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Sample records for clinical investigator inspection

  1. Good clinical practice regulatory inspections: Lessons for Indian investigator sites

    Directory of Open Access Journals (Sweden)

    R Marwah

    2010-01-01

    Full Text Available Regulatory inspections are important to evaluate the integrity of the data submitted to health authorities (HAs, protect patient safety, and assess adequacy of site/sponsor quality systems to achieve the same. Inspections generally occur after submission of data for marketing approval of an investigational drug. In recent years, there has been a significant increase in number of inspections by different HAs, including in India. The assessors/inspectors generally do a thorough review of site data before inspections. All aspects of ICH-GCP, site infrastructure, and quality control systems are assessed during the inspection. Findings are discussed during the close out meeting and a detailed inspection report issued afterward, which has to be responded to within 15-30 days with effective Corrective and Preventive Action Plan (CAPA. Protocol noncompliance, inadequate/inaccurate records, inadequate drug accountability, informed consent issues, and adverse event reporting were some of the most common findings observed during recent Food and Drug Administration (FDA inspections. Drug development is being increasingly globalized and an increased number of patients enrolled in studies submitted as part of applications come from all over the world including India. Because of the steep increase in research activity in the country, inexperienced sites, and more stakeholders, increased efforts will be required to ensure continuous quality and compliance. HAs have also made clear that enforcement will be increased and be swift, aggressive, and effective.

  2. Clinical Investigator Inspector List (CLIIL)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Clinical Investigator Inspection List (CLIIL) contains names, addresses, and other pertinent information gathered from inspections of clinical investigators who...

  3. Clinical Investigation.

    Science.gov (United States)

    1979-09-30

    Hiller, D.A., Elliott, J.P.: Tubal Ligation Syndrome Myth or Reality. Presented: Armed Forces Division of ACOG, New Orleans, Louisiana, October 1977...Molecular Weight Immunoreactive Glucagon Levels in Patients with the Post Prandial Syndrome . (Abst.) Western Society for Clinical Research, 1979. (3...Glucagon Levels in Patients witl the Post Prandial Syndrome . Presented: Western Society Meetings, Western Society for Clinical Research, February 1979. (3

  4. Getting ready for inspection of investigational site at short notice

    Directory of Open Access Journals (Sweden)

    Rajendra Talele

    2010-01-01

    Full Text Available India is becoming an attractive destination for drug development and clinical research. This is evidenced by the three fold increment in clinical trial applications in last four years to the office of Drugs Controller General of India (DCGI. This upward trend is collaborative efforts of all stake holders and the quality of Indian data. Therefore to sustain this trend, it is important that stake holders such as Regulators, Sponsor, CRO, Monitor, Investigators and trial subjects required maintaining high standards of data and conduct of clinical trials. Indian regulations and the role of DCGI in quality check for Indian clinical trials is always a topic of discussion in various forums. A recent move by DCGI for conducting random inspections of investigational sites and companies at short notice, checking their compliance in accordance with the guidelines, and taking action against non-complier is welcomed. This will certainly increase over quality of the clinical trials. Quality of clinical trial conduct is measured on essential documents for their appropriateness and its correctness. It is observed that the stakeholders engaged in multitasking often overlook the requirements or appropriateness of the document due to their focused approach on a specific activity which is on priority. This can lead to serious quality problem and issues. Understanding of the process and documents reviewed by auditor is important to maintain such high quality. The proper planning and time management working on essential documents can minimize the quality issues, and we can be always ready for any type of inspection, announced or unannounced, or "short notice".

  5. Investigation of casing inspection through tubing with pulsed eddy current

    Science.gov (United States)

    Fu, Yuewen; Yu, Runqiao; Peng, Xuewen; Ren, Shangkun

    2012-12-01

    Corrosion and cracks of casing string in oil wells is a serious problem on which little research has been done when inspecting casing through tubing. In this study, inspecting casing through tubing with pulsed eddy current is investigated. Longitudinal and transverse probes are centred inside the tubing to detect wall thinnings and cracks in casing. A time slice of induced voltage in the receiving coil of the probe is used as the feature to recognise defects. The experimental results show that large area wall thinnings and long cracks in casing are detected successfully through the tubing with appropriate inspection parameters. The probe's orientation to the crack is important and a particular discovery is that the transverse probe should be parallel to the transverse crack and not be perpendicular to it when inspecting. A method based on linear regression is proposed to estimate flaws in casing while wall thinning in the tubing occurs at the same location. The method is effective for large area thinning in casing when tubing thinning is wide.

  6. Future requirements. Clinical investigations

    DEFF Research Database (Denmark)

    Qvist, V.

    2002-01-01

    Biocompatability, Cariology, Clinical trials, Dental materials, Helath services research, Human, Pedodontics......Biocompatability, Cariology, Clinical trials, Dental materials, Helath services research, Human, Pedodontics...

  7. Clinical relevance of studies on the accuracy of visual inspection for detecting caries lesions

    DEFF Research Database (Denmark)

    Gimenez, Thais; Piovesan, Chaiana; Braga, Mariana M;

    2015-01-01

    Although visual inspection is the most commonly used method for caries detection, and consequently the most investigated, studies have not been concerned about the clinical relevance of this procedure. Therefore, we conducted a systematic review in order to perform a critical evaluation considering...... the clinical relevance and methodological quality of studies on the accuracy of visual inspection for assessing caries lesions. Two independent reviewers searched several databases through July 2013 to identify papers/articles published in English. Other sources were checked to identify unpublished literature....... The eligible studies were those which (1) assessed the accuracy of the visual method for detecting caries lesions on occlusal, approximal or smooth surfaces, in primary or permanent teeth, (2) used a reference standard, and (3) reported data about sample size and accuracy of the methods. Aspects related...

  8. 21 CFR 312.68 - Inspection of investigator's records and reports.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Inspection of investigator's records and reports. 312.68 Section 312.68 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... and Investigators § 312.68 Inspection of investigator's records and reports. An investigator...

  9. 16 CFR 1118.1 - Definitions, initiation of investigations, inspections, and inquiries and delegations.

    Science.gov (United States)

    2010-01-01

    ... CONSUMER PRODUCT SAFETY ACT Procedures for Investigations, Inspections, and Inquiries § 1118.1 Definitions... these rules, the following definitions apply: (1) Act means the Consumer Product Safety Act (15 U.S.C..., inspections, and inquiries and delegations. 1118.1 Section 1118.1 Commercial Practices CONSUMER PRODUCT...

  10. Investigation of ultrasonic phased array inspection of a planar crack using finite element method

    OpenAIRE

    Mardani Kharat, Mostafa; Sodagar,Sina; Rashed, G. R.

    2012-01-01

    International audience; The characteristics of the ultrasonic field radiated by a linear phased array transducer and the echo information of the inspected area are the main basis of designing a phased array inspection system. In this paper, a theoretical investigation is accomplished on the ultrasonic wave diffraction using the ultrasonic phased array method for evaluation of the planar cracks. For this purpose, the ultrasonic wave field resulting from a phased array transducer and its intera...

  11. 19 CFR 206.3 - Institution of investigations; publication of notice; and availability for public inspection.

    Science.gov (United States)

    2010-04-01

    ... INTERNATIONAL TRADE COMMISSION NONADJUDICATIVE INVESTIGATIONS INVESTIGATIONS RELATING TO GLOBAL AND BILATERAL... imported article that is the subject of the investigation and its tariff subheading, the nature and timing... Commission motion available for public inspection (with the exception of confidential business information)....

  12. 78 FR 63988 - Clinical Investigator Training Course

    Science.gov (United States)

    2013-10-25

    ... investigators on issues of greatest importance for successful clinical research. Date and Time: The training... FDA to communicate directly with clinical investigators on issues of greatest importance for... medicine; Promote communication between clinical investigators and FDA; Enhance...

  13. Clinical relevance of studies on the accuracy of visual inspection for detecting caries lesions: a systematic review.

    Science.gov (United States)

    Gimenez, Thais; Piovesan, Chaiana; Braga, Mariana M; Raggio, Daniela P; Deery, Chris; Ricketts, David N; Ekstrand, Kim R; Mendes, Fausto Medeiros

    2015-01-01

    Although visual inspection is the most commonly used method for caries detection, and consequently the most investigated, studies have not been concerned about the clinical relevance of this procedure. Therefore, we conducted a systematic review in order to perform a critical evaluation considering the clinical relevance and methodological quality of studies on the accuracy of visual inspection for assessing caries lesions. Two independent reviewers searched several databases through July 2013 to identify papers/articles published in English. Other sources were checked to identify unpublished literature. The eligible studies were those which (1) assessed the accuracy of the visual method for detecting caries lesions on occlusal, approximal or smooth surfaces, in primary or permanent teeth, (2) used a reference standard, and (3) reported data about sample size and accuracy of the methods. Aspects related to clinical relevance and the methodological quality of the studies were evaluated. 96 of the 5,578 articles initially identified met the inclusion criteria. In general, most studies failed in considering some clinically relevant aspects: only 1 included study validated activity status of lesions, no study considered its prognosis, 79 studies did not consider a clinically relevant outcome, and only 1 evaluated a patient-centred outcome. Concerning methodological quality, the majority of the studies presented a high risk of bias in sample selection. In conclusion, studies on the accuracy of the visual method for caries detection should consider clinically relevant outcomes besides accuracy; moreover, they should be conducted with higher methodological quality, mainly regarding sample selection.

  14. 76 FR 45577 - Clinical Investigator Training Course

    Science.gov (United States)

    2011-07-29

    ... that FDA is not responsible for providing access to electrical outlets. SUPPLEMENTARY INFORMATION: I... of clinical investigators with knowledge, experience, and commitment to investigational medicine...'s role in experimental medicine; and Improve the quality of data while enhancing subject...

  15. 77 FR 60440 - Clinical Investigator Training Course

    Science.gov (United States)

    2012-10-03

    ... clinical investigators on issues of greatest importance for successful clinical research. Date and Time... importance for successful clinical research. II. Description of the Training Course A. Purpose The training... and comprised of approximately 26 lectures, each lasting between 30 and ] 45 minutes. The course...

  16. Medical Services: Clinical Investigation Program

    Science.gov (United States)

    2007-11-02

    epidemiological surveys that involve tests or procedures of no more than minimal risk. (See the glossary for the definition of an epidemiological survey... definite criteria.) b. Who will be notified. G–10. Adverse reactions Include— a. Definition of subject reactions. b. Immediate reporting. c. Routine...some laser and hemodialysis systems. Subinvestigator See associate investigator. Test A p r o c e s s b y w h i c h d a t a a c c u m u l a t e d t o

  17. Supplemental site inspection for Air Force Plant 59, Johnson City, New York, Volume 1: Investigation report

    Energy Technology Data Exchange (ETDEWEB)

    Nashold, B.; Rosenblatt, D.; Hau, J. [and others

    1995-08-01

    This summary describes a Supplemental Site Inspection (SSI) conducted by Argonne National Laboratory (ANL) at Air Force Plant 59 (AFP 59) in Johnson City, New York. All required data pertaining to this project were entered by ANL into the Air Force-wide Installation Restoration Program Information System (IRPIMS) computer format and submitted to an appropriate authority. The work was sponsored by the United States Air Force as part of its Installation Restoration Program (IRP). Previous studies had revealed the presence of contaminants at the site and identified several potential contaminant sources. Argonne`s study was conducted to answer questions raised by earlier investigations.

  18. Clinical investigation program, fiscal year 1991

    Science.gov (United States)

    Schydlower, Manuel

    1992-02-01

    Subject report identifies the research activities conducted at William Beaumont Army Medical Center by investigators who had protocols approved by the Clinical Investigation Committee, the Institutional Review Board, and the Animal Use Committee. This report includes all protocols registered with the Department of Clinical Investigation during FY 1991. All known presentations and publications are also included. The research protocols described were conducted under the provisions of AR 40-38 (Clinical Investigation Program); AR 40-7 (Use of Investigational Drugs in Humans and the Use of Schedule 1 Controlled Substances); AR 70-25 (Usle of Volunteers as Subjects of Research); HSC 40-32 (Management of Clinical Investigation Protocols and Reports); and AR 70-18 (The Use of Animals in DOS programs).

  19. 75 FR 57472 - Clinical Investigator Training Course

    Science.gov (United States)

    2010-09-21

    ... outlets. If you need special accommodations due to a disability, please contact Nancy Masiello at least 7 days in advance. SUPPLEMENTARY INFORMATION: Clinical trial investigators play a critical role in the... studies, and chemistry/manufacturing information) that supports initial clinical trials in...

  20. An Overview of Comprehensive Inspection Technologies Under Investigation at Legacy Underground Nuclear Test Sites

    Science.gov (United States)

    Chipman, V.; Emer, D. F.; Townsend, M.; Drellack, S.

    2013-12-01

    Comprehensive Inspection Technologies (CIT) under investigation include methods that might be of use in detecting a clandestine underground nuclear test. These include techniques for detecting noble gases, visual observation methods, hyperspectral imaging, controlled- and passive-source seismic surveys, and other geophysical methods. Noble gas detection studies include a series of experiments called the Noble Gas Migration (NGM) experiments, that explore the fundamental parameters that determine the capability to detect radioxenon isotopes and 37Ar produced in underground nuclear tests. These isotopes are of interest to both the International Monitoring System (IMS) global monitoring and On-Site Inspection (OSI) regimes. Through a unique combination of field experiments, sampling of radioactive noble gas from a legacy underground nuclear test, large-scale hydrogeologic computer simulations, and a regimen involving carefully designed field-sampling techniques, the experiments are providing information about the production, release, and sampling challenges that determine the ability to detect these two important noble gases. Other CIT experiments explore and validate geophysical (controlled-source and passive-source seismic, gravity, electrical, magnetic, etc.) and optical techniques (both visual and instrument-based) that greatly enhance the understanding of the efficiency of these techniques for OSI, including how to better integrate the various technologies with each other and individually at different physical scales. This work was done by National Security Technologies, LLC, under Contract No. DE-AC52-06NA25946 with the U.S. Department of Energy. DOE/NV/25936--1840.

  1. [Hyperandrogenism: clinical aspects, investigation and treatment].

    Science.gov (United States)

    Beckers, A; Parotte, M C; Gaspard, U; Khalife, A

    1999-04-01

    Androgen excess (AE) is one of the most common endocrine disorders, affecting 10% of adult women before the menopause. The clinical picture varies widely depending on the etiology of AE. Most of these women are suffering from hirsutism, acne, menstrual disturbances, anovulation and obesity. Virilization is unusual, except in patients with ovary or adrenal cancer. Polycystic ovary syndrome (PCOS) and idiopathic hirsutism (IH) are the most frequent causes of androgen excess, accounting for more than 90% of the cases. The pathogenesis of PCOS is still an unresolved problem. A hereditary predisposition has been suggested. Enzymatic deficiency is a less frequent cause of AE, the most common deficiency being the non classic 21-OH deficiency (NCAH). AE has been implicated as a side effect of many drugs. Ovary and adrenal tumours are unusual, however, they must be considered especially in case of severe hirsutism or virilization. Complementary investigations are selected based on the result of clinical examination. Pharmacologic therapy, usually with anti-androgens, is the most widely used treatment for PCOS, IH and NCAH. Surgical therapy should be considered only when there is a particular indication such as Cushing's syndrome, ovary or adrenal tumours.

  2. US food and drug administration Indian site inspections: An experience

    Directory of Open Access Journals (Sweden)

    Pooja Mahajan

    2012-01-01

    Full Text Available Since 2005, USFDA has begun inspections of Indian clinical trial investigator sites. This paper reports experience of an FDA inspection performed at two Indian centers. The inspection started with an in-depth discussion with the investigator and his team about the conduct of the clinical trial at the site and was followed by a tour of the important locations - registration, outpatient department, specialty clinic, medical record section, and special procedure department. The inspector reviewed the critical processes - protocol compliance, ethics committee approval, informed consent process, case record form and source documents completion, investigational product accountability, serious adverse events documentation and reporting. The inspector reviewed all documents from the investigator site file and conducted audit of all subjects enrolled at both the sites. As the Indian sites are not exposed to regulatory inspections, it is vital for the sponsor to conduct preinspection audit, provide training and support to face the FDA inspection.

  3. 76 FR 20575 - Disqualification of a Clinical Investigator

    Science.gov (United States)

    2011-04-13

    ...., drugs) later conducted a clinical investigation studying a different type of test article (e.g., devices... article or conduct any clinical investigation that supports an application for a research or marketing... test articles''; ``continuation of the investigation'' to ``continuation of any investigation'';...

  4. Clinical Investigation Program. Annual Research Progress Report.

    Science.gov (United States)

    1980-09-30

    Stereoscope 79/118 $6149.00 Ion Generator 78/116 $5000.00 Poultry Cages 79/301 $2929.00 Microtome/Cryostat 79/304 $5494.72 Tissue Embedder 79/300... Mycology : Assessment of bacteriologic and seroligic parameters of clinically-important mycoses normal and immunologic comprised host. Presented: American

  5. Clinical Investigation Program Annual Progress Report.

    Science.gov (United States)

    1985-09-30

    Coville, F.V. and Paull, W.: Necrotizing Fasciitis - Review of the Literature and Case Report. Accepted for publication in Clinical Orthopaedics and... Necrotizing Fasciitis - Review of the L’terature and Case Report. Presented: Rocky Mountain Chapter of Western Orthopaedic Society Barnard Seminar, Denver

  6. Clinical features of dysthymia and age: a clinical investigation.

    Science.gov (United States)

    Bellino, S; Patria, L; Ziero, S; Rocca, G; Bogetto, F

    2001-09-20

    A few authors have described the clinical picture of dysthymia in groups of elderly patients and pointed out differences from literature reports of dysthymia in younger adults. The present study, an attempt to analyze age effects on clinical characteristics of dysthymia throughout a lifetime, was performed in a sample of 106 patients, all aged > or =18 years, who were diagnosed according to DSM-IV. The patients were evaluated using: (1) a semistructured interview to assess clinical features, family history and previous treatments; (2) the Hamilton Depression Rating Scale; (3) the Interview for Recent Life Events; and (4) the Structured Clinical Interview for DSM-IV Disorders. Statistical analysis with stepwise logistic regression revealed that age was positively related to concomitant medical illnesses and to the total score of recent life events, but negatively related to the presence of avoidant or dependent personality disorders. The data suggested different etiologic pathways in older and younger patients. Dysthymia appeared to be associated in younger adults with abnormalities of personality; in the elderly, with a history of health problems and life losses.

  7. Clinical Investigation Program, RCS MED-300 (RI).

    Science.gov (United States)

    1984-10-01

    Terminate Study Objective: To determine pathologic and clinical-pathologic criteria for the diagnosis of IgA nephropathy , the prognosis of patients...Technical Approach: Patients studied will be over 18 years of age and will have a renal biopsy proven diagnosis of IgA nephropathy . It is realized that...Programs: 46 What Do Patients Feel is Relevant? (C) (PR) 1983 The Interrlationship of Pregnancy and Fitness. (0) (PR) 47 DEPARTMENT OF MEDICINE 1978

  8. Investigating the productivity model for clinical nurses.

    Science.gov (United States)

    Dehghan Nayeri, Nahid; Hooshmand Bahabadi, Abbas; Kazemnejad, Anoshirvan

    2014-01-01

    One of the main objectives of quantitative researches is assessment of models developed by qualitative studies. Models validation through their testing implies that the designed model is representative of the existed facts. Hence, this study was conducted to assess the clinical nurses' productivity model presented for Iranian nurses' productivity. The sample of the study consisted of 360 nurses of Tehran University of Medical Sciences. The research tool was a questionnaire for measuring the components of clinical nurses' productivity. After completing all steps of instrument psychometric and getting answers from the participants, the factors introduced in the questionnaire were named and then Lisrel Path Analysis tests were performed to analyze the components of the model. The results of the model test revealed there is an internal relationship among different components of the model. Regression Analysis showed that each increasing unit in components of the model was to be added to central variable of productivity model -human resource. Model components altogether explained 20 % of clinical nurses' productivity variance. This study found that the important component of productivity is human resources that are reciprocally related to other components of the model. Therefore, it can be stated that the managers can promote the productivity by using efficient strategies to correct human resource patterns.

  9. CLINICAL AND INVESTIGATIONAL STUDY OF DIABETIC KETOACIDOSIS

    Directory of Open Access Journals (Sweden)

    Narasimham

    2015-06-01

    Full Text Available BACKGROUND AND OBJECTIVES: To compare the clinical features and biochemical profile in DKA. To assess the response in the patients with standard treatment of DKA. Clinical descriptions of polyuric states resembling diabetes mellitus have been described in the Ebers papyrus of Egypt in 15th century BC . 1,2 A yurvedic literature from the times of Charaka and Sushrutha, the ancient Indian physicians identified two forms of “MadhuMeha” ( H oneyed Urine in 400 BC . 3 John Rolo of England in 1797 was one of 1st who coined the term diabetes mellitus. William Prout of E ngland described diabetic coma during 1810 – 20. In 1886, Dreschfeld8 described DKA and HHNS (Hyper osmolar Hyperglycemic Non - ketotic Syndrome. In 1922 Banting , Best, Collip and Macleod isolated and clinically used insulin and later won Nobel prize for that memorable invention. SETTING: Inpatients of king George Hospital attached to Andhra Medical College, Visakhapatnam . METHODS: Diagnosis of diabetic ketoacidosis was made according to the inclusion criteria. Hyperglycemia >250 mg/dl, acidosis with blood pH <7.3, serum bicarbonate <15 mEq/l, urine positive for ketones. RESULTS: Of the 100 patients admitted for diabetic ketoacidosis; 84 had type 2 diabetes (84% and 16(16% were type I diabetes. Average age at the time of presentation was 42.9±12.9 years. Th e commonest precipitating factor was infection (56% followed by other factors (28% and irregular treatment (16%. The most common clinical features at the time of presentation were vomiting, abdominal pain, acidotic breathing and dehydration. The values for RBS, HCO3, and pH were 355.3±69.1, 14.9±3.4 and 7.2±0.1 respectively. INTERPRETATION AND CONCLUSION: Most common precipitating factors are infection and omission of insulin or irregular treatment. Most common clinical features at the time of presentati on are vomiting, abdominal pain, dehydration, acidotic breathing and tachycardia. Mortality rate in diabetic

  10. Azoospermia: clinical, hormonal, and biochemical investigation.

    Science.gov (United States)

    Papadimas, J; Papadopoulou, F; Ioannidis, S; Spanos, E; Tarlatzis, B; Bontis, J; Mantalenakis, S

    1996-01-01

    The aim of this study was to evaluate the clinical, hormonal and biochemical characteristics of infertile men with azoospermia. A total of 187 azoospermic out of 2610 infertile men (7.2%) were studied. Mean testicular volume and basal plasma levels of FSH were the most useful parameters concerning the evaluation of azoospermia. Basal plasma levels of LH and T were useful only in azoospermic men with hypogonadism, whereas plasma PRL levels, semen volume, and seminal plasma fructose levels were not found to be of common use except in selected cases.

  11. Oligocone trichromacy: clinical and molecular genetic investigations

    DEFF Research Database (Denmark)

    Andersen, Mette K G; Christoffersen, Nynne L B; Sander, Birgit

    2010-01-01

    of congenital nystagmus, and subjectively normal or near-normal color vision; five patients reported photophobia. Clinical examinations revealed largely normal fundi, normal Goldmann visual field results with the IV/4e target, and normal color discrimination or mild color vision deficiency. Electrophysiological...... of unknown significance in CNGB3 and PDE6C in two other patients. CONCLUSIONS: Oligocone trichromacy is a heterogeneous condition with respect to both phenotypic appearance and genetic background. The finding of mutations in genes known to be involved in complete and incomplete achromatopsia supports...

  12. Clinical Investigation of Benign Asbestos Pleural Effusion.

    Science.gov (United States)

    Fujimoto, Nobukazu; Gemba, Kenichi; Aoe, Keisuke; Kato, Katsuya; Yokoyama, Takako; Usami, Ikuji; Onishi, Kazuo; Mizuhashi, Keiichi; Yusa, Toshikazu; Kishimoto, Takumi

    2015-01-01

    There is no detailed information about benign asbestos pleural effusion (BAPE). The aim of the study was to clarify the clinical features of BAPE. The criteria of enrolled patients were as follows: (1) history of asbestos exposure; (2) presence of pleural effusion determined by chest X-ray, CT, and thoracentesis; and (3) the absence of other causes of effusion. Clinical information was retrospectively analysed and the radiological images were reviewed. There were 110 BAPE patients between 1991 and 2012. All were males and the median age at diagnosis was 74 years. The median duration of asbestos exposure and period of latency for disease onset of BAPE were 31 and 48 years, respectively. Mean values of hyaluronic acid, adenosine deaminase, and carcinoembryonic antigen in the pleural fluid were 39,840 ng/mL, 23.9 IU/L, and 1.8 ng/mL, respectively. Pleural plaques were detected in 98 cases (89.1%). Asbestosis was present in 6 (5.5%) cases, rounded atelectasis was detected in 41 (37.3%) cases, and diffuse pleural thickening (DPT) was detected in 30 (27.3%) cases. One case developed lung cancer (LC) before and after BAPE. None of the cases developed malignant pleural mesothelioma (MPM) during the follow-up.

  13. Clinical Investigation of Benign Asbestos Pleural Effusion

    Directory of Open Access Journals (Sweden)

    Nobukazu Fujimoto

    2015-01-01

    Full Text Available There is no detailed information about benign asbestos pleural effusion (BAPE. The aim of the study was to clarify the clinical features of BAPE. The criteria of enrolled patients were as follows: (1 history of asbestos exposure; (2 presence of pleural effusion determined by chest X-ray, CT, and thoracentesis; and (3 the absence of other causes of effusion. Clinical information was retrospectively analysed and the radiological images were reviewed. There were 110 BAPE patients between 1991 and 2012. All were males and the median age at diagnosis was 74 years. The median duration of asbestos exposure and period of latency for disease onset of BAPE were 31 and 48 years, respectively. Mean values of hyaluronic acid, adenosine deaminase, and carcinoembryonic antigen in the pleural fluid were 39,840 ng/mL, 23.9 IU/L, and 1.8 ng/mL, respectively. Pleural plaques were detected in 98 cases (89.1%. Asbestosis was present in 6 (5.5% cases, rounded atelectasis was detected in 41 (37.3% cases, and diffuse pleural thickening (DPT was detected in 30 (27.3% cases. One case developed lung cancer (LC before and after BAPE. None of the cases developed malignant pleural mesothelioma (MPM during the follow-up.

  14. Clinical Investigation Program Annual Progress Report

    Science.gov (United States)

    1989-09-30

    hypoplasia lasting for two months but eventually recovered and refused further radiation therapy. He is currently off study, and is alive without tumor...Facility: FAMC David M. Barr, COL, MC (9) Dept/Svc: Surgery/Otolaryngol (10) Associate Investigators: (11) Key Words: cochlear implant (12) Accumulative...degree of hearing in severely hearing impaired adults. (16) Technical Approach: Surgical implant of cochlear device. (17) Progress: One patient who met

  15. Clinical investigation on gastric oxalate absorption

    Institute of Scientific and Technical Information of China (English)

    陈志强; 叶章群; 曾令启; 杨为民

    2003-01-01

    Objective To study the stomach role in exogenous oxalate absorption.Methods The kinetic variation of urinary oxalate excretion (mg/min) in 10 healthy adults and 8 patients who underwent total gastrectomy was investigated before and after an oral spinach oxalate load. The bioavailability of the oxalate load in the healthy adults was calculated and compared with that in the patients.Results The oxalate content in the oral spinach load was 2567-2670 mg. The urinary oxalate excretion (mg/min) in the 10 healthy adults increased significantly 20 minutes after loading (this increase was compared against their basic oxalate excretion level of 0.0331±0.0203). Further observations after loading include: a first peak of oxalate excretion 40 minutes after loading; an oxalate excretion level double that of the basic level after 60 minutes (0.0732±0.0294) and a second peak appearing at 3 hours (P<0.01). A "first peak" (0.063%±0.062%) was not in any of the patients who underwent a total gastrectomy. Furthermore, a bioavailability of oxalate, which was 50% lower than that in the healthy subjects, appeared 60 minutes after loading (0.098%±0.071%, P<0.01). Conclusions The stomach is a powerful oxalate absorption organ under normal physiological conditions. Further investigation on the relationship between stomach dysfunction and urinary calcium oxalate formation is needed.

  16. Clinical investigation of surgery for intermittent exotropia

    Institute of Scientific and Technical Information of China (English)

    Chong-qing YANG; Ye SHEN; Yang-shun GU; Wei HAN

    2008-01-01

    Objective: To investigate the time and postoperative binocular vision of strabismus surgery for children with intermittent exotropia (X (T)). Methods: A retrospective investigation was conducted in 80 child patients with intermittent exotropia. Pre- and postoperative angles of deviation fixating at near (33cm) and distant targets (6m) were measured with the prolonged alternate cover testing. The binocular function was assessed with synoptophore. Twenty-one patients took the postoperative synoptophore exercise. Results: (1) A week after surgery, 96.2% of the 80 patients had binocular normotopia, while a year after surgery, 91.3% of the 80 patients had binocular normotopia; (2) Preoperatively, 58 patients had near stereoacuity, while postoperatively, 72 patients achieved near stereoacuity (P<0.05); (3) Preoperatively, 64 patients had Grade I for the synoptophore evaluation and postoperatively, 76 patients achieved Grade I. Meanwhile, 55 patients had Grade Ⅱpreoperatively and 72 achieved Grade Ⅱ postoperatively. For Grade Ⅲ, there were 49 patients preoperatively and 64 patients postoperatively (P<0.05); (4) Patients of 5~8 years old had a significantly better recovery rate of binocular vision than those of 9~18 years old (P<0.05); (5)Patients taking postoperative synoptophore exercise had a better binocular vision than those taking no exercise (P<0.05). Conclusions: (1) Strabismus surgery can help to preserve or restore the binocular vision for intermittent exotropia; (2) Receiving the surgery at young ages may develop better postoperative binocular vision; (3) The postoperative synoptophore exercise can help to restore the binocular vision.

  17. Approximations in Inspection Planning

    DEFF Research Database (Denmark)

    Engelund, S.; Sørensen, John Dalsgaard; Faber, M. H.

    2000-01-01

    Planning of inspections of civil engineering structures may be performed within the framework of Bayesian decision analysis. The effort involved in a full Bayesian decision analysis is relatively large. Therefore, the actual inspection planning is usually performed using a number of approximations....... One of the more important of these approximations is the assumption that all inspections will reveal no defects. Using this approximation the optimal inspection plan may be determined on the basis of conditional probabilities, i.e. the probability of failure given no defects have been found...... by the inspection. In this paper the quality of this approximation is investigated. The inspection planning is formulated both as a full Bayesian decision problem and on the basis of the assumption that the inspection will reveal no defects....

  18. The clinical investigator-subject relationship: a contextual approach

    Directory of Open Access Journals (Sweden)

    Resnik David B

    2009-12-01

    Full Text Available Abstract Background The nature of the relationship between a clinical investigator and a research subject has generated considerable debate because the investigator occupies two distinct roles: clinician and scientist. As a clinician, the investigator has duties to provide the patient with optimal care and undivided loyalty. As a scientist, the investigator has duties to follow the rules, procedures and methods described in the protocol. Results and conclusion In this article, I present a contextual approach to the investigator-subject relationship. The extent of the investigator's duty to provide the patient/subject with clinical care can vary from one situation to the next, as a function of several factors, including: the research design, benefits and risks of the research; the subject's reasonable expectations, motivations, and vulnerabilities; the investigator's ability to benefit the subject; and the investigator's prior relationship with the subject. These and other factors need to be considered when determining the clinical investigator's obligations to provide clinical care to human research subjects. In some research contexts, the investigator has extensive clinical obligations to the patient/subject; in others, the investigator has minimal ones.

  19. FEM model-based investigation of ultrasonic TOFD for notch inspection

    Energy Technology Data Exchange (ETDEWEB)

    Tang, Ziqiao; Yuan, Maodan; Wu, Hu; Zhang, Jianjai; Kim, Hak Joon; Song, Sung Jin [School of Mechanical Engineering, Sungkyunkwan University, Suwon (Korea, Republic of); Kang, Sung Sik [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-02-15

    A two-dimensional numerical model based on the finite element method was built to simulate the wave propagation phenomena that occur during the ultrasonic time of flight diffraction (TOFD) process. First, longitudinal-wave TOFD was simulated, and the numerical results agreed well with the theoretical results. Shear-wave TOFD was also investigated because shear waves have higher intensity and resolution. The shear wave propagation was studied using three models with different boundary conditions, and the tip-diffracted shear-to-longitudinal wave was extracted from the A-scan signal difference between the cracked and non-cracked specimens. This signal showed very good agreement between the geometrical and numerical arrival times. The results of this study not only provide better understanding of the diffraction phenomena in TOFD, but also prove the potential of shear-wave TOFD for practical application.

  20. Disclosure of investigators' recruitment performance in multicenter clinical trials

    DEFF Research Database (Denmark)

    Dal-Ré, Rafael; Moher, David; Gluud, Christian;

    2011-01-01

    Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends.......Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends....

  1. Inspection Database

    Data.gov (United States)

    U.S. Department of Health & Human Services — FDA is disclosing the final inspection classification for inspections related to currently marketed FDA-regulated products. The disclosure of this information is not...

  2. Inspection Database

    Data.gov (United States)

    U.S. Department of Health & Human Services — FDA is disclosing the final inspection classification for inspections related to currently marketed FDA-regulated products. The disclosure of this information is...

  3. Assessment of technical documentation of medical devices for clinical investigation

    NARCIS (Netherlands)

    Roszek B; Bruijn ACP de; Drongelen AW van; Geertsma RE; BMT

    2007-01-01

    The technical documentation on non-market approved medical devices intended for clinical investigation contains major shortcomings. This could imply increased risks which could affect patient safety. The investigation described here focused on the availability and quality of the technical documentat

  4. Cervical cancer screening by visual inspection in Côte d'Ivoire, operational and clinical aspects according to HIV status

    Directory of Open Access Journals (Sweden)

    Horo Apollinaire

    2012-03-01

    Full Text Available Abstract Background Cervical cancer screening is not yet standard of care of women attending HIV care clinics in Africa and presents operational challenges that need to be addressed. Methods A cervical cancer screening program based on visual inspection methods was conducted in clinics providing antiretroviral treatment (ART in Abidjan, Côte d'Ivoire. An itinerant team of midwives was in charge of proposing cervical cancer screening to all HIV-positive women enrolled in ART clinics as well as to HIV-negative women who were attending the Abidjan national blood donor clinic. Positively screened women were systematically referred to a colposcopic examination. A phone-based tracking procedure was implemented to reach positively screened women who did not attend the medical consultation. The association between HIV status and cervical cancer screening outcomes was estimated using a multivariate logistic model. Results The frequency of positive visual inspection was 9.0% (95% CI 8.0-10.0 in the 2,998 HIV-positive women and 3.9% (95% CI 2.7-5.1 in the 1,047 HIV-negative ones (p -4. In multivariate analysis, HIV infection was associated with a higher risk of positive visual inspection [OR = 2.28 (95% CI 1.61-3.23] as well as more extensive lesions involving the endocervical canal [OR = 2.42 (95% CI 1.15-5.08]. The use of a phone-based tracking procedure enabled a significant reduction of women not attending medical consultation after initial positive screening from 36.5% to 19.8% (p -4. Conclusion The higher frequency of positive visual inspection among HIV-positive women supports the need to extend cervical cancer screening program to all HIV clinics in West Africa. Women loss to follow-up after being positively screened is a major concern in cervical screening programs but yet, partly amenable to a phone tracking procedure.

  5. Investigating antibiotic resistance in non-clinical environments

    Directory of Open Access Journals (Sweden)

    Fiona eWalsh

    2013-02-01

    Full Text Available There have been many calls for more information about the natural resistome and these have also highlighted the importance of understanding the soil resistome in the preservation of antibiotics for the treatment of infections. However, to date there have been few studies which have investigated the culturable soil resistome, which highlights the difficulties faced by microbiologists in designing these experiments to produce meaningful data. The World Health Organization definition of resistance is the most fitting to non-clinical environmental studies: Antimicrobial resistance is resistance of a microorganism to an antimicrobial medicine to which it was previously sensitive. The ideal investigation of non-clinical environments for antibiotic resistance of clinical relevance would be using standardized guidelines and breakpoints. This review outlines different definitions and methodologies used to understand antibiotic resistance and suggests how this can be performed outside of the clinical environment.

  6. Emotion understanding in clinically anxious children: A preliminary investigation.

    OpenAIRE

    Bender, Patrick K; Francisco ePons; Harris, Paul L.; Barbara H. Esbjørn; Reinholdt-Dunne, Marie L.

    2015-01-01

    Children’s understanding of the nature, origins and consequences of emotions has been intensively investigated over the last 30–40 years. However, few empirical studies have looked at the relation between emotion understanding and anxiety in children and their results are mixed. The aim of the present study was to perform a preliminary investigation of the relationships between emotion understanding, anxiety, emotion dysregulation, and attachment security in clinically anxious children. A sam...

  7. 76 FR 30175 - Draft Guidance for Clinical Investigators, Industry, and FDA Staff: Financial Disclosure by...

    Science.gov (United States)

    2011-05-24

    ... Investigators, Industry, and FDA Staff: Financial Disclosure by Clinical Investigators; Availability AGENCY... FDA Staff: Financial Disclosure by Clinical Investigators.'' This draft guidance is intended to assist... governing financial disclosure by clinical investigators. This guidance provides FDA's responses to the...

  8. Clinical investigations for SUS, the Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Ana Patrícia de Paula

    Full Text Available CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. METHODS: The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. RESULTS: The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa, especially with regard to establishing a National Clinical Research Network. CONCLUSION: The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

  9. Comparative clinical and haematological investigations in lactating cows with subclinical and clinical ketosis

    Directory of Open Access Journals (Sweden)

    Vania Marutsova

    2015-10-01

    Full Text Available Ketosis of lactating cows is among the most common metabolic diseases in modern dairy farms. The economic importance of the disease is caused by the reduced milk yield and body weight loss, poor feed conversion, lower conception rates, culling and increased mortality of affected animals. In the present study, a total of 47 high-yielding dairy cows up to 45 days in milk (DIM are included. All animals were submitted to physical examination wich included checking the rectal body temperature, heart rate, respiratory and rumen contraction rates, and inspection of visible mucous coats. The body condition was scored, and blood β-hydroxybutyrate (BHBA concentrations were assayed. The cows were divided into 3 groups: first group (control (n=24 with blood β-hydroxybutyrate level 2.6 mmol/l (clinical ketosis. Whole blood samples were obtained and analyzed for Red Blood Cell (RBC, 1012/l, Hemoglobin (HGB, g/l, Hematocrit (HCT, %, Mean Corpuscular Volume (MCV, fl, Mean Corpuscular Hemoglobin (MCH, pg, Mean Corpuscular Hemoglobin Concentration (MCHC, g/l, White Blood Cell (WBC, 109/l, Lymphocytes (LYM, 109/l, Monocytes (MON, 109/l, Granulocytes (GRA, 109/l, Red Blood Distribution Width (RDW, %, Red Blood Cell Distribution Width Absolute (RDWa, fl, Platelets (PLT, 109/l and Mean Platelet Volume (MPV, fl. In this study, deviations in the clinical parameters in the control group and in those with subclinical ketosis were not identified. The cows from the third group (clinical ketosis exhibited hypotonia, anorexia and body weight loss vs. control group. Hematological analysis showed leukocytosis and lymphocytosis in cows with subclinical ketosis vs. control group. In cows with clinical ketosis WBC counts decreased (leukopenia, while hemoglobin content and hematocrit values are higher vs. control group. Blood BHBA values are higher in both groups of ketotic cows vs. the control group. The other analyzed parameters (RBC, MCH, MCHC, MCV, RDW, RDWa, MON, GRA, PLT

  10. A history of the American Society for Clinical Investigation.

    Science.gov (United States)

    Howell, Joel D

    2009-04-01

    One hundred years ago, in 1909, the American Society for Clinical Investigation (ASCI) held its first annual meeting. The founding members based this new society on a revolutionary approach to research that emphasized newer physiological methods. In 1924 the ASCI started a new journal, the Journal of Clinical Investigation. The ASCI has also held an annual meeting almost every year. The society has long debated who could be a member, with discussions about whether members must be physicians, what sorts of research they could do, and the role of women within the society. The ASCI has also grappled with what else the society should do, especially whether it ought to take a stand on policy issues. ASCI history has reflected changing social, political, and economic contexts, including several wars, concerns about the ethics of biomedical research, massive increases in federal research funding, and an increasingly large and specialized medical environment.

  11. 77 FR 69632 - Draft Guidance for Industry on Electronic Source Data in Clinical Investigations; Availability

    Science.gov (United States)

    2012-11-20

    ... entitled ``Electronic Source Data in Clinical Investigations.'' This document revises and updates the draft... in FDA- regulated clinical investigations. The revised draft guidance promotes capturing source data... draft guidance for industry entitled ``Electronic Source Data in Clinical Investigations.''...

  12. 78 FR 57395 - Guidance for Industry on Electronic Source Data in Clinical Investigations; Availability

    Science.gov (United States)

    2013-09-18

    ... ``Electronic Source Data in Clinical Investigations.'' This document provides guidance to sponsors, contract... retention of electronic source data in FDA-regulated clinical investigations. This guidance promotes... a guidance for industry entitled ``Electronic Source Data in Clinical Investigations.''...

  13. 78 FR 13070 - Guidance for Clinical Investigators, Industry, and Food and Drug Administration Staff: Financial...

    Science.gov (United States)

    2013-02-26

    ..., Industry, and Food and Drug Administration Staff: Financial Disclosure by Clinical Investigators..., Industry, and FDA Staff: Financial Disclosure by Clinical Investigators.'' This guidance is intended to... governing financial disclosure by clinical investigators. This guidance provides FDA's responses to the...

  14. Clinical Investigation Program Report, RCS MED-300 (R-1).

    Science.gov (United States)

    1985-10-31

    through protocols approved by the Institutional Review Committee for registration with the Department of Clinical Investigation during Fiscal Year...Case report of conversion catatonia : Indication for hypnosis. Am J Psychotherapy Oct 1984; 38(4)s566-570. Xenakis SN, Brooks FR, Balson PM, A triage...Hospital and Community Psychiatry. Jensen PS, Lewis RL, Xenakis SN: The military family in review : Context, risk, and prevention. J Am Academy Child

  15. 76 FR 32367 - Draft Guidance for Clinical Investigators, Industry, and FDA Staff: Financial Disclosure by...

    Science.gov (United States)

    2011-06-06

    ... Staff: Financial Disclosure by Clinical Investigators; Correction AGENCY: Food and Drug Administration...: Financial Disclosure by Clinical Investigators.''The document was published with an incorrect docket...

  16. Curvature affects Doppler investigation of vessels: implications for clinical practice.

    Science.gov (United States)

    Balbis, S; Roatta, S; Guiot, C

    2005-01-01

    In clinical practice, blood velocity estimations from Doppler examination of curved vascular segments are normally different from those of nearby straight segments. The observed "accelerations," sometimes considered as a sort of stochastic disturbances, can actually be related to very specific physical effects due to vessel curvature (i.e., the development of nonaxial velocity [NAV] components) and the spreading of the axial velocity direction in the Doppler sample volume with respect to the insonation axis. The relevant phenomena and their dependence on the radius of curvature of the vessels and on the insonation angle are investigated with a beam-vessel geometry as close as possible to clinical setting, with the simplifying assumptions of steady flow, mild vessel curvature, uniform ultrasonic beam and complete vessel insonation. The insonation angles that minimize the errors are provided on the basis of the study results.

  17. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  18. Inspection and teachers’ emotions: An emotional evaluation of inspection

    Directory of Open Access Journals (Sweden)

    Binali Tunç

    2015-02-01

    Full Text Available In the study, inspection is discussed in relation to the teachers’ feelings and emotions it creates before inspection, during inspection and after inspection process. Teacher’s emotions have been investigated intentionally as emotional side of education has been neglected. Education is closely related to the emotions of teachers, who are the most important producers of educational activities.Educational activities are reduced to standard activities and defined with simple explanations or single labels such as ‘good-bad’, ‘successful-unsuccessful’, ‘adequate-inadequate’. Inspection causes emotions to be neglected. Moreover, recently, it has been discussed that there are approaches and systems that suggest constant and multi-dimensional inspection instead of traditional inspection.Qualitative research model was used to understand of teacher emotions. A semi structured form was used for the 38 primary school teachers’ interviews. After teacher interviews were completed, we analyzed and compared the interviews. Participants’ expressions were checked in terms of correctness, potential validity and reliability problems such as misinterpretation.   The results of the study can be summarized as follows: There were no positive expressions related to the emotional impact of inspection on teachers. In addition, teachers felt that the inspectors were stressed, anxious, uneasy, accusatory, coercive, looking for defect and areas of unsuccessful teaching performance. Most of teachers reported that being observed and evaluated caused them to have negative emotions.Teachers’ perceptions about inspection are found to be negative. There are no statements that indicate there is a positive impression of inspection on teachers. The emotions that are experienced before inspection: pressure, hurry, stress, concern, tension, anxiety, worry, uncertainty; during inspection: stress, tension, anger, loss of strength, humiliation and lack of self

  19. Emotion understanding in clinically anxious children: A preliminary investigation

    Directory of Open Access Journals (Sweden)

    Patrick K. Bender

    2015-12-01

    Full Text Available Children’s understanding of the nature, origins and consequences of emotions has been intensively investigated over the last 30-40 years. However, few empirical studies have looked at the relation between emotion understanding and anxiety in children and their results are mixed. The aim of the present study was to perform a preliminary investigation of the relationships between emotion understanding, anxiety, emotion dysregulation, and attachment security in clinically anxious children. A sample of 16 clinically anxious children (age 8-12, 8 girls/boys was assessed for emotion understanding (Test of Emotion Comprehension, anxiety (Screening for Child Anxiety Related Emotional Disorders-Revised and Anxiety Disorder Interview Schedule, emotion dysregulation (Difficulties in Emotion Regulation Scale and attachment security (Security Scale. Children who reported more overall anxiety also reported greater difficulties in regulating their emotions, and were less securely attached to their parents. The results also showed that more specific symptoms of anxiety (i.e., OCD and PTSD correlated not only with emotion dysregulation and attachment insecurity but also with emotion understanding. Finally, there were interrelations among emotion understanding, attachment security, and emotion dysregulation. The present results provide the first comprehensive evidence for a socio-emotional framework and its relevance to childhood anxiety.

  20. Emotion Understanding in Clinically Anxious Children: A Preliminary Investigation.

    Science.gov (United States)

    Bender, Patrick K; Pons, Francisco; Harris, Paul L; Esbjørn, Barbara H; Reinholdt-Dunne, Marie L

    2015-01-01

    Children's understanding of the nature, origins and consequences of emotions has been intensively investigated over the last 30-40 years. However, few empirical studies have looked at the relation between emotion understanding and anxiety in children and their results are mixed. The aim of the present study was to perform a preliminary investigation of the relationships between emotion understanding, anxiety, emotion dysregulation, and attachment security in clinically anxious children. A sample of 16 clinically anxious children (age 8-12, eight girls/boys) was assessed for emotion understanding (Test of Emotion Comprehension), anxiety (Screening for Child Anxiety Related Emotional Disorders-Revised and Anxiety Disorder Interview Schedule), emotion dysregulation (Difficulties in Emotion Regulation Scale) and attachment security (Security Scale). Children who reported more overall anxiety also reported greater difficulties in regulating their emotions, and were less securely attached to their parents. The results also showed that more specific symptoms of anxiety (i.e., OCD and PTSD) correlated not only with emotion dysregulation and attachment insecurity but also with emotion understanding. Finally, there were interrelations among emotion understanding, attachment security, and emotion dysregulation. The present results provide the first comprehensive evidence for a socio-emotional framework and its relevance to childhood anxiety.

  1. Sesame seed allergy: Clinical manifestations and laboratory investigations

    Directory of Open Access Journals (Sweden)

    Fazlollahi MR.

    2007-10-01

    Full Text Available Background: Plant-origin foods are among the most important sources of food allergic reactions. An increase in the incidence of sesame seed allergy among children and adults has been reported in recent years. The aim of this preliminary study was to investigate the prevalence, importance and clinical manifestations of sesame allergy among Iranian patients.Methods: In a cross-sectional survey, 250 patients with suspected IgE-mediated food allergies completed a questionnaire and underwent skin prick tests with sesame extract as well as cross-reacting foods (walnut, soya and peanut. Total IgE and sesame-specific IgE levels were measured. Patients with positive skin test reactions and/or IgE specific for sesame without clinical symptoms were considered sensitive to sesame. The patients who also had clinical symptoms with sesame consumption were diagnosed as allergic to sesame.Results: Of the 250 patients enrolled in this study, 129 were male and 121 female, with a mean age of 11.7 years. The most common food allergens were cow's milk, egg, curry, tomato and sesame. Sesame sensitivity was found in 35 patients (14.1%. Only five patients (2% had sesame allergy. Sesame-sensitive patients had a significantly higher frequency of positive prick test to cross-reacting foods when compared to non-sensitized patients (p=0.00. The type of symptom was independent of gender and age of the patients, but urticaria and dermatitis-eczema were significantly more frequent in sensitized patients (p=0.008.Conclusions: This is the first study addressing the prevalence of sesame seed allergy in Iranian population. We found sesame to be a common and important cause of food allergy. The panel of foods recommended for use in diagnostic allergy tests should be adjusted.

  2. Editorial: Process to progress? Investigative trials, mechanism and clinical science.

    Science.gov (United States)

    Green, Jonathan

    2015-01-01

    In 2002 Helena Kraemer and colleagues published an important article on the analysis of clinical trials in mental health, which advocated a planned focus on mechanisms to investigate the processes behind treatment effects. Kraemer et al. considered not only new approaches to mediation analysis, but also a theoretical approach to factors, both pre-treatment and during treatment, that might moderate this mediation. Trials should not just be about whether a treatment 'worked', but how it worked; with the results informing modification of the intervention for the next trial by discarding aspects that were not effective and reinforcing aspects that were - an iterative procedure towards greater effectiveness. Can we enjoy similar ambitions for complex interventions within mental health? It is not so long ago when the received wisdom within the clinical and much of the research community was that it was simply impossible in practice to mount randomised controlled trials relevant to the kind of psychosocial interventions we use in child and adolescent mental health (CAMHS). How different the situation is now, with burgeoning interest in a systematic evidence base for psychological treatment and the possibilities for unexpected advances (as well as unexpected harms). Nevertheless it is probably still fair to say that the systematic use of process and mechanism study within trials in our field is the exception rather than the rule. What are the possibilities and implications for our field?

  3. Ultrasonic Inspection

    Science.gov (United States)

    1976-01-01

    Automation Industries Inc. has had more than $2 million in contracts to produce innovative equipment for the Apollo program. When Marshall Space Flight Center sought a fast nondestructive way to inspect butt welds in aluminum alloys for spacecraft, the company developed a reliable ultrasonic device using multiple transducers called "delta manipulators" which detect lack of weld penetration not readily seen in radiograph automation. Industry soon adapted the ultrasonic equipment to a unique rail inspection device that saves countless man hours. Device is contained in self propelled railroad cars produced and operated by the company to check old track welds for deterioration.

  4. Factors associated with regulatory action involving investigation of illnesses associated with Shiga toxin-producing Escherichia coli in products regulated by the Food Safety and Inspection Service.

    Science.gov (United States)

    Green, Alice L; Seys, Scott; Douris, Aphrodite; Levine, Jeoff; Robertson, Kis

    2014-07-01

    We described characteristics of the Escherichia coli O157 and Escherichia coli non-O157 illness investigations conducted by the United States Department of Agriculture's Food Safety and Inspection Service (FSIS) during the 5-year period from 2006 through 2010. We created a multivariable logistic regression model to determine characteristics of these investigations that were associated with FSIS regulatory action, which was defined as having occurred if a product recall occurred or if FSIS personnel performed an environmental health assessment (Food Safety Assessment) at the implicated establishment. During this period, FSIS took regulatory action in 38 of 88 (43%) investigations. Illness investigations in which FoodNet states were involved were more likely to result in regulatory action. Illness investigations in which state and local traceback, or FSIS traceback occurred were more likely to result in regulatory action. Reasons for lack of action included evidence of cross-contamination after the product left a regulated establishment, delayed notification, lack of epidemiological information, and insufficient product information.

  5. Preliminary clinical investigations of a new noninvasive venous pulse oximeter

    Science.gov (United States)

    Chan, Daniel; Smith, Peter R.; Caine, Michael P.; Spyt, Tomasz; Boehm, Maria; Machin, David

    2003-10-01

    For decades, the monitoring of mixed venous oxygen saturation, SvO2 has been performed invasively using fibre-optic catheters. This procedure is not without risk as complications may arise from catheterisation. The group has devised a new non-invasive venous oximetry method which involves inducing regular modulations of the venous blood volume and associated measurement of those modulations using optical means. A clinical investigation was conducted in Glenfield Hospital, UK to evaluate the sensitivity of the new technique to haemodynamic changes such as Cardiac Output (CO) in intraoperative and postoperative cardiac patients. Preliminary trials on patients recovering from cardiac surgery yielded an average correlation of r = 0.72 between CO at different Intra Aortic Balloon Pump (IABP) augmentation levels and SvO2 measured by the new venous oximeter. In intraoperative patients undergoing off-pump cardiac surgery, SvO2 recorded by the new technique responded to unplanned events such as a cardiac arrest. CONCLUSION: The new venous oximetry technique is a promising technique which responds to haemodynamic changes such as CO and with further development might offer an alternative means of monitoring SvO2 non-invasively.

  6. 77 FR 76049 - Draft Guidance for Industry on Electronic Source Data in Clinical Investigations; Correction

    Science.gov (United States)

    2012-12-26

    ... guidance entitled ``Electronic Source Data in Clinical Investigations.'' The document was published with an... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry on Electronic Source Data in Clinical Investigations; Correction AGENCY: Food and Drug Administration, HHS. ACTION: Notice;...

  7. 78 FR 66941 - Design Considerations for Pivotal Clinical Investigations for Medical Devices; Guidance for...

    Science.gov (United States)

    2013-11-07

    ... for Medical Devices; Guidance for Industry, Clinical Investigators, Institutional Review Boards and... entitled ``Design Considerations for Pivotal Clinical Investigations for Medical Devices.'' This document... premarket submissions for medical devices and for FDA staff who review those submissions. This...

  8. A fluid collection system for dermal wounds in clinical investigations.

    Science.gov (United States)

    Klopfer, Michael; Banyard, Derek; Li, G-P; Widgerow, Alan; Bachman, Mark

    2016-03-01

    In this work, we demonstrate the use of a thin, self adherent, and clinically durable patch device that can collect fluid from a wound site for analysis. This device is manufactured from laminated silicone layers using a novel all-silicone double-molding process. In vitro studies for flow and delivery were followed by a clinical demonstration for exudate collection efficiency from a clinically presented partial thickness burn. The demonstrated utility of this device lends itself for use as a research implement used to clinically sample wound exudate for analysis. This device can serve as a platform for future integration of wearable technology into wound monitoring and care. The demonstrated fabrication method can be used for devices requiring thin membrane construction.

  9. Inspecting the Dangers of Feeling like a Fake: An Empirical Investigation of the Impostor Phenomenon in the World of Work

    Science.gov (United States)

    Neureiter, Mirjam; Traut-Mattausch, Eva

    2016-01-01

    To investigate the link between the impostor phenomenon (IP), career self-management (CSM) factors, and work-relevant outcomes, we looked at the IP's impact on career optimism, career adaptability, and knowledge of the job market, as well as on employee- and organizationally-relevant outcomes. We analyzed data from 238 working professionals (57% female) using parallel multiple mediation analyses. The results revealed that the IP was negatively related to all work-relevant outcomes through decreased CSM factors, which were subsequently associated with the outcomes. As hypothesized, employee-relevant subjective outcomes were mediated by optimism and employee-relevant objective (i.e., economic) outcomes by adaptability and knowledge. Additional mediating effects occurred. Regarding organizationally relevant outcomes, adaptability mediated the IP's impact on organizational citizenship behavior. The IP was only indirectly related to continuance commitment through adaptability and to affective commitment through optimism. We discuss the theoretical and practical implications and offer ideas for future research. PMID:27729882

  10. Customs Inspection

    Science.gov (United States)

    1977-05-01

    required, for the per- DASDD9-%M) ii the single point of contact for formance of customs inspection functions. customs inspecion matters .in the Office...STATUS Onfdlt dotl. member of Rr": 21 DATE if officer of corporation . slu title) ATP OoM 6A N-7s) PtavIoux MuITUONs MAY BE UN&D Figure l-9. Reld.. and...grips. Commonly called HW-4. Serial number over 300,000 denotes the in- corporation of modified hammer safety components. Model HW-5T Double Action

  11. Investigating the versatility of multifunctional silver nanoparticles: preparation and inspection of their potential as wound treatment agents

    Science.gov (United States)

    Nam, Geewoo; Purushothaman, Baskaran; Rangasamy, Sabarinathan; Song, Joon Myong

    2016-11-01

    Silver nanoparticles (AgNPs) are capable of inhibiting the growth of a broad spectrum of bacterial species. The minute size of the nanoparticulates enhances their biocidal activity and is thus widely utilized as antibacterial agents. The most recently researched and recognized antibacterial and wound-healing properties of published AgNPs were investigated in this article. The following parameters of the AgNPs affecting their properties and potency were explored: particle size, shape, and type of ligand or stabilizing agent. Research regarding the antibacterial activity enhancement of high-valent silver nanoparticles compared to those of the lower valent forms were summarized and analyzed. Nanocrystalline silver is capable of binding to components that may enhance their preparation and antibacterial properties. By forming complexes with ligands that exhibit desired properties, silver nanoparticles can be synthesized to exhibit those desired properties without compromising their performance. This review will provide a detailed discussion regarding the parameter-dependent bactericidal properties of silver nanoparticles and nanocomposite silver complexes as potent multifunctional wound-healing agents.

  12. 77 FR 25353 - Disqualification of a Clinical Investigator

    Science.gov (United States)

    2012-04-30

    ... asks FDA to clarify whether the rule applies to ``all sponsors for whom the investigator did work, or... (including potential economic, environmental, public health and safety, and other advantages; distributive... event an investigation is conducted by a team of individuals, the investigator is the responsible...

  13. Clinical classification of chronic prostatitis: a preliminary investigation

    Institute of Scientific and Technical Information of China (English)

    Wei-DongHUANG; PeiLIU; Wen-JieHUANG

    2000-01-01

    Aim: To propose a practical clinical classification for the chronic prostatitis (CP). Methods: The clinical features and the findings in the expressed prostatic secretion (EPS) in 804 cases of CP patients were retrospectively analyzed. Results: Four types of CP were identified based on the clinical manifestations and the amounts of white blood cells (WBC) and lecithin in EPS. They were the latent type (85 cases; 10.6%), the common type (423 cases;52.6%), the persisting type (104 cases; 12.9%), and the active type (192 cases, 23.9%). The therapeutic efficacy for these 4 subtypes were 40.4%, 76.8%, 30.8% and 37%, respectively; a statistical difference was noticed between the common type and the persisting type (P<0.01). Conclusion: The method of classification proposed by the authors may help clinicians in the diagnosis and predicting the prognosis of CP. (Asian J Androl 2000 Dec;2:311-313)

  14. 健康体检中高血压患者经颅多普勒检测与临床分析%TCD inspection and clinical analysis of hypertension patients in health examination

    Institute of Scientific and Technical Information of China (English)

    韩莉莉

    2011-01-01

    Objective: To investigate the TCD inspected application of cerebral arterial circle of hypertension patients in health examination. Methods: 1055 hypertension patients in department of health examination in our hospital from January 2010 to January 2011 were selected as observation group, and their TCD inspected results and clinical data including of age, gender, clinical diagnosis and genetic disease were reviewed retrospectively. Meantime, 1 744 cases with normal blood pressure were selected as control group which was stratified by age over the same period. The relationship between the changing of TCD and clinical situation was studied to provide an objective data of hemodynamics to the appreciation of cerebrovascular function in hypertension patients. Results: In the 1 055 hypertension patients, there were 518 patients with arteriosclerosis; 703 patients with single artery or multi artery of internal carotid artery system blood flow velocity upgrade in systole period, and 54 patients with eddied flow or turbulent flow, 16 patients with blood flow velocity downgrade in systole period; 599 patients with vertebral basilar system blood flow velocity upgrade in systole period, and 8 patients with downgrade phenomenon. Compared with control group, the changing of the spectrum of cerebral arteriosclerosis (x2 = 738.000, P<0.001), the speed of blood flow of internal carotid artery in systole period (x2=337.700, P<0.001) and eddied flow or turbulent flow (x2=21.687, P<0.001) of observation group were all with statistical significance, all of these above signified the inspected items upgrade significantly in observation group. Multi arteries abnormally changing had a higher fre -quency than single artery. The rate of TCD inspection with abnormality was higher than the rate of the patients with the knowledge of the relevant diseases. Conclusion: TCD inspection could demonstrate the hemodynamics changing of cerebral vessels in hypertension period sensitively, and TCD

  15. 21 CFR 312.40 - General requirements for use of an investigational new drug in a clinical investigation.

    Science.gov (United States)

    2010-04-01

    ... new drug in a clinical investigation. 312.40 Section 312.40 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE INVESTIGATIONAL NEW DRUG APPLICATION Administrative Actions § 312.40 General requirements for use of an investigational new drug in...

  16. 78 FR 60291 - Investigational Device Exemptions for Early Feasibility Medical Device Clinical Studies...

    Science.gov (United States)

    2013-10-01

    ... ``Investigational Device Exemptions (IDEs) for Early Feasibility Medical Device Clinical Studies, Including Certain... facilitate early feasibility studies of medical devices, using appropriate risk mitigation strategies, under the IDE regulations. Early feasibility studies allow for limited early clinical evaluations of...

  17. 21 CFR 312.70 - Disqualification of a clinical investigator.

    Science.gov (United States)

    2010-04-01

    ... are essential to the continuation of the investigation or essential to the approval of any marketing... Research or the Center for Biologics Evaluation and Research will furnish the investigator written notice... but not accepted by the Center for Drug Evaluation and Research or the Center for Biologics...

  18. [Investigation on cognition of zoonosis among veterinary clinical staff].

