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Sample records for colectomy technical aspects

  1. Technical aspects of data communication

    CERN Document Server

    MacNamara, John E

    1988-01-01

    Technical Aspects of Data Communication, Third Edition provides information pertinent to the technical aspects of data communication. This book discusses a simple asynchronous interface implemented with a specialized integrated circuit called a UART.Organized into 28 chapters, this edition begins with an overview of the interface standards ranging from the classic EIA-232-D to the EIA-530. This text then describes modems and modem control, with material on high-speed modems and error-correcting modems. Other chapters discuss hardware and software methods. This book discusses as well digital tr

  2. Technical aspects of enteral nutrition.

    OpenAIRE

    Keymling, M

    1994-01-01

    Advances in technical aspects of enteral feeding such as the manufacture of tubes from polyurethane or silicone have helped promote the science of enteral nutrition. Nasoenteral tubes have few complications, apart from a high unwanted extubation rate and some reluctance from patients because of cosmetic unacceptability. Needle jejunostomy has low morbidity but can only be placed at laparotomy. Percutaneous gastrotomy (in all its different guises) has been established as a low risk procedure a...

  3. TECHNICAL ASPECTS OF JEWELRY DESIGN

    Directory of Open Access Journals (Sweden)

    V. P. Lugovoy

    2011-01-01

    Full Text Available The paper considers an influence of technical factors on jewelry design and provides an analysis of literature data that reveals that main investigations in this field are devoted to the following three problems, namely: problems pertaining to usage of up-to-date IT-technologies in design modeling; material science problems pertaining to influence of decorative and technological properties of the applied materials on esthetic quality of objects and also problems pertaining to manufacturing technology and decorative processing of jewelry.  An important role is played by systematic module approach to training of designers and specialists involved in designing and manufacturing of jewelry. 

  4. Technical aspects of microwave thermotherapy.

    Science.gov (United States)

    Vrba, J; Lapes, M; Oppl, L

    1999-05-01

    We describe our new technical results dealing with microwave thermotherapy (hyperthermia) in cancer treatment, see Refs. [S.B. Field, C. Franconi (Eds.), Physics and technology of hyperthermia, NATO Seminar Proceedings, Urbino, Italy, 1986; J. Hand, J.R. James (Eds.), Physical Techniques in Clinical Hyperthermia, Wiley, New York, 1986; J. Vrba, M. Lapes, Microwave Applicators for Medical Purposes, CTU Press, 1996, in Czech; J. Vrba, C. Franconi, M. Lapes, Theoretical limits for the penetration depth of the intracavitary applicators, International Journal of Hyperthermia, 12:6 (1996) 737-742; C. Franconi, J. Vrba, F. Montecchia, 27 MHz hybrid evanescent-mode applicators with flexible heating field for deep and safe subcutaneous hyperthermia, International Journal of Hyperthermia, 9:5 (1993) 655-674.]. Our research interest is to develop applicators for deep local heating and for intracavitary cancer and/or prostate treatment as well. Further, a system for 3D SAR distribution measurements in water phantom is explained. Basic evaluation of clinical results is given.

  5. DXA: Technical aspects and application.

    Science.gov (United States)

    Bazzocchi, Alberto; Ponti, Federico; Albisinni, Ugo; Battista, Giuseppe; Guglielmi, Giuseppe

    2016-08-01

    The key role of dual-energy X-ray absorptiometry (DXA) in the management of metabolic bone diseases is well known. The role of DXA in the study of body composition and in the clinical evaluation of disorders which directly or indirectly involve the whole metabolism as they may induce changes in body mass and fat percentage is less known or less understood. DXA has a range of clinical applications in this field, from assessing associations between adipose or lean mass and the risk of disease to understanding and measuring the effects of pathophysiological processes or therapeutic interventions, in both adult and paediatric human populations as well as in pre-clinical settings. DXA analyses body composition at the molecular level that is basically translated into a clinical model made up of fat mass, non-bone lean mass, and bone mineral content. DXA allows total and regional assessment of the three above-mentioned compartments, usually by a whole-body scan. Since body composition is a hot topic today, manufacturers have steered the development of DXA technology and methodology towards this. New DXA machines have been designed to accommodate heavier and larger patients and to scan wider areas. New strategies, such as half-body assessment, permit accurate body scan and analysis of individuals exceeding scan field limits. Although DXA is a projective imaging technique, new solutions have recently allowed the differential estimate of subcutaneous and intra-abdominal visceral fat. The transition to narrow fan-beam densitometers has led to faster scan times and better resolution; however, inter- or intra-device variation exists depending on several factors. The purposes of this review are: (1) to appreciate the role of DXA in the study of body composition; (2) to understand potential limitations and pitfalls of DXA in the analysis of body composition; (3) to learn about technical elements and methods, and to become familiar with biomarkers in DXA. Copyright © 2016

  6. Colectomy for refractory constipation

    DEFF Research Database (Denmark)

    Raahave, Dennis; Loud, Franck Bjørn; Christensen, Elsebeth;

    2010-01-01

    OBJECTIVE: This study evaluated the type of colectomy, postoperative complications, functional results, and satisfaction in patients with constipation refractory to conservative therapy. Further, colonic transit time (CTT), faecal load (coprostasis), and colon length (redundancies) were compared...... had at hemicolectomy, 11 patients a subtotal colectomy and 3 patients an ileostomy. Two patients had an anastomotic leak and one died. In 11 patients, further surgery was necessary, because of recurrent constipation. Abdominal pain disappeared and defecation patterns improved significantly to 1-4 per...

  7. Some Technical Aspects for Sustainable Biodiesel Production

    Directory of Open Access Journals (Sweden)

    Imam Paryanto

    2013-01-01

    Full Text Available According to Brundtland Commission (1987, sustainability means the ability to meet the needs of the present without compromising the ability of future generations’ abilities to meet their own needs. The term of sustainability has multi-dimensional objectives of social, environmental and economic. Without ignoring the importance of social, environmental, and economical aspects of sustainability, this study will only highlight some technical aspects for sustainable biodiesel production and, of course, the final goal will target the implication of improved social, environmental and economical conditions. Some technical aspects for sustainable biodiesel production cover the multi-discipline activities at the design stage and at the operation stage of biodiesel production plant. The design stage can be divided into conceptual design, basic engineering design and detailed engineering design. At this stage, the design parameters should consider the selection of the type and availability of raw material, biodiesel plant capacity and location, the efficient production process, the availability of utilities and supporting infrastructures, waste (environmental treatment, and raw material and product handling facilities. And during the operation of biodiesel plant, some important technical issues are the production process activities according to the Standard Operating Procedure (SOP, awareness of safety and Hazard and Operability Study (HAZOP, scheduled maintenance activity, waste management, product quality control, and further, if possible, efficiency improvement in the production line through R&D activities and technological advances.

  8. Comparison of Short-term Surgical Outcomes between a Robotic Colectomy and a Laparoscopic Colectomy during Early Experience

    OpenAIRE

    Shin, Jin Yong

    2012-01-01

    Purpose Although robotic surgery was invented to overcome the technical limitations of laparoscopic surgery, the role of a robotic (procto)colectomy (RC) for the treatment of colorectal cancer compared to that of a laparoscopic (procto)colectomy (LC) was not well defined during the initial adoption periods of both procedures. This study aimed to evaluate the efficacy and the safety of a RC for the treatment of colorectal cancer by comparing the authors' initial experiences with both a RC and ...

  9. Robotic assisted laparoscopic colectomy.

    LENUS (Irish Health Repository)

    Pandalai, S

    2010-06-01

    Robotic surgery has evolved over the last decade to compensate for limitations in human dexterity. It avoids the need for a trained assistant while decreasing error rates such as perforations. The nature of the robotic assistance varies from voice activated camera control to more elaborate telerobotic systems such as the Zeus and the Da Vinci where the surgeon controls the robotic arms using a console. Herein, we report the first series of robotic assisted colectomies in Ireland using a voice activated camera control system.

  10. LDL-Apheresis: Technical and Clinical Aspects

    Directory of Open Access Journals (Sweden)

    Rolf Bambauer

    2012-01-01

    Full Text Available The prognosis of patients suffering from severe hyperlipidemia, sometimes combined with elevated lipoprotein (a levels, and coronary heart disease refractory to diet and lipid-lowering drugs is poor. For such patients, regular treatment with low-density lipoprotein (LDL apheresis is the therapeutic option. Today, there are five different LDL-apheresis systems available: cascade filtration or lipid filtration, immunoadsorption, heparin-induced LDL precipitation, dextran sulfate LDL adsorption, and the LDL hemoperfusion. There is a strong correlation between hyperlipidemia and atherosclerosis. Besides the elimination of other risk factors, in severe hyperlipidemia therapeutic strategies should focus on a drastic reduction of serum lipoproteins. Despite maximum conventional therapy with a combination of different kinds of lipid-lowering drugs, sometimes the goal of therapy cannot be reached. Hence, in such patients, treatment with LDL-apheresis is indicated. Technical and clinical aspects of these five different LDL-apheresis methods are shown here. There were no significant differences with respect to or concerning all cholesterols, or triglycerides observed. With respect to elevated lipoprotein (a levels, however, the immunoadsorption method seems to be most effective. The different published data clearly demonstrate that treatment with LDL-apheresis in patients suffering from severe hyperlipidemia refractory to maximum conservative therapy is effective and safe in long-term application.

  11. Food irradiation facilities: Requirements and technical aspects

    Science.gov (United States)

    Mittendorfer, Josef

    2016-12-01

    This survey presents some aspects and requirement for food irradiation facilities. Topics like radiation source, dose ranges and dose rate are discussed, together with logistics and operational considerations

  12. Modelling socio-technical aspects of organisational security

    NARCIS (Netherlands)

    Ivanova, Marieta G.

    2016-01-01

    Identification of threats to organisations and risk assessment often take into consideration the pure technical aspects, overlooking the vulnerabilities originating from attacks on a social level, for example social engineering, and abstracting away the physical infrastructure. However, attacks on o

  13. Analysis of Software Design Artifacts for Socio-Technical Aspects

    OpenAIRE

    Damaševičius, Robertas; Kaunas University of Technology

    2007-01-01

    Software systems are not purely technical objects. They are designed, constructed and used by people. Therefore, software design process is not purely a technical task, but a socio-technical process embedded within organizational and social structures. These social structures influence and govern their work behavior and final work products such as program source code and documentation. This paper discusses the organizational, social and psychological aspects of software design; and formulates...

  14. Hand-assisted laparoscopic colectomy for colovesical fistula associated with diverticular disease.

    Science.gov (United States)

    Spector, Rona; Bard, Vyacheslav; Zmora, Oded; Avital, Shmuel; Wasserberg, Nir

    2014-06-01

    To evaluate the feasibility and short-term outcome of hand-assisted laparoscopic colectomy (HALC) for the treatment of colovesical fistula complicating diverticulitis, we reviewed the files of all 34 patients who underwent surgery for diverticular colovesical fistula in 1999 to 2010 at a major tertiary medical center. Twenty-one were treated with HALC and 13 with open colectomy. There were no differences in demographic parameters among the groups. HALC and open colectomy had similar operating time. HALC was associated with a significantly shorter hospital stay compared with open colectomy (5 vs. 8 d, P=0.001). HALC proved to be technically feasible and safe in this setting. It provided benefits of tactile feedback and manual manipulation as in open colectomy while maintaining the advantages of a minimal invasive approach.

  15. [Hepatic cell transplantation. Technical and methodological aspects].

    Science.gov (United States)

    Pareja, Eugenia; Martínez, Amparo; Cortés, Miriam; Bonora, Ana; Moya, Angel; Sanjuán, Fernando; Gómez-Lechón, M José; Mir, José

    2010-03-01

    Hepatic cell transplantation consists of grafting already differentiated cells such as hepatocytes. Human hepatocytes are viable and functionally active. Liver cell transplantation is carried out by means of a 3-step method: isolation of hepatocytes from donor liver rejected for orthotopic transplantation, preparing a cell suspension for infusion and, finally, hepatocytes are implanted into the recipient. There are established protocols for the isolation of human hepatocytes from unused segments of donor livers, based on collagenase digestion of cannulated liver tissue at 37 degrees C. The hepatocytes can be used fresh or cryopreserved. Cryopreservation of isolated human hepatocytes would then be available for planned use. In cell transplant, the important aspects are: infusion route, number of cells, number of infusions and viability of the cells. The cells are infused into the patient through a catheter inserted via portal vein or splenic artery. Liver cell transplantation allows liver tissue to be used that would, otherwise, be discarded, enabling multiple patients to be treated with hepatocytes from a single tissue donor. Copyright 2009 AEC. Published by Elsevier Espana. All rights reserved.

  16. Modelling Socio-Technical Aspects of Organisational Security

    DEFF Research Database (Denmark)

    Ivanova, Marieta Georgieva

    Identification of threats to organisations and risk assessment often take into consideration the pure technical aspects, overlooking the vulnerabilities originating from attacks on a social level, for example social engineering, and abstracting away the physical infrastructure. However, attacks o...... it. We validate our approach using scenarios from IPTV and Cloud Infrastructure case studies....... on organisations are far from being purely technical. After all, organisations consist of employees. Often the human factor appears to be the weakest point in the security of organisations. It may be easier to break through a system using a social engineering attack rather than a pure technological one. The Stux......Net attack is only one of the many examples showing that vulnerabilities of organisations are increasingly exploited on different levels including the human factor. There is an urgent need for integration between the technical and social aspects of systems in assessing their security. Such an integration...

  17. Regulated Bioanalytical Laboratories Technical and Regulatory Aspects from Global Perspectives

    CERN Document Server

    Zhou, Michael

    2011-01-01

    This book provides useful information for bioanalytical / analytical scientists, analysts, quality assurance managers, and all personnel in bioanalytical laboratories through all aspects of bioanalytical technical and regulatory perspectives within bioanalytical operations and processes. Readers learn how to develop and implement strategies for routine, non-routine, and standard bioanalytical methods and on the entire equipment hardware and software qualification process. The book also gives guidelines on qualification of certified standards and in-house reference material as well as on people

  18. Improving the Technical Aspects of Software Testing in Enterprises

    CERN Document Server

    Majchrzak, Tim A

    2010-01-01

    Many software developments projects fail due to quality problems. Software testing enables the creation of high quality software products. Since it is a cumbersome and expensive task, and often hard to manage, both its technical background and its organizational implementation have to be well founded. We worked with regional companies that develop software in order to learn about their distinct weaknesses and strengths with regard to testing. Analyzing and comparing the strengths, we derived best practices. In this paper we explain the project's background and sketch the design science research methodology used. We then introduce a graphical categorization framework that helps companies in judging the applicability of recommendations. Eventually, we present details on five recommendations for tech-nical aspects of testing. For each recommendation we give im-plementation advice based on the categorization framework.

