have original data in the area of diabetes. Three independent reviewers went through titles, looked for full texts and reviewed them. Discrepancies were settled with a fourth reviewer. Expert epidemiologist advice was requested in case of doubt. case-control mislabelling; addressed predictors: publication year, journal impact factor and journal subject. proportion of mislabelled CC articles and assessment of predictors by multivariate logistic regression analysis. We retrieved 362 articles, 251 of them fulfilling inclusion criteria. The proportion of mislabelled CC studies was 43.8% (confidence interval 95% 37.7-50.0%). Most mislabelled studies had a cross-sectional design (82.7%). Predictors of mislabelling were publication year, journal impact factor and journal area. A relevant subset of studies defined as case-control in the area of diabetes correspond to mislabelled cross-sectional studies. Incorrect labelling misleads readers regarding the interpretation of results and the cause-effect hypothesis. Researchers, reviewers and editors should be aware of and commit to settle this issue.

Case Reports, Case Series - From Clinical Practice to Evidence-Based Medicine in Graduate Medical Education.

Science.gov (United States)

Sayre, Jerry W; Toklu, Hale Z; Ye, Fan; Mazza, Joseph; Yale, Steven

2017-08-07

Case reports and case series or case study research are descriptive studies that are prepared for illustrating novel, unusual, or atypical features identified in patients in medical practice, and they potentially generate new research questions. They are empirical inquiries or investigations of a patient or a group of patients in a natural, real-world clinical setting. Case study research is a method that focuses on the contextual analysis of a number of events or conditions and their relationships. There is disagreement among physicians on the value of case studies in the medical literature, particularly for educators focused on teaching evidence-based medicine (EBM) for student learners in graduate medical education. Despite their limitations, case study research is a beneficial tool and learning experience in graduate medical education and among novice researchers. The preparation and presentation of case studies can help students and graduate medical education programs evaluate and apply the six American College of Graduate Medical Education (ACGME) competencies in the areas of medical knowledge, patient care, practice-based learning, professionalism, systems-based practice, and communication. A goal in graduate medical education should be to assist residents to expand their critical thinking, problem-solving, and decision-making skills. These attributes are required in the teaching and practice of EBM. In this aspect, case studies provide a platform for developing clinical skills and problem-based learning methods. Hence, graduate medical education programs should encourage, assist, and support residents in the publication of clinical case studies; and clinical teachers should encourage graduate students to publish case reports during their graduate medical education.

Three cases of pulmonary varix

Energy Technology Data Exchange (ETDEWEB)

Takishima, Teruo; Sakuma, Hajime; Tajima, Tsunemi; Okimoto, Takao; Yamamoto, Keiichiro; Dohi, Yutaka (Saitama Medical School (Japan))

1982-06-01

Three cases of pulmonary varix associated with valvular heart disease were reported. Round shadows were clearer on first oblique or lateral films of chest x-ray in all 3 cases. On chest tomograms, the shadows were substantial and round-elliptical. RI angiography with sup(99m)Tc-RBC demonstrated these shadows in agreement with the site of influx of the pulmonary vein into the left atrium in Cases 1 and 3 and with the pulmonary vein slightly apart from the left atrium in Case 2. On CT scans in Cases 1 and 3, enhancement with a contrast medium visualized dilatation of the pulmonary vein close to, and in continuation with, the shadow of the left atrium. The diagnosis of pulmonary varix in agreement with the venous phase of pulmonary angiography was made for all 3 cases. Non-surgical examinations (especially CT scan) proved highly useful for the diagnosis of pulmonary varix.

Five Misunderstandings About Case-Study Research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2006-01-01

This article examines five common misunderstandings about case-study research: (a) theoretical knowledge is more valuable than practical knowledge; (b) one cannot generalize from a single case, therefore, the single-case study cannot contribute to scientific development; (c) the case study is most...... useful for generating hypotheses, whereas other methods are more suitable for hypotheses testing and theory building; (d) the case study contains a bias toward verification; and (e) it is often difficult to summarize specific case studies. This article explains and corrects these misunderstandings one...

Retrospective evaluation of childhood alopecia areata cases

Directory of Open Access Journals (Sweden)

Munise Daye

2013-09-01

Full Text Available Background and design: Approximately 20% of alopecia areata (AA cases are children. There is limited information about childhood AA.We aimed to examine demographic features,treatments and diseases prognosis of child cases of AA that were followed in our clinic. Material and methods: Datas of 110 AA patients who are 16 and under 16 years old were examined retrospectively.The age,gender,disease onset age,duration of disease,types of AA and onset area,nail involvement, accompanying systemic and dermatological diseases,laboratory tests,treatments and the prognosis were evaluated in their follow-up time.Results: Female cases were 46,4%, male cases were 53,6%.The mean age was 10,35 years.The age of disease onset was 8,65 years.Primary onset areas of AA cases were scalp in 83,6%, eyebrows in 5,4%, body hair in 5,4%, eyelashes in 2,7%, eyebrows and eyelashes in 2,7%.Types of disease were AA in 73,4% cases,alopecia totalis in 19% cases, alopecia universalis in 5,4% cases,ophiaisis in 1,8% cases.Nail involvement was established in 36,3% cases. Nevus flammeus was established in 2,7% cases.Mean disease duration was 17,02 months.Accompaying dermatosis were vitiligo in 2,7% cases,atopic dermatitis in 6,3% cases. The accompaying systemic diseases were autoimmune thyroiditis in 1,8% cases and Down's Syndrome in 2,7% cases.Thyroid autoantibodies were high in 0,9% cases.We have treated 24,5% of cases with topical corticosteroid lotion, 30,9% of cases with anthralin, 0,9%of cases with 2% minoxidil lotion, 0,9% of cases with calcipotriol lotion, 1,8% of cases with topical calcineurin inhibitors, 10% of cases with intralesional corticosteroids.We have treated 15,4% of cases with systemic corticosteroids and PUVA therapy who were resistant to topical treatment.We have treated 14,5% of cases with different combinations of topical treatments.Remission was observed in 34,5% of cases.The mean remission duration was 12.2 months.Relapse was observed at a average of two

Case Study: Mini-Case Studies: Small Infusions of Active Learning for Large-Lecture Courses

Science.gov (United States)

Carloye, Lisa

2017-01-01

In this article, the author introduces the usage of case studies to be an excellent method for engaging students through stories. The author notes she developed a series of mini-case studies that can be implemented, with a little advance preparation, within a 10- to 15-minute window during lecture. What makes them "mini" case studies?…

Case-based ethics instruction: the influence of contextual and individual factors in case content on ethical decision-making.

Science.gov (United States)

Bagdasarov, Zhanna; Thiel, Chase E; Johnson, James F; Connelly, Shane; Harkrider, Lauren N; Devenport, Lynn D; Mumford, Michael D

2013-09-01

Cases have been employed across multiple disciplines, including ethics education, as effective pedagogical tools. However, the benefit of case-based learning in the ethics domain varies across cases, suggesting that not all cases are equal in terms of pedagogical value. Indeed, case content appears to influence the extent to which cases promote learning and transfer. Consistent with this argument, the current study explored the influences of contextual and personal factors embedded in case content on ethical decision-making. Cases were manipulated to include a clear description of the social context and the goals of the characters involved. Results indicated that social context, specifically the description of an autonomy-supportive environment, facilitated execution of sense making processes and resulted in greater decision ethicality. Implications for designing optimal cases and case-based training programs are discussed.

Political Psychopathy : Fujimori case

OpenAIRE

Nizama Valladolid, Martin

2014-01-01

Seven years after his political fall, Alberto Fujimori Fujimori was extradited from Chile on September 22 of 2007, in order to judge him by two cases of human rights violations and five corruption cases. The mega-trial begun on december 10 of 2007. According to the mediate authorship theory, having led the command in charge of the counterterrorist actions involves him in crimes related to human rights. The Supreme court special penal division judges him by six cases related to human rights, c...

A case of unilateral dysmenorrhea

Directory of Open Access Journals (Sweden)

Tulon Borah

2010-01-01

Full Text Available Unilateral dysmenorrhea in an adolescent may be associated with uterine malformation. Relevant investigations in suspected cases and timely intervention can prevent future complications in such cases. Here, we present a case of unicornuate uterus with rudimentary horn in an adolescent complaining of unilateral dysmenorrhea.

Xeroderma pigmentosum (case report

Directory of Open Access Journals (Sweden)

Dubey Arvind

1990-01-01

Full Text Available Xeroderma pigmentosum is a rare, hereditary and fatal disease of the skin. Ocular involvement is known to occur in 80% of cases. A case with typical cutaneous and ocular lesions is reported.

Membranous Dysmenorrhea: A Case Series

Science.gov (United States)

Omar, Hatim A.; Smith, Shawn J.

2007-01-01

The purpose was to illustrate the variability of hormonal contraception of patients that presented with membranous dysmenorrheal. A case analysis chart review was completed on six patients referred to a Pediatric Gynecologist in an academic setting. In each case the patient underwent a thorough pelvic and bimanual exam. Following the initial presentation, each patient continued to be followed on a regular visits. Cases: Two were using the transdermal contraceptive patch and oral contraceptive, but following the expulsion of decidual cast, they were both placed on depot medroxyprogesterone acetate (DMPA) without further complications. Three of the six cases were on DMPA prior to the similar occurrence of membranous dysmenorrheal and following this incident, continued on DMPA without further problems. The final case was on the transdermal patch prior to decidual cast expulsion and remained on this form of hormonal contraception without further complications. These cases indicate that membranous dysmenorrheal is not limited to the use of DMPA. PMID:18060329

Three cases of pulmonary varix

International Nuclear Information System (INIS)

Takishima, Teruo; Sakuma, Hajime; Tajima, Tsunemi; Okimoto, Takao; Yamamoto, Keiichiro; Dohi, Yutaka

1982-01-01

Three cases of pulmonary varix associated with valvular heart disease were reported. Round shadows were clearer on first oblique or lateral films of chest x-ray in all 3 cases. On chest tomograms, the shadows were substantial and round-elliptical. RI angiography with sup(99m)Tc-RBC demonstrated these shadows in agreement with the site of influx of the pulmonary vein into the left atrium in Cases 1 and 3 and with the pulmonary vein slightly apart from the left atrium in Case 2. On CT scans in Cases 1 and 3, enhancement with a contrast medium visualized dilatation of the pulmonary vein close to, and in continuation with, the shadow of the left atrium. The diagnosis of pulmonary varix in agreement with the venous phase of pulmonary angiography was made for all 3 cases. Non-surgical examinations (especially CT scan) proved highly useful for the diagnosis of pulmonary varix. (Chiba, N.)

Comparing colon cancer outcomes: The impact of low hospital case volume and case-mix adjustment.

Science.gov (United States)

Fischer, C; Lingsma, H F; van Leersum, N; Tollenaar, R A E M; Wouters, M W; Steyerberg, E W

2015-08-01

When comparing performance across hospitals it is essential to consider the noise caused by low hospital case volume and to perform adequate case-mix adjustment. We aimed to quantify the role of noise and case-mix adjustment on standardized postoperative mortality and anastomotic leakage (AL) rates. We studied 13,120 patients who underwent colon cancer resection in 85 Dutch hospitals. We addressed differences between hospitals in postoperative mortality and AL, using fixed (ignoring noise) and random effects (incorporating noise) logistic regression models with general and additional, disease specific, case-mix adjustment. Adding disease specific variables improved the performance of the case-mix adjustment models for postoperative mortality (c-statistic increased from 0.77 to 0.81). The overall variation in standardized mortality ratios was similar, but some individual hospitals changed considerably. For the standardized AL rates the performance of the adjustment models was poor (c-statistic 0.59 and 0.60) and overall variation was small. Most of the observed variation between hospitals was actually noise. Noise had a larger effect on hospital performance than extended case-mix adjustment, although some individual hospital outcome rates were affected by more detailed case-mix adjustment. To compare outcomes between hospitals it is crucial to consider noise due to low hospital case volume with a random effects model. Copyright © 2015 Elsevier Ltd. All rights reserved.

Case law

International Nuclear Information System (INIS)

2012-01-01

This section gathers the following case laws: 1 - Canada: Judicial review of Darlington new nuclear power plant project; Appeal decision upholding criminal convictions related to attempt to export nuclear-related dual-use items to Iran: Her Majesty the Queen V. Yadegari; 2 - European Commission: Greenland cases; 3 - France: Chernobyl accident - decision of dismissal of the Court of Appeal of Paris; 4 - Slovak Republic: Aarhus Convention compliance update; 5 - United States: Judgement of a US court of appeals upholding the NRC's dismissal of challenges to the renewal of the operating licence for Oyster Creek Nuclear Generating Station; reexamination of the project of high-level waste disposal site at Yucca Mountain

Rare case of transverse testicular ectopia - Case report and review of literature.

Science.gov (United States)

Raj, Vinod; Redkar, Rajeev; Krishna, Swathi; Tewari, Shruti

2017-01-01

This case report has been reported in line with the SCARE criteria; Consensus-based surgical case report guidelines of International Journal of Surgery 2016. Transverse Testicular Ectopia (TTE) is a rare condition which manifests with unilateral undescended testis and contralateral hernia. Till now around 100 cases have been described in the literature. The management depends on the anatomy of the vas, vessels and testis found on surgical exploration. An algorithm exists for its management and we propose a modified algorithm for management of TTE. Five year male presented with complaints of unilateral undescended testis on the right and hernia on the left. Clinically the right testis was impalpable and left testis palpable in the left hemiscrotum and fluid hernia on the same side. Transverse testicular ectopia is a rare condition presenting with UDT and contralateral inguinal hernia. Although more than 100 cases have been described in the literature so far, those managed with a transeptal contralateral orchidopexy are two cases to the best of our knowledge. TTE was first described by Von Lenhossek in 1886. The mean age of presentation is around 4 years and most of the cases are diagnosed on surgical exploration. The management of TTE remains controversial even though an algorithm has been described for its management due to its varied presenting scenarios. TTE is a rare condition which requires high index of suspicion for diagnosis preoperatively. Whenever suspected we recommend an USG and/or MRI prior to diagnostic laparoscopy and proceed with orchidopexy. Diagnostic laparoscopy is both helpful in diagnosis and management. Transeptal contralateral orchidopexy gives good tension free fixation of testes in the scrotum.

BOS MOrth cases prize 2011.

Science.gov (United States)

Patel, Jigar Vipinchandra

2013-12-01

This paper describes the orthodontic treatment of two cases awarded the prize by the British Orthodontic Society for best treated cases submitted for the Membership in Orthodontics. The first case reports on the treatment of a class III malocclusion with increased vertical lower anterior facial proportions and dentoalveolar compensation that was treated with orthodontic camouflage. The second case reports on the treatment of a class II division II malocclusion with reduced vertical lower anterior facial proportions and an overbite complete to the palate, which was treated with orthodontic camouflage.

Theory Testing Using Case Studies

DEFF Research Database (Denmark)

Møller, Ann-Kristina Løkke; Dissing Sørensen, Pernille

2014-01-01

The appropriateness of case studies as a tool for theory testing is still a controversial issue, and discussions about the weaknesses of such research designs have previously taken precedence over those about its strengths. The purpose of the paper is to examine and revive the approach of theory...... testing using case studies, including the associated research goal, analysis, and generalisability. We argue that research designs for theory testing using case studies differ from theorybuilding case study research designs because different research projects serve different purposes and follow different...... research paths....

A challenging case of invasive pulmonary aspergillosis after near-drowning: a case report and literature review.

Science.gov (United States)

Jenks, Jeffrey D; Preziosi, Michael

2015-09-01

Near-drowning, a relatively common event, is often complicated by subsequent pneumonia. While endogenous and exogenous bacteria are typical pathogens, rarely fungi are as well. We report a complicated case of invasive pulmonary aspergillosis in a 30-year-old man after a near-drowning event. We also review the medical literature for similar cases. All cases of invasive pulmonary aspergillosis after near-drowning reported in the literature involve Aspergillus fumigatus . The majority of cases involved submersion in stagnant water after a motor vehicle accident (MVA). Treatment varied considerably, with amphotericin B used in the majority of cases. Morbidity was considerable with prolonged hospitalization occurring in every case, and mortality occurring in fifty percent of the reported cases. Although a rare complication of near-drowning, invasive pulmonary aspergillosis can occur and lead to significant morbidity and mortality. After near-drowning A. fumigatus isolated from the respiratory tract should be assumed to be a true pathogen and treated accordingly.

Some of the cases

DEFF Research Database (Denmark)

Eller, Nanna Hurwitz; Mogensen, Jørn Thykjær; Gyntelberg, Finn

2014-01-01

Some of the cases of acknowledged occupational psychiatric disorder in Denmark have been exposed to negative press coverage. Such individuals might have been exposed to violence to a lower extent than other with an acknowledged psychological work injury. We compared 25 cases with 35 controls...... matched on age and gender. The cases had experienced significantly fewer incidents of violence and had less anxiety and flashback symptoms than the controls. The results suggest that the negative press coverage was the reason for the psychiatric symptoms rather than exposures at the workplace....

451 Case studies Cardiac

African Journals Online (AJOL)

Marinda

Case Studies. 29 ... A case of a 26-year-old ASA I physical status male undergoing septoplasty had an abrupt ... myocardial infarction, severe hypertensive crisis, cerebral .... or no formal management is required in an ASA I patient.8 One.

Five misunderstandings about case study research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2004-01-01

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...... useful for generating hypotheses, while other methods aremore suitable for hypotheses testing and theory building; (4) The case study contains a bias toward verification; and (5) It is often difficult to summarize specific case studies. The article explains and corrects these misunderstandings one by one...... and concludes with the Kuhnian insight that a scientific discipline without a large number of thoroughly executed case studies is a discipline without systematic production of exemplars, and that a discipline without exemplars is an ineffective one. Social science may be strengthened by the execution of more...

Emotion, Engagement, and Case Studies

Science.gov (United States)

Herreid, Clyde Freeman; Terry, David R.; Lemons, Paula; Armstrong, Norris; Brickman, Peggy; Ribbens, Eric

2014-01-01

Three college faculty taught large general biology classes using case studies and personal response systems (clickers). Each instructor taught the same eight cases in two different sections, except the questions within the cases differed. In one section the questions were lower order (LO) factual inquiries, and in the other they were largely…

PHAKOMATOSIS PIGMENTOVASCULARIS: REPORT OF A CASE

Directory of Open Access Journals (Sweden)

Mostafa Mirshams-Shahshahani

1995-06-01

Full Text Available The present study introduces a rare case of phakomatosispigmenJovascularis, which is charaderiud by the existence ofpigmentary naevus ond vascular naevus. Until 1985, 63 cases ofthis syndrome have been reported, mostly in Japon (56 cases. This is the first case of phakomatosis pigmentovascularis, reported in Iran.

"Tuberculosis Case Management" Training.

Science.gov (United States)

Knebel, Elisa; Kolodner, Jennifer

2001-01-01

The need to isolated health providers with critical knowledge in tuberculosis (TB) case management prompted the development of "Tuberculosis Case Management" CD-ROM. Features include "Learning Center,""Examination Room," and "Library." The combination of audio, video, and graphics allows participants to…

Estimating time-varying exposure-outcome associations using case-control data: logistic and case-cohort analyses.

Science.gov (United States)

Keogh, Ruth H; Mangtani, Punam; Rodrigues, Laura; Nguipdop Djomo, Patrick

2016-01-05

Traditional analyses of standard case-control studies using logistic regression do not allow estimation of time-varying associations between exposures and the outcome. We present two approaches which allow this. The motivation is a study of vaccine efficacy as a function of time since vaccination. Our first approach is to estimate time-varying exposure-outcome associations by fitting a series of logistic regressions within successive time periods, reusing controls across periods. Our second approach treats the case-control sample as a case-cohort study, with the controls forming the subcohort. In the case-cohort analysis, controls contribute information at all times they are at risk. Extensions allow left truncation, frequency matching and, using the case-cohort analysis, time-varying exposures. Simulations are used to investigate the methods. The simulation results show that both methods give correct estimates of time-varying effects of exposures using standard case-control data. Using the logistic approach there are efficiency gains by reusing controls over time and care should be taken over the definition of controls within time periods. However, using the case-cohort analysis there is no ambiguity over the definition of controls. The performance of the two analyses is very similar when controls are used most efficiently under the logistic approach. Using our methods, case-control studies can be used to estimate time-varying exposure-outcome associations where they may not previously have been considered. The case-cohort analysis has several advantages, including that it allows estimation of time-varying associations as a continuous function of time, while the logistic regression approach is restricted to assuming a step function form for the time-varying association.

Factors associated with tuberculosis cases in Semarang District, Indonesia: case-control study performed in the area where case detection rate was extremely low.

Science.gov (United States)

Rahayu, Sri Ratna; Katsuyama, Hironobu; Demura, Masashi; Katsuyama, Midori; Ota, Yoko; Tanii, Hideji; Higashi, Tomomi; Semadi, Ngakan Putu Djaja; Saijoh, Kiyofumi

2015-07-01

Indonesia is ranked as the 4th highest contributor to tuberculosis (TB) in the world. Semarang District in Central Java displays extremely low case detection rate (CDR), possibly contributing to the local prevalence of TB. A case-control study was performed to explore the factors that cause such low CDR. We recruited 129 TB cases and 83 controls that visited the same centers and were not diagnosed with TB. The cases had 7.5 ± 2.3 symptoms/person on average, indicating the delay in diagnosis because the controls only displayed 1.0 ± 1.7. The multiple logistic regression analysis comparing the cases/controls extracted following factors as a risk to have TB: farmer, close contact with TB patients, ignorance of whether Bacillus Calmette-Guérin (BCG) was accepted or no, smoking, low income, a lot of people living in the same room, irregular hand wash before meals, not wash hands after blow, soil floor, and no sunlight and no ventilation in the house. Neither the cases nor the controls knew the symptoms and how to avoid TB infection, which probably caused the delay in diagnosis. It is difficult to change the current living conditions. Thus, the amendment of the community-based education program of TB seems to be required.