    Science.gov (United States)

    Takinami, Kenji

    2005-10-01

    We conducted a survey to determine how much veterinary clinic staff, including veterinary surgeon and veterinary technicians, know about zoonosis. Response was 52.5%. All staff members knew of zoonosis. Staff members who knew what zoonosis meant accounted for 98%. Staff members trained in zoonosis accounted for 75% among veterinary surgeons and 66% among veterinary technicians. Staff members who thought that zoonosis would increase in future accounted for 92% among veterinary surgeons and 79% among veterinary technicians. Staff members who were asked by pet owners about zoonosis accounted for 87% among veterinary surgeons and 51% among veterinary technicians. Staff members who thought veterinary surgeons must report zoonosis to public health centers accounted for 96% among veterinary surgeons and 88% among veterinary technicians. Veterinary clinic staffs thus had correct knowledge and were aware of zoonosis. The network of medical staff and veterinary staff could therefore build on this result.

  19. Clinical investigations for SUS, the Brazilian public health system

    OpenAIRE

    Ana Patrícia Paula; Silvana Pereira Giozza; Michelle Zanon Pereira; Patrícia Souza Boaventura; Leonor Maria Pacheco Santos; Camile Giaretta Sachetti; César Omar Carranza Tamayo; Clarissa Campos Guaragna Kowalski; Flavia Tavares Silva Elias; Suzanne Jacob Serruya; Reinaldo Guimarães

    2012-01-01

    CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive inves...

  20. Department of Clinical Investigation Annual Research Progress Report.

    Science.gov (United States)

    1995-09-30

    Pacific Morthwest Conference for Glaucoma, Cataract, and Macular Primary Care Practitioners, Degenerations . Seattle, USA, October 94. Edmond CV ENT...95. DePaul D, Chambers Fatigue Following Childbirth: Military NANN International Clinical and S, Zaichkin J, Family Outcomes. Research Symposium...Armstrong AY, Engel Women with Chronic Pelvic Pain: A American College of OB/GYN, AL Preliminary Report. Reno, NV, November 94. Macedonia CR Telepresense

  1. Department of Clinical Investigation Annual Progress Report: Fiscal Year 1989

    Science.gov (United States)

    1989-01-01

    published in the syllabus for the conference Ninos NP (Critical Care). Bedside ethics and humanism in the care of the critically ill. (Instructional...Critical Care). Bedside ethics . (Review abstract for publication in the meeting syllabus of and presentation at the Present Concepts in Internal Medicine...radiologic and embryologic considerations. (Clinical study article submitted to the American Journal of Neuroradiolgy) Barkovich AJ (Radiology), Chuang SH

  2. Annual Progress Report (FY-80) Department of Clinical Investigation.

    Science.gov (United States)

    1980-09-30

    with F[LA-C2 antigen was calculated to be 27.0 and those with B-27 antigen 7.1. 3) The incidence of rheumatic disease (ankylosing spondylitis and...examination, electroencephal ography, and conpute) ized axial tormlografphy (CATSCAN). Computerized axial tomography support provided by NIH has been...Volunteer subjects are first screened using a clinical neurological examination, electroencephalography, and computerized axial tomography (CAT scan

  3. Clinical investigation of set-shifting subtypes in anorexia nervosa.

    Science.gov (United States)

    Abbate-Daga, Giovanni; Buzzichelli, Sara; Marzola, Enrica; Amianto, Federico; Fassino, Secondo

    2014-11-30

    While evidence continues to accumulate on the relevance of cognitive inflexibility in anorexia nervosa (AN), its clinical correlates remain unclear. We aimed at examining the relationship between set-shifting and clinical variables (i.e., eating psychopathology, depression, and personality) in AN. Ninety-four individuals affected by AN and 59 healthy controls (HC) were recruited. All participants were assessed using: Eating Disorders Inventory-2 (EDI-2), Temperament and Character Inventory (TCI), Beck Depression Inventory (BDI), and Wisconsin Card Sorting Test (WCST). The AN group scored worse than HCs on set-shifting. According to their neuropsychological performances, AN patients were split into two groups corresponding to poor (N=30) and intact (N=64) set-shifting subtypes. Interoceptive awareness, impulse regulation, and maturity fears on the EDI-2 and depression on the BDI differed across all groups (HC, intact, and poor set-shifting subtype). Self-directedness on the TCI differed significantly among all groups. Cooperativeness and reward dependence differed instead only between HC and AN poor set-shifting subtype. After controlling for depression, only interoceptive awareness remained significant with reward dependence showing a trend towards statistical significance. These findings suggest that multiple clinical variables may be correlated with set-shifting performances in AN. The factors contributing to impaired cognitive inflexibility could be more complex than heretofore generally considered.

  4. Sample sizes in dosage investigational clinical trials: a systematic evaluation

    OpenAIRE

    Huang JH; Su QM; Yang J; Lv YH; He YC; Chen JC; Xu L; Wang K; Zheng QS

    2015-01-01

    Ji-Han Huang,1,* Qian-Min Su,2,* Juan Yang,1 Ying-Hua Lv,1 Ying-Chun He,1 Jun-Chao Chen,1 Ling Xu,1 Kun Wang,1 Qing-Shan Zheng11Center for Drug Clinical Research, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China; 2Department of Computer, College of Electronic and Electrical Engineering, Shanghai University of Engineering Science, Shanghai, People’s Republic of China *These authors contributed equally to this workAbstract: T...

  5. Clinical value of isotope methods in adrenal morphology investigations

    Energy Technology Data Exchange (ETDEWEB)

    Jakubowski, W.; Feltynowski, T.; Graban, W. (Akademia Medyczna, Warsaw (Poland))

    1981-01-01

    In the years 1976-1980 in 105 patients 124 adrenal scintigrams were obtained, including 50 in patients with primary hyperaldosteronism syndrome, 27 with Cushings syndrome, 8 after bilateral total adrenalectomy, 4 with adrenal virilizing tumours, 6 with phaeochromocytoma, 10 with normal adrenal function. The results of scintigraphy were compared with those of arteriography, phlebography, computer tomography and postoperative findings. The clinical value of scintigraphy was found to be greatest in cases of adrenocortical disease. In cases of phaeochromocytoma isotope angioscintigraphy is a useful method for localizing the tumour since it makes possible demonstration of the vascular bed of the tumour. A close correlation was demonstrated between the results of scintigraphy and those of computer tomography. In the group of 27 patients treated surgically for adrenocortical disease in 87% of cases an agreement was found between the results of scintigraphy and the result of the operation. For different adrenocortical diseases this per cent was: 77% for Cushings syndrome, 91% for primary hyperaldosteronism, 100% for adrenal virilizing tumours. The study showed that adrenal scintigraphy is a very valuable diagnostic method of high clinical usefulness in adrenocortical diseases.

  6. Malignant mesothelioma, clinical, diagnostic and cell biological investigations

    NARCIS (Netherlands)

    M.A. Versnel (Marjan)

    1989-01-01

    textabstractThe purpose of this study was to improve the diagnosis of human malignant mesothelioma on the one hand and to investigate the growth regulation and transformation of normal and malignant mesothelial cells on the other hand. In this thesis improvement of diagnosis was approached by the se

  7. 21 CFR 812.119 - Disqualification of a clinical investigator.

    Science.gov (United States)

    2010-04-01

    ..., the Center for Biologics Evaluation and Research, or the Center for Drug Evaluation and Research will... submitted unreliable data that are essential to the continuation of the investigation or essential to the approval or clearance of any marketing application. (d) If the Commissioner determines, after...

  8. Preliminary clinical pharmacological investigations of tylosin and tiamulin in chickens.

    Science.gov (United States)

    Ziv, G

    1980-10-15

    The minimal inhibitory concentrations (MIC) of tiamulin and tylosin for mycoplasma, Gram-positive, and Gram-negative micro-organisms isolated from chickens were determinated by the agar dilution method. Median MIC values for tiamulin against Mycoplasma gallisepticum (0.05 microgram/ml) and Mycoplasma synoviae (0.10 microgram/ml) were 2 to 4 times lower than the corresponding values for tylosin. Tiamulin was also slightly more effective in vitro in inhibiting Escherichia coli, Pasteurella multocida, and beta-haemolytic streptococci than was tylosin. Groups of chicken were offered tiamulin medicated drinking water at rates of 125 and 250 mg/litre for 48 hours. Average serum tiamulin concentrations were 0.38 and 0.78 microgram/ml, respectively. When tylosin tartrate was added to the drinking water at 500 and 700 mg/litre, average serum drug levels were 0.12 and 0.17 microgram/ml, respectively. Tiamulin was 45% bound in chicken serum, as against 30% serum protein binding for tylosin. Correlations were made between free (non protein bound) serum drug levels and the MIC values of the two drugs. Such comparisons suggest that when tiamulin is given in the drinking water at rates of 125 to 250 mg/litre, better antimycoplasmal activity is to be expected in vivo than by giving tylosin tartrate in the drinking water at 500 to 700 mg/litre. Based on these data, no clinical efficacy of these dose rates can be expected in flocks infected by gram-negative micro-organisms such as E. coli or P. multocida. The tylosin tartrate rate of 500 to 700 mg/litre, may be clinical ineffective the treatment of Staphylococcus aureus infections.

  9. Clinical investigations of receptive and expressive musical functions after stroke

    OpenAIRE

    Ken eRosslau; Daniel eSteinwede; Christine eSchröder; Sibylle eHerholz; Claudia eLappe; Christian eDobel; Eckart eAltenmüller

    2015-01-01

    There is a long tradition of investigating various disorders of musical abilities after stroke. These impairments, associated with acquired amusia, can be highly selective, affecting only music perception (i.e., receptive abilities/functions) or expression (music production abilities), and some patients report that these may dramatically influence their emotional state. The aim of this study was to systematically test both the melodic and rhythmic domains of music perception and expression in...

  10. National Program of Inspection of Non-Federal Dams, Tennessee. Spring Lake Dam (Candlewood II) Old Hickory Dam (Candlewood III) (Inventory Numbers TN 06930 & TN 06926), Hatchie River Basin, near Saulsbury, Hardeman County, Tennessee. Phase I Investigation Report,

    Science.gov (United States)

    1981-09-01

    20314. 1.3 Past Inspections - Past inspections of Spring Lake and Old Hickory Lake Dams include cursory inspections by George Moore and Troy Wedekind of...aertificate Cursory Preliminary Site Review Damage Potential Category:One Two Three Undetermined Inspection by: George Moore and Troy Wedekind Inspection...Cursory Preliminary Site Review Damage Potential Category:One Two Three __ Undetermined Inspection by: George Moore and Troy Wedekind Inspection Results

  11. Clinical investigation of risk factors in ectopic pregnancy

    Directory of Open Access Journals (Sweden)

    Ling-yun HU

    2013-05-01

    Full Text Available Objective  To discuss the relative and independent risk factors in ectopic pregnancy. Methods  The clinical data of 870 patients with ectopic pregnancy, admitted from 2005 to 2012, were retrospectively analyzed, with 800 cases of normal pregnancy serving as control. Monofactorial correlation analysis was used to analyze the related risk factor, and logistic regression analysis was used to analyze the independent risk factor. Results  Pelvic adhesion, previous operation, cesarean section delivery, number of pregnancy, artificial abortion, medical abortion, in vitrofertilization and embryo replacement (IVF-ER, and placement of intrauterine device (IUD are the risk factors of ectopic pregnancy, pelvic adhesion, artificial abortion, operation, number of pregnancies and IUD are the independent risk factors, and pelvic adhesion is the major risk factor. Conclusion  Avoidance of unexpected pregnancy as possible, reduction of the number of artificial abortion, prevention and treatment of genital duct inflammation, and standardization of pelvic operation may reduce the incidence of ectopic pregnancy.

  12. Investigation of Tinnitus Patients in Italy: Clinical and Audiological Characteristics

    Directory of Open Access Journals (Sweden)

    Francesco Martines

    2010-01-01

    Full Text Available Objective. 312 tinnitus sufferers were studied in order to analyze: the clinical characteristics of tinnitus; the presence of tinnitus-age correlation and tinnitus-hearing loss correlation; the impact of tinnitus on subjects' life and where possible the etiological/predisposing factors of tinnitus. Results. There is a slight predominance of males. The highest percentage of tinnitus results in the decades 61–70. Of the tinnitus sufferers, 197 (63.14% have a hearing deficit (light hearing loss in 37.18% of cases. The hearing impairment results of sensorineural type in 74.62% and limited to the high frequencies in 58.50%. The tinnitus is referred as unilateral in 59.93%, a pure tone in 66.99% and 10 dB above the hearing threshold in 37.7%. It is limited to high frequencies in 72.10% of the patients with sensorineural hearing loss (SNHL while the 88.37% of the patients with high-frequency SNHL have a high-pitched tinnitus (2=66.26;<.005. Conclusion. Hearing status and age represent the principal tinnitus related factors; there is a statistically significant association between high-pitched tinnitus and high-frequency SNHL. There is no significant correlation between tinnitus severity and tinnitus loudness confirming the possibility that neural connection involved in evoking tinnitus-related negative reactions are governed by conditioned reflexes.

  13. Clinical investigations of receptive and expressive musical functions after stroke

    Directory of Open Access Journals (Sweden)

    Ken eRosslau

    2015-06-01

    Full Text Available There is a long tradition of investigating various disorders of musical abilities after stroke. These impairments, associated with acquired amusia, can be highly selective, affecting only music perception (i.e., receptive abilities/functions or expression (music production abilities, and some patients report that these may dramatically influence their emotional state. The aim of this study was to systematically test both the melodic and rhythmic domains of music perception and expression in left- and right-sided stroke patients compared to healthy subjects. Music perception was assessed using rhythmic and melodic discrimination tasks, while tests of expressive function involved the vocal or instrumental reproduction of rhythms and melodies. Our approach revealed deficits in receptive and expressive functions in stroke patients, mediated by musical expertise. Those patients who had experienced a short period of musical training in childhood and adolescence performed better in the receptive and expressive subtests compared to those without any previous musical training. While discrimination of specific musical patterns was unimpaired after a right-sided stroke, patients with a left-sided stroke had worse results for fine melodic and rhythmic analysis. In terms of expressive testing, the most consistent results were obtained from a test that required patients to reproduce sung melodies. This implies that the means of investigating production abilities can impact the identification of deficits.

  14. Clinical investigations of receptive and expressive musical functions after stroke.

    Science.gov (United States)

    Rosslau, Ken; Steinwede, Daniel; Schröder, C; Herholz, Sibylle C; Lappe, Claudia; Dobel, Christian; Altenmüller, Eckart

    2015-01-01

    There is a long tradition of investigating various disorders of musical abilities after stroke. These impairments, associated with acquired amusia, can be highly selective, affecting only music perception (i.e., receptive abilities/functions) or expression (music production abilities), and some patients report that these may dramatically influence their emotional state. The aim of this study was to systematically test both the melodic and rhythmic domains of music perception and expression in left- and right-sided stroke patients compared to healthy subjects. Music perception was assessed using rhythmic and melodic discrimination tasks, while tests of expressive function involved the vocal or instrumental reproduction of rhythms and melodies. Our approach revealed deficits in receptive and expressive functions in stroke patients, mediated by musical expertise. Those patients who had experienced a short period of musical training in childhood and adolescence performed better in the receptive and expressive subtests compared to those without any previous musical training. While discrimination of specific musical patterns was unimpaired after a left-sided stroke, patients with a right-sided stroke had worse results for fine melodic and rhythmic analysis. In terms of expressive testing, the most consistent results were obtained from a test that required patients to reproduce sung melodies. This implies that the means of investigating production abilities can impact the identification of deficits.

  15. Patient engagement: an investigation at a primary care clinic

    Directory of Open Access Journals (Sweden)

    Gill PS

    2013-03-01

    Full Text Available Preetinder Singh Gill College of Technology, Eastern Michigan University, Ypsilanti, MI, USA Background: Engaged employees are an asset to any organization. They are instrumental in ensuring good commercial outcomes through continuous innovation and incremental improvement. A health care facility is similar to a regular work setting in many ways. A health care provider and a patient have roles akin to a team leader and a team member/stakeholder, respectively. Hence it can be argued that the concept of employee engagement can be applied to patients in health care settings in order to improve health outcomes. Methods: Patient engagement data were collected using a survey instrument from a primary care clinic in the northern Indian state of Punjab. Canonical correlation equations were formulated to identify combinations which were strongly related to each other. In addition, the cause-effect relationship between patient engagement and patient-perceived health outcomes was described using structural equation modeling. Results: Canonical correlation analysis showed that the first set of canonical variables had a fairly strong relationship, ie, a magnitude > 0.80 at the 95% confidence interval, for five dimensions of patient engagement. Structural equation modeling analysis yielded a β ≥ 0.10 and a Student's t statistic ≥ 2.96 for these five dimensions. The threshold Student's t statistic was 1.99. Hence it was found the β values were significant at the 95% confidence interval for all census regions. Conclusion: A scaled reliable survey instrument was developed to measured patient engagement. Better patient engagement is associated with better patient-perceived health outcomes. This study provides preliminary evidence that patient engagement has a causal relationship with patient-perceived health outcomes. Keywords: patient engagement, health outcomes, communication, provider effectiveness, patient incentive

  16. General issues and precautions in the design for clinical trials of investigational new drugs.

    Science.gov (United States)

    Hu, Liang-ping; Bao, Xiao-lei

    2011-02-01

    The general problems existing in the clinical trials of investigational new drugs involve some key aspects such as the guiding principles, research designs, quality controls and statistical analyses. This paper explores the eight general issues in the clinical trials of investigational new drugs and presents precautionary measures with high operability. Research on the clinical trials of investigational new drugs is a complex project, which should be carried out strictly according to the policies, laws, criteria and operating rules set by related agencies. The neglect of research designs and data analyses will lead clinical trials to failure.

  17. 76 FR 80948 - Draft Guidance for Industry, Clinical Investigators, Institutional Review Boards, and Food and...

    Science.gov (United States)

    2011-12-27

    ... developed to promote the initiation of clinical investigations to evaluate the medical devices under FDA's... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry, Clinical Investigators, Institutional Review Boards, and Food and Drug Administration Staff; Food and Drug Administration Decisions...

  18. Preclinical and Clinical Investigation of the Impact of Obesity on Ovarian Cancer Pathogenesis

    Science.gov (United States)

    2014-10-01

    Award Number: W81XWH-12-1-0426 TITLE: Preclinical and Clinical Investigation of the Impact of Obesity on Ovarian Cancer Pathogenesis PRINCIPAL...ANNUAL 25 Sep 2013 - 24 Sep 2014 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Pre-clinical and Clinical Investigation of the Impact of Obesity on Ovarian...metabolic consequences of obesity may be critical in the development of ovarian cancer (OC), resulting in biologically different cancers than those that

  19. Clinical investigation on application of water swallowing to MR esophagography

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Jinping, E-mail: zjpmri@163.com [Department of Radiology, Tongling People' s Hospital, Bijiashan Road 468, Tongling 244000, Anhui (China); Hu, Weijian; Zang, Lin [Department of Cardiothoracic Surgery, Tongling People' s Hospital, Bijiashan Road 468, Tongling 244000, Anhui (China); Yao, Yibin; Tang, Yongxiang; Qian, Zhen; Gao, Ping; Wu, Xiaoyan; Li, Shijian [Department of Radiology, Tongling People' s Hospital, Bijiashan Road 468, Tongling 244000, Anhui (China); Xie, Zhenlan; Yuan, Xiaoqing [Department of Pathology, Tongling People' s Hospital, Bijiashan Road 468, Tongling 244000, Anhui (China)

    2012-09-15

    Objective: To verify the clinical outcomes of applying water swallowing to MR esophagography. Methods: Thirty patients confirmed postoperatively or histopathologically with thoracic esophageal carcinoma by endoscopic biopsy and 10 healthy volunteers with normal esophagus underwent respectively conventional magnetic resonance imaging (MRI) detection and water swallowing MR esophagography. Of those patients, 4 underwent second examination after radiotherapy. Assessment on imaging effects of MR esophagography was performed. Assessment on definition on MR esophagography of the tumor in both upper and lower ends, specific localization, tumor size finally measured, coincidence with the gross pathologic types and tumor staging were respectively performed by comparison with conventional MRI. Additionally, we evaluated the outcomes of radiotherapy by comparing the previous MR esophagography with the second one with interventional technique. Results: Of the total 44 images of MR esophagography, 97.7% (43/44) were in high resolution by sagittal view and 81.8% (36/44) by cross-section. 93.3% (56/60) of the MR esophagography were clearly defined with the neoplastic lesion ends in the 30 patients with thoracic esophageal carcinoma, compared with 11.7% (7/60) by conventional MRI. The results were totally different in statistics (P < 0.005). Preoperative conventional MRI detection of the 22 cases in 25 undergone radical resection suggested vague diameter of the primary tumor and impossibly identified it at middle-lower thoracic esophagus in 5, and even failed to confirm gross pathologic types in 19 cases. Yet, MR esophagography with water swallowing represented accurate tumor length (graded as excellent) in 88% (22/25), localization in 100% (25/25), exact gross pathologic types in 88% (22/25), and accuracy for tumor staging in 80.8% (21/26) compared to 92.3% (24/26) by conventional MRI. Therapeutic effects achieved in 4 patients with radiotherapy. Conclusions: MR esophagography

  20. Department of Clinical Investigation Annual Research Progress Report: Fiscal Year 1990

    Science.gov (United States)

    1990-09-30

    Aromatizable Androgen Is Jones RE Administered. Metabolism 39(1): 69-74, 1990 Plymate SR Jones RE Ovarian Follicles in Reptile and Birds by S.S. Guraya...in Athymic Nude Mice PLYMATE SR 0 Clinical and Molecular Investigations in Men 58 #90/76 With Decreased Spermatogenesis and a Varicocele * van HAMONT...Investigations in Men With Decreased Spermatogenesis and a Varicocele Start Date: 18 May 90 Est Completion Date: Apr 95 Department: Clinical Investigation

  1. Mass spectrometry-based proteomics and analyses of serum: a primer for the clinical investigator.

    Science.gov (United States)

    Fusaro, V A; Stone, J H

    2003-01-01

    The vocabulary of proteomics and the swiftly-developing, technological nature of the field constitute substantial barriers to clinical investigators. In recent years, mass spectrometry has emerged as the most promising technique in this field. The purpose of this review is to introduce the field of mass spectrometry-based proteomics to clinical investigators, to explain many of the relevant terms, to introduce the equipment employed in this field, and to outline approaches to asking clinical questions using a proteomic approach. Examples of clinical applications of proteomic techniques are provided from the fields of cancer and vasculitis research, with an emphasis on a pattern recognition approach.

  2. Cost and effectiveness of clinical investigation: the state of the art.

    Science.gov (United States)

    Clarke, R M; Mason, B; Leeder, S R

    1980-10-01

    Clinical investigation by means of special technical tests has increased in clinical practice during recent years. Pressures causing this increase are said to include: rapid technological change making many more tests available, clinical uncertainty, peer pressure, greater patient awareness, and concern for diagnostic completeness. Cost factors do not appear to have influenced test-ordering behaviour to any large extent, and those ordering investigations are frequently ignorant of the cost of the test which they are ordering, both to the patient and the community. The relation of clinical investigational activity to quality of outcome of patient care remains largely unestablished. Studies of the possible modification of test-ordering behaviour through educational and institutional policy pressures are reviewed. A rational approach to investigating the effectiveness of techniques designed to encourage the more economic and effective use of investigations is presented in brief on the basis of this review of previously published work.

  3. Investigators' viewpoint of clinical trials in India: Past, present and future.

    Science.gov (United States)

    Mallath, Mohandas K; Chawla, Tanuj

    2017-01-01

    India's success in producing food and milk for its population (Green Revolution and White Revolution) happened because of scientific research and field trials. Likewise improving the health of Indians needs clinical research and clinical trials. A Large proportion of the sick Indians are poor, illiterate with no access to good health care. They are highly vulnerable to inducement and exploitation in clinical trials. The past two decades saw the rise and fall of clinical trials in India. The rise happened when our regulators created a favorable environment, and Indian investigators were invited to participate in global clinical trials. The gap between the demand and supply resulted in inadequate protection of the trial participants. Reports of abuses of the vulnerable trial participants followed by public interest litigations led to strengthening of regulations by the regulators. The stringent new regulations made the conduct of clinical trials more laborious and increased the cost of clinical trials in India. There was a loss of interest in sponsored clinical trials resulting in the fall in global clinical trials in India. Following repeated appeals by the investigators, the Indian regulators have recently relaxed some of the stringent regulations, while continuing to ensure the adequate patient protection. Clinical trials that are relevant to our population and conducted by well-trained investigators and monitored by trained and registered Ethics Committees will increase in the future. We must remain vigilant, avoid previous mistakes, and strive hard to protect the trial participants in the future trials.

  4. Investigators' viewpoint of clinical trials in India: Past, present and future

    Directory of Open Access Journals (Sweden)

    Mohandas K Mallath

    2017-01-01

    Full Text Available India's success in producing food and milk for its population (Green Revolution and White Revolution happened because of scientific research and field trials. Likewise improving the health of Indians needs clinical research and clinical trials. A Large proportion of the sick Indians are poor, illiterate with no access to good health care. They are highly vulnerable to inducement and exploitation in clinical trials. The past two decades saw the rise and fall of clinical trials in India. The rise happened when our regulators created a favorable environment, and Indian investigators were invited to participate in global clinical trials. The gap between the demand and supply resulted in inadequate protection of the trial participants. Reports of abuses of the vulnerable trial participants followed by public interest litigations led to strengthening of regulations by the regulators. The stringent new regulations made the conduct of clinical trials more laborious and increased the cost of clinical trials in India. There was a loss of interest in sponsored clinical trials resulting in the fall in global clinical trials in India. Following repeated appeals by the investigators, the Indian regulators have recently relaxed some of the stringent regulations, while continuing to ensure the adequate patient protection. Clinical trials that are relevant to our population and conducted by well-trained investigators and monitored by trained and registered Ethics Committees will increase in the future. We must remain vigilant, avoid previous mistakes, and strive hard to protect the trial participants in the future trials.

  5. Investigators' viewpoint of clinical trials in India: Past, present and future

    Science.gov (United States)

    Mallath, Mohandas K.; Chawla, Tanuj

    2017-01-01

    India's success in producing food and milk for its population (Green Revolution and White Revolution) happened because of scientific research and field trials. Likewise improving the health of Indians needs clinical research and clinical trials. A Large proportion of the sick Indians are poor, illiterate with no access to good health care. They are highly vulnerable to inducement and exploitation in clinical trials. The past two decades saw the rise and fall of clinical trials in India. The rise happened when our regulators created a favorable environment, and Indian investigators were invited to participate in global clinical trials. The gap between the demand and supply resulted in inadequate protection of the trial participants. Reports of abuses of the vulnerable trial participants followed by public interest litigations led to strengthening of regulations by the regulators. The stringent new regulations made the conduct of clinical trials more laborious and increased the cost of clinical trials in India. There was a loss of interest in sponsored clinical trials resulting in the fall in global clinical trials in India. Following repeated appeals by the investigators, the Indian regulators have recently relaxed some of the stringent regulations, while continuing to ensure the adequate patient protection. Clinical trials that are relevant to our population and conducted by well-trained investigators and monitored by trained and registered Ethics Committees will increase in the future. We must remain vigilant, avoid previous mistakes, and strive hard to protect the trial participants in the future trials.

  6. Analysis on clinical characteristics and nutriture in children with digestive diseases diagnosed by gastroscope inspection%胃镜检查诊断消化道疾病儿童临床特征与营养状况分析

    Institute of Scientific and Technical Information of China (English)

    陈光华; 黎海芪

    2011-01-01

    目的 分析胃镜检查诊断为消化道疾病的6~18岁儿童的临床表现、胃镜结果与营养状况关系.方法 以2010年8月至2011年1月在重庆医科大学附属儿童医院内镜中心行胃镜检查的儿童为研究对象,进行问卷调查,测量体格生长指标(身高和体重),分析临床表现和胃镜检查结果,参照WHO 2007年制定的"儿童生长标准"评价胃镜检查诊断为消化道疾病儿童的营养状况.结果 研究期间431例儿童行胃镜检查,排除资料不完整者25例,406例(94.2%)进入分析,其中6~12岁313例,~18岁93例.①244例以慢性反复性腹痛为主诉,病程多在1年以上;急性腹痛就诊59例,以进食后早饱、食欲不振就诊40例;以进食后恶心、呕吐就诊15例.②389/406例(95.8%)胃镜检查结果异常,其中73.3%(285例)为慢性胃炎,十二指肠、食管和急性胃黏膜病变检出率分别为78例(20.1%)、11例(2.8%)和8例(2.1%).③389例胃镜检查结果异常儿童BMI呈偏态分布;胃部病变、十二指肠病变、食管病变儿童BMI<P5分别占23.7%(71/300例)、16.7%(13/78例)和9.1%(1/11例);在BMI<P5的67例慢性胃炎患儿中,HP相关性慢性胃炎占38.8%(26/67例).④胃镜检查结果异常的243/389例慢性腹痛儿童中,40例(16.5%)BMI<P5;58/389例急性腹痛儿童中,1例(1.7%)BMI<P5;39/389例以"消瘦"为主诉就诊的儿童中,38例(97.4%)BMI<P5.结论 上消化道疾病儿童体型消瘦的比例较高.慢性腹痛、无明原因的体重减轻或消瘦等症状的学龄儿童和青少年需除外慢性上消化道疾病.%Objective To analyze the clinical characteristics and nutriture in gastroscope inspection in 406 children and adolescents diagnosed as digestive diseases. Methods Medical histories and the results of gastroscope inspection were collected in the endoscopy center, Children's Hospital of Chongqing Medical University from August 2010 to January 2011. The questionnaire investigation was performed. The

  7. Applicable or non-applicable: investigations of clinical heterogeneity in systematic reviews

    Directory of Open Access Journals (Sweden)

    Laura E. Chess

    2016-02-01

    Full Text Available Abstract Background Clinical heterogeneity can be defined as differences in participant characteristics, types or timing of outcome measurements and intervention characteristics. Clinical heterogeneity in systematic reviews has the possibility to significantly affect statistical heterogeneity leading to inaccurate conclusions and misled decision making. The aim of this study is to identify to what extent investigators are assessing clinical heterogeneity in both Cochrane and non-Cochrane systematic reviews. Methods The most recent 100 systematic reviews from the top five journals in medicine—JAMA, Archives of Internal Medicine, British Medical Journal, The Lancet, and PLOS Medicine—and the 100 most recently published and/or updated systematic reviews from Cochrane were collected. Various defined items of clinical heterogeneity were extracted from the included reviews. Investigators used chi-squared tests, logarithmic modeling and linear regressions to determine if the presence of such items served as a predictor for clinical heterogeneity when comparing Cochrane to non-Cochrane reviews. Extracted variables include number of studies, number of participants, presence of quantitative synthesis, exploration of clinical heterogeneity, heterogeneous characteristics explored, basis and methods used for investigating clinical heterogeneity, plotting/visual aids, author contact, inferences from clinical heterogeneity investigation, reporting assessment, and the presence of a priori or post-hoc analysis. Results A total of 317 systematic reviews were considered, of which 199 were in the final analysis. A total of 81 % of Cochrane reviews and 90 % of non-Cochrane reviews explored characteristics that are considered aspects of clinical heterogeneity and also described the methods they planned to use to investigate the influence of those characteristics. Only 1 % of non-Cochrane reviews and 8 % of Cochrane reviews explored the clinical

  8. Bridging clinical investigators and statisticians: writing the statistical methodology for a research proposal.

    Science.gov (United States)

    Adams-Huet, Beverley; Ahn, Chul

    2009-12-01

    Clinical investigators often find the thought of writing the statistical analysis plan daunting. Early collaboration between the clinical investigator and statistician can improve the study design and validity of the results by developing the statistical methodology that specifically addresses the research hypothesis. With the clinical investigator, a statistician often writes the statistical methods section that includes sample size and power analyses, randomization and blinding procedures, interim analysis, and data monitoring plans, in addition to the statistical analysis plan. To make this process less mysterious, we describe how the statistical methods section is developed in collaboration with a statistician.

  9. Acute lung injury and acute respiratory distress syndrome: experimental and clinical investigations

    Institute of Scientific and Technical Information of China (English)

    Hsing I Chen

    2011-01-01

    Acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) can be associated with various disorders.Recent investigation has involved clinical studies in collaboration with clinical investigators and pathologists on the pathogenetic mechanisms of ALl or ARDS caused by various disorders.This literature review includes a brief historical retrospective of ALI/ARDS, the neurogenic pulmonary edema due to head injury, the long-term experimental studies and clinical investigations from our laboratory, the detrimental role of NO, the risk factors, and the possible pathogenetic mechanisms as well as therapeutic regimen for ALI/ARDS.

  10. Clinical Investigations

    Science.gov (United States)

    1977-09-30

    Pregnancy with Fetal Intrauteri-ne Death, Missed Abortion or Hydatidiform ... 54 Work Unit No. 76/17 (FY76, T) The Effect of Uterine Blood Flow on...79920 DETAIL SHEET Prostaglandin E2, Efficacy Study for Termination of Pregnancy with TITLE: Fetal Intrauterine Death, Missed Abortion or Hydatidiform...Cryptococcus neoformans strains ............................. 19 Work Unit No. 75/27 (Fy74, C) Assessment of Ilediation Factors Involved in Chemical Pain

  11. Risk groups for clinical complications of norovirus infections: an outbreak investigation.

    NARCIS (Netherlands)

    Mattner, F; Sohr, D; Heim, A; Gastmeier, P; Vennema, H; Koopmans, M

    2006-01-01

    Norovirus infections have been described as self-limiting diseases of short duration. An investigation of a norovirus outbreak in a university hospital provided evidence for severe clinical features in patients with several underlying diseases. Clinical outcomes of norovirus infection were defined.

  12. 76 FR 50484 - Draft Guidance for Industry, Clinical Investigators, and Food and Drug Administration Staff...

    Science.gov (United States)

    2011-08-15

    ... Considerations for Pivotal Clinical Investigations for Medical Devices.'' This document is intended to provide... medical devices and for FDA staff who review those submissions. This guidance document describes different study design principles relevant to the development of medical device clinical studies that can be...

  13. Crime Scene Investigation: Clinical Application of Chemical Shift Imaging as a Problem Solving Tool

    Science.gov (United States)

    2016-02-26

    MDW/SGVU SUBJECT: Professional Presentation Approva l 26 FEB 2016 1. Your paper, entitled Crime Scene Investigation: Clinical Aoolication of...or technical information as a publication/presentation, a new 59 MDW Form 3039 must be submitted for review and approval.] Crime Scene Investiga...tion: Clinical Application of Chemical Shift Imaging as a Problem Solving Tool 1. TITLE OF MATERIAL TO BE PUBLISHED OR PRESENTED Crime Scene

  14. Aspects of Inspection Planning

    DEFF Research Database (Denmark)

    Faber, M. H.; Sørensen, John Dalsgaard

    2000-01-01

    Inspection planning for systems is considered with special emphasis to the effect of the quality of inspections on the system reliability and the probability of repair. Inspection quality is described and discussed in terms of inspection reliability and inspection coverage where the latter is set...... in relation to the correlation between the failure modes of the considered system. The inspection planning problem is described in general terms taking basis in the Bayesian decision theory. Practical applicable approaches are derived from the more general but also more involving formulations. The theoretical...... framework for updating of the reliability of components and systems on the basis of inspection results is outlined. Systems representative for inspection planning of different engineering systems subjected to typical deterioration processes are presented. Numerical simulation studies are performed...

  15. Electronic Inspection of Beef

    Science.gov (United States)

    Anselmo, Victor J.; Gammell, Paul M.; Clark, Jerry

    1987-01-01

    Two proposed methods for grading beef quality based on inspection by electronic equipment: one method uses television camera to generate image of a cut of beef as customer sees it; other uses ultrasonics to inspect live animal or unsliced carcasses. Both methods show promise for automated meat inspection.

  16. AMPA workshop on challenges faced by investigators conducting Alzheimer's disease clinical trials.

    Science.gov (United States)

    Vellas, Bruno; Pesce, Alain; Robert, Philippe H; Aisen, Paul S; Ancoli-Israel, Sonia; Andrieu, Sandrine; Cedarbaum, Jesse; Dubois, Bruno; Siemers, Eric; Spire, Jean-Paul; Weiner, Michael W; May, Thomas S

    2011-07-01

    The recruitment and retention of patients are among the greatest challenges currently being faced by researchers who conduct Alzheimer's disease (AD) clinical trials. To discuss these challenges and other major issues associated with clinical research in AD, an international workshop was organized by the Association Monégasque pour la recherche sur la Maladie d'Alzheimer at Monte Carlo, Monaco, in February 2010, with the participation of leading research experts in the field of Alzheimer's. Key topics discussed were as follows: (1) the selection, recruitment, and retention of clinical trial subjects; (2) international co-operation among researchers; and (3) patient rights and informed consent for participants in clinical trials. This article highlights some of the challenges faced by investigators when conducting clinical trials in AD, and it also offers some recommendations aimed at overcoming these challenges.

  17. Investigating the Attitude of Graduate Psychiatrists towards Objective Structured Clinical Examination (OSCE and Conventional Clinical Interview Examination.

    Directory of Open Access Journals (Sweden)

    Ali Nazeri Astaneh

    2014-06-01

    Full Text Available In the present study, we investigated the attitude of psychiatrists who graduated in 2002-2009 towards Objective Structured Clinical Examination (OSCE and conventional clinical interview examination (Individual Patient Assessment.We studied 134 psychiatrists graduated; half of whom were examined with conventional clinical interview and the others with OSCE. A questionnaire was prepared by a specialist workgroup to assess the participants' attitude towards the exams. The questionnaire was initially examined in a pilot study. The findings of the questionnaire were used to assess the graduates' attitude towards each examination, as well as to compare the examinations.The OSCE group indicated a significantly more positive attitude compared to the conventional group (p = 0.03. Furthermore, the OSCE group believed the role of theoretical knowledge (p = 0.01 and pre-test practice (p = 0.03 to be significantly greater for success compared to the other group. The structure of OSCE was reported to be superior to conventional examination in terms of fairness and homogeneity (p = 0.004. First participation in exam (p = 0.04 and ultimate success in the exam (p = 0.009 were predictors of graduates' attitude.Based on examinees 'attitudes, OSCE may be a more appropriate choice for graduation examinations of psychiatry compared to the conventional clinical interview examination.

  18. Protocol-writing support conferences for investigator-initiated clinical trials

    Directory of Open Access Journals (Sweden)

    Goto M

    2016-04-01

    Full Text Available Masaya Goto,1 Yoshihiro Muragaki,2 Atsushi Aruga1 1Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, 2Intelligent Clinical Research and Innovation Center, Tokyo Women's Medical University, Tokyo, Japan Abstract: In investigator-initiated clinical trials, protocols with inappropriate methods might cause bias. However, insufficient data are available to determine which items are important or difficult to discuss in protocol development. We recorded protocol-writing support conferences to determine what items methodologists and investigators discussed. We obtained approval from all applicants to attend our Intelligent Clinical Research and Innovation Center writing support conferences, recorded all the discussions, characterized them, and sorted the items iteratively. In 1 year, we had 18 conferences: nine early protocol conferences and nine rejected protocol conferences. The latter were rejected by the institutional review board, which requested consultation. The most discussed item was outcomes, accounting for ~20% of the total discussion time. In three trials, the main problem was multiple primary outcomes. The second most discussed item was control. Early protocol conferences had more non-preliminary proposal items than rejected ones (P<0.001. This study showed important items (especially outcomes and control for investigators to write protocols. Early protocol-writing conferences helped investigators find questionable items. Keywords: investigator-initiated clinical trials, support, protocol-writing, conferences, recording

  19. On automatic visual inspection of reflective surfaces

    DEFF Research Database (Denmark)

    Kulmann, Lionel

    1995-01-01

    surveyed visual inspection system design methods and presented available image processing hardware to perform high resolution image capture. We present general usable practical visual inspection system solutions, when performing high resolution visual inspection of surfaces. We have presented known and new......This thesis descrbes different methods to perform automatic visual inspection of reflective manufactured products, with the aim of increasing productivity, reduce cost and improve the quality level of the production. We investigate two different systems performing automatic visual inspection...... in algorithms for detecting 3-dimensional surface damages based on images from a novel structured lighting setup enhancing the appearance of these defects in specular surfaces. A hardware implementable polynomial classifier structure has been described and compared to better known techniques based...

  20. [Standard Cancer Therapy Are Established by the Investigator-Initiated Post-Marketing Clinical Trials, Not by the Indication-Directed Clinical Trials].

    Science.gov (United States)

    Shimada, Yasuhiro

    2016-04-01

    The financial supports for investigator-initiated post-marketing clinical trial in clinical oncology are reduced after scandals related to the other fields of clinical trials in Japan. These clinical trials are the essential final steps of clinical development in newer cancer therapy, which should be conducted in the investigator-initiated clinical trial groups with well-organized infrastructure and continuous financial supports. The present problems are discussed and summarized. Future perspectives with the national viewpoints needed to be included the idea of "health technology assessment".

  1. Investigation and analysis of clinical trial research nurse to perform standard operating procedures

    Institute of Scientific and Technical Information of China (English)

    Yan Lin; Yan-Yun Wu; Mei-Hua Wu; Xiu-Yu Yang; Ming Zhou

    2016-01-01

    Objective: The aim of this study was to investigate the situations and factors that cause nurses not to follow standard operating procedures (SOPs) during the clinical trial process. Methods: Five cases involving patients enrolled in a clinical trial were divided into two groups, pre-SOP training and post-SOP training, to compare and observe the process problems and whether nurses fol-lowed SOPs in clinical trials. The causes of problems were analyzed and corrective measures were proposed. Results: Our results indicate significant improvement in compliance with SOPs after training. There were three occurrences of irregular behavior after training compared with 21 occurrences of irregular behavior before training. Conclusions: The quality of clinical trials can be improved if nurses strictly follow SOPs.

  2. Clinical research: business opportunities for pharmacy-based investigational drug services.

    Science.gov (United States)

    Marnocha, R M

    1999-02-01

    The application by an academic health center of business principles to the conduct of clinical research is described. Re-engineering of the infrastructure for clinical research at the University of Wisconsin and University of Wisconsin Hospital and Clinics began in 1990 with the creation of the Center for Clinical Trials (CCT) and the restructuring of the investigational drug services (IDS). Strategies to further improve the institution's clinical research activities have been continually assessed and most recently have centered on the adaptation of a business philosophy within the institution's multidisciplinary research infrastructure. Toward that end, the CCT and IDS have introduced basic business principles into operational activities. Four basic business concepts have been implemented: viewing the research protocol as a commodity, seeking payment for services rendered, tracking investments, and assessing performance. It is proposed that incorporation of these basic business concepts is not only compatible with the infrastructure for clinical research but beneficial to that infrastructure. The adaptation of a business mindset is likely to enable an academic health center to reach its clinical research goals.

  3. Clinical Investigation Program, Reports Control Symbol MED-300(R1), Fiscal Year 1988

    Science.gov (United States)

    1988-10-01

    To determine whether or not the recently developed extracts of the mold spores, Myxomycetes, Basidiomycetes , and imperfect fungi represent...Commander UNCLASSI FIED US Army Health Care and Clinical CLASSIFICATION/DOWNGRADING Investigation Activity SCHEDULE Fort Sam Houston, Texas 78234-6060...KENNETH E, BORNEMANN MICHAEL: "Letter to Editor" re: hypoglycemic unawareness during treatment with amitriptyline/Annals of Internal Medicine SHERMAN

  4. Using Hermeneutic Phenomenology to Investigate How Experienced Practitioners Learn to Communicate Clinical Reasoning

    Science.gov (United States)

    Ajjawi, Rola; Higgs, Joy

    2007-01-01

    This paper is primarily targeted at doctoral students and other researchers considering using hermeneutic phenomenology as a research strategy. We present interpretive paradigm research designed to investigate how experienced practitioners learn to communicate their clinical reasoning in professional practice. Twelve experienced physiotherapy…

  5. Clinical FDG PET CT in the Investigation of Suspected Inflammatory and Infective Conditions

    DEFF Research Database (Denmark)

    Lorenz, Eleanor; Wig, Surabhi; Prakash, Vineet

    PURPOSE          F18 FDG PET CT is an established molecular imaging technique most commonly used in the diagnosis and staging of oncological conditions. A rapidly growing clinical application of PET CT is in the investigation of inflammatory and infectious diseases. A review of PET CT scans perfo...

  6. Investigation on developing nursing ethics wards inspection to promote the effect of nursing work%开展护理伦理查房对促进护理工作的效果调查

    Institute of Scientific and Technical Information of China (English)

    陈瑞珍; 吴慧堃

    2009-01-01

    Objective It's helpful for the nursing staff to strengthen the sensitivity of medical ethics question, nursing practical activities to make the reasonable choice in concrete, to prevent the contradictory production, to optimize relationship between nurses and patients. Methods Hospital ethics commission members made use of every Saturday morning to carry on ethics ward inspection to the clinical administrative offices, the ward inspection project include: (1) Carriy out the patient to know the circumstances of the matter the agreement power, can use the civilized words. (2) reasonably uses the medicine, reasonably inspects. (3) Protect the right of privacy for patient. (4) The medical care personnel technical operation standard, security and wound are small. (5) Medical care personnel's medical quality and service are sense of satisfaction. Results Through developing nurses ethics ward inspection, promoting the nursing staff to know the circumstances of the matter that agreement power to the patient, fight of privacy and so on, will be realized, enhancing nursing the quality of work and the patient sense of satisfaction (P<0.01), the difference had a significance for statistics. Conclusions Implementing nurses ethics ward inspection, to enhance nurses the quality of work, the patient sense of satisfaction, to optimize between nurses and patients have the positive function.%目的 有助于护理人员增强对医德问题敏感性,在具体的护理实践活动中作出合理的选择,预防矛盾的产生,优化护患关系.方法 医院伦理委员会成员利用每周六上午对临床科室进行伦理查房,查房项目有:(1)落实患者知情同意权,能使用文明用语.(2)合理用药、合理检查.(3)保护患者隐私权.(4)医护人员技术操作规范、安全、创伤小.(5)医护人员的医疗质量及服务满意度.结果 通过开展护理伦理查房,促进了护理人员对患者的知情同意权、隐私权等工作的落实,提高了护

  7. Methodological problems with clinical functional MRI investigations; Methodische Probleme klinischer funktioneller MRT-Untersuchungen

    Energy Technology Data Exchange (ETDEWEB)

    Foki, T.; Beisteiner, R. [Medizinische Universitaet Wien, AG Klinische fMRT, Universitaetsklinik fuer Neurologie, Exzellenzzentrum Hochfeld-MR, Wien (Austria)

    2010-02-15

    During presurgical diagnostics clinical functional magnetic resonance imaging is increasingly being performed to improve the management of epilepsy and tumor patients. Rapid technical developments in fMRI technology continuously further new diagnostic applications. Safe clinical application requires a profound and critical handling of the various methodological problems inherent with this complex technique. This article reviews relevant problems and solutions for patient investigations up to the preparation of an individual clinical fMRI report. (orig.) [German] Die klinische funktionelle Magnetresonanztomographie (fMRT) hat als individuelles Untersuchungsverfahren v. a. in der praeoperativen Diagnostik bei Epilepsie- und Tumorpatienten einen zunehmenden Stellenwert, da sie hier zu einer klinischen Entscheidung beitragen kann. Die rasche Entwicklung der fMRT-Technologie eroeffnet dabei kontinuierlich neue diagnostische Moeglichkeiten, erfordert aber auch einen kritischen Umgang mit den zahlreichen methodischen Problemen dieses komplexen Verfahrens. Dieser Artikel beschreibt patientenrelevante Probleme und Loesungsmoeglichkeiten von der Untersuchung bis zur Erstellung des individuellen fMRT-Befundes. (orig.)

  8. Clinical association between teeth malocclusions, wrong posture and ocular convergence disorders: an epidemiological investigation on primary school children

    Directory of Open Access Journals (Sweden)

    Silvestrini-Biavati Armando

    2013-01-01

    Full Text Available Abstract Background As the various systems in the body are inter-connected to form a single structural unit, a pathological condition in one area can also affect other areas. There are many known correlations between the visual and motor system. The importance of visual function, particularly the paracentral peripheral field of view, in motor coordination, ambulation and the maintenance of balance has been amply demonstrated. In line with current medical principles, which are moving towards a more holistic view of the human body, this study aims to investigate, in an interdisciplinary manner, the incidence of dental malocclusions together with posture and eye convergence disorders. Methods Six hundred and five children attending at the 3rd, 4th and 5th years of seven Genoa primary schools were examined. Each child underwent the following examinations: (i dental/occlusal; (ii orthoptic; and (iii postural. Occlusal data concerned the presence of cross-bite, midline deviation with a mandibular shift, bad habits and deep or open bite. Postural assessment involved frontal and lateral inspection, investigation during trunk flexion and ambulation, and note of any asymmetry in the lower limbs. The recorded orthoptic data included those pertaining to ocular dominance, a cover test, convergence and the Brock string test. Results A prevalence of cases with an unphysiological gait was found in patients with overjet (14.70% or overbite (14.87%, while the percentage of patients with normal occlusion that showed an unphysiological gait was 13.08%. Also, about 93.8%–94.2% of children showed normal legs without dysmetry, with no difference in respect to the type of occlusion. Subjects with an open bite or deep bite showed a slightly different distribution of right or left dominant eyes. Conclusion About 13% of children showed a pathological gait and, among them, vertical anomalies of occlusion (deep bite or open bite were prevalent with respect to the other

  9. Is acuity enough? Other considerations in clinical investigations of visual prostheses.

    Science.gov (United States)

    Lepri, Bernard P

    2009-06-01

    Visual impairing eye diseases are the major frontier facing ophthalmic research today in light of our rapidly aging population. The visual skills necessary for improving the quality of daily function and life are inextricably linked to these impairing diseases. Both research and reimbursement programs are emphasizing outcome-based results. Is improvement in visual acuity alone enough to improve the function and quality of life of visually impaired persons? This perspective summarizes the types of effectiveness endpoints for clinical investigations of visual prostheses that go beyond visual acuity. The clinical investigation of visual prostheses should include visual function, functional vision and quality of life measures. Specifically, they encompass contrast sensitivity, orientation and mobility, activities of daily living and quality of life assessments. The perspective focuses on the design of clinical trials for visual prostheses and the methods of determining effectiveness above and beyond visual acuity that will yield outcomes that are measured by improved function in the visual world and quality of life. The visually impaired population is the primary consideration in this presentation with particular emphases on retinitis pigmentosa and age-related macular degeneration. Clinical trials for visual prostheses cannot be isolated from the need for medical rehabilitation in order to obtain measurements of effectiveness that produce outcomes/evidence-based success. This approach will facilitate improvement in daily function and quality of life of patients with diseases that cause chronic vision impairment.

  10. Electrochemical impedance spectroscopy investigation on the clinical lifetime of ProTaper rotary file system.

    Science.gov (United States)

    Penta, Virgil; Pirvu, Cristian; Demetrescu, Ioana

    2014-01-01

    The main objective of the current paper is to show that electrochemical impedance spectroscopy (EIS) could be a method for evaluating and predicting of ProTaper rotary file system clinical lifespan. This particular aspect of everyday use of the endodontic files is of great importance in each dental practice and has profound clinical implications. The method used for quantification resides in the electrochemical impedance spectroscopy theory and has in its main focus the characteristics of the surface titanium oxide layer. This electrochemical technique has been adapted successfully to identify the quality of the Ni-Ti files oxide layer. The modification of this protective layer induces changes in corrosion behavior of the alloy modifying the impedance value of the file. In order to assess the method, 14 ProTaper sets utilized on different patients in a dental clinic have been submitted for testing using EIS. The information obtained in regard to the surface oxide layer has offered an indication of use and proves that the said layer evolves with each clinical application. The novelty of this research is related to an electrochemical technique successfully adapted for Ni-Ti file investigation and correlation with surface and clinical aspects.

  11. Electrochemical Impedance Spectroscopy Investigation on the Clinical Lifetime of ProTaper Rotary File System

    Science.gov (United States)

    Pirvu, Cristian; Demetrescu, Ioana

    2014-01-01

    The main objective of the current paper is to show that electrochemical impedance spectroscopy (EIS) could be a method for evaluating and predicting of ProTaper rotary file system clinical lifespan. This particular aspect of everyday use of the endodontic files is of great importance in each dental practice and has profound clinical implications. The method used for quantification resides in the electrochemical impedance spectroscopy theory and has in its main focus the characteristics of the surface titanium oxide layer. This electrochemical technique has been adapted successfully to identify the quality of the Ni-Ti files oxide layer. The modification of this protective layer induces changes in corrosion behavior of the alloy modifying the impedance value of the file. In order to assess the method, 14 ProTaper sets utilized on different patients in a dental clinic have been submitted for testing using EIS. The information obtained in regard to the surface oxide layer has offered an indication of use and proves that the said layer evolves with each clinical application. The novelty of this research is related to an electrochemical technique successfully adapted for Ni-Ti file investigation and correlation with surface and clinical aspects. PMID:24605336

  12. Electrochemical Impedance Spectroscopy Investigation on the Clinical Lifetime of ProTaper Rotary File System

    Directory of Open Access Journals (Sweden)

    Virgil Penta

    2014-01-01

    Full Text Available The main objective of the current paper is to show that electrochemical impedance spectroscopy (EIS could be a method for evaluating and predicting of ProTaper rotary file system clinical lifespan. This particular aspect of everyday use of the endodontic files is of great importance in each dental practice and has profound clinical implications. The method used for quantification resides in the electrochemical impedance spectroscopy theory and has in its main focus the characteristics of the surface titanium oxide layer. This electrochemical technique has been adapted successfully to identify the quality of the Ni-Ti files oxide layer. The modification of this protective layer induces changes in corrosion behavior of the alloy modifying the impedance value of the file. In order to assess the method, 14 ProTaper sets utilized on different patients in a dental clinic have been submitted for testing using EIS. The information obtained in regard to the surface oxide layer has offered an indication of use and proves that the said layer evolves with each clinical application. The novelty of this research is related to an electrochemical technique successfully adapted for Ni-Ti file investigation and correlation with surface and clinical aspects.

  13. Catalog of Completed Studies, US Army Health Care Studies and Clinical Investigation Activity.

    Science.gov (United States)

    1984-12-10

    Environment Substudy: AD A139001 Effects of Chemical Protective Clothing on the Performance of Basic Medical Tasks (HCSD Report #83-001) 8 DATE TITLE...Contact urticaria to parabens , Arch. Dermatol, 1979, 115:1231-1232. *13 Smith, E. B., Padilla, R. S., McCabe, J. M., Becker, L. E., Benzoyl...Chemical Environment . --3-Report #83-001. Ft. Sam Houston, TX: Health Care Studies and Clinical Investigation Activity, December 1982. 19 Penetar, D. M

  14. 阴道分泌物常规检验的临床探析%Vaginal Discharge the Clinical Analysis of Routine Inspection

    Institute of Scientific and Technical Information of China (English)

    张洁

    2014-01-01

    目的:具体分析1690例阴道分泌物常规检验结果,充分明确阴道炎患者其阴道分泌物的病原菌分布情况,以保证女性身体健康。方法:选取2011-2012年笔者所在医院妇产科行阴道分泌物常规检验者1690例,平均(30.35±4.56)岁。在常规检查的同时,选择革兰氏染色法对线索细胞、真菌、滴虫进行分析。结果:1690例检查者中,患者具体阴道炎检出率由高至低依次表现为真菌性阴道炎、滴虫性阴道炎、细菌性阴道炎、淋菌性阴道炎、其他阴道炎。结论:阴道炎患者其阴道分泌物病原菌主要表现为真菌、细菌、滴虫,直接影响患者的身体健康情况,需要加以重视。%Objective:Concrete analysis 1690 cases of vaginal regular inspection results and adequately clear vaginitis patients with vaginal pathogen distribution,to ensure that the female body health.Method:Select the author’s hospital from 2011 to 2012 the tester,1690 cases of normal line of obstetrics and gynecology vaginal secretion,average (30.35 ± 4.56) years old. At the same time of routine inspection,choose gram staining method to analyze clue cells,fungi, trichomonas. Result:1690 patients with inspectors,specific vaginitis detection rate from high to low in turn performance for fungal vaginitis,trichomonas vaginitis, bacterial vaginitis and gonococcus vaginitis and other vaginitis. Conclusion:Vaginitis patients with vaginal pathogen mainly characterized by fungi,bacteria, trichomoniasis,directly affect the patient’s health situation,need to be attention.

  15. A methodological approach to investigating a nationwide clinical specimen contamination problem in England.

    Science.gov (United States)

    Pezzoli, L; Campbell, C; Lamagni, T L; Johnson, E; Saei, A; Duckworth, G

    2009-06-11

    Outbreaks of pseudo-infection due to contamination of specimens have been described, often as localised incidents. From August 2006, several English hospital laboratories began to refer an unusually high number of isolates of the fungus Paecilomyces variotii from clinical specimens to the national mycology reference laboratory for microbiological testing. We describe the methods used during the outbreak investigation in order to provide infection control specialists with an overview of how such national incidents may be investigated. We surveyed the hospitals reporting the contamination problem and conducted microbiological and environmental sampling. We applied analytical epidemiology to supply chain data, comparing the supply lines of key equipment to affected and unaffected hospitals in England. The survey was useful to describe procedures and equipment in use in the hospitals reporting the problem. The microbiological aspects of the investigation helped us understand how the fungal spores were distributed in the hospital environment. In the supply chain investigation we used data that was previously only used for logistical purposes. Overall the investigation was methodologically challenging, with no existing protocol to guide the investigators. To our knowledge, this is a novel approach to the investigation of such a widespread contamination problem, affecting geographically disparate hospitals at the same time.

  16. Signal Station Inspection Reports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Handwritten reports resulting from detailed inspections of US Army Signal Service Stations, 1871-1889. Features reported included instrument exposure and condition,...

  17. Clinical, histopathologic, and genetic investigation in two large families with dentinogenesis imperfecta type II.

    Science.gov (United States)

    Malmgren, B; Lindskog, S; Elgadi, A; Norgren, S

    2004-04-01

    Dentinogenesis imperfecta (DI) type II, an inherited disorder affecting dentin, has been linked to mutations in the dentin sialophosphoprotein ( DSPP) gene on chromosome 4q21. The gene product is cleaved into two dentin-specific matrix proteins, dentin sialoprotein (DSP) and dentin phosphoprotein. The aim of this investigation was to study genotypes and phenotypes in two affected families with special reference to clinical, radiographic, and histopathologic manifestations. Seven affected members of Family A and five of Family B were documented clinically and radiographically; 14 and 10 teeth, respectively, were available for histopathologic investigation and prepared for ground sections, which were assessed semiquantitatively for dysplastic manifestations in the dentin according to the scoring system, dysplastic dentin score (DDS). Venous blood samples were collected from six affected and ten unaffected members of Family A, and from eight affected and six unaffected members of Family B. Genomic DNA was extracted and used for sequence analyses. The two families presented with different missense mutations. An Arg68Trp missense mutation in the DSP part of the gene was revealed in all six analyzed affected individuals in Family A. This mutation was not present in any of the ten healthy members. In Family B, an Ala15Val missense mutation involving the last residue of the signal peptide was found in all eight affected but in none of the six healthy members. The clinical and radiographic disturbances and DDS were more severe in Family B. The data indicate the presence of a genotype-phenotype correlation in DI type II.

  18. Clinical neurophysiology and quantitative sensory testing in the investigation of orofacial pain and sensory function.

    Science.gov (United States)

    Jääskeläinen, Satu K

    2004-01-01

    Chronic orofacial pain represents a diagnostic and treatment challenge for the clinician. Some conditions, such as atypical facial pain, still lack proper diagnostic criteria, and their etiology is not known. The recent development of neurophysiological methods and quantitative sensory testing for the examination of the trigeminal somatosensory system offers several tools for diagnostic and etiological investigation of orofacial pain. This review presents some of these techniques and the results of their application in studies on orofacial pain and sensory dysfunction. Clinical neurophysiological investigation has greater diagnostic accuracy and sensitivity than clinical examination in the detection of the neurogenic abnormalities of either peripheral or central origin that may underlie symptoms of orofacial pain and sensory dysfunction. Neurophysiological testing may also reveal trigeminal pathology when magnetic resonance imaging has failed to detect it, so these methods should be considered complementary to each other in the investigation of orofacial pain patients. The blink reflex, corneal reflex, jaw jerk, sensory neurography of the inferior alveolar nerve, and the recording of trigeminal somatosensory-evoked potentials with near-nerve stimulation have all proved to be sensitive and reliable in the detection of dysfunction of the myelinated sensory fibers of the trigeminal nerve or its central connections within the brainstem. With appropriately small thermodes, thermal quantitative sensory testing is useful for the detection of trigeminal small-fiber dysfunction (Adelta and C). In neuropathic conditions, it is most sensitive to lesions causing axonal injury. By combining different techniques for investigation of the trigeminal system, an accurate topographical diagnosis and profile of sensory fiber pathology can be determined. Neurophysiological and quantitative sensory tests have already highlighted some similarities among various orofacial pain conditions

  19. Nuclear Plant Inspection

    Science.gov (United States)

    1983-01-01

    Engineers from the Power Authority of the State of New York use a Crack Growth Analysis Program supplied by COSMIC (Computer Software Management and Information Center) in one stage of nuclear plant inspection. Welds of the nuclear steam supply system are checked for cracks; radiographs, dye penetration and visual inspections are performed to locate cracks in the metal structure and welds. The software package includes three separate crack growth analysis models and enables necessary repairs to be planned before serious problems develop.

  20. PERSPECTIVE: Is acuity enough? Other considerations in clinical investigations of visual prostheses

    Science.gov (United States)

    Lepri, Bernard P.

    2009-06-01

    Visual impairing eye diseases are the major frontier facing ophthalmic research today in light of our rapidly aging population. The visual skills necessary for improving the quality of daily function and life are inextricably linked to these impairing diseases. Both research and reimbursement programs are emphasizing outcome-based results. Is improvement in visual acuity alone enough to improve the function and quality of life of visually impaired persons? This perspective summarizes the types of effectiveness endpoints for clinical investigations of visual prostheses that go beyond visual acuity. The clinical investigation of visual prostheses should include visual function, functional vision and quality of life measures. Specifically, they encompass contrast sensitivity, orientation and mobility, activities of daily living and quality of life assessments. The perspective focuses on the design of clinical trials for visual prostheses and the methods of determining effectiveness above and beyond visual acuity that will yield outcomes that are measured by improved function in the visual world and quality of life. The visually impaired population is the primary consideration in this presentation with particular emphases on retinitis pigmentosa and age-related macular degeneration. Clinical trials for visual prostheses cannot be isolated from the need for medical rehabilitation in order to obtain measurements of effectiveness that produce outcomes/evidence-based success. This approach will facilitate improvement in daily function and quality of life of patients with diseases that cause chronic vision impairment. The views and opinions are those of the author and do not necessarily reflect those of the US Food and Drug Administration, the US Department of Health and Human Services or the Public Health Service.