  19. Technical Aspects of New Concentrating Solar Thermomechanic Conversion

    Directory of Open Access Journals (Sweden)

    Ivan Herec

    2005-01-01

    Full Text Available The article concerns technical aspects of new concentrating solar thermo-mechanic conversion from the point of view of automated control algorithms of solar thermal motor working on a principle of modified Clausius-Rankin's thermal circulation. On the basis of the proposed algorithms for controlling of thermodynamic processes of the functional model of the solar thermal motor, which uses internal-system absorption of incoming heat radiation, double-step steam generation and regeneration of out coming heat, the design and the testing of controlling single-chip microprocessor electronics with specially designed software was executed.

  20. Technical and economic aspects of waste heat utilization

    Directory of Open Access Journals (Sweden)

    Smolen Slavomir

    2007-01-01

    Full Text Available The main aim of the following presentation is the comparison and evaluation of the conditions for waste heat utilization in Germany and in Poland. This paper presents synthetically the results of economic analysis of the different technical variants. The employment of heat pumps and other heat transformers, respectively, can reduce the energy consumption, but using of those technical possibilities depends mainly on the economic aspects. The main parameters of the financial calculations were the energy and equipment costs but beyond it a number of other factors were also considered and compared, for example calculation interests, profit tax level and similar. Four different technical alternatives were analyzed, it is using of absorption heat pump, compression heat pump, heat transformer (absorption, and a special combined system with gas motor to drive of heat pump compressor. The capital value as main result of the investigations is in Poland generally lower because of relatively high investment cost and lower energy prices compared to the situation in Germany and West Europe. The basis for the presented comparative analysis was an industrial project in Germany which effected in development of concepts for waste heat using. .

  1. Factors influencing the feasibility of laparoscopy colectomy

    Institute of Scientific and Technical Information of China (English)

    He Zhiyun; Zhang Zhongtao

    2014-01-01

    Objective The objective was to review the factors affecting the feasibility of performing successful laparoscopic colectomy.Data sources The literatures about the risk factors closely related to the ability to perform laparoscopic colectomy on different surgical diseases of the colon cited in this review were obtained from PubMed published in English from 2006 to 2012.Study selection Original articles regarding the risk factors that affect the ability to perform laparoscopic colectomy were selected.Results Obesity,diabetes,inflammatory bowel diseases,advanced age,emergency operation,and pelvic anatomy are all important risk factors that increase the risk of developing serious complications such as hemorrhage,anastomotic leak,and skin and soft tissue infections following laparoscopic colectomy.These factors also increase the likelihood of conversion to an open operation.In this study,we reviewed the recent original articles about the relationship of laparoscopic colectomy with these risk factors.We also describe some strategies that limit the likelihood of these complications and the likelihood of conversion to an open operation.Conclusions Obesity,diabetes,inflammatory bowel diseases,age,emergency operation,and pelvic anatomy are all important risk factors that increase the risk of either serious complications or conversion to open operation with laparoscopic colectomy.Evaluation of these risk factors preoperatively should influence the decision to perform colectomy using laparoscopic techniques.

  2. Technical aspects of quality assurance in radiation oncology.

    Science.gov (United States)

    Saw, Cb; Ferenci, Ms; Wanger, H

    2008-07-01

    The technical aspects of quality assurance (QA) in radiation oncology as practice in the United States will be reviewed and updated in the spirit of offering the experience to the radiation oncology communities in the Asia-Pacific region. The word "technical" is used to express the organisational components or processes and not the materials within the QA program. A comprehensive QA program in radiation oncology will have an official statement declaring the quality plan for effective patient care services it provides in a document. The QA program will include all aspects of patient care: physical, clinical, and medical aspects of the services. The document will describe the organisational structure, responsibilities, checks and procedures, and resources allocated to ensure the successful implementation of the quality of patient management. Regulatory guidelines and guidelines from accreditation agencies should be incorporated in the QA program to ensure compliance. The organisational structure will have a multidisciplinary QA committee that has the authority to evaluate continuously the effectiveness of the QA program to provide prompt corrective recommendations and to request feedback as needed to monitor the response. The continuous monitoring aspects require meetings to be held at regular intervals with the minutes of the meetings officially recorded and documented. To ensure that a QA program is effective, the program itself should be audited for quality at regular intervals at least annually. It has been recognised that the current QA program has not kept abreast with the rapid implementation of new and advanced radiation therapy technologies with the most recent in image-based radiation therapy technology. The societal bodies (ASTRO and AAPM) and federal agency (NCI) acknowledge this inadequacy and have held workshops to address this issue. The challenges for the societal bodies and federal agency are numerous that include (a) the prescriptive methodology

  3. Scientific and technical aspects of yogurt fortification: A review

    Directory of Open Access Journals (Sweden)

    Hadi Hashemi Gahruie

    2015-03-01

    Full Text Available Food fortification is one of the most important processes for improvement of the nutrients quality and quantity in food. It can be a very cost effective public health intervention. Due to the high consumption rate of dairy products such as yogurt, fortification of these products will effectively reduce or prevent diseases associated with nutritional deficiencies. The aim of this investigation is to study the technical aspects involved in production of different types of fortified yogurts and their role in disease prevention and correction of deficiencies. In this paper, firstly, fortification is defined and the main reasons behind carrying out this process are presented and then yogurt production process and a variety of minerals, vitamins, and functional ingredients which are used in the process are briefly discussed.

  4. Short-duration virtual reality simulation training positively impacts performance during laparoscopic colectomy in animal model: results of a single-blinded randomized trial : VR warm-up for laparoscopic colectomy.

    Science.gov (United States)

    Araujo, Sergio E A; Delaney, Conor P; Seid, Victor E; Imperiale, Antonio R; Bertoncini, Alexandre B; Nahas, Sergio C; Cecconello, Ivan

    2014-09-01

    Several studies have demonstrated skills transfer after virtual reality (VR) simulation training in laparoscopic surgery. However, the impact of VR simulation training on transfer of skills related to laparoscopic colectomy remains not investigated. The present study aimed at determining the impact of VR simulation warm-up on performance during laparoscopic colectomy in the porcine model. Fourteen residents naive to laparoscopic colectomy as surgeons were randomly assigned in block to two groups. Seven trainees completed a 2-h VR simulator training in the laparoscopic sigmoid colectomy module (study group). The remaining seven surgeons (control group) underwent no intervention. On the same day, all participants performed a sigmoid colectomy with anastomosis on a pig. All operations were video recorded. Two board-certified expert colorectal surgeons independently assessed performance during the colectomy on the swine. Examiners were blinded to group assignment. The two examiners used a previously validated clinical instrument specific to laparoscopic colectomy. The primary outcome was the generic and specific skills score values. Surgeons undergoing short-duration training on the VR simulator performed significantly better during laparoscopic colectomy on the pig regarding general and specific technical skills evaluation. The average score of generic skills was 17.2 (16.5-18) for the control group and 20.1 (16.5-22) for the study group (p = 0.002). The specific skills average score for the control group was 20.2 (19-21.5) and 24.2 (21-27.5) for the study group (p = 0.001). There was acceptable concordance (Kendall's W) regarding the video assessment of generic (W = 0.78) and specific skills (W = 0.84) between the two examiners. A single short-duration VR simulator practice positively impacted surgeons' generic and specific skills performance required to accomplish laparoscopic colectomy in the swine model.

  5. Single-Incision Laparoscopic Total Colectomy

    Science.gov (United States)

    Ojo, Oluwatosin J.; Carne, David; Guyton, Daniel

    2012-01-01

    Background and Objectives: To present our experience with a single-incision laparoscopic total colectomy, along with a literature review of all published cases on single-incision laparoscopic total colectomy. Methods: A total of 22 cases were published between 2010 and 2011, with our patient being case 23. These procedures were performed in the United States and United Kingdom. Surgical procedures included total colectomy with end ileostomy, proctocolectomy with ileorectal anastomosis, and total proctocolectomy with ileopouch-anal anastomosis. Intraoperative and postoperative data are analyzed. Results: Twenty-two of the 23 cases were performed for benign cases including Crohns, ulcerative colitis, and familial adenomatous polyposis. One case was performed for adenocarcinoma of the cecum. The mean age was 35.3 years (range, 13 to 64), the mean body mass index was 20.1 (range, 19 to 25), mean operative time was 175.9 minutes (range, 139 to 216), mean blood loss was 95.3mL (range, 59 to 200), mean incision length was 2.61cm (range, 2 to 3). Average follow-up was 4.6 months with 2 reported complications. Conclusions: Single-incision laparoscopic total colectomy is feasible and safe in the hands of an experienced surgeon. It has been performed for both benign and malignant cases. It is comparable to the conventional multi-port laparoscopic total colectomy. PMID:22906326

  6. Perforating the atretic pulmonary valve with CTO hardware: Technical aspects.

    Science.gov (United States)

    Patil, Nilkanth C; Saxena, Anita; Gupta, Saurabh K; Juneja, Rajnish; Mishra, Sundeep; Ramakrishnan, Sivasubramanian; Kothari, Shyam S

    2016-11-01

    To review the success and technical aspects of pulmonary valve (PV) perforation using chronic total occlusion (CTO) hardware in patients with pulmonary atresia and intact ventricular septum (PA-IVS). Interventional therapy is possible in selected patients with PA-IVS. Among the various interventional options available, radiofrequency and laser assisted perforation may be more successful, but require expertise and may be substantially costly. We describe the technique of mechanical catheter PV perforation using currently available coronary hardware meant for coronary CTO in nine cases with PA-IVS. After complete echocardiographic evaluation and informed parental consent was obtained, patients were electively intubated, mechanically ventilated, adequately heparinized and were placed on intravenous prostaglandin infusion. Basic steps involved were-localizing the atretic segment and accomplishing coaxial alignment of catheters using biplane fluoroscopy, crossing the atretic segment with the soft end of perforating guidewire, stabilizing the assembly and performing graded balloon dilatation with the balloon size never exceeding 130% of pulmonary annulus diameter. For crossing the atretic PV, a retrograde approach was used in one patient where the antegrade approach was not possible. The procedure was successful in 8/9 cases (89%). Valve opening was achieved in all eight patients with immediate fall in right ventricular (RV) systolic pressures. One neonate died following surgery after catheter induced RV perforation. All surviving cases were discharged from the hospital in good general condition with no evidence of heart failure and a room air oxygen saturation of >85%. No patient required an additional pulmonary irrigation procedure. With appropriate patient and hardware selection, PV perforation using readily available coronary hardware is feasible in PA-IVS. © 2014 Wiley Periodicals, Inc. © 2014 Wiley Periodicals, Inc.

  7. Increased Risk of Gallstone Disease Following Colectomy for Ulcerative Colitis

    DEFF Research Database (Denmark)

    Mark-Christensen, Anders; Brandsborg, Søren; Laurberg, Søren

    2017-01-01

    following colectomy and IPAA.Methods:Individuals who had a colectomy were identified from a national cohort of patients with ulcerative colitis (UC), and controls without colectomy were sampled from within the same cohort, matching on gender, calendar year, and year of birth. We used Cox regression...

  8. On The Human, Organizational, and Technical Aspects of Software Development and Analysis

    Science.gov (United States)

    Damaševičius, Robertas

    Information systems are designed, constructed, and used by people. Therefore, a software design process is not purely a technical task, but a complex psycho-socio-technical process embedded within organizational, cultural, and social structures. These structures influence the behavior and products of the programmer's work such as source code and documentation. This chapter (1) discusses the non-technical (organizational, social, cultural, and psychological) aspects of software development reflected in program source code; (2) presents a taxonomy of the social disciplines of computer science; and (3) discusses the socio-technical software analysis methods for discovering the human, organizational, and technical aspects embedded within software development artifacts.

  9. Can the need for colectomy after computed tomography-guided percutaneous drainage for diverticular abscess be predicted?

    Science.gov (United States)

    Felder, Seth I; Barmparas, Galinos; Lynn, Juliane; Murrell, Zuri; Margulies, Daniel R; Fleshner, Phillip

    2013-10-01

    The primary aim of this study was to define predictors of computed tomography (CT)-guided percutaneous abscess drainage treatment failure in complicated diverticulitis. A 10-year retrospective analysis of inpatients seen in surgical consultation for diverticular abscess management subsequently referred for CT-guided percutaneous drainage (PD) was conducted. The clinical courses of patients undergoing a technically successful PD were categorized into three groups: 1) no colectomy; 2) elective colectomy; and 3) nonelective colectomy. Forty study patients were identified. Thirteen (33%) of the 40 patients required a nonelective colectomy, 20 patients (50%) underwent elective resection, and seven patients (18%) have been managed nonoperatively with no recurrent diverticulitis for a median of 46.8 months (range, 3.2 to 84.3 months). Forward logistic regression identified the presence of immunosuppression or renal insufficiency (creatinine 1.5 mg/dL or greater) as factors independently associated with failure of PD and need for nonelective colectomy. No clinical, laboratory, or radiologic variables were predictive of long-term nonoperative success. Although PD allows for the resolution of intra-abdominal sepsis for most cases of diverticulitis complicated by an abscess, a substantial proportion progress to nonelective colectomy, emphasizing the need for clinical vigilance in follow-up.

  10. SPECIFIC ASPECTS OF THE TECHNICAL RESERVES OF INSURANCE ACCOUNTING

    Directory of Open Access Journals (Sweden)

    CRISTINA MIHAELA NAGY

    2011-01-01

    Full Text Available The formation, increase, release and reduction of technical reserves are accounting transactions that are only found in insurance companies. Technical reserves are established for each line of insurance as special funds so that the stability and solvency of insurance companies are not affected.

  11. Colectomy for idiopathic slow transit constipation

    Institute of Scientific and Technical Information of China (English)

    童卫东; 刘宝华; 张胜本; 张连阳; 黄显凯

    2003-01-01

    Objective: To evaluate the intervention of colectomy on a group of patients with idiopathic slow transit constipation (STC).Methods: Thirty-four patients with STC, underwent colectomy during recent 10 years in our department, were subjected and followed for a mean length of 34 months, and their colon transits, defecograms, colonoscopic examination, sex hormone detection, and immunohistochemical studies were retrospectively reviewed.Results: The colonic transit time ranged from 96 to 240 h, with a mean time of 136 h.Eighty-five percent of patients (29/34) accompanied with outlet obstructed constipation, and 50% (17/34) showed abnormal sex hormone levels.Colectomy obtained satisfactory results in most patients, except one case of recurrence.Moreover, more neurons positive to nitric oxide synthase (NOS) and lesser to vasoactive intestinal polypeptide (VIP) were seen in the colonic myenteric plexus.Conclusion: Colectomy produces a satisfactory functional outcome in the majority of patients undergoing surgery for slow transit constipation, but accompanied pelvic dysfunction must be corrected simultaneously.