Case and Administrative Support Tools

Science.gov (United States)

Case and Administrative Support Tools (CAST) is the secure portion of the Office of General Counsel (OGC) Dashboard business process automation tool used to help reduce office administrative labor costs while increasing employee effectiveness. CAST supports business functions which rely on and store Privacy Act sensitive data (PII). Specific business processes included in CAST (and respective PII) are: -Civil Rights Cast Tracking (name, partial medical history, summary of case, and case correspondance). -Employment Law Case Tracking (name, summary of case). -Federal Tort Claims Act Incident Tracking (name, summary of incidents). -Ethics Program Support Tools and Tracking (name, partial financial history). -Summer Honors Application Tracking (name, home address, telephone number, employment history). -Workforce Flexibility Initiative Support Tools (name, alternative workplace phone number). -Resource and Personnel Management Support Tools (name, partial employment and financial history).

Caseload management, work-related stress and case manager self-efficacy among Victorian mental health case managers.

Science.gov (United States)

King, Robert

2009-05-01

In Australia and comparable countries, case management has become the dominant process by which public mental health services provide outpatient clinical services to people with severe mental illness. There is recognition that caseload size impacts on service provision and that management of caseloads is an important dimension of overall service management. There has been little empirical investigation, however, of caseload and its management. The present study was undertaken in the context of an industrial agreement in Victoria, Australia that required services to introduce standardized approaches to caseload management. The aims of the present study were therefore to (i) investigate caseload size and approaches to caseload management in Victoria's mental health services; and (ii) determine whether caseload size and/or approach to caseload management is associated with work-related stress or case manager self-efficacy among community mental health professionals employed in Victoria's mental health services. A total of 188 case managers responded to an online cross-sectional survey with both purpose-developed items investigating methods of case allocation and caseload monitoring, and standard measures of work-related stress and case manager personal efficacy. The mean caseload size was 20 per full-time case manager. Both work-related stress scores and case manager personal efficacy scores were broadly comparable with those reported in previous studies. Higher caseloads were associated with higher levels of work-related stress and lower levels of case manager personal efficacy. Active monitoring of caseload was associated with lower scores for work-related stress and higher scores for case manager personal efficacy, regardless of size of caseload. Although caseloads were most frequently monitored by the case manager, there was evidence that monitoring by a supervisor was more beneficial than self-monitoring. Routine monitoring of caseload, especially by a workplace

Improvement of Students’ Ability to Analyzing Cases on Case Studies Through Journal and Learning Log

Directory of Open Access Journals (Sweden)

Riska Ahmad

2017-08-01

Full Text Available The purpose of this research is to improve the ability of students in guidance and counseling  to  analyzing the case through journals and learning logs This research is classroom action research consists of two cycles. The research phase consisted of planning, implementation, observation and reflection. The research subject are students in guidance and counseling while they are in sixth semester, totaling 20 people who were taking courses in Case Study. The research instrument is the observation guidelines, assessment rubrics and documentation of case studies in the form of journals and learning logs, and case study reports. The study was conducted collaboratively with student magister’s program guidance and counseling. The results showed that in cycle 1 students are able to identify cases, to develop ideas about the case, select and use instruments to analyze the cause of the problem. The results of the research cycle 2, showed 17 of the 20 students were able to analyze the cause of the problem, select the type of service and provide appropriate assistance in accordance with problem cases. Overall value obtained by the students in the subject of Case Studies also increased. In terms of the ability of explanation of the concept, the concept of truth and creativity, based on the ratings given by fellow students of average ability students were in either category, although there is less good, as are associated with the activity of the opinion and the quality of the opinions expressed.

Genetic Engineering and Sustainable Crop Disease Management: Opportunities for Case-by-Case Decision-Making

Directory of Open Access Journals (Sweden)

Paul Vincelli

2016-05-01

Full Text Available Genetic engineering (GE offers an expanding array of strategies for enhancing disease resistance of crop plants in sustainable ways, including the potential for reduced pesticide usage. Certain GE applications involve transgenesis, in some cases creating a metabolic pathway novel to the GE crop. In other cases, only cisgenessis is employed. In yet other cases, engineered genetic changes can be so minimal as to be indistinguishable from natural mutations. Thus, GE crops vary substantially and should be evaluated for risks, benefits, and social considerations on a case-by-case basis. Deployment of GE traits should be with an eye towards long-term sustainability; several options are discussed. Selected risks and concerns of GE are also considered, along with genome editing, a technology that greatly expands the capacity of molecular biologists to make more precise and targeted genetic edits. While GE is merely a suite of tools to supplement other breeding techniques, if wisely used, certain GE tools and applications can contribute to sustainability goals.

Shared written case formulations and weight change in outpatient therapy for anorexia nervosa: a naturalistic single case series.

Science.gov (United States)

Gladwin, Alice M; Evangeli, Michael

2013-01-01

The therapeutic effects of written shared case formulations are underexplored and have not been examined in anorexia nervosa. This study explored the relationship between (a) the delivery (b) the quality of a shared written case formulation and weight in outpatient psychological therapy for anorexia nervosa. A naturalistic single case series approach was used to examine the case notes of women who had attended a specialist eating disorders service over a 2-year period. The case notes of 15 adult women who had undergone outpatient psychological therapy for anorexia nervosa with a shared written case formulation component were reviewed. The impact of the quality of the case formulation on weekly weight was examined for 14 of the clients where the case formulation was available. The nature of the relationship between the delivery of the written shared case formulation and weight was examined for all 15 clients. There was some evidence to support an association between delivery of the shared written case formulation and weight changes (both weight gain [five out of 15 clients] and weight loss [three out of 15 clients]) in individual cases. Higher case formulation quality was related to cases where weight change did not occur. The delivery of case formulations can be associated with important therapeutic change (both beneficial and potentially harmful) in anorexia nervosa. Future research into the causal mechanisms associated with sharing formulations will face the challenge of adopting strategies that allow for an in-depth exploration of complex therapy variables whilst overcoming methodological challenges. Copyright © 2012 John Wiley & Sons, Ltd.

Case-based medical informatics

Directory of Open Access Journals (Sweden)

Arocha José F

2004-11-01

Full Text Available Abstract Background The "applied" nature distinguishes applied sciences from theoretical sciences. To emphasize this distinction, we begin with a general, meta-level overview of the scientific endeavor. We introduce the knowledge spectrum and four interconnected modalities of knowledge. In addition to the traditional differentiation between implicit and explicit knowledge we outline the concepts of general and individual knowledge. We connect general knowledge with the "frame problem," a fundamental issue of artificial intelligence, and individual knowledge with another important paradigm of artificial intelligence, case-based reasoning, a method of individual knowledge processing that aims at solving new problems based on the solutions to similar past problems. We outline the fundamental differences between Medical Informatics and theoretical sciences and propose that Medical Informatics research should advance individual knowledge processing (case-based reasoning and that natural language processing research is an important step towards this goal that may have ethical implications for patient-centered health medicine. Discussion We focus on fundamental aspects of decision-making, which connect human expertise with individual knowledge processing. We continue with a knowledge spectrum perspective on biomedical knowledge and conclude that case-based reasoning is the paradigm that can advance towards personalized healthcare and that can enable the education of patients and providers. We center the discussion on formal methods of knowledge representation around the frame problem. We propose a context-dependent view on the notion of "meaning" and advocate the need for case-based reasoning research and natural language processing. In the context of memory based knowledge processing, pattern recognition, comparison and analogy-making, we conclude that while humans seem to naturally support the case-based reasoning paradigm (memory of past experiences

Five misunderstandings about Case-study Research

DEFF Research Database (Denmark)

Flyvbjerg, Bent

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...... useful for generating hypotheses, while other methods aremore suitable for hypotheses testing and theory building; (4) The case study contains a bias toward verification; and (5) It is often difficult to summarize specific case studies. The article explains and corrects these misunderstandings one by one...... and concludes with the Kuhnian insight that a scientific discipline without a large number of thoroughly executed case studies is a discipline without systematic production of exemplars, and that a discipline without  exemplars is an ineffective one. Social science may be strengthened by the execution of more...

First case of bacteremia caused by Moellerella wisconsensis: case report and a review of the literature.

Science.gov (United States)

Cardentey-Reyes, A; Jacobs, F; Struelens, M J; Rodriguez-Villalobos, H

2009-12-01

Moellerella wisconsensis, a member of the Enterobacteriaceae family, is rarely isolated in clinical specimens. We report here a case of M. wisconsensis infection in a 46-year-old cirrhotic patient with acute cholecystitis. This is the first reported case of a M. wisconsensis infection in Belgium and the first reported case of human bacteremia caused by this bacterium. Our case report is followed by a review of the literature.

Development of a program for calculation of second dose and securities in brachytherapy high dose rate; Elaboracion de un programa para el segundo calculo de la dosis y seguridades en braquiterapia de alta tasa de dosis

Energy Technology Data Exchange (ETDEWEB)

Esteve Sanchez, S.; Martinez Albaladejo, M.; Garcia Fuentes, J. D.; Bejar Navarro, M. J.; Capuz Suarez, B.; Moris de Pablos, R.; Colmenares Fernandez, R.

2015-07-01

We assessed the reliability of the program with 80 patients in the usual points of prescription of each pathology. The average error of the calculation points is less than 0.3% in 95% of cases, finding the major differences in the axes of the applicators (maximum error -0.798%). The program has proved effective previously testing him with erroneous dosimetry. Thanks to the implementation of this program is achieved by the calculation of the dose and part of the process of quality assurance program in a few minutes, highlighting the case of HDR prostate due to having a limited time. Having separate data sheet allows each institution to its protocols modify parameters. (Author)

Dioctophymiasis: A Rare Case Report.

Science.gov (United States)

Chauhan, Sapna; Kaval, Sunil; Tewari, Swati

2016-02-01

Dioctophyma renale commonly known as "giant kidney worm' is found in the kidney of carnivorous mammals. Human infestation is rare, but results in destruction of the kidneys. Very few cases have been reported worldwide. We are here reporting a case of Dioctophymiasis in a 35-year-old male patient who presented with retention of urine and subsequent passage of worm and blood in urine. The worm was confirmed as Dioctophyma renale based on its morphology and clinical presentation. This is a very rare case report and to best of our knowledge only two cases have been reported from India.

Urachal endometrioma: a case report.

LENUS (Irish Health Repository)

Browne, Katherine M

2009-01-01

INTRODUCTION: We discuss a rare presentation of an unusual case of endometrioma. CASE PRESENTATION: A 40-year-old Caucasian woman presented with subacute abdominal pain and a suprapubic mass. A final diagnosis was made after the mass was resected and histopathology confirmed an endometrioma originating from an urachal remnant. Select imaging studies and histopathology are presented in this case report. CONCLUSION: While endometriomata are well known to arise from abdominal scars, the condition described in this case report is a rare example of an endometrioma arising from the urachus. A review of the pathological complications of the urachus is also included.

[Urogenital tuberculosis. Apropos of 40 cases].

Science.gov (United States)

el Khader, K; el Fassi, J; Karmouni, T; Tazi, K; Ibnattya, A; Hachimi, M; Lakrissa, A

1997-01-01

The authors report a series of 40 cases of genitourinary tuberculosis diagnosed and treated in the department of urology "B" of Avicenne hospital over a 7-year period. The objective of this study is to define the various diagnostic and therapeutic aspects of this disease. The patients were predominantly males (62.5%) with a mean age of 40 years. 25% of cases reported a history of extra-urinary tuberculosis. The very polymorphous clinical presentation is dominated by signs of cystitis (45%). Intravenous urography is frequently suggestive of the diagnosis based on the appearance and multiplicity of the lesions. The radiological lesions most frequently encountered were silent kidney (19 cases) and small tuberculous bladder (11 cases). The definitive diagnosis was established by pathological examination in 38 cases (biopsies, operative specimens, prostatic resection chips) and/or by demonstration of AFB in 2 cases (urine, pus). Tuberculostatic treatment was administered to all patients, either alone (5 cases) or, more usually, in combination with surgical and/or endo-urological treatment (35 cases), reflecting the magnitude and severity of the destructive and scar lesions.

Calculations of Changes in Reactivity during some regular periods of operation of JEN-1 MOD Reactor; Calculo de vairaciones de reactividad en algunos periodos regulares de operacion del reactor JEN-1 Mod.

Energy Technology Data Exchange (ETDEWEB)

Alcala Ruiz, F

1973-07-01

By a Point-Reactor model and Perturbation Theory, changes in reactivity during some regular operating periods of JEN-1 MOD Reactor have been calculated and compared with available measured values. they were in good agreement. Also changes in reactivity have been calculated during operations at higher power levels than the present one, concluding some practical consequences for the case of increasing the present power of this reactor. (Author)

Medico-legal findings, legal case progression, and outcomes in South African rape cases: retrospective review.

Directory of Open Access Journals (Sweden)

Rachel Jewkes

2009-10-01

Full Text Available BACKGROUND: Health services for victims of rape are recognised as a particularly neglected area of the health sector internationally. Efforts to strengthen these services need to be guided by clinical research. Expert medical evidence is widely used in rape cases, but its contribution to the progress of legal cases is unclear. Only three studies have found an association between documented bodily injuries and convictions in rape cases. This article aims to describe the processing of rape cases by South African police and courts, and the association between documented injuries and DNA and case progression through the criminal justice system. METHODS AND FINDINGS: We analysed a provincially representative sample of 2,068 attempted and completed rape cases reported to 70 randomly selected Gauteng province police stations in 2003. Data sheets were completed from the police dockets and available medical examination forms were copied. 1,547 cases of rape had medical examinations and available forms and were analysed, which was at least 85% of the proportion of the sample having a medical examination. We present logistic regression models of the association between whether a trial started and whether the accused was found guilty and the medico-legal findings for adult and child rapes. Half the suspects were arrested (n = 771, 14% (209 of cases went to trial, and in 3% (31 of adults and 7% (44 of children there was a conviction. A report on DNA was available in 1.4% (22 of cases, but the presence or absence of injuries were documented in all cases. Documented injuries were not associated with arrest, but they were associated with children's cases (but not adult's going to trial (adjusted odds ratio [AOR] for having genital and nongenital injuries 5.83, 95% confidence interval [CI] 1.87-18.13, p = 0.003. In adult cases a conviction was more likely if there were documented injuries, whether nongenital injuries alone AOR 6.25 (95% CI 1.14-34.3, p = 0

Theory testing using case studies

DEFF Research Database (Denmark)

Dissing Sørensen, Pernille; Løkke Nielsen, Ann-Kristina

2006-01-01

on the strengths of theory-testing case studies. We specify research paths associated with theory testing in case studies and present a coherent argument for the logic of theoretical development and refinement using case studies. We emphasize different uses of rival explanations and their implications for research...... design. Finally, we discuss the epistemological logic, i.e., the value to larger research programmes, of such studies and, following Lakatos, conclude that the value of theory-testing case studies lies beyond naïve falsification and in their contribution to developing research programmes in a progressive......Case studies may have different research goals. One such goal is the testing of small-scale and middle-range theories. Theory testing refers to the critical examination, observation, and evaluation of the 'why' and 'how' of a specified phenomenon in a particular setting. In this paper, we focus...

Estimating time-varying exposure-outcome associations using case-control data: logistic and case-cohort analyses

Directory of Open Access Journals (Sweden)

Ruth H. Keogh

2016-01-01

Full Text Available Abstract Background Traditional analyses of standard case-control studies using logistic regression do not allow estimation of time-varying associations between exposures and the outcome. We present two approaches which allow this. The motivation is a study of vaccine efficacy as a function of time since vaccination. Methods Our first approach is to estimate time-varying exposure-outcome associations by fitting a series of logistic regressions within successive time periods, reusing controls across periods. Our second approach treats the case-control sample as a case-cohort study, with the controls forming the subcohort. In the case-cohort analysis, controls contribute information at all times they are at risk. Extensions allow left truncation, frequency matching and, using the case-cohort analysis, time-varying exposures. Simulations are used to investigate the methods. Results The simulation results show that both methods give correct estimates of time-varying effects of exposures using standard case-control data. Using the logistic approach there are efficiency gains by reusing controls over time and care should be taken over the definition of controls within time periods. However, using the case-cohort analysis there is no ambiguity over the definition of controls. The performance of the two analyses is very similar when controls are used most efficiently under the logistic approach. Conclusions Using our methods, case-control studies can be used to estimate time-varying exposure-outcome associations where they may not previously have been considered. The case-cohort analysis has several advantages, including that it allows estimation of time-varying associations as a continuous function of time, while the logistic regression approach is restricted to assuming a step function form for the time-varying association.

Cases for the Net Generation: An Empirical Examination of Students' Attitude toward Multimedia Case Studies

Science.gov (United States)

Sheppard, Michael; Vibert, Conor

2016-01-01

Case studies have been an important tool in business, legal, and medical education for generations of students. Traditional text-based cases tend to be self-contained and structured in such a way as to teach a particular concept. The multimedia cases introduced in this study feature unscripted web-hosted video interviews with business owners and…

Radiological case

International Nuclear Information System (INIS)

Giraldo Estrada, Horacio

2001-01-01

The paper analyze the case of a patient (65 year-old) masculine, who consults for precordial pain associated to dyspnoea, left scapular pain and in the shoulder of the same side, of 3 days of evolution that it has been permanent and progressive. He also refers, loss of weight the last 6 months and dyspnoea of effort of 1 month of evolution. He denies chill, fever, cough or expectoration. The patient presents gastric ulcer tried for 1 year, smoker of 2 packages of daily cigarettes of the 15 to the 40 years; all its life worked in masonry. X-rays of the thorax and Tac, among other analyses were done and the case is discusses

Electromagnetic fields in cased borehole

International Nuclear Information System (INIS)

Lee, Ki Ha; Kim, Hee Joon; Uchida, Toshihiro

2001-01-01

Borehole electromagnetic (EM) measurements, using fiberglass-cased boreholes, have proven useful in oil field reservoir characterization and process monitoring (Wilt et al., 1995). It has been presumed that these measurements would be impossible in steel-cased wells due to the very large EM attenuation and phase shifts. Recent laboratory and field studies have indicated that detection of EM signals through steel casing should be possible at low frequencies, and that these data provide a reasonable conductivity image at a useful scale. Thus, we see an increased application of this technique to mature oilfields, and an immediate extension to geothermal industry as well. Along with the field experiments numerical model studies have been carried out for analyzing the effect of steel casing to the EM fields. The model used to be an infinitely long uniform casing embedded in a homogeneous whole space. Nevertheless, the results indicated that the formation signal could be accurately recovered if the casing characteristics were independently known (Becker et al., 1998; Lee el al., 1998). Real steel-cased wells are much more complex than the simple laboratory models used in work to date. The purpose of this study is to develop efficient numerical methods for analyzing EM fields in realistic settings, and to evaluate the potential application of EM technologies to cross-borehole and single-hole environment for reservoir characterization and monitoring

Bioremediation case studies: Abstracts. Final report

International Nuclear Information System (INIS)

Devine, K.

1992-03-01

The report contains abstracts of 132 case studies of bioremediation technology applied to hazardous waste clean-up. It was prepared to compile bioremediation studies in a variety of locations and treating diverse contaminants, most of which were previously undocumented. All data are based on vendor-supplied information and there was no opportunity to independently confirm its accuracy. These 132 case studies, from 10 different biotechnology companies, provide users with reference information about on-going and/or completed field applications and studies. About two-thirds of the cases were at full-scale clean-up level with the remainder at pilot or laboratory scale. In 74 percent of the cases, soil was at least one of the media treated. Soil alone accounts for 46 percent of the cases. Petroleum-related wastes account for the largest contaminant with 82 cases. Thirty-one states are represented in the case studies

How To Set Up Your Own Small Business. Service Company Case Study. Manufacturing Firm Case Study. Retail Store Case Study.

Science.gov (United States)

Fallek, Max

This collection of case studies is intended for use in a course in setting up a small business. The first, a case study of the process of setting up a service company, covers analyzing the pros and cons of starting one's own business, assessing the competition and local market, and selecting a site for and financing the business. The principal…

The role of radionuclide studies in emergency cases

International Nuclear Information System (INIS)

Nishimura, Tsunehiko; Hayashida, Kohei; Uehara, Toshiisa

1982-01-01

Radionuclide studies have been performed popularly because of its noninvasive and simple method recently. In this study, we applied this technique for the evaluation of emergency cases in cardiovascular diseases. There were 93 cases (1.5%) out of 6163 cases, done during 1981. The subjects were 34 cases of cardiac studies (9 cases of sup(99m)Tc-PYP myocardial imaging, 12 cases of thallium myocardial imaging, 13 cases of cardioangiography), 23 cases of peripheral diseases (12 cases of peripheral angiography, 11 cases of venography), 16 cases of pulmonary imaging, 10 cases of renal studies (6 cases of renal angiography, 9 cases of renal imaging) and 5 cases of brain angiography. These studies were proven to be useful clinically for the evaluation of emergency cases and follow-up studies. In the near future, ''emergency radionuclide studies'' would be benefit for the high-risk patients noninvasively. (author)

Case Briefs in Legal English Classes

Directory of Open Access Journals (Sweden)

Bilová Stĕpánka

2016-06-01

Full Text Available A case brief can be described as a succinct summary of a case which specifies the facts, procedural history, legal issue(s, court decision and legal reasoning supporting the judgment, even though exact formats may vary. Case briefing is a demanding activity which is required from students during their law studies. The goal is to teach students to focus on the essential parts of the case and to obtain a thorough understanding of the case and the reasoning, which means the students need to employ their analytical and critical thinking skills.