  1. Wall Painting Investigation by Means of Non-invasive Terahertz Time-Domain Imaging (THz-TDI): Inspection of Subsurface Structures Buried in Historical Plasters

    DEFF Research Database (Denmark)

    Dandolo, Corinna Ludovica Koch; Jepsen, Peter Uhd

    2016-01-01

    Characterization of subsurface features of wall paintings is important in conservation and technical art history as well as in building archaeology and architecture fields. In this study, an area of the apsidal wall painting of Nebbelunde Church (Rødby, Denmark) has been investigated by means of ...

  2. [Questionnaire investigation of incidence of Trichophyton tonsurans infection in dermatology clinics in the Kanto area].

    Science.gov (United States)

    Hiruma, Masataro; Shiraki, Yumi; Nihei, Nozomi; Hirose, Nobuyoshi; Suganami, Morio

    2005-01-01

    We conducted a questionnaire investigation to learn the incidence of T. tonsurans infection. Subjects of this investigation were 1,060 dermatologists in 1,060 dermatology clinics in the Kanto area to whom questionnaires were mailed. We asked each dermatologist whether he/she had experienced T. tonsurans infection cases (including suspected cases) and if so, we further asked; a. time of onset, b. number of cases, c. sexuality of the patient, d. club that the subject had joined (judo club, wrestling club or other), e. age of the subject, and f. number of cases suspected of having familial infection, the response rate was 47.5% (504 of the 1060 doctors), and 25.8% (130 of the 504) had handled T. tonsurans infection cases. The total number of patients was 707 (657 males and 50 females), with 400 (56.6%) of those in the 18 high-ranking clinics. The number of cases had increased rapidly from around 2002; 72.9% of the patients were students in high schools and universities and in 8 cases familial infection was suspected. 96.5% of the patients were in a judo or wrestling club. Our investigation revealed that this infectious disease had spread more than we had expected. It is important to develop more reliable infection control measures and to determine the actual conditions of this infection using mycological examinations.

  3. Study the quality control management of clinical microbiology inspect specimen collection%临床微生物检验标本质量控制管理实践及效果评价

    Institute of Scientific and Technical Information of China (English)

    陈峰英; 王作艳; 王砚; 肖聪

    2015-01-01

    目的:探讨医院临床微生物检验样本的质量控制管理模式及成效,提高病原学送检阳性检出率及标本合格率。方法查找微生物检验标本的采样质量不合格原因,制定质量控制评价标准及考核管理措施,开展系列专题培训、理论考试、现场操作考核、评比奖励等活动,对比干预措施实施前后采样质量变化,评判采样质量控制管理效果。结果规范管理后送检标本不合格率由22.46%下降至8.10%;病原学检出阳性率由21.93%提高到28.09%。结论通过对多个环节实施干预对策,可有效提高采样质量,为临床病原学准确诊断提供保障。%Objectives To establish the long-term beneficial mechanism which will control and manage the quality of specimen. the passing rate of specimen by adopting the measures of continuous quality improvement and standardizing the work flow of specimen collection is going to be improved.Methods We analyzed the reasons of the unqualified specimens,formulated the standard of assessable quality control,established the control measures by routine inspection and examination. We strengthened the realization of specimen collectors and improved the level of specimen collection operation by adopting many measures,such as held special training,theory test,operated assessment,appraisal, reward,and so on. We judged the effect of quality control management of specimen collection by comparing the quality of specimen with before.Results After the quality control management,the passing rate of specimen and the positive rate of etiology increased significantly. The quality control management of microbiology inspect specimen collection has been improved continued.Conclusion The long-term beneficial mechanism of quality control management of microbiology inspect specimen collection has been established and implemented. We could improve the quality of specimen collection through interventing multiple links. The

  4. Clinical investigations of the therapeutic potential of ayahuasca: rationale and regulatory challenges.

    Science.gov (United States)

    McKenna, Dennis J

    2004-05-01

    Ayahuasca is a hallucinogenic beverage that is prominent in the ethnomedicine and shamanism of indigenous Amazonian tribes. Its unique pharmacology depends on the oral activity of the hallucinogen, N,N-dimethyltryptamine (DMT), which results from inhibition of monoamine oxidase (MAO) by beta-carboline alkaloids. MAO is the enzyme that normally degrades DMT in the liver and gut. Ayahuasca has long been integrated into mestizo folk medicine in the northwest Amazon. In Brazil, it is used as a sacrament by several syncretic churches. Some of these organizations have incorporated in the United States. The recreational and religious use of ayahuasca in the United States, as well as "ayahuasca tourism" in the Amazon, is increasing. The current legal status of ayahuasca or its source plants in the United States is unclear, although DMT is a Schedule I controlled substance. One ayahuasca church has received favorable rulings in 2 federal courts in response to its petition to the Department of Justice for the right to use ayahuasca under the Religious Freedom Restoration Act. A biomedical study of one of the churches, the Uñiao do Vegetal (UDV), indicated that ayahuasca may have therapeutic applications for the treatment of alcoholism, substance abuse, and possibly other disorders. Clinical studies conducted in Spain have demonstrated that ayahuasca can be used safely in normal healthy adults, but have done little to clarify its potential therapeutic uses. Because of ayahuasca's ill-defined legal status and variable botanical and chemical composition, clinical investigations in the United States, ideally under an approved Investigational New Drug (IND) protocol, are complicated by both regulatory and methodological issues. This article provides an overview of ayahuasca and discusses some of the challenges that must be overcome before it can be clinically investigated in the United States.

  5. Inspection Strategies for Concrete Bridges

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Thoft-Christensen, Palle

    1989-01-01

    In this paper an optimal inspection strategy for concrete bridges based on periodic routine and detailed inspections is presented. The failure mode considered is corrosion of the reinforcement due to chlorides. A simple modelling of the corrosion and of the inspection strategy is presented....... The optimal inspection strategy is determined from an optimization problem, where the design variables are time intervals between detailed inspections and the concrete cover. The strategy is illustrated on a simple structure, namely a reinforced concrete beam....

  6. Visual Inspection for Caries Detection

    DEFF Research Database (Denmark)

    Gimenez, T; Piovesan, C; Braga, M M

    2015-01-01

    We aimed to perform a systematic review including a meta-analysis to evaluate the overall accuracy of visual methods for detecting carious lesions and to identify possible sources of heterogeneity among the studies included. Two reviewers searched PubMed, Embase, Scopus, and other sources through...... July 2014 to identify published and nonpublished studies in English. Studies of visual inspection were included that 1) assessed accuracy of the method in detecting caries lesions; 2) were performed on occlusal, proximal, or free smooth surfaces in primary or permanent teeth; 3) had a reference...... (from 5,808 articles initially identified) and 1 abstract (from 168) met the inclusion criteria. In general, the analysis demonstrated that the visual method had good accuracy for detecting caries lesions. Although laboratory and clinical studies have presented similar accuracy, clinically obtained...

  7. Investigation on Criminal Pre-trial Inspection and Supervision%刑事诉讼审前检察监督问题探析

    Institute of Scientific and Technical Information of China (English)

    王艳; 宋春

    2011-01-01

    In criminal pre-trial procedures,filing behavior and conduct investigation are related to citizens' basic rights of persons and property.It is necessary to build a reasonable pre-trial supervision system for improving the legislative system of pre-trial supervision and expanding its range.Procuratorial organs should involve in the investigation in advance so as to protect citizens' basic rights effectively and maintain the unity of the national legal system.%在刑事诉讼的审前程序中,立案行为和侦查行为都关系到公民的人身和财产等基本权利,建构合理的审前监督制度,对完善审前监督的立法体系,扩大审前监督的范围十分必要。同时检察机关也应提前介入侦查活动,这样才能有效地保护公民的基本权利,维护国家法制的统一。

  8. [Participation and support of clinical studies and other scientific investigations. Statement of the German Society for Pathology].

    Science.gov (United States)

    Röcken, C; Höfler, H; Hummel, M; Meyermann, R; Zietz, C; Schirmacher, P

    2013-09-01

    Clinical studies and preclinical investigations are essential in order to test new therapies and diagnostics with the aim of sustained improvement in the treatment of patients. Fortunately, the number of clinical studies is continuously increasing and pathology and tissue-based research are included more often. The German Society for Pathology (DGP) and the pathologists it represents want to and can support this process and our clinical partners as best as possible as an equal partner. With our technologies and our specific expertise we can make a substantial contribution to the quality and the success of preclinical investigations, clinical studies and implementation of the results into clinical pathological diagnostics. In order to support this process the DGP has formulated a statement on the participation and support of clinical studies and other scientific investigations.

  9. Investigation of paramedics' compliance with clinical practice guidelines for the management of chest pain.

    LENUS (Irish Health Repository)

    Figgis, Ken

    2012-01-31

    BACKGROUND: Acute coronary syndromes remain a leading cause of preventable early deaths. However, previous studies have indicated that paramedics\\' compliance with chest pain protocols is suboptimal and that many patients do not receive the benefits of appropriate prehospital treatment. AIMS: To evaluate paramedics\\' level of compliance with national clinical practice guidelines and to investigate why, in certain circumstances, they may deviate from the clinical guidelines. SETTING: The Health Service Executive Mid-Western Regional Ambulance Service which serves a mixed urban and rural population across three counties in the west of Ireland. METHOD: A retrospective review of completed ambulance Patient Care Report Forms was conducted for all adult patients with non-traumatic chest pain treated between 1 December 2007 and 31 March 2008. During the same study period, paramedics were asked to complete a prospective questionnaire survey investigating the rationale behind their treatment decisions, their estimation of patient risk and their attitudes towards the clinical practice guidelines and training. RESULTS: 382 completed Patient Care Report Forms were identified for patients with chest pain, of whom 84.8% received ECG monitoring, 75.9% were given oxygen, 44.8% were treated with sublingual glyceryl trinitrate (GTN) and 50.8% were treated with aspirin. Only 20.4% of patients had a prehospital 12-lead ECG recorded. 58 completed questionnaires were returned (response rate 15%); 64% of respondents said they had received insufficient training to identify ECG abnormalities. CONCLUSIONS: Prehospital treatment with oxygen, aspirin, sublingual GTN and ECG monitoring remains underused by paramedics, even though only a small number of patients had documented contraindications to their use. The small number of patients who received a prehospital 12-lead ECG is a cause of particular concern and suggests that incomplete patient assessment may contribute to undertreatment

  10. Advances in inspection automation

    Science.gov (United States)

    Weber, Walter H.; Mair, H. Douglas; Jansen, Dion; Lombardi, Luciano

    2013-01-01

    This new session at QNDE reflects the growing interest in inspection automation. Our paper describes a newly developed platform that makes the complex NDE automation possible without the need for software programmers. Inspection tasks that are tedious, error-prone or impossible for humans to perform can now be automated using a form of drag and drop visual scripting. Our work attempts to rectify the problem that NDE is not keeping pace with the rest of factory automation. Outside of NDE, robots routinely and autonomously machine parts, assemble components, weld structures and report progress to corporate databases. By contrast, components arriving in the NDT department typically require manual part handling, calibrations and analysis. The automation examples in this paper cover the development of robotic thickness gauging and the use of adaptive contour following on the NRU reactor inspection at Chalk River.

  11. Common reasons for "for-cause" inspections in bioequivalence studies submitted to the Food and Drug Administration.

    Science.gov (United States)

    Li, Bing V; Davit, Barbara M; Lee, Christina H; Pabba, Santhosh K; Mahadevan, Chitra; Caramenico, Hoainhon T; Haidar, Sam H; Sanchez, Aida L; Sigler, Aaron W; Stier, Ethan M; Conner, Dale P

    2013-01-01

    "For-cause" inspections are initiated during the review of bioequivalence (BE) data submitted to Abbreviated New Drug Applications when possible scientific misconduct and study irregularities are discovered. We investigated the common reasons for initiating "for-cause" inspections related to the clinical, analytical, and dissolution study sites associated with BE studies. This information may help the pharmaceutical industry to understand the root causes of compliance failures in BE studies and help them to improve compliance with FDA's regulations, thereby facilitating more rapid approval of safe and effective generic drugs.

  12. Inspection management system

    Energy Technology Data Exchange (ETDEWEB)

    Coto, L.F.M.; Alvarez, M.A.L.

    1998-07-01

    The main features of the application developed by UNION FENOSA and NorControl for inspection management are exposed. This application has been built on the basis of a Geographic Information System, whose advantages on other database systems are explained. This system, has been developed with the main objective of getting a better and easier utilization of the data collected from the inspections, in order to reduce service failures and obtain a bigger return of the effort invested in them. They are also exposed the work line and the steps followed for the implementation of the system in the Meirama steam plant, and the results obtained up to date.

  13. Computer vision barrel inspection

    Science.gov (United States)

    Wolfe, William J.; Gunderson, James; Walworth, Matthew E.

    1994-02-01

    One of the Department of Energy's (DOE) ongoing tasks is the storage and inspection of a large number of waste barrels containing a variety of hazardous substances. Martin Marietta is currently contracted to develop a robotic system -- the Intelligent Mobile Sensor System (IMSS) -- for the automatic monitoring and inspection of these barrels. The IMSS is a mobile robot with multiple sensors: video cameras, illuminators, laser ranging and barcode reader. We assisted Martin Marietta in this task, specifically in the development of image processing algorithms that recognize and classify the barrel labels. Our subsystem uses video images to detect and locate the barcode, so that the barcode reader can be pointed at the barcode.

  14. Investigations on status of quality-safety inspection and detection system for agricultural products in Guangxi%广西农产品质量安全检测体系建设现状调查

    Institute of Scientific and Technical Information of China (English)

    思利华; 陈自力; 邱映含; 莫嘉凌; 刘东

    2012-01-01

    [目的]了解广西农产品质量检测体系建设现状,为相关部门提供决策参考.[方法]2008年,调研组选取南宁市、柳州市及其郊县柳江和柳城、钦州市及其港区的国营农场、百色市及其辖县田阳和田东的农业、食品药品、检疫、畜牧水产、工商等的行政主管部门,共4个城市、5个县(区)、3个乡(镇)进行书面调研;选取1个农贸市场、1个批发市场、4个果树(蔬菜)种植基地进行实地走访调研.2009~2010年,对调研结果进行补充和总结.[结果]广西农产品质量安全检测体系建设存在检测机构建设尚未完善,从业人员紧张、经费短缺,基层检测设施简陋、检测能力不足,快速检测结果不够稳定,不同部门之间检测结果不能实现互认,植物外源激素的检测仍是空白等问题.[建议]加大基础设施建设,完善监测网络;充实人员配备,保障工作经费;通过资格认定和计量认证;建立检测风险基金;加强标准化生产;尽快推进建立植物生长调节剂的各项标准,以促进广西农产品质量安全检测体系建设的发展.%[Objective ]With the aim of providing decision-making guidance for competent administrative departments, this paper presented the current status of quality -safety inspection and detection system for agricultural products in Cuangxi. [ Methods ]In 2008, the investigations were carried out in the administration departments of agriculture, food & drug, quarantine, animal husbandry and aquaculture, industry and commerce of four cities including Nanning, Liuzhou, Baise, Qinzhou, five counties and three towhships. Onsite investigations were conducted in agricultural food markets, wholesale markets and four vegetable bases. [Results]Some of the problems existing in the current system were identified as absence of a proper assessment institute, personnel and fund shortage, absence of advanced inspection equipment, low detection capacity, unstable

  15. 社区卫生门诊白带检查结果分析%Community Health Clinic Leucorrhoea Inspection Result Analysis/

    Institute of Scientific and Technical Information of China (English)

    陈秀红; 周红霞

    2013-01-01

      目的:了解某地区社区卫生门诊妇女阴道炎患者的发病情况及白带的微生态状况.方法:用直接湿片涂片镜检、涂片革兰染色镜检、胺试验方法对患者白带的pH值、细菌、霉菌、滴虫进行检查分析.结果:1734例患者检出细菌性阴道炎574例(33.1%),念珠菌病388例(22.4%),滴虫病120例(6.9%),淋病24例(1.4%),胺试验阳性475例(27.4%),pH>5.0者492例(28.4%).结论:某地区社区卫生门诊妇女阴道炎中细菌性阴道病阳性率远高于真菌、滴虫感染,应加强对妇女的卫生健康教育及细菌性阴道病感染的临床诊断和治疗.%Objective:To understand incidence of female vaginitis patients and the micro ecological status of vaginal discharge in a regional community health clinics. Method:Using some ways such as wet direct film smear,smear Gram staining,amine test to examine and analyze the pH value,bacterial,fungal,trichomonad of the vaginal discharge in patients. Result:Among the 1734 patients,there were 574 cases(33.1%)of bacterial vaginosis,388 cases(22.4%)of candidiasis,120 cases(6.9%)of trichomoniasis,24 cases(1.4%)of gonorrhea,475 cases(27.4%)of positive Amine test and 492 cases(28.4%)of pH>5.0. Conclusion:Positive rate of bacterial vaginosis in women is much higher than the rate of fungi and trichomonas infection in the community health clinic,so we should strengthen women’s health education and also improve the clinical diagnosis and the treatment of the bacterial vaginosis infection.

  16. Clinical Relevance of the Advanced Microbiologic and Biochemical Investigations in Periodontal Diagnosis: A Critical Analysis

    Directory of Open Access Journals (Sweden)

    Vishakha Grover

    2014-01-01

    Full Text Available New approaches to periodontal diagnosis, including advanced microbiologic, biochemical, and genetic tests, have been shown to provide the clinician with the information not available by traditional means. The purpose of a diagnostic test is to confirm, exclude, classify, or monitor disease to guide treatment. Their clinical value depends on whether the information they provide leads to improved patient outcomes. This can be assessed by randomized trials, which compare patient outcomes from the new diagnostic test versus the old test strategy. Being nonmandatory for marketing approval, such trials are not always feasible because of large sample sizes requirements. So, many diagnostic tests enter the practice without being critically analysed for any additional benefits. Effective diagnosis is just as essential as the selection of effective treatments for the success of periodontal therapy. So, the current paper aims to focus on the practical utility of this rapidly emerging plethora of periodontal diagnostic tools, emphasizing the critical issues surrounding the clinical application of microbiologic and biochemical investigations, employed for periodontal diagnosis.

  17. Juvenile neuronal ceroid-lipofuscinosis: clinical and molecular investigation in a large family in Brazil

    Directory of Open Access Journals (Sweden)

    Eugênia Ribeiro Valadares

    2011-02-01

    Full Text Available OBJECTIVE: Juvenile Neuronal Ceroid-Lipofuscinosis (JNCL, CLN 3, Batten Disease (OMIM #204200 belongs to the most common group of neurodegenerative disorders of childhood. We report the clinical data and molecular analysis of a large Brazilian family. METHOD: Family composed of two consanguineous couples and thirty-two children. Clinical data of ten JNCL patients and molecular analyses on 13 participants were obtained. RESULTS: The large 1.02 kb deletion was detected. The most severe phenotype, with autistic behavior, tics and parkinsonism was seen in a 12-year-old female and a milder phenotype in a 14-year-old male. Nyctalopia was the first symptom in one deceased child. The visual loss of six patients has been first observed in the school and not at home. CONCLUSION: The report highlights the phenotypical intrafamily variation in 10 affected children of this family. The molecular investigation of this large family in our metabolic center turned possible the diagnosis, right approach and genetic counseling.

  18. INSPECTION TECHNOLOGY, DETECTION, AND COMPLIANCE: EVIDENCE FROM FLORIDA RESTAURANT INSPECTIONS

    OpenAIRE

    Jin, Ginger Zhe; Lee, Jungmin

    2014-01-01

    In this article, we show that a small innovation in inspection technology can make substantial differences in inspection outcomes. For restaurant hygiene inspections, the state of Florida has introduced a handheld electronic device, the portable digital assistant (PDA), which reminds inspectors of 1,000 potential violations that may be checked for. Using inspection records from July 2003 to June 2009, we find that the adoption of PDA led to 11% more detected violations and subsequently restau...

  19. An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills.

    Science.gov (United States)

    Wu, Min; Yang, Jinqiu; Liu, Lingying; Ye, Benlan

    2016-08-01

    This study aims to investigate the influencing factors on nurses' clinical decision-making (CDM) skills. A cross-sectional nonexperimental research design was conducted in the medical, surgical, and emergency departments of two university hospitals, between May and June 2014. We used a quantile regression method to identify the influencing factors across different quantiles of the CDM skills distribution and compared the results with the corresponding ordinary least squares (OLS) estimates. Our findings revealed that nurses were best at the skills of managing oneself. Educational level, experience, and the total structural empowerment had significant positive impacts on nurses' CDM skills, while the nurse-patient relationship, patient care and interaction, formal empowerment, and information empowerment were negatively correlated with nurses' CDM skills. These variables explained no more than 30% of the variance in nurses' CDM skills and mainly explained the lower quantiles of nurses' CDM skills distribution.

  20. The contribution of clinical phonetics to the investigation of oracy problems in the classroom.

    Science.gov (United States)

    Rahilly, Joan

    2003-01-01

    This paper explains how insights from clinical linguistics can be applied to the investigation of oracy problems in the classroom. While the importance of oracy skills at school and beyond is undisputed, there is often a lack of conveniently manageable frameworks for assessing these skills. It is suggested here that methods from phonetics and phonology can be easily and profitably adopted into routine language profiling in schools and that they offer one means of uncovering potential speech difficulties in children. Two main areas are addressed: speech acquisition and speech production skills. The main focus is on the assessment of oracy in the UK, although the role of assessment in US Curriculum Framework is also considered.

  1. Ofsted Re-Inspected

    Science.gov (United States)

    Coffield, Frank

    2012-01-01

    The author never thought he would have to thank Ofsted for a change in its approach that may result in a major improvement in provision; and yet, with the introduction of the revised Common Inspection Framework (CIF), it has made teaching and learning (T&L) the first priority throughout the learning and skills sector. While he wishes to…

  2. Clinical studies involving probiotics: when FDA's investigational new drug rubric applies-and when it may not.

    Science.gov (United States)

    Degnan, Fred H

    2012-01-01

    Researchers from a diverse array of scientific disciplines have focused and continue to focus on opportunities and areas for responsible clinical research involving the possible beneficial health effects of "probiotics." Investigators and researchers should be aware that not all clinical research involving probiotics reasonably falls within the requirements of the "investigational new drug" (IND) rubric administered and enforced by the US Food and Drug Administration. In determining whether an IND application is required before a clinical study may lawfully commence, investigators and researchers as well as institutional review boards should consider the regulatory classification, e.g., "drug," "new drug," "food," "food additive," "dietary supplement," etc. that applies to the substance under investigation. A potential probiotic product can fall along a continuum of regulatory classifications, each having implications on the nature and degree of regulatory requirements for clinical research and, ultimately, for claim substantiation and market access.

  3. Typical investigational medicinal products follow relatively uniform regulations in 10 European Clinical Research Infrastructures Network (ECRIN) countries

    DEFF Research Database (Denmark)

    Gluud, Christian; Kubiak, Christine; Whitfield, Kate

    2012-01-01

    In order to facilitate multinational clinical research, regulatory requirements need to become international and harmonised. The EU introduced the Directive 2001/20/EC in 2004, regulating investigational medicinal products in Europe.......In order to facilitate multinational clinical research, regulatory requirements need to become international and harmonised. The EU introduced the Directive 2001/20/EC in 2004, regulating investigational medicinal products in Europe....

  4. Clinical investigation of TROP-2 as an independent biomarker and potential therapeutic target in colon cancer.

    Science.gov (United States)

    Zhao, Peng; Yu, Hai-Zheng; Cai, Jian-Hui

    2015-09-01

    Colon cancer is associated with a severe demographic and economic burden worldwide. The pathogenesis of colon cancer is highly complex and involves sequential genetic and epigenetic mechanisms. Despite extensive investigation, the pathogenesis of colon cancer remains to be elucidated. As the third most common type of cancer worldwide, the treatment options for colon cancer are currently limited. Human trophoblast cell‑surface marker (TROP‑2), is a cell‑surface transmembrane glycoprotein overexpressed by several types of epithelial carcinoma. In addition, TROP‑2 has been demonstrated to be associated with tumorigenesis and invasiveness in solid types of tumor. The aim of the present study was to investigate the protein expression of TROP‑2 in colon cancer tissues, and further explore the association between the expression of TROP‑2 and clinicopathological features of patients with colon cancer. The expression and localization of the TROP‑2 protein was examined using western blot analysis and immunofluorescence staining. Finally, the expression of TROP‑2 expression was correlated to conventional clinicopathological features of colon cancer using a χ2 test. The results revealed that TROP‑2 protein was expressed at high levels in the colon cancer tissues, which was associated with the development and pathological process of colon cancer. Therefore, TROP‑2 may be used as a biomarker to determine the clinical prognosis, and as a potential therapeutic target in colon cancer.

  5. Male sexual function and its disorders: physiology, pathophysiology, clinical investigation, and treatment.

    Science.gov (United States)

    Kandeel, F R; Koussa, V K; Swerdloff, R S

    2001-06-01

    This review is designed to help the reproductive endocrinologist integrate his or her professional activity with those of other disciplines including urology, radiology, neurology, and psychology in order to successfully manage all of the inseparable aspects of male sexual and reproductive functioning. Significant advances in the field of male sexual physiology and pathophysiology and new methods of investigation and treatment of male sexual disorders are outlined. The review synthesizes available data on the following: norms of sexual organs, aging and sexuality, role of central and peripheral neurochemicals in each stage of the sexual cycle, role of corporeal smooth muscles in the hemodynamic control of erection and detumescence, influence of psychological factors, drugs, and disease on all aspects of sexual functioning, and use of nocturnal penile tumescence monitoring, imaging investigations, and neurophysiologic studies in the diagnostic workup of males with sexual dysfunction. Clinical algorithms are presented where appropriate. Extensive discussions on newly developed strategies in psychological and behavioral counseling, drug therapy, tissue engineering, nonsurgical devices, and surgical treatments for all forms of sexual disorders are also provided. Lastly, the effect of sexual dysfunction and its treatment on quality of life in affected men is addressed, along with recommendations for future research endeavors.

  6. Inspective investigation on Atlantic pomfret (Brama raji)

    OpenAIRE

    Antonio Panebianco; Piergigi Ferrara; Daniele Muscolino; Filippo Giarratana

    2013-01-01

    The present study was carried out on 21 specimens of Brama raji collected at fish markets of Sicily and Calabria between april 2011 and march 2012. The detection of total Enterobacteriaceae, Vibrio spp. and Specific Spoilage Bacteria from gills, intestine, skin and muscle during storage (336h) was carried out. 34 Vibrio spp. (rpoA+) strains were isolated from gills and skin. The subsequent identification of species by multiplex PCR (gene collagenase) allowed to establish that 33 strains were ...

  7. Inspective investigation on Atlantic pomfret (Brama raji

    Directory of Open Access Journals (Sweden)

    Antonio Panebianco

    2013-02-01

    Full Text Available The present study was carried out on 21 specimens of Brama raji collected at fish markets of Sicily and Calabria between april 2011 and march 2012. The detection of total Enterobacteriaceae, Vibrio spp. and Specific Spoilage Bacteria from gills, intestine, skin and muscle during storage (336h was carried out. 34 Vibrio spp. (rpoA+ strains were isolated from gills and skin. The subsequent identification of species by multiplex PCR (gene collagenase allowed to establish that 33 strains were V. alginolyticus and one was V. parahaemolyticus. The anatomopathological examination of muscle tissue showed that 15 specimens (71.x4% were positive for the presence of larvae of Gymnorhynchus gigas. The determination of TVB-N and TMA-N was made on muscle portions around the parasite, on larvae of G. gigas and on muscle portions parasite-free. The TVB-N and TMA-N contents of each sample were measured using the Conway microdiffusion method. The higher values of TVB-N (31.6 mg/100g and TMA-N (8.5 mg/100g were observed at 336 hours of storage. No statistically significant differences between muscle parasite-free and muscle around the parasite for TVB-N and TMA-N were observed during storage. Parasites of genus Koellikeria filicollis, Sphiriocephalus tergestinus and Anisakis spp. were also observed.

  8. 以教学检查为契机提高护理临床实习质量%Teaching inspection as an opportunity to improve quality of clinical nursing practice

    Institute of Scientific and Technical Information of China (English)

    曾芬莲; 吴芳; 覃小龙; 陈凌云; 幸姝丹; 张咏梅

    2014-01-01

    为进一步加强对毕业实习的监控和管理,遵义医学院每年都要组织专家组对实习医院进行教学检查,压力和动力促使我院护理部将如何提高护理临床实习质量作为一项首要任务来抓,并针对临床实习过程中存在的问题采取了一系列有效的措施,包括规范护理教学管理制度、重视职业素质和护理核心能力培养、加强护生管理、严格出科考核程序及建立并完善多维教学管理评价体系等,获得了良好的教学效果,并顺利通过了教学检查。%To further strengthen the monitoring and management of gradu-ation practice,the experts group is organized and to inspect the internship teaching hospitals in Zunyi medical college in every year.Pressure and power led the nursing department in our hospital to take that how to im-prove the quality of nursing clinical practice as a primary task.A series of effective measures were taken aiming at the problems exiting in clinical practice,including standardizing nursing teaching management system, thinking highly of professional quality and care core competency training, strengthening the management of nursing students,stricting departmental rotation examination procedures and establishing and improving the multi dimensional teaching management and evaluation system.At the end,good teaching effect was gained and passed the teaching examination.

  9. Overview of the software inspection process

    Energy Technology Data Exchange (ETDEWEB)

    Lane, G.L.; Dabbs, R. [Sandia National Labs., Albuquerque, NM (United States)

    1997-11-01

    This tutorial introduces attendees to the Inspection Process and teaches them how to organize and participate in a software inspection. The tutorial advocates the benefits of inspections and encourages attendees to socialize the inspection process in their organizations.

  10. 7 CFR 29.40 - Mandatory inspection.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.40 Mandatory inspection. Inspection authorized or required under section 5 of the Act or Section 759 of the Appropriations Act. definitions...

  11. Clinical investigation of large perfusion defect cases with {sup 201}Tl exercise myocardial scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Morota, Motoi; Kobayashi, Yasuhiko [Tokyo Medical Coll. (Japan)

    1999-02-01

    We investigated retrospectively the clinical significance of large perfusion defect on {sup 201}Thallium myocardial scintigraphy from the records of 833 patients during the past 3 years from 1991 to 1994. The patients were divided into 3 groups according to the extent of perfusion defect; cases with normal perfusion (n=561), with small perfusion defect (n=211) and with large perfusion defect (n=61). We found that the proportions of cases with large perfusion defect was significantly larger than that of cases with small perfusion defect in myocardial disease (MD; hypertrophic cardiomyopathy, dilated cardiomyopathy, and post myocarditis combined) (P<0.001). Analyzing patients with ischemic heart disease (IHD; angina pectoris and myocardial infarction) according to the severity of coronary artery lesion, the proportion of cases with large perfusion defect was significantly larger than that of cases with small perfusion defect in 3 vessel disease (P<0.001). Incidence of diabetes mellitus was significantly higher in patients with IHD than in those with MD in large perfusion defect group (P<0.01). As for symptoms in large perfusion defect group, the incidences of chest pain, chest oppression, and chest discomfort were significantly higher in patients with IHD than in those with MD (P<0.001), whereas the incidences of palpitation and shortness of breath were significantly higher in patients with MD (P<0.001). These results suggest that IHD with multiple artery lesions and MD underlie large perfusion defect on {sup 201}Thallium myocardial scintigraphy and that complication of diabetes mellitus and clinical symptoms may be useful in differentiating IHD from MD. (author)

  12. Intelligence, Inspection Time, and Decision Time.

    Science.gov (United States)

    Bates, Timothy C.; Eysenck, Hans J.

    1993-01-01

    Relationships among Multidimensional Aptitude Battery scores, inspection time, choice reaction time, and the odd-man procedure were investigated for 63 female and 25 male adults. No significant relationships were found for these mental speed measures and the Eysenck Personality Questionnaire-Revised dimensions of extraversion, neuroticism, and…

  13. Guidance for performing site inspections under CERCLA

    Energy Technology Data Exchange (ETDEWEB)

    1992-09-01

    This guidance presents EPA`s site inspection (SI) strategy. The strategy discusses procedural guidelines to investigate potential Superfund (CERCLA) sites for evaluation pursuant to the Hazard Ranking System (HRS), revised in accordance with the Superfund Amendments and Reauthorization Act of 1986. The HRS is the primary means by which EPA evaluates sites for superfund`s National Priorities List (NPL).

  14. Brief of the Canadian Society for Clinical Investigation to the science and technology review.

    Science.gov (United States)

    1995-02-01

    In the context of new realities, perceptions, and concerns, it is fitting that the government has undertaken this Science and Technology Review, questioning not only how much to spend but also the justification and the best ways to carry out federally-funded research. We share the government's concern about the lack of economic competitiveness of our industries and agree that government-sponsored research should make a bigger contribution to the nation's global economic position. The CSCI, which represents the clinical investigators/scientists in this country, is grateful for having been given the opportunity to make this "tour d'horizon" of Canadian clinical research. In this brief, we have attempted to articulate the needs for, and the benefits of, basic biomedical research because it is the only type of research which will provide us with final answers. However, it should be more closely articulated with applied research, as well as with epidemiological, evaluative, and operational approaches which have been neglected. This brief has emphasized that CSCI is committed to PUTTING MORE SCIENCE INTO MEDICINE by encouraging a greater flow of discoveries from the laboratory research bench to the bedside and the community. We made the point that there is a crisis in patient-oriented research and a decrease of young physicians opting for research careers. The Royal College of Physicians and Surgeons of Canada and the MRC are responsive to this situation, which may compromise our capacity to discharge our broader mission. The MRC has given itself valid instruments to foster the creation of wealth through special programs such as the NCE, the University/Industry program, and the MRC-PMAC partnership. Some refining is in order, and close scrutiny of outcome is essential. Both the academic community and industry have their share of responsibility for the less-than-optimal transfer of knowledge to the market place. Lack of venture capital is also a serious issue. A unified

  15. Inspection and Monitoring Techniques for Power Lines

    Institute of Scientific and Technical Information of China (English)

    DAI Kaoshan; CHEN Shenen

    2011-01-01

    Structural assessment is prerequisite for proper maintenance of civil infrastructure.In the begining of this paper, modern inspection and monitoring methods are briefly reviewed.Experiences in applying imagebased methods for highway bridge inspection are described shortly afterward.Studies are then extended to explore technologies for power delivery infrastructure evaluation.Typical power line components are first introduced.Structural analyses show complicated coupling phenomena in the power line system; and its vulnerability is intensified by extreme environment or human induced events.As a main interest, the state-of-art of power line inspection is summarized.Both visual observations and inspections assisted with novel techniques are presented.Real time monitoring of the power line is also investigated in this paper.Technologies that have potentials for monitoring power cables, insulators, and support structures are identified.A conceptual integrated design is proposed by the authors through combining innovative inspection with promising monitoring methods to ensure a sustainable, smart power line.

  16. Feasibility of Magnetostrictive Sensor Inspection of Containments

    Energy Technology Data Exchange (ETDEWEB)

    Kwun, H.

    1999-03-01

    This report describes the results of a study on the feasibility of using guided waves for long-range global inspection of containment metallic pressure boundaries (i.e., steel containments and liners of reinforced concrete containments) in nuclear power plants. Of particular concern in this study was the potential of the guided-wave approach for remotely inspecting the regions that are inaccessible; for example, regions where the metallic pressure boundary is backed by concrete on one or both sides. The study includes a literature review on long-range guided-wave inspection techniques, a modeling study of the behavior of guided waves in plates with different boundary conditions (e.g., freestanding and backed by concrete on one or both sides), and an experimental investigation of the feasibility of a guided-wave technique called ''magnetostrictive sensor (MsS)'' for (1) generating and detecting guided waves in plates and (2) detecting a defect over a long range. Results of the study showed (1) that it is feasible to achieve long-range global inspection of plates, including regions that are inaccessible, using low-frequency guided waves and (2) that the MsS technique is well suited for this application. Recommendations are made to further test and develop the MsS technique for practical implementation for containment inspection in nuclear power plants.

  17. Inspections Report 2002 - 2003; Tillsynsrapport 2002 - 2003

    Energy Technology Data Exchange (ETDEWEB)

    Viidas, Josefin

    2004-10-01

    The report summarises primarily the supervision of waste management and environmental protection at the nuclear facilities that was carried out by the Swedish Radiation Protection Authority in 2002 and 2003. A summary of the inspections and a description of important issues connected with the supervision of nuclear facilities are given. The inspections during 2002 focused on the investigation and coverage of the mishap related to the transport of iridium from Studsvik. The Studsvik project was initiated and the remaining supervision was temporarily given lower priority. In 2003 SSI performed two theme inspections. One focused on the handling of waste management and the other on the limitation of the effluent. Extensive supervision efforts concentrated also on Ranstad Mineral inc.

  18. Recontacting in clinical practice: an investigation of the views of healthcare professionals and clinical scientists in the United Kingdom

    Science.gov (United States)

    Carrieri, Daniele; Dheensa, Sandi; Doheny, Shane; Clarke, Angus J; Turnpenny, Peter D; Lucassen, Anneke M; Kelly, Susan E

    2017-01-01

    This article explores the views and experiences of healthcare professionals and clinical scientists in genetics about the existence of a duty and/or responsibility to recontact former patients when the genetic information relevant to their health, or that of family members, changes in a potentially important manner. It is based on N=30 semi-structured interviews guided by vignettes of recontacting scenarios. The sample included healthcare professionals in the United Kingdom from different medical specialties (clinical genetics, other ‘mainstream' specialties now offering genetic testing), and scientists from regional genetics laboratories. While viewing recontacting as desirable under certain circumstances, most respondents expressed concerns about its feasibility within the current constraints of the National Health Service (NHS). The main barriers identified were insufficient resources (time, staff, and suitable IT infrastructures) and lack of clarity about role boundaries and responsibilities. All of these are further complicated by genetic testing being increasingly offered by mainstream specialties. Reaching a consensus about roles and responsibilities of clinical specialties with regard to recontacting former patients in the light of evolving genetic information, and about what resources and infrastructures would be needed, was generally seen as a pre-requisite to developing guidelines about recontact. PMID:28051074

  19. 78 FR 48173 - Guidance for Industry on Oversight of Clinical Investigations-A Risk-Based Approach to Monitoring...

    Science.gov (United States)

    2013-08-07

    ... Investigations--A Risk-Based Approach to Monitoring; Availability AGENCY: Food and Drug Administration, HHS... guidance for industry entitled ``Oversight of Clinical Investigations--A Risk-Based Approach to Monitoring.'' This guidance assists sponsors in developing risk-based monitoring strategies and plans for...

  20. Inspection of directed self-assembly defects

    Science.gov (United States)

    Ito, Chikashi; Durant, Stephane; Lange, Steve; Harukawa, Ryota; Miyagi, Takemasa; Nagaswami, Venkat; Rincon Delgadillo, Paulina; Gronheid, Roel; Nealey, Paul

    2014-03-01

    Directed Self-Assembly (DSA) is considered as a potential patterning solution for future generation devices. One of the most critical challenges for translating DSA into high volume manufacturing is to achieve low defect density in the DSA patterning process. The defect inspection capability is fundamental to defect reduction in any process, particularly the DSA process, as it provides engineers with information on the numbers and types of defects. While the challenges of other candidates of new generation lithography are well known (for example, smaller size, noise level due to LER etc.), the DSA process causes certain defects that are unique. These defects are nearly planar and in a material which produces very little defect scattering signal. These defects, termed as "dislocation" and "disclination" have unique shapes and have very little material contrast. While large clusters of these unique defects are easy to detect, single dislocation and disclination defects offer considerable challenge during inspection. In this investigation, etching the DSA pattern into a silicon (Si) substrate structure to enhance defect signal and Signal-to-Noise Ratio (SNR) is studied. We used a Rigorous Coupled-Wave Analysis (RCWA) method for solving Maxwell's equations to simulate the DSA unique defects and calculate inspection parameters. Controllable inspection parameters include various illumination and collection apertures, wavelength band, polarization, noise filtering, focus, pixel size, and signal processing. From the RCWA simulation, we compared SNR between "Post-SiN etch" and "Post-SiN+Si-substrate etch" steps. The study is also extended to investigate wafer-level data at post etch inspection. Both the simulations and inspection tool results showed dramatic signal and SNR improvements when the pattern was etched into the SiN+Si substrate allowing capture of DSA unique defect types.

  1. Clinical study on thermography, as modern investigation method for Candida-associated denture stomatitis.

    Science.gov (United States)

    Iosif, Laura; Preoteasa, Cristina Teodora; Murariu-Măgureanu, Cătălina; Preoteasa, Elena

    2016-01-01

    Candida-associated denture stomatitis is an infectious inflammatory condition of the oral mucosa, with frequent recurrences. The aim of this study was to assess the use of infrared thermography as investigation method for Candida-associated denture stomatitis (as inflammatory disorder of the maxillary denture bearing area), by comparing disease and non-disease groups. An observational study was conducted on maxillary edentulous patients treated by acrylic dentures, with and without Candida-associated denture stomatitis. Diagnostic test methods used were clinical examination for denture stomatitis and conventional microbiological culture method for oral candidiasis. Thermography analysis of the maxillary denture bearing area was made using the ThermaCAM PM350 infrared camera (Inframetrics, Flir Systems) and ThermaGram Pro 95 software, data being acquired by usage of standard protocol of thermographic registrations. The sample included 52 patients, 21 with and 31 without Candida-associated denture stomatitis. The temperature of the maxillary mucosa corresponding to the denture bearing area was found to be statistically significantly higher in Candida-associated denture stomatitis (mean 36.20°C), compared to healthy oral mucosa (mean 34.85°C). The thermal threshold value of 35.44°C was identified as best differentiating a pathological from normal state of the maxillary mucosa corresponding to the denture bearing area. In conclusion, infrared thermography, a rapid non-invasive investigation method, has the premises to bring valuable data in inflammatory disorders of the maxillary denture bearing area, as Candida-associated denture stomatitis that may be used for screening, diagnostic or monitoring purposes.

  2. Non-inflammatory destructive periodontal disease: a clinical, microbiological, immunological and genetic investigation

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Repeke

    2012-02-01

    Full Text Available Periodontitis comprises a group of multifactorial diseases in which periodontopathogens accumulate in dental plaque and trigger host chronic inflammatory and immune responses against periodontal structures, which are determinant to the disease outcome. Although unusual cases of non-inflammatory destructive periodontal disease (NIDPD are described, their pathogenesis remains unknown. A unique NIDPD case was investigated by clinical, microbiological, immunological and genetic tools. The patient, a non-smoking dental surgeon with excessive oral hygiene practice, presented a generalized bone resorption and tooth mobility, but not gingival inflammation or occlusion problems. No hematological, immunological or endocrine alterations were found. No periodontopathogens (A. actinomycetemcomitans, P. gingivalis, F. nucleatum and T. denticola or viruses (HCMV, EBV-1 and HSV-1 were detected, along with levels of IL-1β and TNF-a in GCF compatible with healthy tissues. Conversely ALP, ACP and RANKL GCF levels were similar to diseased periodontal sites. Genetic investigation demonstrated that the patient carried some SNPs, as well HLA-DR4 (*0404 and HLA-B27 alleles, considered risk factors for bone loss. Then, a less vigorous and diminished frequency of toothbrushing was recommended to the patient, resulting in the arrest of alveolar bone loss, associated with the return of ALP, ACP and RANKL in GCF to normality levels. In conclusion, the unusual case presented here is compatible with the previous description of NIDPD, and the results that a possible combination of excessive force and frequency of mechanical stimulation with a potentially bone loss prone genotype could result in the alveolar bone loss seen in NIDPD.

  3. Ischaemic memory imaging using metabolic radiopharmaceuticals: overview of clinical settings and ongoing investigations

    Energy Technology Data Exchange (ETDEWEB)

    Yoshinaga, Keiichiro [Hokkaido University Graduate School of Medicine, Department of Molecular Imaging, Sapporo (Japan); Naya, Masanao [Hokkaido University Graduate School of Medicine, Department of Cardiology, Sapporo (Japan); Shiga, Tohru; Suzuki, Eriko; Tamaki, Nagara [Hokkaido University Graduate School of Medicine, Department of Nuclear Medicine, Sapporo (Japan)

    2014-02-15

    ''Ischaemic memory'' is defined as a prolonged functional and/or biochemical alteration remaining after a particular episode of severe myocardial ischaemia. The biochemical alteration has been reported as metabolic stunning. Metabolic imaging has been used to detect the footprint left by previous ischaemic episodes evident due to delayed recovery of myocardial metabolism (persistent dominant glucose utilization with suppression of fatty acid oxidation). β-Methyl-p-[{sup 123}I]iodophenylpentadecanoic acid (BMIPP) is a single-photon emission computed tomography (SPECT) radiotracer widely used for metabolic imaging in clinical settings in Japan. In patients with suspected coronary artery disease but no previous myocardial infarction, BMIPP has shown acceptable diagnostic accuracy. In particular, BMIPP plays an important role in the identification of prior ischaemic insult in patients arriving at emergency departments with acute chest pain syndrome. Recent data also show the usefulness of {sup 123}I-BMIPP SPECT for predicting cardiovascular events in patients undergoing haemodialysis. Similarly, SPECT or PET imaging with {sup 18}F-FDG injected during peak exercise or after exercise under fasting conditions shows an increase in FDG uptake in postischaemic areas. This article will overview the roles of ischaemic memory imaging both under established indications and in ongoing investigations. (orig.)

  4. Clinical investigation of oral findings in inherited disorders of platelet function

    Directory of Open Access Journals (Sweden)

    Müjgan Güngör Hatipoğlu

    2011-12-01

    Full Text Available Objective: Bleeding disorders are a very important health problem due to the associated high risk of hemorrhage during dental procedures. The present study aimed to investigate oral manifestations of inherited disorders of platelet function (IDPF. Materials and Methods: The study included 20 IDPF patients (mean age: 31.90±10.71 years and 40 healthy controls (mean age: 31.63±9.07 years. Tooth brushing habits, level of education, and clinical index scores (Simplified Oral Hygiene Index [OHI-S], Decayed Missing Filled Teeth Index [DMFT] index, probing depth [PD] index, Gingival Bleeding Index [GBI], and Community Periodontal Index [CPI] were recorded. Results: There weren’t any significant differences between the 2 groups with respect to tooth brushing habit, level of education level, OHI-S, DMFT index, or CPI (p>0.05, whereas significant differences in PD index and GBI were observed between the groups (p<0.05.Conclusion: The present study’s findings show that IDPF has a negative effect on periodontal tissues.

  5. Clinical investigation of 41 patients with ischemic colitis accompanied by ulcer

    Institute of Scientific and Technical Information of China (English)

    Satohiro Matsumoto; Kenichiro Tsuji; Satoshi Shirahama

    2007-01-01

    AIM: To investigate the relationship among the presence of ulcer lesions, underlying disease, and clinical course in patients with ischemic colitis.METHODS: The subjects were 41 patients (10 male and 31 female; mean age 70 years) with ischemic colitis who were admitted to and received treatment in our hospital from 2000 to 2006. We compared their characteristics and analyzed the mean lengths of admission and fasting for 9 patients with ulcer lesions (ulcer group) and 32 without (non-ulcer group).RESULTS: The groups with presence and absence of ulcer differed significantly only in white blood cell (WBC)count. Lengths of fasting and admission were 7.9 d and 17.9 d for the ulcer group and 4.4 d and 10.7 d for the non-ulcer group, respectively, and significantly longer in the ulcer group (P = 0.0057 and 0.0001). There was no correlation between presence of ulcer and presence of underlying diseases.CONCLUSION: Lengths of fasting and admission were significantly longer in patients with ischemic colitis with ulcer than for those without ulcer.

  6. Clinical investigation of the lesions responsible for sensory disturbance in Minamata disease.

    Science.gov (United States)

    Uchino, M; Mita, S; Satoh, H; Hirano, T; Arimura, K; Nakagawa, M; Nakamura, M; Uyama, E; Ando, Y; Wakamiya, J; Futatsuka, M

    2001-11-01

    To clarify the lesions responsible for sensory disturbance in Minamata disease (MD), we clinically investigated the characteristics of sensory disturbance. In all patients with the classical type MD, two-point discrimination was severely disturbed, but the involvement of superficial sensation was relatively mild. On short-latency somatosensory evoked potential study, the component corresponding to N20 was completely absent with normal N9, N11, and N13 components. Although 14 of 38 chronic MD patients demonstrated intact superficial sensation, 10 of these 14 showed mild to moderate disturbance in two-point discrimination. The two-point discrimination in chronic MD patients was significantly high irrespective of the disturbance of superficial sensation. These findings suggest that the sensory disturbance of MD patients may mainly be caused by a lesion in the sensory cortex rather than in the peripheral nerves. However, other foci could be also responsible for the sensory impairment, since 9 of 38 chronic MD patients showed intact two-point discrimination.

  7. Mean Deviation of Inter-rater Scoring (MDIS): a simple tool for introducing conformity into groups of clinical investigators.

    Science.gov (United States)

    Bourin, Michel; Deplanque, Dominique; Zins-Ritter, Marcel

    2004-07-01

    In spite of considerable progress over the past decade, training investigators for inter-rater reliability for clinical trials remains a major problem. The aim of the present study was to promote a new tool to increase data homogeneity by introducing conformity into groups of clinical investigators. The investigators scoring grid we are proposing-the Mean Deviation of Inter-rater Scoring (MDIS)-involves the calculation of the score deviation for each investigator relative to the median score of an expert group who had evaluated the same videotape-recorded clinical case. Whatever the scale, the score deviation is calculated as the absolute deviation value from the median score obtained by the experts for each item. The MDIS value is then evaluated from all the scores given by an investigator by dividing the total sum of the previously defined values by the number of items of the scale. Some examples from practice are given using several rating scales: (i) Hamilton Anxiety Rating Scale; (ii) Hamilton Depression Rating Scale; (iii) Montgomery Asberg Depression Rating Scale; and (iv) Positive And Negative Symptoms Scale. Finally, such a method could also be employed by experts to evaluate the quality of videotape-recorded clinical cases used in clinical trials, as well as by teachers to evaluate initial or continuous medical training.

  8. Innovative use of global navigation satellite systems for flight inspection

    Science.gov (United States)

    Kim, Eui-Ho

    The International Civil Aviation Organization (ICAO) mandates flight inspection in every country to provide safety during flight operations. Among many criteria of flight inspection, airborne inspection of Instrument Landing Systems (ILS) is very important because the ILS is the primary landing guidance system worldwide. During flight inspection of the ILS, accuracy in ILS landing guidance is checked by using a Flight Inspection System (FIS). Therefore, a flight inspection system must have high accuracy in its positioning capability to detect any deviation so that accurate guidance of the ILS can be maintained. Currently, there are two Automated Flight Inspection Systems (AFIS). One is called Inertial-based AFIS, and the other one is called Differential GPS-based (DGPS-based) AFIS. The Inertial-based AFIS enables efficient flight inspection procedures, but its drawback is high cost because it requires a navigation-grade Inertial Navigation System (INS). On the other hand, the DGPS-based AFIS has relatively low cost, but flight inspection procedures require landing and setting up a reference receiver. Most countries use either one of the systems based on their own preferences. There are around 1200 ILS in the U.S., and each ILS must be inspected every 6 to 9 months. Therefore, it is important to manage the airborne inspection of the ILS in a very efficient manner. For this reason, the Federal Aviation Administration (FAA) mainly uses the Inertial-based AFIS, which has better efficiency than the DGPS-based AFIS in spite of its high cost. Obviously, the FAA spends tremendous resources on flight inspection. This thesis investigates the value of GPS and the FAA's augmentation to GPS for civil aviation called the Wide Area Augmentation System (or WAAS) for flight inspection. Because standard GPS or WAAS position outputs cannot meet the required accuracy for flight inspection, in this thesis, various algorithms are developed to improve the positioning ability of Flight

  9. Investigating the role of feedback and motivation in clinical reaction time assessment

    Science.gov (United States)

    Eckner, James T.; Chandran, SriKrishna; Richardson, James K.

    2013-01-01

    Objective To investigate the influence of performance feedback and motivation during two tests of simple visuo-motor reaction time. Design Cross-sectional, observational study. Setting Outpatient academic physiatry clinic. Participants 31 healthy adults aged 54 ± 15 years. Methods Participants completed a clinical test of reaction time (RTclin) and a computerized test of reaction time with and without performance feedback (RTcompFB and RTcompNoFB, respectively) in randomly assigned order. They then ranked their degree of motivation during each test. RTclin measured the time required to catch a suspended vertical shaft by hand closure after its release by the examiner. RTcompFB and RTcompNoFB both measured the time required to press a computer key in response to a visual cue displayed on a computer monitor. Performance feedback (visual display of the previous trial and summary results) was provided for RTcompFB, but not for RTcompNoFB. Main Outcome Measurements Means and standard deviations of RTclin, RTcompFB, and RTcompNoFB; Participants’ self-reported motivation on a 5-point Likert scale for each test. Results There were significant differences in both the means and standard deviations of RTclin, RTcompFB, and RTcompNoFB (F2,60 = 81.66, p < 0.0001; F2,60 = 32.46, p < 0.0001, respectively) with RTclin being both the fastest and least variable of the reaction time measures. RTclin was more strongly correlated with RTcompFB (r = 0.449, p = 0.011) than with RTcompNoFB (r = 0.314, p = 0.086). Participants reported similar levels of motivation between RTclin and RTcompFB, both of which were reported to be more motivating than RTcompNoFB. Conclusions The stronger correlation between RTclin and RTcompFB as well as the higher reported motivation during RTclin and RTcompFB testing suggest that performance feedback is a positive motivating factor that is implicit to RTclin testing. RTclin is a simple, inexpensive technique for measuring reaction time and appears to be an

  10. 全血细胞分析复检规则临床调查报告%Clinical Investigation Report of Complete Blood Analysis Review Rules

    Institute of Scientific and Technical Information of China (English)

    陈国添

    2012-01-01

    the same time paied attention to Hct. And some RBC,Plt, Ret new parameters in the clinical application was not fully. Conclusion Through the clinical investigation, inspection personnel further specify the complete blood analysis review key, at the same time, blood new parameter clinical application should be strengthened.

  11. 新疆158名育龄期妇女乳腺自检与临检认知情况分析%Analysis situation of breast self-examination and clinical inspection cognition at reproductive age women in Xinjiang with 158 case

    Institute of Scientific and Technical Information of China (English)

    辛丽萍; 杨舒旖; 王淑霞

    2015-01-01

    Objective To investigate the influence factors and situation of breast self-examination and clinical in-spection cognition of women in childbearing age,and to provide reference for health education.Methods Randomly selected 158 case in First Affiliated Hospital of Xinjiang Medical University from 2012 January to 2013 December in women of childbearing age as the object of study,using the questionnaire survey,analyzed by SPSS 17.0.Results 158 cases of women of childbearing age self-cognitive scores and clinical cognitive score were 5.09 ±1.00 and 7.15±1.31,the difference was statistically significant (P <0.05);different nationality,marital status, educational level of the women in the self-inspection and clinical cognition score were different (P <0.05);age and self-checking,clinical cognitive score correlation coefficientr = 0.324,r = 0.34 (P <0.05);self-cognition level influence factors including age,race,marital status,educational level (P <0.05);clinical cognitive influence factor including age,ethnic,cultural level (P <0.05).Conclusion For the low age,the Han nationality,low cul-tural level,divorced,widowed,single women should strengthen health education.%目的:了解新疆育龄期妇女乳腺自检与临检认知水平及其影响因素,为育龄期妇女健康教育提供参考资料。方法随机抽取2012年1月-2013年12月在新疆医科大学第一附属医院健康管理中心健康体检部参加体检和咨询的育龄期妇女158名作为研究对象,进行问卷调查。结果158名育龄期妇女自检认知得分为(5.09±1.00)分,临检得分为(7.15±1.31)分,差异有统计学意义(P <0.05);不同民族、婚姻状况、文化水平的育龄期妇女的自检、临检认知水平差异有统计学意义(P <0.05);年龄与自检、临检认知得分相关系数分别为 r =0.324、r =0.340(P <0.05);自检认知水平的影响因素包括年龄、民族、文化水平,

  12. A Pilot Clinical Study to Investigate the Human Whole Blood Spectrum Characteristics in the Sub-THz Region

    CERN Document Server

    Tseng, Tzu-Fang; Gao, Hao-Cheng; Wang, Tzung-Dau; Sun, Chi-Kuang

    2014-01-01

    We have conducted a pilot clinical study to not only investigate the THz spectra of ex-vivo fresh human whole blood of 28 patients following 8-hours fasting guideline, but also to find out the critical blood ingredients of which the concentration dominantly affects those THz spectra. A great difference between the THz absorption properties of human blood among different people was observed, while the difference can be up to ~15% of the averaged absorption coefficient of the 28 samples. Our pilot clinical study indicates that triglyceride and red blood cell were two dominant factors to have significant clinically defined negative correlation to the sub-THz absorption coefficients.

  13. Shell Inspection History and Current CMM Inspection Efforts

    Energy Technology Data Exchange (ETDEWEB)

    Montano, Joshua Daniel [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-01-26

    The following report provides a review of past and current CMM Shell Inspection efforts. Calibration of the Sheffield rotary contour gauge has expired and the primary inspector, Matthew Naranjo, has retired. Efforts within the Inspection team are transitioning from maintaining and training new inspectors on Sheffield to off-the-shelf CMM technology. Although inspection of a shell has many requirements, the scope of the data presented in this report focuses on the inner contour, outer contour, radial wall thickness and mass comparisons.

  14. 76 FR 70151 - Draft Guidance for Industry, Clinical Investigators, Institutional Review Boards, and Food and...

    Science.gov (United States)

    2011-11-10

    ... to evaluate medical devices under FDA's IDE regulations. In an effort to promote timely clinical... available at http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/default.htm... HUMAN SERVICES Food and Drug Administration Draft Guidance for Industry, Clinical...

  15. Comparative study of Palito inspection and MFL Inspection

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Anne A. de; Miranda, Ivan Vicente Janvrot; Silva, Jose Augusto Pereira da [Pipeway Engenharia, Rio de Janeiro, RJ (Brazil); Guimaraes, Frederico S.; Magalhaes, Joao Alfredo P. [Minds at Work, Rio de Janeiro, RJ (Brazil); Sabino, Joao Marcos [Petroleo Brasileiro S.A. (PETROBRAS/UN-RN/CE), Natal, RN (Brazil). Unidade de Negocios Rio Grande do Norte e Ceara

    2009-07-01

    A 16 inches oil pipeline was surveyed with MFL and Palito pig in 2007. The MFL inspection was performed by Pipeway Engenharia while Palito inspection was performed by PETROBRAS. A comparison between the results of these two ILI inspections has been made to validate Palito Pig and to assess main characteristics and differences between the two techniques. The purpose of this paper is to detail the methodology applied to perform the comparison and to present a comparative study of results registered in the MFL and Palito inspections by Pipeway Engenharia, PETROBRAS/CENPES and CPTI/PUC-Rio. (author)

  16. Model for investigating the benefits of clinical supervision in psychiatric nursing

    DEFF Research Database (Denmark)

    Gonge, Henrik; Buus, Niels

    2011-01-01

    The objective of this study was to test a model for analysing the possible benefits of clinical supervision. The model suggested a pathway from participation to effectiveness to benefits of clinical supervision, and included possible influences of individual and workplace factors. The study sample...... was 136 nursing staff members in permanent employment on nine general psychiatric wards and at four community mental health centres at a Danish psychiatric university hospital. Data were collected by means of a set of questionnaires. Participation in clinical supervision was associated...... with the effectiveness of clinical supervision, as measured by the Manchester Clinical Supervision Scale (MCSS). Furthermore, MCSS scores were associated with benefits, such as increased job satisfaction, vitality, rational coping and less stress, emotional exhaustion, and depersonalization. Multivariate analyses...

  17. Doppler echocardiographic evidence of pulmonary hypertension in dogs: a retrospective clinical investigation.

    Science.gov (United States)

    Paradies, P; Spagnolo, P P; Amato, M E; Pulpito, D; Sasanelli, M

    2014-03-01

    Pulmonary hypertension (PH) decreases resistance to fatigue and life expectancy. The aim of this study was to correlate some indirect Doppler indices of PH with tricuspid and pulmonary regurgitation criteria and to relate PH on different indices with the severity of clinical signs. Furthermore the pathogenetic mechanisms associated to PH development were discussed. Dogs with Doppler echocardiographic evidence of PH diagnosed by assessment of pulmonary and tricuspid regurgitant jet velocity were selected, their clinical records were reviewed and a clinical score was computed. Seventeen cases of PH were identified. The degree of PH was assessed based on systolic or diastolic pulmonary pressure and the indirect Doppler indices (AT/ET and Tei Index) were calculated; data were statistically evaluated. Indirect Doppler indices were calculated also in a control group of seven healthy dogs. The most common clinical signs were coughing, dyspnea and syncope; the most common condition associated to PH development was the left-sided valvular heart disease. A significant positive correlation was found between Tei Index and both the systolic pressure and the severity of PH while no correlations were found between PH on different indices and clinical score and/or severity of clinical signs. Results of this study suggest that Tei-index could be an useful support not only to reveal PH but also to give information on the severity of PH. The clinical picture in dogs with PH is apparently unpredictable and not strictly correlated with the severity of PH.

  18. Typical investigational medicinal products follow relatively uniform regulations in 10 European Clinical Research Infrastructures Network (ECRIN countries

    Directory of Open Access Journals (Sweden)

    Gluud Christian

    2012-03-01

    Full Text Available Abstract Background In order to facilitate multinational clinical research, regulatory requirements need to become international and harmonised. The EU introduced the Directive 2001/20/EC in 2004, regulating investigational medicinal products in Europe. Methods We conducted a survey in order to identify the national regulatory requirements for major categories of clinical research in ten European Clinical Research Infrastructures Network (ECRIN countries-Austria, Denmark, France, Germany, Hungary, Ireland, Italy, Spain, Sweden, and United Kingdom-covering approximately 70% of the EU population. Here we describe the results for regulatory requirements for typical investigational medicinal products, in the ten countries. Results Our results show that the ten countries have fairly harmonised definitions of typical investigational medicinal products. Clinical trials assessing typical investigational medicinal products require authorisation from a national competent authority in each of the countries surveyed. The opinion of the competent authorities is communicated to the trial sponsor within the same timelines, i.e., no more than 60 days, in all ten countries. The authority to which the application has to be sent to in the different countries is not fully harmonised. Conclusion The Directive 2001/20/EC defined the term 'investigational medicinal product' and all regulatory requirements described therein are applicable to investigational medicinal products. Our survey showed, however, that those requirements had been adopted in ten European countries, not for investigational medicinal products overall, but rather a narrower category which we term 'typical' investigational medicinal products. The result is partial EU harmonisation of requirements and a relatively navigable landscape for the sponsor regarding typical investigational medicinal products.