  12. Environmental Aspects of the Engineering Training at Technical University

    Directory of Open Access Journals (Sweden)

    V. V. Bushueva

    2015-01-01

    Full Text Available Problem relevance. The article gives a justification for a need to train professionally competent, ecologically oriented engineers capable to create new equipment taking into account the ecological characteristics. Such approach expresses a requirement coherence to develop technical systems and technologies taking into account, both technical reliability and human and environmental safety. Today, in conditions of modern industrial production it is an important point in engineer’s activity. So to train future engineers who meet these requirements new forms and methods are to be found.Objectives. To prove that involvement of creative student’s teams in training the future ecologically oriented engineers is of importance. The organisational structure and methods of activities along with the principles of revitalizing search for engineering ideas and solutions to develop environmentally safe technical systems and technologies allow us to solve more complicated problems. This is the important characteristic in activities of creative groups. The article considers a significance of the future engineer’s responsibility in terms of environment safety. It gives "Methodical advices to analyse the operational impacts of technical systems on the human and environment" to show that there is a need in development of reliable and environment-safe technical systems.Novelty of this work is a technique for the organization and forms of student creative team’s activities. It represents a revised and updated option of a technique of the creative teams working at the industrial enterprises in France. The revised technique takes into consideration both the specifics of student's audience at technical university and the environment-oriented tasks to be solved. Efficiency of search and solution of environment-oriented engineering tasks is enhanced owing to use of revitalizing methods for the creative team’s activities, which are widely used today in student

  13. Technical aspects of mitral valve replacement with an allograft for acute bacterial endocarditis.

    OpenAIRE

    Conklin, L D; Reardon, M J

    1999-01-01

    Mitral valve replacement with a mitral valve allograft is receiving a resurgence of interest. We discuss the technical aspects of this procedure as it applies to cases of acute bacterial endocarditis infecting the mitral valve.

  14. Technical aspects of internet-based knowledge presentation in radiotherapy.

    Science.gov (United States)

    Lütttgau, A; Bendl, R

    2001-01-01

    Three-dimensional radiotherapy planning is a complex and time-consuming optimization process which requires much experience. To simplify and to speed up the process of treatment planning as well as to exchange experience and therapeutic knowledge, the department of Medical Physics at the German Cancer Research Centre (DKFZ) in Heidelberg is developing an Internet-based 3D Radiotherapy planning and Information System (IRIS). IRIS designed internet-based client-server application, implemented using Java, CORBA and PVM. The concept of IRIS combines the functionality of an interactive tutorial with a discussion forum, teleconferencing tool and an atlas of dose distributions. Furthermore an integral knowledge-based system provides automatically generated, preoptimized treatment plans. This paper explains the technical design of the system and gives an overview of experiences gained by the technical realization of a first prototype using currently available internet technology. The prototype is currently running for testing in the intranet of DKFZ.

  15. Reuse of Learning Objects in Context: Technical and Human Aspects.

    NARCIS (Netherlands)

    Strijker, A.

    2004-01-01

    This dissertation focuses on the application of learning technology standards for learning objects and the differences in reuse in university, corporate, and military contexts. This is addressed from two different perspectives: the technology involving learning objects and the human aspects that

  16. Technical aspects of the provisional side branch stenting strategy.

    Science.gov (United States)

    Darremont, Olivier; Leymarie, Jean Louis; Lefèvre, Thierry; Albiero, Remo; Mortier, Peter; Louvard, Yves

    2015-01-01

    Provisional side branch (SB) stenting is the recommended treatment strategy in the vast majority of bifurcation lesions. Over the past 10 years, advances in fundamental knowledge have led to a better understanding and to improvements of this technical approach. This strategy has reached maturity, and long-term clinical results are now comparable to those of non-bifurcation lesions. This paper describes in detail simple rules and tips and tricks which may help physicians in daily practice to use provisional side branch (SB) stenting as the gold standard treatment for the majority of bifurcation lesions.

  17. Radioactive Waste Technical and Normative Aspects of its Disposal

    CERN Document Server

    Streffer, Christian; Kamp, Georg; Kröger, Wolfgang; Rehbinder, Eckard; Renn, Ortwin; Röhlig, Klaus-Jürgen

    2012-01-01

    Waste caused by the use of radioactive material in research, medicine and technologies, above all high level waste from nuclear power plants, must be disposed of safely. However, the strategies discussed for the disposal of radioactive waste as well as proposals for choosing a proper site for final waste disposal are strongly debated. An appropriate disposal must satisfy complex technical requirements and must meet stringent conditions to appropriately protect man and nature from risks of radioactivity over very long periods. Ethical, legal and social conditions must be considered as well. An interdisciplinary team of experts from relevant fields compiled the current status and developed criteria as well as strategies which meet the requirements of safety and security for present and future generations. The study also provides specific recommendations that will improve and optimize the chances for the selection of a repository site implementing the participation of stakeholders including the general public an...

  18. Technical and economic aspects of hydrogen storage in metal hydrides

    Science.gov (United States)

    Schmitt, R.

    1981-01-01

    The recovery of hydrogen from such metal hydrides as LiH, MgH2, TiH2, CaH2 and FeTiH compounds is studied, with the aim of evaluating the viability of the technique for the storage of hydrogen fuel. The pressure-temperature dependence of the reactions, enthalpies of formation, the kinetics of the hydrogen absorption and desorption, and the mechanical and chemical stability of the metal hydrides are taken into account in the evaluation. Economic aspects are considered. Development of portable metal hydride hydrogen storage reservoirs is also mentioned.

  19. Technical and economical aspects of wind energy applications in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Durstewitz, M.; Hoppe-Kilpper, M.; Kleinkauf, W. [Inst. fuer Solare Energieversorgungstechnik e.V., Kassel (Germany)

    1995-12-31

    The use of renewable energy for the continuously growing global population is becoming increasingly important. These forms of energy not only broaden the urgently needed resource base, but are also free from emission of CO{sub 2}, SO{sub 2}, NO{sub x} etc. The Federal German Government early recognized this and has provided more than DEM 4000 million for this purpose since 1973. Together with Japan and the USA, Germany belongs to the three leading nations in the world in R and D on the application of renewable energy. It has by far the largest and most broadly based programme in Europe. The technical and economical progress of wind power is very promising in Germany. It has scale demonstration programme `250 MW Wind`. Since 1991 another important impetus has been the sources (wind power presently 0.1728 DEM/kWh). In 1994, the rated wind power capacity was doubled to 643 MW. Electricity production in 1994 was around 1000 million kWh or 0.2 % of total German electricity production. The often discussed goal of producing one or more per cent of the German electricity by wind power seems to be attainable on a medium time scale by modern medium scale wind turbines or even large scale turbines. This is based on the promise that various nontechnical barriers will be overcome. (author)

  20. Management of biogas projects. Legal, technical and economic aspects; Management von Biogas-Projekten. Rechtliche, technische und wirtschaftliche Aspekte

    Energy Technology Data Exchange (ETDEWEB)

    Boettcher, Joerg (ed.)

    2013-08-01

    Which requirements must be met in order to implement a biogas projects successfully? Legal enforceability and reliability of contracts as well as technical reliability are prerequisites for a successful financial and economic viability. Under this aspect, the book under consideration offers the first comprehensive overview of the technical, legal and economic aspects of biogas projects. Renowned experts from research and practice consider various aspects.

  1. Porcelain veneering of titanium--clinical and technical aspects.

    Science.gov (United States)

    Haag, Per

    2011-01-01

    Gold and other alloys have long been used for the production of crowns and bridges as replacements for damaged or lost teeth. However, doubts have arisen on the suitability of using these materials for dental restorations, as gold has also shown a capacity to cause side-effects such as allergic reactions. This is especially valid for alloys, which during the last decades have been used as porcelain-fused-to metal restorations. This fact has led to an interest in using titanium instead of these alloys. Trials to use titanium for this purpose were initiated in Japan in the early 1980s. Titanium as an unalloyed metal differs in two aspects from the above named alloys: it has a phase transformation at 882 degrees C, which changes its outer and inner properties, and it has an expansion that lies between that of the porcelain types available on the market at the time. In Japan a technique for casting titanium was developed, where the after-treatment of the casting was elaborate, to re-establish the original properties of titanium. The porcelain developed for veneering had shortcomings as the rendering produced a rough surface and non satisfactory esthetics. In Sweden a new concept was introduced in 1989. Here the processing of titanium was performed by industrial methods such as milling, spark erosion and laser welding. The idea behind this was to avoid phase transformation. During the 1990s a number of porcelain products were launched and a vast number of both laboratory and clinical studies were performed and published, with varying results. In the first study of this thesis a prospective clinical trial was performed at a public dental health clinic in Sweden. Twenty-five patients were provided with 40 copings of pure titanium, which were veneered with porcelain. After 2 years 36 of these crowns were evaluated and the patients were also interviewed regarding problems such as shooting pains or difficulties in cleaning around the teeth that were crowned. This evaluation

  2. Increased Risk of Gallstone Disease Following Colectomy for Ulcerative Colitis.

    Science.gov (United States)

    Mark-Christensen, Anders; Brandsborg, Søren; Laurberg, Søren; Johansen, Niels; Pachler, Jørn Helmut; Thorlacius-Ussing, Ole; Kjær, Mie Dilling; Qvist, Niels; Preisler, Louise; Hillingsø, Jens; Rosenberg, Jacob; Jepsen, Peter

    2017-03-01

    Biochemical studies suggest that patients who have had a colectomy or restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) are at an increased risk of developing gallstone disease, but epidemiological studies are lacking. We evaluated the risk of gallstone disease following colectomy and IPAA. Individuals who had a colectomy were identified from a national cohort of patients with ulcerative colitis (UC), and controls without colectomy were sampled from within the same cohort, matching on gender, calendar year, and year of birth. We used Cox regression to examine the effect of colectomy on the hazard rates of gallstone disease and cholecystectomy, adjusting for alcoholism, stroke, chronic obstructive pulmonary disease, cancer, cardiac disease, diabetes mellitus, hypothyroidism, hyperlipidemia, cirrhosis, obesity, renal failure, and transient ischemic attacks. The effect of an IPAA was determined for patients who had colectomy by including the procedure as a time-dependent variable. We identified 4548 patients and matched these to 44 372 controls without colectomy. During a median follow-up of 11.9 years, 1963 patients were hospitalized for gallstone disease. Patients who had a colectomy were at an increased risk (adjusted hazard ratio (HR)=1.63 (1.39-1.91)), and sensitivity analyses of the risk of undergoing cholecystectomy revealed a similar association (adjusted HR=1.55 (1.22-1.98)). An IPAA did not affect the risk of developing gallstones among patients who had a colectomy (adjusted HR=1.03 (0.77-1.37)). The risk of gallstone disease increases following colectomy for UC.

  3. Laparoscopic subtotal colectomy for colonic inertia.

    Science.gov (United States)

    Sample, Cliff; Gupta, Rohit; Bamehriz, Fahad; Anvari, Mehran

    2005-01-01

    Colonic inertia is an uncommon condition, usually occurring in women in the third decade of life. Severity of symptoms may lead some patients to a surgical consultation. This is a retrospective review of 14 patients who underwent laparoscopic subtotal colectomy for colonic inertia, performed by a single surgeon from August 1993 to November 2002. The mean age of the patients was 38.5 years (range 26-50 years); 93% of the patients were women. The common presenting symptoms included abdominal pain (93%), bloating (100%), constipation (100%), and nausea (57%). Median duration of symptoms before surgery was 4.5 years (range 1-30 years). Subtotal colectomy was completed laparoscopically in 13 patients. There was one conversion (7%) because of adhesions. Eleven patients (78.6%) had undergone previous abdominal surgery. The mean operating room time was 153 minutes (range 113-210 minutes). The median time to full bowel action was 2 days. One patient developed postoperative small bowel obstruction that required open exploration. Complete follow-up was available for 11 patients at a median follow-up of 18 months (range 2-96 months). Ninety-one percent of the patients reported excellent satisfaction with surgery, and their bowel movement frequency changed from 1.2 (+/-0.2) per week preoperatives to 17.2 (+/-2.9) per week postoperatively (P relief in patients with colonic inertia who do not respond to medical measures.

  4. Outcomes for single-incision laparoscopic colectomy surgery in obese patients: a case-matched study.

    Science.gov (United States)

    Keller, Deborah S; Ibarra, Sergio; Flores-Gonzalez, Juan Ramon; Ponte, Oscar Moreno; Madhoun, Nisreen; Pickron, T Bartley; Haas, Eric M

    2016-02-01

    Single-incision laparoscopic surgery (SILS) is safe and feasible for benign and malignant colorectal diseases. SILS offers several patient-related benefits over multiport laparoscopy. However, its use in obese patients has been limited from concerns of technical difficulty, oncologic compromise, and higher complication and conversion rates. Our objective was to evaluate the feasibility and efficacy of SILS for colectomy in obese patients. Review of a prospective database identified patients undergoing elective colectomy using SILS from 2009 to 2014. They were stratified into obese (BMI ≥ 30 kg/m(2)) and non-obese cohorts (BMI obese cohort had significantly higher BMI (p obese. There were no significant differences in conversion rates (p = 0.682), final incision length (p = 0.088), LOS (p = 0.332), postoperative complications (p = 0.430), or readmissions (p = 1.000) in the obese versus non-obese. Further, in malignant cases, lymph nodes harvested (p = 0.757) and negative distal margins (p = 1.000) were comparable across cohorts. Single-incision laparoscopic colectomy in obese patients had significantly longer operative times, but comparable conversion rates, oncologic outcomes, lengths of stay, complication, and readmission rates as the non-obese cohorts. In the obese, where higher morbidity rates are typically associated with surgical outcomes, SILS may be the ideal platform to optimize outcomes in colorectal surgery. With additional operative time, the obese can realize the same clinical and quality benefits of minimally invasive surgery as the non-obese.

  5. Practical aspects of the technical and technological development level determining the machine-building enterprise

    Directory of Open Access Journals (Sweden)

    O.G. Shevliuga

    2014-09-01

    Full Text Available The aim of the article. The aim of the article is to determine the technical-technological development level of the machine-building enterprise on the basis of the proposed methodological approach. The results of the analysis. Low innovation activity of enterprises creates opportunities for improving many of its aspects. The technical-technological development is an essential part of modern enterprise innovation activity, which is an important component of successful functioning of enterprises. However, the question of finding funding sources for implementation of innovative changes remains open. Therefore it is necessary to involve different sources of funding to carry out the changes The proposed research and methodical recommendations facilitate application of scientific foundations for calculating the technical-technological development level in practice. The approach is aimed at the efficient use of existing fixed assets and introduction of technological innovations. The technical and technological components of the technical-technological development of machine-building enterprise “Turbomash Ltd” are examined in the article. The determination of its level allows defining the enterprise position in a competitive environment. The partial indicators of technical and technological TTD components during the period of 2009-2013 years are used in the calculation. On the basis of partial indicators for the technical and technological components integrated indicators are calculated. With the help of expert estimations weight characteristics of partial indicators are determined. Conclusions and directions of futher researches. According to the calculation results analyzed enterprise is positioned in the two-dimensional matrix based on integral indicators for the technical and technological components. Recommendations concerning measures of increasing the technical-technological development level of the enterprise are offered. For its increasing

  6. Technical and economical aspects of the electric power systems automation; Aspectos tecnicos e economicos da automacao dos sistemas eletricos

    Energy Technology Data Exchange (ETDEWEB)

    Siqueira, Gustavo F.G.; Achkar, Luiz Roberto; Yamanaka, Alberto S.