Rhetorical Structure and Linguistic Features of Case Presentations in Case Reports in Taiwanese and International Medical Journals

Science.gov (United States)

Hung, Hsuan; Chen, Pi-Ching; Tsai, Jing-Jane

2012-01-01

The case presentation is the core section of a medical case report. Issues in the teaching of case report writing have recently been the subject of great interest in medical education, especially in the era of globalization. Given that Taiwanese medical students, residents and junior physicians are requested to write case reports in English and…

Case histories as evidence.

Science.gov (United States)

Herxheimer, Andrew; Healy, David; Menkes, David B

2012-01-01

In courts case histories play a central part when a crime may have resulted from an effect of a prescribed drug; in civil cases where a person may have suffered damage from a drug; and in coroners' enquiries into the cause of unexplained deaths. The court must decide two important questions: 1. Can the suspected medication(s) cause this kind of effect? 2. Did it (or they) do so in this particular case? Many judges and coroners have not addressed these questions clearly and have not used expert witnesses consistently, on occasion disregarding scientific evidence. Courts need to appoint experts to explain and interpret the scientific evidence. Few judges are equipped to resolve contradictions between different experts. Brief accounts of five cases from four countries illustrate these points. The reluctance of legal processes to implicate drugs as a possible cause of violent behaviour leads to injustice. Courts must be required to obtain appropriate expert evidence, and be given independent data on which drugs can cause such behaviour.

[The case manager--from words to deeds?].

Science.gov (United States)

Lindegaard, Birthe Rosenkrantz; Qvist, Peter

2010-04-19

Allocation of a case manager is now mandatory for both in- and outpatients in Denmark. Case manager allocation is reported quarterly to the regions and results are generally satisfying. Knowledge about fulfillment of the case manager role is, however, sparse. This study aims to examine the degree of fulfillment of the case manager role for a sample of inpatients. Two medical and two surgical wards participated. Patients were interviewed in relation to discharge while staff assigned as case managers completed a survey. Both patients and case managers answered questions regarding the defined roles as case managers: Planning/coordination, continuous information and discharge planning. 107 of 125 eligible patients were interviewed. Only 25 declared themselves informed about the allocation of a case manager. The patients' assessment of the service provided by the staff in relation to case manager tasks was generally good, but the services were seldom provided by the named case manager. 22% of patients did not experience continuous information, while only 13% did not experience a generally coherent stay in hospital. 110 case managers completed the survey. Less than half felt themselves well informed about the case manager role. Only a few case managers feel that they succeed in fulfilling the role, particularly regarding the participation in discharge planning. There seems to be a need for a targeted effort to improve the conditions for case managers in Danish hospitals in order to meet the intentions of this initiative.

BioFleet case studies

International Nuclear Information System (INIS)

2007-01-01

These six case studies examined the use of different biodiesel blends as fuel supply sources for businesses in British Columbia (BC). In the first case study, 6 municipalities participated in a pilot program designed to compare the performance of biodiesel and diesel fuels. Each municipality operated 2 base vehicles running on conventional diesel along with 2 similar vehicles which used biodiesel. Real time emissions tests and analyses of the vehicles using biodiesel were also conducted by 2 of the participating municipalities. All municipalities participating in the study agreed to purchase significant volumes of biodiesel. The second case study described a pilot study conducted by the City of Vancouver's equipment services branch in 2004. As a result of the study, the city now has over 530 types of equipment that use biodiesel. The third case study described a program designed by TSI Terminals in Vancouver to assess the emission reduction impact of using biodiesel at its port facility. Six different pieces of equipment were used to confirm that biodiesel could be used throughout the terminal. Test results confirmed that biodiesel blends could be used to reduce emissions. Overall emissions were reduced by 30 per cent. The fourth case study described a waste renderer that used a fleet of 36 trucks to deliver raw products to its plants. The company made the decision to use only biodiesel for its entire fleet of trucks. Since July 2005, the company has logged over 1.7 million km using biodiesel blends. The fifth case study described a salmon hatchery that switched from diesel to biodiesel in order to reduce emissions. The biodiesel blends are used to fuel the hatchery's 2 diesel generators. The hatchery has reduced emissions of greenhouse gases (GHGs) by an estimated 1800 tonnes annually. The sixth case study described how the Township of Langley has started using biodiesel for its entire fleet of of approximately 250 pieces of equipment. The township has not

Case-based Agile Fixture Design

Institute of Scientific and Technical Information of China (English)

无

2001-01-01

In order to realize the agility of the fixture design, such asreconfigurability, rescalability and reusability, fixture structure is function unit-based decomposed from a fire-new point of view. Which makes it easy for agile fixture to be reconfigured and modified. Thereby, the base of case-based agile fixture design system info is established.Whole case-based agile fixture design model is presented. In which, three modules are added relative to the other models, including case matching of fixture planning module, conflict arbitration module and agile fixture case modify module. The three modules could solve the previous problem that the experience and result are difficult to be reused in the process of design.Two key techniques in the process of the agile fixture design, the evaluation of case similarity, and restriction-based conflict arbitration, are listed. And some methods are presented to evaluate the similarity and clear up the conflict.

Endodontic cellulitis 'flare-up'. Case report.

Science.gov (United States)

Matusow, R J

1995-02-01

Endodontic cellulitis involves facial swelling which can vary from mild to severe and can occur as a primary case or a flare-up following initial treatment of asymptomatic teeth with periapical lesions. The microbial spectrum in primary cases involves a significant mixture of anaerobic and facultative aerobic microbes, chiefly streptococci. In a previous study, cultures from flare-up cases, utilizing the same anaerobic techniques as in primary cases, revealed an absence of obligate anaerobes and an 80 per cent incidence of facultative aerobic streptococci. These cases also revealed a significant time lapse from onset of symptoms to the cellulitis phase. No sex or age factors were noted in the primary or flare-up cases. The purpose of this case report is to restate a traditional theory, namely, the alteration of the oxidation/reduction potential (Eh), as a major factor for endodontic cellulitis flare-ups; to confirm the pathogenic potential of oral facultative streptococci; and that asymptomatic endodontic lesions tend to exist with mixed aerobic/anaerobic microbial flora.

Fuzzy-Set Case Studies

Science.gov (United States)

Mikkelsen, Kim Sass

2017-01-01

Contemporary case studies rely on verbal arguments and set theory to build or evaluate theoretical claims. While existing procedures excel in the use of qualitative information (information about kind), they ignore quantitative information (information about degree) at central points of the analysis. Effectively, contemporary case studies rely on…

Case manager satisfaction in public health.

Science.gov (United States)

Schutt, Russell K; Fawcett, Jacqueline; Gall, Gail B; Harrow, Brooke; Woodford, Mary Lou

2010-01-01

The purpose of this study was to examine correlates of case managers' satisfaction with their work, services, and service network and to identify connections to service performance and service costs. A decentralized public health program that exemplifies the trend toward more diverse clients and networked services. A mixed method design with 34 case managers. As hypothesized, the case managers' experiences with clients and the service network, and their service effectiveness, were associated with their satisfaction with their jobs and the services they provide. Satisfaction was also positively associated with more timely service delivery. These associations were explained in part by case managers' education and training. Case managers can achieve high levels of job and service satisfaction in outreach programs serving a diverse client population in a decentralized service network. Case managers' job and service satisfaction improves with reduced service problems and service delays and when case managers can devise work-arounds for persistent service problems. Using advanced practice nurses (APN) and providing more on-the-job training may increase case manager satisfaction with their jobs and the services they provide. Special efforts may be needed to prevent a decline in job satisfaction with years of experience.

Isolated adrenal paracoccidioidomycosis: Case report

International Nuclear Information System (INIS)

Uribe Castro, Jorge Ricardo; Quintana, Humberto; Puentes, Alix Sofia and others

2011-01-01

Even though paracoccidioidomycosis has a relatively high prevalence in Latin America in a systemic form, isolated cases, especially compromising the adrenal glands, are uncommon, with only two reported cases. In this article, we report the case of a 55 year-old male with clinical manifestations of adrenal insufficiency. The only imaging finding was the presence of bilateral adrenal masses. The biopsy showed Paracoccidioides brasiliensis infection.

Case report

African Journals Online (AJOL)

abp

2013-01-09

. The electrolytes analysis revealed an acute hyponatremia. (sodium concentration 125 mmol/L). Medical treatment consisted of hypertonic saline solution 3%, volume expansion, intubation and ventilation. The presented case ...

Case Report: A Rare Case Report of Frontal Lobe Syndrome

Directory of Open Access Journals (Sweden)

Morteza Nouri- Khajavi

2003-04-01

Full Text Available The frontal lobe syndrome is a permanent personality change disorder with characteristic clinical pictures, which followed by frontal lobes damage. Clinical picture include: Affective instability, recurrent aggressive behavior, impaired social judgment, apathy and undifferentiating or suspiciousness and paranoid ideations. According DSM-IV classification frontal lobe syndrome named personality change due to head trauma on Axis I. Herein we report a case of 46 years-old man, who has developed behavioral disturbances following head trauma, about 10 years ago. Main clinical figures in this case are apathy, avolition and, undifferentiating. Clinical pictures are constant during these 10 years. The diagnostic approach has been based on patient’s problems history which, has taken from his family, mental status examination, Neurological examination, Brain imaging and Neuropsychological assessments which related to frontal lobes function. Because of rarity & neglection due to mysterious function of frontal lobes, and also considering that personality change from previous level is prominent figure of this syndrome and also brain imaging findings, which compatible with clinical findings, with this aim, we have reported this case.

CASE REPORT A recurrent gestational choriocarcinoma case ...

African Journals Online (AJOL)

Admin

molar pregnancy (Luna Russo et al., 2015). To our knowledge recurrence resulting in rupture 14 month following a live pregnancy is an extremely rare event. Management of gestational trophoblastic disease in our setup poses multiple challenges as seen in this particular case. Serum β-HCG follow up for these patients ...

What is in a Business Case? Business Cases as a Tool‐in‐Use for Promoting Water Stewardship

DEFF Research Database (Denmark)

Pedersen, Esben Rahbek Gjerdrum; Lauesen, Linne Marie; Rosati, Francesco

This paper explores the role of business cases as a tool‐in‐use for decision‐making processes on Water management. The literature is rich on generic discussions of the business case for corporate sustainability, whereas there have been less efforts to examine the concrete use of business cases...... in everyday organisational life. Drawing on the practice‐based management literature, it is concluded that the business case tool has a decisive influence on water management activities among European food companies. However, the analysis also show the business case tool are not set in stone but can...

Soil pro consolidation load and settlement computation; Preconsolidacion de los suelos y calculo de asentamiento

Energy Technology Data Exchange (ETDEWEB)

Delgado Martinez, D. E.

2009-07-01

It is estimated that cohesive soils are present in about in about 80% of the Cuban territory. Most of these soils are pre consolidated as a result of the country's geo-environmental conditions. That's why it is important, in the Cuban context, to determine accurately the soil pre consolidation load, correct the oedometric curve and apply these concepts to settlement computation. In this paper, a study is presented to define how to estimate the pre consolidation pressure by using several methods. A database was created. It consisted of 102 pre consolidated soils, which are typical from the central region of Cuban. These soil we analyzed by several Cuban geotechnical research centers. (Author) 12 refs.

Characteristic parameters of drift chambers calculation; Calculo de los parametros caracteristicos de camaras de deriva

Energy Technology Data Exchange (ETDEWEB)

Duran, I; Martinez-Laso, L

1989-07-01

We present here the methods we used to analyse the characteristic parameters of drift chambers. The algorithms to calculate the electric potential in any point for any drift chamber geometry are presented. We include the description of the programs used to calculate the electric field, the drift paths, the drift velocity and the drift time. The results and the errors are discussed. (Author) 7 refs.

Calculos de estabilidade e divisão de fases por meio de redes neurais artificiais

OpenAIRE

Jones Erni Schmitz

2006-01-01

Resumo: A simulação de processos é um componente fundamental de uma grande variedade de atividades de Engenharia de Processos, tais como a Otimização Online, o controle em Tempo Real, a Identificação, etc. O cálculo de Equilíbrio de Fases é uma atividade fundamental em qualquer simulação de processos de separação. O elevado tempo computacional deste cálculo provocado pela sua natureza iterativa pode criar incompatibilidades entre a atividade de simulação e as aplicações em tempo real que ela ...

Characteristics of sick-listing cases that physicians consider problematic--analyses of written case reports.

Science.gov (United States)

Engblom, Monika; Alexanderson, Kristina; Rudebeck, Carl Edvard

2009-01-01

The aim was to discern common characteristics in the sick-listing cases that physicians in general practice and occupational health services find problematic. Descriptive categorization within a narrative theoretical framework. Sickness-insurance course for physicians in general practice and occupational health services. A total of 195 case reports written by 195 physicians. Main outcome measures. Categories of features regarding medical, work, and social situation as well as medical interventions. Beside age and sex, the following information was often provided: family situation, stressful life events, occupation, problem at work, considerations concerning diagnoses, medical investigations, treatments, and vocational rehabilitation measures. Two-thirds of the patients had been sickness absent for more than a year. The most common type of case reports concerned women, employed in non-qualified nursing occupations, and sick listed due to mental disorders. The most common measures taken by the physicians were referrals to psychotherapy and/or physiotherapy, and prescribing antidepressants (SSRI). Facts about alcohol habits were rarely provided in the cases. Some of the circumstances, such as prolonged sick-listing, are likely to be more or less inevitable in problematic sick-listing cases. Other circumstances, such as stress-full life events, more closely reflect what the reporting physicians find problematic. The categories identified can be regarded as markers of problematic sick-listing cases in general practice and occupational health service.

Selecting appropriate cases when tracing causal mechanisms

DEFF Research Database (Denmark)

Beach, Derek; Pedersen, Rasmus Brun

2016-01-01

The last decade has witnessed resurgence in the interest in studying the causal mechanisms linking causes and outcomes in the social sciences. This article explores the overlooked implications for case selection when tracing mechanisms using in-depth case studies. Our argument is that existing case...... selection guidelines are appropriate for research aimed at making cross-case claims about causal relationships, where case selection is primarily used to control for other causes. However, existing guidelines are not in alignment with case-based research that aims to trace mechanisms, where the goal...... is to unpack the causal mechanism between X and Y, enabling causal inferences to be made because empirical evidence is provided for how the mechanism actually operated in a particular case. The in-depth, within-case tracing of how mechanisms operate in particular cases produces what can be termed mechanistic...

MRI case studies

International Nuclear Information System (INIS)

Huggett, S.; Barber, J.

1989-01-01

Three case studies are presented to show the value of magnetic resonance imaging used in conjunction with other imaging techniques. In each case MRI proved a vital diagnostic tool and superior to CT in showing firstly the haematoma in a patient with aphasia and right-sided weakness, secondly the size of the disc herniation in a patient with severe leg and ankle pains and thirdly the existence of a metastatic lesion in a patient with a previous history of breast cancer. 11 figs

Case assessments for nuclear medicine registrars

International Nuclear Information System (INIS)

Farlow, D.

1994-01-01

Westmead Hospital set some of the recent nuclear medicine cases for registrar training. These case assessments have been completed by the registrars and he thought it might be interesting for the general nuclear medicine community to attempt the cases themselves and compare their answers with the model reports and patient follow-ups. Edited versions of two cases and model answers are presented. 35 refs

Ulnar nerve lesion at the wrist and sport: A report of 8 cases compared with 45 non-sport cases.

Science.gov (United States)

Seror, P

2015-04-01

Reporting clinical and electrodiagnostic characteristics of sport-related ulnar neuropathies at the wrist. Eight sport-related and 45 non-sport-related cases from 53 ulnar neuropathies at the wrist cases over 14 years. Sport-related ulnar neuropathies at the wrist cases were due to cycling (5 cases), kayaking (2 cases), and big-game fishing (1 case). No patient had sensory complaints in ulnar digits, and all had motor impairment. Conduction across the wrist with recording on the first dorsal interosseous muscle was impaired in all cases, with conduction block in 5. Two cyclists showed bilateral ulnar neuropathies at the wrist. All cases recovered within 2 to 6 months with sport discontinuation. Distal lesions of the deep motor branch were more frequent in sport- than non-sport-related cases. The 8 sport-related ulnar neuropathies at the wrist cases involved the deep motor branch. Conduction study to the first dorsal interosseous muscle across the wrist is the key to electrodiagnostics. Bilateral cases in cyclists does not require wrist imaging. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

[Ectopic breast fibroadenoma. Case report].

Science.gov (United States)

Senatore, G; Zanotti, S; Cambrini, P; Montroni, I; Pellegrini, A; Montanari, E; Santini, D; Taffurelli, M

2010-03-01

Among the rare anomalies of the breast development, polythelia is the most common, between 1% and 5% of women and men present supernumerary nipples. Polymastia, usually presenting as ectopic breast tissue without areola-nipple complex, is seen mostly along the milk line, extending from the axilla to the pubic region. Ectopic breast tissue is functionally analogous to mammary gland and it is subjected to the same alterations and diseases, whether benign or malignant, that affect normal breast tissue. We report the case of a 21 years-old female evaluated by the medical staff after founding a solid nodular mass by suspect axillary lymphadenopathy. Differential diagnosis with lymphoma is the major problem in these cases. The mass was removed and the intraoperative histological examination showed fibroadenoma in axillary supernumerary breast. Presence of ectopic breast tissue is a rare condition; development of benign mass or malignant degeneration is possible, but it is very unusual. In case of polymastia diagnosis is simple; in case of isolated nodule, without local inflammation or infection, there are greater difficulties. Ultrasonography is diagnostic in case of breast fibroadenoma, but it might be inadequate in ectopic localizations owing to the shortage of mammary tissue around the mass. Preoperative diagnosis is important to plan an adequate surgical treatment; lumpectomy is indicated in case of benign tissue; in case of malignancy, therapy is based on the standard treatment used for breast cancer (surgery, chemotherapy and radiation therapy).

Two cases of rheumatoid meningitis.

Science.gov (United States)

Magaki, Shino; Chang, Edward; Hammond, Robert R; Yang, Isaac; Mackenzie, Ian R A; Chou, Benedict T; Choi, Soo I; Jen, Joanna C; Pope, Whitney B; Bell, David A; Vinters, Harry V

2016-02-01

Central nervous system (CNS) involvement by rheumatoid arthritis (RA) in the form of rheumatoid meningitis (RM) is rare and most commonly occurs in the setting of longstanding severe RA. Due to a wide range of clinical presentations and nonspecific laboratory findings, it presents a diagnostic challenge often requiring brain biopsy. Only a few histopathologically confirmed cases have been described in the literature. Our aim is to describe two cases of RM and review the literature. The first case is of a previously healthy 37-year-old man who presented with severe headaches and focal neurologic deficits. Magnetic resonance imaging demonstrated abnormal leptomeningeal enhancement in the left frontal and parietal sulci. The second case is of a 62-year-old woman with a history of mild chronic joint pain who presented with confusion, personality changes and seizures. Both patients ultimately underwent brain biopsy which demonstrated RM on pathologic examination. Administration of corticosteroids resulted in significant clinical improvement in both cases. To our knowledge, our unusual case of RM in the young man is the fifth reported case of rheumatoid meningitis in a patient with no prior history of RA. Such an atypical presentation makes diagnosis even more difficult and highlights the need for awareness of this entity in the diagnostic consideration of a patient presenting with unexplained neurologic symptoms. Our literature review underscores the clinical and pathologic heterogeneity of CNS involvement in RA. © 2015 Japanese Society of Neuropathology.

Sensitivity analysis for matched pair analysis of binary data: From worst case to average case analysis.

Science.gov (United States)

Hasegawa, Raiden; Small, Dylan

2017-12-01

In matched observational studies where treatment assignment is not randomized, sensitivity analysis helps investigators determine how sensitive their estimated treatment effect is to some unmeasured confounder. The standard approach calibrates the sensitivity analysis according to the worst case bias in a pair. This approach will result in a conservative sensitivity analysis if the worst case bias does not hold in every pair. In this paper, we show that for binary data, the standard approach can be calibrated in terms of the average bias in a pair rather than worst case bias. When the worst case bias and average bias differ, the average bias interpretation results in a less conservative sensitivity analysis and more power. In many studies, the average case calibration may also carry a more natural interpretation than the worst case calibration and may also allow researchers to incorporate additional data to establish an empirical basis with which to calibrate a sensitivity analysis. We illustrate this with a study of the effects of cellphone use on the incidence of automobile accidents. Finally, we extend the average case calibration to the sensitivity analysis of confidence intervals for attributable effects. © 2017, The International Biometric Society.

Formal Analysis Of Use Case Diagrams

Directory of Open Access Journals (Sweden)

Radosław Klimek

2010-01-01

Full Text Available Use case diagrams play an important role in modeling with UML. Careful modeling is crucialin obtaining a correct and efficient system architecture. The paper refers to the formalanalysis of the use case diagrams. A formal model of use cases is proposed and its constructionfor typical relationships between use cases is described. Two methods of formal analysis andverification are presented. The first one based on a states’ exploration represents a modelchecking approach. The second one refers to the symbolic reasoning using formal methodsof temporal logic. Simple but representative example of the use case scenario verification isdiscussed.