  19. Application of near-infrared spectroscopy to investigate brain activity: clinical research

    Science.gov (United States)

    Lichty, Wemara; Sakatania, Kaoru; Xie, Yuxiao; Zou, Huangcong

    2000-07-01

    Near infrared spectroscopy has recently been used to measure changes of optical parameters (i.e., light absorption or scattering) of brain tissue. The fact that the equipment is generally compact, portable, noninvasive, and reasonably prices makes it ideal for clinical and nonclinical evaluation and monitoring of brain function. Clinical and nonclinical studies evaluating changes related to light absorption are discussed, with an emphasis on cerebral blood oxygenation (CBO) changes and hemodynamic responses while performing cognitive tasks. With respect to the clinical studies, the focus is on variations in patterns of oxygenated hemoglobin (Oxy-Hb), deoxygentated hemoglobin (Deoxy-Hb) and Total-Hb (sum of Oxy-Hb and Deoxy-Hb). The studies about clinical applications includes research we have conducted with older adults and aphasics. Implications regarding the use of NIRS for clincal purposes are considered.

  20. Waste inspection tomography (WIT)

    Energy Technology Data Exchange (ETDEWEB)

    Bernardi, R.T. [Bio-Imaging Research, Inc., Lincolnshire, IL (United States)

    1995-10-01

    Waste Inspection Tomography (WIT) provides mobile semi-trailer mounted nondestructive examination (NDE) and assay (NDA) for nuclear waste drum characterization. WIT uses various computed tomography (CT) methods for both NDE and NDA of nuclear waste drums. Low level waste (LLW), transuranic (TRU), and mixed radioactive waste can be inspected and characterized without opening the drums. With externally transmitted x-ray NDE techniques, WIT has the ability to identify high density waste materials like heavy metals, define drum contents in two- and three-dimensional space, quantify free liquid volumes through density and x-ray attenuation coefficient discrimination, and measure drum wall thickness. With waste emitting gamma-ray NDA techniques, WIT can locate gamma emitting radioactive sources in two- and three-dimensional space, identify gamma emitting, isotopic species, identify the external activity levels of emitting gamma-ray sources, correct for waste matrix attenuation, provide internal activity approximations, and provide the data needed for waste classification as LLW or TRU.

  1. Clinical investigation of mucosal thickness stability after soft tissue grafting around implants: A 3-year retrospective study

    OpenAIRE

    Speroni Stefano; Cicciù Marco; Maridati Paolo; Grossi Giovanni; Maiorana Carlo

    2010-01-01

    Purpose: To assess the long-term stability of gingival grafts placed around dental implants at the time of second surgery uncovering and to further investigate the association between mucosal thickness (MTh) by demographic variables and clinical investigation. Materials and Methods: Fourteen patients with submerged dental implants covered by inadequate keratinized mucosa were studied. The subjects underwent a periimplant plastic surgery (PPS) at the second-stage dental implant surgery and fr...

  2. Experimenting clinical pathways in general practice: a focus group investigation with Italian general practitioners

    Directory of Open Access Journals (Sweden)

    Lucia Zannini

    2012-07-01

    Full Text Available Background. Clinical governance is considered crucial in primary care. Since 2005, clinical pathways have been experimentally implemented at the Local Health Authority of Monza Brianza (ASLMB, Italy, to develop general practitioners’ (GPs care of patients affected by some chronic diseases. The experimentation was aimed at introducing clinical governance in primary care, increasing GPs’ involvement in the care of their patients, and improving both patients’ and professionals’ satisfaction. In the period 2005-2006, 12% of the 763 employed GPs in the ASLMB were involved in the experiment, while this percentage increased to 15-20% in 2007-2008. Design and Methods. Twenty-four GPs were purposively sampled, randomly divided into two groups and asked to participate in focus groups (FGs held in 2008, aimed at evaluating their perception of the experiment. The FGs were audio-recorded, dialogues were typed out and undergone to a thematic analysis, according to the Interpretative Phenomenological Approach. Results. Four major themes emerged: i clinical pathways can result in GPs working in a more efficient and effective fashion; ii they can assure higher levels of both patient and professional satisfaction, since they sustain a caring approach and strengthen the GPs’ role; iii nevertheless, clinical pathways increase the bureaucratic workload and problems can arise in relationships among GPs and the LHA; iv the implementation of clinical pathways can be improved, especially by reducing bureaucracy and by assuring their continuity. Conclusions. Managerial aspects should be considered with care in order to experimentally introduce clinical pathways in general practice, and continuity of the experimentation should be guaranteed to improve GPs’ adherence and commitment.

  3. 糖尿病肾病患者血清β2微球蛋白检验的临床价值%The Clinical Value of Serum β2 Microglobulin in Patients With Diabetic Nephropathy Inspection

    Institute of Scientific and Technical Information of China (English)

    张静春

    2015-01-01

    目的:对糖尿病肾病患者血清β2微球蛋白检验的临床价值进行评价分析,为今后的临床检验工作提供有价值的参考信息。方法抽取2013年5月~2015年5月我院收治的获得临床明确诊断的糖尿病患者199例,其中糖尿病肾病患者79例,定义为观察组,无肾病、酮症酸中毒、严重心肝肾疾病糖尿病者120例,定义为对照组,另抽取同期健康体检者60例作为健康组。对这三组受试者展开血清β2微球蛋白检验,并对检验结果进行对比分析。结果观察组患者血清β2微球蛋白水平与异常率较对照组和健康组比较升高(P<0.05);糖尿病肾病患者病程≥5年者血清β2微球蛋白水平及异常率较病程<5年者升高(P<0.05)。结论血清β2微球蛋白在糖尿病肾病早期诊断中具有重要意义,可作为一项重要的敏感指标。%Objective Clinical value of serum β2 microglobulin test was evaluated in patients with diabetic nephropathy analysis provides valuable reference information for future clinical laboratory work.Methods Extraction between May 2013 to May 2015 in our hospital to obtain the clinical diagnosis of diabetes 199 cases,including 79 cases of patients with diabetic nephropathy,defined as the observation group,without nephropathy,ketoacidosis, severe heart and liver 120 cases of diabetic kidney disease,defined as a control group,and the other to extract the same period 60 cases of healthy people as a health group. Expand these three groups of subjects serum β2 microglobulin inspection,and test results were analyzed.ResultsThere were abnormal serum β2microglobulin rate than the control group and the healthy group were significantly increased(P< 0.05)compare occurrence, duration of diabetes,kidney disease≥5 years serum β2-microglobulin levels and abnormal rate than duration< 5 years was significantly increased(P< 0.05). ConclusionSerum β2-microglobulin is important in the early

  4. Induced Sputum for the Investigation of Airway Inflammation: Evidence for Its Clinical Application

    Directory of Open Access Journals (Sweden)

    Frederick E Hargreave

    1999-01-01

    Full Text Available Airway inflammation is considered to be the primary cause of airway diseases. Its prevention and reversal are the primary aims of treatment. Measurement of the inflammation is now possible relatively noninvasively and reliably by using induced sputum cell counts. The differential count indicates the presence and type of the inflammation (eosinophilic or neutrophilic and the total cell count the intensity. Sputum eosinophilia responds to treatment with corticosteroid, while there is increasing evidence that an isolated neutrophilia does not. Clinical judgement of airway inflammation is made difficult because of the different types of inflammation and their inconsistent correlation with the clinical features. Hence, reliable measurement of induced sputum cell counts may be useful to guide treatment in clinical practice. Consideration should now be given as to how to make it more available.

  5. Investigating nurses' knowledge, attitudes, and skills patterns towards clinical management system: results of a cluster analysis.

    Science.gov (United States)

    Chan, M F

    2006-09-01

    To determine whether definable subtypes exist within a cohort of Hong Kong nurses as related to the clinical management system use in their clinical practices based on their knowledge, attitudes, skills, and background factors. Data were collected using a structured questionnaire. The sample of 242 registered nurses was recruited from three hospitals in Hong Kong. The study employs personal and demographic variables, knowledge, attitudes, and skills scale. A cluster analysis yielded two clusters. Each cluster represents a different profile of Hong Kong nurses on the clinical management system use in their clinical practices. The first group (Cluster 1) was labeled 'lower attitudes, less skilful and average knowledge' group, and represented 55.4% of the total respondents. The second group (Cluster 2) was labeled as 'positive attitudes, good knowledge but less skilful'. They comprised almost 44.6% of this nursing sample. Cluster 2 had more older nurses, the majority were educated to the baccalaureate or above level, with more than 10 years working experience, and they held a more senior ranking then Cluster 1. A clear profile of Hong Kong nurses may benefit healthcare professionals in making appropriate education or assistance to prompt the use of the clinical management system by nurses an officially recognized profession. The findings were useful in determining nurse-users' specific needs and their preferences for modification of the clinical management system. Such findings should be used to formulate strategies to encourage nurses to resolve actual problems following computer training and to increase the depth and breadth of nurses' knowledge, attitudes, and skills toward such system.

  6. National Program of Inspection of Non-Federal Dams, Tennessee. Lambert Dam (Inventory Number TN 00901), Little Tennessee River Basin, near Six Mile, Blount County, Tennessee. Phase I Investigation Report,

    Science.gov (United States)

    1981-09-01

    of Engineers Troy Wedekind Water Resjurces Engineer Tennessee Department of Conservarion Division of Water Resources SECTION 2 - PROJECT DESCRIPTION...Engineers Tom Porter Hydraulic Engineer Corps of Engineers Troy Wedekind Water Resources State o’ Tennessee Engineer 2. Lambert Dam is owned by Keith...drain pipe was covered during the initial part of the inspection, but was later uncovered by Troy Wedekind . Only a trickle of water was flowing through

  7. Industrial Inspection System

    Science.gov (United States)

    1993-01-01

    ACTIS+ is a smaller, personal computer version of ACTIS, a computed tomography system which finds its origins in the Apollo lunar landing research. It is used to identify imperfections in aerospace structures and components. Designed to be added to an existing real time radiography system, its components include a high precision rotation/elevation manipulator, color image monitor, graphical user interface monitor, and PC compatible workstation. Cross-sectional CT images are more detailed than radiographic images and the high speed scanning feature offers the capability for 100 percent inspection in a production environment. Bio-Imaging Research, Inc. (BIR) originally developed ACTIS for Marshall Space Flight Center (MSFC), and commercial units were sold to aerospace manufacturers. The technology was refined for ACTIS+, which is principally used in non-destructive testing.

  8. Labor inspection in Brazil

    Directory of Open Access Journals (Sweden)

    Adalberto Cardoso

    2006-01-01

    Full Text Available One aspect the literature overlooks on the effects of labor regulation of labor market efficiency is the degree of the legislation's effectiveness, i.e., its actual enforcement in daily work relations. Even the more sophisticated econometric studies (which take into account the effects of interaction between labor market regulatory institutions in explaining its dynamics leave this central issue aside, namely enforcement versus non-enforcement of the law. Keeping this issue in mind, we seek to answer the following question in this article: given that the effectiveness of labor legislation depends on the interaction between the overall sanctions and the probability of the employer getting caught breaking the law, and given that the law's effectiveness is a decisive aspect for the real measurement of a country's labor costs, to what extent is the Brazilian labor inspection system designed to meet its objective, namely, to enforce the law?

  9. Investigations of efficacy of intramammary applied antimicrobials and glucocorticosteroides in the treatment of subclinical and clinical mastitis in cows

    Directory of Open Access Journals (Sweden)

    Vakanjac Slobodanka

    2013-01-01

    Full Text Available Inflammation of the mammary gland, mastitis in cows, presents one of the most acute problems in intensive dairy production, inflicting huge economic losses. In the course of one year, 80 samples were taken at investigated farms from udder quarters of cows with clinical mastitis and 160 samples from udder quarters of cows with subclinical mastitis. The efficacy of three preparations, A, B, and C, was examined in the treatment of clinical and subclinical mastitis in cows. The investigations indicate that antibiotic preparation A (neomycin, polimixine B, oleandomycin and prednisolone exhibited a greater efficacy in the treatment of clinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis and Micrococcus sp., but a smaller efficacy in the treatment of subclinical mastitis caused by Staphylococcus aureus. Preparation B (amoxicillin, clavulanic acid and prednisolone exhibited a higher efficacy in the treatment of clinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis and Micrococcus, but a weaker effect in the treatment of subclinical mastitis caused by Staphylococcus aureus. Preparation C (procaine penicillin G, streptomycin, neomycin sulfate and prednisolone acetate exihibited efficacy in the treatment of clinical and subclinical mastitis caused by Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis, Micrococcus, Staphylococcus aureus and Esherichie coli. [Projekat Ministarstva nauke Republike Srbije, br. III 46002: Molekularno-genetička i ekofiziološka istraživanja u zaštiti autohtonih animalnih genetičkih resursa, očuvanju dobrobiti, zdravlja i reprodukcije gajenih životinja i proizvodnji bezbedne hrane

  10. Definition and drivers of acute traumatic coagulopathy: clinical and experimental investigations

    NARCIS (Netherlands)

    D. Frith; J.C. Goslings; C. Gaarder; M. Maegele; M.J. Cohen; S. Allard; P.I. Johansson; S. Stanworth; C. Thiemermann; K. Brohi

    2010-01-01

    Background: Acute traumatic coagulopathy (ATC) is an impairment of hemostasis that occurs early after injury and is associated with a 4-fold higher mortality, increased transfusion requirements and organ failure. Objectives: The purpose of the present study was to develop a clinically relevant defin

  11. 75 FR 1790 - Draft Guidance for Institutional Review Boards, Clinical Investigators, and Sponsors: IRB...

    Science.gov (United States)

    2010-01-13

    ... of February 3, 2006 (71 FR 5861), which describes FDA's intention to update the process for... HUMAN SERVICES Food and Drug Administration Draft Guidance for Institutional Review Boards, Clinical...: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA)...

  12. Definition of major bleeding in clinical investigations of antihemostatic medicinal products in surgical patients

    DEFF Research Database (Denmark)

    Schulman, S; Angerås, U; Bergqvist, D

    2010-01-01

    The definition of major bleeding varies between studies on surgical patients, particularly regarding the criteria for surgical wound-related bleeding. This diversity contributes to the difficulties in comparing data between trials. The Scientific and Standardization Committee (SSC), through its s...... of this definition from the regulatory authorities to enhance its incorporation into future clinical trial protocols....

  13. An Empirical Investigation of Group Treatment for a Clinical Population of Adult Female Incest Survivors.

    Science.gov (United States)

    Saxe, Brenda J.; Johnson, Susan M.

    1999-01-01

    Empirically assesses the effectiveness of a group treatment program on intrapersonal symptomatology and interpersonal difficulties in a clinical population of women with a history of incest. Results indicate that a time-limited group, which focuses on the original trauma, is effective in reducing intrapersonal symptomatology for women with a…

  14. Investigation of the causes of clinical symptom aggravation in process of intravenous thrombolysis with alteplase

    Directory of Open Access Journals (Sweden)

    LI Chen-hua

    2013-04-01

    Full Text Available Objective To explore the causes of aggravation of microcirculation disorders in the process of intravenous thrombolysis with alteplase and the clinical outcomes. Methods The clinical data of the aggravated signs and symptoms of 13 cases treated by alteplase were reported, and the onset characteristics and clinical outcomes were analysed to summarize emergency experiences. Results There were 13 patients with stenosis of intracranial large arteries occurred perforating branch infarctions caused by the blocking of carried arteries (8 cases in internal carotid system, 5 cases in vertebral-basilar system. In the process of thrombolytic therapy, main aggravated presentations including cortical ischemic symptom, quadriplegia, exacerbated disturbance of consciousness were seen. Imaging examinations showed multiple new petechial ischemic foci in cortex and watershed region or increasing of infarct foci in cerebellum and brain stem. The prognosis was favorable after expectant treatment. NIHSS score was 8.69 ± 3.42 at 24 h after treatment, and mRS score was 0.94 ±0.37 at 3 month-follow-up. Neurologic deficit and quality of life were evidently improved. Conclusion In the course of intravenous thrombolytic therapy with alteplase. Aggravated clinical signs and symptoms may be related to various factors. Emboli disintegration inducing microcirculation disorder is inferred to be the main cause. For patients presenting aggravated signs and symptoms in thrombolysis process, favorable outcomes may occur as long as intensive care and timely treatment are performed.

  15. It Takes a Village: Investigating the Critical Role Clinical Faculty Play in Mathematics Teacher Education

    Science.gov (United States)

    Bahr, Damon L.

    2013-01-01

    The dispositions of preservice elementary education teachers toward reform-oriented mathematics education were surveyed before and after an extended pre-student teaching practicum. During the practicum, university and school-based personnel served as 'clinical faculty' as they supported the preservice teachers' practicum…

  16. Simplified Approach to Inspection Planning

    DEFF Research Database (Denmark)

    Bloch, Allan; Sørensen, John Dalsgaard; Faber, M. H.

    2000-01-01

    A simplified and practically applicable approach for risk based inspection planning of fatigue sensitive structural details is presented. The basic idea behind the approach is that the fatigue sensitive details are categorized according to their stress intensity factors and their design fatigue l...... of steel structures. The validity of the proposed approach is illustrated through a study regarding inspection planning of offshore structures....... life to service life ratio, i.e. the fatigue design factor (FDF) and SN curve. When the reserve strength ratio (RSR) and the corresponding probability of total structural failure given fatigue failure of the considered detail is known it is possible to make a generic description of fatigue sensitive...... structural details and thereby develop pre-made inspection plans in tables which depend on relative cost of inspections, repairs and failures. Due to the simplicity of the format of the developed inspection plans the proposed approach has a high potential in code making for the design and maintenance...

  17. 9 CFR 381.68 - Maximum inspection rates-New turkey inspection system.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Maximum inspection rates-New turkey inspection system. 381.68 Section 381.68 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Procedures § 381.68 Maximum inspection rates—New turkey inspection system. (a) The maximum inspection...

  18. Innovative Sensors for Pipeline Crawlers: Rotating Permanent Magnet Inspection

    Energy Technology Data Exchange (ETDEWEB)

    J. Bruce Nestleroth; Richard J. Davis; Stephanie Flamberg

    2006-09-30

    Internal inspection of pipelines is an important tool for ensuring safe and reliable delivery of fossil energy products. Current inspection systems that are propelled through the pipeline by the product flow cannot be used to inspect all pipelines because of the various physical barriers they may encounter. To facilitate inspection of these ''unpiggable'' pipelines, recent inspection development efforts have focused on a new generation of powered inspection platforms that are able to crawl slowly inside a pipeline and can maneuver past the physical barriers that limit internal inspection applicability, such as bore restrictions, low product flow rate, and low pressure. The first step in this research was to review existing inspection technologies for applicability and compatibility with crawler systems. Most existing inspection technologies, including magnetic flux leakage and ultrasonic methods, had significant implementation limitations including mass, physical size, inspection energy coupling requirements and technology maturity. The remote field technique was the most promising but power consumption was high and anomaly signals were low requiring sensitive detectors and electronics. After reviewing each inspection technology, it was decided to investigate the potential for a new inspection method. The new inspection method takes advantage of advances in permanent magnet strength, along with their wide availability and low cost. Called rotating permanent magnet inspection (RPMI), this patent pending technology employs pairs of permanent magnets rotating around the central axis of a cylinder to induce high current densities in the material under inspection. Anomalies and wall thickness variations are detected with an array of sensors that measure local changes in the magnetic field produced by the induced current flowing in the material. This inspection method is an alternative to the common concentric coil remote field technique that induces

  19. Opinions and perceptions regarding the impact of new regulatory guidelines: A survey in Indian Clinical Trial Investigators

    Directory of Open Access Journals (Sweden)

    Rashmi Kadam

    2016-01-01

    Full Text Available Background: Clinical research in India experienced dramatic changes with series of stringent guidelines introduced by regulatory authorities. These guidelines posed significant challenges for the clinical trial industry. Objective: To assess the perceptions and opinion of Indian Investigators about the new regulatory guidelines. Methods: We developed a survey questionnaire on recent regulatory guidelines which was hosted on a web portal. Seventy-three investigators from India participated in the survey. Results: Central registration of Ethics Committees (ECs was agreed by 90.1% participants, 76.8% participants agreed to compensation of subjects for study related Serious Adverse Events (SAE's. The compulsion to include government sites in clinical trials was not agreed by 49.3% participants while 21.2% agreed to it. Restriction on a number of trials per investigator was agreed by 49.3% of participants while 40.9% disagreed. Participants (50.7% disagreed to the introduction of audio-video (AV recording of informed consent, 36.6% agreed and 12.7% were neutral. Discussion: Participants observed that post central registration; ECs have improved systems with adequate member composition, functional Standard Operating Procedures, and timely approvals. Participants agreed that compensation of study related SAE's would assure subject protection and safety. The introduction of AV consenting was strongly debated sighting sociocultural issues in the implementation of the same. Conclusion: Participants endorsed guidelines pertaining to the central registration of ECs, SAE related compensation. Restrictions on a number of trials per investigator and AV consenting were debated ardently. The response of the survey participants who are clinical trial investigators in India showed general acceptance, effectiveness and anticipated compliance to the new regulatory guidelines.

  20. An Intelligent Computerized Stretch Reflex Measurement System For Clinical And Investigative Neurology

    Science.gov (United States)

    Flanagan, P. M.; Chutkow, J. G.; Riggs, M. T.; Cristiano, V. D.

    1987-05-01

    We describe the design of a reliable, user-friendly preprototype system for quantifying the tendon stretch reflexes in humans and large mammals. A hand-held, instrumented reflex gun, the impactor of which contains a single force sensor, interfaces with a computer. The resulting test system can deliver sequences of reproducible stimuli at graded intensities and adjustable durations to a muscle's tendon ("tendon taps"), measure the impacting force of each tap, and record the subsequent reflex muscle contraction from the same tendon -- all automatically. The parameters of the reflex muscle contraction include latency; mechanical threshold; and peak time, peak magnitude, and settling time. The results of clinical tests presented in this paper illustrate the system's potential usefulness in detecting neurologic dysfunction affecting the tendon stretch reflexes, in documenting the course of neurologic illnesses and their response to therapy, and in clinical and laboratory neurologic research.

  1. Methodology guideline for clinical studies investigating traditional Chinese medicine and integrative medicine: executive summary.

    Science.gov (United States)

    Liu, Jian-Ping; Chen, Ke-Ji

    2015-10-01

    This guideline aims to provide a methodological guidance for clinical studies in TCM and integrative medicine in terms of study design, execution, and reporting. The commonly used methods including experimental and observational methods were introduced in this guideline such as randomized clinical trials, cohort study, case-control study, case series, and qualitative method which can be incorporated into above quantitative methods. The guideline can be used for the evaluation of therapeutic effect of TCM therapies or their combination with conventional therapy. TCM therapy refers to one of the followings or their combination: herbal medicine, acupuncture, moxibustion, cupping, Taichi/Qigong, and Guasha,Tuina (therapeutic massage). It is also suitable for research and development of ethnopharmaceuticals or folk medicine.

  2. Department of Clinical Investigation Annual Research Progress Report, Fiscal Year 1987

    Science.gov (United States)

    1987-10-01

    S.A. C Clinical Effect of Succinylcholine Intraosseously in 72 #86/91 Sheep PFAFF, J.A. C Usefulness of Chlamydiazyme Test in Emergency 73 #86/77...in the Cytoloqic Diagnosis of Peripheral N Pulmonary Neoplasms GROVER, B.S. C Pleuroscopy in the Sheep with a Flexible Fiberoptic 102 #86/73...representative serovars of different serogroups will be used for testing the antibody secreting hybridoma clones. Leptospira organisms will be

  3. Frequency, Clinical Correlates, and Ratings of Behavioral Changes in Primary Brain Tumor Patients: A Preliminary Investigation

    OpenAIRE

    Simpson, Grahame K.; Eng-Siew eKoh; Diane eWhiting; Wright, Kylie M.; Teresa eSimpson; Rochelle eFirth; Lauren eGillett; Kathryn eYounan

    2015-01-01

    Purpose Few studies have addressed the specific behavioral changes associated with primary brain tumor (PBT). This paper will report on the frequency and demographic/clinical correlates of such behaviors, and the reliability of rating such behaviors among people with PBT, family informants, and clinicians. The association of behavioral changes and patient functional status will also be discussed. Methods A total of 57 patients with 37 family informants were recruited from two large...

  4. Blood stream infections caused by Acinetobacter baumannii group in Japan - Epidemiological and clinical investigation.

    Science.gov (United States)

    Fujikura, Yuji; Yuki, Atsushi; Hamamoto, Takaaki; Kawana, Akihiko; Ohkusu, Kiyofumi; Matsumoto, Tetsuya

    2016-06-01

    Acinetobacter calcoaceticus-Acinetobacter baumannii complex, especially A. baumannii, Acinetobacter pittii and Acinetobacter nosocomialis, constitutes an important group of nosocomial pathogens; however, epidemiological or clinical characteristics and prognosis is limited in Japan. From 2009 to 2013, 47 blood stream infection cases resulting from A. baumannii group were reviewed at the National Defense Medical College, an 800-bed tertiary hospital. To determine the genospecies, further comparative nucleotide sequence analyses of the RNA polymerase b-subunit (rpoB) gene were performed. Sequence analysis of rpoB gene showed that 25 (49.0%), 17 (33.3%) and 5 (9.8%) cases were caused by A. baumannii, A. pittii and A. nosocomialis, respectively. The 30-day and in-hospital mortality rates of A. baumannii were 8.5% and 25.5%, respectively, and there were no significant differences between Acinetobacter species. Clinical characteristics were statistically insignificant. Multidrug-resistant Acinetobacter species were detected in 3 cases (5.9%) with same pulsed-field gel electrophoresis (PFGE) pattern and A. baumannii was less susceptible to amikacin and levofloxacin. In this study, the mortality and clinical characteristics were similar among A. baumannii group isolate cases despite some showing drug resistance. However, identification of Acinetobacter species helps to initiate appropriate antibiotic therapy in earlier treatment phase, because A. baumannii shows some drug resistance.

  5. An Investigation of Job Stress and Job Burnout in Iranian Clinical Pharmacist

    Directory of Open Access Journals (Sweden)

    Armaghan Eslami

    2016-05-01

    Full Text Available Background: Stress is an important element of organization ineffectiveness and since it leads to sickness, eventually it reduces quality and quantity of health care, lead to expansion of it costs and low job satisfaction. Stress comes along with consequences, one of this reactions which comes along with horrible effects is job burnout. Health care are more exposed for job burnout. We examined the relationship between job stress and job burnout in Iranian clinical pharmacist.Methods: Sample was 50 of men and women of clinical pharmacist. Parker and De cotiis  scale (1983 and Maslach Burnout Inventory (MBI, 1981 were used to asses clinical pharmacist stress and burnout. Data were analyzed by applying regression method.Results: Results indicated that there is strong relationship between stress and burnout and its three dimensions. The result also indicated that stress have the highest impact on emotional exhaustion and the least on the depersonalization.Conclusion: Burnout is a result of stress in human services career. Human service needs are vary from other professions since in these jobs in order to fulfill the clients’ needs, employees should use themselves as the required technology, and in return they do not receive gratitude or appreciation.

  6. Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs

    Directory of Open Access Journals (Sweden)

    Eduardo Luis de Aquino Neves

    2011-06-01

    Full Text Available Charcot-Marie-Tooth (CMT disease is a hereditary neuropathy of motor and sensory impairment with distal predominance. Atrophy and weakness of lower limbs are the first signs of the disease. It can be classified, with the aid of electromyography and nerve conduction studies, as demyelinating (CMT1 or axonal (CMT2. OBJECTIVE: Clinical and neurophysiological investigation of a large multigenerational family with CMT2 with autosomal dominant mode of transmission. METHOD: Fifty individuals were evaluated and neurophysiological studies performed in 22 patients. RESULTS: Thirty individuals had clinical signs of motor-sensory neuropathy. Babinski sign was present in 14 individuals. Neurophysiological study showed motor-sensory axonal polyneuropathy. CONCLUSION: The clinical and neurophysiological characteristics of this family does not differ from those observed with other forms of CMT, except for the high prevalence of Babinski sign.

  7. Department of Clinical Investigation Annual Research Progress Report, Fiscal Year 1989

    Science.gov (United States)

    1989-09-30

    Wiegman NE, Deficient Knees July 89 Perra JJ DEPARTMENT OF PSYCHIATRY Zold AC, Effect of Testosterone or Society for Neuro- Hannan CJ, Nandrolone on...Principal Investigator: CPT William J. Tatu, SP Associate Investigators: COL Bruce R. Wheeler, MC MAJ Joseph R. Dettori, SP MAJ Nelson E. Wiegman , MC CPT...23, 179, 180, 189, 202 White D ............. 111 White LJ ........... 178 Whittaker DS ....... 112 Whitten NJ ......... 4 Wiegman NE ......... 23

  8. Decisions to withhold diagnostic investigations in nursing home patients with a clinical suspicion of venous thromboembolism.

    Directory of Open Access Journals (Sweden)

    Henrike J Schouten

    Full Text Available This study aimed to gather insights in physicians' considerations for decisions to either refer for- or to withhold additional diagnostic investigations in nursing home patients with a suspicion of venous thromboembolism.Our study was nested in an observational study on diagnostic strategies for suspected venous thromboembolism in nursing home patients. Patient characteristics, bleeding-complications and mortality were related to the decision to withhold investigations. For a better understanding of the physicians' decisions, 21 individual face-to-face in-depth interviews were performed and analysed using the grounded theory approach.Referal for additional diagnostic investigations was forgone in 126/322 (39.1% patients with an indication for diagnostic work-up. 'Blind' anticoagulant treatment was initiated in 95 (75.4% of these patients. The 3 month mortality rates were higher for patients in whom investigations were withheld than in the referred patients, irrespective of anticoagulant treatment (odds ratio 2.45; 95% confidence interval 1.40 to 4.29 but when adjusted for the probability of being referred (i.e. the propensity score, there was no relation of non-diagnosis decisions to mortality (odds ratio 1.75; 0.98 to 3.11. In their decisions to forgo diagnostic investigations, physicians incorporated the estimated relative impact of the potential disease; the potential net-benefits of diagnostic investigations and whether performing investigations agreed with established management goals in advance care planning.Referral for additional diagnostic investigations is withheld in almost 40% of Dutch nursing home patients with suspected venous thromboembolism and an indication for diagnostic work-up. We propose that, given the complexity of these decisions and the uncertainty regarding their indirect effects on patient outcome, more attention should be focused on the decision to either use or withhold additional diagnostic tests.

  9. Cleveland Clinic Lerner College of Medicine: an innovative approach to medical education and the training of physician investigators.

    Science.gov (United States)

    Fishleder, Andrew J; Henson, Lindsey C; Hull, Alan L

    2007-04-01

    Cleveland Clinic Lerner College of Medicine (CCLCM) is an innovative, five-year medical education track within Case Western Reserve University School of Medicine (Case) with a focused mission to attract and educate a limited number of highly qualified persons who seek to become physician investigators. CCLCM curriculum governance, faculty appointments and promotions, and admissions committees are integrated with respective Case committees. The CCLCM curriculum is based on faculty-defined professional attributes that graduates are expected to develop. These attributes were used to create curricular and assessment principles that guided the development of an integrated basic science, clinical science, and research curriculum, conducted in an active learning environment. An organ-system approach is used to solidify an understanding of basic science discipline threads in the context of relevant clinical problems presented in PBL and case-based discussion formats. Clinical skills are introduced in the first year as part of the two-year longitudinal experience with a family practice or internal medicine physician. The research program provides all students with opportunities to learn and experience basic and translational research and clinical research before selecting a research topic for their 12- to 15-month master-level thesis project. All Case students participate in required and elective clinical curriculum after the second year, but CCLCM students return to the Cleveland Clinic on selected Friday afternoons for program-specific research and professionalism-learning activities. A unique portfolio-based assessment system is used to assess student achievements in nine competency areas, seven of which reflect the Accreditation Council for Graduate Medical Education competencies.

  10. Functional investigations on embryonic stem cells labeled with clinically translatable iron oxide nanoparticles

    Science.gov (United States)

    Liu, Jing; Wang, Liqin; Cao, Jianbo; Huang, Yue; Lin, Yu; Wu, Xiaoyun; Wang, Zhiyong; Zhang, Fan; Xu, Xiuqin; Liu, Gang

    2014-07-01

    Stem cell based therapies offer significant potential in the field of regenerative medicine. The development of superparamagnetic iron oxide (SPIO) nanoparticle labeling and magnetic resonance imaging (MRI) have been increasingly used to track the transplanted cells, enabling in vivo determination of cell fate. However, the impact of SPIO-labeling on the cell phenotype and differentiation capacity of embryonic stem cells (ESCs) remains unclear. In this study, we wrapped SPIO nanoparticles with stearic acid grafted PEI600, termed as Stearic-LWPEI-SPIO, to generate efficient and non-toxic ESC labeling tools. Our results showed that efficient labeling of ESCs at an optimized low dosage of Stearic-LWPEI-SPIO nanoparticles did not alter the differentiation and self-renewal properties of ESCs. The localization of the transplanted ESCs observed by MRI correlated well with histological studies. These findings demonstrate that Stearic-LWPEI-SPIO nanoparticles have potential to be clinically translatable MRI probes and may enable non-invasive in vivo tracking of ESCs in experimental and clinical settings during cell-based therapies.Stem cell based therapies offer significant potential in the field of regenerative medicine. The development of superparamagnetic iron oxide (SPIO) nanoparticle labeling and magnetic resonance imaging (MRI) have been increasingly used to track the transplanted cells, enabling in vivo determination of cell fate. However, the impact of SPIO-labeling on the cell phenotype and differentiation capacity of embryonic stem cells (ESCs) remains unclear. In this study, we wrapped SPIO nanoparticles with stearic acid grafted PEI600, termed as Stearic-LWPEI-SPIO, to generate efficient and non-toxic ESC labeling tools. Our results showed that efficient labeling of ESCs at an optimized low dosage of Stearic-LWPEI-SPIO nanoparticles did not alter the differentiation and self-renewal properties of ESCs. The localization of the transplanted ESCs observed by MRI

  11. Department of Clinical Investigation Annual Research Progress Report, Fiscal Year 1993. Volume 1

    Science.gov (United States)

    1993-10-01

    Steroid In Reducing Post- Tonsillectomy Morbidity. 309 o0) C-89-91 Compassionate Use Protocol for Centoxin (HA-lA). (C) 310 C-90-91 Phase I Protocol...treated with Nd:YAG Laser to Patients Not Treated with Laser : Survival and Clinical data. Chest 1993; 10:44S. Atkins, J; Johnson, JE; Blanton, HM. The...Medical Center. 308 Detail Summary Sheet Date: 15 Dec 93 Protocol Number: C-76-91 Status: Ongoing Title: Efficacy of Steroid in Reducing Post- Tonsillectomy

  12. Clinical, biochemical and molecular investigations of three Taiwanese children with Laron syndrome.

    Science.gov (United States)

    Yang, Chen; Chen, Julia Yi-Ru; Lai, Chien-Cherng; Lin, Hsiu-Chen; Yeh, Geng-Chang; Hsu, Hsun-Hui

    2004-02-01

    Three children of two Taiwanese families were diagnosed with Laron syndrome, two sisters and one boy. Both sets of parents were consanguineous. Clinically, all three presented with the typical craniofacies of Laron syndrome, consisting of prominent forehead and hypoplastic nasal bridge, high-pitched voice, short stature, and central obesity. Biochemically, their levels of serum IGF-I were less than 5 microg/ml before and after an IGF-I generation test, and levels of IGFBP-3 were reduced in all three patients. Sequence analysis of the growth hormone receptor gene revealed that all three carried a homozygous missense D152G mutation in exon 6.

  13. Efficient Delivery of Investigational Antibacterial Agents via Sustainable Clinical Trial Networks.

    Science.gov (United States)

    McDonnell, Anthony; Rex, John H; Goossens, Herman; Bonten, Marc; Fowler, Vance G; Dane, Aaron

    2016-08-15

    The economics of antibiotics can be improved by infectious diseases-specific clinical trial networks. While developers would still need to implement an independent phase 1 program as well as studies focused on highly resistant pathogens, standardized procedures in a network focused on usual drug resistance phenotype isolates would permit sharing of controls and would predictably generate high-quality pivotal data for product registration while creating cost and time savings in the range of 30%-40%. This would reduce economic barriers to antibiotic development and contribute to public health.

  14. Investigation on the Present Situation of Food and Drug Inspection Resources in Guangxi Food and Drug System%广西食药监系统食品药品检验检测资源现状调查

    Institute of Scientific and Technical Information of China (English)

    谌晓勤; 吴维民; 曾立威; 蒋帅; 霍海英; 李艺钊; 黄苑清

    2015-01-01

    Objective: To have an overall view of the present situation of food and drug inspection resources in Guangxi food and drug administration system, so as to improve the detection of resources, enhance the inspection ability, and play a better security role in proposed technical support.Methods:The self-made questionnaire was carried out by the Guangxi provincial food and drug administration, and the data were collected online direct network reporting. Results:The results showed that most of the inspection personnel had received college education, and majority of them had the primary job titles or below; most of the finance was invested by the central government and the provincial government, accounting for 36.49%, and 42.31% respectively; the equipment distribution was extremely uneven, the provincial inspection agencies had 50.11% of the instrument and equipment; institutional research capacity of municipal detection organization was much lower than provincial agencies.Conclusion:It is necessary to appropriately increase the preparation, improve the education and job title of inspection personnel, It is necessary to strengthen the city and county levels of government agencies for the detection of ifnancial investment, It is necessary to enhance the city and county agencies to detect equipment investment and it is necessary to put emphasis on institutional capacity building inspection.%目的:了解广西食药监系统食品药品检验检测资源现状,为改善检测资源、提升检验能力,更好地发挥检测机构的技术保障作用提出建议。方法:自制问卷,通过广西食品药品监督管理局下发问卷,采用网络直报的方式收集数据。结果:调查显示:检验人员学历以本科为主,职称以初级及以下职称为主;财政投入以中央财政和区政府为主,分别占36.49%、42.31%;仪器设备分布极不均衡,区级检测机构拥有50.11%不同价值的仪器设备;市级检测机构科

  15. Codified Risk Based Inspection Planning

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Faber, M.H.

    2002-01-01

    and member failure and at the same time minimizing overall total service life costs. Generic inspections plans can then be established for representative fatigue sensitive details in terms of characteristics such as FDF (Fatigue Design Factor), detail type, RSR (Reserve Strength Ratio) given fatigue failure......Simplified methods are described for reliability- and risk-based inspection planning of steel structures. The methods simplify the practical aspects of identifying inspection plans complying both with specific requirements to the maximum acceptable annual probability of structural collapse...

  16. Inspection technology for high pressure pipes

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae H.; Lee, Jae C.; Eum, Heung S.; Choi, Yu R.; Moon, Soon S.; Jang, Jong H

    2000-02-01

    Various kinds of defects are likely to be occurred in the welds of high pressure pipes in nuclear power plants. Considering the recent accident of Zuruga nuclear power plant in Japan, reasonable policy is strongly requested for the high pressure pipe integrity. In this study, we developed the technologies to inspect pipe welds automatically. After development of scanning robot prototype in the first research year, we developed and implemented the algorithm of automatic tracking of the scanning robot along the weld line of the pipes. We use laser slit beam on weld area and capture the image using digital camera. Through processing of the captures image, we finally determine the weld line automatically. In addition, we investigated a new technology on micro systems for developing micro scanning robotic inspection of the pipe welds. The technology developed in this study is being transferred to the industry. (author)

  17. Automated Defect Inspection Systems by Pattern Recognition

    Directory of Open Access Journals (Sweden)

    Mira Park

    2009-06-01

    Full Text Available Visual inspection and classification of cigarettes packaged in a tin container is very important in manufacturing cigarette products that require high quality package presentation. For accurate automated inspection and classification, computer vision has been deployed widely in manufacturing. We present the detection of the defective packaging of tins of cigarettes by identifying individual objects in the cigarette tins. Object identification information is used for the classification of the acceptable cases (correctly packaged tins or defective cases (incorrectly packaged tins. This paper investigates the problem of identifying the individual cigarettes and a paper spoon in the packaged tin using image processing andmorphology operations. The segmentation performance was evaluated on 500 images including examples of both good cases and defective cases.

  18. Definition of major bleeding in clinical investigations of antihemostatic medicinal products in surgical patients.

    Science.gov (United States)

    Schulman, S; Angerås, U; Bergqvist, D; Eriksson, B; Lassen, M R; Fisher, W

    2010-01-01

    The definition of major bleeding varies between studies on surgical patients, particularly regarding the criteria for surgical wound-related bleeding. This diversity contributes to the difficulties in comparing data between trials. The Scientific and Standardization Committee (SSC), through its subcommittee on Control of Anticoagulation, of the International Society on Thrombosis and Haemostasis has previously published a recommendation for a harmonized definition of major bleeding in non-surgical studies. That definition has been adopted by the European Medicines Agency and is currently used in several non-surgical trials. A preliminary proposal for a parallel definition for surgical studies was presented at the 54(th) Annual Meeting of the SSC in Vienna, July 2008. Based on those discussions and further consultations with European and North American surgeons with experience from clinical trials a definition has been developed that should be applicable to all agents that interfere with hemostasis. The definition and the text that follows have been reviewed and approved by relevant co-chairs of the subcommittee and by the Executive Committee of the SSC. The intention is to seek approval of this definition from the regulatory authorities to enhance its incorporation into future clinical trial protocols.

  19. Radionuclide investigations in clinical cardiology - 10 years of cooperation in Frankfurt/FRG

    Energy Technology Data Exchange (ETDEWEB)

    Klepzig, H. Jr.; Kaltenbach, M.

    1989-02-01

    Radionuclide investigations today are an important tool in cardiology. They close the diagnostic gap in cases where non-invasive procedures of cardiological diagnosis such as ecg, exercise-ecg, echocardiography and chest-x-ray remains unrevealing. Further, they are helpful when an exact quantitation of the disease or a precise follow-up is required. Radionuclide techniques are very useful to detect myocardial ischemia in patients with coronary heart disease and to judge myocardial function in patients with aortic or mitral regurgitation. Follow-up investigations after therapy (aortocoronary bypass, PTCA, valve replacement) permit conclusions regarding the benefit of these measures. Results of radionuclide investigations should consider the Bayes' theorem in order to keep false-negative and false-positive reports as low as possible.

  20. Department of Clinical Investigation Annual Research Progress Report, Fiscal Year 1985. Volume 2,

    Science.gov (United States)

    1985-10-01

    7Ga gamma scans. Progress: "Healing curves" based on 6 7Ga uptake ratios in the traumatized vs non-traumatized leg reveal no statistically significant...was done in sink table mock circulatory system using aortas from necropsy. Sine/ wave spike stimuli were used. Progress: Six control baboons and five...Investigator Facility Glenn M. Mills M.D._ MAT MC Hrok Ar.. a^dia C--tr Dept/Svc ssocateInvestigators: Department of Medit -ineOnrnnlgy Walter H. Harvey

  1. Investigating the mobilome in clinically important lineages of Enterococcus faecium and Enterococcus faecalis

    NARCIS (Netherlands)

    Mikalsen, Theresa; Pedersen, Torunn; Willems, Rob; Coque, Teresa M; Werner, Guido; Sadowy, Ewa; van Schaik, Willem; Jensen, Lars Bogø; Sundsfjord, Arnfinn; Hegstad, Kristin

    2015-01-01

    BACKGROUND: The success of Enterococcus faecium and E. faecalis evolving as multi-resistant nosocomial pathogens is associated with their ability to acquire and share adaptive traits, including antimicrobial resistance genes encoded by mobile genetic elements (MGEs). Here, we investigate this mobilo

  2. 基层医院开展胎儿超声心动图常规检查的临床价值%Clinical value of the fetal echocardiography routine inspection in grass-roots hospitals

    Institute of Scientific and Technical Information of China (English)

    崔冬梅; 刘耀平; 赵会君; 路明晖; 王沂; 徐佳; 张佳

    2015-01-01

    目的 探讨基层产前筛查医院常规开展胎儿超声心动图检查的临床价值.方法 对北京市昌平区妇幼保健院2011年9月至2014年11月,共22 570例孕妇行产前胎儿超声心动图检查,其中19 978例产后行新生儿超声心动图筛查.对产前检查出心脏异常病例转诊,与上级医院诊断结果及生后新生儿超声心动图筛查结果进行对比,并对常规扫查切面进行回顾性分析、讨论.结果 共发现心脏异常314例:产前筛查出胎儿心脏异常病例140例,确诊130例,诊断符合率92.9%(130/140);产前阳性检出率0.6%(130/22 570);漏诊2例、6处,漏诊率6.2%(8/130);误诊5例,误诊率3.8%(5/130);失访3例.产后新生儿超声心动图筛查出心脏异常174例.结论 基层产前筛查医院常规开展规范化胎儿超声心动检查,加强转诊、追踪、随访工作,对及早发现并诊断先天性心脏畸形具有重要的价值.%Objective To estimate the significance and clinical value of fetal echocardiography in the prenatal test of the grass-roots hospital.Methods 22 570 pregnant women were reviewed,newborns echocardiography were carried out in 19 978 cases.As for the abnormal cases in prenatal screening,the result was compared with the superior hospital diagnosis,also newborns echocardiography was executed to identify the result.Results 140 cases with fetal cardiac abnormalities had been diagnosed,of which 130 cases confirmed.The diagnosis coincidence rate was 92.9% (130/140) and prenatal positive detection rate was 0.6% (130/22 570).Omission diagnostic rate was 6.2% (8/130).Misdiagnosis rate was 3.8% (5/130).3 cases were lost to follow-up.174 cases of newborns cardiac anomalies were diagnosed in postpartum echocardiography.Conclusions it is of importance to carry out the fetal echocardiography routine inspection in grass-roots hospitals,of which will facilitated the early detection and diagnosis of congenital heart abnormalities.

  3. 小儿肺炎支原体肺炎合并腹泻的临床检验分析%Clinical inspection analysis of pediatric mycoplasma pneumoniae pneumonia complicated diarrhea

    Institute of Scientific and Technical Information of China (English)

    幸红军

    2015-01-01

    目的:分析小儿肺炎支原体肺炎合并腹泻的临床检验结果。方法:2012年8月-2013年6月收治肺炎支原体肺炎患儿358例,按年龄分为3组。检测3组患儿肺炎支原体IgM抗体、轮状病毒抗原及其他病原菌,分析腹泻发生情况及病原体分布。结果:358例肺炎支原体肺炎患儿合并腹泻150例(41.9%),其中婴幼儿组腹泻发生率22.9%,明显高于学龄前组及学龄组,差异比较有统计学意义(P<0.05)。所选患儿腹泻多见于细菌性肠炎(45.3%),其次为轮状病毒肠炎。婴幼儿组轮状病毒肠炎腹泻46.3%,明显高于其他类型腹泻,差异比较有统计学意义(P<0.05)。结论:肺炎支原体肺炎可引起小儿腹泻,且多见于婴幼儿,在重视患儿粪便细菌培养的同时应加强轮状病毒的检测,防止肺炎支原体肺炎合并腹泻发生。%Objective:To analyze the clinical inspection results of pediatric mycoplasma pneumoniae pneumonia complicated diarrhea.Methods:358 cases of children with mycoplasma pneumoniae pneumonia from August 2012 to June 2013 were divided into three groups according to the age.Mycoplasma pneumoniae IgM antibody,rotavirus antigen and other pathogens of the three groups were detected and the diarrhea occurrence and distribution of pathogens were analyzed.Results:150 cases of children(41.9%) were combined with diarrhea in 358 cases with mycoplasma pneumoniae pneumonia,and the diarrhea incidence of the infant group was 22.9% ,which was significantly higher than that of the preschool group and school-age group,and the difference were statistically significant(P<0.05).The bacterial enteritis were the most among selected children with diarrhea(45.3% ),followed by rotavirus enteritis.The rotavirus enteritis in infant group with diarrhea was 46.3% ,which was significantly higher than other types of diarrhea,and the difference was statistical significant(P<0.05).Conclusion:Mycoplasma pneumoniae pneumonia

  4. Is daily routine important for sleep? An investigation of social rhythms in a clinical insomnia population.

    Science.gov (United States)

    Moss, Taryn G; Carney, Colleen E; Haynes, Patricia; Harris, Andrea L

    2015-02-01

    Social rhythms, also known as daily routines (e.g. exercise, of school or work, recreation, social activities), have been identified as potential time cues to help to regulate the biological clock. Past research has shown links between regularity and healthy sleep. This study examined the regularity and frequency of daytime activities in a clinical insomnia population and a good sleeper comparison group. Participants (N = 69) prospectively monitored their sleep and daily activities for a 2-week period. Although participants with insomnia and good sleepers had similar levels of activity, relative to good sleepers, those with insomnia were less regular in their activities. Findings from this study add to the growing number of studies that highlight the relative importance of the regularity of daytime activities on sleep. Accordingly, future research should test treatment components that focus on regulating daytime activities, which would likely improve treatment outcomes.

  5. Definition of major bleeding in clinical investigations of antihemostatic medicinal products in surgical patients

    DEFF Research Database (Denmark)

    Schulman, S; Angerås, U; Bergqvist, D

    2010-01-01

    The definition of major bleeding varies between studies on surgical patients, particularly regarding the criteria for surgical wound-related bleeding. This diversity contributes to the difficulties in comparing data between trials. The Scientific and Standardization Committee (SSC), through its...... subcommittee on Control of Anticoagulation, of the International Society on Thrombosis and Haemostasis has previously published a recommendation for a harmonized definition of major bleeding in non-surgical studies. That definition has been adopted by the European Medicines Agency and is currently used...... in several non-surgical trials. A preliminary proposal for a parallel definition for surgical studies was presented at the 54(th) Annual Meeting of the SSC in Vienna, July 2008. Based on those discussions and further consultations with European and North American surgeons with experience from clinical trials...

  6. Photodynamic therapy for malignant and non-malignant diseases: clinical investigation and application

    Institute of Scientific and Technical Information of China (English)

    QIANG Yong-gang; ZHANG Xiu-ping; LI Jian; HUANG Zheng

    2006-01-01

    @@ Photodynamic therapy (PDT) is a relatively new treatment modality. Clinical PDT procedure involves the administration of a photosensitizer followed by local illumination with visible light of a specific wavelength. In the presence of molecule oxygen, the light illumination of photosensitizer can lead to a series of photochemical reactions and consequently generate a variety of cytotoxic species.The nature, location and quantity of PDT-induced cytotoxic species and the sensitivity of the target cells determine the outcome of a PDT treatment.Since the first government approval of photosensitizer Photofrin was granted, for the treatment of bladder cancer in Canada in 1993,1 the utilization of PDT in the treatment of malignant and non-malignant diseases has increased significantly due to the improvement in photosensitizers and light applicators. Several similar photosensitizers have been developed and utilization in China since the 1980s.2

  7. Development and internal structure investigation of the Dimensional Clinical Personality Inventory

    Directory of Open Access Journals (Sweden)

    Lucas de Francisco Carvalho

    2015-06-01

    Full Text Available This study aimed to develop a dimensional instrument to assess personality disorders based on Millon's theoretical perspective and on DSM-IV-TR diagnoses criteria, and seek validity evidence based on internal structure and reliability indexes of the factors. In order to do that, a self-report test composed of 215 items, the Dimensional Clinical Personality Inventory (DCPI was developed and applied to 561 respondents aged between 18 and 90 years (M = 28,8; SD = 11.4, with 51.8% females. Exploratory factor analysis and verification of reliability were performed using Cronbach's alpha. Data provided validity evidence based on internal structure of the instrument according to the theory of Millon and DSM-IV-TR.

  8. Clinical Investigations and Management of Refractive Changes in Pregnancy: A Case Report.

    Science.gov (United States)

    Ekpenyong, Bernadine N; Aruotu, Nwakuso A; Uzodike, Ebele B; Njoku, Chimela G

    2015-12-01

    Pregnancy also presents with ocular changes, just as it affects other non-reproductive systems of the female. It has been reported to be associated with development of new health conditions or can exacerbate pre- existing health conditions. This paper reviews the management of Mrs AA, a 41 year old pregnant woman (primigravida) with refractive changes from myopia in the first trimester, to hyperopia in the second and third trimesters of her pregnancy. A comprehensive ocular examination was performed including fundus photograph and Optical Coherent Tomography. The results revealed signs of Central Serous Chorioretinopathy in both eyes which may have been due to various hormonal changes in pregnancy with resultant changes in refractive error. These ocular changes associated with pregnancy are, most often transient in nature, though occasionally permanent. This condition therefore requires clinical observation and monitoring until the resolution of the serous detachment is complete, and vision returned back to normal. Other ocular changes that are pregnancy related were reviewed.

  9. Clinical and pathological investigation of adnexal masses in adolescents who underwent surgery in a tertiary center

    Directory of Open Access Journals (Sweden)

    Hediye Dağdeviren

    2015-06-01

    Full Text Available Objective: Adnexal masses are the most common reason for gynecologic surgery in adolescent patients. Early detection and adequate management of adnexal lesions are very important for saving lives and preserving fertility. In this study, we analyzed the clinical characteristics of 106 Turkish adolescent women who underwent surgery for adnexal masses. Methods: The study included 106 patients aged ≤20 years that underwent surgery for adnexal masses at our hospital between January 2008 and December 2013. Clinical profiles were retrospectively collected from the hospital medical records. The records were analyzed for demographic profiles, initial symptoms, preoperative radiologic findings, operative approach, surgical procedure, pathology findings, and the maximum diameter of the adnexal mass. Results: The age of the patients ranged from 12 to 20 years (median, 18.8 years. The most common initial symptom in these patients was abdominal pain (56.6%. Non-neoplastic ovarian lesions in the patients included 7 (6.6% corpora hemorrhagica, 10 (9.4% corpus luteal cysts, 4 (3.8% paratubal cysts, and 7 (6.6% simple cysts. Benign neoplastic tumors included 20 (18.9% mature cystic teratomas (i.e., dermoid tumors, 10 (9.4% serous cystadenomas, 1 (0.9% mucinous cystadenomas, and 7 (6.6% endometriomas. The most common surgical approach and procedure were laparoscopy (67.0% and cystectomy (60.4%, respectively. Conclusion: Laparoscopy can be performed in many adolescent patients and conservative, adnexal-sparing surgery should be encouraged for all patients. Ovarian-preserving techniques should be a priority when surgery is performed for benign masses in order to optimize future fertility potential. J Clin Exp Invest 2015; 6 (2: 96-101

  10. Public Housing Physical Inspection Scores

    Data.gov (United States)

    Department of Housing and Urban Development — HUD's Real Estate Assessment Center conducts physical property inspections of properties that are owned, insured or subsidized by HUD, including public housing and...

  11. Multifamily Housing Physical Inspection Scores

    Data.gov (United States)

    Department of Housing and Urban Development — HUD's Real Estate Assessment Center conducts physical property inspections of properties that are owned, insured or subsidized by HUD, including public housing and...

  12. National Automated Conformity Inspection Process -

    Data.gov (United States)

    Department of Transportation — The National Automated Conformity Inspection Process (NACIP) Application is intended to expedite the workflow process as it pertains to the FAA Form 81 0-10 Request...

  13. Sea bed mapping and inspection

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    The conference has 24 presentations on the topics: Sea bed mapping, inspection, positioning, hydrography, marine archaeology, remote operation vehicles and computerized simulation technologies, oil field activities and plans, technological experiences and problems. (tk)

  14. The level and nature of autistic intelligence III: Inspection time.

    Science.gov (United States)

    Barbeau, Elise B; Soulières, Isabelle; Dawson, Michelle; Zeffiro, Thomas A; Mottron, Laurent

    2013-02-01

    Across the autism spectrum, level of intelligence is highly dependent on the psychometric instrument used for assessment, and there are conflicting views concerning which measures best estimate autistic cognitive abilities. Inspection time is a processing speed measure associated with general intelligence in typical individuals. We therefore investigated autism spectrum performance on inspection time in relation to two different general intelligence tests. Autism spectrum individuals were divided into autistic and Asperger subgroups according to speech development history. Compared to a typical control group, mean inspection time for the autistic subgroup but not the Asperger subgroup was significantly shorter (by 31%). However, the shorter mean autistic inspection time was evident only when groups were matched on Wechsler IQ and disappeared when they were matched using Raven's Progressive Matrices. When autism spectrum abilities are compared to typical abilities, results may be influenced by speech development history as well as by the instrument used for intelligence matching.

  15. Role of clinical and postmortem morphological investigations in practice of infectionist

    Directory of Open Access Journals (Sweden)

    V. A. Zinserling

    2012-01-01

    Full Text Available In the paper are analyzed the results of author’s own long term experience in clinico-pathological correlations and some literary data. It is shown that morphological investigations play an important role in diagnostics of many infections, optimization of therapy, control of efficacy of the treatment and prognosis of the disease course. The results of the autopsy help not only to analyze the course of the illness in the concrete case, but also help in study of pathogenesis. Very informative are also the results of morphological investigations in animal models of infections.

  16. Investigation of correlation between colonic cancer related anemia and characteristics of clinical pathology

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Objective To investigate the correlation between colonic cancer-related anemia and the pathologic features of colonic cancer.Methods The relationship between colonic cancer-related anemia and the pathologic features of colonic cancer was analyzed in a statistical method.Results There was no statistical significance between the histopathological type and incidence of colonic cancer-related anemia(P>0.05).There was statistical significance between the general classification of colonic cancer

  17. Department of Clinical Investigation Annual Research Progress Report, Fiscal Year 1984. Volume 2,

    Science.gov (United States)

    2014-09-26

    Vincristine-Prednisone for Maintenance or Consolidation. Phase II. (0) SWOG 8231 Chemotherapy for Extragonadal Germinal Cell Neoplasms, 329 Phase II. (0) SWOG...of the deeper layers with the maximum allowable penetration into but not through the serosa; localized lesions extending through serosa, with or... Germinal Cell Neoplasms, Phase II Start Date 8 Jul 83 Eat Comp Date: Unknown Principal Investigator Facility James F. Boyd, M.D., LTC, MC Brooke Army Medical

  18. Annual Progress Report (FY-79) Clinical Investigation Service. Walter Reed Army Medical Center

    Science.gov (United States)

    1979-09-30

    1979. Boehm TM. Correlations among Glycosylated Hemoglobins, Weight Reduc- tion, and Hyperglycemia in the Treatment of Obese Diabetes Mellitus...easurement os A-I-C in the Assessment of Etficacy of Diabetic Treatment . Investigator: Timothv ,M. Boehm, IAJ MC Objectives: a) To compare hemoqlo in A-I...Dresentinp with nephropathy and retinopathy with similar diabetics without complications raeardine age, sex, duration of disease, and insulin requirement

  19. Stock market returns and clinical trial results of investigational compounds: an event study analysis of large biopharmaceutical companies.

    Directory of Open Access Journals (Sweden)

    Thomas J Hwang

    Full Text Available BACKGROUND: For biopharmaceutical companies, investments in research and development are risky, and the results from clinical trials are key inflection points in the process. Few studies have explored how and to what extent the public equity market values clinical trial results. METHODS: Our study dataset matched announcements of clinical trial results for investigational compounds from January 2011 to May 2013 with daily stock market returns of large United States-listed pharmaceutical and biotechnology companies. Event study methodology was used to examine the relationship between clinical research events and changes in stock returns. RESULTS: We identified public announcements for clinical trials of 24 investigational compounds, including 16 (67% positive and 8 (33% negative events. The majority of announcements were for Phase 3 clinical trials (N = 13, 54%, and for oncologic (N = 7, 29% and neurologic (N = 6, 24% indications. The median cumulative abnormal returns on the day of the announcement were 0.8% (95% confidence interval [CI]: -2.3, 13.4%; P = 0.02 for positive events and -2.0% (95% CI: -9.1, 0.7%; P = 0.04 for negative events, with statistically significant differences from zero. In the day immediately following the announcement, firms with positive events were associated with stock price corrections, with median cumulative abnormal returns falling to 0.4% (95% CI: -3.8, 12.3%; P = 0.33. For firms with negative announcements, the median cumulative abnormal returns were -1.7% (95% CI: -9.5, 1.0%; P = 0.03, and remained significantly negative over the two day event window. The magnitude of abnormal returns did not differ statistically by indication, by trial phase, or between biotechnology and pharmaceutical firms. CONCLUSIONS: The release of clinical trial results is an economically significant event and has meaningful effects on market value for large biopharmaceutical companies. Stock return underperformance due to negative events

  20. Virtual World Security Inspection

    Directory of Open Access Journals (Sweden)

    Nicholas Charles Patterson

    2012-06-01

    Full Text Available Virtual property theft is a serious problem that exists in virtual worlds. Legitimate users of these worlds invest considerable amounts of time, effort and real-world money into obtaining virtual property, but unfortunately, are becoming victims of theft in high numbers. It is reported that there are over 1 billion registered users of virtual worlds containing virtual property items worth an estimated US$50 billion dollars. The problem of virtual property theft is complex, involving many legal, social and technological issues. The software used to access virtual worlds is of great importance as they form the primary interface to these worlds and as such the primary interface to conduct virtual property theft. The security vulnerabilities of virtual world applications have not, to date, been examined. This study aims to use the process of software inspection to discover security vulnerabilities that may exist within virtual world software – vulnerabilities that enable virtual property theft to occur. Analyzing three well know virtual world applications World of Warcraft, Guild Wars and Entropia Universe, this research utilized security analysis tools and scenario testing with focus on authentication, trading, intruder detection and virtual property recovery. It was discovered that all three examples were susceptible to keylogging, mail and direct trade methods were the most likely method for transferring stolen items, intrusion detection is of critical concern to all VWEs tested, stolen items were unable to be recovered in all cases and lastly occurrences of theft were undetectable in all cases. The results gained in this study present the key problem areas which need to be addressed to improve security and reduce the occurrence of virtual property theft.

  1. 46 CFR 61.30-15 - Visual inspection.

    Science.gov (United States)

    2010-10-01

    ... INSPECTIONS Tests and Inspections of Fired Thermal Fluid Heaters § 61.30-15 Visual inspection. Thermal fluid heaters are examined by a marine inspector at the inspection for certification, periodic inspection...