    1997-07-01

    This presents an overview on the technical and economical aspects of the electric power automation. The document analyses the automation necessity, anomalies in the distribution system, noise generators, systems of supervision, control and quality analysis of the energy and technical and financial aspects.

  7. Infliximab and complications after colectomy in patients with ulcerative colitis

    DEFF Research Database (Denmark)

    Bregnbak, David; Mortensen, Christian; Bendtsen, Flemming

    2012-01-01

    Infliximab treatment may increase the risk of subsequent postoperative complications in patients with ulcerative colitis. The main purpose of the present study therefore was to assess postoperative complications in patients who have undergone colectomy for ulcerative colitis with and without...

  8. [Susceptibility weighted magnetic resonance sequences "SWAN, SWI and VenoBOLD": technical aspects and clinical applications].

    Science.gov (United States)

    Hodel, J; Rodallec, M; Gerber, S; Blanc, R; Maraval, A; Caron, S; Tyvaert, L; Zuber, M; Zins, M

    2012-05-01

    Susceptibility-weighted MR sequences, T2 star weighted angiography (SWAN, General Electric), Susceptibility weighted imaging (SWI, Siemens) and venous blood oxygen level dependant (VenoBOLD, Philips) are 3D spoiled gradient-echo sequence that provide a high sensitivity for the detection of blood degradation products, calcifications, and iron deposits. For all these sequences, an appropriate echo time allows for the visualization of susceptibility differences between adjacent tissues. However, each of these sequences presents a specific technical background. The purpose of this review was to describe 1/the technical aspects of SWAN, VenoBOLD and SWI sequences, 2/the differences observed in term of contrast within the images, 3/the key imaging findings in neuroimaging using susceptibility-weighted MR sequences.

  9. Study of Night Ventilation Efficiency in Urban Environment: Technical and Legal Aspects

    Science.gov (United States)

    Maragogiannis, Konstantinos; Kolokotsa, Dionysia; Maria, Efpraxia-Aithra

    2011-01-01

    Night Ventilation is a critical technique of passive cooling, as it combines a significant decrease of cooling demand and improvement of thermal comfort and indoor air quality. The aim of the present paper is to study the technical and legal aspects of night ventilation in urban climatic conditions. The technical part examines the efficiency of night ventilation techniques for urban residential buildings. Moreover, the influence of urban heat island on the night ventilation effectiveness is studied. Urban heat provokes the degradation of urban air quality and causes changes in the urban area microclimate which reduce the night ventilation effectiveness as a passive cooling technique. Moreover, this paper studies the legal framework of energy efficiency in buildings and pinpoints the institutional deficiencies of the existing regulation regarding energy efficiency and passive cooling techniques

  10. Socio-technical aspects of the use of health related personal information for management and research.

    Science.gov (United States)

    Iversen, K R; Grøtan, T O

    1996-10-01

    This paper focuses on the organisational, technical and ethical aspects related to the use of person identifiable health information for various health care management, administration, finance, research and educational purposes. It is based on the ethical standpoint that to the individuals in question, the identifiable health information represents the uttermost sensitive and critical information. In addition, nobody, possibly apart from the patients themselves, may claim ownership of such information. Thus identifiable health information should be (per individual) kept as collected and protected as possible, within the scope of the patient provider relationship. Identifiable health information should, whenever possible and reasonable, be restricted to the health care professionals providing the treatment and care to the patient, and only be made available to others, e.g. for management, research or educational purposes, either in anonymous or pseudonymous form. Secure information management (SIM) is presented as the socio-technical means to facilitate our ethical standpoint in a practical health care environment.

  11. International Clinical Guidelines for the Adoption of Digital Pathology: A Review of Technical Aspects.

    Science.gov (United States)

    García-Rojo, Marcial

    2016-01-01

    Digital slides, also called whole-slide images, are being evaluated to replace conventional microscopy, and several guidelines have been published. This paper reviews technical specifications of digital pathology systems that have been included in the guidelines and position papers from the Canadian Association of Pathologists, the College of American Pathologists, the American Telemedicine Association, the Digital Pathology Association, the Food and Drug Administration, the Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention, the Society of Toxicologic Pathology, the European Commission, the Spanish Society of Anatomic Pathology, The Royal College of Pathologists and The Royal College of Pathologists of Australasia. In conclusion, most technical aspects are well covered by these guidelines, although they offer limited information regarding image quality and compression, and file formats.

  12. Comparative genomic hybridization: technical development and cytogenetic aspects for routine use in clinical laboratories.

    Science.gov (United States)

    Lapierre, J M; Cacheux, V; Da Silva, F; Collot, N; Hervy, N; Wiss, J; Tachdjian, G

    1998-01-01

    Comparative genomic hybridization (CGH) offers a new global approach for detection of chromosomal material imbalances of the entire genome in a single experiment without cell culture. In this paper, we discuss the technical development and the cytogenetic aspects of CGH in a clinical laboratory. Based only on the visual inspection of CGH metaphase spreads, the correct identification of numerical and structural anomalies are reported. No commercial image analysis software was required in these experiments. We have demonstrated that this new technology can be set up easily for routine use in a clinical cytogenetics laboratory.

  13. Technical aspects and complications of laparoscopic banding for morbid obesity--a radiological perspective

    Energy Technology Data Exchange (ETDEWEB)

    Roy-Choudhury, S.H.; Nelson, W.M.; EI Cast, J.; Zacharoulis, D.; Kirkwood, B.; Sedman, P.C.; Royston, C.M.S.; Breen, D.J. E-mail: david.breen@suht.swest.nhs.uk

    2004-03-01

    Morbid obesity is a significant clinical problem in the western world. Various surgical restrictive procedures have been described as an aid to weight reduction when conservative treatments fail. Adjustable laparoscopic gastric banding (LAPBAND) has been popularized as an effective, safe, minimally invasive, yet reversible technique for the treatment of morbid obesity. Radiological input is necessary in the follow-up of these patients and the diagnosis of complications peculiar to this type of surgery. In this review we will highlight the technical aspects of radiological follow-up and the lessons learnt over the last 5 years.

  14. Hand-assisted laparoscopic sigmoid colectomy skills acquisition: augmented reality simulator versus human cadaver training models.

    Science.gov (United States)

    Leblanc, Fabien; Senagore, Anthony J; Ellis, Clyde N; Champagne, Bradley J; Augestad, Knut M; Neary, Paul C; Delaney, Conor P

    2010-01-01

    The aim of this study was to compare a simulator with the human cadaver model for hand-assisted laparoscopic colorectal skills acquisition training. An observational prospective comparative study was conducted to compare the laparoscopic surgery training models. The study took place during the laparoscopic colectomy training course performed at the annual scientific meeting of the American Society of Colon and Rectal Surgeons. Thirty four practicing surgeons performed hand-assisted laparoscopic sigmoid colectomy on human cadavers (n = 7) and on an augmented reality simulator (n = 27). Prior laparoscopic colorectal experience was assessed. Trainers and trainees completed independently objective structured assessment forms. Training models were compared by trainees' technical skills scores, events scores, and satisfaction. Prior laparoscopic experience was similar in both surgeon groups. Generic and specific skills scores were similar on both training models. Generic events scores were significantly better on the cadaver model. The 2 most frequent generic events occurring on the simulator were poor hand-eye coordination and inefficient use of retraction. Specific events were scored better on the simulator and reached the significance limit (p = 0.051) for trainers. The specific events occurring on the cadaver were intestinal perforation and left ureter identification difficulties. Overall satisfaction was better for the cadaver than for the simulator model (p = 0.009). With regard to skills scores, the augmented reality simulator had adequate qualities for the hand-assisted laparoscopic colectomy training. Nevertheless, events scores highlighted weaknesses of the anatomical replication on the simulator. Although improvements likely will be required to incorporate the simulator more routinely into the colorectal training, it may be useful in its current form for more junior trainees or those early on their learning curve. Copyright 2010 Association of Program

  15. Technical Aspects of the Advanced Camera For Surveys Repair (ACS-R)

    Science.gov (United States)

    Rinehart, Stephen; Cheng, Edward S.; Sirianni, Marco

    2008-01-01

    The ACS Repair (ACS-R) team includes contributors from NASA's Goddard Space Flight Center, Ball Aerospace, and Teledyne Imaging Sensors; It determined that all of the capabilities of the ACS could be restored and created a concept for the ACS-R component of SN4. ACSR will restore the WFC of ACS by replacing the existing CCD Electronics Box (CEB) with the CEB-Replacement (CEB-R) and providing power from a new Low Voltage Power Supply Replacement (LVPS-8). The new LVPS-R will also attempt to restore the HRC function by providing power through the original power bus. In this presentation, we faeus on the concept and technical aspects of the ACS-R.

  16. Technical aspects on magnetic resonance imaging of the spine at 1.5 tesla.

    Science.gov (United States)

    Holtås, S L; Plewes, D B; Simon, J H; Ekholm, S; Kido, D K; Utz, R

    1987-01-01

    Technical aspects on surface coil magnetic resonance imaging of the spine using a superconducting system with a field strength of 1.5 tesla are described. By using a flat surface coil instead of the body coil the image quality was markedly improved and the signal-to-noise ratio (S/N) was increased approximately 2.6 times. Small voxels resulted in low S/N. The best image quality was achieved with a slice thickness of 5 mm, a field of view of 20 to 24 cm and a matrix of 256 X 256. Interleaved slices provided superior image quality compared with contiguous slices at the expense of acquisition time. For sagittal images the phase encoding gradient should be in the cranio-caudal direction to minimize motion artifacts. To obtain T1 and T2 images of high quality, spin echo pulse sequences with TR 600/TE 20 ms and TR 2000/TE 40 to 80 ms are useful.

  17. Technical aspects on magnetic resonance imaging of the spine at 1. 5 tesla

    Energy Technology Data Exchange (ETDEWEB)

    Holtas, S.L.; Plewes, D.B.; Simon, J.H.; Ekholm, S.; Kido, D.K.; Utz, R.

    Technical aspects on surface coil magnetic resonance imaging of the spine using a superconducting system with a field strength of 1.5 tesla are described. By using a flat surface coil instead of the body coil the image quality was markedly improved and the signal-to-noise ratio (S/N) was increased approximately 2.6 times. Small voxels resulted in low S/N. The best image quality was achieved with a slice thickness of 5 mm, a field of view of 20 to 24 cm and a matrix of 256 x 256. Interleaved slices provided superior image quality compared with contiguous slices at the expense of acquisition time. For sagittal images the phase encoding gradient should be in the cranio-caudal direction to minimize motion artifacts. To obtain T1 and T2 images of high quality, spin echo pulse sequences with TR 600/TE 20 ms and TR 2000/TE 40 to 80 ms are useful.

  18. Investigation of the tetraquark candidate $a_0(980)$: technical aspects and preliminary results

    CERN Document Server

    Abdel-Rehim, Abdou; Berlin, Joshua; Brida, Mattia Dalla; Gravina, Mario; Wagner, Marc

    2014-01-01

    We discuss technical aspects and first results of a lattice QCD study of the $a_0(980)$ state. We employ various interpolating operators of quark-antiquark, mesonic molecule, diquark-antidiquark and two-meson type. Both connected and disconnected contributions including diagrams with closed fermion loops are computed. To keep statistical errors small, it is essential to optimize the computation of these diagrams by choosing that combination of techniques most appropriate for each type of diagram from the correlation matrix of interpolating operators. We illustrate, how this can be done, by discussing certain diagrams in detail. We also present preliminary results corresponding to a $4\\times 4$ submatrix computed with 2+1 flavors of clover fermions.

  19. Technical aspects of a large size industrial process turbo compressor revamp

    Science.gov (United States)

    Świder, Piotr; Kozanecki, Zbigniew, Jr.; Graczykowski, Marek; Kryłłowicz, Władysław

    2015-12-01

    This paper describes several modernization aspects of the process 8 MW air compressor and its driver. The main aim of the revamp was to increase internal efficiencies of both the compressor and turbine and increase the load of the compressor without additional power consumption. The original pressure ratio was preserved. To meet these requirements a redesign of the flow path of both machineswas necessary.Moreover, the turbineworking conditions were changed from extraction-condensing to condensing. In terms of compressor, impeller blade redesign, adaptation of diffusers and Abradable seals were a part of the scope. The revamp was completed in April 2014 with all the requirements met. This paper covers the general outline and a comparison of the original and modernized machine operating parameters, design and technical assumptions and also describes some problematic issues which occurred during the realization of the project.

  20. Minimal residual disease detection in mantle cell lymphoma: technical aspects and clinical relevance.

    Science.gov (United States)

    Pott, Christiane

    2011-07-01

    The prognostic impact of minimal residual disease (MRD) has been demonstrated for several hematologic malignancies. While in acute lymphoblastic leukemias MRD assessment by polymerase chain reaction (PCR)-based methods has been established as an important tool for clinical risk assessment and is part of clinical management, data demonstrating a prognostic value of MRD in mantle cell lymphoma (MCL) were sparse and results from randomized trials have been published only recently. In the present review technical aspects of different MRD detection methods are discussed, as well as the prognostic relevance of MRD in the context of clinical trials in patients with MCL. Furthermore, recommendations are given for workflow and useful implication of MRD in future clinical trials design.

  1. Technical and economic aspects of ancillary services markets in the electric power industry: an international comparison

    Energy Technology Data Exchange (ETDEWEB)

    Raineri, R. [Ingenieria Industrial y de Sistema e Ingenieria Electrica, Pontificia Universidad Catolica de Chile, Casilla 306, Correo 22, Santiago (Chile)]. E-mail: rraineri@ing.puc.cl; Rios, S. [Ingenieria Industrial y de Sistema e Ingenieria Electrica, Pontificia Universidad Catolica de Chile, Casilla 306, Correo 22, Santiago (Chile); Schiele, D. [Ingenieria Industrial y de Sistema e Ingenieria Electrica, Pontificia Universidad Catolica de Chile, Casilla 306, Correo 22, Santiago (Chile)

    2006-09-15

    We present a comparative analysis of technical and economic aspects of ancillary services on the markets of England and Wales, Nordic Countries, California, Argentina, Australia and Spain, comparing the services of voltage control, frequency regulation and system restoration. All the analyzed markets rely on the existence of an administrator of ancillary services, function that leads to the figure of the system operator. Among the services analyzed, the mandatory nature of voltage control and primary frequency regulation stands out, being both the ancillary services with the higher market price and the shortest period of time requirements. In general, the recognized costs of the services correspond to investments operation, maintenance, and opportunity costs. In the provision of these ancillary services, there are no clear preferences for a particular resource allocation mechanism, where mandatory provision, auctions, competitive offers and different time length bilateral contracts are combined.