Gastric pseudolymphoma: Report of 3 cases

International Nuclear Information System (INIS)

Lee, Mi Sook; Kim, Ki Whang; Kim, Dong Ik; Lee, Jong Tae; Park, Chang Yun

1983-01-01

The pseudolymphoma of the stomach is known to be a benign proliferation of lymphoid tissue, which can be mistaken histologically for malignant lymphoma. The etiology of pseudo lymphoma is controversial, but it B believed to be a manifestation of chronic inflammatory process. Authors present 3 cases of gastric lymphoma. Impression of upper gastrointestinal series were as follows; lymphoma or chronic gastritis in one case, ulcerative carcinoma in another case and early gastric carcinoma in the other case. Initial endoscopic findings suggested infiltrating carcinoma, ulcerative carcinoma and two benign gastric ulcers, respectively. One case was associated with early gastric carcinoma

Gastric pseudolymphoma: Report of 3 cases

Energy Technology Data Exchange (ETDEWEB)

Lee, Mi Sook; Kim, Ki Whang; Kim, Dong Ik; Lee, Jong Tae; Park, Chang Yun [Yonsei University College of Medicine, Seoul (Korea, Republic of)

1983-12-15

The pseudolymphoma of the stomach is known to be a benign proliferation of lymphoid tissue, which can be mistaken histologically for malignant lymphoma. The etiology of pseudo lymphoma is controversial, but it B believed to be a manifestation of chronic inflammatory process. Authors present 3 cases of gastric lymphoma. Impression of upper gastrointestinal series were as follows; lymphoma or chronic gastritis in one case, ulcerative carcinoma in another case and early gastric carcinoma in the other case. Initial endoscopic findings suggested infiltrating carcinoma, ulcerative carcinoma and two benign gastric ulcers, respectively. One case was associated with early gastric carcinoma.

The input ambiguity hypothesis and case blindness: an account of cross-linguistic and intra-linguistic differences in case errors.

Science.gov (United States)

Pelham, Sabra D

2011-03-01

English-acquiring children frequently make pronoun case errors, while German-acquiring children rarely do. Nonetheless, German-acquiring children frequently make article case errors. It is proposed that when child-directed speech contains a high percentage of case-ambiguous forms, case errors are common in child language; when percentages are low, case errors are rare. Input to English and German children was analyzed for percentage of case-ambiguous personal pronouns on adult tiers of corpora from 24 English-acquiring and 24 German-acquiring children. Also analyzed for German was the percentage of case-ambiguous articles. Case-ambiguous pronouns averaged 63·3% in English, compared with 7·6% in German. The percentage of case-ambiguous articles in German was 77·0%. These percentages align with the children's errors reported in the literature. It appears children may be sensitive to levels of ambiguity such that low ambiguity may aid error-free acquisition, while high ambiguity may blind children to case distinctions, resulting in errors.

Case Report

DEFF Research Database (Denmark)

Søborg, Marie-Louise Kulas; Rosenberg, Jacob; Burcharth, Jakob

2016-01-01

Guillain-Barré syndrome (GBS) is an acute ascending peripheral neuropathy, caused by autoimmune damage of the peripheral nerves. GBS can be divided into three subtypes: acute inflammatory demyelinating neuropathy, acute motor axonal neuropathy, and the more rare type, acute motor and sensory axonal...... neuropathy (AMSAN). Reports of AMSAN with onset after epidural anesthesia and spinal surgery are extremely rare, and the linkage between development of GBS and neuroaxial anesthesia remains conclusively unconfirmed. We present a case in which the patient developed subacute motor and predominantly sensory...... neuropathy following epidural blockade. The case emphasizes the need of including AMSAN in differential diagnostic considerations to changes in motor and sensory function following epidural anesthesia, allowing accelerated rehabilitation and relevant alleviating therapy....

Case law

International Nuclear Information System (INIS)

2014-01-01

This section of the Bulletin brings together the texts of the following case laws: Canada: - Judgment of the Federal Court of Canada sending back to a joint review panel for reconsideration the environmental assessment of a proposed new nuclear power plant in Ontario. France : - Conseil d'etat, 24 March 2014 (Request No. 358882); - Conseil d'etat, 24 March 2014 (Request No. 362001). Slovak Republic: - Further developments in cases related to the challenge by Greenpeace Slovakia to the Mochovce nuclear power plant; - Developments in relation to the disclosure of information concerning the Mochovce nuclear power plant. United States: - Initial Decision of the Atomic Safety and Licensing Board Ruling in Favour of Nuclear Innovation North America, LLC (NINA) Regarding Foreign Ownership, Control or Domination

Trichinosis - case presentation

Directory of Open Access Journals (Sweden)

Rajko Saletinger

2007-03-01

Full Text Available Background: Trichinosis is a widespread zoonosis acquired by ingestion of undercooked meat infected with the larvae of Trichinella parasites. The disease has variable clinical manifestations ranging from asymptomatic to fatal. Majority of infections is caused by Trichinella spiralis, although there are some cases caused by other species. The dramatic decline of trichinosis reflects changes in industrial practices and increased public awareness. The majority of human cases are now associated with wild game meat and noncommercial pork. The case of previously healthy, young man with trichinosis is presented. The disease was determined with serologic testing and cured with albendazole. The source of infection has not been determined.Conclusions: In patients with fever, mialgias and eosinophilia infection with tissue nematodes should always be taken in consideration. In those who have recently consumed raw or undercooked pork and wild game meat we should think about trichinosis. The disease is rare in Slovenia.

Cytological diagnosis of erythema nodosum leprosum in clinically unsuspected cases: A report of two cases

Directory of Open Access Journals (Sweden)

Shruti Semwal

2018-01-01

Full Text Available Leprosy is a chronic infectious disease caused by Mycobacterium leprae. The manifestations of this disease varies across the spectrum of tuberculoid (TT to lepromatous (LL leprosy.The course of this indolent disease is interrupted by acute exacerbations in the form of leprare actions. Erythema nodosum leprosum (ENL, a type 2 lepra reaction, occurs in lepromatous or borderline lepromatous cases, usually in response to multidrug therapy. Early detection and timely management of these patients is important to reduce the associated morbidity. We report two clinically unusual cases of ENL on fine-needle aspiration cytology. In one case, antileprosy treatment was completed 10 years back, whereas in the other case, ENL was the presenting feature of the disease. Cytological examination of swelling in both the cases showed neutrophils, lymphoid cells, clusters of foamy macrophages, histiocytes, and giant cells. Fite stain was positive, which confirmed the cytological diagnosis of ENL.

Deregulation impacts AMR business cases

Energy Technology Data Exchange (ETDEWEB)

Wiebe, M.; Fauth, G.

2001-09-01

Meter reading strategy is being affected in fundamental ways by deregulation. For the utilities attempting to cope with meter reading unbundling, the processes, insights and general rules that had been developed prior to 2000 in the field of Automatic Meter Reading can no longer be relied upon to provide useful lessons. The fundamental impact on Automatic Meter Reading (AMR) business case drivers and the increasing complexity of building the business case model result from deregulation and unbundling. More and more, management has come to rely on rigorous business case analysis to compensate for the magnitude of AMR projects on the utility and the scarcity of financial resources. One can now expect the Chief Financial Officer and the Vice President Finance to become active players on AMR project teams in the fields of business case scrutiny and approval. Increasingly, the normal expertise of AMR personnel does not suffice to build a business case acceptable to finance. The financial and economic analysis skills required are ever more complex.

Intrahepatic splenosis: a case report

International Nuclear Information System (INIS)

Pekkafali, Zekai; Karsli, Fevzi A.; Silit, Emir; Basekim, Cinar C.; Mutlu, Hakan; Kizilkaya, Esref; Narin, Yavuz

2002-01-01

Splenosis is heterotopic autotransplantation and seeding of splenic tissue. In the literature, only a few cases of splenosis involving the liver and the radiologic characteristics of these lesions have been reported. We report a case of intrahepatic splenosis diagnosed by ultrasound, computed tomography, magnetic resonance imaging and scintigraphic features. To our knowledge, our patient is the first case diagnosed only by radiologic and radionuclide examination without any intervention. (orig.)

Surge refraction in presence of currents and variations in depth sea; Refraccion del oleaje en presencia de corrientes y variaciones del fondo marino

Energy Technology Data Exchange (ETDEWEB)

Diaz-Hernandez, G.; Silva-Casarin, R. [Universidad Nacional Autonoma de Mexico, Mexico, D.F. (Mexico)

2001-03-01

A method for solving the wave refraction phenomena through a computational model, which solves the wave height and propagation angle from deep to shallow water including wave breaking, is shown. The program considers the shoaling and refraction effects, wave-currents interaction and the non-linearity assumption. The numerical model is based in two principles: the irrotationality of the wave number, which is reduced to the Snell's law for planar bathymetry, and the conservation of wave action, which is reduced to the energy conservation concept when no current interaction occurs. The two-step Lax-Wendroff differential method was used to calculate and solve the entire computational grid. Three different examples that help represent the whole method is shown; the first case is based on an idealized plane and horizontal bathymetry, the second case is the experimental model developed by Berkhoff (1982), and finally the Noda (1974) example is reproduced. [Spanish] Se presenta un modelo numerico para estudiar el fenomeno de la refraccion del oleaje inducida por la presencia de corrientes, cambios batim ricos, rotura y disipacion. El modelo calcula sobre una malla computacional la altura y la direccion local del oleaje. El programa considera los efectos de asomeramiento, refraccion, interaccion oleaje-corriente y su no-linearidad. Los principios que utiliza el modelo son dos; la irrotacionalidad del numero de onda, que para batimetria plana se reduce a la ley de Snell y el principio de conservacion de la accion de ondas, que se simplifica al concepto de la conservacion de la energia cuando no existen corrientes. El metodo diferencial que se utiliza para el calculo e interpoleccion de datos sobre la malla de discretizacion es Lax-Wendroff en dos pasos. Se muestran tres casos que ayudan a representar el metodo en su totalidad: el primero se modela con base en una batimetria idealizada, plana y horizontal, el segundo se simula a partir del modelo experimental de Berkhoff

Pathomorphological study on 106 autopsy cases of Thorotrast-related hepatic malignancies with comparison to non-Thorotrast-related cases

International Nuclear Information System (INIS)

Kojiro, Masamichi; Ito, Yuji

1989-01-01

The pathomorphological features of 106 autopsy cases of Thorotrast-related malignant tumours of the liver were studied and compared to those of non-Thorotrast-related cases. Among the 106 cases, 44 (41.5%) were cholangiocarcinoma, 42 (39.6%) were angiosarcoma, 17 (16.0%) were hepatocellular carcinoma, and three (2.8%) were double cancers. In contrast, in non-Thorotrast-related cases about 90% of the cases were hepatocellular and angiosarcoma was extremely rare. (author)

Case report 363

International Nuclear Information System (INIS)

Langer, R.; Kaufmann, H.J.

1986-01-01

In summary, the case is presented of a 10-year-old girl with a fibrosarcoma of the femoral shaft, which showed the radiological and histological features of a malignant bone tumor, but with no findings radiologically pathognomonic of fibrosarcoma. Malignant fibrous histiocytoma, fibrogenic osteosarcoma and even Ewing tumor could present with the same radiological features. Although permeative infiltration of bone (described in this case) is observed in primary fibrosarcoma, it is much more commonly associated with another malignant bone tumor of childhood - Ewing tumor. (orig./SHA)

Case Report

African Journals Online (AJOL)

of permanent hemodialysis (HD) vascular access ... This catheter was removed and a translumbar dialysis ... In this case report, we describe a patient with the ... Rheumatology, the isolated detection of antiphospholipid .... Arthritis Rheum.

Case report

African Journals Online (AJOL)

ebutamanya

2015-01-06

Jan 6, 2015 ... optic disc edema and subsequent formation of a macular star [1]. (Figure 1). ... case of bilateral stellate neuroretinitis due to pheochromocytoma. ... clinical examination are irreplaceable, powerful diagnostic tools that.

Vascular colitis: a report of two cases

Energy Technology Data Exchange (ETDEWEB)

Park, Chan Il; Han, Chang Yul; Han, Man Chung; Choo, Dong Woon [Seoul National University College of Medicine, Seoul (Korea, Republic of)

1973-04-15

The authors report two cases of vascular colitis in Korean with a review of literature. Case I, 20 years old male had severe abdominal pain and bloody diarrhea. Case II was 57 years old male and complained severe abdominal pain. Barium enema colon study on each cases disclosed typical thumbprinting appearance of involved segment. Predisposing factor in case I appeared to be anaphylactoid purpura, and in case II distal obstruction due to adenocarcinoma. The mechanism of vascular was briefly discussed.

Eleven cases of neonatal intracranial hemorrhage

International Nuclear Information System (INIS)

Matsuda, Tadashi; Asao, Toyohiko; Shibata, Takeo

1981-01-01

Eleven cases of neonatal intracranial hemorrhage were diagnosed and followed up by CT scanning. By CT, hemorrhagic lesions were shown as high density areas in an acute stage and imaged as low density areas after the hemorrhage was absorbed. The time of absorption varies depending upon the site and the severity of hemorrhage. Intraventricular hemorrhage, petechial hemorrhage and subdural hematoma were absorbed rapidly in more than 70% of the exanimed cases, CT scanning 1 - 2 weeks after the onset revealed absorption of hemorrhage. However, the absorption delayed in intracerebral hematoma; CT scan taken after one month showed hemorrhagic lesions remaining in 75% of the cases. In nine cases who survived, following the absorption of the hemorrhagic lesions, cerebral atrophy was observed in 4 cases (44%), ventricular enlargement in 3 cases (33%), and complete recovery in 2 cases (22%). From these results, CT scanning for diagnosis of neonatal intracranial hemorrhage should be done before the hemorrhagic lesion is absorbed (within 7 days of the onset). Follow-up study by CT is important for observing changes and predicting prognosis of intracranial hemorrhage. (Ueda, J.)

Dosimetric behavior of thermoluminescent dosimeters at low doses in diagnostic radiology; Comportamiento dosimetrico de dosimetros termoluminiscentes a bajas dosis en radiodiagnostico

Energy Technology Data Exchange (ETDEWEB)

Del Sol F, S.; Garcia S, R.; Guzman M, J.; Sanchez G, D.; Rivera M, T. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Ramirez R, G. [Hospital Juarez de Mexico, Av. IPN 5160, Col. Magdalena de las Salinas, 07760 Mexico D. F. (Mexico); Gaona, E., E-mail: susi2489@hotmail.com [Universidad Autonoma Metropolitana, Unidad Xochimilco, Calz. del Hueso 1100, Col. Villa Quietud, 04960 Mexico D. F. (Mexico)

2015-10-15

Thermoluminescent (Tl) characteristics of TLD-100, LiF:Mg,Cu,P, and CaSO{sub 4}: Dy the under homogeneous field of X-ray beams of diagnostic irradiation and its verification using thermoluminescent dosimetry is presented. The irradiations were performed utilizing an X-ray beam generated by a Radiology Mexican Company: MRH-II E GMX 325-AF SBV-1 model, with Rotating Anode X-Ray Tube installed in the Hospital Juarez Norte de Mexico in Mexico City. Different thermoluminescent characteristics of dosimetric material were studied, such as, batch homogeneity, Tl glow curve, Tl response as a function of X-ray dose, reproducibility and fading. Materials were calibrated in terms of absorbed dose to the standard calibration distance and positioned in a generic Phantom was used. Dose verification and comparison with the measurements made with that obtained by TLD-100 were analyzed. Preliminary results indicate the dosimetric peak appears at 243, 236 and 277 ± 5 degrees C respectively, these peaks are in agreement with that reported in the literature. Tl glow curve as a function of X-ray dose showed a linearity in the range from 1.76 mGy up to 14.70 mGy for all materials. Fading for a period of one month at room temperature showed low fading LiF:Mg,Cu,P, medium and high for TLD-100 and CaSO{sub 4}: Dy. The results suggest that the three materials are suitable for measurements at low doses in radiodiagnostic, however, for its dosimetric characteristics are most effective for individual applications: personal dosimetry and monitors limb (LiF:Mg,Cu,P), clinical dosimetry and environmental (TLD-100 and CaSO{sub 4}: Dy). (Author)

Dosimetric tests for treatment planning commissioning in 3DCRT; Testes dosimetricos para comissionamento de sistemas de planejamento em radioterapia 3DCRT

Energy Technology Data Exchange (ETDEWEB)

Goncalves, Leandro R.; Pieri, Karen; Silva, Marco A.; Santos, Gabriela R.; Sales, Camila P.; Rubo, Rodrigo A.; Nakandakari, Marcos V.N.; Cunha, Ana Paula V; Santos, Caroline Z.; Rodrigues, Laura N.; Furnari, Laura, E-mail: leandrorg11@hotmail.com [Universidade de Sao Paulo (USP), SP (Brazil). Hospital das Clinicas. Servico de Radioterapia

2012-12-15

The radiotherapy evolution from 2D treatments to 3D conformal treatments was possible after the advent the treatment planning systems commercially available and tridimensional images techniques like computed tomography. These systems have tools that allow delineate anatomical structures from tomographic images. Calculations dose tools allow the planner evaluate the dose received in the anatomical structures. When these systems are acquired or an upgrade is made many dosimetric and non-dosimetric tests need to be performed to know the system limitations and correct functioning and to verify the correct dosimetric data insertion. This study was based in International Atomic Energy Agency protocols, Task Groups documents from American Association of Physics in Medicine, and other papers. A dosimetric test set was done to commissioning the Eclipse 10.0.28 (Varian Medical Systems) treatments planning system This version has two photon calculation algorithm (Pencil Beam Convolution and Analytical Anisotropic Algorithm – AAA) and Gaussian Pencil Beam algorithm for electron beams. However, tests for AAA it was not performed. In this study was possible to conclude that the dosimetric data was correctly added in the treatment planning system. Some results allowed to understand the algorithm limitations to calculate dose distributions in specifics situations, that was not clinically relevant in our routine. (author)

ASRM case insulation design and development

Science.gov (United States)

Bell, Matthew S.; Tam, William F. S.

1992-10-01

This paper describes the achievements made on the Advanced Solid Rocket Motor (ASRM) case insulation design and development program. The ASRM case insulation system described herein protects the metal case and joints from direct radiation and hot gas impingement. Critical failure of solid rocket systems is often traceable to failure of the insulation design. The wide ranging accomplishments included the development of a nonasbestos insulation material for ASRM that replaced the existing Redesigned Solid Rocket Motor (RSRM) asbestos-filled nitrile butadiene rubber (NBR) along with a performance gain of 300 pounds, and improved reliability of all the insulation joint designs, i.e., segmented case joint, case-to-nozzle and case-to-igniter joint. The insulation process development program included the internal stripwinding process. This process advancement allowed Aerojet to match to exceed the capability of other propulsion companies.

Los salarios dentro del sistema del repartimiento forzoso en el Valle de México, 1549-1632

Directory of Open Access Journals (Sweden)

Spanoghe, Sander

1997-06-01

Full Text Available Not available.

Este artículo contiene un análisis del salario dentro del repartimiento forzoso, principal sistema de reclutamiento de mano de obra indígena en el Valle de México desde aproximadamente 1550 hasta 1632. Primeramente establezco el valor nominal de los salarios, basándome en fuentes secundarias. En segundo lugar diferencio los salarios según los sectores económicos, consultando fuentes primarias. Después calculo el valor real de estos salarios a base de los precios de maíz y del mínimo socio-vital. Una comparación de los salarios pagados dentro con los dados fuera del repartimiento constituye un tercer método para valorar dichos salarios, mientras el cuarto consiste en una investigación de la relación entre tributo y salario. Siguen las conclusiones, que consideran el salario dentro de su contexto histórico y geográfico, concluyendo que este salario no fue una realidad “real” sino una realidad legal, instituido para callar la conciencia y la crítica de la política laboral colonial.

VARIABILIDADE ESPACIAL DOS ÍNDICES DRIS DO NITROGÊNIO E DO POTÁSSIO NA CULTURA DO MAMOEIRO

Directory of Open Access Journals (Sweden)

Mariana Lima de Jesus

2017-01-01

Full Text Available Tendo em vista a importância do N e do K no fomento do crescimento vegetativo e do estádio de florescimento do mamoeiro e de sua influencia no equilíbrio nutricional da lavoura  objetivou-se com esse estudo quantificar a variabilidade espacial dos índices DRIS do N e do K de mamoeiro produzido no norte capixaba e correlacionar linearmente e espacialmente seus valores com a produtividade e o índice de balanço nutricional da lavoura. O estudo foi realizado com dados de produtividade e de teores foliares (macronutrientes: N, P, K, Ca, Mg, S; e micronutrientes: Zn e Mn. do pecíolo do mamoeiro de 129 pontos georreferenciados, de uma lavoura comercial de mamão, no município de São Mateus-ES. Esse teores foliares foram utilizados para calculo dos Índice DRIS e do índice de balanço nutricional (IBN. Os índices DRIS do N e do K apresentaram dependência espacial, ajustando-se aos modelos exponencial e esférico, respectivamente. Apenas o IDK apresentou correlação linear com a produtividade.

Studies for the elaboration of standards of energy efficiency in constructions; Estudios para la elaboracion de normas de eficiencia energetica en edificaciones

Energy Technology Data Exchange (ETDEWEB)

Ramos Niembro, Gaudencio; Heard, Christopher [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico); Hernandez Pensado, Fernando [Comision Nacional para el Ahorro de Energia (Mexico)

1999-07-01

The obtaining of the first drafts of standard of energy efficiency implicate diverse research work previous to its elaboration, which include the justification and the analysis of the reason of the variables to consider, the corresponding cost-benefit study that gives viability to the standard and a procedure of calculation for its fulfillment. The present paper relates the diverse aspects that were analyzed for the justification, the revision and the obtaining of the first drafts of the first standards of energy efficiency in nonresidential constructions that are hoped to be implemented in Mexico. [Spanish] La obtencion de los anteproyectos de norma de eficiencia energetica implica diversos trabajos de investigacion previos a su elaboracion, los cuales incluyen la justificacion y el analisis del porque de las variables a considerar, el estudio costo- beneficio correspondiente, que da viabilidad a la norma y un procedimiento de calculo para su cumplimiento. El presente trabajo relata los diversos aspectos que se analizaron para la justificacion, la revision y la obtencion de los anteproyectos de las primeras normas de eficiencia energetica en edificaciones no residenciales que se esperan implantar en Mexico.