  2. Evaluating clinical trial designs for investigational treatments of Ebola virus disease.

    Directory of Open Access Journals (Sweden)

    Ben S Cooper

    2015-04-01

    Full Text Available Experimental treatments for Ebola virus disease (EVD might reduce EVD mortality. There is uncertainty about the ability of different clinical trial designs to identify effective treatments, and about the feasibility of implementing individually randomised controlled trials during an Ebola epidemic.A treatment evaluation programme for use in EVD was devised using a multi-stage approach (MSA with two or three stages, including both non-randomised and randomised elements. The probabilities of rightly or wrongly recommending the experimental treatment, the required sample size, and the consequences for epidemic outcomes over 100 d under two epidemic scenarios were compared for the MSA, a sequential randomised controlled trial (SRCT with up to 20 interim analyses, and, as a reference case, a conventional randomised controlled trial (RCT without interim analyses. Assuming 50% 14-d survival in the population treated with the current standard of supportive care, all designs had similar probabilities of identifying effective treatments correctly, while the MSA was less likely to recommend treatments that were ineffective. The MSA led to a smaller number of cases receiving ineffective treatments and faster roll-out of highly effective treatments. For less effective treatments, the MSA had a high probability of including an RCT component, leading to a somewhat longer time to roll-out or rejection. Assuming 100 new EVD cases per day, the MSA led to between 6% and 15% greater reductions in epidemic mortality over the first 100 d for highly effective treatments compared to the SRCT. Both the MSA and SRCT led to substantially fewer deaths than a conventional RCT if the tested interventions were either highly effective or harmful. In the proposed MSA, the major threat to the validity of the results of the non-randomised components is that referral patterns, standard of care, or the virus itself may change during the study period in ways that affect mortality

  3. 23 CFR 650.311 - Inspection frequency.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Inspection frequency. 650.311 Section 650.311 Highways..., STRUCTURES, AND HYDRAULICS National Bridge Inspection Standards § 650.311 Inspection frequency. (a) Routine... level and frequency to which these bridges are inspected considering such factors as age,...

  4. Clinical Assessment and Management of Spondyloarthritides in the Middle East: A Multinational Investigation

    Science.gov (United States)

    Hammoudeh, Mohammed; Al Rayes, Hanan; Gado, Kamel; Shirazy, Khalid; Deodhar, Atul

    2015-01-01

    Data on spondyloarthritis (SpA) from the Middle East are sparse and the management of these diseases in this area of the world faces a number of challenges, including the relevant resources to enable early diagnosis and referral and sufficient funds to aid the most appropriate treatment strategy. The objective was to report on the characteristics, disease burden, and treatment of SpA in the Middle East region and to highlight where management strategies could be improved, with the overall aim of achieving better patient outcomes. This multicenter, observational, cross-sectional study collected demographic, clinical, laboratory, and treatment data on 169 consecutive SpA patients at four centers (Egypt, Kuwait, Qatar, and Saudi Arabia). The data collected presents the average time from symptom onset to diagnosis along with the presence of comorbidities in the region and comparisons between treatment with NSAIDs and biologics. In the absence of regional registries of SpA patients, the data presented here provide a rare snapshot of the characteristics, disease burden, and treatment of these patients, highlighting the management challenges in the region. PMID:26793241

  5. Clinical investigation of flat panel CT following middle ear reconstruction: a study of 107 patients

    Energy Technology Data Exchange (ETDEWEB)

    Zaoui, K. [University Hospital Heidelberg, Ruprecht Karls University, Department of Otorhinolaryngology, Head and Neck Surgery, Heidelberg (Germany); Kromeier, J. [St. Josefs Hospital, RkK, Department of Radiology, Freiburg (Germany); Neudert, M.; Beleites, T.; Zahnert, T. [University Hospital Dresden, Technical University, Department of Otorhinolaryngology, Head and Neck Surgery, Dresden (Germany); Laszig, R.; Offergeld, C. [University Hospital Freiburg, Albert Ludwigs University, Department of Otorhinolaryngology, Head and Neck Surgery, Freiburg (Germany)

    2014-03-15

    After middle ear reconstruction using partial or total ossicular replacement prostheses (PORP/TORP), an air-bone gap (ABG) may persist because of prosthesis displacement or malposition. So far, CT of the temporal bone has played the main role in the diagnosis of reasons for postoperative insufficient ABG improvement. Recent experimental and clinical studies have evaluated flat panel CT (fpCT) as an alternative imaging technique that provides images with high isovolumetric resolution, fewer metal-induced artefacts and lower irradiation doses. One hundred and seven consecutive patients with chronic otitis media with or without cholesteatoma underwent reconstruction by PORP (n = 52) or TORP (n = 55). All subjects underwent preoperative and postoperative audiometric testing and postoperative fpCT. Statistical evaluation of all 107 patients as well as the sole sub-assembly groups (PORP or TORP) showed a highly significant correlation between hearing improvement and fpCT-determined prosthesis position. FpCT enables detailed postoperative information on patients with middle ear reconstruction. FpCT is a new imaging technique that provides immediate feedback on surgical results after reconstructive middle ear surgery. Specific parameters evaluated by fpCT may serve as a predictive tool for estimated postoperative hearing improvement. Therefore this imaging technique is suitable for postoperative quality control in reconstructive middle ear surgery. (orig.)

  6. Long-term clinical investigation of patients with ankylosing spondylitis treated with /sup 224/Ra

    Energy Technology Data Exchange (ETDEWEB)

    Schmitt, E. (Universitatsklinik Friedrichsheim, Frankfurt, West Germany); Ruckbeil, C.; Wick, R.R.

    1983-01-01

    Between 1952 and 1980 about 250 patients with ankylosing spondylitis were treated with /sup 224/Ra at the Orthopaedic University Hospital of Frankfurt/M. In 1970, 119 of them were examined and X-rayed as was another group of 40 patients in 1980. The results of those examined could be compared with a group of 40 patients treated without /sup 224/Ra. Patients with /sup 224/Ra demonstrated a long-lasting period of subjective improvement after the treatment, with reduced consumption of antirheumatoid and analgesic drugs, on the average. Blood examinations show inflammatory activities. Nevertheless, the ankylosing spondylitis proceeded. In the final stages of the disease, neither the clinical aspects nor the X-rays showed any specific changes. We observed no case of malignant bone tumor. Of the 169 examined patients, 22 had a total of 32 children after the treatment with /sup 224/Ra. Among these was a set of twins with cerebral palsy and diabetes insipidus renalis. In conclusion, /sup 224/Ra in ankylosing spondylitis is a recommended treatment without higher risk compared to the common therapy with drugs.

  7. A Clinical Trial to Investigate the Effect of Cynatine HNS on Hair and Nail Parameters

    Directory of Open Access Journals (Sweden)

    Christina Beer

    2014-01-01

    Full Text Available Objective. A new, novel product, Cynatine HNS, was evaluated for its effects as a supplement for improving various aspects of hair and nails in a randomized, double-blind, placebo-controlled clinical trial. Methods. A total of 50 females were included and randomized into two groups. The active group (n=25 received 2 capsules containing Cynatine HNS, comprised of Cynatine brand keratin (500 mg plus vitamins and minerals, per day, and the placebo group (n=25 received 2 identical capsules of maltodextrin per day for 90 days. End points for hair loss, hair growth, hair strength, amino acid composition, and hair luster were measured. End points were also measured for nail strength and the appearance of nails. Results. The results show that subjects taking Cynatine HNS showed statistically significant improvements in their hair and nails when compared to placebo. Conclusion. Cynatine HNS is an effective supplement for improving hair and nails in 90 days or less. EudraCT number is 2014-002645-22.

  8. [Investigation about the clinical use of brushite- and hydroxylapatite-cement in sheep].

    Science.gov (United States)

    Oberle, A; Theiss, F; Bohner, M; Müller, J; Kästner, S B; Frei, C; Boecken, I; Zlinszky, K; Wunderlin, S; Auer, J A; von Rechenberg, B

    2005-11-01

    For future clinical use as synthetic bone replacement, an injectable brushite-(chronOS-Inject) and hydroxylapatite-(Biobon) cement were compared in a drill hole model in 10 sheep over time at 2, 4, 6, 8, 16 and 24 weeks. Results were compared regarding their practical use, biocompatibiliy, resorption mechanism and subsequent new bone formation. The cements were filled into drill holes (psi 8 x 13mm) of the proximal and distal humerus, and femur and the samples evaluated macroscopically, radiologically and microscopically including histomorphometrical quantification of percentages of new bone, fibrous tissue and remnants of cements. The cement area decreased continuously from 2 to 24 weeks with chronOS-Inject, as well as the area of granules. Inversely, the subsequent new bone formation increased from 2-24 weeks accordingly. With Biobon the cement area decreased slower between 2 and 24 weeks, and the new bone formation was less. Both cements were well integrated into the bone in long bones. chronOS-Inject demonstrated good biocompatibility and was almost completely replaced through bone within 24 weeks. Biobon was resorbed considerably slower and initially a slight inflammatory reaction including bone resorption was observed within the adjacent host bone.

  9. A cluster analysis to investigating nurses' knowledge, attitudes, and skills regarding the clinical management system.

    Science.gov (United States)

    Chan, M F

    2007-01-01

    Nurses' knowledge, attitudes, and skills regarding the Clinical Management System are explored by identifying profiles of nurses working in Hong Kong. A total of 282 nurses from four hospitals completed a self-reported questionnaire during the period from December 2004 to May 2005. Two-step cluster analysis yielded two clusters. The first cluster (n = 159, 56.4%) was labeled "negative attitudes, less skillful, and average knowledge" group. The second cluster (n = 123, 43.6%) was labeled "positive attitudes, good knowledge, but less skillful." There was a positive correlation in cluster 1 for nurses' knowledge and attitudes (rs = 0.28) and in cluster 2 for nurses' skills and attitudes (rs = 0.25) toward computerization. The study showed that senior and more highly educated nurses generally held more positive attitudes to computerization, whereas the attitudes among younger and less well educated nurses generally were more negative. Such findings should be used to formulate strategies to encourage nurses to resolve actual problems following computer training and to increase the depth and breadth of nurses' computer knowledge and skills and improve their attitudes toward computerization.

  10. Clinicians' emotional responses and Psychodynamic Diagnostic Manual adult personality disorders: A clinically relevant empirical investigation.

    Science.gov (United States)

    Gazzillo, Francesco; Lingiardi, Vittorio; Del Corno, Franco; Genova, Federica; Bornstein, Robert F; Gordon, Robert M; McWilliams, Nancy

    2015-06-01

    The aim of this study is to explore the relationship between level of personality organization and type of personality disorder as assessed with the categories in the Psychodynamic Diagnostic Manual (PDM; PDM Task Force, 2006) and the emotional responses of treating clinicians. We asked 148 Italian clinicians to assess 1 of their adult patients in treatment for personality disorders with the Psychodiagnostic Chart (PDC; Gordon & Bornstein, 2012) and the Personality Diagnostic Prototype (PDP; Gazzillo, Lingiardi, & Del Corno, 2012) and to complete the Therapist Response Questionnaire (TRQ; Betan, Heim, Zittel-Conklin, & Westen, 2005). The patients' level of overall personality pathology was positively associated with helpless and overwhelmed responses in clinicians and negatively associated with positive emotional responses. A parental and disengaged response was associated with the depressive, anxious, and dependent personality disorders; an exclusively parental response with the phobic personality disorder; and a parental and criticized response with narcissistic disorder. Dissociative disorder evoked a helpless and parental response in the treating clinicians whereas somatizing disorder elicited a disengaged reaction. An overwhelmed and disengaged response was associated with sadistic and masochistic personality disorders, with the latter also associated with a parental and hostile/criticized reaction; an exclusively overwhelmed response with psychopathic patients; and a helpless response with paranoid patients. Finally, patients with histrionic personality disorder evoked an overwhelmed and sexualized response in their clinicians whereas there was no specific emotional reaction associated with the schizoid and the obsessive-compulsive disorders. Clinical implications of these findings were discussed.

  11. Investigating the Performance of Second Language Medical Students on Lengthy Clinical Vignettes.

    Science.gov (United States)

    Raymond, Mark R; Ling, Yu; Grabovsky, Irina

    2016-10-19

    This study evaluated the extent to which medical students with limited English-language experience are differentially impacted by the additional reading load of test items consisting of long clinical vignettes. Participants included 25,012 examinees who completed Step 2 of the U.S. Medical Licensing Examination®. Test items were categorized into five levels based on the number of words per item, and examinee scores at each level were evaluated as a function of English-language experience (English as a second language [ESL] status and scores on a test of English-speaking proficiency). The longest items were more difficult than the shortest items across all examinee groups, and examinees with more English-language experience scored higher than those with less experience across all five levels of word count. The effect of primary interest-the interaction of word count with English-language experience-was statistically significant, indicating that score declines for longer items were larger for examinees with less English-language experience; however, the magnitude of this interaction effect was barely detectable (η(2) = .0004, p language experience was small but worthy of continued monitoring.

  12. Infrared thermography inspection for monoblock divertor target in JT-60SA

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, Shigetoshi, E-mail: nakamura.shigetoshi@jaea.go.jp; Sakurai, Shinji; Ozaki, Hidetsugu; Seki, Yohji; Yokoyama, Kenji; Sakasai, Akira; Tsuru, Daigo

    2014-10-15

    Highlights: • Infrared thermography inspection is modified to inspect JT-60SA divertor targets. • Infrared thermography inspection is effective to detect joining defects of targets. • Numerical analysis is in good agreement with inspection results of mock-up targets. • Database for setting screening criteria has been constructed by numerical analysis. - Abstract: Carbon fiber composite (CFC) monoblock divertor target is required for power handling in JT-60SA. Quality of the targets depends on a joining technology in manufacturing process. To inspect the quality of more than 900 target pieces, efficient non-destructive inspection is needed. An infrared thermography inspection (IR inspection), has been proposed by ITER and IRFM, where the quality between CFC and a cooling tube is examined by a use of transient thermal response at a rapid switch from hot to cold water flow. In JT-60SA divertor target, a screw tube will be employed to obtain high heat transfer efficiency with simple structure. Since the time response of the screw tube is much faster than that of smooth tube, it is required to confirm the feasibility of this IR inspection. Thus, the effect of joining defects on transient thermal response of the targets has been investigated experimentally by using the mock-up targets containing defects which are artificially made. It was found that the IR inspection can detect the defects. Moreover, screening criteria of IR inspection for acceptable monoblock target is discussed.

  13. Clinical and epidemiological investigation of a fatal anthrax case in China.

    Science.gov (United States)

    Chen, Haiying; Bao, Wanguo; Wang, Yang; Zhang, Kaiyu; Wang, Feng

    2015-02-19

    Anthrax is a recessive infectious disease caused by the bacterium Bacillus anthracis, and is primarily a zoonotic disease. Until recently, Bacillus anthracis infections were relatively infrequent and confined to agrarian communities in underdeveloped countries. No anthrax cases were reported in Changchun City in the past few decades until a male patient from the Inner Mongolia Autonomous Region presented the anthrax disease manifestation. This paper describes an anthrax patient's diagnosis, isolation and treatment which involved institutions in two different Chinese provinces; the foci epidemiological investigation alongside with the outbreak management process, which is of great significance to control the spread of the recessive infection is also described.

  14. Explorative investigation of biomarkers of brain damage and coagulation system activation in clinical stroke differentiation

    DEFF Research Database (Denmark)

    Undén, Johan; Strandberg, Karin; Malm, Jan;

    2009-01-01

    INTRODUCTION: A simple and accurate method of differentiating ischemic stroke and intracerebral hemorrhage (ICH) is potentially useful to facilitate acute therapeutic management. Blood measurements of biomarkers of brain damage and activation of the coagulation system may potentially serve as novel...... diagnostic tools for stroke subtypes. METHODS: Ninety-seven stroke patients were prospectively investigated in a multicenter design with blood levels of brain biomarkers S100B, neuron specific enolase (NSE), glial fibrillary acidic protein (GFAP) as well as a coagulation biomarker, activated protein C......: This exploratory study indicated that blood levels of biomarkers GFAP and APC-PCI, prior to neuroimaging, may rule out ICH in a mixed stroke population....

  15. Clinical course of cor pulmonale investigated after an interval of one year by thallium-201 myocardial SPECT scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Yamaoka, Shimpachi; Nishimura, Kouichi; Kuno, Kenshi; Yonekura, Yoshiharu; Koide, Harutoshi.

    1988-06-01

    Cor pulmonale was evaluated in 13 patients with chronic lung disease by thallium-201 myocardial SPECT scintigraphy together with pulmonary function tests and right heart catheterization. One year later, we performed this scintigraphy again to investigate the clinical course of the cor pulmonale. In 6 of 13 patients with respiratory failure (Pao/sub 2/ less than 60 Torr), a remarkable progression in cor pulmonale was noted after one year, despite outpatient oxygen therapy. If the patients were admitted because of acute exacerbation of respiratory failure, the cor pulmonale was found to have worsened. In contrast, patients with acute exacerbation due to respiratory infection or causes other than respiratory failure, showed little change in cor pulmonale. Although patients with a marked progression of cor pulmonale tended to have poor pulmonary function data and elevated pulmonary arterial pressure, the clinical course of cor pulmonale could not be predicted from the initial pulmonary function tests or right heart catheterization.

  16. Challenges Faced in Modern Quality Inspection

    Directory of Open Access Journals (Sweden)

    Borkowski Stanisław

    2016-09-01

    Full Text Available Point of view, preferences and priorities of quality inspection in modern production systems have changed. Quality inspection in its activities is no longer limited only to the documentation of the past, nor is it seen solely as a tool for the detection of nonconformity. Nowadays, the most important quality inspection function is prevention, whose most important goal is to make it before nonconformity. What is expected from modern quality inspection is that it actively improves the production and quality as well as reduces the costs. The aim of the article is to present requirements, guidelines and challenges in the organization of modern quality inspection in a manufacturing company. The role of quality inspection in the classical model and modern model of quality improvement was presented. Determinants of effective quality inspection were presented, as well. The quality inspection methods that best fit into the paradigm of modern quality inspection, that is source inspection, together with visual management were pointed out.

  17. ROBOTIC TANK INSPECTION END EFFECTOR

    Energy Technology Data Exchange (ETDEWEB)

    Rachel Landry

    1999-10-01

    The objective of this contract between Oceaneering Space Systems (OSS) and the Department of Energy (DOE) was to provide a tool for the DOE to inspect the inside tank walls of underground radioactive waste storage tanks in their tank farms. Some of these tanks are suspected to have leaks, but the harsh nature of the environment within the tanks precludes human inspection of tank walls. As a result of these conditions only a few inspection methods can fulfill this task. Of the methods available, OSS chose to pursue Alternating Current Field Measurement (ACFM), because it does not require clean surfaces for inspection, nor any contact with the Surface being inspected, and introduces no extra by-products in the inspection process (no coupling fluids or residues are left behind). The tool produced by OSS is the Robotic Tank Inspection End Effector (RTIEE), which is initially deployed on the tip of the Light Duty Utility Arm (LDUA). The RTEE combines ACFM with a color video camera for both electromagnetic and visual inspection The complete package consists of an end effector, its corresponding electronics and software, and a user's manual to guide the operator through an inspection. The system has both coarse and fine inspection modes and allows the user to catalog defects and suspected areas of leakage in a database for further examination, which may lead to emptying the tank for repair, decommissioning, etc.. The following is an updated report to OSS document OSS-21100-7002, which was submitted in 1995. During the course of the contract, two related subtasks arose, the Wall and Coating Thickness Sensor and the Vacuum Scarifying and Sampling Tool Assembly. The first of these subtasks was intended to evaluate the corrosion and wall thinning of 55-gallon steel drums. The second was retrieved and characterized the waste material trapped inside the annulus region of the underground tanks on the DOE's tank farms. While these subtasks were derived from the original

  18. An expanding universe of noncoding RNAs between the poles of basic science and clinical investigations.

    Science.gov (United States)

    Weil, Patrick P; Hensel, Kai O; Weber, David; Postberg, Jan

    2016-03-01

    The Keystone Symposium 'MicroRNAs and Noncoding RNAs in Cancer', Keystone, CO, USA, 7-12 June 2015 Since the discovery of RNAi, great efforts have been undertaken to unleash the potential biomedical applicability of small noncoding RNAs, mainly miRNAs, involving their use as biomarkers for personalized diagnostics or their usability as active agents or therapy targets. The research's focus on the noncoding RNA world is now slowly moving from a phase of basic discoveries into a new phase, where every single molecule out of many hundreds of cataloged noncoding RNAs becomes dissected in order to investigate these molecules' biomedical relevance. In addition, RNA classes neglected before, such as long noncoding RNAs or circular RNAs attract more attention. Numerous timely results and hypotheses were presented at the 2015 Keystone Symposium 'MicroRNAs and Noncoding RNAs in Cancer'.

  19. Clinical investigation of traumatic injuries in Yeditepe University, Turkey during the last 3 years.

    Science.gov (United States)

    Sandalli, Nuket; Cildir, Sule; Guler, Nurhan

    2005-08-01

    The aim of this study was to evaluate etiology, types of traumatic dental injuries, treatment and to determine the incidence of complications according to dental injuries in patients who referred to Yeditepe University, Faculty of Dentistry, Istanbul, Turkey. The study was based on the clinical data of the 161 traumatized teeth in 92 patients. WHO classification slightly modified by Andreasen & Andreasen for dental trauma was used. The causes and localization of trauma, traumatized teeth classification, treatment and complications were evaluated both primary and permanent teeth. The distribution of complications according to diagnosis and treatment of the injured teeth were evaluated. Of 35 (38%) girls and 56 (72%) boys with a mean age 7.6 +/- 3.5 (ranging 1-14.2) participated to study and the mean followed up was 1.72 +/- 1.28 years (ranging 0.10-3.8 years). From the 161 affected teeth, 69 (42.9%) were in primary teeth and 92 (57.1%) in permanent teeth. The highest frequency of trauma occurred in the 6-12 year age group. Overall boys significantly outnumbered girls by approximately 1:1.6. The most common type of injury in the primary and permanent teeth was seen as luxation (38%) and enamel fracture (20%) of the maxillary central incisors, respectively. Falls were the major sources of trauma both the primary (90%) and the permanent teeth (84%). In the primary dentition, the most common type of soft tissue injury is contusion (62.5%) and in the permanent dentition, it is laceration (49%). The most of the treatment choice was determined as examination only and extraction in primary teeth (58 and 24.6%, respectively) while it was applied as restoration and pulpectomy in permanent teeth (31.5 and 18.5%, respectively). Complications were recorded on 37 teeth (23%) with a most common type of necrosis (10.5%) and dental abscess (7.4%). Necrosis was more frequent in luxation whereas dental abscess were in crown fracture with pulpal involvement in both dentitions. The

  20. Emergence of quantification in clinical investigation and the quest for certainty in therapeutics: the road from Hammurabi to Kefauver.

    Science.gov (United States)

    Eknoyan, Garabed

    2005-01-01

    Throughout most of history, medical knowledge was descriptive in nature and derived from the work of individual investigators of independent mind pursuing careful but often chance observations. Using deductive reasoning, these findings were then generalized, authoritatively presented, and dogmatically promulgated. This, coupled with firmly grounded principles of divine determinism, precluded any serious consideration of randomness, even when variations from recorded, but erroneous, statements were actually observed. Although probability remained an integral component of diagnosis and therapy, it was only as an attribute of opinion and not one supported by numbers. The gradual erosion of this edifice began during the scientific revolution of the seventeenth century that led to the burgeoning of the sciences basic to medicine. Although clinicians applauded these contributions, they failed to apply the inductive method of investigation to the study of disease or to therapy. The "numerical method" of Pierre Louis (1787-1872) first introduced systematic quantification into medicine during the first half of the nineteenth century. Analysis of quantifiable data found its principal application in epidemiology, which flourished during the second half of the nineteenth century. The subsequent adoption of probability calculus for the analysis of quantifiable data, during the first half of the twentieth century, refined the process further and led to the gradual emergence of medical statistics, with a distinct role in clinical research. The mathematical precision provided by quantification and statistical analysis established certainty in medicine and ultimately changed the conjectural art of clinical practice into a disciplined science founded on clinical investigation, the very basis of present-day, evidence-based medicine.

  1. International Conference on Harmonisation; guidance on E11 clinical investigation of medicinal products in the pediatric population; availability. Notice.

    Science.gov (United States)

    2000-12-15

    The Food and Drug Administration (FDA) is announcing the availability of a guidance entitled "E11 Clinical Investigation of Medicinal Products in the Pediatric Population." The guidance was prepared under the auspices of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The guidance sets forth critical issues in pediatric drug development and approaches to the safe, efficient, and ethical study of medicinal products in the pediatric population. The guidance is intended to encourage and facilitate the timely development of pediatric medicinal products internationally.

  2. A Preliminary Clinical Laboratory Investigation of Endemic Spiking Mortality Syndrome of Broiler Chickens in Nepal

    Directory of Open Access Journals (Sweden)

    Tika Ram Neupane

    Full Text Available During the period of March-April-May 2008 first time a sudden and unexpected jump in mortality in Broiler of 8 to 16 days of age was reported from broiler farms from Chitwan and Kathmandu valley in Nepal.Affected birds become recumbent, depressed and often go into a star-gazing spasm. Those signs included, huddling of the birds, trembling, blindness, loud chirping, litter eating, ataxia, comatose, birds dead with breast down and feet and legs straight out behind birds. Death within two to six hours after the onset of the symptoms Postmortem Lesions found with this syndrome include hemorrhages in the liver with necrosis of liver cells, regressed thymus, regression of the bursa of Fabricius, dehydration with the accumulation of kidney urates, fluid in the crop, fluid in the lower gut and watery contents of the ceca.Yellow elastic shanks swollen joints. Molted appearance of brain. . The mortality lasted for three to five days, after which, the mortality patterns return to a relatively normal level. When treated with liquid toxin binders like toxol,toxolivum,livertonic like hepatocare,naturaliv, immunomodulaters like immunocare,promin,pentasol and antibiotics there was check in mortality but the body weight recovery was not satisfactory only half as in comparison of in other illness. During this period laboratory culture of total 298 tissue specimen from dead bird was conducted which revealed growth of fungus spp like Aspergillus and Penicillium in 182 specimen while mixed E.coli and Staphylococcus were recovered in 68 specimen 24 specimen revealed the growth of Salmonella spp of bacteria and 24 samples were turn out to be negative while the attempt to isolate the Avian encephalomyelitis virus as it might be the cause suspected also turnout negative. On the basis of all laboratory findings and response to the treatment attempted finding of this preliminary investigation work is suggestive that the above syndrome indicates that mycosis emerging as

  3. Investigation of the use of thermography for research and clinical applications in pregnant women

    Science.gov (United States)

    Topalidou, Anastasia; Downe, Soo

    2016-03-01

    Background: The possibility of using thermal imaging, as a non-invasive method, in medicine may provide potential ability of advanced imaging. Objective: The conduction of a preliminary study in healthy non-pregnant females in order to investigate the imaging ability of thermography and its implementation; and to determine hot and cold areas in order to create a "map" of temperature distribution of the abdomen and the torso. Methods: Participants were 18-45 years old non-pregnant women (n = 10), who were measured at 4 different distances. Two thermal imaging cameras and their corresponding software were used to measure abdomen, low back, left and right side of the torso. Results: There were no statistically significant differences in the mean values of the exported temperatures according the distance and the angle between the camera and the subject. The inferior part of the rectus abdominis muscle recorded the coldest zone and the umbilicus appeared as the most prominent hot spot. Conclusions: Thermography shows to be a potential non-invasive technique offering new options in the evaluation of pregnant and laboring women.

  4. Does size matter? An investigation into the Rey Complex Figure in a pediatric clinical sample.

    Science.gov (United States)

    Loughan, Ashlee R; Perna, Robert B; Galbreath, Jennifer D

    2014-01-01

    The Rey Complex Figure Test (RCF) copy requires visuoconstructional skills and significant attentional, organizational, and problem-solving skills. Most scoring schemes codify a subset of the details involved in figure construction. Research is unclear regarding the meaning of figure size. The research hypothesis of our inquiry is that size of the RCF copy will have neuropsychological significance. Data from 95 children (43 girls, 52 boys; ages 6-18 years) with behavioral and academic issues revealed that larger figure drawings were associated with higher RCF total scores and significantly higher scores across many neuropsychological tests including the Wechsler Individual Achievement Test-Second Edition (WIAT-II) Word Reading (F = 5.448, p = .022), WIAT-II Math Reasoning (F = 6.365, p = .013), Children's Memory Scale Visual Delay (F = 4.015, p = .048), Trail-Making Test-Part A (F = 5.448, p = .022), and RCF Recognition (F = 4.862, p = .030). Results indicated that wider figures were associated with higher cognitive functioning, which may be part of an adaptive strategy in helping facilitate accurate and relative proportions of the complex details presented in the RCF. Overall, this study initiates the investigation of the RCF size and the relationship between size and a child's neuropsychological profile.

  5. Investigation of the mechanical properties of the human crural fascia and their possible clinical implications.

    Science.gov (United States)

    Stecco, Carla; Pavan, Piero; Pachera, Paola; De Caro, Raffaele; Natali, Arturo

    2014-01-01

    The mechanical properties of deep fasciae strongly affect muscular actions, development of pathologies, such as acute and chronic compartment syndromes, and the choice of the various fascial flaps. Actually, a clear knowledge of the mechanical characterization of these tissues still lacks. This study focuses attention on experimental tests of different regions of human crural fascia taken from an adult frozen donor. Tensile tests along proximal-distal and medial-lateral direction at a strain rate of 120 %/s were performed at the purpose of evaluating elastic properties. Viscous phenomena were investigated by applying incremental relaxation tests at total strain of 7, 9 and 11 % and observing stress decay for a time interval of 240 s. The elastic response showed that the fascia in the anterior compartment is stiffer than in the posterior compartment, both along the proximal-distal and medial-lateral directions. This result can explain why the compartment syndromes are more frequent in this compartment with respect to posterior one. Furthermore, the fascia is stiffer along the proximal-distal than along medial-lateral direction. This means that the crural fascia can adapt to the muscular variation of volume in a transversal direction, while along the main axis it could be considered as a structure that contributes to transmitting the muscular forces at a distance and connecting the different segments of the limb. The stress relaxation tests showed that the crural fascia needs 120 s to decrease stress of 40 %, suggesting a similar time also in the living so that the static stretching could have an effect on the fascia.

  6. The Application of Phased Array Ultrasonic Techniques for Inspection of Railway Axles from Their End Face

    Science.gov (United States)

    Liaptsis, D.; Cooper, I.; Boyle, K.; Nicholson, P. I.

    2011-06-01

    As part of the development of a non destructive testing (NDT) system combining complementary inspection techniques, an inspection system based on phased array ultrasonic testing (PAUT) for detection of transverse cracking in solid railway axles is being developed. This paper presents the initial study, which includes the PAUT experimental setup and the initial results obtained after testing the system on railway axle blocks. The inspection of solid axles from their axle end face is investigated.

  7. Integrated inspection of services for people with learning disabilities in Scotland: the way forward?

    Directory of Open Access Journals (Sweden)

    Martin Campbell

    2007-10-01

    Full Text Available Purpose: The article summarises the process and the results of the first, integrated inspection of managed care services for people with learning disabilities in Scotland. The multi-agency model used was developed to be congruent with the existing performance inspection models, used by single agency inspection. The inspection activities and main outcomes are described, and suggestions are made for improvements. Context of case: In 2006 an inspection model was devised to assess the quality of health, social services and education services for people with learning disabilities in one geographical area of Scotland, as a precursor to a programme of inspections nationally. The first joint, integrated inspection of all services for people with learning disabilities in Scotland took place in June 2006, and the report was published in March 2007. This was the first multi-agency inspection of its kind in the UK, and the first to involve carers and people with learning disabilities on the inspection team. Data sources: A number of data sources were used to check existing practice against agreed Quality Outcome indicators. Primary sources of data were social work records, health records, education records, staff surveys, carer surveys, interviews with staff, family carers and people with learning disabilities, and self evaluations completed by the services being inspected. Eleven different domains, each with sub-indicators were investigated. Case description: This paper summarises the process of an integrated, multi-agency inspection, how the inspection activities were conducted and the main findings of this inspection. Practical improvements to the process are suggested, and these may be of use to other services and inspectorates. Conclusions and discussion: The integrated inspection was a qualified success. Most major objectives were achieved. The sharing of data amongst inspection agencies, establishing the level of commitment to integrated inspection

  8. Investigating the effect of clinical governess approach on patients' length of stay in emergency department: an action research study.

    Directory of Open Access Journals (Sweden)

    Tahmine Salehi

    2014-02-01

    Full Text Available Over the past decade, clinical governance approach with aims to improve the quality of health services has been proposed in Iran. Considering the obvious problems especially patients' length of stay (LOS in the emergency departments (EDs; the present study has been carried out with the purpose of Investigating the effect of clinical governess approach on patients' LOS in the one of the largest medical centers in the country. After the problem was specified by the 17 interviews with employees and managers of the ED; the emergency clinical governance committee was formed by two academic researchers and seven ED staff (key participants that had the most involvement with the subject of study. The activities of the committee, including planning, acting, observing and reflecting, was organized by using participatory action research approach and action research cycle (Kemmis 1995. During this time, three formal meetings with key participants were held in 6-month intervals. Monthly records of patients' average LOS and interview with ED staff were used to analyze the findings. The research was completed with two cycles in one year. Committee members took the following actions. As a result, the patients' LOS reduced from 2.68 days to 1.73 days. Make regular patients visits by medical groups especially orthopedists and neurologists; Decision making about patients situation by emergency physicians and transferring patients to the relevant units by bed managers; Refusing to admit elective patients during overcrowding times; to regulate the list of patients requiring ICU by anesthesiologists. Prolonged LOS can be due to various causes and a team approach, which is one of the requirements of clinical governance approach, is needed to manage it. The results showed that the multidisciplinary team could make positive changes and reduce LOS in emergency setting.

  9. Investigating the Experiences of Childhood Cancer Patients and Parents Participating in Optional Nontherapeutic Clinical Research Studies in the UK

    Science.gov (United States)

    Errington, Julie; Malik, Ghada; Evans, Julie; Baston, Jenny; Parry, Annie; Price, Lisa; Johnstone, Hina; Peters, Selena; Oram, Victoria; Howe, Karen; Whiteley, Emma; Tunnacliffe, Jane

    2016-01-01

    Background While the majority of childhood cancer clinical trials are treatment related, additional optional research investigations may be carried out that do not directly impact on treatment. It is essential that these studies are conducted ethically and that the experiences of families participating in these studies are as positive as possible. Methods A questionnaire study was carried out to investigate the key factors that influence why families choose to participate in optional nontherapeutic research studies, the level of understanding of the trials involved, and the experiences of participation. Results A total of 100 participants from six UK centers were studied; 77 parents, 10 patients >16 years, and 13 patients aged 8–15 years. Ninety‐seven percent of parents and 90% of patients felt that information provided prior to study consent was of the right length, with 52% of parents and 65% of patients fully understanding the information provided. Seventy‐four percent of parents participated in research studies in order to “do something important”, while 74% of patients participated “to help medical staff”. Encouragingly, <5% of participants felt that their clinical care would be negatively affected if they did not participate. Positive aspects of participation included a perception of increased attention from medical staff. Negative aspects included spending longer periods in hospital and the requirement for additional blood samples. Ninety‐six percent of parents and 87% of patients would participate in future studies. Conclusions The study provides an insight into the views of childhood cancer patients and their parents participating in nontherapeutic clinical research studies. Overwhelmingly, the findings suggest that participation is seen as a positive experience. PMID:26928983

  10. Autonomous underwater riser inspection tool

    Energy Technology Data Exchange (ETDEWEB)

    Camerini, Claudio; Marnet, Robson [Petrobras SA, (Brazil); Freitas, Miguel; Von der Weid, Jean Pierre [CPTI/PUC-Rio, Rio de Janeiro, (Brazil); Artigas Lander, Ricardo [EngeMOVI, Curitiba, (Brazil)

    2010-07-01

    The detection of damage on the riser is a serious concern for pipeline companies. Visual examinations by remotely operated vehicle (ROV) are presently carried out to detect the defects but this process has limitations and is expensive. This paper presents the development of a new tool to ensure autonomous underwater riser inspection (AURI) that uses the riser itself for guidance. The AURI, which is autonomous in terms of control and power supply, is equipped with several cameras that perform a complete visual inspection of the riser with 100 % coverage of the external surface of the riser. The paper presents the detailed characteristics of the first AURI prototype, describes its launching procedure and provides the preliminary test results from pool testing. The results showed that the AURI is a viable system for autonomous riser inspection. Offshore tests on riser pipelines are scheduled to be performed shortly.

  11. Evaluation of inservice inspection examinatiions

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, D.A.; Cook, J.F.

    1990-05-01

    In order to evaluate the effectiveness of Section 11, Division 1, Rules for Inservice Inspection of Nuclear Power Plant Components,'' of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code examinations, 26 inservice inspection (ISI) summary reports from 24 facilities were reviewed. It was found that these ASME Code examinations and tests are instrumental in revealing indications and defects in welds and plant components. In addition, this study uncovered that fact that some of the Section 11 requirements are apparently not clear and are misunderstood by some of the facilities. Also, the need for more stringent requirements was evaluated and some Code changes are recommended.

  12. Evaluation of inservice inspection examinatiions

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, D.A.; Cook, J.F.

    1990-05-01

    In order to evaluate the effectiveness of Section 11, Division 1, ``Rules for Inservice Inspection of Nuclear Power Plant Components,`` of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code examinations, 26 inservice inspection (ISI) summary reports from 24 facilities were reviewed. It was found that these ASME Code examinations and tests are instrumental in revealing indications and defects in welds and plant components. In addition, this study uncovered that fact that some of the Section 11 requirements are apparently not clear and are misunderstood by some of the facilities. Also, the need for more stringent requirements was evaluated and some Code changes are recommended.

  13. Planning Annual Shutdown Inspection for BFB Boiler

    OpenAIRE

    Sorsa, Tatu

    2014-01-01

    The goal of this thesis was to create an illustrative guidebook of annual inspection planning for BFB boiler to help power plant operator when planning of annual inspection is topical. This thesis was made for Andritz Oy and it is based on inspection reports and experiences of BFB boiler’s maintenance and inspection staff. In this thesis it is shown how to plan an annual inspection for BFB boiler and thesis gives good tools and hints for operator to manage inspection from the beginning ...

  14. The clinical significance of incidental intra-abdominal findings on positron emission tomography performed to investigate pulmonary nodules

    Directory of Open Access Journals (Sweden)

    Gill Richdeep S

    2012-01-01

    Full Text Available Abstract Background Lung cancer is a common cause of cancer-related death. Staging typically includes positron emission tomography (PET scanning, in which18F-fluoro-2-dexoy-D-glucose (FDG is taken up by cells proportional to metabolic activity, thus aiding in differentiating benign and malignant pulmonary nodules. Uptake of FDG can also occur in the abdomen. The clinical significance of incidental intraabdominal FDG uptake in the setting of pulmonary nodules is not well established. Our objective was to report on the clinical significance of incidental intra-abdominal FDG activity in the setting of lung cancer. Methods Fifteen hundred FDG-PET reports for studies performed for lung cancer were retrospectively reviewed for the presence of incidental FDG-positive intraabdominal findings. Patient charts with positive findings were then reviewed and information extracted. Results Twenty-five patients (25/1500 demonstrated incidental intraabdominal FDG uptake thought to be significant (1.7% with a mean patient age of 71 years. Colonic uptake was most common (n = 17 with 9 (52% being investigated further. Of these 9 cases, a diagnosis of malignancy was made in 3 patients, pre-malignant adenomas in 2 patients, a benign lipoma in 1 patient and no abnormal findings in the remaining patients. 8 patients were not investigated further (3 diagnosed with metastatic lung cancer and 2 were of advanced age secondary to poor prognosis. Conclusion Incidental abdominal findings in the colon on FDG-PET scan for work-up of pulmonary nodules need to be further investigated by colonoscopy.

  15. Cost-Benefit Assessment of Inspection and Repair Planning for Ship Structures Considering Corrosion Model Uncertainty

    Institute of Scientific and Technical Information of China (English)

    LI Dian-qing; TANG Wen-yong; ZHANG Sheng-kun

    2005-01-01

    Owing to high costs and unnecessary inspections necessitated by the traditional inspection planning for ship structures, the risk-based inspection and repair planning should be investigated for the most cost-effective inspection. This paper aims to propose a cost-benefit assessment model of risk-based inspection and repair planning for ship structures subjected to corrosion deterioration. Then, the benefit-cost ratio is taken to be an index for the selection of the optimal inspection and repair strategy. The planning problem is formulated as an optimization problem where the benefit-cost ratio for the expected lifetime is maximized with a constraint on the minimum acceptable reliability index. To account for the effect of corrosion model uncertainty on the cost-benefit assessment, two corrosion models, namely, Paik's model and Guedes Soares' model, are adopted for analysis. A numerical example is presented to illustrate the proposed method. Sensitivity studies are also provided. The results indicate that the proposed method of risk-based cost-benefit analysis can effectively integrate the economy with reliability of the inspection and repair planning. A balance can be achieved between the risk cost and total expected inspection and repair costs with the proposed method, which is very effective in selecting the optimal inspection and repair strategy. It is pointed out that the corrosion model uncertainty and parametric uncertainty have a significant impact on the cost-benefit assessment of inspection and repair planning.

  16. 人工智能辅助诊疗技术(手术机器人)临床应用调研报告%Investigation on clinical application of robotic surgery in China

    Institute of Scientific and Technical Information of China (English)

    刘晓征; 田晓晓

    2011-01-01

    Objective: To investigate the clinical application of robotic surgery in China to provide suggestion for standardizing its clinical application and configuration and facilitate standardized application and scientific development of new medical equipment and technology in our country. Methods: The investigation was conducted through literature retrieval, on-spot inspection, questionnaire and expert consultation. Results: 23 clinicians in 4 medical institutions using the technique of robotic surgery were investigated to find problems in configuration and application of the technique. Then suggestion for strengthening its management was put forward. Conclusion: It is necessary to introduce the technique into China for clinical application. Meanwhile, innovation should be noted to meet the special needs in China. The regulations for managing large medical equipment should be abided, specifications for clinical use be formulated and pricing be determined.%目的:通过调研了解人工智能辅助诊疗技术(手术机器人)技术临床应用情况,提出规范手术机器人临床应用及配置管理的建议,推动我国医学新装备新技术的规范应用和科学发展。方法:调研工作采用文献检索、走访机构、问卷调查以及专家咨询的方法。结果:通过对23位实施过机器人手术的临床医师的调查,以及4家配置手术机器人医疗机构的走访,全面了解手术机器人设备配置、使用中的问题,提出加强管理的建议。结论:手术机器人技术有必要引进国内临床使用,并实施技术的引进、吸收、创新;严格执行大型医用设备配置管理制度,制定临床适用范围、定价收

  17. Clinical Investigation Program.

    Science.gov (United States)

    1984-10-01

    Outbreak of Hepatitis A: Risk Factors for Spread. Pediatr Infect Dis 3(4):296-299, 1984 - - Powell JM, Bass JW: Septic Arthritis Caused by Kingella ... kingae . Am J Dis Child 137:947-976, Oct 1983 Rawlings JS, Shetler PL, Fill WL, Cathcart CF: Concurrent Right Diaphragmatic Hernia and Type C...Life Threatening Infection in the ICU; Septic Shock. St. Joseph’s Hospital Medical Center, Phoenix, AZ, February 1984 Bass JW: Guest Faculty

  18. Clinical Investigation Program.

    Science.gov (United States)

    1985-10-01

    toxicity in pigs causes acidosis, dehydration, hypocalcemia, and hyperphosphatemia at levels previously described in accidental overdoses. 79 Detail...established, noninvasive device used in assessing cerebrovascular disease. PROGRESS: No. of Subjects Enrolled - To Date: 18 Reporting Period: 3 Eighteen

  19. Clinical Investigation Program

    Science.gov (United States)

    1992-10-01

    Vire D.E.: Chloroform in the Endodontic Operatory, P J of Endodontics , June, 1992, 18:301-303. Scott A.C., Vire D.E.: An Evaluation of the Thermafil... Endodontic P Obturation Technique, J of Endodontics , July, 1992, 18:340-343. DeWald E.J: Glassionomers, Self-Evaluation Test AGD, Gen Dentistry J, July...on the Bacterial Content of Saliva on Healthy Human Subjects, Otolaryngology, Head and Neck Surgery Journal , December, 1991, 105;6:836-839. Behrens J

  20. Clinical Investigation Program Report.

    Science.gov (United States)

    1981-10-01

    culture laboratory, whereas last year we could offer none of these capabilities. We have tripled already our laboratory space and will move soon to a...facility in which we will have tripled again the present space. Much equipment has become available and our capabilities are still expandinq. We have a...Social Supports, Life change, stress, CAO. chronic airway os-tr-ctf6n, chronic obstructive pulmonary disease ( COPD ) Accumulative MEDCASE Est Accumulative

  1. Clinical Investigation Program Report.

    Science.gov (United States)

    1981-10-01

    John McCormack, PhD, LTC, MSC Key Words: Jack K. Tippens , M.D., COL, MC Low Back Pain Upper Back Pain Muscle Tension Accumulative MEDCASE Est...AMVAH San Antonio Key Words: Andree J. Lloyd, PhD, VAMC, Augusta Phantom Pain Jack K. Tippens , M.D., COL, MC, DDEAMC Ac-umulative MEDCASE Est Accumul...Tabor 3 Thomas 3 Thompson 2 Tippens 27, 28 Trainor 80 Tremor 78 Vandealle 7 Walker H. 60 Walker R. 94 Weber 39 Wetzler 2 William 58 Wolfe 2 Wright 94

  2. Clinical Investigations Service.

    Science.gov (United States)

    1979-09-30

    Gooding RS. Listeria Mnocytogenes Spinal Cord Abscess . Submitted Arch Neurol Apr 1979. Morrison RE, Norenberg DD, Higby JW, Wood RW. Neurosyphillis - In...however, we notedl a nairked virot oct iOn againtst a group) B type Ta challenge when thle anals had1 been :irintujl i7( 1ed ithl a typIe III str

  3. Clinical Investigation Program.

    Science.gov (United States)

    1982-09-30

    C) .... 251 81/701 A Non-invasive Measurement of Carbon Dioxide during Lapro- scopic Tubal Ligation .(C) .................................. 253 81/702...8217’s syndrome . Patient popu’atior ro h) ! tu,,l ;i. o,’ healthv, post -menopausal women on no medication. A pot-me., rmar wi 1 " be defined as any woman...Title: A Non-Tnvasive ieasurement of Carbon Dioxide During Laproscopic Tubal Ligation (5) Start Date: (6) Est Compl Date: nnmD Itj (7) Principal

  4. Clinical Investigation Program Report.

    Science.gov (United States)

    1983-10-01

    blood cell function in 48 noninsulin dependent diabetes melitus during improved control after treatment with insulin and after treatment using a m...underway comparing the activity of normal leukocytes with those from diabetic patients. ൦ -A2’ r,. L ") Detail Sum mary Sheet Date: 1 Oct83 Prot. No.: C...white blood cell function in non-insulin depeldent diabetes mellitus during improved control after treatment with insulin and after treatment using a

  5. Clinical Investigation Program.

    Science.gov (United States)

    1981-10-01

    cssibility oi everO rov uh of virus it. the culture iediuv.. 3 A if Pe t a i I :fr y !Ie( I Lj te:330 Dec h-)l Frot Nc: 1/, S ta t 11 Cur it te...Acmulative Periodic Cost: ___OMA Cost:$2000. ’Review Results:_Continue CLJLCTIVES: To perfect skills and increase profic,- ncv it, vicro- ’.(rcica1

  6. Clinical Investigation Program.

    Science.gov (United States)

    1979-10-01

    ingestion. TECHNICAL APPROACH: Consenting patients with diabetes insipidus (DI) were given alcohol (0.75 ml/kg) after ADH injections which resulted in a...subcutaneously. All patients will be maintained on their diabetic diet calculated on present body weight. Activity will include standard OT given these patients...Shen, Glucose Modulation of Insulin Binding 79 0 54 S. W. Shen, Free and Total Insulin Levels in 79 0 55 S. W. Insulin-Treated Diabetics Thomas, Beta

  7. Clinical Investigation Program Report

    Science.gov (United States)

    1992-10-01

    sinus tract. J Endodon 1992; 18(6):304-306. Shulman JD, Carpenter WM, Lewis DL: The prevalence of recurrent herpes labialis during an Army hot...581. Shulman JK, Carpenter WM, Lewis DM: The prevalence of recurrent Herpes labialis during an Army hot weather exercise. J Pub Health Dent 1992; 52:198

  8. Clinical Investigation Program

    Science.gov (United States)

    1990-09-30

    Therapy on Recovery After Tonsillectomy .................................. 216 90/170 0 SWOG 8744 A Phase II Study of Recombinant Tumor Necrosis Factor...expanded to include intracellular calcium analysis in the UV excitation wavelengths. A second argon laser will replace the unused krypton laser on the...169 (3) Status: Ongoing (4) Title: The Effect of Steroid Therapy on Recovery After Tonsillectomy (5) Start Date: 1990 (6) Est Compl Date: 1991 (7

  9. Clinical Investigation Program.

    Science.gov (United States)

    1987-09-30

    permanently following adverse reactions con- sisting of back pain, macular degeneration , elevated triglycerides, relo- cated to Eurooe, wanted to stop...Approach. Arch Otoloaryngology Vol 112, October e 1986. Speech-Language Rehabilitation Section Abkarian GG, Krappes T, King P: Enhancing Interaction in a...and secondary, and any adverse reactions. This continues to be the primary mode of rehabilitation of patients who have had cataract sur- gery, and

  10. Artificial Intelligence Assists Ultrasonic Inspection

    Science.gov (United States)

    Schaefer, Lloyd A.; Willenberg, James D.

    1992-01-01

    Subtle indications of flaws extracted from ultrasonic waveforms. Ultrasonic-inspection system uses artificial intelligence to help in identification of hidden flaws in electron-beam-welded castings. System involves application of flaw-classification logic to analysis of ultrasonic waveforms.

  11. FAA Fluorescent Penetrant Laboratory Inspections

    Energy Technology Data Exchange (ETDEWEB)

    WINDES,CONNOR L.; MOORE,DAVID G.

    2000-08-02

    The Federal Aviation Administration Airworthiness Assurance NDI Validation Center currently assesses the capability of various non-destructive inspection (NDI) methods used for analyzing aircraft components. The focus of one such exercise is to evaluate the sensitivity of fluorescent liquid penetrant inspection. A baseline procedure using the water-washable fluorescent penetrant method defines a foundation for comparing the brightness of low cycle fatigue cracks in titanium test panels. The analysis of deviations in the baseline procedure will determine an acceptable range of operation for the steps in the inspection process. The data also gives insight into the depth of each crack and which step(s) of the inspection process most affect penetrant sensitivities. A set of six low cycle fatigue cracks produced in 6.35-mm thick Ti-6Al-4V specimens was used to conduct the experiments to produce sensitivity data. The results will document the consistency of the crack readings and compare previous experiments to find the best parameters for water-washable penetrant.

  12. A cross-sectional study investigating clinical predictors and physical experiences of pain in Parkinson’s disease

    Science.gov (United States)

    Rana, Abdul Qayyum; Saeed, Usman; Masroor, Mohamed Sufian; Yousuf, Muhammad Saad; Siddiqui, Ishraq

    2013-01-01

    Summary Pain is a non-motor symptom of Parkinson’s disease (PD) that is often neglected due to its high prevalence in both the PD and the normal elderly population. The aims of this cross-sectional study were to establish the prevalence of pain, investigate its clinical predictors and analyze physical experiences of pain as described by PD patients. A total of 121 patients diagnosed with PD were included. The patients underwent a neurological examination and a structured interview and completed questionnaires focusing on clinical types and physical experiences of pain. Logistic regressions were used to analyze possible predictors. Pain was reported by 80 (66%) patients with a mean age at PD diagnosis of 67.26±11.43 years. The most common clinical types of pain experienced by the patients were dystonic pain (48%), paresthesia/neuropathic pain (36%) and musculoskeletal pain (28%). The PD patients described their physical experience of pain as aching (46%), a feeling of tension (18%), sharp pain (12%), deep pain (12%) and dull pain (11%). Patients with PD affecting the right side of the body were four times more likely to report pain on the right side of the body; however, no such relation was found for the left side of the body. A higher UPDRS-III scale score and longer PD duration reduced the likelihood of patients reporting dull pain. The presence of paresthesia/neuropathic pain was shown to decrease the likelihood of patients reporting sharp pain. No significant relationships were found between the magnitude of pain and gender, age at PD diagnosis, PD duration, UPDRS-III score, or Hoehn and Yahr stage of PD. Although 40% of the PD patients felt that medication had a (direct) effect on their pain, no relationship could be found between pain severity and PD medication. PMID:24598399

  13. Epidemiological Investigation of Human Papillomavirus Infection in Men Attending a Sexually Transmitted Disease Clinic in Hangzhou Area

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    To investigate the epidemiological characteristics of human papillomavirus (HPV) infection in men attending a sexually transmitted diseases (STD) clinic in Hangzhou area. Methods Male subjects (n=375) aged 18-70 years,attending the STD clinic were recruited. Urethral swabs were assessed for HPV DNA using polymerase chain reaction (PCR)with the consensus primers MY09/11. HPV genotypes of positive PCR products were determined by restriction fragment length polymorphisms and direct sequence analysis. Results Of the 375 swabs collected, 305 (81.3%) yielded sufficient DNA for the subsequent HPV analysis. Among the 305 subjects, the prevalence of HPV was 13.8%. Nononcogenic HPV types were found in 8.5% (26/305) of subjects, oncogenic types in 4.3% (13/305), and multiple types in 1.0% (3/305). The prevalence of HPV infection was higher in subjects from urban area than in those from rural area (P<0.05). The prevalence was also higher in those who received fewer years of education (P<0.05) and those who had more sex partners (P<0.05). Conclusions HPV infection among men at high risk is not uncommon. The detection rate of HPV DNA is significantly related to some sociodemographic factors, such as residence, educational level and the number of sex partners.

  14. [Outbreak of carpal tunnel syndrome of the upper limbs in automobile seat assemblers: results of exposure evaluation and clinical investigation].

    Science.gov (United States)

    Barbieri, P G; Colombini, D; Rocco, A; Custureri, F; Paderno, G

    1996-01-01

    A group of 59 female workers in the sewing and upholstery departments of a factory manufacturing automobile seats underwent clinical and instrumental tests following reports of several cases of suspected carpal tunnel syndrome. A risk evaluation analysis for disorders attributable to repeated trauma of the upper limbs (WMSDs) was simultaneously carried out using the protocol recommended by the EPM Research Unit in Milan. Evidence was found of a high frequency of elementary actions associated with considerable muscular involvement along with inadequate recovery periods. The clinical investigation revealed an unusually high percentage of carpal tunnel syndromes, often associated with Guyon channel syndrome. This disorder affects males and females equally, is often bilateral, and is not associated with known non-occupational factors. The widespread outbreak of work-related musculo-skeletal disorders reported in the departments in question may have arisen from a combination of significant risk factors relating to the types of activities performed, and the long service of the workers. It is reasonable to assume that failure to adopt technical preventive and organisational measures may have stemmed primarily from a poor evaluation of the relevant occupational risks, and from many years of substandard health surveillance practices.

  15. Cytomorphometric and clinical investigation of the gingiva before and after low-level laser therapy of gingivitis in children.

    Science.gov (United States)

    Igic, Marija; Mihailovic, Dragan; Kesic, Ljiljana; Milasin, Jelena; Apostolovic, Mirjana; Kostadinovic, Ljiljana; Janjic, Olivera Trickovic

    2012-07-01

    Gingival epithelial cells are the first physical barrier against periodontal pathogenic microorganisms. Bacterial products may penetrate the epithelium and directly disturb its integrity. We investigated the clinical and cytomorphological status of the gingiva in children with gingivitis before and after low-level laser therapy. The study enrolled 130 children divided into three groups: group 1 comprised 50 children with chronic catarrhal gingivitis who received basic treatment, group 2 comprised 50 children with chronic catarrhal gingivitis who received low-level laser treatment in addition to basic treatment, and group 3 comprised 30 children with healthy gingiva as controls. Oral hygiene and the status of the gingiva were assessed using the appropriate indexes before and after treatment. Inflammation of the gingiva was monitored by cytomorphometric evaluation. Cytomorphometric analysis revealed a statistically significant difference (p gingivitis. Evaluation using clinical parameters showed that treatment of gingivitis with basic treatment was successful. Cytomorphometric analysis showed that after basic treatment the nuclei of the stratified squamous epithelial cells of the gingiva were reduced in size, although not to the size found in healthy gingiva. However, after adjuvant low-level laser therapy, the size of the nuclei of the stratified squamous epithelial cells in the gingiva matched the size of the nuclei in the cells in healthy gingiva.

  16. [Investigation of the presence of panton-valentin leucocidin (PVL) in Staphylococcus aureus strains isolated from clinical samples].

    Science.gov (United States)

    Ozkul, Hilal; Oktem, I M Ali; Gülay, Zeynep

    2007-07-01

    Panton-Valentin leucocidin (PVL) is a cytotoxin which causes tissue necrosis by degradating leucocytes and other cell types. PVL has recently become very up to date as it has been shown to be the major virulance factor of community acquired methicillin resistant Staphylococcus aureus strains. In this study, the presence of PVL was investigated in methicillin sensitive and resistant S. aureus (MSSA and MRSA, respectively) strains which were isolated from clinical samples between January 2005-May 2006 at Dokuz Eylul University Hospital, Izmir. Fifty five MRSA and 79 MSSA strains which were isolated from blood, wound and respiratory tract samples were randomly included to the study. The presence of PVL was evaluated by multiplex polymerase chain reaction (PCR) which detects pvl and S. aureus-specific nuc genes. As a result, PVL positivities were detected in two (5%) of 40 MSSA and four (10.3%) of 39 MSSA strains isolated in the years 2005 and 2006, respectively. None of the MRSA isolates had pvl gene. Although this cytotoxin was rarely detected among MSSA isolates, it was interesting to note that the prevalence of PVL was twice more in the year 2006 compared to 2005. It was also worth to notify that four of six (66.7%) PVL positive strains had been isolated from the patients of general surgery inpatient or outpatient clinics.

  17. Outbreak investigation identifies a single Listeria monocytogenes strain in sheep with different clinical manifestations, soil and water.

    Science.gov (United States)

    Dreyer, M; Thomann, A; Böttcher, S; Frey, J; Oevermann, A

    2015-08-31

    Listeria (L.) monocytogenes causes orally acquired infections and is of major importance in ruminants. Little is known about L. monocytogenes transmission between farm environment and ruminants. In order to determine potential sources of infection, we investigated the distribution of L. monocytogenes genetic subtypes in a sheep farm during a listeriosis outbreak by applying four subtyping methods (MALDI-TOF-MS, MLST, MLVA and PFGE). L. monocytogenes was isolated from a lamb with septicemia and from the brainstem of three sheep with encephalitis. Samples from the farm environment were screened for the presence of L. monocytogenes during the listeriosis outbreak, four weeks and eight months after. L. monocytogenes was found only in soil and water tank swabs during the outbreak. Four weeks later, following thorough cleaning of the barn, as well as eight months later, L. monocytogenes was absent in environmental samples. All environmental and clinical L. monocytogenes isolates were found to be the same strain. Our results show that the outbreak involving two different clinical syndromes was caused by a single L. monocytogenes strain and that soil and water tanks were potential infection sources during this outbreak. However, silage cannot be completely ruled out as the bales fed prior to the outbreak were not available for analysis. Faeces samples were negative, suggesting that sheep did not act as amplification hosts contributing to environmental contamination. In conclusion, farm management appears to be a crucial factor for the limitation of a listeriosis outbreak.

  18. Clinical and Pathological Findings in Green Turtles (Chelonia mydas) from Gladstone, Queensland: Investigations of a Stranding Epidemic.

    Science.gov (United States)

    Flint, Mark; Eden, Paul A; Limpus, Colin J; Owen, Helen; Gaus, Caroline; Mills, Paul C

    2015-06-01

    An investigation into the health of green turtles was undertaken near Gladstone, Queensland, in response to a dramatic increase in stranding numbers in the first half of 2011. A total of 56 live turtles were subject to clinical examination and blood sampling for routine blood profiles, and 12 deceased turtles underwent a thorough necropsy examination. This population of green turtles was found to be in poor body condition and a range of infectious and non-infectious conditions were identified in the unhealthy turtles, including hepato-renal insufficiency (up to 81%, 27/33 based on clinical pathology), cachexia (92%, 11/12), parasitism (75%, 9/12), cardiopulmonary anomalies (42%, 5/12), gastroenteritis (25%, 3/12), masses (25%, 3/12) and mechanical impediments (17%, 2/12 based on necropsy). Overall, there was no evidence to indicate a unifying disease as a primary cause of the mass mortality. Recent adverse weather events, historic regional contamination and nearby industrial activities are discussed as potential causative factors.

  19. Automated Ply Inspection (API) for AFP Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Automated Ply Inspection (API) system autonomously inspects layups created by high speed automated fiber placement (AFP) machines. API comprises a high accuracy...

  20. Advanced robotics for inspection and maintenance applications

    Energy Technology Data Exchange (ETDEWEB)

    Fisher, B. [Intech Inc., Chattanooga, Tennessee (United States)

    2008-07-01

    The BOP inspection market provides unique and challenging environments for inspection. Intech has developed a flexible manipulator platform that supports these needs, namely accuracy and environmental hazards in a cost effective package. (author)

  1. Piping inspection carriage having axially displaceable sensor

    Science.gov (United States)

    Zollinger, William T.; Treanor, Richard C.

    1994-01-01

    A pipe inspection instrument carriage for use with a pipe crawler for performing internal inspections of piping surfaces. The carriage has a front leg assembly, a rear leg assembly and a central support connecting the two assemblies and for mounting an instrument arm having inspection instruments. The instrument arm has a y-arm mounted distally thereon for axially aligning the inspection instrumentation and a mounting block, a linear actuator and axial movement arm for extending the inspection instruments radially outward to operably position the inspection instruments on the piping interior. Also, the carriage has a rotation motor and gear assembly for rotating the central support and the front leg assembly with respect to the rear leg assembly so that the inspection instruments azimuthally scan the piping interior. The instrument carriage allows performance of all piping inspection operations with a minimum of moving parts, thus decreasing the likelihood of performance failure.

  2. Allegheny County Housing and Community Environment Inspections

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Residential housing inspections and inspections in response to complaints for community environment problems, such as open vacant structures, vacant lots with...

  3. Experimental Stress Analysis at Railway Inspection Pit

    Directory of Open Access Journals (Sweden)

    Nicuşor Laurentiu Zaharia

    2008-10-01

    Full Text Available Railway inspection pits are used in railway halls. The purpose of inspection pits is to allow the working under the vehicle. Inspection pits can be found in locomotive depots, factories etc. The new design for a inspection pit in a railway hall involve tests in purpose of homologations the railway infrastructure. Before the homologation committee meeting, tests are made; after the test, a testing report is made which it will be part at homologation documents.