  2. Endovascular recanalization of a thrombosed native arteriovenous fistula complicated with an aneurysm: Technical aspects and outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Su Yeon [Dept. of Radiology, Seoul National University Hospital, College of Medicine, Seoul National University, Seoul (Korea, Republic of); So, Young Ho; Choi, Young Ho; Jung, In Mok; Chung, Jung Kee [Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul (Korea, Republic of)

    2015-04-15

    To evaluate the technical aspects and outcomes of endovascular recanalization of a thrombosed native arteriovenous fistula (AVF) complicated with an aneurysm. Sixteen patients who had a thrombosed AVF complicated with an aneurysm (two radiocephalic and 14 brachiocephalic) were included in this study. Recanalization procedures were performed by mechanical thrombectomy using the Arrow-Trerotola percutaneous thrombectomy device and adjunctive treatments. We evaluated dose of thrombolytic agent, underlying stenosis, procedure time, technical and clinical success, and complications. The primary and secondary patency rates were calculated using the Kaplan-Meier analysis. The thrombolytic agents used were 100000 U urokinase mixed with 500 IU heparin (n = 10) or a double dose of the mixture (n = 6). The thrombi in aneurysms were removed in all but two patients with non-flow limiting residual thrombi. One recanalization failure occurred due to a device failure. Aspiration thrombectomy was performed in 87.5% of cases (n = 14). Underlying stenoses were found in the outflow draining vein (n = 16), arteriovenous anastomosis or juxtaanastomosis area (n = 5), and the central vein (n = 3). Balloon angioplasty was performed for all stenoses in 15 patients. Two patients with a symptomatic central vein stenosis underwent insertion of a stent after balloon angioplasty. Mean procedure time was 116.3 minutes. Minor extravasation (n = 1) was resolved by manual compression. Both technical and clinical success rates were 93.8% (n = 15). The primary patency rates at 3, 6, and 12 months were 70.5%, 54.8%, and 31.3%, respectively. The secondary patency rates at 3, 6, and 12 months were 70.5%, 70.5%, and 47.0%, respectively. Thrombosed AVF complicated with an aneurysm can be successfully recanalized, and secondary patency can be prolonged with endovascular treatment.

  3. Evaluation of percutaneous radiologic placement of peritoneal dialysis catheters: technical aspects, results, and complications

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Hyun Pyo; Oh, Joo Hyeong; Yoon, Yub; Lee, Tae Won; Ihm, Chun Gyoo [Kyunghee University Hospital, seoul (Korea, Republic of)

    2001-01-01

    To evaluate the technical aspects, results and complications of the percutaneous radiologic placement of peritoneal dialysis catheters. Between December 1999 and April 2001, 26 peritoneal dialysis catheters were placed percutaneously in 26 consecutive patients by interventional radiologists. The patient group consisted of 16 men and ten women with a mean age of 55 (range, 30-77) years. The results and complications arising were reviewed, and the expected patency of the catheters was determined by means of Kaplan-Meier survival analysis. The technical success rate for catheter placement was 100% (26/26 patients). Severe local bleeding occurred in one patient due to by inferior epigastric artery puncture, and was treated by compression and electronic cautery. The duration of catheter implantation ranged from 1 to 510 days and the patency rate was 416{+-}45 days. Catheter malfunction occurred in four patients. In two, this was restored by manipulation in the intervention room, and in one, through the use of urokinase. In three patients, peritonitis occurred. Catheters were removed from four patients due to malfunction (n=2), peritonitis (n=1), and death (n=1). Percutaneous radiologic placement of a peritoneal dialysis catheter is a relatively simple procedure that reduces the complication rate and improves catheter patency.

  4. Social media and nursing practice: changing the balance between the social and technical aspects of work.

    Science.gov (United States)

    Casella, Evan; Mills, Jane; Usher, Kim

    2014-01-01

    Modern communication methods are drastically changing the way people interact with each other. Professions such as nursing need to evolve to remain relevant as social infrastructure changes. In the 1960s, researchers developed a sociotechnical theory that stated workers were more motivated and productive if there was a good balance between the social and technical aspects of their work. Today's technology is blurring the boundaries between the social and the technical thereby transforming human contact and communication into a multi-method process. In Australia, people are adept at utilising social media technology to become more efficient, creative and connected; Australian nurses also need to embrace changing technology to capitalise on the professional opportunities offered by social media. This paper imagines a world where nurses integrate social media into assessing, diagnosing, planning, implementing and evaluating care. Discussion draws on a combination of real-world examples of best-practice and blue-sky thinking to demonstrate that evidence-based care must be combined with the adoption of future-forward technology.

  5. Reports on Activities of the IODE Groups of Experts: IODE Group of Experts on Technical Aspects of Data Exchange (GETADE)

    OpenAIRE

    Reed, G.

    2002-01-01

    The IODE Group of Experts on the Technical Aspects of Data Exchange (GETADE) has the following terms of reference (IODE-XV, 1996): (i) Collaborate with IGOSS-CP, IODE GE-MIM and the data management groups of other international bodies and scientific programmes in the development of technical solutions for the management, exchange and easier integration of oceanographic data and information with data from other disciplines. (ii) Collaborate with IODE GE-MIM in the development of a com...

  6. Selective Embolization for Post-Endoscopic Sphincterotomy Bleeding: Technical Aspects and Clinical Efficacy

    Energy Technology Data Exchange (ETDEWEB)

    So, Young Ho; Choi, Young Ho [Seoul National University Boramae Medical Center, Seoul (Korea, Republic of); Chung, Jin Wook; Jae, Hwan Jun; Park, Jae Hyung [Seoul National University Hospital, Seoul (Korea, Republic of); Song, Soon Young [Hanyang University Hospital, Seoul (Korea, Republic of)

    2012-01-15

    The objective of this study was to evaluate the technical aspects and clinical efficacy of selective embolization for post-endoscopic sphincterotomy bleeding. We reviewed the records of 10 patients (3%; M:F 6:4; mean age, 63.3 years) that underwent selective embolization for post-endoscopic sphincterotomy bleeding among 344 patients who received arteriography for nonvariceal upper gastrointestinal bleeding from 2000 to 2009. We analyzed the endoscopic procedure, onset of bleeding, underlying clinical condition, angiographic findings, interventional procedure, and outcomes in these patients. Among the 12 bleeding branches, primary success of hemostasis was achieved in 10 bleeding branches (83%). Secondary success occurred in two additional bleeding branches (100%) after repeated embolization. In 10 patients, post-endoscopic sphincterotomy bleedings were detected during the endoscopic procedure (n = 2, 20%) or later (n = 8, 80%), and the delay was from one to eight days (mean, 2.9 days; {+-} 2.3). Coagulopathy was observed in three patients. Eight patients had a single bleeding branch, whereas two patients had two branches. On the selective arteriography, bleeding branches originated from the posterior pancreaticoduodenal artery (n = 8, 67%) and anterior pancreaticoduodenal artery (n = 4, 33%), respectively. Superselection was achieved in four branches and the embolization was performed with n-butyl cyanoacrylate. The eight branches were embolized by combined use of coil, n-butyl cyanoacrylate, or Gelfoam. After the last embolization, there was no rebleeding or complication related to embolization. Selective embolization is technically feasible and an effective procedure for post-endoscopic sphincterotomy bleeding. In addition, the posterior pancreaticoduodenal artery is the main origin of the causative vessels of post-endoscopic sphincterotomy bleeding.

  7. Evaluation of anterior chest wall implanted port: technical aspects, results, and complications

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Young Hwan; Oh, Joo Hyeong; Yoon, Yup; Kim, Si Young [Kyung Hee University Hospital, Seoul (Korea, Republic of)

    2000-07-01

    To evaluate the technical aspects, results and complications of patients with implanted anterior chest wall port. Between April 1997 and June 1999, a total of 63 implanted ports were placed at the anterior chest wall of 63 consecutive patients by interventional radiologists. The indications were chemotherapy in 61 patients and total parenteral nutrition in two. The peripheral portion of the subclavian vein was punctured under fluoroscopic guidance via ipsilateral peripheral vein during venography. A central venous catheter was placed in the superior vena cava, and using the subcutaneous tunneling method, a connected infusion port was implanted at the anterior chest wall. Results and complications were reviewed, and by means of Kaplan-Meier survival analysis, the expected patency of the port was determined. The technical success rate for implanted port at the anterior chest wall was 100% (63/63 patients). In two patients, hematoma and oozing were treated by compression. The duration of port implantation ranged from 12 to 855 (mean, 187) days, and the port patency rate was 305.7{+-}47.6 days. In seven patients (completed chemotherapy (n=3D3), central venous thrombosis (n=3D3) catheter-related infection (n=3D1)), the port was removed. Catheter obstruction occurred in two patients, and in one, the use of urokinase led to successful recanalization. Sixteen patients died of an underlying malignancy, but no catheter-related death was noted. Implantation of an anterior chest wall port is a safe and useful procedure, with long patency, for patients requiring chemotherapy and long-term venous access. (author)

  8. Pedicle subtraction osteotomy in the lumbar spine: indications, technical aspects, results and complications.

    Science.gov (United States)

    Barrey, Cedric; Perrin, Gilles; Michel, Frederic; Vital, Jean-Marc; Obeid, Ibrahim

    2014-07-01

    Pedicle subtraction osteotomy (PSO) consists of creating posteriorly trapezoidal shape of a vertebra, usually L3 or L4, in order to recreate lordosis in the lumbar spine. It is usually indicated to treat rigid kyphotic lumbar spine associated with sagittal imbalance and due to degenerative changes or to iatrogenic flat back. PSO is technically demanding with high rates of complications and should be performed by experienced teams. We presently report our experience about PSO performed in the lumbar spine (below L1) through a series of 25 cases with a special focus on technical aspects and complications associated with the surgical procedure. Mean age was 64 ± 11 years old. PSO was performed at L4 in the majority of cases. Mean blood loss was 1,070 ± 470 ml, and mean duration of the surgery was 241 ± 44 min. VAS decreased from 7.5 ± 2 preoperatively to 3.2 ± 2.5 at 1 year, and ODI decreased from 64 ± 12 preoperatively to 32 ± 18 at 1 year, p sagittal imbalance. It was associated with a non-negligible, but acceptable rate of complications. To limit the risk of mechanical complications, we recommend fusing the adjacent disks whatever the approach (PLIF/TLIF/XLIF). Most complications can be reduced with adequate environment, informed anesthesiologists and experienced surgical team.

  9. Uranium mining in Virginia: scientific, technical, environmental, human health and safety, and regulatory aspects of uranium mining and processing in Virginia

    National Research Council Canada - National Science Library

    Committee on Uranium Mining in Virginia; Committee on Earth Resources; National Research Council

    2012-01-01

    .... Uranium Mining in Virginia examines the scientific, technical, environmental, human health and safety, and regulatory aspects of uranium mining, milling, and processing as they relate to the Common...

  10. Technical and economic aspects of purification strategies to minimise discharge water from companies with closed soilless cultivation systems

    NARCIS (Netherlands)

    Os, E.A. van; Bruins, M.; Beerling, E.; Jurgens, R.; Appelman, W.; Enthoven, N.

    2014-01-01

    The aim of the research project was to achieve closure by two complementary means: 1) maximising reuse of the nutrient solution by solving problems in recirculation that leads to discharge, and 2) purification of the left over discharged water. In this paper the technical and economic aspects of pur

  11. Technical Aspects and Validation of a New Biofeedback System for Measuring Lower Limb Loading in the Dynamic Situation

    NARCIS (Netherlands)

    Raaben, M.; Holtslag, H.R.; Augustine, R.; van Merkerk, R.O.; Koopman, Hubertus F.J.M.; Blokhuis, T.J.

    2017-01-01

    Background: A variety of techniques for measuring lower limb loading exists, each with their own limitations. A new ambulatory biofeedback system was developed to overcome these limitations. In this study, we described the technical aspects and validated the accuracy of this system. Methods: A bench

  12. Integration of FDG-PET/CT into external beam radiation therapy planning Technical aspects and recommendations on methodological approaches

    NARCIS (Netherlands)

    Thorwarth, D.; Beyer, T.; Boellaard, R.; De Ruysscher, D.; Grgic, A.; Lee, J. A.; Pietrzyk, U.; Sattler, B.; Schaefer, A.; van Elmpt, W.; Vogel, W.; Oyen, W. J. G.; Nestle, U.

    2012-01-01

    This work addresses the clinical adoption of FDG-PET/CT for image-guided radiation therapy planning (RIP). As such, important technical and methodological aspects of PET/CT-based RIP are reviewed and practical recommendations are given for routine patient management and clinical studies. First, rece

  13. Integration of FDG-PET/CT into external beam radiation therapy planning. Technical aspects and recommendations on methodological approaches.

    NARCIS (Netherlands)

    Thorwarth, D.; Beyer, T.; Boellaard, R.; Ruysscher, D. de; Grgic, A.; Lee, J.A.; Pietrzyk, U.; Sattler, B.; Schaefer, A.; Elmpt, W. van; Vogel, W.; Oyen, W.J.G.; Nestle, U.

    2012-01-01

    This work addresses the clinical adoption of FDG-PET/CT for image-guided radiation therapy planning (RTP). As such, important technical and methodological aspects of PET/CT-based RTP are reviewed and practical recommendations are given for routine patient management and clinical studies. First, rece

  14. Technical and economic aspects of purification strategies to minimise discharge water from companies with closed soilless cultivation systems

    NARCIS (Netherlands)

    Os, van E.A.; Bruins, M.A.; Beerling, E.A.M.; Jurgens, R.; Appelman, W.; Enthoven, N.

    2014-01-01

    The aim of the research project was to achieve closure by two complementary means: 1) maximising reuse of the nutrient solution by solving problems in recircula-tion that leads to discharge, and 2) purification of the left over discharged water. In this paper the technical and economic aspects of

  15. THE PRODUCTION OF ORANGE PRESS LIQUOR SPIRIT: TECHNICAL AND ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    J. O. FERREIRA

    2008-10-01

    Full Text Available

    The orange juice industry produces, at the end of the residue extraction, a by-product called orange press liquor. Considering its high content of soluble solids and the large volume of the liquor produced in Brazilian orange juice plants, an earlier study was conducted on the technical viability of using orange press liquor as raw material for a new distilled beverage, with promising results. With a view to increasing efficiency and possibly attracting investments in the growing international market for new and exotic beverages, the aim of the present study was to optimize the orange press liquor spirit process and to evaluate the economic aspects of its production. The results showed that this process can yield a good quality beverage, comparable to the sugar cane spirit cachaça and other similar products, as well as having economic advantages and potential for immediate further growth, without extra investment costs.

  16. Review Article. Technical aspects of oxygen level regulation in primary cell cultures: A review

    Directory of Open Access Journals (Sweden)

    Yazdani Mazyar

    2016-12-01

    Full Text Available Oxygen (O2 is an essential element for aerobic respiration. Atmospheric concentration of O2 is approximately 21%. Mammalian cells, however, are generally adapted to O2 levels much lower than atmospheric conditions. The pericellular levels of O2 must also be maintained within a fairly narrow range to meet the demands of cells. This applies equally to cells in vivo and cells in primary cultures. There has been growing interest in the performance of cell culture experiments under various O2 levels to study molecular and cellular responses. To this end, a range of technologies (e.g. gas-permeable technology and instruments (e.g. gas-tight boxes and gas-controlled incubators have been developed. It should be noted, however, that some of these have limitations and they are still undergoing refinement. Nevertheless, better results should be possible when technical concerns are taken into account. This paper aims to review various aspects of O2 level adjustment in primary cell cultures, regulation of pericellular O2 gradients and possible effects of the cell culture medium.