Educando el alma psicológica

Directory of Open Access Journals (Sweden)

Matthew Curtis

2007-01-01

Full Text Available Este trabajo retoma aspectos de una exploración de los trabajos de cuatro importantes psicólogos educativos estadounidenses –Granville Stanley Hall, William James, John Dewey y Edward Thorndike– para concentrarse en los principios rectores del desarrollo de los niños. Los trabajos de estos autores están considerados como funciones que psicologizan al niño como un proceso de llegar a ser humano, que deba ser educado con fines éticos e inteligentes. Dos puntos de partida históricos se abordan en este artículo: (1 explorar la psicología como una formación de la moral del niño y (2 la clasificación y el orden del ser de forma razonada a partir de una psicología que abre el interior del niño a la supervisión y al calculo. Este enfoque explora la psicología educativa como una maquinaria de prácticas discusivas, intelectuales y materiales que invitan al estudiante a ver /ser visto y formar/ser formado de formas particulares. Educar al yo autónomo requería métodos modernos

A digital method for period measurements in a nuclear reactor; Um metodo digital para medidas de periodo em um reator nuclear

Energy Technology Data Exchange (ETDEWEB)

Mundim, Sergio Gorretta

1971-02-15

The present paper begins by giving a theoretical treatment for the nuclear reactor period. The conventional method of measuring the period is analysed and some previously developed digital methods are described. The paper criticises the latter, pointing out some deficiencies which the proposed process is able to eliminate. All errors connected with this process are also analysed. The paper presents suitable solutions to reduce them to a minimum. The total error is found to he less than the error presented by the other methods described. A digital period meter is designed with memory resources and an automatic scaler changer. Integrated circuits specifications are used in it. Real time experiments with nuclear reactors were made in order to check te validity of the method. The data acquired were applied to a simulated digital period meter implemented in a general purpose computer. The nuclear part of the work was developed at the 'Comissao Nacional de Energia Nuclear' and the simulation work was dane at the 'Departamento de Calculo Cientifico' of COPPE, which also advised the author in the completion of this thesis. (author)

Development of a dose database in the refuelling scenario of a nuclear power plant for a virtual reality application

International Nuclear Information System (INIS)

Rodenas, J.; Zarza, I.; Pascual, A.; Felipe, A.; Sanchez-Mayoral, M.L.

2002-01-01

Operators in Nuclear Power Plants can receive high doses during refuelling operation. A training program simulating refuelling operations will be useful to reduce doses received by workers as well as to minimise operation time. With this goal in mind a Virtual Reality application is developed in the frame of CIPRES Project (Calculos Interactivos de Proteccion Radiologica en un Entorno de Simulacion - Interactive Calculations of Radiological Protection in a Simulation Environment), a RD project sponsored by IBERINCO and developed jointly by IBERINCO and the Nuclear Engineering Department of the Polytechnic University of Valencia. The Virtual Reality application requires the possibility of displaying doses, both instantaneous and accumulated, at all times during the operator training. Therefore, it is necessary to elaborate a database containing dose rates at every point of the refuelling plant. This database is elaborated from Radiological Protection Surveillance data measured throughout the plant during refuelling operation. To estimate doses throughout the refuelling plant some interpolation routines have been used. Different assumptions have been adopted in order to perform the interpolation and obtain consistent data. In this paper, procedures developed to elaborate the dose database for the Virtual Reality application are presented and analysed

Environmental measures for Escuintla No. 3 unit thermal power project

Energy Technology Data Exchange (ETDEWEB)

Quisquinay, Carlos; Fabian Rosales, Alejandro [Instituto Nacional de Electrificacion, (Guatemala)

1997-12-31

The environmental measures in relation to the project implementation was studied with reference to the Japanese Standards and incorporated in the Implementation Program. This report is prepared however, to review the environmental measures for the project in more detail as to the allowable standards and regulations concerning the measures for the environmental pollution. The authors present the environmental conditions around the Escuintla Power Station in Guatemala; the measures for environmental pollution and evaluation; the measures for prevention of air pollution and diffusion calculations (estimation and assessment of environmental impacts) [Espanol] Las medidas ambientales con relacion a la consolidacion del proyecto, se estudiaron con referencia a los Estandares Japoneses e incorporados en el Programa de Consolidacion. Sin embargo, este reporte ha sido preparado para revisar las medidas ambientales para el proyecto mas detalladamente, con relacion a los estandares y reglamentaciones admisibles concernientes a las medidas de contaminacion ambiental. Los autores presentan las condiciones ambientales en los alrededores de la Central Termoelectrica de Escuintla de Guatemala; las medidas para la prevencion de la contaminacion del aire y los calculos de difusion (estimacion y evaluacion del impacto ambiental)

Environmental measures for Escuintla No. 3 unit thermal power project

Energy Technology Data Exchange (ETDEWEB)

Quisquinay, Carlos; Fabian Rosales, Alejandro [Instituto Nacional de Electrificacion, (Guatemala)

1996-12-31

The environmental measures in relation to the project implementation was studied with reference to the Japanese Standards and incorporated in the Implementation Program. This report is prepared however, to review the environmental measures for the project in more detail as to the allowable standards and regulations concerning the measures for the environmental pollution. The authors present the environmental conditions around the Escuintla Power Station in Guatemala; the measures for environmental pollution and evaluation; the measures for prevention of air pollution and diffusion calculations (estimation and assessment of environmental impacts) [Espanol] Las medidas ambientales con relacion a la consolidacion del proyecto, se estudiaron con referencia a los Estandares Japoneses e incorporados en el Programa de Consolidacion. Sin embargo, este reporte ha sido preparado para revisar las medidas ambientales para el proyecto mas detalladamente, con relacion a los estandares y reglamentaciones admisibles concernientes a las medidas de contaminacion ambiental. Los autores presentan las condiciones ambientales en los alrededores de la Central Termoelectrica de Escuintla de Guatemala; las medidas para la prevencion de la contaminacion del aire y los calculos de difusion (estimacion y evaluacion del impacto ambiental)

Teaching Case: Enterprise Architecture Specification Case Study

Science.gov (United States)

Steenkamp, Annette Lerine; Alawdah, Amal; Almasri, Osama; Gai, Keke; Khattab, Nidal; Swaby, Carval; Abaas, Ramy

2013-01-01

A graduate course in enterprise architecture had a team project component in which a real-world business case, provided by an industry sponsor, formed the basis of the project charter and the architecture statement of work. The paper aims to share the team project experience on developing the architecture specifications based on the business case…

Marketing communication plan. Case: EKOenergy.

OpenAIRE

Jäkälä, Elina

2016-01-01

This project-based thesis has an objective of creating a marketing communication plan for a non-profit organisation. The marketing communication plan targets other non-profit organisa-tions that the case organisation wants to cooperate with. This thesis will introduce theory about marketing communication, give information about the case organisation’s target audience and present the actual marketing communication plan. Since the case organisation and its target audience are all non-profit...

Trichotillomania in a dementia case

OpenAIRE

Caixeta, Leonardo; Lopes, Danielly Bandeira

2011-01-01

Abstract We report an 87-year-old male case of hair pulling associated with a white-matter vascular dementia (Binswanger's disease). Trichotillomania in our case did not resolve using mirtazapine or anticholinesterasic medication. Trichotillomania seems to be related to a form of perseveration associated with dementia. The findings in this case suggest the abnormality involving white matter in the pathogenesis of trichotillomania, may constitute a defect in connectivity in the right frontal-s...

Pathomorphological study on 106 autopsy cases of Thorotrast-related hepatic malignancies with comparison to non-Thorotrast-related cases

International Nuclear Information System (INIS)

Kojiro, Masamichi; Ito, Yuji

1989-01-01

The pathomorphological features of 106 autopsy case of Thorotrast (TH)-related malignant tumours of the liver were studied and compared to those of non-Thorotrast-related cases. Among the 106 cases, 44 (41.5%) were cholangiocarcinoma (CHC), 42(39.6%) were angiosarcoma (AGS), 17(16.0%) were hepatocellular carcinoma (HCC), and three (2.8%) were double cancers. In contrast, in non-Thorotrast-related cases about 90% of the cases were hepatocellular and angiosarcoma was extremely rare. (author)

Vitamin B6 in Health Supplements and Neuropathy: Case Series Assessment of Spontaneously Reported Cases.

Science.gov (United States)

van Hunsel, Florence; van de Koppel, Sonja; van Puijenbroek, Eugène; Kant, Agnes

2018-05-08

In the literature, vitamin B 6 has been linked to the development of polyneuropathy. Most often, these complaints were seen when taking high doses of vitamin B 6 for a long time. Evidence as to whether a lower dosage range of vitamin B 6 (< 50 mg/day) can also induce neuropathy is scarce. We aim to comprehensively describe the cases of neuropathy associated with vitamin B 6 received by the Netherlands Pharmacovigilance Centre Lareb and to assess the case series concerning the use of vitamin B 6 and neuropathic complaints. We describe the number and nature of the reported cases, including suspect product, dosage, duration of use, and vitamin B 6 serum levels. In addition, we describe the causality for the individual cases (Naranjo Probability Scale) and for the entire case series (Bradford Hill criteria). In total, 90 reports on products containing vitamin B 6 included at least one adverse drug reaction in the standardized Medical Dictionary for Regulatory Activities (MedDRA ® ) query (SMQ; broad) 'peripheral neuropathy'. The amount of vitamin B 6 in the products varied between 1.4 and 100 mg per tablet. The serum vitamin B 6 level was known in 36 cases (88-4338 nmol/l), and the mean serum vitamin B 6 level was 907 nmol/l. However, no statistical correlation between dosage and vitamin B 6 blood levels was found. Causality assessment of the case series of 90 reports to Lareb shows it is plausible for the vitamin B 6 supplements to have caused complaints such as neuropathies. This is especially the case with higher dosages and prolonged use, but dosages < 50 mg/day also cannot be excluded.

The CASE Project: Evaluation of Case-Based Approaches to Learning and Teaching in Statistics Service Courses

Science.gov (United States)

Fawcett, Lee

2017-01-01

The CASE project (Case-based Approaches to Statistics Education; see www.mas.ncl.ac.uk/~nlf8/innovation) was established to investigate how the use of real-life, discipline-specific case study material in Statistics service courses could improve student engagement, motivation, and confidence. Ultimately, the project aims to promote deep learning…

A case of pancreatolithiasis

International Nuclear Information System (INIS)

Sasaki, Fumio; Koga, Sukehiko; Takeuchi, Akira

1982-01-01

During 3-year follow-up of a case of pancreatolithiasis localized in the pancreatic head, CT showed sudden new appearance of calculi over an extensive area of the body and tail of the pancreas after acute exacerbation of chronic pancreatitis. This case and the etiology and mechanism of pancreatolithiasis were discussed on the basis of literature. (Chiba, N.)

Aims and harvest of moral case deliberation.

Science.gov (United States)

Weidema, Froukje C; Molewijk, Bert A C; Kamsteeg, Frans; Widdershoven, Guy A M

2013-09-01

Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (N = 78) and harvest (N = 255). A naturalistic data collection included interviews with managers and evaluation questionnaires of moral case deliberation participants (nurses). From the analysis, moral case deliberation appeals for cooperation, team bonding, critical attitude towards routines and nurses' empowerment. Differences are that managers aim to foster identity of the nursing profession, whereas nurses emphasize learning processes and understanding perspectives. We conclude that moral case deliberation influences team cooperation that cannot be controlled with traditional management tools, but requires time and dialogue. Exchanging aims and harvest between manager and team could result in co-creating (moral) practice in which improvements for daily cooperation result from bringing together perspectives of managers and team members.

[Research and control of relapse tuberculosis cases].

Science.gov (United States)

Yamagishi, Fumio; Toyota, Makoto

2009-12-01

With this symposium, we focused on the relapse of tuberculosis in Japan. Out of 19,893 tuberculosis patients registered in 2007 in Japan, 7.48% were classified as relapse cases. Relapse cases have the risk of acquired drug resistance. But we have few analyses of the proportion of relapse tuberculosis cases with standard short course regimens for six months, factors contributing to tuberculosis relapse and the proportion of drug resistance among relapse TB cases in Japan. Therefore we analyzed the relapse tuberculosis cases in two rural areas and three urban areas. We also analyzed the proportion of drug resistance among relapse cases with the data of drug susceptibility survey of Ryoken. 1. Research of relapse tuberculosis cases: Makoto TOYOTA (Kochi City Public Health Center). To clarify the relapse rate and factors contributing to tuberculosis relapse, we investigated the relapse tuberculosis cases in the municipality where the proportion of elderly tuberculosis patients was high. Out of 902 tuberculosis patients registered in Kochi City Public Health Center during 10 years, 20 pulmonary tuberculosis patients were confirmed relapse cases with initial registered records. Pretreatment cavitations, sputum culture positivity at 2 months, medical miss-management (e.g. number of doses, duration of therapy) and poor adherence were considered to be factors contributing to tuberculosis relapse. Out of 20 relapse cases, 12 cases were detected with symptoms, while only 3 cases were detected by examination in law. 2. A clinical study on relapse cases of pulmonary tuberculosis: Shuichi TAKIKAWA (National Hospital Organization Nishibeppu National Hospital). The relapse of pulmonary tuberculosis was investigated. In the cases with a treatment history before short course chemotherapy, drug resistance rate was high, and thus it needs to be cautious of drug resistance at the time of the retreatment. In the cases with a treatment history of short course chemotherapy, relapse cases

Case report

African Journals Online (AJOL)

abp

2017-10-10

Oct 10, 2017 ... A rare case of important and recurrent abnormal uterine bleeding ... 1Department of Obstetrics and Gynecology, University Hospital of Yopougon, Abidjan, Ivory Coast, .... imaging (MRI) could guide us to the diagnosis.

Case Report

African Journals Online (AJOL)

Hamid

Key words: Case report, composite resin, fiber-reinforced composite. ABSTRACT. A variety of ... investigation will be required to provide additional information on the survival of directly-bonded anterior fixed prosthesis made with FRC systems.

Dermatology case

Directory of Open Access Journals (Sweden)

Fernando Mota

2017-07-01

In the present case, the patient was referred to the dermatology department due to an atypical lesion with an uncommon location, revealing the importance of a whole body examination in patients with this disease.

Case report

African Journals Online (AJOL)

ebutamanya

2015-10-14

Oct 14, 2015 ... &Corresponding author: Hanane Massit, Department of Gastroenterology II, Mohamed V ... Crohn's disease, accounting for around 30-50 % of cases, its ... manuscript and have equally contributed to its content and to the.

Case series

African Journals Online (AJOL)

abp

2017-05-16

May 16, 2017 ... Hepatocellular carcinoma: a clinicopathological study of 64 cases ... The presenting clinical symptoms were dominated by abdominal pain (n=34), followed by .... malaise, anorexia or weight loss and nausea or vomiting [4].

Case report

African Journals Online (AJOL)

abp

2017-11-07

Nov 7, 2017 ... However, auricular disorders are rare and exceptionally inaugural. We describe the case of ... hypothalamic-pituitary axis dysfonction. There was ... tomography, and the salivary gland biopsy confirmed the diagnosis by finding ...

Case report

African Journals Online (AJOL)

ebutamanya

2015-03-03

translucent, hyper-or hypopigmented or erythematous-to- violaceous in color. In addition, epidermal changes may be absent or include atrophy, hyperkeratosis, or telangiectasia [2]. In our case the diagnosis of cutaneous sarcoidosis is ...

Prosthetic rehabilitation of oral submucous fibrosis patients: A systematic review of published case reports and case series.

Directory of Open Access Journals (Sweden)

Shankargouda Patil

Full Text Available Oral submucous fibrosis (OSF is an insidious chronic condition characterized by restricted mouth opening. Prosthetic rehabilitation is challenging for OSF patients as obtaining a good impression requires adequate mouth opening. The aim of the present review is to systematically present the data from case reports published in the English-language literature.A comprehensive search of the literature databases (PubMed, Medline, SCOPUS, Web of Science and Google Scholar along with the references of published articles on prosthetic rehabilitation in OSF patients published to date was conducted. Keywords included a combination of 'Oral submucous fibrosis', 'prosthesis', 'dentures' and/or 'restricted mouth opening'. Citations from selected references and bibliographic linkages taken from similar cases were included in this review. The inclusion criteria selected for case reports on prosthetic rehabilitation in OSF patients, and cases of restricted mouth opening due to causes other than OSF were excluded from the study.A total of 21 cases were identified and analysed from 17 papers published in the English-language literature. Of these, 9 cases employed the sectional denture technique, 4 cases emphasized the need-based treatment approach in which conventional methods were modified, and 4 cases used mouth exercising devices. Finally, 1 case each involved, flexible denture, oral screen prosthesis, oral stents, surgery in conjunction with dentures.Prosthetic rehabilitation in OSF patients is a multifaceted approach and should be patient specific, although sectional dentures have achieved the best results.

Prosthetic rehabilitation of oral submucous fibrosis patients: A systematic review of published case reports and case series.

Science.gov (United States)

Patil, Shankargouda; Sarode, Sachin Chakradhar; Sarode, Gargi S; Bhandi, Shilpa; Awan, Kamran Habib; Ferrari, Marco

2017-01-01

Oral submucous fibrosis (OSF) is an insidious chronic condition characterized by restricted mouth opening. Prosthetic rehabilitation is challenging for OSF patients as obtaining a good impression requires adequate mouth opening. The aim of the present review is to systematically present the data from case reports published in the English-language literature. A comprehensive search of the literature databases (PubMed, Medline, SCOPUS, Web of Science and Google Scholar) along with the references of published articles on prosthetic rehabilitation in OSF patients published to date was conducted. Keywords included a combination of 'Oral submucous fibrosis', 'prosthesis', 'dentures' and/or 'restricted mouth opening'. Citations from selected references and bibliographic linkages taken from similar cases were included in this review. The inclusion criteria selected for case reports on prosthetic rehabilitation in OSF patients, and cases of restricted mouth opening due to causes other than OSF were excluded from the study. A total of 21 cases were identified and analysed from 17 papers published in the English-language literature. Of these, 9 cases employed the sectional denture technique, 4 cases emphasized the need-based treatment approach in which conventional methods were modified, and 4 cases used mouth exercising devices. Finally, 1 case each involved, flexible denture, oral screen prosthesis, oral stents, surgery in conjunction with dentures. Prosthetic rehabilitation in OSF patients is a multifaceted approach and should be patient specific, although sectional dentures have achieved the best results.

TA Treatment of Depression - A Hermeneutic Single-Case Efficacy Design Study - ‘Linda’ - a mixed outcome case

Directory of Open Access Journals (Sweden)

Mark Widdowson

2013-07-01

Full Text Available Hermeneutic Single-Case EfficacyDesign (HSCED is a systematic case study research method involving the cross-examination of mixed method data to generate both plausible arguments that the client changed due to therapy and alternative explanations. The present study is the fourth article of a case series which has investigated the process and outcome of transactional analysis psychotherapy using Hermeneutic Single-Case Efficacy Design (Elliott 2002. The client, Linda, was a 45 yearold white British woman with mild depression who attended nine sessions of therapy. The conclusion of the judges was that this was a mixed-outcome case:whilst the client improved over the course of therapy and was positive about her experience of therapy, her changes did not last when she experienced considerable stressful events during follow-up. Linda provided a detailed and idiosyncratic description of the aspects of the therapy which were most helpful for her. A cross-case comparison with other cases in this series suggests several interesting features which are worthy of further investigation. Specifically, the use of a shared theoretical framework and an egalitarian therapeutic relationship were helpful. As with other cases in this series, the client experienced positive changes in her interpersonal relationships suggesting that this outcome of TA therapy warrants further investigation

Writing a case report: polishing a gem?

Science.gov (United States)

Papanas, N; Lazarides, M K

2008-08-01

Case reports describe patient cases which are of particular interest due to their novelty and their potential message for clinical practice. While there are several types of case reports, originality and clinical implications constitute the main virtues by which case reports are judged. Defining the educational message and choosing the right audience are vital steps in the process of writing. Generally, a case report is structured, its main components being the abstract, the introduction, the case description and the discussion. Guidelines and tips for writing case reports are not enough for making a successful author, but they help, especially less experienced doctors, to exercise and improve their writing. If properly prepared, case reports can still communicate new observations in an interesting and pleasant way, thereby enriching our knowledge, even in the era of evidence-based medicine.

[Research and development of medical case database: a novel medical case information system integrating with biospecimen management].

Science.gov (United States)

Pan, Shiyang; Mu, Yuan; Wang, Hong; Wang, Tong; Huang, Peijun; Ma, Jianfeng; Jiang, Li; Zhang, Jie; Gu, Bing; Yi, Lujiang

2010-04-01

To meet the needs of management of medical case information and biospecimen simultaneously, we developed a novel medical case information system integrating with biospecimen management. The database established by MS SQL Server 2000 covered, basic information, clinical diagnosis, imaging diagnosis, pathological diagnosis and clinical treatment of patient; physicochemical property, inventory management and laboratory analysis of biospecimen; users log and data maintenance. The client application developed by Visual C++ 6.0 was used to implement medical case and biospecimen management, which was based on Client/Server model. This system can perform input, browse, inquest, summary of case and related biospecimen information, and can automatically synthesize case-records based on the database. Management of not only a long-term follow-up on individual, but also of grouped cases organized according to the aim of research can be achieved by the system. This system can improve the efficiency and quality of clinical researches while biospecimens are used coordinately. It realizes synthesized and dynamic management of medical case and biospecimen, which may be considered as a new management platform.