  4. Safety rod latch inspection

    Energy Technology Data Exchange (ETDEWEB)

    Leader, D.R.

    1992-02-01

    During an attempt to raise control rods from the 100 K reactor in December, one rod could not be withdrawn. Subsequent investigation revealed that a small button'' in the latch mechanism had broken off of the lock plunger'' and was wedged in a position that prevented rod withdrawal. Concern that this failure may have resulted from corrosion or some other metallurgical problem resulted in a request that SRL examine six typical latch mechanisms from the 100 L reactor by use of radiography and metallography. During the examination of the L-Area latches, a failed latch mechanism from the 100 K reactor was added to the investigation. Fourteen latches that had a history of problems were removed from K-Area and sent to SRL for inclusion in this study the week after the original seven assemblies were examined, bringing the total of latch assemblies discussed in this report to twenty one. Results of the examination of the K-Area latch that initiated this study is not included in this report.

  5. Safety rod latch inspection

    Energy Technology Data Exchange (ETDEWEB)

    Leader, D.R.

    1992-02-01

    During an attempt to raise control rods from the 100 K reactor in December, one rod could not be withdrawn. Subsequent investigation revealed that a small ``button`` in the latch mechanism had broken off of the ``lock plunger`` and was wedged in a position that prevented rod withdrawal. Concern that this failure may have resulted from corrosion or some other metallurgical problem resulted in a request that SRL examine six typical latch mechanisms from the 100 L reactor by use of radiography and metallography. During the examination of the L-Area latches, a failed latch mechanism from the 100 K reactor was added to the investigation. Fourteen latches that had a history of problems were removed from K-Area and sent to SRL for inclusion in this study the week after the original seven assemblies were examined, bringing the total of latch assemblies discussed in this report to twenty one. Results of the examination of the K-Area latch that initiated this study is not included in this report.

  6. Modelling in Optimal Inspection and Repair

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Rackwitz, R.; Faber, M.H.;

    1991-01-01

    A model for reliability based optimal inspection and repair strategies is described. The total expected costs in the lifetime is minimized with the number of inspections, the inspection times and efforts, the repair crack size limit and a design parameter as optimization variables. The equivalenc...

  7. Innovative Sensors for Pipeline Crawlers: Rotating Permanent Magnet Inspection

    Energy Technology Data Exchange (ETDEWEB)

    J. Bruce Nestleroth; Richard J. Davis; Stephanie Flamberg

    2006-09-30

    Internal inspection of pipelines is an important tool for ensuring safe and reliable delivery of fossil energy products. Current inspection systems that are propelled through the pipeline by the product flow cannot be used to inspect all pipelines because of the various physical barriers they may encounter. To facilitate inspection of these ''unpiggable'' pipelines, recent inspection development efforts have focused on a new generation of powered inspection platforms that are able to crawl slowly inside a pipeline and can maneuver past the physical barriers that limit internal inspection applicability, such as bore restrictions, low product flow rate, and low pressure. The first step in this research was to review existing inspection technologies for applicability and compatibility with crawler systems. Most existing inspection technologies, including magnetic flux leakage and ultrasonic methods, had significant implementation limitations including mass, physical size, inspection energy coupling requirements and technology maturity. The remote field technique was the most promising but power consumption was high and anomaly signals were low requiring sensitive detectors and electronics. After reviewing each inspection technology, it was decided to investigate the potential for a new inspection method. The new inspection method takes advantage of advances in permanent magnet strength, along with their wide availability and low cost. Called rotating permanent magnet inspection (RPMI), this patent pending technology employs pairs of permanent magnets rotating around the central axis of a cylinder to induce high current densities in the material under inspection. Anomalies and wall thickness variations are detected with an array of sensors that measure local changes in the magnetic field produced by the induced current flowing in the material. This inspection method is an alternative to the common concentric coil remote field technique that induces

  8. Phased arrays: inline flow line hub inspection using phased arrays

    NARCIS (Netherlands)

    Bloom, J.G.P.; Chougrani, K.; Rundberg, H.; Oldenziel, G.; Deleye, X.; Martina, Q.

    2011-01-01

    The feasibility of the inspection of flow line hubs using the phased array technique was investigated to determine the surface area of the seal area degraded by corrosion. A clean model of the hub was simulated to gain insight into the geometrical echoes and to determine the area covered by the ultr

  9. Novel sensors for food inspection modelling, fabrication and experimentation

    CERN Document Server

    Abdul Rahman, Mohd Syaifudin; Yu, Pak-Lam

    2014-01-01

    This book addresses presents recent developments of novel planar interdigital sensors for food inspection. It covers the fundamentals of sensors, their design, modelling and simulations, fabrications, characterizations, experimental investigations and analyses. This book will be useful for the engineers and researchers especially higher undergraduate, postgraduate students as well as practitioners working on the development of Electromagnetic Sensors.

  10. Multivariate image analysis for quality inspection in fish feed production

    DEFF Research Database (Denmark)

    Ljungqvist, Martin Georg

    , or synthesised chemically. Common for both types is that they are relatively expensive in comparison to the other feed ingredients. This thesis investigates multi-variate data collection for visual inspection and optimisation of industrial production in the fish feed industry. Quality parameters focused on here...... are: pellet size, type and concentration level of astaxanthin in pellet coating, as well as astaxanthin type detected in salmonid fish. Methods used are three different devices for multi- and hyper-spectral imaging, together with shape analysis and multi-variate statistical analysis. The results...... of the work demonstrate a high potential of image analysis and spectral imaging for assessing the product quality of fish feed pellets, astaxanthin and fish meat. We show how image analysis can be used to inspect the pellet size, and how spectral imaging can be used to inspect the surface quality...

  11. Clinical investigation compared with the effects of the bee-venom Acupuncture on knee joint with osteoarthritis

    Directory of Open Access Journals (Sweden)

    Wang Wu-Hao

    2001-12-01

    Full Text Available Objective: This study is designed to find out the effects of the Bee-Venom Acupuncture on knee joint with osteoarthritis. Methods: We are investigated that outpatients suffer from knee joint pain deciphered at the division of Acupuncture in Jaseng oriental medicine hospital from the 13, July 1999 to unti111, November 2000. We make an estimated of the score from both before or after its treatment about 70 cases of diagnostic patient with the osteoarthritis of knee joints by biochemical method and X-RAY analysis, we observed in the progress of symptoms. Results: These results found that sex distinction with a disease caused much more female than male at the ratio of I to 5.36 in the proportion of males to females, jobs is mainly ranked with a housewife and approximately 82.9% of cases before our hospital have ever treated at the other clinics or hospitals. On the hand, the distribution interval of a case history is mainly followed by disease in below 6 month, interval of the period-treatment is mainly gone within 3 month and frequency of treatment is examined into II to 15 times, more than 16 times and below 10 times, respectively. We are estimated with the score of functional barrier from both before or after its treatment against osteoarthritis' patients and produced in the usefulness from the totally point of fields except the aid-device after its treatment In summary, these results demonstrated that Bee Venom, Acupuncture enhanced more than 82.9% to the improvement of treatment and p<0.05 considered to be statistically significant. Conclusion: These results suggest that Bee-venom Acupuncture may be playa role in the significant usefulness and have need of actively application for the clinical trials against osteoarthritis' patients.

  12. Generative inspection process planner for integrated production

    Energy Technology Data Exchange (ETDEWEB)

    Brown, C.W. (Allied-Signal Aerospace Co., Kansas City, MO (USA). Kansas City Div.); Gyorog, D.A. (Kansas Univ., Lawrence, KS (USA). Dept. of Mechanical Engineering)

    1990-04-01

    This work describes the design prototype development of a generative process planning system for dimensional inspection. The system, IPPEX (Inspection Process Planning EXpert), is a rule-based expert system for integrated production. Using as advanced product modeler, relational databases, and artificial intelligence techniques, IPPEX generates the process plan and part program for the dimensional inspection of products using CMMs. Through an application interface, the IPPEX system software accesses product definition from the product modeler. The modeler is a solid geometric modeler coupled with a dimension and tolerance modeler. Resource data regarding the machines, probes, and fixtures are queried from databases. IPPEX represents inspection process knowledge as production rules and incorporates an embedded inference engine to perform decision making. The IPPEX system, its functional architecture, system architecture, system approach, product modeling environment, inspection features, inspection knowledge, hierarchical planning strategy, user interface formats, and other fundamental issues related to inspection planning and part programming for CMMs are described. 27 refs., 16 figs., 4 tabs.

  13. Developing the information management system for safeguards national inspection

    Energy Technology Data Exchange (ETDEWEB)

    Park, S. J.; Jeon, I.; Park, W. S.; Min, K. S. [KAERI, Taejon (Korea, Republic of)

    2003-10-01

    The inspection information management system for safeguards national inspection is aimed to do the national safeguards inspection with efficiency, and to decrease the inspector's load to write inspection report by systematizing the inspection jobs and sharing the inspection data. National safeguards inspection is consisted two large jobs. The first is the national safeguards supporting job of managing to support the national inspection mission. The other is the writing a national inspection report after completing the national inspection. Before the developing of inspection information management system, the official tools(spread sheet, word processor) are usually used. But there is problem to share the data, to produce the statistics data. To solve the these problem, we developed the inspection information management system that process the job from initial to final inspection work, and opened user education. This paper explain the procedure of developing the inspection information management system for safeguards national inspection.

  14. Investigation of Trichomonas Vaginalis by Parasitological and Cytological Methods in Patients Admitted to Gynecology Outpatient Clinics in a University Hospital

    Directory of Open Access Journals (Sweden)

    Özlem Aycan-Kaya

    2015-11-01

    Full Text Available Aim: In this study, it was aimed to compare parasitological and cytological diagnostic methods to detect T. Vaginalis in samples taken from posterior fornix of vagina. Methods: In this cross-sectional study, study population (n=104 were selected from women applying to gynecology outpatient clinic of Mustafa Kemal University Hospital with different complaints between March- August 2013. The presence of T. vaginalis was investigated by parasitological and cytological diagnostic methods. While direct microscopy, giemsa staining and culture in Cysteine-Peptone-Liver-Maltose medium (CPLM were performed for parasitological diagnosis of T. vaginalis in samples taken from posterior fornix of vagina, cervical smear stained by Papanicolaou (PAPS was used for cytological diagnosis. Results: T. vaginalis was detected in 12 (11.5%, 12 (11.5%, 14 (%13.4 of materials by direct microscopy, giemsa staining and culture, respectively. T. vaginalis was detected only 5 (4.8% of materials by cytology. This difference was statistically significant (p<0.05. Conclusion: Our study results showed that parasitological methods are more sensitive than cytological methods in diagnosis of T. vaginalis. Therefore, T. vaginalis should be screened in women with non-specific symptoms in under developed countries where lack of periodic examination and polygamy were seen.

  15. Clinical and mutational investigations of tyrosinemia type II in Northern Tunisia: identification and structural characterization of two novel TAT mutations.

    Science.gov (United States)

    Charfeddine, C; Monastiri, K; Mokni, M; Laadjimi, A; Kaabachi, N; Perin, O; Nilges, M; Kassar, S; Keirallah, M; Guediche, M N; Kamoun, M R; Tebib, N; Ben Dridi, M F; Boubaker, S; Ben Osman, A; Abdelhak, S

    2006-06-01

    Tyrosinemia type II or Richner-Hanhart Syndrome (RHS) is an autosomal recessive disorder characterized by keratitis, palmoplantar keratosis, mental retardation, and elevated blood tyrosine levels. The disease is due to a deficiency of hepatic cytosolic tyrosine aminotransferase (TATc), an enzyme involved in the tyrosine catabolic pathway. Because of the high rate of consanguinity this disorder seems to be relatively common among the Arab and Mediterranean populations. RHS is characterized by inter and intrafamilial phenotypic variability. A large spectrum of mutations within TATc gene has been shown to be responsible for RHS. In the present study, we report the clinical features and the molecular investigation of RHS in three unrelated consanguineous Tunisian families including 7 patients with confirmed biochemical diagnosis of tyrosinemia type II. Mutation analyses were performed and two novel missense mutations were identified (C151Y) and (L273P) within exon 5 and exon 8, respectively. The 3D-structural characterization of these mutations provides evidence of defective folding of the mutant proteins, and likely alteration of the enzymatic activity. Phenotype variability was observed even among individuals sharing the same pathogenic mutation.

  16. Clinical multiphoton FLIM tomography

    Science.gov (United States)

    König, Karsten

    2012-03-01

    This paper gives an overview on current clinical high resolution multiphoton fluorescence lifetime imaging in volunteers and patients. Fluorescence lifetime imaging (FLIM) in Life Sciences was introduced in Jena/Germany in 1988/89 based on a ZEISS confocal picosecond dye laser scanning microscope equipped with a single photon counting unit. The porphyrin distribution in living cells and living tumor-bearing mice was studied with high spatial, temporal, and spectral resolution. Ten years later, time-gated cameras were employed to detect dental caries in volunteers based on one-photon excitation of autofluorescent bacteria with long fluorescence lifetimes. Nowadays, one-photon FLIM based on picosecond VIS laser diodes are used to study ocular diseases in humans. Already one decade ago, first clinical twophoton FLIM images in humans were taken with the certified clinical multiphoton femtosecond laser tomograph DermaInspectTM. Multiphoton tomographs with FLIM modules are now operating in hospitals at Brisbane, Tokyo, Berlin, Paris, London, Modena and other European cities. Multiple FLIM detectors allow spectral FLIM with a temporal resolution down to 20 ps (MCP) / 250 ps (PMT) and a spectral resolution of 10 nm. Major FLIM applications include the detection of intradermal sunscreen and tattoo nanoparticles, the detection of different melanin types, the early diagnosis of dermatitis and malignant melanoma, as well as the measurement of therapeutic effects in pateints suffering from dermatitis. So far, more than 1,000 patients and volunteers have been investigated with the clinical multiphoton FLIM tomographs DermaInspectTM and MPTflexTM.

  17. Trueness investigation of routine creatinine assays on nine homogeneous systems in Beijing demonstrates an encouraging outcome that meets clinical requirements

    Institute of Scientific and Technical Information of China (English)

    LIU Yan; XU Guo-bin

    2010-01-01

    Background Serum creatinine (Scr) measurement plays a key role in glomerular filtration rate estimation (eGFR),chronic kidney disease (CKD) diagnosis as well as CKD treatment. However, the test results of Scr from different laboratories vary significantly. In order to get comparable results, the European in vitro diagnostic (IVD) directive requires traceability to reference methods and materials. The purpose of this study was to verify the effect of traceability implementation by investigating the trueness of creatinine measurement on nine homogenous systems in Beijing. Methods Commutable frozen human serum reference material, National Institute of Standards & Technology (NIST) Standard Reference Material (SRM) 967, was used to verify the trueness of Scr measurement results from nine homogeneous analytical systems of seven companies which are the most widely used systems in Beijing's third-grade hospitals. The methods referred to the Jaffe's and Enzymatic methods. Results from nine routine measurement systems were assessed using two criteria: biological variability and Clinical Laboratory Improvement Amendments' 88 (CLIA' 88).We simulated a series of broken lines representing the limits of SD and bias that would produce a relative increase (or decrease) of 10% and 20% in the measurement error when estimating GFR (MEeGFR) using the isotope dilution mass spectrometry (IDMS)-traceable Modification of Diet in Renal Disease (MDRD) Study equation. Results of the College of American Pathologists (CAP) 2008-B LN24 Survey were compared with our investigation results. Results Compared with the total error criteria of biological variability, Ortho (traceable to IDMS) met the minimum acceptable criteria; Roche (Jaffe), Roche (Enzymatic), Shino and Daiichi met the desirable criteria at level Ⅰ. At level Ⅱ, Ortho (traceable to gas chromatography/isotope dilution mass spectrometry, GC/IDMS), Dade Behring and Beckman (traceable to rate Jaffe) met the minimum acceptable

  18. Clinical analysis of vaginal discharge routine inspection combined with smears diagnosis on bacterial vaginosis%阴道分泌物常规检查结合涂片诊断细菌性阴道炎的临床分析

    Institute of Scientific and Technical Information of China (English)

    原霞; 李医

    2016-01-01

    Objective o study the clinical value of vaginal discharge routine inspection combined with smears diagnosis on bacte‐rial vaginosis .Methods 166 patients from February 2014 to 2014 admitted in our hospital outpatient service of department of gy‐naecology ,extract the patient's vaginal secretions ,and adopt routine inspection combined with smears diagnosis method to analyze the vaginal discharge .Results 166 cases of patients ,the tested bacterial vaginosis detection positive rate was 24 .70% (41/166) higher than fungal infection rate 16 .27% (27/166)and trichomonas infection rate 4 .82% (8/166) .Conclusion in the diagnosis of bacterial vaginosis ,adopting vaginal discharge routine inspection combined with smear diagnosis ,positive rate is high ,is accurate , convenient and fast way of diagnosis .%目的:研究阴道分泌物常规检查结合涂片诊断细菌性阴道炎的临床价值。方法选取2014年2月至2015年本院妇科门诊收治的166例患者,提取患者的阴道分泌物,并采取常规检查结合涂片方式进行诊断分析。结果166例受检患者中,细菌性阴道炎检测的阳性率为24.70%(41/166)高于真菌感染率16.27%(27/166)和滴虫感染率4.82%(8/166)。结论在诊断细菌性阴道炎中,采取阴道分泌物常规检查结合涂片诊断,阳性率高,属于准确、方便、快捷的诊断方式。

  19. Computational defect review for actinic mask inspections

    Science.gov (United States)

    Morgan, Paul; Rost, Daniel; Price, Daniel; Corcoran, Noel; Satake, Masaki; Hu, Peter; Peng, Danping; Yonenaga, Dean; Tolani, Vikram

    2013-04-01

    As optical lithography continues to extend into low-k1 regime, resolution of mask patterns continues to diminish. The limitation of 1.35 NA posed by water-based lithography has led to the application of various resolution enhancement techniques (RET), for example, use of strong phase-shifting masks, aggressive OPC and sub-resolution assist features, customized illuminators, etc. The adoption of these RET techniques combined with the requirements to detect even smaller defects on masks due to increasing MEEF, poses considerable challenges for a mask inspection engineer. Inspecting masks under their actinic-aerial image conditions would detect defects that are more likely to print under those exposure conditions. However, this also makes reviewing such defects in their low-contrast aerial images very challenging. On the other hand, inspecting masks under higher resolution inspection optics would allow for better viewing of defects post-inspection. However, such inspections generally would also detect many more defects, including printable and nuisance, thereby making it difficult to judge which are of real concern for printability on wafer. Often, an inspection engineer may choose to use Aerial and/or high resolution inspection modes depending on where in the process flow the mask is and the specific device-layer characteristics of the mask. Hence, a comprehensive approach is needed in handling defects both post-aerial and post-high resolution inspections. This analysis system is designed for the Applied Materials Aera™ mask inspection platform, all data reported was collected using the Aera.

  20. Restaurant inspection frequency and food safety compliance.

    Science.gov (United States)

    Newbold, K Bruce; McKeary, Marie; Hart, Robert; Hall, Robert

    2008-11-01

    Although food premises are regularly inspected, little information is available on the effect of inspections on compliance records, particularly with respect to the impact of the frequency of inspection on compliance. The following presents the outcome of a study designed to assess the impact of increased inspection frequency on compliance measures in Hamilton, Ontario, in the absence of any other changes to food handler/safety programs or legislation. High-risk food inspection premises were randomly assigned three, four, or five inspections per year. Results indicate that no statistical difference existed in outcome measures based on frequency of inspection. When premises were grouped based on the average time between inspections, premises with greater time between inspections scored better compliance measures relative to premises that were inspected more frequently. The study was also unique for the level of consultation and collaboration sought from the public health inspectors (PHIs) assigned to the Food Safety Program. Their knowledge and experience with respect to the critical variables associated with compliance were a complementary component to the literature review conducted by the research team.

  1. ANNUAL RADIOACTIVE WASTE TANK INSPECTION PROGRAM - 2011

    Energy Technology Data Exchange (ETDEWEB)

    West, B.; Waltz, R.

    2012-06-21

    Aqueous radioactive wastes from Savannah River Site (SRS) separations and vitrification processes are contained in large underground carbon steel tanks. Inspections made during 2011 to evaluate these vessels and other waste handling facilities along with evaluations based on data from previous inspections are the subject of this report. The 2011 inspection program revealed that the structural integrity and waste confinement capability of the Savannah River Site waste tanks were maintained. All inspections scheduled per SRR-LWE-2011-00026, HLW Tank Farm Inspection Plan for 2011, were completed. Ultrasonic measurements (UT) performed in 2011 met the requirements of C-ESR-G-00006, In-Service Inspection Program for High Level Waste Tanks, Rev. 3, and WSRC-TR-2002-00061, Rev.6. UT inspections were performed on Tanks 25, 26 and 34 and the findings are documented in SRNL-STI-2011-00495, Tank Inspection NDE Results for Fiscal Year 2011, Waste Tanks 25, 26, 34 and 41. A total of 5813 photographs were made and 835 visual and video inspections were performed during 2011. A potential leaksite was discovered at Tank 4 during routine annual inspections performed in 2011. The new crack, which is above the allowable fill level, resulted in no release to the environment or tank annulus. The location of the crack is documented in C-ESR-G-00003, SRS High Level Waste Tank Leaksite Information, Rev.6.

  2. Steam generator tube inspection in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Fukui, Shigetaka [Japan Power Engineering and Inspection Corp., Tokyo (Japan)

    1997-02-01

    Steam generator tube inspection was first carried out in 1971 at Mihama Unit-1 that is first PWR plant in Japan, when the plant was brought into the first annual inspection. At that time, inspection was made on sampling basis, and only bobbin coil probe was used. After experiencing various kinds of tube degradations, inspection method was changed from sampling to all number of tubes, and various kinds of probes were used to get higher detectability of flaw. At present, it is required that all the tubes shall be inspected in their full length at each annual inspection using standard bobbin coil probe, and some special probes for certain plants that have susceptibility of occurrence of flaw. Sleeve repaired portion is included in this inspection. As a result of analyses of eddy current testing data, all indications that have been evaluated to be 20% wall thickness or deeper shall be repaired by either plugging or sleeving, where flaw morphology is to be a wastage or wear. Other types of flaw such as IGA/SCC are not allowed to be left inservice when those indications are detected. These inspections are performed according to inspection procedures that are approved by regulatory authority. Actual inspections are witnessed by the Japan Power engineering and inspection corporation (JAPEIC)`s inspectors during data acquisition and analysis, and they issue inspection report to authority for review and approval. It is achieved high safety performance of steam generator through this method of inspections, however. some tube leakage problems were experienced in the past. To prevent recurrence of such events, government is conducting development and verification test program for new eddy current testing technology.

  3. Electrical Inspection Oriented Thermal Image Quality Assessment

    Science.gov (United States)

    Lin, Ying; Wang, Menglin; Gong, Xiaojin; Guo, Zhihong; Geng, Yujie; Bai, Demeng

    2017-01-01

    This paper presents an approach to access the quality of thermal images that are specially used in electrical inspection. In this application, no reference images are given for quality assessment. Therefore, we first analyze the characteristics for these thermal images. Then, four quantitative measurements, which are one-dimensional (1D) entropy, two-dimensional (2D) entropy, centrality, and No-Reference Structural Sharpness (NRSS), are investigated to measure the information content, the centrality for objects of interest, and the sharpness of images. Moreover, in order to provide a more intuitive measure for human operators, we assign each image with a discrete rate based on these quantitative measurements via the k-nearest neighbor (KNN) method. The proposed approach has been validated in a dataset composed of 2,336 images. Experiments show that our quality assessment results are consistent with subjective assessment.

  4. A study on in-pipe inspection mobile robots, 3; Basic strategy of inspection path planning for inspection mobile robots

    Energy Technology Data Exchange (ETDEWEB)

    Fukuda, Toshio (Nagoya Univ. (Japan). Faculty of Engineering); Hosokai, Hidemi; Uemura, Masahiro

    1990-01-01

    This paper deals with inspection path planning for in-pipe inspection mobile robots which have the capability of moving through complicated pipeline networks. It is imperative that the robot systems have an inspection path planning system for such networks for their reasonable and rational operation, controlled by themselves or by the operators. The planning mainly requires two projects: the selection of the place to put the robot in or out, and the generation of the paths in the networks. This system provides the for complicated problems with plural inspection points using a basic strategy of systematically producing patterns and dividing partial problems of simple searches based on rules. (author).

  5. [Intraurethrally applicated alprostadil for the treatment of organic erectile dysfunction in practice: a multicenter clinical monitoring study (noninterventional investigation)].

    Science.gov (United States)

    Potempal, Axel-Jürg; Potempa, Dirk M; Görlich, Hans Diether; Stolpmann, Rainer M

    2007-01-01

    In a multicenter clinical monitoring study (observation of use investigation according to 67.6 of the German Drug Law), which was conducted between 2003 and 2005 in 105 urological practices in 314 patients with organic erectile dysfunction (ED), efficacy, safety, convenience and acceptance of intraurethral administered alprostadil (CAS 745-65-3; MUSE - Medicated Urethral System for Erection) was studied. 306 patients could statistically be evaluated. The patients were 61.3 +/- 9.2 years old (median+/- SD) (181 patients between 60 and 80 y). The time of ED was from 2 to 120 months with a mean duration of 21.5 +/- 22 months (median+/-SD. Genesis of the ED was in 55 % of the patients a local damage, which followed in 42.8 % a prostate cancer surgery. 46 % of the patients had vascular, 28 % metabolic diseases including diabetes and 11% neural damages. In 51.3% of the patients drugs, which were known to induce ED, were suspected to have caused or partially caused the impairment. The degree of the disturbance was in 93 % of the cases moderate to severe. Alprostadil (MUSE) was applicated three times in doses of 250, 500 or 1000 microg. The dosage of 1000 microg was used for the third application by 65 % of the patients. Very good and good efficacy increased from 45.8% of the patients after the first through 63.7 % after the second to 69.3 % after the third application. In patients after surgery because of prostate cancer very good and good efficacy improved in comparison to the first application about 20% and concerned 53.9 % of the patients after the third application. Sexual intercourse was possible by 67% of the patients after the first, 83 % after the second and 87 % after the third use. Tolerability of alprostadil (MUSE) was very good and good in 90% of the patients. 81.1% intended to continue the treatment. The handling of alprostadil (MUSE) was assessed very good and good by 75%, the acceptance was very good and good in 96% of the patients. In a retrospective

  6. Essential parameters in eddy current inspection

    Energy Technology Data Exchange (ETDEWEB)

    Stepinski, T. [Uppsala Univ. (Sweden). Signals and Systems

    2000-05-01

    Our aim was to qualitatively analyze a number of variables that may affect the result of eddy current (EC) inspection but because of various reasons are not considered as essential in common practice. In the report we concentrate on such variables that can vary during or between inspections but their influence is not determined during routine calibrations. We present a qualitative analysis of the influence of the above-mentioned variables on the ability to detect and size flaws using mechanized eddy current testing (ET). ET employs some type of coil or probe, sensing magnetic flux generated by eddy currents induced in the tested specimen. An amplitude-phase modulated signal (with test frequency f0 ) from the probe is sensed by the EC instrument. The amplitude-phase modulated signal is amplified and demodulated in phase-sensitive detectors removing carrier frequency f0 from the signal. The detectors produce an in-phase and a quadrature component of the signal defining it as a point in the impedance plane. Modern instruments are provided with a screen presenting the demodulated and filtered signal in complex plane. We focus on such issues, related to the EC equipment as, probe matching, distortion introduced by phase discriminators and signal filters, and the influence of probe resolution and lift-off on sizing. The influence of different variables is investigated by means of physical reasoning employing theoretical models and demonstrated using simulated and real EC signals. In conclusion, we discuss the way in which the investigated variables may affect the result of ET. We also present a number of practical recommendations for the users of ET and indicate the areas that are to be further analyzed.

  7. Clinical-Epidemiological Investigation of Moldy Corn Poisoning due to Penicillium spp in mules at Udayapur District, Nepal

    Directory of Open Access Journals (Sweden)

    Kedar Karki and Poornima Manandha

    2008-08-01

    Full Text Available A clinical epidemiological investigation of Acute sudden death syndrome due to which 31 mules from a herd of 900 died within the period of 12-07-2006 to 21-10-2006 in Udayapur District Nepal. These animals were being used for good transportation work in hilly region of Nepal. On rout these animals were being fed only whole maize and gram. Normally healthy looking animals started dying suddenly. Initially suspected for acute bacterial disease and treated with broad-spectrum antibiotics and vaccinated with bacterial vaccine.On close observation of herd their feed stuff revealed grains fed to these animal during rainy season was found 20% moldy in appearance. On Postmortem examination acute severe congestion and hemorrhages in liver, lung, spleen heart, intestinal mucosa were found. Histopathological examination of tissue from these organs revealed infiltration of mononuclear cell in tissue indicative of chronic nature of condition.Continous use of apparently 15-20% moldy grain (maize, gram was used as feed. On laboratory analysis of sample of same grain was found to be containing 610-11010 CFU/gm of Penicillium spp of fungus. When remaining herd still using same feed treated with toxin binder (toxicurb, varishta, liver tonic like bioliv, digevet, mineral mixture promin and immunocare controlled the mortality may be indicative of the disease syndrome being caused by moldy corn poisoning similar to condition Equine Encephalomalacia.Laboratory findings and response of treatment indicates that during rainy season and immediately after rainy season feeding of stored grains are going to be detrimental to equine species. During this period care should be taken to feeding grains to this animal if treated with any toxin binder as well as herbal immunomodulater is going to reduce the chances of occurring this syndrome. [Veterinary World 2008; 1(4.000: 107-109

  8. The Clinical Investigation of Emergent Cervical Cerclage%紧急宫颈环扎术的临床应用

    Institute of Scientific and Technical Information of China (English)

    崔红; 刘彩霞; 李心瑶; 尹少尉; 李秋玲

    2011-01-01

    目的 探讨紧急宫颈环扎术的临床价值.方法 回顾性分析40例宫颈机能不全患者,均施行紧急宫颈环扎术,统计手术前宫颈情况及延长孕周情况.结果 40例紧急宫颈环扎术均成功实施,33例患者得存活新生儿,2例保胎中.单胎组孕周平均延长50.73 d,双胎组平均延长48.33 d.结论 紧急宫颈环扎术能有效的延长宫颈机能不全患者的孕周,明显改善新生儿预后.%Objective To investigate the clinical significance of emergent cervical cerclage.Methods Forty cases of cervical incompetence were analyzed retrospectively from 2008 to 2010 and they had received emergent cervical cerclage.Their preoperative cervical length and width,the prolongation of the gestational age were recorded.Results Among the 40 cases with emergency cerclage,33 got survival neonatus and 2 patients had not yet delivered.The average prolongation of single pregnancy was 50.73 days and the average prolongation of bigeminal group was 48.33 days.Conclusion Emergent cerclage could obviously prolongate the gestational week of the patients with cervical incompetence, and improve neonate prognosis.

  9. Instant Adobe Edge Inspect starter

    CERN Document Server

    Khan, Joseph

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks. This easy-to-understand Starter guide will get you up to speed with Adobe Edge Inspect quickly and with little effort.This book is for frontend web developers and designers who are developing and testing web applications targeted for mobile browsers. It's assumed that you have a basic understanding of creating web applications using HTML, CSS, and JavaScript, as well as being familiar with running web pages from local HTTP servers. Readers are a

  10. STIP-V Inspection Report

    Energy Technology Data Exchange (ETDEWEB)

    Saleh, Tarik A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Quintana, Matthew Estevan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Romero, Tobias J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-03-25

    The Los Alamos National Laboratory samples from the STIP-­V irradiation arrived at LANL on December 24th, 2014, after some delays en-­route from the Paul Scherrer Institute (PSI). The samples were transferred to the Wing 9 hot cells in early January and unpacked and inspected in cell with the Hirox Digital Optical microscope. The complete sample matrix of LANL specimens can be seen in table one. Due to space and budgetary issues, no TEM samples were sent back to LANL. Additionally the HT9-­WO, HT9-­Shot and T91-Shot samples are actually bend bars, rather than the tensile samples listed.

  11. Quality Inspection of Printed Texts

    DEFF Research Database (Denmark)

    Pedersen, Jesper Ballisager; Nasrollahi, Kamal; Moeslund, Thomas B.

    2016-01-01

    Inspecting the quality of printed texts has its own importance in many industrial applications. To do so, this paper proposes a grading system which evaluates the performance of the printing task using some quality measures for each character and symbols. The purpose of these grading system is two......-folded: for costumers of the printing and verification system, the overall grade used to verify if the text is of sufficient quality, while for printer's manufacturer, the detailed character/symbols grades and quality measurements are used for the improvement and optimization of the printing task. The proposed system...

  12. Backlit Keyboard Inspection Using Machine Vision

    Institute of Scientific and Technical Information of China (English)

    Der-Baau Perng; Hsiao-Wei Liu; Po-An Chen

    2015-01-01

    Abstract⎯A robust system for backlit keyboard inspection is revealed. The backlit keyboard not only has changeable diverse colors but also has the laser marking keys. The keys on the keyboard can be divided into regions of function keys, normal keys, and number keys. However, there might have some types of defects: incorrect illuminating area, non-uniform illumination of specified inspection region (IR), and incorrect luminance and intensity of individual key. Since the illumination features of backlit keyboard are too complex to inspect for human inspector in the production line, an auto-mated inspection system for the backlit keyboard is proposed in this paper. The system was designed into the operation module and inspection module. A set of image processing methods were developed for these defects inspection. Some experimental results demonstrate the robustness and effectiveness of the proposed system.

  13. COG risk informed in-service inspection (RI-ISI) pilot study

    Energy Technology Data Exchange (ETDEWEB)

    Rezaie-Manesh, M. [Ontario Power Generation, Toronto, Ontario (Canada); O' Regan, P. [Electric Power Research Inst. (EPRI), Palo Alto, California (United States); Chesworth, S. [Structural Integrity Associates, Inc., San Francisco, California (United States)

    2011-07-01

    In 2009, CNSC prepared 'Guidelines for Risk-Informed In-service Inspection for Piping,' that provided guidance for licensees to develop a RI-ISI program as an alternate to the current CSA N285.4 and augmented programs for piping inspection. In response, a COG project was initiated to develop a best-fit methodology for the CANDU design and evaluate plant risk levels between current and RI-ISI inspection programs. EPRI RI-ISI was used as a starting point for methodology development. The effectiveness of current piping inspection programs in managing risk-significant locations was evaluated, and potential risk reductions associated with relocating or adding inspections were investigated.

  14. User interface inspection methods a user-centered design method

    CERN Document Server

    Wilson, Chauncey

    2014-01-01

    User Interface Inspection Methods succinctly covers five inspection methods: heuristic evaluation, perspective-based user interface inspection, cognitive walkthrough, pluralistic walkthrough, and formal usability inspections. Heuristic evaluation is perhaps the best-known inspection method, requiring a group of evaluators to review a product against a set of general principles. The perspective-based user interface inspection is based on the principle that different perspectives will find different problems in a user interface. In the related persona-based inspection, colleagues assume the

  15. 14 CFR 91.409 - Inspections.

    Science.gov (United States)

    2010-01-01

    ... procedures manual available and readily understandable to pilot and maintenance personnel containing, in... the name and address of the person responsible for scheduling the inspections required by the...

  16. Non-Destructive Inspection Lab (NDI)

    Data.gov (United States)

    Federal Laboratory Consortium — The NDI specializes in applied research, development and performance of nondestructive inspection procedures (flourescent penetrant, magnetic particle, ultrasonics,...

  17. Computer vision technology in log volume inspection

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Log volume inspection is very important in forestry research and paper making engineering. This paper proposed a novel approach based on computer vision technology to cope with log volume inspection. The needed hardware system was analyzed and the details of the inspection algorithms were given. A fuzzy entropy based on image enhancement algorithm was presented for enhancing the image of the cross-section of log. In many practical applications the cross-section is often partially invisible, and this is the major obstacle for correct inspection. To solve this problem, a robust Hausdorff distance method was proposed to recover the whole cross-section. Experiment results showed that this method was efficient.

  18. Robotic inspection technology-process an toolbox

    Energy Technology Data Exchange (ETDEWEB)

    Hermes, Markus [ROSEN Group (United States). R and D Dept.

    2005-07-01

    Pipeline deterioration grows progressively with ultimate aging of pipeline systems (on-plot and cross country). This includes both, very localized corrosion as well as increasing failure probability due to fatigue cracking. Limiting regular inspecting activities to the 'scrapable' part of the pipelines only, will ultimately result into a pipeline system with questionable integrity. The confidence level in the integrity of these systems will drop below acceptance levels. Inspection of presently un-inspectable sections of the pipeline system becomes a must. This paper provides information on ROSEN's progress on the 'robotic inspection technology' project. The robotic inspection concept developed by ROSEN is based on a modular toolbox principle. This is mandatory. A universal 'all purpose' robot would not be reliable and efficient in resolving the postulated inspection task. A preparatory Quality Function Deployment (QFD) analysis is performed prior to the decision about the adequate robotic solution. This enhances the serviceability and efficiency of the provided technology. The word 'robotic' can be understood in its full meaning of Recognition - Strategy - Motion - Control. Cooperation of different individual systems with an established communication, e.g. utilizing Bluetooth technology, support the robustness of the ROSEN robotic inspection approach. Beside the navigation strategy, the inspection strategy is also part of the QFD process. Multiple inspection technologies combined on a single carrier or distributed across interacting container must be selected with a clear vision of the particular goal. (author)

  19. 33 CFR 127.403 - Inspections.

    Science.gov (United States)

    2010-07-01

    ...) WATERFRONT FACILITIES WATERFRONT FACILITIES HANDLING LIQUEFIED NATURAL GAS AND LIQUEFIED HAZARDOUS GAS Waterfront Facilities Handling Liquefied Natural Gas Maintenance § 127.403 Inspections. The operator...

  20. Comparisons of NDT Methods to Inspect Cork and Cork filled Epoxy Bands

    Science.gov (United States)

    Lingbloom, Mike

    2007-01-01

    Sheet cork and cork filled epoxy provide external insulation for the Reusable Solid Rocket Motor (RSRM) on the Nation's Space Transportation System (STS). Interest in the reliability of the external insulation bonds has increased since the Columbia incident. A non-destructive test (NDT) method that will provide the best inspection for these bonds has been under evaluation. Electronic Shearography has been selected as the primary NDT method for inspection of these bond lines in the RSRM production flow. ATK Launch Systems Group has purchased an electronic shearography system that includes a vacuum chamber that is used for evaluation of test parts and custom vacuum windows for inspection of full-scale motors. Although the electronic shearography technology has been selected as the primary method for inspection of the external bonds, other technologies that exist continue to be investigated. The NASA/Marshall Space Flight Center (MSFC) NDT department has inspected several samples for comparison with electronic shearography with various inspections systems in their laboratory. The systems that were evaluated are X-ray backscatter, terahertz imaging, and microwave imaging. The samples tested have some programmed flaws as well as some flaws that occurred naturally during the sample making process. These samples provide sufficient flaw variation for the evaluation of the different inspection systems. This paper will describe and compare the basic functionality, test method and test results including dissection for each inspection technology.

  1. 评价产前检查免疫检验项目对孕妇和胎儿的临床价值%Evaluation of the Clinical Value of Antenatal Examination Immune Inspec-tion Items of Pregnant Women and Fetus

    Institute of Scientific and Technical Information of China (English)

    贺映富

    2015-01-01

    Objective To evaluate the clinical value of antenatal examination immune inspection items of pregnant women and fetus. Methods 3 000 cases of pregnant women receiving routine pregnancy examination in the hospital from January 2012 to December 2014 were selected and were given prenatal immunization items inspection, including AIDS, syphilis, hepatitis B and hepatitis C test and the results of the inspection were analyzed. Results In the process of inspection, Hep-atitis B was the highest proportion, followed by syphilis positive, HCV positive and HIV infection hasn't been found in the hospital. There were 182 cases with hepatitis B positive and the proportion was 6.1%; 20 cases with positive syphilis and the proportion was 0.6%and 10 cases with anti HCV positive and the proportion was 0.3%. Conclusion Prenatal testing for pregnant women immunoassay can understand the basic situation of maternal and timely and effective medical intervention was made for the positive maternal by detection can improve the health of pregnant women and their fetuses. Therefore, ma-ternal need to pay attention to the prenatal immunization items in spection and actively cooperate to protect their own safety and health.%目的:评价产前检查免疫检验项目对孕妇和胎儿的临床价值。方法随机选取2012年1月—2014年12月期间在该院接受常规孕期检查孕妇3000例,对产妇进行产前免疫项目检查,检查内容包括艾滋病、梅毒、乙肝与丙肝检查等,对所得检验结果进行分析。结果受检过程中,以乙肝阳性者所占比例最高,其次为梅毒阳性、丙肝阳性,该院未发现艾滋病感染者。其中乙肝阳性者182例,所占比例为6.1%;梅毒阳性20例,所占比例为0.6%;抗丙肝阳性者10例,所占比例为0.3%。结论对孕妇进行产前检验免疫检验,可了解产妇的基本情况,对于检出阳性者做出及时有效的医学干预,提高孕妇与其胎儿的健康程度。

  2. 我院门诊喹诺酮类药物临床应用调查%Investigation on Clinical Use of Quinolones in Outpatient Clinic

    Institute of Scientific and Technical Information of China (English)

    田雪莉; 周霞

    2011-01-01

    Objective To understand the use status of quinolone- related drugs in the outpatient clinic for standardizing rational drug use in clinic. Methods The prescriptions involving quinolone- related drugs in the outpatient clinic were extracted and statistically analyzed in aspects of disease category, age, drug variety and rationality of drug use. Results Quinolone medication accounted for 21.50% of all antibiotic uses in the outpatient clinic. 43.06% of quinolones were used for respiratory diseases. Among them, levofloxacin had the highest use frequency(48.79% ). Unreasonable prescriptions included the use of quinolones for the patients yomger than 18 years old and without clear diagnosis of infectious diseases. Conclusion Quinolones are commonly used in anti- infection treatment in the outpatient clinic. The use indicators are rationally grasped as a whole. But using quinolones in children still exists, which should be needed to pay attention. The dosage in different ages has no apparent difference. The medieation dose in elderly patients should be adjusted.%目的 了解医院门诊喹诺酮类药物的使用情况,规范临床合理用药.方法 抽取喹诺酮类药物的处方,从痛种、患者年龄、用药品种、用药合理性等方面进行统计分析.结果 喹诺酮类药物的使用占全部抗茵药物的21.50%,43.06%用于呼吸系统疾病,其中左氧氟沙星使用频率最高(占喹诺酮类的48.79%).不合理用药包括18岁以下儿童用药、无感染性疾病诊断用药等.结论 喹诺酮类药物在医院门诊抗感染治疗中比较常见,应用指征掌握基本合理,但仍存在儿童用药,应予以重视.不同年龄用量差异不明显,对老年患者用药应进行剂量调整.

  3. A Novel Glycinate-based Body Wash: Clinical Investigation Into Ultra-mildness, Effective Conditioning, and Improved Consumer Benefits

    OpenAIRE

    Regan, Jamie; Mollica, Leonel-Maximo; Ananthapadmanabhan, K. P.

    2013-01-01

    Objective: To assess the properties of a novel body wash containing the mild surfactant glycinate. Design: Biochemical and clinical assays. Setting: Research laboratories and clinical sites in the United States and Canada. Participants: Women 18 to 65 years of age (cleansing efficacy); male and female subjects 26 to 63 years of age with mild or moderate dryness and erythema (leg-controlled application test); subjects 5 to 65 years of age with mild-to-moderate eczema (eczema compatibility); an...

  4. The interactive on-site inspection system: An information management system to support arms control inspections

    Energy Technology Data Exchange (ETDEWEB)

    DeLand, S.M.; Widney, T.W.; Horak, K.E.; Caudell, R.B.; Grose, E.M.

    1996-12-01

    The increasing use of on-site inspection (OSI) to meet the nation`s obligations with recently signed treaties requires the nation to manage a variety of inspection requirements. This document describes a prototype automated system to assist in the preparation and management of these inspections.

  5. [Investigation of the clinical course and treatment of prion disease patients in the akinetic mutism state in Japan].

    Science.gov (United States)

    Iwasaki, Yasushi; Mori, Keiko; Ito, Masumi

    2012-01-01

    Twelve cases (one Gerstmann-Sträussler-Scheinker syndrome (P102L; definite), one genetic Creutzfeldt-Jakob disease (CJD) (V180I; definite) and ten sporadic CJD (7 MM1-type definite, 3 probable)), who reached the akinetic mutism state, were investigated with regard to their clinical course and treatment. They were hospitalized for a total of 3,968 days in the akinetic mutism state. In the nine definite cases, the median period from the akinetic mutism state to death was 22 months (average: 27.0 ± 23.3 months, range: 3-80 months) and median total disease duration was 27 months (average: 34.2 ± 30.1 months, range: 5-102 months). In the seven definite sporadic CJD cases, the median period from akinetic mutism to death was 21 months (average: 17.0 ± 9.6 months, range 3-28 months), and median total disease duration was 24 months (average: 20.6 ± 10.0 months, range: 5-31 months). Nasal-tube feeding was performed in all cases. Symptomatic treatments such as parenteral nutrition and antibiotic drugs were administered for complications such as respitory and urinary tract infections and digestive symptoms. Patients received rehabilitation and hot spring therapy regularly until death. Gastrostomy and/or tracheotomy was not performed in any case, the patients were not intubated nor was mechanical ventilation (including non-invasive positive pressure ventilation) applied. Vasoactive drugs were not administered. Clonazepam was administered for myoclonus in four patients but not in another three when myoclonus appeared. It is unclear whether the treatment influenced the duration of myoclonus. Our observations indicate that the extended survival period among Japanese prion disease patients is likely due to the management procedures implemented for prion disease in Japan, which are usually continued after the patients reach the akinetic mutism state. We speculate that nasal-tube feeding is the crucial factor that results in the prolonged disease duration of prion disease

  6. Nuclear data needs for non-intrusive inspection.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D. L.; Michlich, B. J.

    2000-11-29

    Various nuclear-based techniques are being explored for use in non-intrusive inspection. Their development is motivated by the need to prevent the proliferation of nuclear weapons, to thwart trafficking in illicit narcotics, to stop the transport of explosives by terrorist organizations, to characterize nuclear waste, and to deal with various other societal concerns. Non-intrusive methods are sought in order to optimize inspection speed, to minimize damage to packages and containers, to satisfy environmental, health and safety requirements, to adhere to legal requirements, and to avoid inconveniencing the innocent. These inspection techniques can be grouped into two major categories: active and passive. They almost always require the use of highly penetrating radiation and therefore are generally limited to neutrons and gamma rays. Although x-rays are widely employed for these purposes, their use does not constitute nuclear technology and therefore is not discussed here. This paper examines briefly the basic concepts associated with nuclear inspection and investigates the related nuclear data needs. These needs are illustrated by considering four of the methods currently being developed and tested.

  7. 9 CFR 354.121 - Ante-mortem inspection.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Ante-mortem inspection. 354.121 Section 354.121 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... Procedures; Ante-Mortem Inspections § 354.121 Ante-mortem inspection. An ante-mortem inspection of...

  8. 9 CFR 590.925 - Inspection of imported egg products.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Inspection of imported egg products... AGRICULTURE EGG PRODUCTS INSPECTION INSPECTION OF EGGS AND EGG PRODUCTS (EGG PRODUCTS INSPECTION ACT) Imports § 590.925 Inspection of imported egg products. (a) Except as provided in § 590.960, egg products...

  9. 9 CFR 590.402 - Egg products inspection certificates.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Egg products inspection certificates... AGRICULTURE EGG PRODUCTS INSPECTION INSPECTION OF EGGS AND EGG PRODUCTS (EGG PRODUCTS INSPECTION ACT) Certificates § 590.402 Egg products inspection certificates. (a) Upon request of the applicant or the...

  10. The Use of Per Session Clinical Assessment with Clients in a Mental Health Delivery System: An Investigation into How Clinical Mental Health Counseling Practicum Students and Practicum Instructors Use Routine Client Progress Feedback

    Science.gov (United States)

    Yates, Chad Michael

    2012-01-01

    The purpose of this study was to investigate how clinical mental health counseling practicum students and practicum instructors use per session assessment feedback with clients they served at a university counseling center. Per session assessment and feedback has been shown to increase the treatment outcomes that counselors achieve while treating…

  11. Research on the Influence of Some Drugs on Commonly Used Clinical Biochemistry Inspection Items%部分药物对常用临床生物化学检验项目的影响研究

    Institute of Scientific and Technical Information of China (English)

    李香云

    2016-01-01

    Objective To study the effect of some drugs on the commonly used clinical biochemical test items.Methods From February 2015 to February 2016, 26 volunteers who participated in this trial were selected as the research subjects, to select drugs for adrenaline and rifampicin, biochemical examination of the patients, to analysed the test results. ResultsThe positive phase disturbance was formed by the determination of epinephrine in FMN, the Cr, HDL-C, DBIL, TCH, TG were determined to form a negative phase interference. Determination of Rifampicin on FMN, TBIL, DBIL formed a positive interference, negative phase interference was formed on the determination of Cr.Conclusion Some drugs have a certain impact on the results of commonly used clinical biochemical test items, we should take full account of the situation when carrying out clinical examination, and avoid miscarriage of justice.%目的:分析部分药物对常用临床生物化学检验项目的影响。方法选取2015年2月~2016年2月自愿参加本次试验的志愿者26名作为研究对象,选取药物为肾上腺素和利福平,对患者进行生物化学检验,对检验结果进行分析。结果肾上腺素对FMN的测定形成正相干扰,对Cr、HDL-C、DBIL、TCH、TG的测定形成负相干扰;利福平对FMN、TBIL、DBIL的测定形成正相干扰,对Cr的测定形成负相干扰。结论部分药物会对常用临床生物化学检验项目结果产生一定的影响,开展临床检验时需充分考虑该情况,避免误判。

  12. Interim Report on Heuristics about Inspection Parameters: Updates to Heuristics Resulting from Refinement on Projects

    Science.gov (United States)

    Shull, Forrest; Seaman, Carolyn; Feldman, Raimund; Haingaertner, Ralf; Regardie, Myrna

    2008-01-01

    In 2008, we have continued analyzing the inspection data in an effort to better understand the applicability and effect of the inspection heuristics on inspection outcomes. Our research goals during this period are: 1. Investigate the effect of anomalies in the dataset (e.g. the very large meeting length values for some inspections) on our results 2. Investigate the effect of the heuristics on other inspection outcome variables (e.g. effort) 3. Investigate whether the recommended ranges can be modified to give inspection planners more flexibility without sacrificing effectiveness 4. Investigate possible refinements or modifications to the heuristics for specific subdomains (partitioned, e.g., by size, domain, or Center) This memo reports our results to date towards addressing these goals. In the next section, the first goal is addressed by describing the types of anomalies we have found in our dataset, how we have addressed them, and the effect of these changes on our previously reported results. In the following section, on "methodology", we describe the analyses we have conducted to address the other three goals and the results of these analyses are described in the "results" section. Finally, we conclude with future plans for continuing our investigation.

  13. 7 CFR 982.446 - Inspection documentation.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Inspection documentation. 982.446 Section 982.446 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing... WASHINGTON Administrative Rules and Regulations § 982.446 Inspection documentation. Pursuant to §...

  14. 14 CFR 65.91 - Inspection authorization.

    Science.gov (United States)

    2010-01-01

    ..., for at least the 2-year period before the date he applies, in maintaining aircraft certificated and... necessary to properly inspect airframes, powerplants, propellers, or any related part or appliance; and (5) Pass a written test on his ability to inspect according to safety standards for returning aircraft...

  15. 45 CFR 1309.33 - Inspection.

    Science.gov (United States)

    2010-10-01

    ... FACILITIES PURCHASE, MAJOR RENOVATION AND CONSTRUCTION Modular Units § 1309.33 Inspection. A grantee which purchases a modular unit with grant funds or receives approval of a continuing purchase must have the modular unit inspected by a licensed engineer or architect within 15 calendar days of its installation...

  16. ANNUAL RADIOACTIVE WASTE TANK INSPECTION PROGRAM 2008

    Energy Technology Data Exchange (ETDEWEB)

    West, B.; Waltz, R.

    2009-06-11

    Aqueous radioactive wastes from Savannah River Site (SRS) separations and vitrification processes are contained in large underground carbon steel tanks. Inspections made during 2008 to evaluate these vessels and other waste handling facilities along with evaluations based on data from previous inspections are the subject of this report.

  17. Automatic visual inspection of hybrid microcircuits

    Energy Technology Data Exchange (ETDEWEB)

    Hines, R.E.

    1980-05-01

    An automatic visual inspection system using a minicomputer and a video digitizer was developed for inspecting hybrid microcircuits (HMC) and thin-film networks (TFN). The system performed well in detecting missing components on HMCs and reduced the testing time for each HMC by 75%.

  18. Annual Radioactive Waste Tank Inspection Program - 1997

    Energy Technology Data Exchange (ETDEWEB)

    McNatt, F.G. [Westinghouse Savannah River Company, AIKEN, SC (United States)

    1998-05-01

    Aqueous radioactive wastes from Savannah River Site (SRS) separations processes are contained in large underground carbon steel tanks. Inspections made during 1997 to evaluate these vessels, and evaluations based on data accrued by inspections performed since the tanks were constructed are the subject of this report.

  19. 47 CFR 2.936 - FCC inspection.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false FCC inspection. 2.936 Section 2.936 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO TREATY MATTERS; GENERAL... Authorization § 2.936 FCC inspection. Upon reasonable request, each responsible party shall submit the...

  20. Annual radioactive waste tank inspection program: 1995

    Energy Technology Data Exchange (ETDEWEB)

    McNatt, F.G. Sr.

    1996-04-01

    Aqueous radioactive wastes from Savannah River Site (SRS) separations processes are contained in large underground carbon steel tanks. Inspections made during 1995 to evaluate these vessels and evaluations based on data accrued by inspections performed since the tanks were constructed are the subject of this report

  1. Annual radioactive waste tank inspection program - 1996

    Energy Technology Data Exchange (ETDEWEB)

    McNatt, F.G.

    1997-04-01

    Aqueous radioactive wastes from Savannah River Site (SRS) separations processes are contained in large underground carbon steel tanks. Inspections made during 1996 to evaluate these vessels, and evaluations based on data accrued by inspections performed since the tanks were constructed, are the subject of this report.

  2. Laser Damage Inspection Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Salmon, J T; Brase, J M; Bliss, E S; Carrano, C J; Kegelmeyer, L M; Miller, M G; Orth, C D; Sacks, R A

    2001-02-26

    Large, high-power laser systems are often designed as reimaging multipass cavities to maximize the extraction of energy from the amplifiers. These multipass cavities often have vacuum spatial filters that suppress the growth of beam instability via B-integral effects. These spatial filters also relay images of laser damage, often nearly superimposing these images in common planes. Also, the fluence damage threshold limits the minimum size of the optics. When used as vacuum barriers in the spatial filters, these large optics present a safety hazard from the risk of implosion if the laser damage were sufficiently large. The objective of the project was to develop algorithms and methods for optical detection and characterization of laser-induced damage of optics. The system should detect small defects (about 5% of the critical size), track their growth over multiple laser shots, and characterize the defects accurately so that the optic can be replaced (at 25% of the critical size) and, hence, minimize the risk of implosion. The depth of field must be short enough to isolate the damaged vacuum barrier from other damaged optics in the beamline, and the system should also be capable of inspecting other optics in the beamline, since damage on one optic can subsequently damage subsequent optics. Laser induced damage starts as a small (<<1mm) crater and grows as material is removed on subsequent laser shots. The highly fractured rough surface of the crater scatters light from the illuminating inspection beam. This scattered light is imaged by the inspection system. Other types of defects may occur as well including inclusions in the bulk glass, tooling marks, and surface contamination. This report will discuss the detection and characterization of crater-like surface defects although the general techniques may prove useful for other types of defects. The work described here covers the development of an image processing approach and specific algorithms for defect detection

  3. Working session 2: Tubing inspection

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, J. [Tecnatom, S.A. San Sebastian de los Reyes, Madrid (Spain); Tapping, R.L. [AECL, Chalk River, Ontario (Canada)

    1997-02-01

    This session was attended by delegates from 10 countries, and four papers were presented. A wide range of issues was tabled for discussion. Realizing that there was limited time available for more detailed discussion, three topics were chosen for the more detailed discussion: circumferential cracking, performance demonstration (to focus on POD and sizing), and limits of methods. Two other subsessions were organized: one dealt with some challenges related to the robustness of current inspection methods, especially with respect to leaving cracked tubes in service, and the other with developing a chart of current NDE technology with recommendations for future development. These three areas are summarized in turn, along with conclusions and/or recommendations. During the discussions there were four presentations. There were two (Canada, Japan) on eddy current probe developments, both of which addressed multiarray probes that would detect a range of flaws, one (Spain) on circumferential crack detection, and one (JRC, Petten) on the recent PISC III results.

  4. Dielectric inspection of erythrocyte morphology

    Science.gov (United States)

    Hayashi, Yoshihito; Oshige, Ikuya; Katsumoto, Yoichi; Omori, Shinji; Yasuda, Akio; Asami, Koji

    2008-05-01

    We performed a systematic study of the sensitivity of dielectric spectroscopy to erythrocyte morphology. Namely, rabbit erythrocytes of four different shapes were prepared by precisely controlling the pH of the suspending medium, and their complex permittivities over the frequency range from 0.1 to 110 MHz were measured and analyzed. Their quantitative analysis shows that the characteristic frequency and the broadening parameter of the dielectric relaxation of interfacial polarization are highly specific to the erythrocyte shape, while they are insensitive to the cell volume fraction. Therefore, these two dielectric parameters can be used to differentiate erythrocytes of different shapes, if dielectric spectroscopy is applied to flow-cytometric inspection of single blood cells. In addition, we revealed the applicability and limitations of the analytical theory of interfacial polarization to explain the experimental permittivities of non-spherical erythrocytes.

  5. Surface inspection using FTIR spectroscopy

    Science.gov (United States)

    Powell, G. L.; Smyrl, N. R.; Williams, D. M.; Meyers, H. M., III; Barber, T. E.; Marrero-Rivera, M.

    1995-01-01

    The use of reflectance Fourier transform infrared (FTIR) spectroscopy as a tool for surface inspection is described. Laboratory instruments and portable instruments can support remote sensing probes that can map chemical contaminants on surfaces with detection limits under the best of conditions in the sub-nanometer range, i.e.. near absolute cleanliness, excellent performance in the sub-micrometer range, and useful performance for films tens of microns thick. Examples of discovering and quantifying contamination such as mineral oils and greases, vegetable oils, and silicone oils on aluminum foil, galvanized sheet steel, smooth aluminum tubing, and sandblasted 7075 aluminum alloy and D6AC steel. The ability to map in time and space the distribution of oil stains on metals is demonstrated. Techniques associated with quantitatively applying oils to metals, subsequently verifying the application, and non-linear relationships between reflectance and the quantity oil are described.

  6. Modifications to the INSPECT model

    Energy Technology Data Exchange (ETDEWEB)

    Dickinson, S. [AEA Technology, Winfrith (United Kingdom); Sims, H.E. [AEA Technology, Harwell (United Kingdom)

    1996-12-01

    The prediction of iodine behaviour in the containment of a PWR following a loss of coolant accident requires a reliable model of the chemistry of iodine in aqueous solution. The INSPECT model, which was developed several years ago, contains a large number of the relevant chemical reactions of iodine and water radiation chemistry. Since the reactions set was first assembled, however, new data on rate constants and mechanisms have become available. In addition, the application of the model to various small-scale experiments has revealed problems in the modelling of some reactions, leading to an under-prediction of the iodine volatility at high pH, although the experiments have demonstrated that the high pH volatility remains satisfactory low. This paper describes the modifications which have been made to the INSPECT model to take account of new data and to improve the modelling where appropriate. The main changes which have been made to the reaction set are as follows: - The rate constants and activation energies for the reactions describing the radiolysis of water have been updated in with recent assessments, and the temperature dependence of the G value for the primary species have been accordance taken into account, - The mechanism and rates of I{sub 2} hydrolysis have been modified in accordance with the latest assessments of this reaction, - The mechanism for the reaction of I{sub 2} with H{sub 2}O{sub 2} has been changed to a form which produces a more realistic pH dependence under neutral and alkaline conditions, - An addition mechanism for the disproportionation of the O{sub 2} ion has been included, reflecting experimental observations that this reaction has a significant first-order component under all but the purest conditions, - Atomic I is treated as a volatile species, with a partition coefficient of 1.9 at 298 K. (Abstract Truncated)

  7. An Investigation About Attitude of Clinical Physicians in the Implementation of Telemedicine Technology in TUMS Hospitals 2003-2004

    Directory of Open Access Journals (Sweden)

    H Dargahi

    2005-05-01

    Full Text Available Background: This research have presented focuses upon the cultural side of managerial coordination and control as manifested in Telemedicine Technology. Specifically, the research seeks to analyze and determines the attitude of clinical physicians about the role of specific dimensions of organizational culture and organizational structure may have upon effective managerial coordination and control in Telemedicine Technology in TUMS hospitals. Materials and methods: We assessed the attitude of 82 clinical physicians in five randomly selected TUMS teaching hospitals in a mixed method of pooling Quantitative and Qualitative data using unstructured interview technique. Results: For successful telemedicine utilization, most of clinical physicians believed that we need organic organizations that have involved leadership, open and free communication of mistakes and success, desire to experiment with new ideas, support for continuing education, support for new things, clear rules to follow and acknowledge performance goals. Conclusion: The data indicate that organizational is most important to utilize successfur telemedicine technology.

  8. Design inspections for systems undergoing design modifications

    Energy Technology Data Exchange (ETDEWEB)

    Grimes, B.K.; Norkin, D.P.

    1987-01-01

    The US Nuclear Regulatory Commission's (NRC's) Office of Inspection and Enforcement (IE) has conducted direct inspections (integrated design inspections) of the technical aspects of the nuclear plant design process for several plants under construction. It has also evaluated independent design verification programs and engineering assurance programs at a number of other plants under construction. Many of the lessons learned from these construction phase efforts are directly applicable to operating plants undergoing major modifications. This has been confirmed by IE direct inspections of the design aspects of safety systems outage modifications, which have identified significant potential safety-related deficiencies. The paper discusses methodology for design inspections; failure to maintain up-to-date design basis documentation; and lessons learned common to plants under construction and undergoing major modifications.