  17. A soil biotechnology system for wastewater treatment: technical, hygiene, environmental LCA and economic aspects.

    Science.gov (United States)

    Kamble, Sheetal Jaisingh; Chakravarthy, Yogita; Singh, Anju; Chubilleau, Caroline; Starkl, Markus; Bawa, Itee

    2017-05-01

    Soil biotechnology (SBT) is a green engineering approach for wastewater treatment and recycling. Five SBT units located in the Mumbai region were under consideration of which holistic assessment of two SBT plants was carried out considering its technical, environmental and economic aspects and was compared with published research of other three. LCA has been done to evaluate the environmental impacts of construction and operation phase of SBT. Chemical oxygen demand (COD) and biochemical oxygen demand (BOD) removal of more than 90% can be achieved using this technology. Also, the nutrient removal proficiency (nitrate, nitrite, ammoniacal nitrogen, TKN, total nitrogen and phosphates) of this technique is good. On the other hand, SBT has low annual operation and maintenance cost, comparable to land-based systems and lower than conventional or advanced technologies. From the life cycle impact assessment, the main contributors for overall impact from the plant were identified as electricity consumption, discharges of COD, P-PO4(3-) and N-NH4(+) and disposal of sludge. The construction phase was found to have significantly more impact than the operation phase of the plant. This study suggests plant I is not relatively as efficient enough regarding sanitation. SBT provides several benefits over other conventional technologies for wastewater treatment. It is based on a bio-conversion process and is practically maintenance free. It does not produce any odorous bio-sludge and consumes the least energy.

  18. Lesser omental hernia after total colectomy: report of a case.

    Science.gov (United States)

    Konishi, Takanori; Morita, Yasuhiro; Takanishi, Kijuro; Nitta, Jun; Matsumoto, Jun; Miyazaki, Masaru

    2014-07-01

    Lesser omental hernia is a rare type of hernia that can cause intestinal obstruction. To our knowledge, there are only 16 documented cases of lesser omental hernia, including the present case. The subject of this case report was a 42-year-old man with a history of total colectomy for colon perforation caused by Crohn's disease 15 years earlier, who presented with epigastralgia and vomiting. Abdominal computed tomography (CT) revealed a distended bowel loop ventral to the stomach and convergence of mesenteric vessels at the lesser curvature of the stomach. Based on a diagnosis of intestinal obstruction caused by a lesser omental hernia, he underwent emergency surgery, which revealed a 150-cm jejunal segment herniating through a 5-cm defect in the lesser omentum from the retrogastric space. We reduced the herniated loop and closed the hernial orifice successfully. We describe the characteristic CT findings, which allowed us to make the preoperative diagnosis, and speculate how the past total colectomy, in which the gastrocolic ligament was isolated and the transverse colon was resected, probably caused by this hernia. This case serves to demonstrate that lesser omental hernia could be a postoperative complication of total colectomy.

  19. Laparoscopic colectomy reduces morbidity and mortality in obese patients.

    Science.gov (United States)

    Hardiman, Karin; Chang, Eric T; Diggs, Brian S; Lu, Kim C

    2013-08-01

    Obesity is a growing epidemic in the US and increases the difficulty of laparoscopic surgery. Randomized, controlled trials of laparoscopic vs. open colectomy have shown equivalence but often exclude obese patients thus not answering whether obese patients may specifically benefit from laparoscopy. We hypothesized that obese patients would benefit from use of laparoscopy for colectomy. We used the National Surgical Quality Improvement Program database from 2005 to 2009 and chose elective laparoscopic and open segmental colectomy and ileocecal resections. We compared patients' demographics, comorbidities, and outcomes. We used multivariate models to assess for predictors of complications in obese patients. These models included demographics, comorbidities, and outcomes. 35,998 patients were identified who underwent elective colectomy with primary anastomosis. Forty-four percent of the included cases were laparoscopic and 31 % of patients had a BMI greater than 30 (obese). Obese patients were more likely to have diabetes, hypertension, prior percutaneous coronary intervention, and dyspnea on exertion. We constructed a new variable called any complication that included all complications except 30-day mortality. In our multivariate analysis, laparoscopic approach in obese patients independently decreased the relative risk of superficial (odds ratio (OR) 0.72, 95 % confidence interval (CI) 0.63-0.82) and deep (OR 0.44, CI 0.31-0.61) surgical site infections, intra-abdominal infection (OR 0.61, CI 0.49-0.78), dehiscence (OR 0.50, CI 0.35-0.69), pneumonia (OR 0.60, CI 0.44-0.81), failure to wean from the ventilator (OR 0.64, CI 0.47-0.87), renal failure (OR 0.58, CI 0.35-0.96), urinary tract infection (OR 0.62, CI 0.49-0.79), sepsis (OR 0.53, CI 0.43-0.66), septic shock (OR 0.65, CI 0.47-0.90), any complication (OR 0.61, CI 0.55-0.67) and 30-day mortality (OR 0.56, CI 0.31-0.98). Due to the significant decrease in the risk of morbidity and mortality, laparoscopic

  20. Geological-Technical and Geo-engineering Aspects of Dimensional Stone Underground Quarrying

    Science.gov (United States)

    Fornaro, Mauro; Lovera, Enrico

    Underground exploitation of dimensional stones is not a novelty, being long since practised, as proved by a number of historical documents and by a certain number of ancient quarrying voids throughout the world. Anyway, so far, open cast quarrying has been the most adopted practice for the excavation of dimensional stones. One primary reason that led to this situation is of course connected to the lower production costs of an open cast exploitation compared to an underground one. This cheapness has been supported by geological and technical motives: on the one hand, the relative availability of surface deposits and, on the other, the development of technologies, which often can be used only outdoor. But, nowadays, general costs of quarrying activities should be re-evaluated because new, and often proper, restrictions have been strongly rising during recent years. As a consequence of both environmental and technical restrictions, pressure will more and more arise to reduce open cast quarrying and to promote underground exploitations. The trend is already well marked for weak rocks - for instance in the extractive basin of Carrara, where about one hundred quarries are active, 30 per cent is working underground, but also in Spain, Portugal and Greece the number of underground marble quarries is increasing - but not yet for hard rock quarrying, where only few quarries are working underground all around the world. One reason has to be found in cutting technologies traditionally used. In weak rocks, diamond wire saw and chain cutter are usable, with few adaptations, in underground spaces, while drilling and blasting, the traditional exploitation method for hard stone, is not easily usable in a confined space, where often only one free face is available. Many technicians and researchers agree that two technologies will probably open the door to underground quarrying in hard rocks: diamond wire and water jet. The first one is already available; the second should still be

  1. An analysis of technical aspects of the arthroscopic Bankart procedure as performed in the United States.

    Science.gov (United States)

    Burks, Robert T; Presson, Angela P; Weng, Hsin-Yi

    2014-10-01

    The purpose of this study was to investigate the intersurgeon variation in technical aspects of performing an arthroscopic Bankart repair. A unique approach with experienced equipment representatives from 3 different arthroscopic companies was used. Experienced representatives were identified by DePuy Mitek, Smith & Nephew, and Arthrex and filled out questionnaires on how their surgeons performed arthroscopic Bankart procedures. This was performed in a blinded fashion with no knowledge of the identities of the specific surgeons or representatives by us. A video on different aspects of the procedure was observed by each representative before filling out the questionnaire to help standardize responses. Data were collected using REDCap (Research Electronic Data Capture). Data were analyzed as an infrequent observation with 0% to 30% of representatives reporting the observation; sometimes, 31% to 70% reporting the observation; and often, greater than 70% of representatives reporting. Seventy-six percent of representatives had 6 or more years of arthroscopic experience. Forty-three percent of representatives reported that their surgeons use 3 portals for the procedure often. Forty-four percent reported that viewing was performed exclusively from the posterior portal while the surgeon was performing the repair. Seventy-three percent reported that the Hill-Sachs lesion was observed often, and 61% reported that the posterior labrum was evaluated often before the repair. Only 25% of representatives reported that the Bankart lesion was extensively released and mobilized often. Thirty-three percent reported 3 anchors as being used often. Seventy-five percent reported biocomposite anchors as being used often. Single-loaded anchors were reported as being used often by 47%. Eighty-one percent reported that sutures were placed in a simple fashion. Eighty-three percent reported the use of any posterior sutures or anchors for additional plication as infrequent. There is significant

  2. Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

    Directory of Open Access Journals (Sweden)

    Sorrentino R

    2016-11-01

    Full Text Available Regina Sorrentino, Roberta Esposito, Enrica Pezzullo, Maurizio Galderisi Department of Advanced Biomedical Sciences, Interdepartmental Laboratory of Cardiac Imaging, Federico II University Hospital, Naples, Italy Abstract: Three-dimensional speckle tracking echocardiography (3D STE is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging

  3. High dose rate interstitial brachytherapy in soft tissue sarcomas: technical aspect

    Energy Technology Data Exchange (ETDEWEB)

    Chun, Mi Son; Kang, Seung Hee; Kim, Byoung Suck; Oh, Young Taek [College of Medicine, Ajou Univ., Suwon (Korea, Republic of)

    1999-03-01

    To discuss the technical aspect of interstitial brachytherapy including method of implant, insertion time of radioactive source, total radiation dose, and complication, we reviewed patients who had diagnoses of soft tissue sarcoma and were treated by conservative surgery, interstitial implant and external beam radiation therapy. Between May 1995 and Dec. 1997, the patients with primary or recurrent soft tissue sarcoma underwent surgical resection (wide margin excision) and received radiotherapy including interstitial brachytherapy. Catheters were placed with regular intervals of 1-1.5 cm immediately after tumor removal and covering the critical structures, such as neurovascular bundle or bone, with gelform, muscle, or tissue expander in the cases where the tumors were close to those structures. Brachytherapy consisted of source axis with 2-2.5 Gy/fraction, twice a day, starting on 6th day after the surgery. Within one month after the surgery, total dose of 50-55 Gy was delivered to the tumor bed with wide margin by the external beam radiotherapy. All patients completed planned interstitial brachytherapy without acute side effects directly related with catheter implantation such as infection or bleeding. With median follow up duration of 25 months (range 12-41 months), no local recurrences were observed. And there was no severe form of chromic complication (RTOG/EORTC grade 3 or 4). The high dose rate interstitial brachytherapy is easy and safe way to minimize the radiation dose delivered to the adjacent normal tissue and to decrease radiation induced chronic morbidity such as fibrosis by reducing the total dose of external radiotherapy in the management of soft tissue sarcoma with conservative surgery.

  4. Technical Aspects for the Creation of a Multi-Dimensional Land Information System

    Science.gov (United States)

    Ioannidis, Charalabos; Potsiou, Chryssy; Soile, Sofia; Verykokou, Styliani; Mourafetis, George; Doulamis, Nikolaos

    2016-06-01

    The complexity of modern urban environments and civil demands for fast, reliable and affordable decision-making requires not only a 3D Land Information System, which tends to replace traditional 2D LIS architectures, but also the need to address the time and scale parameters, that is, the 3D geometry of buildings in various time instances (4th dimension) at various levels of detail (LoDs - 5th dimension). This paper describes and proposes solutions for technical aspects that need to be addressed for the 5D modelling pipeline. Such solutions include the creation of a 3D model, the application of a selective modelling procedure between various time instances and at various LoDs, enriched with cadastral and other spatial data, and a procedural modelling approach for the representation of the inner parts of the buildings. The methodology is based on automatic change detection algorithms for spatial-temporal analysis of the changes that took place in subsequent time periods, using dense image matching and structure from motion algorithms. The selective modelling approach allows a detailed modelling only for the areas where spatial changes are detected. The procedural modelling techniques use programming languages for the textual semantic description of a building; they require the modeller to describe its part-to-whole relationships. Finally, a 5D viewer is developed, in order to tackle existing limitations that accompany the use of global systems, such as the Google Earth or the Google Maps, as visualization software. An application based on the proposed methodology in an urban area is presented and it provides satisfactory results.

  5. Technical aspects of myocardial SPECT imaging with technetium-99m sestamibi

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, E.V.; Cooke, C.D.; Van Train, K.F.; Folks, R.; Peifer, J.; DePuey, E.G.; Maddahi, J.; Alazraki, N.; Galt, J.; Ezquerra, N. (Emory Univ. School of Medicine, Atlanta, GA (USA))

    1990-10-16

    Most reports to date using single photon emission computed tomography (SPECT) with technetium-99m (Tc-99m) sestamibi have used acquisition parameters that were optimized for thallium-201. To fully utilize the superior imaging characteristics of Tc-99m sestamibi, there is a need to optimize the technical aspects of SPECT imaging for this agent. Performance can be enhanced through the careful selection of optimal radiopharmaceutical doses, imaging sequences, acquisition parameters, reconstruction filters, perfusion quantification methods and multidimensional methods for visualizing perfusion distribution. The current report describes theoretical considerations, phantom studies and preliminary patient results that have led to optimized protocols, developed at Emory University and Cedars-Sinai Medical Center, for same-day rest-stress studies, given existing instrumentation and recommended dose limits. The optimizations were designed to fit a low-dose-high-dose rest-stress same-day imaging protocol. A principal change in the acquisition parameters compared with previous Tc-99m sestamibi protocols is the use of a high-resolution collimator. The approach is being developed in both prone and supine positions. A new method for extracting a 3-dimensional myocardial count distribution has been developed that uses spherical coordinates to sample the apical region and cylindrical coordinates to sample the rest of the myocardium. New methods for visualizing the myocardial distribution in multiple dimensions are also described, with improved 2-dimensional, as well as 3- and 4-dimensional (3 dimensions plus time) displays. In the improved 2-dimensional display, distance-weighted and volume-weighted polar maps are used that appear to significantly improve the representation of defect location and defect extent, respectively.

  6. Technical and commercial aspects of the connection of wind turbines to electricity supply networks in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Gardner, P. [Garrad Hassan & Partners Ltd., Glasgow (United Kingdom)

    1996-12-31

    This paper reviews some technical and commercial issues now topical for wind energy developments in Europe. The technical issues are important because of the weak nature of the existing electricity systems in rural or upland areas. Several commercial issues are considered which may improve the economics of wind energy as market incentives are gradually withdrawn. 9 refs.