Casing and liners for drilling and completion

CERN Document Server

Byrom, Ted G

2007-01-01

The Gulf Drilling Series is a joint project between Gulf Publishing Company and the International Association of Drilling Contractors. The first text in this Series presents casing design and mechanics in a concise, two-part format. The first part focuses on basic casing design and instructs engineers and engineering students how to design a safe casing string. The second part covers more advanced material and special problems in casing design in a user-friendly format. Learn how to select sizes and setting depths to achieve well objectives, determine casing loads for design purposes, design casing properties to meet burst, collapse and tensile strength requirements and conduct casing running operations safely and successfully.

Case law

International Nuclear Information System (INIS)

Anon.

2011-01-01

This chapter gathers three case laws, one concerning France and the two others concerning the United States. France - Decision of the Administrative Court in Strasbourg on the permanent shutdown of the Fessenheim nuclear power plant: On 9 March 2011, the administrative court in Strasbourg confirmed the government's rejection to immediately close the Fessenheim nuclear power plant, the first unit of which started operation on 1 January 1978. The court rejected the motion of the 'Association trinationale de protection nucleaire' (ATPN) filed against the decision of the Minister of Economy, Industry and Employment to refuse the final shutdown of the plant. The group, which brings together associations as well as French, German and Swiss municipalities, had taken legal action in December 2008. United States - Case law 1 - Judgment of a US Court of Appeals on public access to sensitive security information and consideration of the environmental impacts of terrorist attacks on nuclear facilities: This case concerns 1) the public's right to access classified and sensitive security information relied upon by the US Nuclear Regulatory Commission (NRC) in its environmental review; and 2) the sufficiency of the NRC's environmental review of the impacts of terrorist attacks for a proposed Independent Spent Fuel Storage Installation (ISFSI). In 2003, the NRC ruled that the National Environmental Policy Act (NEPA) did not require the NRC to consider the impacts of terrorist attacks in its environmental review for the proposed ISFSI at the Diablo Canyon Power Plant. ' NEPA mandates that all federal agencies must prepare a detailed statement on the environment impacts before undertaking a major federal action that significantly affects the human environment. In 2004, the San Luis Obispo Mothers for Peace, a group of individuals who live near the Diablo Canyon Power Plant, filed a petition in the US Court of Appeals for the Ninth Circuit challenging the NRC's 2003 decision. The

Trichotillomania in a dementia case

Directory of Open Access Journals (Sweden)

Leonardo Caixeta

Full Text Available Abstract We report an 87-year-old male case of hair pulling associated with a white-matter vascular dementia (Binswanger's disease. Trichotillomania in our case did not resolve using mirtazapine or anticholinesterasic medication. Trichotillomania seems to be related to a form of perseveration associated with dementia. The findings in this case suggest the abnormality involving white matter in the pathogenesis of trichotillomania, may constitute a defect in connectivity in the right frontal-subcortical circuit.

Rhabdomyolysis case based on hypothyroidism

OpenAIRE

Bilal Katipoglu; Ihsan Ates; Fatih Acehan; Ayşenur Meteris; Nisbet Yılmaz

2016-01-01

Summary Hypothyroidism is a wide clinical spectrum disorder and only a few cases in literature show this. Rhabdomyolysis and acute renal impairment can be seen concurrently in a hypothyroid state. We report a case of severe hypothyroidism with poor drug compliance leading to rhabdomyolysis and acute kidney injury. Learning points: Hypothyroidism is a rare cause of acute kidney injury. In this case report, we studied a rare occurrence of acute renal impairment due to hypothyroidism with poor d...

Case study on bio-remediation. Bio remediation no case study

Energy Technology Data Exchange (ETDEWEB)

Cioffi, J; Lehmicke, L

1993-08-01

This paper introduces two cases of contamination removal using microorganisms in areas contaminated by harmful substances, carried out by ECOVA Inc. in the U.S.A. One case is a removal of soils over an area of 230,000 m[sup 3] contaminated with petroleum-based substances. The removal was intended to reduce contamination at higher than 15,000 ppm down to 1,000 ppm. Discussions on pilot soils and monitoring of activities of living organisms were carried out to determine an optimal condition. It was found that microorganisms having orange color matters have decomposing capability, produce mucopolysaccharides in long-chained hydrocarbon, and make hydrocarbon soluble. The contaminant removal in this area took 19 months. The decomposition work required consideration on temperatures, moistures, aeration frequencies, and nutrient amounts as the affecting factors. The other case is an experiment on removing perchloroethylene (PCE) and trichloroethylene (TCE) from water in the Savanna River. Microorganisms that decompose only TCE were used, with existing methane as a carbon source. An interim result has been obtained that TCE:PCE changed from 0.65:1 to 0.35:1 in twelve months. There has been neither increase nor decrease in the amount of microorganisms.

A rare case of vulvar squamous cell carcinoma; case presentation

Directory of Open Access Journals (Sweden)

Cristina N. Cozma

2018-05-01

Full Text Available Objectives. Vulvar cancer is a rare gynecological malignancy, with an incidence of 1.5 per 100 000 women/year. The most common vulvar cancer is developed in squamous cells, the most encountered type of skin cells. Case report. We report a case of a 72-year-old female admitted in the Department of Plastic Surgery of Emergency Clinical Hospital “Prof. Dr. Agrippa Ionescu” with a 5/4.2 cm painful ulcerated tumoral mass located in the vulvar area. The lesion slowly increased in size over the past 12 months. The tumour was surgically removed with oncological safety margins and sent for histopathological evaluation. The histopathological examination revealed an ulcerated squamous carcinoma with lymphovascular and perineural invasion, but with negative margins. Postoperative results were favorable, and no local or general complications were observed. Conclusion. We highlight this case due to its unusual presentation in the clitoral area. Moreover, considering the potential for recurrence we point out the importance of the radical vulvectomy with regional lymphadenectomy and histopathological examination, in order to put a precise diagnosis and ensure the best possible treatment for the patient.

Case series

African Journals Online (AJOL)

ebutamanya

2016-06-02

Jun 2, 2016 ... Epidemiological aspects of suicide attempts among Moroccan children .... Poorly drug intoxication was found in 25% of cases and included over 10 tablets in ... factors have been identified such as maltreatment, sexual abuse.

Case report

African Journals Online (AJOL)

abp

2013-10-17

Oct 17, 2013 ... We are reporting a case of hemoperitoneum followed by early post partum collapse due to bleeding ... diagnosis of postpartum hemoperitoneum after a vaginal delivery ... The patient was reviewed two weeks after discharge.

Pressurized waterproof case for electronic device

KAUST Repository

Berumen, Michael L.

2013-01-01

having an open top panel or face covered by a flexible, transparent membrane or the like for the operation of the touch-screen device within the case. A pressurizing system is provided for the case to pressurize the case and the electronic device therein

Design Case Retrieval by Generic Representations

NARCIS (Netherlands)

Achten, H.H.; Gero, J.S.

2000-01-01

Case-Based Reasoning and Case-Based Design have been proposed to utilize knowledge of previous design solutions to understand or solve current design problems. Case retrieval is often performed on the basis of verbal indexing systems, whereas in design the use of graphic representations is

CT in three cases of syringomyelia

International Nuclear Information System (INIS)

Ugawa, Yoshikazu; Sakuta, Manabu; Yagishita, Akira; Inoue, Kiyoharu.

1983-01-01

We presented the results of our experience with metrizamide computed tomographic myelography (MCTM) and myelography in three cases of syringomyelia. In case 1, MCTM revealed Chiari malformation, even though this malformation was not clear in the myelography. In case 3, Chiari malformation was apparent in MCTM and in the myelography. In case 1, CT of the spinal cord without enhancement (plain CT) showed a syrinx in the cervical spinal cord, and MCTM made the syrinx clearer with enhancement. MCTM also demonstrated a cavity at the levels of Th 6 and L 1 of the vertebra. In case 2, a syrinx was disclosed in MCTM, in spite of normal myelography. In case 3, myelography demonstrated a spinal cord swelling. MCTM made a syrinx less clear than plain CT. Not only MCTM but also plain CT is an excellent method for the recognition of syringomyelia. The non-invasive plain CT is the first choice of the examinations in cases with syrinogomyelia, because MCTM may make a syrinx obscure. CT and MCTM have to be performed at many levels of the spinal cord in case with syringomyelia. CT or MCTM may demonstrate a syrinx or a cavity at the levels of the spinal cord, where no syrinx is suspected to exist by clinical features, as well as at the levels appearing normal in the myelography. (author)

Demography and findings of reported rape cases.

Science.gov (United States)

Quader, M M; Rahman, M H; Kamal, M; Ahmed, A U; Saha, S K

2010-01-01

Six hundred and ninety nine cases of alleged rape were studied by the authors during the period from 2007-2008 at the Mymensingh Medical College, Mymensingh. Of these cases, 122 had positive findings of recent sexual intercourse; 250 cases had the positive findings of habituated sexual intercourse, and 327 cases had no findings of sexual intercourse but they complained of forcible sexual intercourse and found no sign of sexual intercourse. Most of the alleged victims of rape were nulliparous 87.12% and parous was only 12.87%. 430 (61.51%) cases of reported victims who were students of schools and colleges were not considered as rape cases considering their victim's history of love affairs, leaving home secretly with their lovers, living with them for many days. Gang rape was not so common (4.29% of raped cases) in our study. Age groups, their occupations, living areas, time of arrival for medico-legal examination have been studied. Most of the cases were students (61.51%). A few numbers of victims were subjected to gang rape. Examination and reporting the cases have been discussed.

Against Contextualism: Belief, Evidence, & the Bank Cases

Directory of Open Access Journals (Sweden)

Logan Paul Gage

2013-04-01

Full Text Available http://dx.doi.org/10.5007/1808-1711.2013v17n1p57 Contextualism (the view that ‘knowledge’ and its variants are context-sensitive has been supported in large part through appeal to intuitions about Keith DeRose’s Bank Cases. Recently, however, the contextualist construal of these cases has come under fire from Kent Bach and Jennifer Nagel who question whether the Bank Case subject’s confidence can remain constant in both low- and high-stakes cases. Having explained the Bank Cases and this challenge to them, I argue that DeRose has given a reasonable reply to this initial challenge. However, I proceed to argue that the current stalemate can be broken. Seeking to extend the Bach–Nagel critique, I offer a novel interpretation of the Bank Cases according to which the subject’s evidence changes between low- and high-stakes cases. If I am correct, then, given the amount of support the Bank Cases have been thought to lend contextualism, the case for contextualism is seriously weakened.

On misunderstandings in connection with case-studies

DEFF Research Database (Denmark)

Flyvbjerg, Bent

2005-01-01

This article examines five common misunderstandings about case-study research: (1) Theoretical knowledge is more valuable than practical knowledge; (2) One cannot generalize from a single case, therefore the single case study cannot contribute to scientific development; (3) The case study is most...

Theoretical pluralism in psychoanalytic case studies.

Science.gov (United States)

Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M B D

2015-01-01

The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or "Classical psychoanalysis" dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals.

Theoretical pluralism in psychoanalytic case studies

Science.gov (United States)

Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M.; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M. B. D.

2015-01-01

The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or “Classical psychoanalysis” dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals. PMID:26483725

Post-external radiotherapy hypothyroidism: 15 cases

International Nuclear Information System (INIS)

Kaffel, N.; Mnif, M.; Abid, M.; Daoud, J.

2001-01-01

Post-external radiotherapy hypothyroidism: 15 cases. Hypothyroidism frequency is estimated to be between 10 and 45% after radiotherapy alone, and 40 to 67% after radiotherapy associated with thyroidectomy. This hypothyroidism is infra-clinical in 60% of the cases. Our study concerned 15 cases of hypothyroidism after external radiotherapy delivered between and 1991 and 1999. An irradiation of the cervical, cerebral and thorax regions was indicated for different types of cancers. Larynx carcinoma epidermoid was the most frequent cancer (seven cases); the radiation treatment used cobalt 60 with conventional fractionation, i.e., 2 Gy per treatment, five treatments a week. In nine cases, the hypothyroidism was discovered during a systematic examination; it was clinically evident in the six remaining cases. Hypothyroidism appeared after an irradiation dose average of 50 Gy (extremes 30-65 Gy). The average duration of the irradiation was about 7 weeks and the hypothyroidism appeared in a mean 22 months. In all cases, the substituting treatment was initiated with a favorable progression. Faced with the risk of hypothyroidism, it is necessary to check patients who have undergone external irradiation of the neck. (authors)

Case report

African Journals Online (AJOL)

abp

2016-07-20

Jul 20, 2016 ... Brain abscess caused by streptococcus constellatus are very rarely ... We present a rare case of a left-sided thalamic abscess caused by streptococcus ... examination showed that the patient was lethargic and had right-.

Percutaneous transhepatic cholangiography: analysis of 120 cases

International Nuclear Information System (INIS)

Sohn, Hyung Sun; Shin, Kyung Sub; Kang, Hyo Seok

1981-01-01

Percutaneous transhepatic cholangiography (PTC) is of value in differential diagnosis of cholestatic diseases. Authors had performed PTC in 120 patients with flexible needle of 23 gauge at the Department of Radiology, Kang Nam St. Mary's Hospital and Myung Dong St. Mary's Hospital during the period from January, 1976 to April, 1980. PTC was accomplished successfully in 112 of 120 patients. Diagnoses included cholangiocarcinomas (27 cases), carcinomas of pancreas head (21 cases), ampullary carcinomas (4 cases), metastatic carcinomas (5 cases), bile duct stones (27 cases), sclerosing cholangitis (6 cases), hepatitis (6 cases), liver cirrhosis (6 cases), post operative adhesions (5 cases), chronic pancreatitis (3 cases), stomach carcinomas (3 cases), clonorchiasis (2 cases), blood clot (1 case), and remaining normal 4 cases. Some characteristic PTC findings were: (1) segmental annular narrowing and abrupt complete obstruction and polyploid filling defects of the bile duct in cholangiocarcinoma, (2) typical nipple or rat-tail appearance of the distal common bile duct in pancreatic head carcinoma, (3) single or multiple sharply and smoothly outlined filling defects within bile duct in all cases of stones, (4) complete obstruction with shallow concavity in ampullary carcinoma, (5) diffuse or segmental narrowing of the intrahepatic bile duct and common bile duct in sclerosing cholangitis, (6) multiple tiny polypoid filling defects of gall bladder, common hepatic duct, and common bile duct in clonorchiasis. (7) normal appearance in hepatitis. The overall diagnostic accuracy of PTC in 66 operated cases was 89.4%, and complications following the examination were significantly reduced by using a fine flexible needle (23 gauge). From the present study it is concluded as follows: 1. To evaluate obstructed or stenosed site accurately, aspiration of bile juice must be preceded by a 23 gauge needle connected to either 10 ml or 5 ml syringe. 2. To diagnose carcinoma of the

Pressurized waterproof case for electronic device

KAUST Repository

Berumen, Michael L.

2013-01-31

The pressurized waterproof case for an electronic device is particularly adapted for the waterproof containment and operation of a touch-screen computer or the like therein at some appreciable water depth. The case may be formed as an enclosure having an open top panel or face covered by a flexible, transparent membrane or the like for the operation of the touch-screen device within the case. A pressurizing system is provided for the case to pressurize the case and the electronic device therein to slightly greater than ambient in order to prevent the external water pressure from bearing against the transparent membrane and pressing it against the touch screen, thereby precluding operation of the touch screen device within the case. The pressurizing system may be a small gas cartridge (e.g., CO2), or may be provided from an external source, such as the diver\\'s breathing air. A pressure relief valve is also provided.

Essential trichomegaly: case report

Directory of Open Access Journals (Sweden)

Julia Dutra Rossetto

2013-02-01

Full Text Available The present study reports two cases of symptomatic essential trichomegaly. Trichomegaly may develop in various diseases, including anorexia nervosa, hypothyroidism, pregnancy, pretibial myxedema, systemic lupus erythematosus, vernal keratoconjunctivitis, and uveitis. The exact incidence trichomegaly is unknown, and the condition remains sporadically reported. Two cases of symptomatic trichomegaly without any associated systemic disorder are presented in this paper.

Human babesiosis - A case report

Directory of Open Access Journals (Sweden)

Marathe A

2005-01-01

Full Text Available Babesiosis is an emerging, tick-transmitted, zoonotic disease caused by hematotropic parasites of the genus Babesia. Most cases of Babesial infections in humans have been acquired in temperate regions of the United States, Europe, France and England. A few cases of Babesiosis have been described in other parts of the world, including China, Taiwan, Egypt, South Africa, and Mexico.1,2 We report the first case of human Babesiosis, in a normosplenic, previously healthy individual from India.

Liver Damage Associated with Polygonum multiflorum Thunb.: A Systematic Review of Case Reports and Case Series

Directory of Open Access Journals (Sweden)

Xiang Lei

2015-01-01

Full Text Available Objective. To summarize the characteristics and analysis of relevant factors and to give references for prevention and further study of liver damage associated with Polygonum multiflorum Thunb. (HSW, we provide a systematic review of case reports and case series about liver damage associated with HSW. Methods. An extensive search of 6 medical databases was performed up to June 2014. Case reports and case series involving liver damage associated with HSW were included. Results. This review covers a total of 450 cases in 76 articles. HSW types included raw and processed HSW decoction pieces and many Chinese patent medicines that contain HSW. Symptoms of liver damage occur mostly a month or so after taking the medicine, mainly including jaundice, fatigue, anorexia, and yellow or tawny urine. Of the 450 patients, two cases who received liver transplantation and seven who died, the remaining 441 cases recovered or had liver function improvement after discontinuing HSW products and conservative care. Conclusion. HSW causes liver toxicity and may cause liver damage in different degrees and even lead to death; most of them are much related to long-term and overdose of drugs. Liver damage associated with HSW is reversible, and, after active treatment, the majority can be cured. People should be alert to liver damage when taking HSW preparations.

Blastomycosis in Quebec (1981–90: Report of 23 Cases and Review of Published Cases from Quebec

Directory of Open Access Journals (Sweden)

G St-Germain

1993-01-01

Full Text Available Twenty-three cases of blastomycosis were reported in a survey conducted in the province of Quebec from 1981–90. Thirteen patients resided south of the St Lawrence River and the other 10, north. Two small geographical clusters were apparent in and around the cities of Sherbrooke and Quebec. The male to female ratio was 1.6:1 and the median age was 47 years (range 26 to 77. Lung involvement was observed in 19 cases and was the only site involved in 11. Cutaneous manifestations were reported in 11 cases while bone infection (three cases and central nervous system (CNS infections were also noted. Diagnosis was confirmed by culture in 21 cases and by histopathology in two cases. Of the 21 culture-positive cases, 12 strains of Blastomyces dermatitidis were isolated from lungs, nine from skin, and one each from bone and brain. Serodiagnostic tests by immunodiffusion or complement fixation were positive for only one of the 10 patients known to have been tested. Ten patients were treated with amphotericin B, 11 with ketoconazole, one with fluconazole and eight underwent surgery. While amphotericin B was used in eight of the 10 earliest treated cases, ketoconazole was administered in 10 of the 13 more recent cases. Of the patients for whom follow-up data have been obtained, 21 are reported cured (one of whom was not treated and one patient died of another cause. This survey confirms that blastomycosis is a rare disease in this endemic area and that patterns of therapy are changing.

Two Legionnaires' disease cases associated with industrial waste water treatment plants: a case report

Directory of Open Access Journals (Sweden)

Putus Tuula

2010-12-01

Full Text Available Abstract Background Finnish and Swedish waste water systems used by the forest industry were found to be exceptionally heavily contaminated with legionellae in 2005. Case presentation We report two cases of severe pneumonia in employees working at two separate mills in Finland in 2006. Legionella serological and urinary antigen tests were used to diagnose Legionnaires' disease in the symptomatic employees, who had worked at, or close to, waste water treatment plants. Since the findings indicated a Legionella infection, the waste water and home water systems were studied in more detail. The antibody response and Legionella urinary antigen finding of Case A indicated that the infection had been caused by Legionella pneumophila serogroup 1. Case A had been exposed to legionellae while installing a pump into a post-clarification basin at the waste water treatment plant of mill A. Both the water and sludge in the basin contained high concentrations of Legionella pneumophila serogroup 1, in addition to serogroups 3 and 13. Case B was working 200 meters downwind from a waste water treatment plant, which had an active sludge basin and cooling towers. The antibody response indicated that his disease was due to Legionella pneumophila serogroup 2. The cooling tower was the only site at the waste water treatment plant yielding that serogroup, though water in the active sludge basin yielded abundant growth of Legionella pneumophila serogroup 5 and Legionella rubrilucens. Both workers recovered from the disease. Conclusion These are the first reported cases of Legionnaires' disease in Finland associated with industrial waste water systems.

Case report

African Journals Online (AJOL)

ebutamanya

2015-01-07

Jan 7, 2015 ... Synchronous malignant renal mass in patient with a Lung cancer: case report and literature ... management and prognosis [4]. Patient and ... classed stage I. The patient got chemo radiotherapy for the lung cancer using ...