  9. Subsea Infrastructure Inspection: A Review Study

    DEFF Research Database (Denmark)

    Mai, Christian; Pedersen, Simon; Hansen, Leif

    2016-01-01

    as very skilled pilot and crews. The paper examines the existing challenges related to the sub-sea inspection in general, the ROVs, AUVs and semi-autonomous ROVs advantages and disadvantages in different subsea inspec-tion applications. Replacing the ROVs with Semi or fully-Autonomous Underwa-ter Vehicle...... of the offshore pipeline inspections are currently committed using Towed or Remotely Operated Vehicle (ROV) systems. It is well-known that the ROVs are very time-consuming and expensive to operate, with respect to the fact that they require a relatively large support ship to accommodate the equipment as well...... (S-AUVs) can significantly change the inspections of infrastructure, as these vehicles could be much cheaper to deploy. S-AUVs can potentially conduct faster data collection and provide higher inspection data quality. However, there are still some technical challenges related to: underwater wireless...

  10. Prevalences of welfare-related lesions at post-mortem meat-inspection in Danish sows.

    Science.gov (United States)

    Cleveland-Nielsen, A; Christensen, G; Ersbøll, A K

    2004-07-16

    We investigated the prevalences and intercorrelations of all daily meat-inspection recordings at four Danish sow abattoirs in the year 2000 from 23,794 sows coming from 207 sow or farrow-to-finisher herds. The meat-inspection data were obtained from databases at the Danish Bacon and Meat Council (DBMC). Prevalences generally were low--but large herd-to-herd variations were seen. Despite low prevalences, many slaughtered sows had recordings which raise welfare concerns. Intercorrelations between the meat-inspection recordings were evaluated using exploratory factor analysis describing underlying latent factors related to health and welfare problems within herds.

  11. Analysis of warning letters issued by the US Food and Drug Administration to clinical investigators, institutional review boards and sponsors: a retrospective study.

    Science.gov (United States)

    Shetty, Yashashri C; Saiyed, Aafreen A

    2015-05-01

    The US Food and Drug Administration (FDA) issues warning letters to all research stakeholders if unacceptable deficiencies are found during site visits. Warning letters issued by the FDA between January 2011 and December 2012 to clinical investigators and institutional review boards (IRBs) were reviewed for various violation themes and compared to similar studies in the past. Warning letters issued to sponsors between January 2005 and December 2012 were analysed for the first time for a specific set of violations using descriptive statistics. Failure to protect subject safety and to report adverse events to IRBs was found to be significant compared to prior studies for clinical investigators, while failure to follow standard operating procedures and maintain documentation was noted as significant in warning letters to IRBs. Failure to maintain minutes of meeting and to follow written procedures for continuing review were new substantial violations in warning letters issued to IRBs. Forty-six warning letters were issued to sponsors, the most common violations being failure to follow a monitoring schedule (58.69%), failure to obtain investigator agreement (34.78%), failure to secure investigators' compliance (30.43%), and failure to maintain data records and ship documents to investigators (30.43%). Appropriate methods for handling clinical trial procedural violations should be developed and implemented worldwide.

  12. Optical inspection of EPL stencil masks

    Science.gov (United States)

    Lee, Po-Tung; Engelstad, Roxann L.; Lovell, Edward G.; Kawata, Shintaro; Hirayanagi, Noriyuki; Sogard, Michael R.

    2003-06-01

    We are now at a major junction in lithography where non-optical lithographies, such as Electron Projection Lithography (EPL) [1], are being introduced. The mask used in EPL is a non-transparent silicon substrate with a thin silicon (~2μm) membrane with openings for electrons to pass through acting as a scatterer. This must be inspected as defects may cause printable defects. Initial mask inspection work has used SEM inspection to find these defects. However, we have historically used optical mask inspection tools, utilising wavelengths at or above what we are using for imaging, to qualify masks. This technology has been increasingly difficult to sustain as we have moved from imaging using mercury lamp based sources to pulsed excimer laser based sources that are not very suited to the inspection imaging. Indeed, review of defects found has moved from optical microscopes to SEM based tools. Inspection tools have also evolved, with the first SEM based mask inspection tools being developed to find the smallest defects, however these have the penalty of very low throughput. We will show the potential of using optical systems for the transmissive inspection of these EPL masks. The high potential of existing tools will be shown together with the need for a next generation of inspection tools. We will show that simulations indicate that an inspection source with 193nm wavelength would be required for the detection of 50nm defects on a mask used to print 70nm dense lines. It will also be shown how the position of the defect within the membrane greatly influences detection as well as the implications of moving to a thinner silicon membrane.

  13. ANNUAL RADIOACTIVE WASTE TANK INSPECTION PROGRAM 2009

    Energy Technology Data Exchange (ETDEWEB)

    West, B.; Waltz, R.

    2010-06-21

    Aqueous radioactive wastes from Savannah River Site (SRS) separations and vitrification processes are contained in large underground carbon steel tanks. Inspections made during 2009 to evaluate these vessels and other waste handling facilities along with evaluations based on data from previous inspections are the subject of this report. The 2009 inspection program revealed that the structural integrity and waste confinement capability of the Savannah River Site waste tanks were maintained. All inspections scheduled per LWO-LWE-2008-00423, HLW Tank Farm Inspection Plan for 2009, were completed. All Ultrasonic measurements (UT) performed in 2009 met the requirements of C-ESG-00006, In-Service Inspection Program for High Level Waste Tanks, Rev. 1, and WSRC-TR-2002-00061, Rev.4. UT inspections were performed on Tank 29 and the findings are documented in SRNL-STI-2009-00559, Tank Inspection NDE Results for Fiscal Year 2009, Waste Tank 29. Post chemical cleaning UT measurements were made in Tank 6 and the results are documented in SRNL-STI-2009-00560, Tank Inspection NDE Results Tank 6, Including Summary of Waste Removal Support Activities in Tanks 5 and 6. A total of 6669 photographs were made and 1276 visual and video inspections were performed during 2009. Twenty-Two new leaksites were identified in 2009. The locations of these leaksites are documented in C-ESR-G-00003, SRS High Level Waste Tank Leaksite Information, Rev.4. Fifteen leaksites at Tank 5 were documented during tank wall/annulus cleaning activities. Five leaksites at Tank 6 were documented during tank wall/annulus cleaning activities. Two new leaksites were identified at Tank 19 during waste removal activities. Previously documented leaksites were reactivated at Tanks 5 and 12 during waste removal activities. Also, a very small amount of additional leakage from a previously identified leaksite at Tank 14 was observed.

  14. Inspection of advanced computational lithography logic reticles using a 193-nm inspection system

    Science.gov (United States)

    Yu, Ching-Fang; Lin, Mei-Chun; Lai, Mei-Tsu; Hsu, Luke T. H.; Chin, Angus; Lee, S. C.; Yen, Anthony; Wang, Jim; Chen, Ellison; Wu, David; Broadbent, William H.; Huang, William; Zhu, Zinggang

    2010-09-01

    We report inspection results of early 22-nm logic reticles designed with both conventional and computational lithography methods. Inspection is performed using a state-of-the-art 193-nm reticle inspection system in the reticleplane inspection mode (RPI) where both rule-based sensitivity control (RSC) and a newer modelbased sensitivity control (MSC) method are tested. The evaluation includes defect detection performance using several special test reticles designed with both conventional and computational lithography methods; the reticles contain a variety of programmed critical defects which are measured based on wafer print impact. Also included are inspection results from several full-field product reticles designed with both conventional and computational lithography methods to determine if low nuisance-defect counts can be achieved. These early reticles are largely single-die and all inspections are performed in the die-to-database inspection mode only.

  15. 21 CFR 1316.08 - Consent to inspection.

    Science.gov (United States)

    2010-04-01

    ... constitutional right not to have an administrative inspection made without an administrative inspection warrant; (2) That he has right to refuse to consent to such an inspection; (3) That anything of...

  16. 9 CFR 500.7 - Refusal to grant inspection.

    Science.gov (United States)

    2010-01-01

    ... REGULATORY REQUIREMENTS UNDER THE FEDERAL MEAT INSPECTION ACT AND THE POULTRY PRODUCTS INSPECTION ACT RULES... Federal inspection because an applicant: (1) Does not have a HACCP plan as required by part 417 of...

  17. Now or Later?: An Empirical Investigation of When and Why Students Apply to Clinical Psychology PhD Programs

    Science.gov (United States)

    Zimak, Eric H.; Edwards, Katie M.; Johnson, Shannon M.; Suhr, Julie

    2011-01-01

    This study used a national sample of PhD students in clinical psychology (N = 1,034) to explore when students decided to pursue their graduate degree, reasons for their decisions, and associated satisfaction. Results indicated that immediately after completing their undergraduate degree, 57% of current graduate students reported postponing…

  18. Inspection and evaluation guidelines for light water reactor internals

    Energy Technology Data Exchange (ETDEWEB)

    Iizuka, N. [Tokyo Electric Power Co., Inc. (Japan); Taniguchi, K. [Kansai Electric Power Co., Inc., Osaka (Japan); Yoshinaga, T. [Japan Atomic Power Co., Tokyo (Japan)

    2002-12-01

    On February, 2000, in the Engineering Society of Thermal and Nuclear Power Generation, the 'Investigation Group on Inspection and Evaluation Guidelines for Nuclear Reactor Internals' was established. This group was started at moments of some damage cases on reactor internals on BWRs and PWRs in Japan and foreign countries and of finding out cracks based on a number of SCC (stress corrosion cracking) at Inconel alloy weldings of a shroud support of BWR internals in Tsuruga Nuclear Power Station Unit-1 of the Japan Nuclear Power Generation Co., Ltd. on December, 1999. Under these conditions, this group made some guidelines for rational inspection with clear technical foundation, and so on as well as arrangements on structural functions, importance at safety, and so on of the reactor internals, promoted some investigations aiming at wide general proposal on how to carry out future internal inspections on LWR in Japan, and completed almost all of the investigations on March, 2002. Here were described basic indications of the guideline development and summaries of the developed guideline. (G.K.)

  19. An investigation into the clinical impacts of lowering shunt opening pressure in idiopathic normal pressure hydrocephalus: A case series.

    Science.gov (United States)

    Malem, David N; Shand Smith, James D; Toma, Ahmed K; Sethi, Huma; Kitchen, Neil D; Watkins, Laurence D

    2014-08-21

    Introduction. Idiopathic normal pressure hydrocephalus (iNPH) is a shunt- reversible syndrome of the elderly. Shunt management is aimed at achieving a balance between clinical improvement and the complications associated with overdrainage. Although clinical improvement occurs at low pressure, these benefits may be negated by the increase in complication rates observed at lower pressures. The addition of gravity-switch devices has been shown to reduce over drainage problems even at a low valve pressure setting. At our centre the Miethke proGAV is used and commonly lowered below 5 cmH2O to gain further clinical improvement. Object. To determine whether lowering the opening pressure to below 5cmH2O using the proGAV valve in iNPH patients results in a) improved clinical features; and b) no significant increase in complication rates. Methods. A retrospective case series of iNPH patients was undertaken with 24 patients who had the proGAV shunt system inserted with an initial opening pressure of 5cmH2O. Exclusion criteria were secondary NPH, shunt system other than proGAV inserted, no valve adjustment to below 5cmH2O and inadequate follow-up. Outcome measures were clinical improvement (gait, cognition and urinary continence) and complications (subdural haematoma, low-pressure symptoms and valve damage). Results. Patients underwent a total of 29 adjustments to below 5cmH2O. The mean valve opening pressure after the first adjustment was 2.5cmH2O and the mean opening pressure after the second adjustment was 1cmH2O. Overall, outcome after adjustment included 26% no change, 48% improvement and 26% deterioration clinically. One patient (4%) suffered traumatic subdural haematoma that resolved with increasing valve pressure to 20cmH2O. There was no valve damage or low-pressure symptoms after adjustment. Conclusion. This study found that lowering the opening pressure of the proGAV shunt system to below 5cmH2O results in clinical improvement and does not significantly increase the

  20. SOME THEORETICAL ASPECTS OF COMPLEX CLINICAL-PSYCHOLOGICAL INVESTIGATION OF PATIENTS WITH AUTOIMMUNE LIVER DISEASES IN CIRRHOTIC STAGE BEFORE LIVER TRANSPLANTATION

    Directory of Open Access Journals (Sweden)

    O. A. Gerasimova

    2010-01-01

    Full Text Available This article presents preliminary results of complex clinical-psychological investigation of patients with autoim- mune liver diseases with cirrhosis waiting for liver transplant. The data discussed defense role of anxiety com- bined with other emotional affective disorders, psychological mechanisms in combination with coping strategies of stress-overcoming behavior in the state of disease and their involvement in formation of the clinical picture of the disease. It considers the need for differential diagnosis of the pathology using modern experimental- psychological methods in connection with further building of psychological aid to patients with autoimmune liver diseases. 

  1. 15 CFR 270.325 - Notice of authority to enter and inspect property where building components, materials, artifacts...

    Science.gov (United States)

    2010-01-01

    ... inspect property where building components, materials, artifacts, and records with respect to a building... Notice of authority to enter and inspect property where building components, materials, artifacts, and... investigated has occurred, or where building components, materials, and artifacts with respect to the...

  2. UF{sub 6} cylinder inspections at PGDP

    Energy Technology Data Exchange (ETDEWEB)

    Lamb, G.W.; Whinnery, W.N. [Martin Marietta Energy Systems, Inc., Paducah, KY (United States)

    1991-12-31

    Routine inspections of all UF{sub 6} cylinders at the Paducah Gaseous Diffusion Plant have been mandated by the Department of Energy. A specific UF{sub 6} cylinder inspection procedure for what items to inspect and training for the operators prior to inspection duty are described. The layout of the cylinder yards and the forms used in the inspections are shown. The large number of cylinders (>30,000) to inspect and the schedule for completion on the mandated time table are discussed. Results of the inspections and the actions to correct the deficiencies are explained. Future inspections and movement of cylinders for relocation of certain cylinder yards are defined.

  3. Advanced maintenance, inspection & repair technology for nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Hinton, B.M.

    1994-12-31

    Maintenance, inspection, and repair technology for nuclear power plants is outlined. The following topics are discussed: technology for reactor systems, reactor refueling bridge, fuel inspection system, fuel shuffling software, fuel reconstitution, CEA/RCCA/CRA inspection, vessel inspection capabilities, CRDM inspection and repair, reactor internals inspection and repair, stud tensioning system, stud/nut cleaning system, EDM machining technology, MI Cable systems, core exit T/C nozzle assemblies, technology for steam generators, genesis manipulator systems, ECT, UT penetrant inspections, steam generator repair and cleaning systems, technology for balance of plant, heat exchangers, piping and weld inspections, and turbogenerators.

  4. 3D LASER SCANNING TECHNIQUE FOR THE INSPECTION AND MONITORING OF RAILWAY TUNNELS

    OpenAIRE

    2015-01-01

    Railway tunnel inspection and monitoring has predominantly been a visual and manual procedure, which is time-consuming and subjective, giving rise to variance in standards and quality. Thus, alternative, novel, automated techniques need to be developed, for more efficient and reliable tunnel examination. The reported research aimed to investigate the application of a laser scanning technique for the inspection of tunnel degradation and structural integrity. The proposed method may either subs...

  5. 7 CFR 1425.22 - Inspection and investigation.

    Science.gov (United States)

    2010-01-01

    ... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS COOPERATIVE MARKETING ASSOCIATIONS § 1425.22... shall have the right to examine all books, documents, papers, and determine whether the CMA is...

  6. Macronodular Adrenal Hyperplasia due to Mutations in an Armadillo Repeat Containing 5 (ARMC5) Gene: A Clinical and Genetic Investigation

    Science.gov (United States)

    Faucz, Fabio R.; Zilbermint, Mihail; Lodish, Maya B.; Szarek, Eva; Trivellin, Giampaolo; Sinaii, Ninet; Berthon, Annabel; Libé, Rossella; Assié, Guillaume; Espiard, Stéphanie; Drougat, Ludivine; Ragazzon, Bruno; Bertherat, Jerome

    2014-01-01

    Context: Inactivating germline mutations of the probable tumor suppressor gene, armadillo repeat containing 5 (ARMC5), have recently been identified as a genetic cause of macronodular adrenal hyperplasia (MAH). Objective: We searched for ARMC5 mutations in a large cohort of patients with MAH. The clinical phenotype of patients with and without ARMC5 mutations was compared. Methods: Blood DNA from 34 MAH patients was genotyped using Sanger sequencing. Diurnal serum cortisol measurements, plasma ACTH levels, urinary steroids, 6-day Liddle's test, adrenal computed tomography, and weight of adrenal glands at adrenalectomy were assessed. Results: Germline ARMC5 mutations were found in 15 of 34 patients (44.1%). In silico analysis of the mutations indicated that seven (20.6%) predicted major implications for gene function. Late-night cortisol levels were higher in patients with ARMC5-damaging mutations compared with those without and/or with nonpathogenic mutations (14.5 ± 5.6 vs 6.7 ± 4.3, P < .001). All patients carrying a pathogenic ARMC5 mutation had clinical Cushing's syndrome (seven of seven, 100%) compared with 14 of 27 (52%) of those without or with mutations that were predicted to be benign (P = .029). Repeated-measures analysis showed overall higher urinary 17-hydroxycorticosteroids and free cortisol values in the patients with ARMC5-damaging mutations during the 6-day Liddle's test (P = .0002). Conclusions: ARMC5 mutations are implicated in clinically severe Cushing's syndrome associated with MAH. Knowledge of a patient's ARMC5 status has important clinical implications for the diagnosis of Cushing's syndrome and genetic counseling of patients and their families. PMID:24601692

  7. A factor analytic investigation of the Tripartite model of affect in a clinical sample of young Australians

    OpenAIRE

    Cosgrave Elizabeth M; Cotton Sue M; Buckby Joe A; Killackey Eoin J; Yung Alison R

    2008-01-01

    Abstract Background The Mood and Anxiety Symptom Questionnaire (MASQ) was designed to specifically measure the Tripartite model of affect and is proposed to offer a delineation between the core components of anxiety and depression. Factor analytic data from adult clinical samples has shown mixed results; however no studies employing confirmatory factor analysis (CFA) have supported the predicted structure of distinct Depression, Anxiety and General Distress factors. The Tripartite model has n...

  8. Comparative investigation of clinical/radiographical signs of mineral trioxide aggregate and formocresol on pulpotomized primary molars

    Directory of Open Access Journals (Sweden)

    Shivayogi M Hugar

    2010-01-01

    Full Text Available The objectives of this study were (1 to evaluate clinically and radiographically the effects of mineral trioxide aggregate (MTA as a pulp dressing after coronal pulp amputation (pulpotomy in primary molars, (2 to compare the effects of MTA and formocresol in pulpotomized primary teeth. Sixty primary mandibular molars of thirty healthy children aged between 5-8 years were treated by conventional pulpotomy technique. The teeth on the right side are assigned to MTA (Group A and the left side for the Formocresol (Group B. The children were examined clinically and radiographically every 6 months over a period of 36 months. Results of present study revealed that both MTA and Formocresol has the same effect on the first as well as second primary molars, with chi-square value being 1.1483 (P ≥ 0.05. None of the teeth in either group showed any clinical pathology, showing 100% success rate but radiographically formocresol group showed one case of internal resorption that was regarded as failure in the present study. MTA seems to be more promising predictable with positive response in vital pulp therapy in future than formocresol pulpotomy except for the cost factor.

  9. Risk Based Optimal Inspection and Repair Planning for Ship Structures Subjected to Corrosion Deterioration

    Institute of Scientific and Technical Information of China (English)

    李典庆; 张圣坤; 唐文勇

    2004-01-01

    A framework of risk based inspection and repair planning was presented to optimize for the ship structures subjected to corrosion deterioration. The planning problem was formulated as an optimization problem where the expected lifetime costs were minimized with a constraint on the minimum acceptable reliability index. The safety margins were established for the inspection events, the repair events and the failure events for ship structures. Moreover, the formulae were derived to calculate failure probabilities and repair probabilities. Based on them, a component subjected to corrosion is investigated for illustration of the process of selecting the optimal inspection and repair strategy. Furthermore, some sensitivity studies were provided. The results show that the optimal inspection instants should take place before the reliability index reaches the minimum acceptable reliability index. The optimal target failure probability is 10-3. In addition, a balance can be achieved between the risk cost and total expected inspection and repair costs by means of the risk-based optimal inspection and repair method, which is very effective in selecting the optimal inspection and repair strategy.

  10. Trh (tdh-/trh+) gene analysis of clinical, environmental and food isolates of Vibrio parahaemolyticus as a tool for investigating pathogenicity.

    Science.gov (United States)

    Leoni, Francesca; Talevi, Giulia; Masini, Laura; Ottaviani, Donatella; Rocchegiani, Elena

    2016-05-16

    Sequencing analysis of the trh gene encoding the TDH-related haemolysin of tdh-/trh+ Vibrio parahaemolyticus isolated in Italy between 2002 and 2011 from clinical, environmental, and food samples revealed the presence of the trh2 variant in all isolates. The trh2 of the clinical isolate was 100% identical to other clinical tdh-/trh2 V. parahaemolyticus from Europe. Nucleotide and amino acid differences in the trh2 sequences of clinical isolates from Italy and other countries allowed a differentiation of the clinical strains from the majority of environmental or food strains isolated in Italy. Aspartic acid and isoleucine at positions 113 and 115, encoded by nucleotide triplets GAT and ATT at positions 337-339 and 343-345 of the complete trh gene sequence, were present in clinical strains from Europe (Italy, Norway and Germany), Asia and the United States. Only 35.5% of the tdh-/trh2 V. parahaemolyticus of environmental or food origin from Italy shared the same triplets/amino acid detected in clinical isolates, while 64.5% of isolates from the marine environment were different from those of clinical origins, demonstrating that differences occur amongst the trh2 sequences of strains from the environment and these polymorphisms may differentiate potentially pathogenic from less or non-pathogenic cultures found in the environment and seafood. In addition the distribution of T3SS2 genes was investigated in this group of tdh-/trh+ V. parahaemolyticus from different sources and in three clinical tdh+/trh- V. parahaemolyticus isolates. All tdh-/trh+ V. parahaemolyticus of environmental or food source, independent of year of isolation or geographical origin, amplified all the screened T3SS2β genes and tested negative to PCR assays for all five T3SS2α genes, as the tdh-/trh+ clinical V. parahaemolyticus isolate. The vopC genes, encoding for one of the effector proteins of T3SS2, were partially sequenced and compared to clinical tdh-/trh+ and tdh+/trh+ V. parahaemolyticus

  11. ANNUAL RADIOACTIVE WASTE TANK INSPECTION PROGRAM 2010

    Energy Technology Data Exchange (ETDEWEB)

    West, B.; Waltz, R.

    2011-06-23

    Aqueous radioactive wastes from Savannah River Site (SRS) separations and vitrification processes are contained in large underground carbon steel tanks. Inspections made during 2010 to evaluate these vessels and other waste handling facilities along with evaluations based on data from previous inspections are the subject of this report. The 2010 inspection program revealed that the structural integrity and waste confinement capability of the Savannah River Site waste tanks were maintained. All inspections scheduled per SRR-LWE-2009-00138, HLW Tank Farm Inspection Plan for 2010, were completed. Ultrasonic measurements (UT) performed in 2010 met the requirements of C-ESG-00006, In-Service Inspection Program for High Level Waste Tanks, Rev. 3, and WSRC-TR-2002-00061, Rev.6. UT inspections were performed on Tanks 30, 31 and 32 and the findings are documented in SRNL-STI-2010-00533, Tank Inspection NDE Results for Fiscal Year 2010, Waste Tanks 30, 31 and 32. A total of 5824 photographs were made and 1087 visual and video inspections were performed during 2010. Ten new leaksites at Tank 5 were identified in 2010. The locations of these leaksites are documented in C-ESR-G-00003, SRS High Level Waste Tank Leaksite Information, Rev.5. Ten leaksites at Tank 5 were documented during tank wall/annulus cleaning activities. None of these new leaksites resulted in a release to the environment. The leaksites were documented during wall cleaning activities and the waste nodules associated with the leaksites were washed away. Previously documented leaksites were reactivated at Tank 12 during waste removal activities.

  12. Actinic Mask Inspection at the ALS Initial Design Review

    Energy Technology Data Exchange (ETDEWEB)

    Barty, A; Chapman, H; Sweeney, D; Levesque, R; Bokor, J; Gullikson, E; Jong, S; Liu, Y; Yi, M; Denbeaux, G; Goldberg, K; Naulleau, P; Denham, P; Rekawa, S; Baston, P; Tackaberry, R; Barale, P

    2003-03-05

    configured so that the collected data emulates the aerial image of a stepper system, thereby enabling rapid evaluation of mask defects and patterning without the need for a resist exposure step. The main uses of the microscope in this mode would be: (a) Review of multilayer and pattern defects to determine their printability; (b) Defect review following a repair process to assess the success of the operation; (c) Investigation of the effects of illumination and NA on the printed image; (d) Process window analysis of defects and other mask features; and (e) Characterizing defects on both patterned and unpatterned masks (i.e. blanks). An essential characteristic of operation in this mode is that the illumination and imaging conditions through focus should emulate as accurately as possible that of a production stepper system. This mode is designed for local review of defects over a small sub-field of the mask; therefore it is not necessary to have the same high-speed throughput required for defect inspection mode. We first describe some technical background relating to EUV masks and defect scanning, with the aim of defining the context of the tool and experiments to be performed. We then present an overview of several candidate optical system configurations for achieve the above objectives, and analyze the ability of each system to achieve the stated project goals. Of key importance is throughput and sensitivity in inspection mode, whilst in AIM mode key points are spatial resolution and the ability to perform stepper emulation imaging. We then down-select the best candidate from this set of solutions to one system, which is then investigated in further detail with a view to producing a preliminary tool design and estimates of overall system performance.

  13. 婴幼儿急性腹泻病原微生物临床检验120例效果分析及预防措施%Analysis of infant acute diarrhea clinical pathogenic microorganism inspection 120 cases and preventive measures

    Institute of Scientific and Technical Information of China (English)

    郑国荣

    2015-01-01

    目的:分析婴幼儿急性腹泻病原微生物临床检验效果,积极探讨相关预防措施。方法选取我院2012年1月—2014年1月收治的120例急性腹泻婴幼儿患者作为研究对象,采集患儿大便标本进行病原微生物临床检测,总结婴幼儿急性腹泻出现的原因。结果在本组120例急性腹泻婴幼儿患者中,67例患儿病原微生物检查结果为阳性,感阳性率为55.83%,年龄≤5个月患儿检查结果感阳性率为41.82%,5个月~1岁患儿感阳性率为76.92%,1~2岁患儿感阳性率为53.85%,不同年龄段患儿病原微生物检查结果感阳性比例差异具有统计学意义(P<0.05);本组研究中,检测到的病原微生物包括大肠埃希菌、腺病毒、轮状病毒、沙门菌属、志贺菌属等其它病原菌,其中轮状病毒比例最高为40.00%(48/120),组间差异具有统计学意义(P<0.05)。结论针对婴幼儿急性腹泻患者,应加强病原微生物项目的检验,为临床疾病诊断、治疗及预防提供科学的参考依据,为患儿提供一个健康成长的环境。%Objective: to analyze the infant acute diarrhea clinical pathogenic microorganism inspection results, and actively explore the relevant preventive measures.Methods: selected in our hospital in 2012 January—2014 year in January admitted 120 cases of acute diarrhea of infant patients as research object, collecting in stool specimens were clinical pathogenic microorganism detection, summarize the cause of acute diarrhea in infants and young children appear.Results: children of different ages of pathogenic microorganism examination results positive proportional difference has statistics significance (P<0.05); in the study group, the detected pathogenic microorganisms including Escherichia coli, adeno-associated virus, rotavirus, Salmonella, Shigella and other pathogens, of which the highest proportion of rotavirus was 40% (48/120), with statistically

  14. Hanford site post NPH building inspection plan

    Energy Technology Data Exchange (ETDEWEB)

    Wagenblast, G.R., Westinghouse Hanford

    1996-09-12

    This plan establishes consistent post-NPH building inspection procedures and defines a procedure for prioritization of buildings for inspection to ensure the safety of facilities prior to reentry. Qualification of systems for restart of operation is not included. This plan takes advantage, where possible, of existing national procedures for post-NPH inspection of buildings, of existing structural design and evaluation documentation of Hanford facilities, and current and proposed seismic instrumentation located throughout the Hanford site. A list of buildings, prioritized according to current building safety function and building vulnerability (without regard for or information about a damaging natural forces event) is provided.

  15. A quantum extension to inspection game

    Science.gov (United States)

    Deng, Xinyang; Deng, Yong; Liu, Qi; Chang, Shuhua; Wang, Zhen

    2016-06-01

    Quantum game theory is a new interdisciplinary field between game theory and system engineering research. In this paper, we extend the classical inspection game into a quantum game version by quantizing the strategy space and importing entanglement between players. Our results show that the quantum inspection game has various Nash equilibria depending on the initial quantum state of the game. It is also shown that quantization can respectively help each player to increase his own payoff, yet fails to bring Pareto improvement for the collective payoff in the quantum inspection game.

  16. Risk-based methodology for USNRC inspections

    Energy Technology Data Exchange (ETDEWEB)

    Wong, S.M. [Brookhaven National Lab., Upton, NY (United States); Holahan, G.M.; Chung, J.W.; Johnson, M.R. [Nuclear Regulatory Commission, Washington, DC (United States). Office of Nuclear Reactor Regulation

    1995-12-01

    This paper describes the development and trial applications of a risk-based methodology to enhance the inspection processes for US nuclear power plants. Objectives of risk-based methods to complement prescriptive engineering approaches in US Nuclear Regulatory Commission (USNRC) inspection programs are presented. Insights from time-dependent risk profiles of plant configurational from Individual Plant Evaluation (IPE) studies were integrated to develop a framework for optimizing inspection efforts in NRC regulatory initiatives. Lessons learned from NRC pilot applications of the risk-based methodology for evaluation of the effectiveness of operational risk management programs at US nuclear power plant sites are also discussed.

  17. MRT fuel element inspection at Dounreay

    Energy Technology Data Exchange (ETDEWEB)

    Gibson, J.

    1997-08-01

    To ensure that their production and inspection processes are performed in an acceptable manner, ie. auditable and traceable, the MTR Fuel Element Fabrication Plant at Dounreay operates to a documented quality system. This quality system, together with the fuel element manufacturing and inspection operations, has been independently certified to ISO9002-1987, EN29002-1987 and BS5750:Pt2:1987 by Lloyd`s Register Quality Assurance Limited (LRQA). This certification also provides dual accreditation to the relevant German, Dutch and Australian certification bodies. This paper briefly describes the quality system, together with the various inspection stages involved in the manufacture of MTR fuel elements at Dounreay.

  18. Safety and Inspection Planning of Older Installations

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Ersdal, G.

    2008-01-01

    and a no-crack detection assumption imply that the inspection time intervals usually become longer and longer with time. For ageing platforms several small cracks should be expected to be observed according to the bath-tub curve development often assumed - implying an increased risk for crack initiation...... at the end of the expected lifetime - corresponding to a bath-tub hazard rate effect. The approach illustrated is for welded steel details in platforms. Systems effects are considered, including the use of dependence between inspection and failure events in different components for inspection planning....

  19. Clinical Study of Fluorescence in Laser Treatment to Inspect and Guide the Spontaneous Eye%眼底自发荧光检查指导中浆激光治疗的临床研究

    Institute of Scientific and Technical Information of China (English)

    陈桂英

    2016-01-01

    Objective To observe the changes in plasma before and after laser treatment of spontaneous fluorescence, laser treatment of retinal damage degree, guidance of slurry on the timing of laser treatment.MethodsThe clinic suspected in patients with plasma diagnosis in routine fundus fluorescence angiography (FFA) and OCT examination, funnelled position from the center of the macula concave included in the research category of greater than 250μm, fundus autofluorescence photographs. Course according to the patients were randomly divided into three groups: the course is less than 3 months, the course of the disease in 3~6 months and patients with more than 6 months duration. Laser treatment respectively. Patients after laser therapy were observed 2 weeks, 4 weeks, 8 weeks, 6 months, 1 year of visual function recovery, eyesight, funduscopic examination, fundus autofluorescence and OCT examination at the same time. Results Each group showed that laser parts for low bit patchy fluorescence and acute central serous chorioretinopathy in laser caused by low local punctate fluorescence, there was no more obvious abnormal fluorescence. The treatment of chronic central serous chorioretinopathy patients after laser in low abnormal autofluorescence punctate fluorescence was eliminated or worsening phenomenon. Visual examination showed that the short duration of the laser therapy was better than that of chronic patients. Autofluorescence examination showed acute serous pigment epithelium injury is better than chronic.Conclusion Laser therapy has certain damage to the retinal pigment epithelium; acute CSC laser treatment is better than chronic.%目的:观察中浆激光治疗前后自发荧光的改变,了解激光治疗对视网膜的损伤程度,指导中浆激光治疗时机的选择。方法门诊患者中疑似中浆诊断者常规行眼底荧光血管造影(FFA)和OCT检查,漏点位置距黄斑中心凹大于250μm者列入研究行列,拍眼底自发荧光照

  20. Calibrated Pulse-Thermography Procedure for Inspecting HDPE

    Directory of Open Access Journals (Sweden)

    Mohammed A. Omar

    2008-01-01

    Full Text Available This manuscript discusses the application of a pulse-thermography modality to evaluate the integrity of a high-density polyethylene HDPE joint for delamination, in nonintrusive manner. The inspected HDPE structure is a twin-cup shape, molded through extrusion, and the inspection system comprises a high-intensity, short-duration radiation pulse to excite thermal emission; the text calibrates the experiment settings (pulse duration, and detector sampling rate to accommodate HDPE bulks thermal response. The acquired thermal scans are processed through new contrast computation named “self-referencing”, to investigate the joint tensile strength and further map its adhesion interface in real-time. The proposed system (hardware, software combination performance is assessed through an ultrasound C-scan validation and further benchmarked using a standard pulse phase thermography (PPT routine.

  1. Advanced in In Situ Inspection of Automated Fiber Placement Systems

    Science.gov (United States)

    Juarez, Peter D.; Cramer, K. Elliott; Seebo, Jeffrey P.

    2016-01-01

    Automated Fiber Placement (AFP) systems have been developed to help take advantage of the tailorability of composite structures in aerospace applications. AFP systems allow the repeatable placement of uncured, spool fed, preimpregnated carbon fiber tape (tows) onto substrates in desired thicknesses and orientations. This automated process can incur defects, such as overlapping tow lines, which can severely undermine the structural integrity of the part. Current defect detection and abatement methods are very labor intensive, and still mostly rely on human manual inspection. Proposed is a thermographic in situ inspection technique which monitors tow placement with an on board thermal camera using the preheated substrate as a through transmission heat source. An investigation of the concept is conducted, and preliminary laboratory results are presented. Also included will be a brief overview of other emerging technologies that tackle the same issue. Keywords: Automated Fiber Placement, Manufacturing defects, Thermography

  2. Autonomous Robotic Inspection in Tunnels

    Science.gov (United States)

    Protopapadakis, E.; Stentoumis, C.; Doulamis, N.; Doulamis, A.; Loupos, K.; Makantasis, K.; Kopsiaftis, G.; Amditis, A.

    2016-06-01

    In this paper, an automatic robotic inspector for tunnel assessment is presented. The proposed platform is able to autonomously navigate within the civil infrastructures, grab stereo images and process/analyse them, in order to identify defect types. At first, there is the crack detection via deep learning approaches. Then, a detailed 3D model of the cracked area is created, utilizing photogrammetric methods. Finally, a laser profiling of the tunnel's lining, for a narrow region close to detected crack is performed; allowing for the deduction of potential deformations. The robotic platform consists of an autonomous mobile vehicle; a crane arm, guided by the computer vision-based crack detector, carrying ultrasound sensors, the stereo cameras and the laser scanner. Visual inspection is based on convolutional neural networks, which support the creation of high-level discriminative features for complex non-linear pattern classification. Then, real-time 3D information is accurately calculated and the crack position and orientation is passed to the robotic platform. The entire system has been evaluated in railway and road tunnels, i.e. in Egnatia Highway and London underground infrastructure.

  3. Comparison of the antibiotic activities of Daptomycin, Vancomycin, and the investigational Fluoroquinolone Delafloxacin against biofilms from Staphylococcus aureus clinical isolates.

    Science.gov (United States)

    Siala, Wafi; Mingeot-Leclercq, Marie-Paule; Tulkens, Paul M; Hallin, Marie; Denis, Olivier; Van Bambeke, Françoise

    2014-11-01

    Biofilm-related infections remain a scourge. In an in vitro model of biofilms using Staphylococcus aureus reference strains, delafloxacin and daptomycin were found to be the most active among the antibiotics from 8 different pharmacological classes (J. Bauer, W. Siala, P. M. Tulkens, and F. Van Bambeke, Antimicrob. Agents Chemother. 57:2726-2737, 2013, doi:10.1128/AAC.00181-13). In this study, we compared delafloxacin to daptomycin and vancomycin using biofilms produced by 7 clinical strains (S. aureus epidemic clones CC5 and CC8) in order to rationalize the differences observed between the antibiotics and strains. The effects of the antibiotics on bacterial viability (resazurin reduction assay) and biomass (crystal violet staining) were measured and correlated with the proportion of polysaccharides in the matrix, the local microenvironmental pH (micro-pH), and the antibiotic penetration in the biofilm. At clinically meaningful concentrations, delafloxacin, daptomycin, and vancomycin caused a ≥25% reduction in viability against the biofilms formed by 5, 4, and 3 strains, respectively. The antibiotic penetration within the biofilms ranged from 0.6 to 52% for delafloxacin, 0.2 to 10% for daptomycin, and 0.2 to 1% for vancomycin; for delafloxacin, this was inversely related to the polysaccharide proportion in the matrix. Six biofilms were acidic, explaining the high potency of delafloxacin (lower MICs at acidic pH). Norspermidine and norspermine (disassembling the biofilm matrix) drastically increased delafloxacin potency and efficacy (50% reduction in viability for 6 biofilms at clinically meaningful concentrations) in direct correlation with its increased penetration within the biofilm, while they only modestly improved daptomycin efficacy (50% reduction in viability for 2 biofilms) and penetration, and they showed marginal effects with vancomycin. Delafloxacin potency and efficacy against biofilms are benefited by its penetration into the matrix and the local

  4. A factor analytic investigation of the Tripartite model of affect in a clinical sample of young Australians

    Directory of Open Access Journals (Sweden)

    Cosgrave Elizabeth M

    2008-09-01

    Full Text Available Abstract Background The Mood and Anxiety Symptom Questionnaire (MASQ was designed to specifically measure the Tripartite model of affect and is proposed to offer a delineation between the core components of anxiety and depression. Factor analytic data from adult clinical samples has shown mixed results; however no studies employing confirmatory factor analysis (CFA have supported the predicted structure of distinct Depression, Anxiety and General Distress factors. The Tripartite model has not been validated in a clinical sample of older adolescents and young adults. The aim of the present study was to examine the validity of the Tripartite model using scale-level data from the MASQ and correlational and confirmatory factor analysis techniques. Methods 137 young people (M = 17.78, SD = 2.63 referred to a specialist mental health service for adolescents and young adults completed the MASQ and diagnostic interview. Results All MASQ scales were highly inter-correlated, with the lowest correlation between the depression- and anxiety-specific scales (r = .59. This pattern of correlations was observed for all participants rating for an Axis-I disorder but not for participants without a current disorder (r = .18. Confirmatory factor analyses were conducted to evaluate the model fit of a number of solutions. The predicted Tripartite structure was not supported. A 2-factor model demonstrated superior model fit and parsimony compared to 1- or 3-factor models. These broad factors represented Depression and Anxiety and were highly correlated (r = .88. Conclusion The present data lend support to the notion that the Tripartite model does not adequately explain the relationship between anxiety and depression in all clinical populations. Indeed, in the present study this model was found to be inappropriate for a help-seeking community sample of older adolescents and young adults.

  5. The investigation analysis and countermeasure of clinical nurses cognition level of clinical pathway (CP)%临床护理人员临床路径认知水平的调查分析与对策

    Institute of Scientific and Technical Information of China (English)

    冯蕾; 李萍

    2008-01-01

    Objective To know about clinical nurses cognition level of clinical pathway (CP), so as to provide a theoretical foundation for deeply carrying out CP. Methods A total of 778 clinical nurses who come from a certain hospital were investigated. Results Cognition level of CP in clinical nurses accounted for 27.4%, There were significant differences in the cognition of CP between nurses with different levels of education, business, experience, technical post and section office (P < 0.01 ) . Conclusion It showed that the cognition of CP wasnt enough in clinical nurses. Managers should be aware of the importance of CP and ready to develop CP through extensive training knowledge of CP in clinical nurses.%目的 探讨临床护理人员对临床路径(Clinical Pathway,CP)的认知程度,为CP开展提供理论依据.方法 采用自行设计调查问卷,对某三级甲等医院778名临床护理人员进行问卷调查.结果 临床护理人员对CP的知晓率为27.4%.不同职务、不同学历和不同职称、不同工作年限以及不同科室的护理人员对CP的认知水平比较差异有显著性(P<0.01).结论 临床护理人员对CP的知晓率不高,管理层需提高认识,加大力度普及CP知识,为CP的顺利开展铺平道路.

  6. Daily reduction of oral malodor with the use of a sonic tongue brush combined with an antibacterial tongue spray in a randomized cross-over clinical investigation.

    Science.gov (United States)

    Saad, S; Gomez-Pereira, P; Hewett, K; Horstman, P; Patel, J; Greenman, J

    2016-02-12

    The objective of this clinical investigation was to test the effectiveness on breath odor of a newly designed sonic tongue brush (TongueCare+, TC). It consists of a soft silicone brush optimally designed based on the tongue's anatomy to remove bacterial biofilm from the tongue's complex surface, and it is coupled with a sonic power toothbrush handle. TC was used in combination with an antibacterial tongue spray (BreathRx, BRx) containing 0.09% cetylpyridinium chloride and 0.7% zinc gluconate. A total of 21 participants with oral malodor exceeding the threshold for recognition took part in this cross-over clinical investigation, which consisted of a single use of four treatment arms with one week washout period in between. The treatments consisted of: (1) TC  +  BRx, (2) TC  +  water, (3) BRx and (4) water. Malodor levels and bacterial density were monitored up to 6 h by organoleptic scoring and selective plating, respectively. The organoleptic score and bacterial density were significantly lower after using TC  +  BRx compared to all alternative treatments at all time points. A significant decrease in both parameters was detected after a single use of TC  +  BRx, from levels characteristic of high oral malodor, to barely noticeable levels after treatment and this was maintained up to 6 h. Moreover, we identified a significant positive correlation between bacterial density and organoleptic score, confirming that bacterial tongue biofilm is the root cause of oral malodor in these subjects. The results of this clinical investigation demonstrated that the combined treatment of a sonic tongue brush with the antibacterial tongue spray is able to deliver more than 6 h of fresh breath following a single use. The clinical investigation was registered at the ISRCTN registry under study identification number ISRCTN38199132.

  7. Metabolic syndrome in white European men presenting for primary couple's infertility: investigation of the clinical and reproductive burden.

    Science.gov (United States)

    Ventimiglia, E; Capogrosso, P; Colicchia, M; Boeri, L; Serino, A; Castagna, G; Clementi, M C; La Croce, G; Regina, C; Bianchi, M; Mirone, V; Damiano, R; Montorsi, F; Salonia, A

    2016-09-01

    Despite complex interactions between obesity, dyslipidemia, hyperinsulinaemia, and the reproductive axis, the impact of metabolic syndrome on human male reproductive function has not been analysed comprehensively. Complete demographic, clinical, and laboratory data from 1337 consecutive primary infertile men were analysed. Health-significant comorbidities were scored with the Charlson Comorbidity Index (categorised 0 vs. 1 vs. 2 or higher). NCEP-ATPIII criteria were used to define metabolic syndrome. Semen analysis values were assessed based on the 2010 World Health Organisation (WHO) reference criteria. Descriptive statistics and logistic regression models tested the association between semen parameters and clinical characteristics and metabolic syndrome. Metabolic syndrome was found in 128 (9.6%) of 1337 men. Patients with metabolic syndrome were older (p metabolic syndrome. Metabolic syndrome patients had lower levels of total testosterone (p metabolic syndrome. Conversely, the two groups did not differ significantly in further hormonal levels, semen parameters, and rate of either obstructive or non-obstructive azoospermia. At multivariate logistic regression analysis, testicular volume (OR: 0.90; p = 0.002) achieved independent predictor status for WHO pathological semen concentration; conversely, age, Charlson Comorbidity Index scores, metabolic syndrome, and inhibin B values did not. No parameters predicted normal sperm morphology and total progressive motility. Metabolic syndrome accounts for roughly 9% of men presenting for primary couple's infertility. Although metabolic syndrome patients have a lower general male health status, semen analysis values seem independent of the presence of metabolic syndrome.

  8. Clinical and Pathological Investigation on Turkey Diseases in North-central City of Jos, Nigeria, 2009-2014

    Directory of Open Access Journals (Sweden)

    Olatunde Babatunde Akanbi

    2015-12-01

    Full Text Available Information on turkey production and disease is rare in Nigeria, possibly because turkeys are seldom raised commercially. Also, turkeys require intensive husbandry and health care after hatching, which backyard poultry producers hardly provided especially, when raised in a disease endemic environment. In an attempt to document the diseases militating against turkey production in Nigeria, clinical and necropsy records were reviewed from veterinary practices in Jos and the Central Diagnostic Laboratory of the National Veterinary Research Institute (NVRI, Vom, Nigeria between 2009 - 2014. A total of 306 turkeys from backyard flocks were presented to the Veterinary clinics between 2009-2014 with various health complaints by backyard flock owners. Viral (Pox and Newcastle disease and parasitic (Helminthosis, Coccidiosis and Ectoparasitism diseases were mostly diagnosed. During the same period, 42 samples comprising 25 carcasses and 17 cloacal swabs were submitted for post mortem examination, virus isolation and microbiological test. Colisepticaemia, colibacillosis, pullorum disease, airsacculitis and infectious sinusitis are the main diseases diagnosed at post-mortem examination and microbiological test, while none of the samples were positive for influenza by virus isolation. It was observed that turkey rearing was small-scaled and kept as backyard poultry in North-central Nigeria. It can therefore be concluded from this study that turkeys raised in north-central city of Jos are affected by diseases ranging from viral to bacterial and parasitic, which can adversely affect productivity. This can therefore be improved upon by controlling the diseases mostly affecting turkeys.

  9. Optimal inspection Strategies for Offshore Structural Systems

    DEFF Research Database (Denmark)

    Faber, M. H.; Sørensen, John Dalsgaard; Kroon, I. B.

    1992-01-01

    Optimal planning of inspection and maintenance strategies for structures has become a subject of increasing interest especially for offshore structures for which large costs are associated with structural failure, inspections and repairs. During the last five years a methodology has been formulated...... a mathematical framework for the estimation of the failure and repair costs a.ssociated with systems failure. Further a strategy for selecting the components to inspect based on decision tree analysis is suggested. Methods and analysis schemes are illustrated by a simple example....... to perform optimal inspection and repair strategies for structural components subject to uncertain loading conditions and material behavior. In this paper this methodology is extended to inelude also system failure i.e. failure of a given sub set of all the structural components. This extension ineludes...

  10. 7 CFR 46.40 - Inspection service.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE MARKETING OF PERISHABLE AGRICULTURAL COMMODITIES REGULATIONS (OTHER THAN RULES OF PRACTICE) UNDER THE PERISHABLE AGRICULTURAL COMMODITIES ACT, 1930 Commodity...

  11. Emerging nondestructive inspection methods for aging aircraft

    Energy Technology Data Exchange (ETDEWEB)

    Beattie, A; Dahlke, L; Gieske, J [and others

    1994-01-01

    This report identifies and describes emerging nondestructive inspection (NDI) methods that can potentially be used to inspect commercial transport and commuter aircraft for structural damage. The nine categories of emerging NDI techniques are: acoustic emission, x-ray computed tomography, backscatter radiation, reverse geometry x-ray, advanced electromagnetics, including magnetooptic imaging and advanced eddy current techniques, coherent optics, advanced ultrasonics, advanced visual, and infrared thermography. The physical principles, generalized performance characteristics, and typical applications associated with each method are described. In addition, aircraft inspection applications are discussed along with the associated technical considerations. Finally, the status of each technique is presented, with a discussion on when it may be available for use in actual aircraft maintenance programs. It should be noted that this is a companion document to DOT/FAA/CT-91/5, Current Nondestructive Inspection Methods for Aging Aircraft.

  12. The Technology Trend of Japanese Patent for the Nuclear Fuel Assembly Inspection

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Jai Wan; Choi, Young Soo; Lee, Nam Ho; Jeong, Kyung Min; Suh, Yong Chil; Kim, Chang Hoi; Shin, Jung Cheol

    2008-06-15

    Japanese technology patents for the nuclear fuel assembly inspection unit, from the year 1993 to the year 2006, were investigated. The fuel rods which contain fissile material are grouped together in a closely-spaced array within the fuel assembly. Various kinds of reactor including the PWR reactor are being operated in Japan. There are many kinds of nuclear fuel assemblies in Japan, and the shape and the size of these nuclear fuel assemblies are various also. As the structure of these various fuel assemblies is a regular square as the same as the Korean one, the inspection method described in Japanese technology patent can be applied to the inspection of the nuclear fuel assembly of the Korea. This report focuses on advances in VIT(visual inspection test) of nuclear fuel assembly using the state-of-the-art CCD camera system.

  13. 21 CFR 50.52 - Clinical investigations involving greater than minimal risk but presenting the prospect of direct...

    Science.gov (United States)

    2010-04-01

    ... minimal risk but presenting the prospect of direct benefit to individual subjects. 50.52 Section 50.52... investigations involving greater than minimal risk but presenting the prospect of direct benefit to individual... prospect of direct benefit for the individual subject, or by a monitoring procedure that is likely...

  14. AplusB: A Web Application for Investigating A + B Designs for Phase I Cancer Clinical Trials

    Science.gov (United States)

    Wheeler, Graham M.; Sweeting, Michael J.; Mander, Adrian P.

    2016-01-01

    In phase I cancer clinical trials, the maximum tolerated dose of a new drug is often found by a dose-escalation method known as the A + B design. We have developed an interactive web application, AplusB, which computes and returns exact operating characteristics of A + B trial designs. The application has a graphical user interface (GUI), requires no programming knowledge and is free to access and use on any device that can open an internet browser. A customised report is available for download for each design that contains tabulated operating characteristics and informative plots, which can then be compared with other dose-escalation methods. We present a step-by-step guide on how to use this application and provide several illustrative examples of its capabilities. PMID:27403961

  15. AplusB: A Web Application for Investigating A + B Designs for Phase I Cancer Clinical Trials.

    Science.gov (United States)

    Wheeler, Graham M; Sweeting, Michael J; Mander, Adrian P

    2016-01-01

    In phase I cancer clinical trials, the maximum tolerated dose of a new drug is often found by a dose-escalation method known as the A + B design. We have developed an interactive web application, AplusB, which computes and returns exact operating characteristics of A + B trial designs. The application has a graphical user interface (GUI), requires no programming knowledge and is free to access and use on any device that can open an internet browser. A customised report is available for download for each design that contains tabulated operating characteristics and informative plots, which can then be compared with other dose-escalation methods. We present a step-by-step guide on how to use this application and provide several illustrative examples of its capabilities.

  16. INVESTIGATION OF THROMBOMODULIN AND PLASMINOGEN ACTIVATOR INHIBITOR TYPE-I IN PREGNANCY INDUCED HYPERTENSION AND ITS CLINICAL SIGNIFICANCE

    Institute of Scientific and Technical Information of China (English)

    马水清; 白春梅; 边旭明

    2001-01-01

    Objective. To measure tbe circulating levels of thrombomodulin (TM) and plasminogen activator inhibitor type-Ⅰ(PAI-I) in women with pregnancy induced hypertension (PIH).``Methods. Blood samples were drawn from 97 pregnant women in their third trimester, grouped as 25 mild PIH, 26 moderate PIH, 22 severe PIH and 24 normotensive healthy pregnant women for determining levels of TM by ELISA, PAI-I by colorimetric assay methods, and creatinine (Cr) in serum by biochemical method.``Results. Circulating levels of TM, PAId and TM/Cr ratio increased with increasing severity of PIH. There were no significant differences between mild and normotensive pregnant women. The parameters were significantly changed in the moderate and severe PIH groups.``Conclv, sion. TM and PAI-Ⅰ may serve as meaningful clinical markers for the assessment of the endothelial damage in PIH,which is very important in evaluating and following the development of PIH.

  17. INVESTIGATION OF THROMBOMODULIN AND PLASMINOGEN ACTIVATOR INHIBITOR TYPE-I IN PREGNANCY INDUCED HYPERTENSION AND ITS CLINICAL SIGNIFICANCE

    Institute of Scientific and Technical Information of China (English)

    马水清; 白春梅; 边旭明

    2001-01-01

    Objective. To measure the circulating levels of thrombomodulin (TM) and plasminogen activator inhibitor type-I (PAI-I) inwomen with pregnancy induced hypertension (PIH). Methods. Blood samples were drawn from 97 pregnant women in their third trimester, grouped as 25 mild PIH, 26 moderate PIH, 22 severe PIH and 24 normotensive healthy pregnant women for determining levels of TM by ELISA, PAI-I by colorimetric assay methods, and creatinine (Cr) in serum by biochemical method. Results. Circulating levels of TM, PAI-I and TM/Cr ratio increased with increasing severity of PIH. There were no significant differences between mild and normotensive pregnant women. The parameters were significantly changed in the moderate and severe PIH groups. Conclusion. TM and PAI-I may serve as meaningful clinical markers for the assessment of the endothelial damage in PIH,which is very important in evaluating and following the development of PIH.

  18. AplusB: A Web Application for Investigating A + B Designs for Phase I Cancer Clinical Trials.

    Directory of Open Access Journals (Sweden)

    Graham M Wheeler

    Full Text Available In phase I cancer clinical trials, the maximum tolerated dose of a new drug is often found by a dose-escalation method known as the A + B design. We have developed an interactive web application, AplusB, which computes and returns exact operating characteristics of A + B trial designs. The application has a graphical user interface (GUI, requires no programming knowledge and is free to access and use on any device that can open an internet browser. A customised report is available for download for each design that contains tabulated operating characteristics and informative plots, which can then be compared with other dose-escalation methods. We present a step-by-step guide on how to use this application and provide several illustrative examples of its capabilities.

  19. Multi-physiopathological consequences of the c.1392G>T CFTR mutation revealed by clinical and cellular investigations.

    Science.gov (United States)

    Farhat, Raed; El-Seedy, Ayman; El-Moussaoui, Kamal; Pasquet, Marie-Claude; Adolphe, Catherine; Bieth, Eric; Languepin, Jeanne; Sermet-Gaudelus, Isabelle; Kitzis, Alain; Ladevèze, Véronique

    2015-02-01

    This study combines a clinical approach and multiple level cellular analyses to determine the physiopathological consequences of the c.1392G>T (p.Lys464Asn) CFTR exon 10 mutation, detected in a CF patient with a frameshift deletion in trans and a TG(11)T(5) in cis. Minigene experiment, with different TG(m)T(n) alleles, and nasal cell mRNA extracts were used to study the impact of c.1392G>T on splicing in both in cellulo and in vivo studies. The processing and localization of p.Lys464Asn protein were evaluated, in cellulo, by western blotting analyses and confocal microscopy. Clinical and channel exploration tests were performed on the patient to determine the exact CF phenotype profile and the CFTR chloride transport activity. c.1392G>T affects exon 10 splicing by inducing its complete deletion and encoding a frameshift transcript. The polymorphism TG(11)T(5) aggravates the effects of this mutation on aberrant splicing. Analysis of mRNA obtained from parental airway epithelial cells confirmed these in cellulo results. At the protein level the p.Lys464Asn protein showed neither maturated form nor membrane localization. Furthermore, the in vivo channel tests confirmed the absence of CFTR activity. Thus, the c.1392G>T mutation alone or in association with the TG repeats and the poly T tract revealed obvious impacts on splicing and CFTR protein processing and functionality. The c.[T(5); 1392G>T] complex allele contributes to the CF phenotype by affecting splicing and inducing a severe misprocessing defect. These results demonstrate that the classical CFTR mutations classification is not sufficient: in vivo and in cellulo studies of a possible complex allele in a patient are required to provide correct CFTR mutation classification, adequate medical counseling, and adapted therapeutic strategies.

  20. Deposition uniformity inspection in IC wafer surface

    Science.gov (United States)

    Li, W. C.; Lin, Y. T.; Jeng, J. J.; Chang, C. L.

    2014-03-01

    This paper focuses on the task of automatic visual inspection of color uniformity on the surface of integrated circuits (IC) wafers arising from the layering process. The oxide thickness uniformity within a given wafer with a desired target thickness is of great importance for modern semiconductor circuits with small oxide thickness. The non-uniform chemical vapor deposition (CVD) on a wafer surface will proceed to fail testing in Wafer Acceptance Test (WAT). Early detection of non-uniform deposition in a wafer surface can reduce material waste and improve production yields. The fastest and most low-priced inspection method is a machine vision-based inspection system. In this paper, the proposed visual inspection system is based on the color representations which were reflected from wafer surface. The regions of non-uniform deposition present different colors from the uniform background in a wafer surface. The proposed inspection technique first learns the color data via color space transformation from uniform deposition of normal wafer surfaces. The individual small region statistical comparison scheme then proceeds to the testing wafers. Experimental results show that the proposed method can effectively detect the non-uniform deposition regions on the wafer surface. The inspection time of the deposited wafers is quite compatible with the atmospheric pressure CVD time.

  1. ANNUAL RADIOACTIVE WASTE TANK INSPECTION PROGRAM- 2007

    Energy Technology Data Exchange (ETDEWEB)

    West, B; Ruel Waltz, R

    2008-06-05

    Aqueous radioactive wastes from Savannah River Site (SRS) separations and vitrification processes are contained in large underground carbon steel tanks. The 2007 inspection program revealed that the structural integrity and waste confinement capability of the Savannah River Site waste tanks were maintained. A very small amount of material had seeped from Tank 12 from a previously identified leaksite. The material observed had dried on the tank wall and did not reach the annulus floor. A total of 5945 photographs were made and 1221 visual and video inspections were performed during 2007. Additionally, ultrasonic testing was performed on four Waste Tanks (15, 36, 37 and 38) in accordance with approved inspection plans that met the requirements of WSRC-TR-2002- 00061, Revision 2 'In-Service Inspection Program for High Level Waste Tanks'. The Ultrasonic Testing (UT) In-Service Inspections (ISI) are documented in a separate report that is prepared by the ISI programmatic Level III UT Analyst. Tanks 15, 36, 37 and 38 are documented in 'Tank Inspection NDE Results for Fiscal Year 2007'; WSRC-TR-2007-00064.

  2. Conceptual design for transmission line inspection robot

    Science.gov (United States)

    Jalal, M. F. Abdul; Sahari, K. S. Mohamed; Anuar, A.; Mohd Arshad, A. D.; Idris, M. S.

    2013-06-01

    Power transmission line is used for power distribution purposes due to their cost effective measure compared to underlying cable. However, prolonged exposure to natural weather may cause fatigue stress to the lines as well as induce material failure. Therefore, periodical line inspection is considered uttermost important as a preventive measure to avoid power outage. However, transmission line inspection has always been a high risk and expensive work. Hazardous works that may harm operator as well as routine that requires precise handling can be performed by robots. Various types of robots have been designed and developed for line inspection but only perform well on a straight and continuous line. As these robots encounter an obstacle during the inspection, then the real problem in terms of robot stability and smooth operation arises. In this paper, conceptual design and evaluation for transmission line inspection robot is presented. The inspection robot mobile robot must be able to bypass or avoid obstacles as it travels along the power transmission line.

  3. Strategies to reduce PWR inspection time

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, J.; Gonzalez, E. [TECNATOM SA, Madrid (Spain)

    2001-07-01

    During last few years, a constant reduction in inspection time was clearly demanded by most nuclear plant owners. This requirement has to be accomplished without any impact in inspection quality that, in general, has also to be improved. All this in a market with increasing competition that forces price reductions. Under these new demands from our customers, Tecnatom reoriented its development efforts to improve his products and services to meet this challenges. Two of our main inspection activities that have clear impact in outage duration are Steam Generator and Vessel inspections. This paper describes the improvements made in these two activities as an example of the reorientation of our development efforts with a focus on the technical improvements made on the software and robotic tools applied as in the data acquisition and analysis systems. In the Steam Generator inspections, new robots with dual guide tubes are commonly used. New eddy current instruments and software were developed to keep up with the data rates produced by the faster acquisition system. Use of automatic analysis software is also helping to improve speed while reducing cost and improving overall job quality. Production rates are close to double from the previous inspection system. (author)

  4. Camber Angle Inspection for Vehicle Wheel Alignments

    Science.gov (United States)

    Young, Jieh-Shian; Hsu, Hong-Yi; Chuang, Chih-Yuan

    2017-01-01

    This paper introduces an alternative approach to the camber angle measurement for vehicle wheel alignment. Instead of current commercial approaches that apply computation vision techniques, this study aims at realizing a micro-control-unit (MCU)-based camber inspection system with a 3-axis accelerometer. We analyze the precision of the inspection system for the axis misalignments of the accelerometer. The results show that the axes of the accelerometer can be aligned to the axes of the camber inspection system imperfectly. The calibrations that can amend these axis misalignments between the camber inspection system and the accelerometer are also originally proposed since misalignments will usually happen in fabrications of the inspection systems. During camber angle measurements, the x-axis or z-axis of the camber inspection system and the wheel need not be perfectly aligned in the proposed approach. We accomplished two typical authentic camber angle measurements. The results show that the proposed approach is applicable with a precision of ±0.015∘ and therefore facilitates the camber measurement process without downgrading the precision by employing an appropriate 3-axis accelerometer. In addition, the measured results of camber angles can be transmitted via the medium such as RS232, Bluetooth, and Wi-Fi. PMID:28165365

  5. Camber Angle Inspection for Vehicle Wheel Alignments

    Directory of Open Access Journals (Sweden)

    Jieh-Shian Young

    2017-02-01

    Full Text Available This paper introduces an alternative approach to the camber angle measurement for vehicle wheel alignment. Instead of current commercial approaches that apply computation vision techniques, this study aims at realizing a micro-control-unit (MCU-based camber inspection system with a 3-axis accelerometer. We analyze the precision of the inspection system for the axis misalignments of the accelerometer. The results show that the axes of the accelerometer can be aligned to the axes of the camber inspection system imperfectly. The calibrations that can amend these axis misalignments between the camber inspection system and the accelerometer are also originally proposed since misalignments will usually happen in fabrications of the inspection systems. During camber angle measurements, the x-axis or z-axis of the camber inspection system and the wheel need not be perfectly aligned in the proposed approach. We accomplished two typical authentic camber angle measurements. The results show that the proposed approach is applicable with a precision of ± 0.015 ∘ and therefore facilitates the camber measurement process without downgrading the precision by employing an appropriate 3-axis accelerometer. In addition, the measured results of camber angles can be transmitted via the medium such as RS232, Bluetooth, and Wi-Fi.