  7. Postoperative complications following colectomy for ulcerative colitis: A validation study

    Science.gov (United States)

    2012-01-01

    Background Ulcerative colitis (UC) patients failing medical management require colectomy. This study compares risk estimates for predictors of postoperative complication derived from administrative data against that of chart review and evaluates the accuracy of administrative coding for this population. Methods Hospital administrative databases were used to identify adults with UC undergoing colectomy from 1996–2007. Medical charts were reviewed and regression analyses comparing chart versus administrative data were performed to assess the effect of age, emergent operation, and Charlson comorbidities on the occurrence of postoperative complications. Sensitivity, specificity, and positive/negative predictive values of administrative coding for identifying the study population, Charlson comorbidities, and postoperative complications were assessed. Results Compared to chart review, administrative data estimated a higher magnitude of effect for emergent admission (OR 2.52 [95% CI: 1.80–3.52] versus 1.49 [1.06–2.09]) and Charlson comorbidities (OR 2.91 [1.86–4.56] versus 1.50 [1.05–2.15]) as predictors of postoperative complications. Administrative data correctly identified UC and colectomy in 85.9% of cases. The administrative database was 37% sensitive in identifying patients with ≥ 1Charlson comorbidity. Restricting analysis to active comorbidities increased the sensitivity to 63%. The sensitivity of identifying patients with at least one postoperative complication was 68%; restricting analysis to more severe complications improved the sensitivity to 84%. Conclusions Administrative data identified the same risk factors for postoperative complications as chart review, but overestimated the magnitude of risk. This discrepancy may be explained by coding inaccuracies that selectively identifying the most serious complications and comorbidities. PMID:22943760

  8. Acceptable short-term outcome of laparoscopic subtotal colectomy for inflammatory bowel disease

    DEFF Research Database (Denmark)

    Frid, Natalie Lassen; Bulut, Orhan; Pachler, Jørn

    2013-01-01

    Laparoscopic colectomy for both benign and malignant disease, including inflammatory bowel disease (IBD), has recently been shown to have many advantages compared with open surgery. This study aimed to compare the effect of laparoscopic versus open subtotal colectomy (STC) for IBD on overall...

  9. Acceptable short-term outcome of laparoscopic subtotal colectomy for inflammatory bowel disease

    DEFF Research Database (Denmark)

    Frid, Natalie Lassen; Bulut, Orhan; Pachler, Jørn

    2013-01-01

    Laparoscopic colectomy for both benign and malignant disease, including inflammatory bowel disease (IBD), has recently been shown to have many advantages compared with open surgery. This study aimed to compare the effect of laparoscopic versus open subtotal colectomy (STC) for IBD on overall...

  10. Critical Analysis of the Quality, Readability, and Technical Aspects of Online Information Provided for Neck-Lifts.

    Science.gov (United States)

    Rayess, Hani; Zuliani, Giancarlo F; Gupta, Amar; Svider, Peter F; Folbe, Adam J; Eloy, Jean Anderson; Carron, Michael A

    2017-03-01

    The number of patients using the internet to obtain health information is growing. This material is unregulated and heterogeneous and can influence patient decisions. To compare the quality, readability, and technical aspects of online information about neck-lifts provided by private practice websites vs academic medical centers and reference sources. In this cross-sectional analysis conducted between November 2015 and January 2016, a Google search of the term neck-lift was performed, and the first 45 websites were evaluated. The websites were categorized as private practice vs other. Private websites (PWs) included sites created by private practice physicians. Other websites (OWs) were created by academic medical centers or reference sources. Quality, readability, and technical aspects of online websites related to neck-lifts. Quality was assessed using the DISCERN criteria and the Health on the Net principles (HONcode). Readability was assessed using 7 validated and widely used criteria. Consensus US reading grade level readability was provided by a website (readabilityformulas.com). Twelve technical aspects were evaluated based on criteria specified by medical website creators. Forty-five websites (8 OWs [18%] and 37 PWs [82%]) were analyzed. There was a significant difference in quality between OWs and PWs based on the DISCERN criteria and HONcode principles. The DISCERN overall mean (SD) scores were 2.3 (0.5) for OWs and 1.3 (0.3) for PWs (P analysis, the mean (SD) was 8.6 (1.8) (range, 5-11) for OW, and the mean (SD) was 5.8 (1.7) (range, 2-9) for PW. The mean (SD) readability consensus reading grade level scores were 11.7 (1.9) for OWs and 10.6 (1.9) for PWs. Of a total possible score of 12, the mean (SD) technical scores were 6.3 (1.8) (range, 4-9) for OWs and 6.4 (1.5) (range, 3-9) for PWs. Compared with PWs, OWs had a significantly higher quality score based on both the DISCERN criteria and HONcode principles. The mean readability for OWs and PWs was

  11. TECHNICAL AND ORGANISATIONAL ASPECTS OF PRODUCTION PREPARATION ON THE EXAMPLE OF DOOR FACTORY

    Directory of Open Access Journals (Sweden)

    Anna Rudawska

    2013-12-01

    Full Text Available The aim of the work is the analysis of the organization of production, and door-producing undertaking to propose technical solutions that could improve production efficiency and reduce costs. On the basis of an analysis of the existing organizational and technical production plant a proposal of changes was presented. These changes depend on replacing a group of machines with one CNC EGURKO automatic line.

  12. ATS-6 - Technical aspects of the Health/Education Telecommunications Experiment

    Science.gov (United States)

    Boor, J. L.; Braunstein, J.; Janky, J. M.; Ogden, D.; Potter, J. G.; Harper, E. L.; Volkmer, E.; Whalen, A. A.; Henderson, E.; Hupe, H. H.

    1975-01-01

    An overview is given of the HET experiment on ATS-6. The paper is divided into nine parts, including a technical overview, a preliminary evaluation of the HET demonstration, a review of operations at the Denver uplink terminal, a discussion of remote ground terminals, a review of C-band comprehensive terminals and of S-band comprehensive terminals, and parts devoted to general network operations, technical management and effectiveness of the network, and the site equipment operator.

  13. Laparoscopic right colectomy: Miles away or just around the corner?

    Directory of Open Access Journals (Sweden)

    Marco Lotti

    2016-01-01

    Full Text Available Background: Despite the drive toward centralization of surgery in high-volume centers, the majority of colectomies are still performed by low- or medium-volume surgeons. Materials and Methods: A modification of the technique of laparoscopic right colectomy (LRC originally described by Young-Fadok and Nelson was developed. The key points of that technique were maintained, but a different port-site layout and a counterclockwise approach were adopted, to warrant better trocar triangulation, to reduce the need of right colon manipulation and to avoid dissection along false planes. This modified technique was applied in 82 patients by 16 surgeons with no previous experience in LRC. Results: Average operative time was 125 ± 35 min. Conversion occurred in 10 cases (12.2%. Grade III postoperative complications occurred in 3 patients (3.6%. No postoperative mortality was observed. Average number of lymph nodes retrieved was 19 ± 6. Average length of stay was 7 ± 4 days. Conclusion: Providing low-volume surgeons with simplified and easy-to-learn surgical techniques could improve outcomes and lead to an increased use of laparoscopy.

  14. Technical aspects of real time positron emission tracking for gated radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Chamberland, Marc; Xu, Tong, E-mail: txu@physics.carleton.ca [Department of Physics, Carleton University, Ottawa, Ontario K1S 5B6 (Canada); McEwen, Malcolm R. [Ionizing Radiation Standards, National Research Council of Canada, Ottawa, Ontario K1A 0R6 (Canada)

    2016-02-15

    Purpose: Respiratory motion can lead to treatment errors in the delivery of radiotherapy treatments. Respiratory gating can assist in better conforming the beam delivery to the target volume. We present a study of the technical aspects of a real time positron emission tracking system for potential use in gated radiotherapy. Methods: The tracking system, called PeTrack, uses implanted positron emission markers and position sensitive gamma ray detectors to track breathing motion in real time. PeTrack uses an expectation–maximization algorithm to track the motion of fiducial markers. A normalized least mean squares adaptive filter predicts the location of the markers a short time ahead to account for system response latency. The precision and data collection efficiency of a prototype PeTrack system were measured under conditions simulating gated radiotherapy. The lung insert of a thorax phantom was translated in the inferior–superior direction with regular sinusoidal motion and simulated patient breathing motion (maximum amplitude of motion ±10 mm, period 4 s). The system tracked the motion of a {sup 22}Na fiducial marker (0.34 MBq) embedded in the lung insert every 0.2 s. The position of the was marker was predicted 0.2 s ahead. For sinusoidal motion, the equation used to model the motion was fitted to the data. The precision of the tracking was estimated as the standard deviation of the residuals. Software was also developed to communicate with a Linac and toggle beam delivery. In a separate experiment involving a Linac, 500 monitor units of radiation were delivered to the phantom with a 3 × 3 cm photon beam and with 6 and 10 MV accelerating potential. Radiochromic films were inserted in the phantom to measure spatial dose distribution. In this experiment, the period of motion was set to 60 s to account for beam turn-on latency. The beam was turned off when the marker moved outside of a 5-mm gating window. Results: The precision of the tracking in the IS

  15. PRACTICAL ASPECTS FOR DEVELOPMENT OF INFORMATIONAL AND EDUCATIONAL ENVIRONMENT OF HIGH TECHNICAL SCHOOL

    Directory of Open Access Journals (Sweden)

    Sergey F. Rodionov

    2015-01-01

    Full Text Available The approach is offered to development of the informational and educational environment of high technical school,based on deep integration of electronic educational content with methods and tools for the engineering problemssolving. The application program interface (API is used asthe main integration instrument, which modern Its have.

  16. Land and water management paradigms in Iran: technical, social and ethical aspects

    NARCIS (Netherlands)

    Balali, M.R.; Keulartz, F.W.J.; Korthals, M.J.J.A.A.

    2007-01-01

    With respect to land and water management in Iran, three paradigms can be distinguished. The pre-modern paradigm can be characterised by its key technical system (the `qanat¿ underground irrigation system), its main social institution (the `buneh¿ cooperative organisation of agricultural production)

  17. A Tanzanian Perspective of the Technical Aspects of IT Service Management Education

    Science.gov (United States)

    Kemppainen, Jyri; Tedre, Matti; Sutinen, Erkki

    2012-01-01

    Information technology (IT) professionals face markedly different kinds of challenges in developing countries from the ones in developed countries. Based on the research literature and our fourteen years of fieldwork in Iringa, Tanzania, we have identified eight groups of technical characteristics of IT work that significantly affect the work of…

  18. Colectomy rates in patients with ulcerative colitis following treatment with infliximab or ciclosporin: a systematic literature review.

    Science.gov (United States)

    Thorne, Kymberley; Alrubaiy, Laith; Akbari, Ashley; Samuel, David G; Morrison-Rees, Sian; Roberts, Stephen E

    2016-04-01

    This review aimed to compile all available published data on colectomy rates following treatment using infliximab or ciclosporin in adult ulcerative colitis patients and to analyse colectomy rates, timing to colectomy and postcolectomy mortality for each treatment. We systematically reviewed the literature after 1990 reporting colectomy rates in ulcerative colitis patients treated with infliximab or ciclosporin, excluding articles on paediatric patients, patients with indeterminate colitis or Crohn's disease and bowel surgery not related to ulcerative colitis. We presented weighted mean colectomy rates and mortality rates. Cox's regression was used to assess time to colectomy adjusting for colitis severity, patient age and sex. We tabulated 78 studies reporting on ciclosporin and/or infliximab and colectomy rates or postcolectomy mortality rates. Not all studies reported data in a standardized manner. Infliximab had a significantly lower colectomy rate than ciclosporin at 36 months when analysing all studies, studies directly comparing infliximab and ciclosporin and studies using severe colitis patients, but not at 3, 12 or 24 months. Severity and age were key indicators in the likelihood of undergoing colectomy after treatment. Postcolectomy mortality rates were less than 1.5% for both drugs. This review indicates that long-term colectomy rates following infliximab are significantly lower than ciclosporin in the longer term, and that postcolectomy mortality following infliximab and ciclosporin is very low. However, many key data items were missing from research articles, reducing our ability to establish with more confidence the actual impact of these two drugs on colectomy rates and postcolectomy mortality rates.

  19. Technical seminar on photovoltaic systems. Day 1: Technical fundamentals - quality - performance. Day 2: Legal aspects - financing - taxation - warranties - insurance. Proceedings; Fachseminar Photovoltaik-Anlagen. 1. Tag: Technische Grundlagen - Qualitaet - Ertraege / 2.Tag: Recht - Finanzierung - Steuern - Garantie - Versicherung. Seminarband

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The proceedings volume contains the manuscripts of this two-day seminar, during which two different aspects of PV systems were gone into. The first day covered technical fundamentals, quality and performance aspects: (1) Site selection; (2) Plant construction and power supply to the public grid; (3) Technical rules and regulations; (4) Quality assurance; (5) Energy yield. The second day was dedicated to legal and financial aspects, taxation, warranties and insurance: (a) Economically efficient operation of PV systems, reimbursement contracts; (b) Financing and taxation; (c) Insurance problems; (d) Warranty aspects. The manuscripts of the first day are in the form of reproduced overhead slides and four other fulltext contributions. (orig.)

  20. Biodistribution of technetium-99m pertechnetate after total colectomy in rats

    Energy Technology Data Exchange (ETDEWEB)

    Meneses Rego, Amalia Cinthia; Alcantara Oliveira Ramalho, Rachel; Tabosa Egito, Eryvaldo Socrates; Araujo-Filho, Irami; Medeiros Azevedo, Italo [Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte (UFRN), Ave. Miguel Alcides Araujo 1889, Natal-RN 59078-270 (Brazil); Palestro, Christopher J. [Division of Nuclear Medicine and Molecular Imaging, North Shore Long Island Jewish Health System, Manhasset and New Hyde Park, NY (United States); Medeiros, Aldo Cunha, E-mail: aldom@uol.com.b [Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte (UFRN), Ave. Miguel Alcides Araujo 1889, Natal-RN 59078-270 (Brazil)

    2010-12-15

    This study evaluated the effects of total colectomy on the biodistribution of technetium-99m pertechnetate ({sup 99m}TcO{sub 4}{sup -}) on the 28th postoperative day in rats. Samples of several organs were harvested for counting the percent of injected radioactivity/g of tissue (%ATI/g). The %ATI/g in colectomy rats was higher in the stomach and ileum than in sham and controls (p<0.05). Increase in mucosa and muscularis size of ileum was observed. Colectomy was associated with lower biodistribution in bladder and thyroid, T3, and T4, than in controls.

  1. Technical Aspects of DAB and IBOC Terrestrial Digital Radio Broadcasting Standards

    Directory of Open Access Journals (Sweden)

    Moumtadi F.

    2011-07-01

    Full Text Available The development of digital radiobroadcast standards and the advantages related to it (optimization of video, audio and applications transmission and services makes indispensable the study of its technical characteristics, due to the definition, over common parameters, of the advantages of each standard by itself and in comparison to others. In this paper the basic technical characteristics of two terrestrial digital radiobroadcasting standards are shown: on one hand, the so called “In-Band-On-Channel” (IBOC and, on the other, the “Digital Audio Broadcast” (DAB standard. The analysis compares the data management procedures of the standards and its relation with the open systems interconnection model – OSI, that opens the possibility to make a real comparison between them. At the end it is concluded that, technologically, the possibility for radio stations to use their actual infrastructure without capital modifications and / or enhancements, makes IBOC a clear option of implementation for digital radiobroadcasting in countries like Mexico.