Case report

African Journals Online (AJOL)

abp

2017-12-13

Dec 13, 2017 ... nodules measuring 10-6cm, erythematous, purple color, painful at mobilization ... After multi-disciplinary concertation a ... of view than positivity of AR. In contrast ... Katagiri Y, Ansai S. Two cases of cutaneous apocrine ductal.

Unusual clinical presentation of rare case of vaginal leiomyoma: a case report

OpenAIRE

Ishrat Zuber; Purnima K. Nadkarni; Aditi A. Nadkarni; Akshay Nadkarni

2016-01-01

Primary vaginal leiomyoma are rare and usually arise from anterior vaginal wall, approximately 330 cases of vaginal fibroid reported in world literature. Vaginal myoma usually presented as discharge per vaginum, abnormal bleeding, pain lower abdomen, dyspareunia etc. We report a case of primary vaginal leiomyoma arising from lateral vaginal wall which is presented clinically as pain in hip joint and radiating to ipsilateral leg which is unusual clinical presentation creating diagnostic dilemm...

76 FR 6381 - Fee-Generating Cases

Science.gov (United States)

2011-02-04

... LEGAL SERVICES CORPORATION 45 CFR Part 1609 Fee-Generating Cases AGENCY: Legal Services...) proposes to amend the Legal Services Corporation's regulation on fee-generating cases to clarify that it... intended. LSC's regulation at 45 CFR part 1609, Fee- Generating Cases, is based on Sec. 1007(b)(1) of the...

Temporal Visualization for Legal Case Histories.

Science.gov (United States)

Harris, Chanda; Allen, Robert B.; Plaisant, Catherine; Shneiderman, Ben

1999-01-01

Discusses visualization of legal information using a tool for temporal information called "LifeLines." Explores ways "LifeLines" could aid in viewing the links between original case and direct and indirect case histories. Uses the case of Apple Computer, Inc. versus Microsoft Corporation and Hewlett Packard Company to…

[Surrogacy, yes or no? Case report].

Science.gov (United States)

Pektorová, M; Ventruba, P

2015-08-01

Case study of surrogacy which did not come up to client-couple´s expectation. Case report. Department of Gynaecology and Obstetrics, Uherske Hradiste Hospital a. s., Uherske Hradiste. Description of the case, case study. In the Czech Republic, missing legislation when subject matter is surrogacy does not allow to make a complex legal contract. This fact causes legal uncertainty to all participants. Irresponsible approach of doctors, surrogate mother, client-couple, and in the upshot care of disabled child at government expense can be results.

IT Business Cases in Local Government

DEFF Research Database (Denmark)

Nielsen, Peter Axel; Persson, John Stouby

2012-01-01

Effective management of value creation with information technology (IT) is increasingly important for local governments (e.g., municipalities). The business case is a tool that has increased popularity in both the public and private sector to support the management of value creation with IT....... However, experiences from local government reveal difficulties in developing effective IT business cases beyond simple cost savings. Based on collaborative action research with Danish municipalities we present insights on contemporary IT business case practices. Based on these insights we formulate...... lessons for business case practices in local government that we have incorporated into a business case method; that has subsequently been evaluated by IT managers in local government. These lessons have been synthesized into the four principles: minimal contents, benefits ownership, dynamic utility...

Case Report

African Journals Online (AJOL)

Administratör

Uterus at 17 Weeks of Amenorrhea: Case Report and Literature. Review ... no bleeding but the patient was noted to have ... urinary tract abnormalities are frequent in ... of MRI [6]. Laparoscopy allows formal confirmation of this type of uterine.

Case report

African Journals Online (AJOL)

ebutamanya

2015-11-27

Nov 27, 2015 ... systemic lupus erythematosus nor other connective tissue disease. Pregnancy was ... day of life, platelet level dropped to 20 x 109/L. The newborn has received platelet ... cases of aplastic anemia or hemolytic anemia [6,7].

Case report

African Journals Online (AJOL)

abp

un cas. Rev Chir Orthop Reparatrice. Appar Mot. 2000;86(1):98-103. PubMed | Google Scholar. 7. Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794-.

Case report

African Journals Online (AJOL)

raoul

2012-02-22

Feb 22, 2012 ... cancer. Case report. Written informed consent was obtained from the patient for ... colon and rectum (12 patients), uterus (8 patients), ovary (5 patients), head and neck (tongue, pharynx, larynx, nasal cavity, and mandible) (5 ...

Using Correspondence Analysis in Multiple Case Studies

NARCIS (Netherlands)

Kienstra, Natascha; van der Heijden, Peter G.M.

2015-01-01

In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study

Using correspondence analysis in multiple case studies

NARCIS (Netherlands)

Kienstra, N.H.H.; van der Heijden, P.G.M.

2015-01-01

In qualitative research of multiple case studies, Miles and Huberman proposed to summarize the separate cases in a so-called meta-matrix that consists of cases by variables. Yin discusses cross-case synthesis to study this matrix. We propose correspondence analysis (CA) as a useful tool to study

28 CFR 2.17 - Original jurisdiction cases.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Original jurisdiction cases. 2.17 Section... Original jurisdiction cases. (a) Following any hearing conducted pursuant to these rules, the Regional Commissioner may designate that a case should be decided as an original jurisdiction case. If the Regional...

Intelligent Adaptation Process for Case Based Systems

International Nuclear Information System (INIS)

Nassar, A.M.; Mohamed, A.H.; Mohamed, A.H.

2014-01-01

Case Based Reasoning (CBR) Systems is one of the important decision making systems applied in many fields all over the world. The effectiveness of any CBR system based on the quality of the storage cases in the case library. Similar cases can be retrieved and adapted to produce the solution for the new problem. One of the main issues faced the CBR systems is the difficulties of achieving the useful cases. The proposed system introduces a new approach that uses the genetic algorithm (GA) technique to automate constructing the cases into the case library. Also, it can optimize the best one to be stored in the library for the future uses. However, the proposed system can avoid the problems of the uncertain and noisy cases. Besides, it can simply the retrieving and adaptation processes. So, it can improve the performance of the CBR system. The suggested system can be applied for many real-time problems. It has been applied for diagnosis the faults of the wireless network, diagnosis of the cancer diseases, diagnosis of the debugging of a software as cases of study. The proposed system has proved its performance in this field

Case report

African Journals Online (AJOL)

abp

2012-05-13

May 13, 2012 ... Missed opportunity for tuberculosis case detection in household contacts in a high ... Maywood, IL, USA, 4College of Public Health, University of Georgia, ... This is an Open Access article distributed under the terms of the ...

Case Report: HIV test misdiagnosis

African Journals Online (AJOL)

Case Study: HIV test misdiagnosis 124. Case Report: HIV ... A positive rapid HIV test does not require ... 3 College of Medicine - Johns Hopkins Research Project, Blantyre,. Malawi ... test results: a pilot study of three community testing sites.

29 CFR 1614.302 - Mixed case complaints.

Science.gov (United States)

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Mixed case complaints. 1614.302 Section 1614.302 Labor... EMPLOYMENT OPPORTUNITY Related Processes § 1614.302 Mixed case complaints. (a) Definitions—(1) Mixed case complaint. A mixed case complaint is a complaint of employment discrimination filed with a federal agency...

Catamenial pneumothorax - case report

International Nuclear Information System (INIS)

Hasara, R.; Kudelkova, J.; Pestal, A.; Jedlicka, V.; Capov, I.; Reismullerova, L.

2014-01-01

Catamenial pneumothorax is a rare type of spontaneous pneumothorax, developed in women in reproductive age due to the presence of thoracic endometriosis. Medical history is the key to the correct diagnosis. Treatment combines methods of thoracic surgery, together with hormonal substitution therapy and, in rare cases, also gynecological operation. We present the case report of young woman with spontaneous pneumothorax due to thoracic endometriosis. (author)

Extension classification method for low-carbon product cases

Directory of Open Access Journals (Sweden)

Yanwei Zhao

2016-05-01

Full Text Available In product low-carbon design, intelligent decision systems integrated with certain classification algorithms recommend the existing design cases to designers. However, these systems mostly dependent on prior experience, and product designers not only expect to get a satisfactory case from an intelligent system but also hope to achieve assistance in modifying unsatisfactory cases. In this article, we proposed a new categorization method composed of static and dynamic classification based on extension theory. This classification method can be integrated into case-based reasoning system to get accurate classification results and to inform designers of detailed information about unsatisfactory cases. First, we establish the static classification model for cases by dependent function in a hierarchical structure. Then for dynamic classification, we make transformation for cases based on case model, attributes, attribute values, and dependent function, thus cases can take qualitative changes. Finally, the applicability of proposed method is demonstrated through a case study of screw air compressor cases.

Computerized tomographic evaluations of 37 cases of craniopharyngiomas

International Nuclear Information System (INIS)

Nagasawa, Shiro; Yamashita, Junkoh; Handa, Hajime; Takeuchi, Juji.

1983-01-01

Although craniopharyngiomas are well known to exhibit three basic CT characteristics: Calcification, cysts, and contrast enhancement (CE), several cases with atypical CT manifestations have been reported lately. These atypical manifestations can be classified into three groups: Unusual extensions of the tumors, high-density cysts, and marked homogeneous CE. The CT scans obtained in our recent series of 37 craniopharyngiomas were evaluated in an attempt to analyze the tumoral extensions, the cyst densities, and the CE, and were compared with those of other, rarer parasellar lesions. Cystic tumors were much more frequent than solid tumors (Table 1); 14 cases (38%) were exclusively cystic; 17 cases (46%), equally cystic and solid, and 6 cases (16%), solid. Calcifications were present in 86% of the children and 43% of the adults. Unusual extensions were noted in 7 cases (Fig. 1, 2): Anteriorly to the frontal fossa (5 cases, 14%), laterally to the temporal fossa (1 case, 3%), or posteriorly to the posterior fossa (1 case, 3%). All these tumors were either purely cystic or equally cystic and solid. Cystic portions were detected in the tumors of 31 cases (Table 2). Although the majority of the cystic portions (25 cases, 81%) were low in density, isodense cysts were observed in 6 cases (19%). Out of 23 cases exhibiting solid portions in the tumors, high-density areas (calcified masses) were detected in 3 cases and mixed-density areas in 20 cases. While these 20 cases all showed CE, marked homogeneous CE were noted in 5 cases (25%). (J.P.N.)

76 FR 23502 - Fee-Generating Cases

Science.gov (United States)

2011-04-27

... LEGAL SERVICES CORPORATION 45 CFR Part 1609 Fee-Generating Cases AGENCY: Legal Services... on fee-generating cases to clarify that it applies only to LSC and private non-LSC funds. DATES: This... fee-generating cases to clarify that it applies only to LSC and private non-LSC funds. 76 FR 6381. On...

Casing drilling - first experience in Brazil; Casing drilling - primeira experiencia no Brasil

Energy Technology Data Exchange (ETDEWEB)

Placido, Joao Carlos Ribeiro; Medeiros, Fernando; Lucena, Humberto; Medeiros, Joao Carlos Martins de; Costa, Vicente Abel Soares Rosa da; Silva, Paulo Roberto Correa da [PETROBRAS, Rio de Janeiro, RJ (Brazil); Alves, Renato J.M. [Tesco, London (United Kingdom)

2004-07-01

This paper describes the 'Casing Drilling' technology and its first experience in Brazil. This new process of casing while drilling was first developed to reduce costs. This system integrates the drilling process and casing running in one operation, promoting a more efficient well construction system, reducing trip time and costs of drill pipes and their transportation. Besides, this methodology intends to eliminate hole problems related to trouble zones with abnormal pressure with loss circulation, to overcome zones with wellbore instabilities, and to facilitate well control. Two companies have been identified using this technology: Tesco and Weatherford. However, there are differences between the techniques used by these companies, which are described in this paper. In the first experience in Brazil, it was decided to field test the technology developed by Tesco. This paper describes the preparation, the operation and the results of this first test. (author)

Dissecting malpractice in pancreaticoduodenectomy cases.

Science.gov (United States)

Anandalwar, Seema P; Scholer, Anthony J; Ninan, Gigio; Oliver, Joseph B; Christian, Derick; Eloy, Jean Anderson; Chokshi, Ravi J

2017-05-15

Medical malpractice is a growing concern for physicians in all fields. Surgical fields have some of the highest malpractice premiums and litigation rates. Pancreaticoduodenectomy (PD) has become a popular procedure; however, it is still associated with significant morbidity and mortality. This study is the first to analyze factors involved in litigation regarding PD cases. The Westlaw database was searched for jury verdicts and settlements using the terms "medical malpractice" and "pancreaticoduodenectomy". Twenty-nine cases from 1991 to 2012 were initially collected. Seven entries not involving PD and three duplicate cases were excluded. Nineteen cases were included for analysis. Of the 19 cases included in the analysis, three (15.8%) reached a settlement, three (15.8%) were ruled in favor of the plaintiff, and 13 (68.4%) were ruled in favor of the physician. The average settlement award was $398,333 (range, $195,000-500,000), and the average plaintiff award was $4,288,869 (range, $1,066,608-10,300,000). The most common factors raised in litigation included PD being allegedly unnecessary (47.4%), followed by postoperative negligence and misdiagnosis (36.8% each). The most common factors present in litigation included the allegation that PD was unnecessarily performed. The cases that are awarded large monetary sums are those that involve continued medical care. Ways to improve patient safety and limit litigation include increasing transparency and communication with a thorough discussion between surgeon and patient of the most common topics of litigation discussed. Published by Elsevier Inc.

12 CFR 268.302 - Mixed case complaints.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Mixed case complaints. 268.302 Section 268.302... RULES REGARDING EQUAL OPPORTUNITY Related Processes § 268.302 Mixed case complaints. A mixed case... discrimination or it may contain additional allegations that the MSPB has jurisdiction to address. A mixed case...

Case Report

African Journals Online (AJOL)

Arthritis: a Case Report. Intissar Haddiya*, Hakima Rhou, Loubna Benamar, Fatima Ezzaitouni, Rabia Bayahia, Naima. Ouzeddoun. Unit of Nephrology, Ibn Sina University Hospital, Rabat, Morocco. * Corresponding author; Unit of Nephrology, Ibn Sina University. Hospital, Rabat, Morocco; E. mail: intissarhaddiya@hotmail.

Case report

African Journals Online (AJOL)

ebutamanya

2015-11-20

Nov 20, 2015 ... We report a case of a farmer who has sustained of a severe hand wound due to ... open distal interphalangeal joint dislocation of the 5th finger; flexor tendons were .... biomechanical analysis and clinical application. J Orthop ...

Case series

African Journals Online (AJOL)

abp

2017-09-15

15 Ebola Virus Disease (EVD) outbreak in West Africa infected more than 28,000 persons out of which 11,000 died [20]. At the height of this outbreak, the huge load of cases and their contacts overwhelmed the response ...

Case report

African Journals Online (AJOL)

abp

2013-02-19

Feb 19, 2013 ... main disease and 70-80% stenosis of the proximal Left Anterior Descending Artery (LAD). ... He had a successful PTCA + DES stent to the LAD (Figure 3). ... In the case being presented, despite the benign appearance of the.

Case Report

DEFF Research Database (Denmark)

Klubien, Jeanett; Borgersen, Dorte Winther; Rosenberg, Jacob

2016-01-01

Introduction Perforation of the gallbladder is a benign and common complication during laparoscopic cholecystectomy. However, it may result in stone spilling, which potentially can lead to serious postoperative complications.  Case report A 70-year-old male underwent laparoscopic cholecystectomy...

Case report

African Journals Online (AJOL)

ebutamanya

2015-02-13

Feb 13, 2015 ... mucoid, T.inkin, T. cutaneum) a rate of 11.15%. This rate confirms the one recorded by Pini G & al ... The authors declare no competing interest. Authors' ... due to Trichosporonasahii,first two cases in Chile. Rev. IberoamMicol.

Case report

African Journals Online (AJOL)

ebutamanya

French). 1984;30(3):177-81. PubMed |. Google Scholar. 12. Isla A, Paz JM, Sansivirini F, Zamora P, Garcia Grande A,. Fernandez A. Intramedullary spinal cord metastasis: a case report. J Neurosurg Sci. 2000 Jun; 44(2):99-101.

Software requirements management based on use cases

International Nuclear Information System (INIS)

Xiao Jin

2009-01-01

In this paper, the requirements management based on use cases is theoretically explored, and a multi-layer use-case model is introduced, which combined with three levels of use cases and a single use-case refinement model. Through the practice in a software project, the multi-layer use-case model provides a good solution on how to control the requirements scope and change, and provides the balance of work assignment between customer departments, information management departments and software development outsourcing team. (authors)

Connection of thin-walled casings

Energy Technology Data Exchange (ETDEWEB)

Druyan, V.M.; Grinev, A.F.; Gruzdev, V.D.; Perchanik, V.V.; Syplenko, V.T.

1981-08-28

A connection is suggested for castings which contains a nipple and coupling part with conical triangular threading. in order to improve the strength of the connection of thin-walled casings with ratio D/S>22, where D is the outer diameter of the casing, S is the thickness of the wall of the casing, the end of the pipe on the length from the end to the main plane of the thread is conical with constant thickness of the wall and conicity eqal to the conicity of the thread.

[Amyand's hernia--a clinical case].

Science.gov (United States)

Savlovschi, C; Brănescu, C; Serban, D; Tudor, C; Găvan, C; Shanabli, A; Comandaşu, M; Vasilescu, L; Borcan, R; Dumitrescu, D; Sandolache, B; Sajin, M; Grădinaru, S; Munteanu, R; Kraft, A; Oprescu, S

2010-01-01

Amyand's hernia, a rare entity in the surgical pathology, presupposes the presence of the vermiform appendix inside a inguinal hernia sac (1). The hernia sac peritonitis by appendix swelling is even more rare, very few cases being presented in the surgical literature (1). The preoperatory diagnosis of Amyand's hernia is therefore very difficult. We herein present the case of a 71-year old male patient, operated on an emergency basis for hernia, which eventually turned out to be Amyand's hernia, a case which determined us to research the literature dedicated to this topic.

45 CFR 400.118 - Case planning.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 2 2010-10-01 2010-10-01 false Case planning. 400.118 Section 400.118 Public... Services § 400.118 Case planning. (a) A State, or its designee under § 400.117, must develop and implement... services. (b) Case planning for unaccompanied minors must, at a minimum, address the following elements: (1...

Day-case laparoscopic Nissen fundoplication.

LENUS (Irish Health Repository)

Khan, S A

2012-01-01

For day-case laparoscopic surgery to be successful, patient selection is of the utmost importance. This study aimed to assess the feasibility of day-case laparoscopic Nissen fundoplication and to identify factors that may lead to readmission and overstay.

Qualitative Case Study Research as Empirical Inquiry

Science.gov (United States)

Ellinger, Andrea D.; McWhorter, Rochell

2016-01-01

This article introduces the concept of qualitative case study research as empirical inquiry. It defines and distinguishes what a case study is, the purposes, intentions, and types of case studies. It then describes how to determine if a qualitative case study is the preferred approach for conducting research. It overviews the essential steps in…

Mathematical models evaluation of the calculation of the spread in the rolling of ellipsoidal and diamond profiles; Avaliacao de modelos matematicos para calculo do alargamento na laminacao dos perfis oval e losango

Energy Technology Data Exchange (ETDEWEB)

Schaeffer, Lirio; Guedes, Luiz F.M. [Rio Grande do Sul Univ., Porto Alegre, RS (Brazil). Programa de Pos-graduacao em Engenharia Metalurgica e dos Materiais

1987-12-31

In this work, general considerations are initially performed about the spread and the main factors which influence it in the rolling process.It was established a prior analysis of the models in the case of oval and diamond profiles rolling. Afterwards, three mathematical models to calculate the spread are presented. It was notes that for some mathematical models, because their expressions are presented for the rectangular sections rolling, it was necessary to use auxiliary methods, which are also shown in this work. 14 refs., 5 figs., 5 tabs.

Pressurized waterproof case electronic device

KAUST Repository

Berumen, Michael L.

2013-01-01

A pressurized waterproof case for an electronic device is particularly adapted for fluid-tight containment and operation of a touch-screen electronic device or the like therein at some appreciable water depth. In one example, the case may be formed

Case Study: The Chemistry of Cocaine

Science.gov (United States)

Dewprashad, Brahmadeo

2011-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's case study focuses on the chemistry of cocaine to teach a number of core concepts in organic chemistry. It also requires that students read and analyze an original research paper on…

A Review of Case-Based Learning Practices in an Online MBA Program: A Program-Level Case Study

Science.gov (United States)

Lee, Seung-hee; Lee, Jieun; Liu, Xiaojing; Bonk, Curt J.; Magjuka, Richard J.

2009-01-01

This study examines how a case-based learning approach was used and facilitated in online business education. Perceptions of students and instructors regarding the practices of case-based learning in online environments are explored in terms of instructional design, facilitation, and technology support. This study finds case-based learning to be a…

GLAMUR case-study report: The comparison of three Dutch pork cases (Tasks 3.5)

NARCIS (Netherlands)

Oostindië, H.A.; Horlings, L.G.; Broekhuizen, van R.E.; Hees, E.

2015-01-01

This report presents the case study results of local-global pork chain performances in The Netherlands. As part of Work Package 3, this case study was carried out in cooperation with our Italian GLAMUR partner. The Dutch pork production sector came up after World War 2 and developed into a highly

SIRENOMELIA: A CASE REPORT

OpenAIRE

Wankhede; Shrivastava

2016-01-01

The incidence of Sirenomelia is thought to be about 1 in 65,000 live births (Oxford Medical database, Dysmorphology). In Sirenomelia, lower limbs are fused together. Common associated malformations include absent genitalia, imperforate anus, lumbosacral vertebral pelvic abnormalities and renal agenesis. Sirenomelia with craniorachischisis totalis (CT) is a rare fetal malformation, only six cases have been reported in English literature (1-5) and none yet from Asia. Our case is of ...