  6. Development of NRU reflector wall inspection system

    Energy Technology Data Exchange (ETDEWEB)

    Lumsden, R.H.; Luloff, B.V.; Zahn, N.; Simpson, N., E-mail: lumsdenr@aecl.ca [Atomic Energy of Canada Limited, Chalk River, Ontario (Canada)

    2013-06-15

    In 2009 May, the National Research Universal (NRU) calandria leaked. During the next year, the calandria was inspected with six new Non-Destructive Evaluation (NDE) techniques to determine the extent of the corrosion, repaired, and finally the repair was inspected with four additional new NDE techniques before the reactor was returned to service. The calandria is surrounded by a light-water reflector vessel fabricated from the same material as the calandria vessel. Concerns that the same corrosion mechanism had damaged the reflector vessel led to the development of a system to inspect the full circumference of the reflector wall for corrosion damage. The inspection region could only be accessed through 64 mm diameter ports, was 10 m below the port, and had to be inspected from the corroded surface. The ultrasonic technique was designed to produce a closely spaced wall thickness (WT) grid over an area of approximately 5 m2 on the corroded surface using a very small probe holder. This paper describes the Reflector Wall Inspection (RWI) development project and the system that resulted. (author)

  7. Implementation of NICE Clinical Guideline 95 for assessment of stable chest pain in a rapid access chest pain clinic reduces the mean number of investigations and cost per patient

    Science.gov (United States)

    Lee, Alvin J X; Michail, Michael; Quaderi, Shumonta A; Richardson, James A; Aggarwal, Suneil K; Speechly-Dick, M Elsya

    2015-01-01

    Objective In 2010, the National Institute for Health and Care Excellence (NICE) in the UK published Clinical Guideline 95 (CG95) advocating risk stratification of patients using ‘CADScore’ to guide appropriate cardiac investigations for chest pain of recent onset. Implementation of the guideline in the University College London Hospitals NHS Foundation Trust was evaluated to see if it led to a reduction in the average cost of the diagnostic journey per patient and fewer investigations per patient in order to confirm a diagnosis. Methods This was a single centre study at a Tertiary Centre in Central London. The investigative journey for each patient presenting to the Rapid Access Chest Pain Clinic (RACPC) at University College London Hospitals NHS Foundation Trust was recorded. Retrospective analysis on this data was performed. Results Data for 4968 patients presenting to the RACPC from 2004 to 2012 was analysed and a size-matched cohort of 1503 patients preimplementation and postimplementation of the guidelines was compared. The mean cost of investigations postimplementation was £291.83 as compared to £319.54 preimplementation of the guidelines despite higher costs associated with some of the recommended initial investigations. The mean number of tests per patient postguidelines was 0.78 compared to 0.97 for preguidelines. An approximate twofold increase in patients not requiring tests was seen post-CG95 implementation (245 pre-CG95 vs 476 post-CG95). Conclusions The implementation of the NICE guidelines in our trust has reduced the average cost of the investigative journey and the number of investigations required per patient. PMID:25722859

  8. A socio-psychological investigation into limitations and incentives concerning reporting a clinically suspect situation aimed at improving early detection of classical swine fever outbreaks.

    Science.gov (United States)

    Elbers, A R W; Gorgievski-Duijvesteijn, M J; van der Velden, P G; Loeffen, W L A; Zarafshani, K

    2010-04-21

    The aim of this study was to identify limitations and incentives in reporting clinically suspect situations, possibly caused by classical swine fever (CSF), to veterinary authorities with the ultimate aim to facilitate early detection of CSF outbreaks. Focus group sessions were held with policy makers from the veterinary authorities, and representatives of veterinary practitioners and pig farmer unions. Personal interviews with a small group of pig farmers and practitioners were held to check limitations raised and solutions proposed during the focus group sessions. An electronic questionnaire was mailed to pig farmers and practitioners to investigate perceptions and attitudes with respect to clinically suspect situations possibly caused by CSF. After triangulating the responses of veterinary authorities, veterinary practitioners and farmers, six themes emerged across all groups: (1) lack of knowledge on the early signs of CSF; (2) guilt, shame and prejudice; (3) negative opinion on control measures; (4) dissatisfaction with post-reporting procedures; (5) lack of trust in government bodies; (6) uncertainty and lack of transparency of reporting procedures. The following solutions to facilitate early detection of CSF were put forward: (a) development of a clinical decision-support system for vets and farmers, in order to get faster diagnosis and detection of CSF; (b) possibility to submit blood samples directly to the reference laboratory to exclude CSF in a clinical situation with non-specific clinical signs, without isolation of the farm and free of charge for the individual farmer; (c) decrease social and economic consequences of reporting CSF, for example by improving the public opinion on first reports; (d) better schooling of veterinary officers to deal with emotions and insecurity of farmers in the process after reporting; (e) better communication of rules and regulations, where to report, what will happen next; (f) up-to-date website with information and

  9. 7 CFR 29.26 - Office of inspection.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Office of inspection. 29.26 Section 29.26 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Regulations Definitions § 29.26 Office of inspection. A field office of the tobacco...

  10. 7 CFR 27.16 - Inspection; weighing; samples; supervision.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Inspection; weighing; samples; supervision. 27.16... Samples § 27.16 Inspection; weighing; samples; supervision. The inspection, weighing, and sampling of... Services Office shall be (a) under the supervision of a supervisor of cotton inspection, or (b) by or...

  11. 7 CFR 27.89 - Expenses; inspection; sampling.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Expenses; inspection; sampling. 27.89 Section 27.89... Micronaire § 27.89 Expenses; inspection; sampling. Expense of inspection and sampling, the preparation of the... Office, the expense of inspection, sampling, preparation of samples, and delivery of the samples to...

  12. 46 CFR 131.575 - Yearly inspections and repair.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Yearly inspections and repair. 131.575 Section 131.575..., Drills, and Inspections § 131.575 Yearly inspections and repair. (a) Each lifeboat, rescue boat, rigid... expiration date must be replaced during the annual inspection and repair if this date has passed. (d)...

  13. 9 CFR 355.3 - Plants eligible for inspection.

    Science.gov (United States)

    2010-01-01

    ... Section 355.3 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... INSPECTION AND CERTIFICATION CERTIFIED PRODUCTS FOR DOGS, CATS, AND OTHER CARNIVORA; INSPECTION, CERTIFICATION, AND IDENTIFICATION AS TO CLASS, QUALITY, QUANTITY, AND CONDITION Scope of Inspection...

  14. 9 CFR 310.19 - Inspection of kidneys.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Inspection of kidneys. 310.19 Section... INSPECTION AND CERTIFICATION POST-MORTEM INSPECTION § 310.19 Inspection of kidneys. An employee of the establishment shall open the kidney capsule and expose the kidneys of all livestock at the time of slaughter...

  15. 49 CFR 230.32 - Time and method of inspection.

    Science.gov (United States)

    2010-10-01

    ... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Boilers and... boiler shall completely be inspected at the 1472 service day inspection. The jacket, lagging and any.... Those portions of the boiler that are exposed and able to be inspected as required by the...

  16. 9 CFR 381.309 - Finished product inspection.

    Science.gov (United States)

    2010-01-01

    ... AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY... Finished product inspection. (a) Finished product inspections must be handled according to: (1) A HACCP.... (b)-(c) (d) Procedures for finished product inspections where the HACCP plan for thermally...

  17. Shallow of Bone Biochemical Indicators Joint Inspection in Osteoporosis Di-agnosis and Treatment of the Clinical Application Value%刍议骨生化指标联检在骨质疏松诊疗中的临床应用价值

    Institute of Scientific and Technical Information of China (English)

    黄俊颖; 陈新军; 宋冬云; 孙田; 刘爱花

    2016-01-01

    目的 分析25-羟基维生素D(25-OH-VD)、骨钙素(BGP)以及抗酒石酸酸性磷酸酶(TRACP-5b)联合检查在骨质疏松临床诊疗中的作用. 方法 选择由英国IDS公司制造的试剂盒,借助酶联免疫法(ELISA)针对患者开展血清(25-OH-VD)检测,同时给予BGP检测和TRACP-5b检测. 结果 女患TRACP-5b检测结果为(5.71±2.46) u/L,高于男患的(4.98±1.61)u/L(P<0.05). 结论 针对骨质疏松,同时实施25-OH-VD检测、BGP检测以及TRACP-5b检测能够发挥良好应用效果.%Objective to analyze 25 a 25-hydroxyitamin D (25 - OH - VD), osteocalcin (BGP) and tartrate resistant acid phosphatase (TRACP 5 b) joint inspection role in clinical diagnosis and treatment of osteoporosis. Methods The choice made by the British IDS company kit, using enzyme-linked immunoassay (ELISA) for patients in serum (25-OH-VD) de-tection, while giving BGP detection and TRACP 5 b. Results Women with TRACP 5 b test results for soil (5.71±5.71) u/L, higher than that of male with soil(4.98±4.98) u/L(P<0.05). Conclusion In view of the osteoporosis, at the same time, the im-plementation of 25-OH-detecting VD, BGP and TRACP 5 b detection can play a good application effect.

  18. Optimal inspection and Repair Strategies for Structural Systems

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Faber, M. H.

    1992-01-01

    A model for reliability-based repair and maintenance strategies of structural systems is described. The total expected costs in the lifetime of the structure are minimized with the number of inspections, the number and positions of the inspected points, the inspection efforts, the repair criteria...... to be inspected and to select the location of the points to be inspected. It is shown how information obtained through inspections and through the periods of normal operating of the structure can be used to update the inspection and maintenance planning. Finally, a small example is given illustrating...

  19. Contribution of SLN investigation with {sup 99m}Tc-nanocolloid in clinical staging of thyroid cancer: technical feasibility

    Energy Technology Data Exchange (ETDEWEB)

    Pelizzo, Maria Rosa [Istituto Oncologico Veneto (IOV), Nuclear Medicine, PET Unit, S. Maria della Misericordia Hospital, Rovigo (Italy); Rubello, Domenico; Merante Boschin, Isabella; Piotto, Andrea; Paggetta, Costantino; Toniato, Antonio [University of Padova, Department of Surgical Science, Padova (Italy); De Salvo, Gian Luca [Istituto Oncologico Veneto (IOV), Epidemiology Unit, Padova (Italy); Giuliano, Armando [University of Pisa, Regional Center of Nuclear Medicine, Pisa (Italy); Mariani, Giuliano [John Wayne Cancer Institute, Department of Surgical Oncology, Santa Monica, CA (United States); Casara, Dario [Istituto Oncologico Veneto (IOV), Via Giustiniani, 2, Nuclear Medicine Service, Padova (Italy)

    2007-06-15

    It is a matter of controversy whether prophylactic lymph node dissection improves prognosis and survival in papillary thyroid carcinoma (PTC) patients without suspicion of lymph node metastases either clinically or on ultrasonography. It is possible that in such patients the use of lymphatic mapping and sentinel lymph node (SLN) biopsy, as are employed for other tumours, will be of assistance. The aim of this study was to evaluate the feasibility of preoperative {sup 99m}Tc-nanocolloid lymphoscintigraphy and an intra-operative SLN procedure in the management of PTC patients. Twenty-five consecutive patients were entered in the study between April 2005 and October 2005. All had a preoperative diagnosis of malignancy obtained by fine-needle aspiration cytology (FNAC), without clinical or ultrasonographic evidence of loco-regional lymph node involvement. Patients underwent preoperative lymphoscintigraphy after the injection of {sup 99m}Tc-nanocolloid [median 6 MBq (range 4-9 MBq) in 0.1-0.2 ml saline injected intratumorally under ultrasound guidance] and an intra-operative SLN procedure using a hand-held gamma probe. Surgery was performed by the same surgeon in all patients. Preoperative lymphoscintigraphy identified at least one SLN in all patients. During surgery, using the gamma probe, the surgeon was able to find at least one SLN in all cases. A good correlation was found between preoperative imaging and probe results. Metastasis was found in at least one SLN in 12 (48%) patients. In seven (28%) patients the involved SLN was the most radioactive SLN, while in five (20%) patients a less radioactive SLN was involved by malignancy. Ten of these 12 patients had only micrometastases (<2 mm). Micrometastases were found in the most radioactive SLN in six cases and in less radioactive SLNs in four cases, while in two patients more lymph nodes visualised at lymphoscintigraphy ipsilateral to the primary tumour were sites of metastasis. The rate of nodal involvement was very

  20. A new definition of pharmaceutical quality: assembly of a risk simulation platform to investigate the impact of manufacturing/product variability on clinical performance.

    Science.gov (United States)

    Short, Steven M; Cogdill, Robert P; D'Amico, Frank; Drennen, James K; Anderson, Carl A

    2010-12-01

    The absence of a unanimous, industry-specific definition of quality is, to a certain degree, impeding the progress of ongoing efforts to "modernize" the pharmaceutical industry. This work was predicated on requests by Dr. Woodcock (FDA) to re-define pharmaceutical quality in terms of risk by linking production characteristics to clinical attributes. A risk simulation platform that integrates population statistics, drug delivery system characteristics, dosing guidelines, patient compliance estimates, production metrics, and pharmacokinetic, pharmacodynamic, and in vitro-in vivo correlation models to investigate the impact of manufacturing variability on clinical performance of a model extended-release theophylline solid oral dosage system was developed. Manufacturing was characterized by inter- and intra-batch content uniformity and dissolution variability metrics, while clinical performance was described by a probabilistic pharmacodynamic model that expressed the probability of inefficacy and toxicity as a function of plasma concentrations. Least-squares regression revealed that both patient compliance variables, percent of doses taken and dosing time variability, significantly impacted efficacy and toxicity. Additionally, intra-batch content uniformity variability elicited a significant change in risk scores for the two adverse events and, therefore, was identified as a critical quality attribute. The proposed methodology demonstrates that pharmaceutical quality can be recast to explicitly reflect clinical performance.

  1. Relationship Between Bone Minerals Density and Some Characteristics of Postmenopausal Women who Were Visiting Orthopedics Clinics - Original Investigation

    Directory of Open Access Journals (Sweden)

    Gülendam Karadağ

    2007-12-01

    Full Text Available Aim: Frequency of osteoporosis that depending different factors in postmenopausal women is increase. So our study was done to determine the relationship between some habits of the postmenopausal women and bone mineral density. Material and Methods: The study was done as descriptive a hospital in Gaziantep between the dates 3 July - 8 August, 2006. The comprehension of the study is all patients who applied to orthopedics clinics, and sampling consists of 70 patients who wanted to join study, and postmenopausal, hadn’t taken steroid and calcitonin treatment more than last one year. Before study, informed approwal was taken from patients and institution. Data of the study were collected using questionnaire form. Density of bone minerals was grouped according to the standarts of WHO as normal (t>-1.0, osteopenic (t0.05. Conclusion: It was seen that majority of patients didn’t make sports regularly, and the risk of having osteoporosis was higher who were getting older. For this reason, it can be suggested that to prevent osteoporosis especially in postmenopausal women necessary education should be given. (From the World of Osteoporosis 2007;13:75-9

  2. 9 CFR 592.400 - Who may request an appeal inspection or review of an inspection program employee's decision.

    Science.gov (United States)

    2010-01-01

    ... Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION VOLUNTARY... dissatisfied with the determination by an inspection program employee of the class, quality, quantity, or condition of any product, as evidenced by the USDA inspection mark and accompanying label, or as stated on...

  3. Optimal Strategy for Inspection and Repair of Structural Systems

    DEFF Research Database (Denmark)

    Thoft-Christensen, Palle; Sørensen, John Dalsgaard

    1987-01-01

    A new strategy for inspection and repair of structural elements and systems is presented. The total cost of inspection and repair is minimized with the constraints that the reliability of elements and/or of the structural system are acceptable. The design variables are the time intervals between...... inspections and the quality of the inspections. Numerical examples are presented to illustrate the performance of the strategy. The strategy can be used for any engineering system where inspection and repair are required....

  4. [Costicartilage analysis inspection technology in the application of forensic medicine].

    Science.gov (United States)

    Meng, Hang; Xiao, Bi; Yan, Jian-Jun; Ma, Kai-Jun

    2011-10-01

    The traditional costicartilage analysis inspection is limited to morphological inspection. In recent years, with the development of forensic radiology and molecular genetics, the costicartilage analysis inspection technology has been further enriched and developed. At present, the costicartilage analysis inspection technology have been able to be used in the practice of forensic medicine. This paper reviews the research advances about the costicartilage analysis inspection technology in the identification of human gender, age and so on in order to provide the references for forensic appraisers.

  5. Quality and clinical supply considerations of Paediatric Investigation Plans for IV preparations-A case study with the FP7 CloSed project.

    Science.gov (United States)

    Hanning, Sara M; Orlu Gul, Mine; Winslade, Jackie; Baarslag, Manuel A; Neubert, Antje; Tuleu, Catherine

    2016-09-25

    A Paediatric Investigation Plan (PIP) is a development plan that aims to ensure that sufficient data are obtained through studies in paediatrics to support the generation of marketing authorisation of medicines for children. This paper highlights some practical considerations and challenges with respect to PIP submissions and paediatric clinical trials during the pharmaceutical development phase, using the FP7-funded Clonidine for Sedation of Paediatric Patients in the Intensive Care Unit (CloSed) project as a case study. Examples discussed include challenges and considerations regarding formulation development, blinding and randomisation, product labelling and shipment and clinical trial requirements versus requirements for marketing authorisation. A significant quantity of information is required for PIP submissions and it is hoped that future applicants may benefit from an insight into some critical considerations and challenges faced in the CloSed project.

  6. A new highly viscoelastic hyaluronic acid gel: rheological properties, biocompatibility and clinical investigation in esthetic and restorative surgery.

    Science.gov (United States)

    Iannitti, Tommaso; Bingöl, Ali Ö; Rottigni, Valentina; Palmieri, Beniamino

    2013-11-18

    Nowadays there is an increased demand for safe and effective volume enhancing fillers to achieve soft tissue augmentation in order to overcome tissue defects and aging-associated skin changes. In the present study we characterized the rheological and biological properties of Variofill(®), a new highly viscoelastic hyaluronic acid gel, by investigating the local effects following subcutaneous implantation in the rat to detect the host-tissue reactions and biodegradation over 18 months. We also investigated, for the first time, the application of Variofill(®) in esthetic and restorative surgery in two medical case reports. In the first case report we successfully performed Variofill(®) treatment to improve facial scars in a patient previously involved in a car crash. In the second case report we carried out a novel procedure involving a high-dose (1000 ml) injection of Variofill(®) into the dermis and subcutis of the abdominal quadrants in order to allow a classic reconstructive procedure of the abdominal wall in a patient presenting a wide incisional hernia.

  7. 血清胆红素、糖化血红蛋白及血脂联合检验在2型糖尿病合并冠心病的临床作用分析%Clinical Effect of Serum Bilirubin,Glycosylated Hemoglobin and Blood Lipid Joint Inspection in Type 2 Diabetes Mellitus and Coronary Heart Disease

    Institute of Scientific and Technical Information of China (English)

    马亚平

    2016-01-01

    Objective To analyze serum bilirubin(TBIL),glycosylated hemoglobin(HbA1c)and blood fat joint inspection in type 2 diabetes melitus(T2DM) with coronary heart disease(CHD)in clinical effect.Methods From August 2013 to December 2015,140 T2DM patients of our hospital as research target,according to whether the combination of CHD were divided into group A(n=78, unincorporated CHD)and group B (n=62, with CHD). TBIL,HbA1c,blood lipids and other indicators for testing in 2 groups of patients, the test results were compared.ResultsCompared with A group, B group of HDL-C,TBIL decreased in patients,with LDL-C、HbA1c、TC、TG increased,the difference between the 2 groups had statistical significance(P<0.05). Conclusion TBIL,HbA1c,blood lipid joint detection were helpful for accurate diagnosis whether type 2 diabetes melitus with coronary heart disease,provide guidance for clinical diagnosis and treatment.%目的:分析血清胆红素(TBIL)、糖化血红蛋白(HbA1c)及血脂联合检验在2型糖尿病(T2DM)合并冠心病(CHD)的临床作用。方法选取2013年8月~2015年12月我院收治的140例T2DM患者作为观察目标,按照其是否合并CHD分为A组(n=78,未合并CHD)和B组(n=62,合并CHD),对2组患者TBIL、HbA1c、血脂等指标进行检测,比较检测结果的差异性。结果与A组患者相比,B组患者TBIL、HDL-C降低,LDL-C、HbA1c、TC、TG升高,2组间比较差异具有统计学意义(P<0.05)。结论 TBIL、HbA1c、血脂联合检测有利于准确诊断2型糖尿病是否合并冠心病,为临床选择针对性诊疗方法提供指导信息。

  8. Overview of the Regulatory Oversight Implemented by the French Regulatory Authorities for the Clinical Investigation of Gene Therapy and Cell Therapy Products.

    Science.gov (United States)

    Lucas-Samuel, Sophie; Ferry, Nicolas; Trouvin, Jean-Hugues

    2015-01-01

    Advanced therapy medicinal products, a new class of products with promising therapeutic effects, have been classified as medicinal products and as such should be developed according to a well-structured development plan, to establish their quality, safety and efficacy profile and conclude, at the time of the marketing authorisation evaluation, on a positive risk/benefit balance for patients. An important part of this development plan is achieved through clinical trials, which have also to be approved according to a well-established regulatory process, prior any initiation. This chapter is dedicated to describe the regulatory pathway to be followed in France, before initiating any clinical trial with those investigational advanced therapy medicinal products. In France, to get the final authorisation to initiate a clinical trial, the legislation imposes to run in parallel two independent but complementary authorisation procedures. The first procedure is aimed at assessing the ethical aspect of the biomedical research, while the second has to review the safety and regulatory aspects. A third procedure has to be envisaged where in case the investigational product consists or contains a genetically modified organism. The French system herein described is in line with the EU regulation on clinical trial and follows the respective deadlines for granting the final approval. The complexity of the procedure is in fact more due to the complexity of the products and protocols to be assessed than to the procedure itself which is now very close to the well-known procedure applied routinely for more conventional chemical or biological candidate medicinal products.

  9. Nuclear Technology. Course 30: Mechanical Inspection. Module 30-3, Valve Inspection.

    Science.gov (United States)

    Wasil, Ed; Espy, John

    This third in a series of eight modules for a course titled Mechanical Inspection describes all the major types of valves utilized in a nuclear power plant and the purposes of the preinstallation and installation inspections; also describes the valve testing required for particular valves. The module follows a typical format that includes the…

  10. 7 CFR 319.75-9 - Inspection and phytosanitary certificate of inspection.

    Science.gov (United States)

    2010-01-01

    ... Beetle § 319.75-9 Inspection and phytosanitary certificate of inspection. (a) Any nursery stock, plant... importation. (b) Any nursery stock, plant, fruit, vegetable, root, bulb, seed, or other plant product... nursery stock, plant, fruit, vegetable, root, bulb, seed, or other plant product designated as...

  11. Investigation of class 1 integrons in Klebsiella pneumoniae clinical and microbiota isolates belonging to different phylogenetic groups in Recife, State of Pernambuco

    Directory of Open Access Journals (Sweden)

    Alexsandra Maria Silva Lima

    2014-04-01

    Full Text Available Introduction The high prevalence of Klebsiella pneumoniae infections is related to the ability of K. pneumoniae to acquire and disseminate exogenous genes associated with mobile elements, such as R plasmids, transposons and integrons. This study investigated the presence of class 1 integrons in clinical and microbiota isolates of K. pneumoniae belonging to different phylogenetic groups and correlated these results with the antimicrobial resistance profiles of the studied isolates. Methods Of the 51 isolates of K. pneumoniae selected for this study, 29 were from multidrug-resistant clinical isolates, and 22 were from children's microbiota. The susceptibility profile was determined using the disk diffusion method, and class 1 integrons were detected through polymerase chain reaction (PCR. Results The results showed that none of the 22 microbiota isolates carried class 1 integrons. Among the 29 clinical isolates, 19 (65.5% contained class 1 integrons, and resistance to sulfamethoxazole/trimethoprim was identified in 18 of these isolates (94.7%. Among the K. pneumoniae isolates with class 1 integrons, 47% belonged to the KpI phylogenetic group, and one isolate (14.3% carrying these genetic elements belonged to the KpIII group. Conclusions The wide variety of detected class 1 integrons supports the presence of high rates of antimicrobial resistance, genetic variability, and rapid dissemination of beta-lactamase genes among K. pneumoniae clinical isolates in recent years in hospitals in Recife-PE, Brazil. The findings of this study indicate that the surveillance of K. pneumoniae integrons in clinical isolates could be useful for monitoring the spread of antibiotic resistance genes in the hospital environment.

  12. Identification of novel microRNAs regulating HLA-G expression and investigating their clinical relevance in renal cell carcinoma

    Science.gov (United States)

    Jasinski-Bergner, Simon; Reches, Adi; Stoehr, Christine; Massa, Chiara; Gonschorek, Evamaria; Huettelmaier, Stefan; Braun, Juliane; Wach, Sven; Wullich, Bernd; Spath, Verena; Wang, Ena; Marincola, Francesco M.; Mandelboim, Ofer; Hartmann, Arndt; Seliger, Barbara

    2016-01-01

    The non-classical human leukocyte antigen G (HLA-G) is expressed at a high frequency in renal cell carcinoma (RCC) and is associated with a higher tumor grade and a poor clinical outcome. This might be caused by the HLA-G-mediated inhibition of the cytotoxicity of T and NK cells. Therefore a selective targeting of HLA-G might represent a powerful strategy to enhance the immunogenicity of RCC lesions. Recent studies identified a number of HLA-G-regulating microRNAs (miRs) and demonstrated an inverse expression of some of these miRs with HLA-G in RCC in vitro and in vivo. However, it was postulated that further miRs might exist contributing to the tightly controlled selective HLA-G expression. By application of a miR enrichment assay (miTRAP) in combination with in silico profiling two novel HLA-G-regulatory miRs, miR-548q and miR-628-5p, were identified. Direct interactions of both miRs with the 3′ untranslated region of HLA-G were confirmed with luciferase reporter gene assays. In addition, qPCR analyses and immunohistochemical staining revealed an inverse, expression of miR-628-5p, but not of miR-548q to the HLA-G protein in primary RCC lesions and cell lines. Stable overexpression of miR-548q and miR-628-5p caused a downregulation of HLA-G mRNA and protein. This leads in case of miR-548q to an enhanced NK cell-mediated HLA-G-dependent cytotoxicity, which could be reverted by ILT2 blockade suggesting a control of the immune effector cell activity at least by this miR. The identification of two novel HLA-G-regulatory miRs extends the number of HLA-G-relevant miRs tuning the HLA-G expression and might serve as future therapeutic targets. PMID:27057628

  13. Identification of novel microRNAs regulating HLA-G expression and investigating their clinical relevance in renal cell carcinoma.

    Science.gov (United States)

    Jasinski-Bergner, Simon; Reches, Adi; Stoehr, Christine; Massa, Chiara; Gonschorek, Evamaria; Huettelmaier, Stefan; Braun, Juliane; Wach, Sven; Wullich, Bernd; Spath, Verena; Wang, Ena; Marincola, Francesco M; Mandelboim, Ofer; Hartmann, Arndt; Seliger, Barbara

    2016-05-01

    The non-classical human leukocyte antigen G (HLA-G) is expressed at a high frequency in renal cell carcinoma (RCC) and is associated with a higher tumor grade and a poor clinical outcome. This might be caused by the HLA-G-mediated inhibition of the cytotoxicity of T and NK cells. Therefore a selective targeting of HLA-G might represent a powerful strategy to enhance the immunogenicity of RCC lesions. Recent studies identified a number of HLA-G-regulating microRNAs (miRs) and demonstrated an inverse expression of some of these miRs with HLA-G in RCC in vitro and in vivo. However, it was postulated that further miRs might exist contributing to the tightly controlled selective HLA-G expression.By application of a miR enrichment assay (miTRAP) in combination with in silico profiling two novel HLA-G-regulatory miRs, miR-548q and miR-628-5p, were identified. Direct interactions of both miRs with the 3' untranslated region of HLA-G were confirmed with luciferase reporter gene assays. In addition, qPCR analyses and immunohistochemical staining revealed an inverse, expression of miR-628-5p, but not of miR-548q to the HLA-G protein in primary RCC lesions and cell lines. Stable overexpression of miR-548q and miR-628-5p caused a downregulation of HLA-G mRNA and protein. This leads in case of miR-548q to an enhanced NK cell-mediated HLA-G-dependent cytotoxicity, which could be reverted by ILT2 blockade suggesting a control of the immune effector cell activity at least by this miR. The identification of two novel HLA-G-regulatory miRs extends the number of HLA-G-relevant miRs tuning the HLA-G expression and might serve as future therapeutic targets.

  14. Inspection design using 2D phased array, TFM and cueMAP software

    Energy Technology Data Exchange (ETDEWEB)

    McGilp, Ailidh; Dziewierz, Jerzy; Lardner, Tim; Mackersie, John; Gachagan, Anthony [Centre for Ultrasonic Engineering, University of Strathclyde, Glasgow (United Kingdom)

    2014-02-18

    A simulation suite, cueMAP, has been developed to facilitate the design of inspection processes and sparse 2D array configurations. At the core of cueMAP is a Total Focusing Method (TFM) imaging algorithm that enables computer assisted design of ultrasonic inspection scenarios, including the design of bespoke array configurations to match the inspection criteria. This in-house developed TFM code allows for interactive evaluation of image quality indicators of ultrasonic imaging performance when utilizing a 2D phased array working in FMC/TFM mode. The cueMAP software uses a series of TFM images to build a map of resolution, contrast and sensitivity of imaging performance of a simulated reflector, swept across the inspection volume. The software takes into account probe properties, wedge or water standoff, and effects of specimen curvature. In the validation process of this new software package, two 2D arrays have been evaluated on 304n stainless steel samples, typical of the primary circuit in nuclear plants. Thick section samples have been inspected using a 1MHz 2D matrix array. Due to the processing efficiency of the software, the data collected from these array configurations has been used to investigate the influence sub-aperture operation on inspection performance.

  15. Inspection design using 2D phased array, TFM and cueMAP software

    Science.gov (United States)

    McGilp, Ailidh; Dziewierz, Jerzy; Lardner, Tim; Mackersie, John; Gachagan, Anthony

    2014-02-01

    A simulation suite, cueMAP, has been developed to facilitate the design of inspection processes and sparse 2D array configurations. At the core of cueMAP is a Total Focusing Method (TFM) imaging algorithm that enables computer assisted design of ultrasonic inspection scenarios, including the design of bespoke array configurations to match the inspection criteria. This in-house developed TFM code allows for interactive evaluation of image quality indicators of ultrasonic imaging performance when utilizing a 2D phased array working in FMC/TFM mode. The cueMAP software uses a series of TFM images to build a map of resolution, contrast and sensitivity of imaging performance of a simulated reflector, swept across the inspection volume. The software takes into account probe properties, wedge or water standoff, and effects of specimen curvature. In the validation process of this new software package, two 2D arrays have been evaluated on 304n stainless steel samples, typical of the primary circuit in nuclear plants. Thick section samples have been inspected using a 1MHz 2D matrix array. Due to the processing efficiency of the software, the data collected from these array configurations has been used to investigate the influence sub-aperture operation on inspection performance.

  16. Thermographic inspection of solid-fuel rocket booster field joint components

    Science.gov (United States)

    Thompson, Karen G.; Crisman, Elton M.

    1990-01-01

    Thermographic nondestructive evaluation techniques were investigated for possible application on Space Shuttle solid rocket booster field joint hardware. This investigation included evaluation of the clevis and tang mating surfaces for scratches and measurement of grease film thickness. The field joint insulation system was inspected for voids and disbonds.

  17. Investigating the Use of Mastery-Style Online Homework Exercises in Introductory Algebra-based Mechanics in a Controlled Clinical Study

    CERN Document Server

    Evans, William R

    2016-01-01

    Homework in introductory physics represents an important part of a student's learning experience; therefore choosing the manner in which homework is presented merits investigation. We performed three rounds of clinical trials comparing the effects of mastery-style homework vs traditional-style homework with students in both algebra-based and calculus-based introductory mechanics. Results indicate a benefit from mastery-style over traditional-style homework, principally for weaker students who are less familiar with the material being covered and on questions that are nearer transfer to the study materials.

  18. Investigation on a focus of human trichinellosis revealed by an atypical clinical case after wild-boar (Sus scrofa pork consumption in northern Italy

    Directory of Open Access Journals (Sweden)

    Romano F.

    2011-02-01

    Full Text Available Trichinellosis is one of the most serious foodborne parasitic zoonoses in Europe. Wild carnivorous and omnivorous hosts are the main reservoirs of Trichinella spp. nematodes in nature. In the winter of 2008-2009, an atypical clinical case of trichinellosis occurred for the consumption of pork from a wild boar (Sus scrofa hunted in southwestern Alps in Italy. The symptomatic individual showed delayed development of oedemas in the lower limbs and eosinophilia, which appeared three months after infection. Muscle samples harboured 3.8 larvae/g, which were identified as Trichinella britovi. During the epidemiological investigation, anti-Trichinella IgG were detected in five hunters.

  19. Automated visual inspection of imprinted pharmaceutical tablets

    Science.gov (United States)

    Bukovec, Marko; Špiclin, Žiga; Pernuš, Franjo; Likar, Boštjan

    2007-09-01

    This paper is on automated visual inspection of tablets that may, in contrast to manual tablet sorting, provide objective and reproducible tablet quality assurance. Visual inspection of the ever-increasing numbers of produced imprinted tablets, regulatory enforced for unambiguous identification of active ingredients and dosage strength of each tablet, is especially demanding. The problem becomes more tractable by incorporating some a priori knowledge of the imprint shape and/or appearance. For this purpose, we consider two alternative automated tablet defect detection methods. The geometrical method, incorporating geometrical a priori knowledge of the imprint shape, enables specific inspection of the imprinted and non-imprinted tablet surface, while the statistical method exploits statistical a priori knowledge of tablet surface appearance, derived from a training image database. The two methods were evaluated on a large tablet image database, consisting of 3445 images of four types of imprinted tablets, with and without typical production defects. A 'gold standard' for testing the performances of the two inspection methods was established by manually classifying the tablets into good and five defective classes. The results, obtained by ROC (receiver operating characteristics) analysis, indicate that the statistical method yields better defect detection sensitivity and specificity than the geometrical method. Both presented image analysis methods are quite general and promising tools for automated visual inspection of imprinted pharmaceutical tablets.

  20. Algorithm design of liquid lens inspection system

    Science.gov (United States)

    Hsieh, Lu-Lin; Wang, Chun-Chieh

    2008-08-01

    In mobile lens domain, the glass lens is often to be applied in high-resolution requirement situation; but the glass zoom lens needs to be collocated with movable machinery and voice-coil motor, which usually arises some space limits in minimum design. In high level molding component technology development, the appearance of liquid lens has become the focus of mobile phone and digital camera companies. The liquid lens sets with solid optical lens and driving circuit has replaced the original components. As a result, the volume requirement is decreased to merely 50% of the original design. Besides, with the high focus adjusting speed, low energy requirement, high durability, and low-cost manufacturing process, the liquid lens shows advantages in the competitive market. In the past, authors only need to inspect the scrape defect made by external force for the glass lens. As to the liquid lens, authors need to inspect the state of four different structural layers due to the different design and structure. In this paper, authors apply machine vision and digital image processing technology to administer inspections in the particular layer according to the needs of users. According to our experiment results, the algorithm proposed can automatically delete non-focus background, extract the region of interest, find out and analyze the defects efficiently in the particular layer. In the future, authors will combine the algorithm of the system with automatic-focus technology to implement the inside inspection based on the product inspective demands.

  1. Remote inspection system for hazardous sites

    Energy Technology Data Exchange (ETDEWEB)

    Redd, J.; Borst, C.; Volz, R.A.; Everett, L.J. [Texas A and M Univ., College Station, TX (United States). Computer Science Dept.

    1999-04-01

    Long term storage of special nuclear materials poses a number of problems. One of these is a need to inspect the items being stored from time to time. Yet the environment is hostile to man, with significant radiation exposure resulting from prolonged presence in the storage facility. This paper describes research to provide a remote inspection capability, which could lead to eliminating the need for humans to enter a nuclear storage facility. While there are many ways in which an RI system might be created, this paper describes the development of a prototype remote inspection system, which utilizes virtual reality technology along with robotics. The purpose of this system is to allow the operator to establish a safe and realistic telepresence in a remote environment. In addition, it was desired that the user interface for the system be as intuitive to use as possible, thus eliminating the need for extensive training. The goal of this system is to provide a robotic platform with two cameras, which are capable of providing accurate and reliable stereographic images of the remote environment. One application for the system is that it might be driven down the corridors of a nuclear storage facility and utilized to inspect the drums inside, all without the need for physical human presence. Thus, it is not a true virtual reality system providing simulated graphics, but rather an augmented reality system, which performs remote inspection of an existing, real environment.

  2. High dose Senna or Poly Ethylene Glycol (PEG for elective colonoscopy preparation: a prospective randomized investigator-blinded clinical trial

    Directory of Open Access Journals (Sweden)

    Ahmad Shavakhi

    2011-01-01

    Full Text Available Background: The aim of this study was to determine the efficacy of two methods of colon preparation for colon cleansing in a randomized controlled trial. Methods: In this prospective randomized investigator-blinded trial, consecutive outpatients indicated for elective colonoscopy were randomized into two groups. Patients in Senna group took 24 tablets of 11 mg Senna in two divided doses 24 hour before colonoscopy. In Poly Ethylene Glycol (PEG group they solved 4 sachets in 4 liters of water the day before the procedure and were asked to drink 250 ml every 15 minutes. The overall quality of colon cleansing was evaluated using the Aronchick scoring scale. Difficulty of the procedure, patients′ tolerance and compliance and adverse events were also evaluated. Results: 322 patients were enrolled in the study. There was no significant difference in the quality of colon cleansing, patients′ tolerance, compliance and the difficulty of the procedure between two groups (p > 0.05. The incidence of adverse effects was similar between two groups except for abdominal pain that was more severe in Senna group (p < 0.05 and nausea and vomiting that was more common in PEG group (p < 0.05 Conclusions: In conclusion we deduce that Senna has the same efficacy and patient′s acceptance as Polyethylene glycol-electrolyte solution (PEG-ES and it could be prescribed as an alternative method for bowel preparation.

  3. [Investigation of the presence of the etiological agents of malignant catarrhal fever in clinically healthy ruminants in zoological gardens].

    Science.gov (United States)

    Matzat, Talena; Eulenberger, Klaus; Müller, Hermann

    2015-01-01

    Malignant catarrhal fever (MCF) is an infectious disease in even-toed ungulates including domestic cattle and wild living ruminants, which repeatedly also occurred in zoological gardens in Europe. The goal of the study presented here was to determine whether wild ruminants--here in the sense of non-domesticated ruminant species in zoological collections--normally not known as carriers of MCF viruses, may carry and shed these viruses and thus might play a possible role as source of infection. To this end, swap samples from eye, nose, and rectum, and also some blood samples, collected from different ruminant species in 11 zoological gardens and animal parks in the years 2007 to 2009 were examined with real-time polymerase chain reaction (rt-PCR) for the presence of the genome of viruses known to cause MCF most frequently: alcelaphine herpesvirus 1 (AIHV-1), ovine herpesvirus 2 (OvHV-2), caprine herpesvirus 2 (CpHV-2) and malignant catarrhal fever virus--white-tailed deer (MCFV-WTD) The results of this investigation showed the presence of the genomes of one--or more--of these MCF viruses in five of the contributing institutions. A total of 28 samples (12.84%) proved to be positive. In no case, the presence of the AIHV-1 genome was detected. For the first time, the presence of the MCFV-WTD genome was demonstrated in goats, indicating a carrier state of this animal species.

  4. Investigations into genome diversity of Haemophilus influenzae using whole genome sequencing of clinical isolates and laboratory transformants

    Directory of Open Access Journals (Sweden)

    Power Peter M

    2012-11-01

    Full Text Available Abstract Background Haemophilus influenzae is an important human commensal pathogen associated with significant levels of disease. High-throughput DNA sequencing was used to investigate differences in genome content within this species. Results Genomic DNA sequence was obtained from 85 strains of H. influenzae and from other related species, selected based on geographical site of isolation, disease association and documented genotypic and phenotypic differences. When compared by Mauve alignment these indicated groupings of H. influenzae that were consistent with previously published analyses; capsule expressing strains fell into two distinct groups and those of serotype b (Hib were found in two closely positioned lineages. For 18 Hib strains representing both lineages we found many discrete regions (up to 40% of the total genome displaying sequence variation when compared to a common reference strain. Evidence that this naturally occurring pattern of inter-strain variation in H. influenzae can be mediated by transformation was obtained through sequencing DNA obtained from a pool of 200 independent transformants of a recipient (strain Rd using donor DNA from a heterologous Hib strain (Eagan. Conclusion Much of the inter-strain variation in genome sequence in H. influenzae is likely the result of inter-strain exchanges of DNA, most plausibly through transformation.

  5. Results of a survey of biological drug and device industries inspected by FDA under the Team Biologics Program.

    Science.gov (United States)

    Buchholz, Steve; Gangi, Victor J; Johnson, Anne; Little, Jacqueline; Mendivil, Steven; Trott, Carolyn; Webber, Keith; Weinstein, Mark

    2007-01-01

    The Product Quality Research Institute, in conjunction with the Food and Drug Administration, conducted an anonymous, electronic survey of the biological products manufacturing industry inspected by Team Biologics, with emphasis in obtaining industry input on inspection and compliance aspects of program operations. Representatives from all of the product-specific manufacturing industries inspected under the Team Biologics Program responded to this survey (vaccines; fractionated plasma proteins and recombinant analogs; allergenics; therapeutics and in-vivo diagnostics; and in-vitro diagnostics, including blood grouping reagents). Data and written feedback was obtained regarding each firm's interactions and experiences of Team Biologics inspections at its facilities over the past three years. The three areas most impacted by Team Biologic inspections were "Production and Process Controls", "Failure Investigations" and "Facility / Equipment Controls". Overall assessment of the program was generally positive with 68% identifying a positive impact on the sites operations and 88% assessed the inspections as being conducted fairly. The findings and conclusions of this report will be utilized by the FDA to evaluate and further assess the impact of the Team Biologics Program and to implement any necessary changes. This report provides useful information to companies currently manufacturing licensed biologic products subject to Team Biologics inspections and also to those companies anticipating these inspections for future product manufacturing.

  6. Investigation of colorimetry on supranasal point and apex nasi of the complexion inspection by the visible reflection spectrum from 516 healthy adults%516名正常人群印堂与准头部面色的可见反射光谱色度学调查研究

    Institute of Scientific and Technical Information of China (English)

    关晓月; 曾常春; 杨利; 刘汉平; 刘颂豪

    2012-01-01

    Objective: In this study, the data of the normal supranasal point and apex nasi of the complexion inspection were collected by the visible reflection spectrum, and the colorimetric parameters of supranasal point and apex nasi color were analyzed. Methods: 516 healthy students from the colleges and universities in Guangdong province were taken as the research subjects. CIE XYZ tristimulus values of supranasal point and apex nasi of the complexion inspection from 516 subjects was calculated based on the visible reflection spectrum, and the colorimetric parameters of the supranasal point and apex nasi color were obtained, such as the CIE 1964 chromaticity coordinate, brightness, dominant wavelength and excitation purity. Results: The results of CIE 1964 chromaticity diagram calculated on the visible reflection spectrum showed that the normal supranasal point color chromaticity coordinate was (0.3455 ± 0.0071) and was (0.3483 ± 0.0052), the normal apex nasi color chromaticity coordinate was (0.3511 ± 0.0065) and was (0.3518 ± 0.0047), the brightness Y value of the normal supranasal point and apex nasi color were (30.28 ± 4.80) and (29.60 ± 3.80), the dominant wavelength value of the normal supranasal point and apex nasi color were (581.1 ± 3.3)nm and (580.7 ± 2.5)nm, and the excitation purity of the normal supranasal point and apex nasi color were (0.1377 ± 0.0325) and (0.1634 ± 0.0291) respectively. Conclusion: The application of visible reflection spectrum is a standard way to collect colorimetric data for inspection of the complexion. Based on the principle of knowing normal to understand variance, the investigation of chromaticity coordinates, brightness, dominant wavelength and excitation purity of the normal supranasal point and apex nasi color, would offer the basic reference for diagnosing morbid complexion in TCM.%目的:检测正常人群印堂与准头部位面色的可见反射光谱色度学数据,分析正常人群面色的色度学参数结果

  7. Investigation of occult hepatitis B virus infection in anti-hbc positive patients from a liver clinic.

    Directory of Open Access Journals (Sweden)

    Maria Carmela Martinez

    Full Text Available Occult hepatitis B infection (OBI is manifested by presence of very low levels (<200IU/mL of Hepatitis B viral DNA (HBV DNA in the blood and the liver while exhibiting undetectable HBV surface antigen (HBsAg. The molecular mechanisms underlying this occurrence are still not completely understood. This study investigated the prevalence of OBI in a high-risk Australian population and compared the HBV S gene sequences of our cohort with reference sequences. Serum from HBV DNA positive, HBsAg negative, and hepatitis B core antibody (anti-HBc positive patients (study cohort were obtained from samples tested at SEALS Serology Laboratory using the Abbott Architect, as part of screening and diagnostic testing. From a total of 228,108 samples reviewed, 1,451 patients were tested for all three OBI markers. Only 10 patients (0.69% out of the 1,451 patients were found to fit the selection criteria for OBI. Sequence analysis of the HBV S gene from 5 suspected OBI infected patients showed increased sequence variability in the 'a' epitope of the major hydrophilic region compared to reference sequences. In addition, a total of eight consistent nucleotide substitutions resulting in seven amino acid changes were observed, and three patients had truncated S gene sequence. These mutations appeared to be stable and may result in alterations in HBsAg conformation. These may negatively impact the affinity of hepatitis B surface antibody (anti-HBs and may explain the false negative results in serological HBV diagnosis. These changes may also enable the virus to persist in the liver by evading immune surveillance. Further studies on a bigger cohort are required to determine whether these amino acid variations have been acquired in the process of immune escape and serve as markers of OBI.

  8. Clinical and morphological investigations on the incidence of forms of rickets and their association with other pathological states in broiler chickens.

    Science.gov (United States)

    Dinev, I

    2012-04-01

    The purpose of investigations was to determine, by means of pathomorphological methods, the incidence of different rickets forms and their role for the occurrence of other illnesses in broiler chickens in Bulgaria. Clinical, blood biochemical, gross anatomy and histological investigations were carried out in broiler chickens with signs of rickets. The studies were performed in 12 broiler flocks in 4 farms located in different regions of the country. Based on macro- and microscopic lesions, alterations specific for hypocalcaemic rickets were observed in two farms, whereas signs of hypophosphataemic rickets - in the other two. The rickets diagnosis was confirmed by analysis of blood serum calcium, magnesium and inorganic phosphate concentrations. At the age of 30-35 days, various pathological states were observed in the same farms. The presented results suggested that existing problems in studied flocks were associated with an earlier occurrence of rickets.

  9. The Clinical FeatUres of Severe Acne Investigation%重型痤疮临床特征分析

    Institute of Scientific and Technical Information of China (English)

    起珏; 吕乐春; 郭美华; 郑琪; 吴文娟; 何黎

    2014-01-01

    Objective To analyze the clinical features of severe acne patients of different genders,ages to provide a basis for more targeted treatments. Methods From 2009 to 2011,by a sampling survey,1 944 severe acne patients from 35 third-class a hospitals in 24 cities and used" Acne Vulgaris Genetic Epidemiology questionnaires". Two experienced dermato-logical clinicians assessed the types,quantity,locations of patientsˊ skin damages and guided them to complete the question-naires. ResUlts In 1 944 severe acne patients,there were 1 000 males,944 females;1 433 had adolescent acnes〔842 males (58. 8%),591 females(41. 2%)〕,591 had adult acne〔158 males(30. 9%),353 females(69. 1%)〕. There was sig-nificant difference in distribution of varying types of acnes between males and females(χ2 =116. 60,P<0. 001). Totally 377 patients had adult persistent acnes lasting from adolescent onset until after the age of 25 ( 73. 5%),134 had late-onset acnes after the age of 25(26. 5%). In 353 females patients with adult acnes,238 had persistent(67. 4%),115 had late-onset (32. 6%). In 158 males with adult acnes,139 had persistent(88. 0%),19 had late-onset(12. 0%). Adult acnes were mainly persistent both in males and females,but the proportion of late-onset acnes was higher in females than in males,the difference was significant〔χ2 =23. 36,OR=2. 71,95%CI(1. 73,4. 23),P<0. 001〕. A total of 716 patients had acne family histories(36. 8%),including 349 males,367 females;569 had adolescent acnes(79. 5%),130 had persistent (18. 1%),17 had late-onset(2. 4%). The proportion of adolescent acnes was the highest in males and females who had acne family histories. The proportion of adolescent acnes was higher in males than in females,while that of persistent,late-onset ac-nes higher in females than in males(P<0. 05). In females severe acne patients,adolescent acne pimples/pustules were more than persistent(Z =2. 39,P =0. 017),similar to late -onset(Z =1. 25,P =0. 210);the atrophic acars were

  10. Automated Spot Weld Inspection using Infrared Thermography

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Jian [ORNL; Zhang, Wei [ORNL; Yu, Zhenzhen [ORNL; Feng, Zhili [ORNL

    2012-01-01

    An automated non-contact and non-destructive resistance spot weld inspection system based on infrared (IR) thermography was developed for post-weld applications. During inspection, a weld coupon was heated up by an auxiliary induction heating device from one side of the weld, while the resulting thermal waves on the other side were observed by an IR camera. The IR images were analyzed to extract a thermal signature based on normalized heating time, which was then quantitatively correlated to the spot weld nugget size. The use of normalized instead of absolute IR intensity was found to be useful in minimizing the sensitivity to the unknown surface conditions and environment interference. Application of the IR-based inspection system to different advanced high strength steels, thickness gauges and coatings were discussed.

  11. Nondestructive Testing and Inspection Using Electron Linacs

    Science.gov (United States)

    Reed, William A.

    2012-06-01

    This chapter focuses on the role of electron accelerators that produce X-rays in NDT applications and emphasizes topics of interest to those using accelerator-based inspection products. In addition, it highlights the developments in digital detector technology that have become the precursor to more sophisticated digital radiography and computed tomography applications as well as the emerging security inspection market. Because the demand for accelerators for cargo inspection has vastly exceeded all other industrial NDT applications, this market segment, its special requirements, and future trends are comprehensively discussed. Accelerator systems that are specifically designed to produce neutrons can also be used for some of the same applications, but these are covered in Chapter 6.

  12. Problems inherent to quantitative thermographic electrical inspections

    Science.gov (United States)

    Snell, John R., Jr.

    1995-03-01

    The primary value of using infrared thermography to inspect electrical systems is to find problems made apparent by their thermal differences. Thermographers have also begun collecting radiometric temperature data as quantitative imaging systems have become more reliable and portable. Throughout the industry the use of temperature data has become a primary means of prioritizing the severity of a problem. The validity of this premise is suspect for several reasons, including the lack of standard data collection methods; the often poor understanding of radiometric measurements by maintenance thermographers; field conditions that vary widely enough to defy standardization; and the almost total lack of scientific research on the relationship between heat and time with regard to the failure of the components being inspected. Several possible solutions to the problems raised, as well as other suggestions for improving the usefulness and reliability of qualitative inspections, are offered.

  13. High speed inspection of ceramic fuels

    Energy Technology Data Exchange (ETDEWEB)

    McLemore, D. R.

    1979-03-01

    A fuel pellet inspection system is under development and evaluation for use in the High Performance Fuel Laboratory (HPFL) at Richland, Washington. A major operation in this process is the gaging of fuel pellets for dimensions (length and diameter), surface flaws and weight. The system is modularly designed to simplify maintenance operations thereby reducing personnel exposure. The inspection system is divided into two parts: mechanical and electronic. The mechanical portion consists of a pellet handling system; inspection stations for measuring length, diameter, weight and surface flaws; and a glovebox-like containment which isolates Special Nuclear Material (SNM) from the surrounding environment. The electronic portion is a dedicated minicomputer for process control and a supervisory computer system which will be located in a centralized control center and be shared with other development activities in the HPFL.

  14. Vicinal light inspection of translucent materials

    Science.gov (United States)

    Burns, Geroge R.; Yang, Pin

    2010-01-19

    The present invention includes methods and apparatus for inspecting vicinally illuminated non-patterned areas of translucent materials. An initial image of the material is received. A second image is received following a relative translation between the material being inspected and a device generating the images. Each vicinally illuminated image includes a portion having optimal illumination, that can be extracted and stored in a composite image of the non-patterned area. The composite image includes aligned portions of the extracted image portions, and provides a composite having optimal illumination over a non-patterned area of the material to be inspected. The composite image can be processed by enhancement and object detection algorithms, to determine the presence of, and characterize any inhomogeneities present in the material.

  15. Fret Replica Inspection Laser Scanner (FRILS)

    Energy Technology Data Exchange (ETDEWEB)

    Kretz, S.; Hanley, K., E-mail: steve.kretz@opg.com, E-mail: kelly.hanley@opg.com [Ontario Power Generation, Inspection Maintenance and Commercial Services, Pickering, Ontario (Canada)

    2008-07-01

    In the stress analysis of flaws and artifacts found in pressure tubes, it is crucial to have detailed knowledge of the flaw geometry. Fuel channel inspections by ultrasonic or eddy current inspection methods alone cannot provide the complete required geometry information. Replicas, which are a negative impression of surface pressure tube indications, are scanned with a laser system which will provide the additional detail required. FRILS was initially developed in 1993 to establish in-house capability of profiling indications on the inside diameter surface of pressure tubes. The need of this profiling was initially a response to the discovery of fuel bundle bearing pad fretting (FBBPF) caused by flow induced fuel bundle vibration. The benefits of the system were soon realized as a tool for profiling debris type indications. Although the primary use of FRILS is to profile FBBBF and Debris Fretting, since its inception the FRILS inspection system has become an instrumental tool in flaw assessment for: Fuel Bundle Bearing Pad Frets (FBBPF); Debris Frets; Scratches; Crevice Corrosion; Oxide Jacking; Areas of surface roughness; and, Weld Profiling. Replicas are collected via acquisition from tooling on both the Channel and Gauging Apparatus for Reactors (CIGAR) and the Advanced Non-Destructive Examination (ANDE) systems. The ANDE system is a high speed data acquisition system which includes both an ultrasonic inspection tool and a replication tool. Although both of these tools were designed to be delivered with the UDM, the platform for these tools was built with flexibility allowing for adoption to other delivery systems. These tools were based on the experience of the CIGAR inspection system. The CIGAR system has also undergone many system upgrades resulting in reduced inspection times. The FRILS system - Fret Replication Inspection Laser Scanner system was developed and has been upgraded to meet the demands of the improved inspection and replication systems. FRILS

  16. An intelligent inspection and survey robot

    Energy Technology Data Exchange (ETDEWEB)

    Byrd, J.S. [Univ. of South Carolina, Columbia, SC (United States)

    1995-10-01

    Large quantities of mixed and low-level radioactive waste contained in 55-, 85-, and 110-gallon steel drums are stored at Department of Energy (DOE) warehouses located throughout the United States. The steel drums are placed on pallets and stacked on top of one another, forming a column of drums ranging in heights of one to four drums and up to 16 feet high. The columns of drums are aligned in rows forming an aisle approximately three feet wide between the rows of drums. Tens of thousands of drums are stored in these warehouses throughout the DOE complex. ARIES (Autonomous Robotic Inspection Experimental System) is under development for the DOE to survey and inspect these drums. The robot will navigate through the aisles and perform an inspection operation, typically performed by a human operator, making decisions about the condition of the drums and maintaining a data of pertinent information about each drum.

  17. Improvement of the reliability on nondestructive inspection

    Energy Technology Data Exchange (ETDEWEB)

    Song, Sung Jin; Kim, Young H. [Sungkyunkwan Univ., Suwon (Korea, Republic of); Lee, Hyang Beom [Soongsil Univ., Seoul (Korea, Republic of); Shin, Young Kil [Kunsan National Univ., Gunsan (Korea, Republic of); Jung, Hyun Jo [Wonkwang Univ., Iksan (Korea, Republic of); Park, Ik Keun; Park, Eun Soo [Seoul Nationl Univ., Seoul (Korea, Republic of)

    2002-03-15

    Retaining reliabilities of nondestructive testing is essential for the life-time maintenance of Nuclear Power Plant. The nondestructive testing methods which are frequently used in the Nuclear Power Plant are eddy current testing for the inspection of steam generator tubes and ultrasonic testing for the inspection of weldments. In order to improve reliabilities of ultrasonic testing and eddy current testing, the subjects carried out in this study are as follows : development of BEM analysis technique for ECT of SG tube, development of neural network technique for the intelligent analysis of ECT flaw signals of SG tubes, development of RFECT technology for the inspection of SG tube, FEM analysis of ultrasonic scattering field, evaluation of statistical reliability of PD-RR test of ultrasonic testing and development of multi-Gaussian beam modeling technique to predict accurate signal of signal beam ultrasonic testing with the efficiency in calculation time.

  18. Actinic EUV mask inspection beyond 0.25 NA

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, Kenneth A.; Mochi, Iacopo; Anderson, Erik H.; Rekawa, Seno B.; Kemp, Charles D.; Huh, S.; Han, H.-S.

    2008-08-06

    Operating at EUV wavelengths, the SEMATECH Berkeley Actinic Inspection Tool (AIT) is a zoneplate microscope that provides high quality aerial image measurements in routine operations for SEMATECH member companies. We have upgraded the optical performance of the AIT to provide multiple image magnifications, and several inspection NA values up to 0.35 NA equivalent (0.0875 mask-side). We report on the improved imaging capabilities including resolution below 100-nm on the mask side (25 nm, 4x wafer equivalent). EUV reticles are intricate optical systems made from of several materials with wavelength-specific optical properties. The combined interactions of the substrate, multilayer-stack, buffer layer and absorber layer produce a reflected EUV optical field that is challenging to model accurately, and difficult to fully assess without actinic at-wavelength inspection. Understanding the aerial image from lithographic printing alone is complicated by photoresist properties. The AIT is now used to investigate mask issues such as amplitude and phase defect printability, pattern repair techniques, contamination, inspection damage, and mask architecture. The AIT has a 6{sup o} illumination angle, and high-resolution exposure times are typically 20 seconds per image. The AIT operates semi-automatically capturing through-focus imaging series with step sizes as small as 0.1 {micro}m (0.5-0.8 {micro}m are typical), and a step resolution of 0.05 {micro}m. We believe it is the most advanced EUV mask inspection tool in operation today. In the AIT, an EUV image of the mask is projected by a zoneplate lens with high magnification (680-910x) onto a CCD camera. The CCD over-samples the image, providing equivalent pixel sizes down to 15 nm in mask coordinates-several image pixels per resolution element. The original AIT zoneplate specifications were designed to emulate the resolution of a 0.25-NA 4x stepper, and thorough benchmarking analysis of the aberrations, flare, contrast

  19. CIRCUMFERENTIAL MFL IN-LINE INSPECTION FOR CRACKS IN PIPELINES

    Energy Technology Data Exchange (ETDEWEB)

    J.B. Nestleroth

    2003-06-01

    Circumferential MFL is a new implementation of a widely used technology that has potential to provide improved detection and quantification of axially oriented defects such as cracks, seam weld defects, mechanical damage, and groove corrosion. This implementation works by orienting the magnetic field around the pipe rather that along the axis. By orienting the magnetic field around the pipe (the circumferential direction), the axial defects that were magnetically transparent can disrupt more of the magnetic field and can be more easily detected. Initial implementations of circumferential MFL have found that flux leakage from cracks at the interior of the pipe is small, and the signals from cracks are difficult to detect. The objective of this project is to improve detection of cracks by changing the implementation along with using data from overlapping and complementary inspection techniques. Two technology enhancements were investigated: Combining high- and low-magnetization technology for stress detection; and Combining axial and circumferential MFL methods. Although a method combining high- and low-magnetization technology showed promise for characterizing gouges cause by third party excavation equipment, its commercial development was not successful for two reasons. First, the stress diminishes the crack signal, while the opening of the crack increases the signal. The stress-induced changes in flux leakage around cracks were small and any critical information on the severity of cracks and crack-like defects is difficult to distinguish from changes caused by the crack opening and other inspection variables. Second, it is difficult to magnetize pipe material in the circumferential direction. A relatively low, non-uniform magnetization level produced by the circumferential magnetizer makes detection of changes due to stress extremely difficult. This project also examined combining axial and circumferential MFL to improve crack detection and distinguish cracks for

  20. The challenges and opportunities of conducting a clinical trial in a low resource setting: The case of the Cameroon mobile phone SMS (CAMPS trial, an investigator initiated trial

    Directory of Open Access Journals (Sweden)

    Ongolo-Zogo Pierre

    2011-06-01

    Full Text Available Abstract Conducting clinical trials in developing countries often presents significant ethical, organisational, cultural and infrastructural challenges to researchers, pharmaceutical companies, sponsors and regulatory bodies. Globally, these regions are under-represented in research, yet this population stands to gain more from research in these settings as the burdens on health are greater than those in developed resourceful countries. However, developing countries also offer an attractive setting for clinical trials because they often have larger treatment naive populations with higher incidence rates of disease and more advanced stages. These factors can present a reduction in costs and time required to recruit patients. So, balance needs to be found where research can be encouraged and supported in order to bring maximum public health benefits to these communities. The difficulties with such trials arise from problems with obtaining valid informed consent, ethical compensation mechanisms for extremely poor populations, poor health infrastructure and considerable socio-economic and cultural divides. Ethical concerns with trials in developing countries have received attention, even though many other non-ethical issues may arise. Local investigator initiated trials also face a variety of difficulties that have not been adequately reported in literature. This paper uses the example of the Cameroon Mobile Phone SMS trial to describe in detail, the specific difficulties encountered in an investigator-initiated trial in a developing country. It highlights administrative, ethical, financial and staff related issues, proposes solutions and gives a list of additional documentation to ease the organisational process.