The case for Dounreay

International Nuclear Information System (INIS)

1979-01-01

This document sets out to state the case for the Commercial Demonstration Fast Reactor and to explain the reasons why it should be situated at Dounreay, Caithness, Scotland. Headings are: the case for CDFR; why should the CDFR be sited in Caithness (Caithness before Dounreay; the social and economic significance of Dounreay; the Caithness economy today; Caithness - the need for jobs); the CDFR and Caithness; conclusions. (U.K.)

Case report

African Journals Online (AJOL)

abp

2013-10-23

Oct 23, 2013 ... Pyomyositis in Nodding Syndrome (NS) patient - a case report ... B0X 7072, Kampala, Uganda, 3Gulu University, Faculty of Medicine, P.O. B0X 166, Gulu, Uganda .... to pay particular attention to such children who may have.

Case Report

DEFF Research Database (Denmark)

Sylvester-Hvid, Amalie; Avnstorp, Magnus B; Wagenblast, Lene

2017-01-01

Introduction Breast seroma may be caused by a variety of factors including lymphatic disruption, continuous inflammation and foreign bodies such as breast implants. In cases of breast implants associated seroma the diagnosis of Anaplastic Large Cell Lymphoma (ALCL) should be investigated. Present...

CASE REPORT

African Journals Online (AJOL)

2011-12-02

Dec 2, 2011 ... brain illustrated enhancement of the optic nerves post-. CASE REPORT ... improved bilaterally to 6/18 on the right and 6/12 on the left. There was .... the possible risks versus benefits of steroid therapy and invite them to ...

Effect of the new standards for case logging on resident operative volume: doing better cases or better numbers?

Science.gov (United States)

Murthy, Raghav; Shepard, Alex; Swartz, Andrew; Woodward, Ann; Reickert, Craig; Horst, Mathilda; Rubinfeld, Ilan

2012-01-01

The Accreditation Council for Graduate Medical Education (ACGME) modified the designation of major (index) operative cases to include those previously considered "minor." This study assessed the potential effect of these changes on resident operative experience. With Institutional Review Board approval, we analyzed National Surgical Quality Improvement Program participant use files for 2005-2008 for general and vascular surgery cases. Primary CPT case coding was mapped to the ACGME major case category using both the old and new classification schemes. The variables were analyzed using χ(2) analysis in SPSS IBM 19 (IBM, Armonk, New York). A total of 576,019 cases were reviewed. Major cases as defined by the new classification represented an increasing proportion of the cases each year, rising from 88.3% in 2005 to 95% by 2008 (p top procedures to include excision of breast lesion (22,175 [12.7%]), laparoscopic gastric bypass (18,825 [10.8%]), ventral hernia repair (14,732 [8.5%]), and appendectomy (10,190 [5.9%]). Of these newly designated major cases, the proportion not covered by residents increased from 22% in 2005 to 44% in 2007 and 2008 (p quality. Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

The importance of laboratory re-evaluation in cases of suspected child abuse - A case report.

Science.gov (United States)

Woydt, L; König, C; Bernhard, M K; Nickel, P; Dreßler, J; Ondruschka, B

2017-09-01

In order to accurately diagnose child abuse or neglect, a physician needs to be familiar with diseases and medical conditions that can simulate maltreatment. Unrecognized cases of abuse may lead to insufficient child protection, whereas, on the other hand, over-diagnosis could be the cause of various problems for the family and their potentially accused members. Regarding child abuse, numerous cases of false diagnoses with undetected causes of bleeding are described in the scientific literature, but, specifically concerning leukemia in childhood, only very few case reports exist. Here, for the first time, we report a case of a 2-year-old boy who got hospitalized twice because of suspicious injuries and psychosocial conspicuities, in a family situation known for repeated endangerment of the child's well-being. After his first hospitalization with injuries typical for child abuse, but without paraclinical abnormalities, medical inspections were arranged periodically. The child was hospitalized with signs of repeated child abuse again five months later. During second admission, an acute lymphoblastic leukemia was revealed by intermittent laboratory examination, ordered due to new bruises with changes in morphology, identifiable as petechial hemorrhages. This case elucidates the discussion of known cases of leukemia in childhood associated with suspected child abuse in order to provide an overview of possible diseases mimicking maltreatment. To arrange necessary supportive examinations, a skillful interaction between pediatrician and forensic pathologist is crucial in the differentiation between accidental and non-accidental injury. Copyright © 2017 Elsevier B.V. All rights reserved.

Automation of Test Cases for Web Applications : Automation of CRM Test Cases

OpenAIRE

Seyoum, Alazar

2012-01-01

The main theme of this project was to design a test automation framework for automating web related test cases. Automating test cases designed for testing a web interface provide a means of improving a software development process by shortening the testing phase in the software development life cycle. In this project an existing AutoTester framework and iMacros test automation tools were used. CRM Test Agent was developed to integrate AutoTester to iMacros and to enable the AutoTester,...

A Case of Familial Polydactyly From Turkey

Directory of Open Access Journals (Sweden)

Billur Sezgin

2016-06-01

Full Text Available Polydactyly is among the most frequently encountered congenital anomalies of the extremities. Although it is usually presented in an isolated and sporadic manner, familial cases can also be rarely encountered. Such familial polydactyly cases usually follow an autosomal dominant inheritance with variable genetic penetration and are usually bilateral and symmetric. A case of rare familial polydactyly from Turkey is presented. Four siblings, two girls and two boys, presented with bilateral, symmetric preaxial polydactyly affecting both hands and feet. These siblings also had four other unaffected siblings along with an affected father and grandmother (the father’s mother. Although the cases portrayed duplication at different levels, the general definition of familial polydactyly with bilateral, symmetric inheritance is observed in these cases. Other rare familial polydactyly cases have been reported in the literature as well, and this case serves as a typical example of this rare entity from Turkey.

Casing Pipe Damage Detection with Optical Fiber Sensors: A Case Study in Oil Well Constructions

Directory of Open Access Journals (Sweden)

Zhi Zhou

2010-01-01

Full Text Available Casing pipes in oil well constructions may suddenly buckle inward as their inside and outside hydrostatic pressure difference increases. For the safety of construction workers and the steady development of oil industries, it is critically important to measure the stress state of a casing pipe. This study develops a rugged, real-time monitoring, and warning system that combines the distributed Brillouin Scattering Time Domain Reflectometry (BOTDR and the discrete fiber Bragg grating (FBG measurement. The BOTDR optical fiber sensors were embedded with no optical fiber splice joints in a fiber-reinforced polymer (FRP rebar and the FBG sensors were wrapped in epoxy resins and glass clothes, both installed during the segmental construction of casing pipes. In situ tests indicate that the proposed sensing system and installation technique can survive the downhole driving process of casing pipes, withstand a harsh service environment, and remain intact with the casing pipes for compatible strain measurements. The relative error of the measured strains between the distributed and discrete sensors is less than 12%. The FBG sensors successfully measured the maximum horizontal principal stress with a relative error of 6.7% in comparison with a cross multipole array acoustic instrument.

Case-based reasoning a concise introduction

CERN Document Server

López, Beatriz

2013-01-01

Case-based reasoning is a methodology with a long tradition in artificial intelligence that brings together reasoning and machine learning techniques to solve problems based on past experiences or cases. Given a problem to be solved, reasoning involves the use of methods to retrieve similar past cases in order to reuse their solution for the problem at hand. Once the problem has been solved, learning methods can be applied to improve the knowledge based on past experiences. In spite of being a broad methodology applied in industry and services, case-based reasoning has often been forgotten in

Worst-case analysis of heap allocations

DEFF Research Database (Denmark)

Puffitsch, Wolfgang; Huber, Benedikt; Schoeberl, Martin

2010-01-01

the worst-case heap allocations of tasks. The analysis builds upon techniques that are well established for worst-case execution time analysis. The difference is that the cost function is not the execution time of instructions in clock cycles, but the allocation in bytes. In contrast to worst-case execution...... time analysis, worst-case heap allocation analysis is not processor dependent. However, the cost function depends on the object layout of the runtime system. The analysis is evaluated with several real-time benchmarks to establish the usefulness of the analysis, and to compare the memory consumption...

Clinical findings in two cases of atypical scrapie in sheep: a case report

Directory of Open Access Journals (Sweden)

Chaplin Melanie

2007-02-01

Full Text Available Abstract Background Atypical scrapie is a recently recognised form of transmissible spongiform encephalopathy of sheep that differs from classical scrapie in its neuropathological and biochemical features. Most cases are detected in apparently healthy sheep and information on the clinical presentation is limited. Case presentation This report describes the clinical findings in two sheep notified as scrapie suspects and confirmed as atypical scrapie cases by immunohistochemistry and Western immunoblotting. Although both sheep displayed signs suggestive of a cerebellar dysfunction there was considerable variation in the individual clinical signs, which were similar to classical scrapie. Conclusion Any sheep presenting with neurological gait deficits should be assessed more closely for other behavioural, neurological and physical signs associated with scrapie and their presence should lead to the suspicion of scrapie.

The electrical resistivity method in cased boreholes

Energy Technology Data Exchange (ETDEWEB)

Schenkel, C.J.

1991-05-01

The use of downhole current sources in resistivity mapping can greatly enhance the detection and delineation of subsurface features. The purpose of this work is to examine the resistivity method for current sources in wells cased with steel. The resistivity method in cased boreholes with downhole current sources is investigated using the integral equation (IE) technique. The casing and other bodies are characterized as conductivity inhomogeneities in a half-space. For sources located along the casing axis, an axially symmetric Green's function is used to formulate the surface potential and electric field (E-field) volume integral equations. The situations involving off-axis current sources and three-dimensional (3-D) bodies is formulated using the surface potential IE method. The solution of the 3-D Green's function is presented in cylindrical and Cartesian coordinate systems. The methods of moments is used to solve the Fredholm integral equation of the second kind for the response due to the casing and other bodies. The numerical analysis revealed that the current in the casing can be approximated by its vertical component except near the source and the axial symmetric approximation of the casing is valid even for the 3-D problem. The E-field volume IE method is an effective and efficient technique to simulate the response of the casing in a half-space, whereas the surface potential approach is computationally better when multiple bodies are involved. Analyzing several configurations of the current source indicated that the casing response is influenced by four characteristic factors: conduction length, current source depth,casing depth, and casing length. 85 refs., 133 figs., 11 tabs.

Use cases versus task descriptions

DEFF Research Database (Denmark)

Lauesen, Søren; Kuhail, Mohammad Amin

2011-01-01

Abstract. [Context and motivation] Use cases are widely used as a substantial part of requirements, also when little programming is expected (COTS-based systems). [Question/problem] Are use cases effective as requirements? To an-swer this question, we invited professionals and researchers...

Mediastinitis after oesophagoscopy : a case report : case report

African Journals Online (AJOL)

Marinda

of the mediastinal tissues and pleural cavities through digestive juices and bacteria that give rise to cellulitis and suppuration.3. We here report a case in which .... measures and surgical drainage of the retro-oesophageal space if suppuration has developed. Complete healing of the oesophagus may take as long as two ...

Treatment phases in management of a comprehensive restorative case. A case report

International Nuclear Information System (INIS)

AlSamh, Duaa Abo; Endo, Cert End

2008-01-01

The aim of this case report was to emphasize the value of preforming patient's treatment plan into phases of treatment and encouraging colleagues to apply such phases in the clinical practice for the management of complex restorative cases. Traditional approach to treatment planning has certain merits. However, new treatment approach should improve oral health rather than react to presenting problems and therefore, dentists should aim to convert their irregular attendee to a regular attendee with treatment plan directed to enhance oral health, prevent disease, improve esthetic and free the patient from pain and discomfort. In this report, a complex restorative case of a 16-year-old female patient was managed for comprehensive dental therapy in the form of treatment plan which was divided into phases by way of a ''staircase'' approach with one clinical step being dependent on the previous step. The whole treatment was completed in three months and the results were satisfactory and patient became a highly motivated person with more self-confidence. (author)

Investigation of Energy-Efficient Supermarket Display Cases

Energy Technology Data Exchange (ETDEWEB)

Walker, D.H.

2005-01-21

Supermarkets represent one of the largest energy-intensive building groups in the commercial sector, consuming 2 to 3 million kWh/yr per store (ES-1). Over half of this energy use is for the refrigeration of food display cases and storage coolers. Display cases are used throughout a supermarket for the merchandising of perishable food products. The cases are maintained at air temperatures ranging from -10 to 35 F, depending upon the type of product stored. The operating characteristics and energy requirements of the refrigeration system are directly related to the refrigeration load. The sources of the display case refrigeration load consist of: (1) Moist and warm air infiltration through the open front of the case--air curtains are employed to inhibit this infiltration, but some ambient air is entrained, which adds a substantial portion to the refrigeration load. (2) Heat conduction through case panels and walls. (3) Thermal radiation from the ambient to the product and display case interior. (4) Internal thermal loads--the use of lights, evaporator fans, periodic defrosts, and antisweat heaters adds to the refrigeration load of the display case as well as directly consuming electric energy. The impact of each of these elements on the refrigeration load is very dependent upon case type (Figure ES-1). For example, air infiltration is the most significant portion of the refrigeration load for open, multi-deck cases, while radiation is the largest part of the load for tub-type cases. The door anti-sweat heaters represent a major share of the refrigeration load for frozen food door reach-in cases. Figure ES-2 shows the distribution of display cases in a typical supermarket (ES-2). Open, multi-deck, medium temperature display cases typically comprise about half of the refrigerated fixtures in a store (ES-3). In addition, medium temperature fixtures and storage coolers account for roughly 70 to 75 percent of the total store refrigeration load with open, multi-deck cases

Student-generated case reports.

Science.gov (United States)

Good, Christopher J

2009-01-01

When students create teaching materials, learning can be enhanced. Therefore, a project was designed based on the traditional clinical case report and the chiropractic technique and principles curriculum at the University of Bridgeport College of Chiropractic. The objectives were to increase mastery in a clinical topic, increase awareness of different patient presentations and management options, and enhance information technology skills. Following lectures about the components of a case report and neurological reflexes related to visceral comorbidities and subluxation and joint dysfunction, students created a case report based on a template provided by the instructor. A survey gathered student perspectives on the exercise. More than 70% of the surveyed students felt the project was at least moderately helpful in improving understanding of a case report, the condition investigated, their clinical reasoning, and the ability to integrate information. Most felt that they improved their understanding of neurological reflexes, use of the literature, and the practice of evidence-based care. The majority believed that they identified weakness in knowledge, improved self-learning skills, and increased confidence in managing patients. Most enjoyed it at least somewhat and 70% agreed that the project should be continued. Many believed that they were better prepared for national boards and had improved their writing skills.

Associative visual agnosia: a case study.

Science.gov (United States)

Charnallet, A; Carbonnel, S; David, D; Moreaud, O

2008-01-01

We report a case of massive associative visual agnosia. In the light of current theories of identification and semantic knowledge organization, a deficit involving both levels of structural description system and visual semantics must be assumed to explain the case. We suggest, in line with a previous case study, an alternative account in the framework of (non abstractive) episodic models of memory.

Case report

African Journals Online (AJOL)

abp

2017-10-17

Oct 17, 2017 ... Scholar. 2. Riccardo Campi, Sergio Serni, Maria Rosaria Raspollini,. Agostino Tuccio, Giampaolo Siena, Marco Carini et al. Robot-. Assisted Laparoscopic Vesiculectomy for Large Seminal Vesicle. Cystadenoma: a case report and review of the literature. Clinical Genitourinary Cancer. 2015; 13(5): e369-.

CASE REPORT

African Journals Online (AJOL)

NJSR

cardiac failure, as in our patient, digitalis and radiography are considered before surgical excision. Occasional cases have involuted spontaneously, though a few have metastasized. 5 Other forms of treatment include corticosteroids, and hepatic artery ligation. 7 Malignant transformation has been reported after successful ...

Case Report

African Journals Online (AJOL)

through a small clinically-undetectable inguinal hernia, and may require ... conservative approach may be adopted. Case report: An 80 ... gross bilateral scrotal swelling (without cough impulse) ... Tenckhoff catheter was inserted using the open surgical technique ... role of surgery in treating dialysate leaks presenting as.

Case report

African Journals Online (AJOL)

abp

2014-03-28

Mar 28, 2014 ... Abstract. Cushing syndrome is a hormonal disorder caused by prolonged exposure of body tissue to cortisol. We report two cases of iatrogenic Cushing's syndrome in two Nigerian children following intranasal administration of aristobed-N (Betamethasone+Neomycin) given at a private hospital where.

Case report

African Journals Online (AJOL)

abp

2013-05-21

May 21, 2013 ... Imperforate Hymen - a rare cause of acute abdominal pain and tenesmus: case report and review of .... did a ten year retrospective analysis of the data of 15 patients treated for ... Low back pain (38-40%) [4, 13, 14]. Occurs as ...

Case report

African Journals Online (AJOL)

abp

15 juin 2016 ... We report the case of a 17-year old admitted with diffuse bone pain, hypercalcemia and thrombopenia. Bone scan showed .... plus rares et ont été rapportée dans des observations isolées [13]. ... hypercalcemia in nude mice.

Case competitions

DEFF Research Database (Denmark)

Schjoldager, Anne Gram

2009-01-01

The paper presents and discusses a teaching project with case competitions for MA students of specialised translation at the Aarhus School of Business, Aarhus University. Drawing on a series of online questionnaires, the paper ascertains how the project was evaluated by the participating students...

Case series

African Journals Online (AJOL)

abp

2015-01-19

Jan 19, 2015 ... Child sexual abuse: report of 311 cases with review of literature. Laila Essabar1, Abdenbi Khalqallah2, Badr Sououd Benjelloun Dakhama1,&. 1Department of Paediatric Medical Emergencies of Rabat children's Hospital, Morocco, 2Laboratory of Clinical and Pathological Psychology,. Mohammed V ...

CASE STUDY

African Journals Online (AJOL)

2010-09-01

Sep 1, 2010 ... of the two diseases surgery can be successful, recovery can be similar to that .... lymphocytes predominated in 68% of cases, and that there was an .... using ferritin is the fact that it acts as an acute-phase reactant and will be ...

Possible sources for hydrogen production in Mexico; Posibles fuentes de produccion de hidrogeno en Mexico

Energy Technology Data Exchange (ETDEWEB)

Vazquez Esparza Mata, Esther; Perez Garcia, Edgar C. [Facultad de Ingenieria, Universidad Nacional Autonoma de Mexico, Mexico, D.F. (Mexico)

2004-06-15

In agreement with the Secretaria de Energia, Mexico consumed daily in year 2000, 1.7 millions of oil barrels and according to numbers of PEMEX the proven reserves to December 31 of that year, ascended to 12,312 million barrels, obviously the consumption and the reserves will change through the time, but making a calculation these reserves will be sufficient only for 20 years, on the other hand according to PEMEX Gas y Petroquimica Basica numbers, the present natural gas reserves are sufficient to supply the demand during 22 years, with these data we can have an approximate calculation of 20 years of fossil fuel supply, to this stage we can name it the period of power transition, when this time interval is over we will have an eminent power crisis and it will be necessary to count already on new power alternatives, which have a sustainable development and which will have to be ready at by the end of the next 20 years. One of the most viable alternatives is obtaining energy from hydrogen, this is the most abundant element in the universe, near 75% is constituted by it, but it is not found in pure state in nature. In order to determine certain state it is necessary to investigate about the processes for the hydrogen obtaining, the reforming of natural gas, the natural gas reserves, the natural gas distribution and the integrated gasification. [Spanish] De acuerdo con la Secretaria de Energia, Mexico consumio en el ano 2000, 1.7 millones de barriles diarios de petroleo y segun cifras de PEMEX las reservas probadas al 31 de diciembre de ese ano ascienden a 12,312 millones de barriles, obviamente el consumo y las reservas cambiaran a traves del tiempo, pero haciendo un calculo estas reservas seran suficientes unicamente para 20 anos, por otro lado segun cifras de PEMEX Gas y Petroquimica basica las reservas de gas natural actuales son suficientes para abastecer la demanda durante 22 anos, con estos datos podemos tener un calculo aproximado de 20 anos de abastecimiento de

[Lobular idiopathic granulomatos mastitis. About 10 cases].

Science.gov (United States)

Hmissa, Sihem; Sahraoui, Wassila; Missaoui, Nabiha; Stita, Wided; Mokni, Moncef; Yacoubi, Mohamed T; Khairi, Hedi; Korbi, Sadok

2006-06-01

Our retrospective study was performed on 10 cases of granulomatous mastitis registered in Obstetric Gynaecology Department and Pathology Department of CHU F. Hached, Sousse, during 8 years period. The mean age was 36.4 years (range 32-59). Among these 10 cases. 8 were observed in reproductive-age women and 2 were noted in menopausal women. Clinical findings showed unilateral breast nodule associated with inflammatory signs in 4 cases, mammelonary retraction in 2 cases and serous or sero-purulent mamelonnary flow in 4 cases. Mamnmographic examination suggested a malignant tumor in 5 patients. In all cases, the diagnosis is made by histopathology. Surgical treatment consisted in wide excision with drainage or radical mastectomy, eventually with combination with antibiotic therapy and non steroid anti-inflammatory drugs. Prognostic features showed a good cicatrization in 4 cases, local recurrence and cutaneous fistulization in one patient. Granulomatous mastitis aetiology is still unclear, auto-immune aetio-pathogenesis appears more interesting and should be clarified.