  2. Colectomy for porto-systemic encephalopathy: is it still topical?

    Directory of Open Access Journals (Sweden)

    Rym Ennaifer

    2013-06-01

    Full Text Available Hepatic encephalopathy (HE is a common long term complication of porto-systemic shunt. We report herein the case of a 59-year-old man with Child-Pugh A cirrhosis treated successfully 9 years earlier with distal splenorenal shunt for uncontrolled variceal bleeding. In the last year, he developed a severe and persistent hepatic encephalopathy secondary to the shunt, which was resistant to medical therapy. As liver transplantation was not available and obliteration of the shunt was hazardous, we performed subtotal colectomy in order to reduce ammonia production. This therapeutic option proved successful, as the grade of encephalopathy decreased and the patient improved. Our experience indicates that colonic exclusion should be considered as an option in the management of HE refractory to medical treatment in highly selected patients when liver transplantation is not available or even as a bridge given the long waiting time on lists.

  3. Physical and technical aspects of cryomedicine. Physikalische und technische Aspekte der Kryomedizin

    Energy Technology Data Exchange (ETDEWEB)

    Spoerl, E. (Medizinische Akademie, Dresden (Germany)); Krantz, H. (Medizinische Akademie, Dresden (Germany))

    1993-01-01

    Some of the functional principles of cryomedical device engineering, the special features of heat transmission at the tissue surface and a model for calculating treatment parameters are presented for a discussion of focal cold application dosed according to indication. The elaboration of the physico-technical basics of cryotherapy has contributed to the development of this originally empirically oriented method to a safe and widely accepted therapeutic procedure. (orig.)

  4. Technical Aspects of Contrast-enhanced MR Angiography: Current Status and New Applications.

    Science.gov (United States)

    Riederer, Stephen J; Stinson, Eric G; Weavers, Paul T

    2017-08-31

    This article is based on a presentation at the meeting of the Japanese Society of Magnetic Resonance in Medicine in September 2016. The purpose is to review the technical developments which have contributed to the current status of contrast-enhanced magnetic resonance angiography (CE-MRA) and to indicate related emerging areas of study. Technical developments include magnetic resonance imaging (MRI) physics-based innovations as well as improvements in MRI engineering. These have collectively addressed not only early issues of timing and venous suppression but more importantly have led to an improvement in spatiotemporal resolution of CE-MRA of more than two orders of magnitude compared to early results. This has allowed CE-MRA to be successfully performed in virtually all vascular territories of the body. Contemporary technical areas of study include improvements in implementation of high rate acceleration, extension of high performance first-pass CE-MRA across multiple imaging stations, expanded use of compressive sensing techniques, integration of Dixon-based fat suppression into CE-MRA sequences, and application of CE-MRA sequences to dynamic-contrast-enhanced perfusion imaging.

  5. The Socio-Technical Aspects of Water Management: Emerging Trends at Grass Roots Level in Uzbekistan

    Directory of Open Access Journals (Sweden)

    Peter P. Mollinga

    2010-02-01

    Full Text Available In Soviet times, water management was presented generally as a technical issue to be taken care of by the state water bureaucracy. Due to structural changes in agriculture in the two decades post-independence, irrigation water management has become an explicitly political and social issue in Central Asia. With the state still heavily present in the regulation of agricultural production, the situation in Uzbekistan differs from other post-communist states. Water management strategies are still strongly ‘Soviet’ in approach, regarded by state actors as purely ‘technical’, because other dimensions – economic, social and political – are ‘fixed’ through strong state regulation. However, new mechanisms are appearing in this authoritarian and technocratic framework. The application of a framework for socio-technical analysis in some selected Water Users’ Associations (WUAs in northwest Uzbekistan’s Khorezm region shows that the WUAs are becoming arenas of interaction for different interest groups involved in water management. The socio-technical analysis of Khorezm’s water management highlights growing social differences at grass root level in the study of WUAs. The process of social differentiation is in its early phases, but is still able to express itself fully due to the strict state control of agriculture and social life in general.

  6. A Review of Warm Mix Asphalt Technology: Technical, Eco-nomical and Enviromental Aspects

    Directory of Open Access Journals (Sweden)

    Hugo Alexander Rondón

    2015-12-01

    Full Text Available In general terms, warm mix asphalt (WMA technology presents a wide potential for successful use in road works construction projects. However, concerns remain regarding the durability and behavior of WMA mixtures in the long term, which need to be addressed. This review focuses on the technical, economic and environmental advantages and disadvantages. The review concludes that the main advantage, at the moment, of this technology concerns the environment. At the end of this work, the authors include certain recommendations for future works to continue strengthening the development of WMA technology.

  7. Robotic right colectomy: A worthwhile procedure? Results of a meta-analysis of trials comparing robotic versus laparoscopic right colectomy

    Directory of Open Access Journals (Sweden)

    Niccolή Petrucciani

    2015-01-01

    Full Text Available Background: Robotic right colectomy (RRC is a complex procedure, offered to selected patients at institutions highly experienced with the procedure. It is still not clear if this approach is worthwhile in enhancing patient recovery and reducing post-operative complications, compared with laparoscopic right colectomy (LRC. Literature is still fragmented and no meta-analyses have been conducted to compare the two procedures. This work aims at reducing this gap in literature, in order to draw some preliminary conclusions on the differences and similarities between RRC and LRC, focusing on short-term outcomes. Materials and Methods: A systematic literature review was conducted to identify studies comparing RRC and LRC, and meta-analysis was performed using a random-effects model. Peri-operative outcomes (e.g., morbidity, mortality, anastomotic leakage rates, blood loss, operative time constituted the study end points. Results: Six studies, including 168 patients undergoing RRC and 348 patients undergoing LRC were considered as suitable. The patients in the two groups were similar with respect to sex, body mass index, presence of malignant disease, previous abdominal surgery, and different with respect to age and American Society of Anesthesiologists score. There were no statistically significant differences between RRC and LRC regarding estimated blood loss, rate of conversion to open surgery, number of retrieved lymph nodes, development of anastomotic leakage and other complications, overall morbidity, rates of reoperation, overall mortality, hospital stays. RRC resulted in significantly longer operative time. Conclusions: The RRC procedure is feasible, safe, and effective in selected patients. However, operative times are longer comparing to LRC and no advantages in peri-operative and post-operative outcomes are demonstrated with the use of the robotic surgical system.

  8. Integration of Photovoltaics in Buildings—Support Policies Addressing Technical and Formal Aspects

    Directory of Open Access Journals (Sweden)

    Thorsten Schuetze

    2013-06-01

    Full Text Available The integration of photovoltaic (PV generators in the envelope of a building by means of building-integrated photovoltaics (BIPV offers an immense potential, both in market development and the production of renewable electric energy that is close to the point of electricity consumption. In Germany, for example, by integrating photovoltaics in buildings up to 50% of the electricity demand can be covered. The political support of BIPV would contribute to the development and installation of BIPV components and therefore also promote the development of new business areas for industries dealing with components used in building envelopes and photovoltaic generators. BIPV can be separated into three different integration types: “technical”, “formal” and “technical & formal”. Political instruments for the support of PV-installations, particularly BIPV are discussed in this paper using Germany and France as examples. Due to successful financial support policies, PV became the most powerful electricity production technology in Germany. In France, the unique financial support of BIPV is resulting in an exemplary development and growth of certified BIPV components available on the market and, from a technical, aesthetic architectural and legal certainty point of view, facilitating the easy and widespread integration of photovoltaic generators in buildings.

  9. Technical and Tactical Aspects that Differentiate Winning and Losing Performances in Elite Male Karate Fighters.

    Science.gov (United States)

    Vidranski, Tihomir; Sertić, Hrvoje; Jukić, Josefina

    2015-07-01

    The purpose of this research was to identify the fighters' technical and tactical activity indicators in order to determine indicator significance regarding situational efficiency and designation between winning and losing performances in a karate match. We scientifically observed a sample of 274 male contesters of 137 karate matches during the 2008 World Karate Championship in Tokyo. Each individual competitor was observed in maximum of three matches. The matches were recorded using a DVD camera in order to collect data for further analysis, and the sample was further described using 48 technical and tactical indicators of situational efficiency and match outcome variables. The obtained results indicate that a karate match is composed of 91% of non-scoring techniques and 9% of scoring techniques in the total technique frequency. On this basis a significant difference in the situational efficiency between the match winners and the losing contesters has been discovered. Those two groups of fighters exhibit a statistically significant difference (pkarate match are in the largest extent defined by non-scoring techniques. Therefore, it would be a grave mistake to disregard non-scoring karate techniques in any future situational efficiency studies. It has been discovered that the winners differ from the defeated contesters by a higher level of situational efficiency in their executed techniques, which incorporate versatility, biomechanical and structural complexity, topological diversity and a specific tactical concept of technique use in the attack phase.

  10. The learning curve for laparoscopic colectomy in colorectal cancer at a new regional hospital

    Directory of Open Access Journals (Sweden)

    Kuei-Yen Tsai

    2016-01-01

    Conclusion: Laparoscopic colectomy for colorectal cancer in a new regional hospital is feasible and safe. It does not need additional time for learning. Laparoscopic sigmoidectomy can be considered as the initial surgery for a trainee.

  11. Simultaneous 31P NMR spectroscopy and EMG in exercising and recovering human skeletal muscle: technical aspects

    DEFF Research Database (Denmark)

    Vestergaard-Poulsen, P; Thomsen, C; Sinkjaer, T

    1994-01-01

    . A nonmagnetic ergometer was used for ankle dorsiflexions that activated only the anterior tibial muscle as verified by post exercise imaging. The coil design and the adiabatic sech/tanh pulse improved sensitivity by 45% and 56% respectively, compared with standard techniques. Simultaneous electromyographic......The bioenergetics of human skeletal muscle can be studied by 31P NMR spectroscopy (31P-MRS) and by surface electromyography (SEMG). Simultaneous 31P-MRS and SEMG permit accurate and noninvasive studies of the correlation between metabolic and electrical changes in exercising and recovering human...... skeletal muscle, a relationship that is still poorly understood. This study describes the optimization of skeletal muscle 31P-MRS in a whole-body magnet, involving surface coil design, utilization of adiabatic radio frequency pulses and advanced time-domain fitting, to the technical design of SEMG...

  12. Designing diagnostics in complexity: Measuring technical and contextual aspects in monitoring and evaluation systems

    Directory of Open Access Journals (Sweden)

    Caitlin Blaser Mapitsa

    2017-04-01

    Full Text Available Background: This article emphasizes the importance of reflecting on the methods employed when designing diagnostic tools for monitoring and evaluation (M&E systems. It sheds light on a broader debate about how we understand and assess M&E systems within their political and organisational contexts.Objectives: The article looks at what divergent purposes of M&E mean for how M&E systems are assessed, and how context-appropriate diagnostic studies can be designed.Method: The article draws on two different approaches: a survey that looks at the technical components of an M&E system and a complexity framework that analyses the way a system functions in a broader political and organisational context. The foundation is provided by survey and interview data from over 70 officials from across the City of Johannesburg’s administration.Results: The study revealed great diversity as to respondents’ understanding of what M&E structures and processes should do and achieve within the city, ranging from a management function closely linked to auditing and oversight responsibilities to a governance role that is more linked to learning and planning. Limitations in M&E capacity and/or performance were linked to contested political and bureaucratic structures.Conclusion: The mixed method approach to diagnostics proposed in this article contributes to the call in the ‘Made in Africa’ debate for more contextualised methods and tools around the practice and the assessment of M&E. The article proposes the development of a synthetic tool that covers both M&E technical components and capacity on one hand, and an analysis of how these are embedded in a political and organisational context on the other.

  13. Review of biomedical aspects of CB masks and their relationship to military performance. Technical report

    Energy Technology Data Exchange (ETDEWEB)

    Muza, S.R.

    1986-11-01

    This review describes the most important factors affecting military work performance while wearing a CB mask: (1) the additional inspiratory and expiratory breathing resistance; (2) increased external dead space; (3) thermal stress of the mask and hood; (4) restriction of functional vision; (5) hindrance of speech transmission and reception; (6) weight, size, and pressure on the face by the CB mask; (7) claustrophobic reactions, and (8) sleep loss and lack of nutrient intake due to long-term wear. In assessing the biomedical aspects of these factors, rather than making comparisons between specific models of CB masks, the review addresses these factors as they apply to CB masks in general.

  14. AREVA Technical Days (ATD) session 3: operations of the reactors and services division, technical and economic aspects; AREVA Technical Days (ATD) session 3: les activites du pole reacteurs et services, aspects techniques et economiques

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    These technical days organized by the Areva Group aims to explain the group activities in a technological and economic point of view, to provide an outlook of worldwide energy trends and challenges and to present each of their businesses in a synthetic manner. This third session deals with the reactors technologies basics, the EPR and SWR 1000 issues and outlook, the nuclear systems of the future, the business opportunities and business models. (A.L.B.)

  15. CT-guided Bipolar and Multipolar Radiofrequency Ablation (RF Ablation) of Renal Cell Carcinoma: Specific Technical Aspects and Clinical Results

    Energy Technology Data Exchange (ETDEWEB)

    Sommer, C. M., E-mail: christof.sommer@med.uni-heidelberg.de [University Hospital Heidelberg, INF 110, Department of Diagnostic and Interventional Radiology (Germany); Lemm, G.; Hohenstein, E. [Minimally Invasive Therapies and Nuclear Medicine, SLK Kliniken Heilbronn GmbH, Clinic for Radiology (Germany); Bellemann, N.; Stampfl, U. [University Hospital Heidelberg, INF 110, Department of Diagnostic and Interventional Radiology (Germany); Goezen, A. S.; Rassweiler, J. [Clinic for Urology, SLK Kliniken Heilbronn GmbH (Germany); Kauczor, H. U.; Radeleff, B. A. [University Hospital Heidelberg, INF 110, Department of Diagnostic and Interventional Radiology (Germany); Pereira, P. L. [Minimally Invasive Therapies and Nuclear Medicine, SLK Kliniken Heilbronn GmbH, Clinic for Radiology (Germany)

    2013-06-15

    Purpose. This study was designed to evaluate the clinical efficacy of CT-guided bipolar and multipolar radiofrequency ablation (RF ablation) of renal cell carcinoma (RCC) and to analyze specific technical aspects between both technologies. Methods. We included 22 consecutive patients (3 women; age 74.2 {+-} 8.6 years) after 28 CT-guided bipolar or multipolar RF ablations of 28 RCCs (diameter 2.5 {+-} 0.8 cm). Procedures were performed with a commercially available RF system (Celon AG Olympus, Berlin, Germany). Technical aspects of RF ablation procedures (ablation mode [bipolar or multipolar], number of applicators and ablation cycles, overall ablation time and deployed energy, and technical success rate) were analyzed. Clinical results (local recurrence-free survival and local tumor control rate, renal function [glomerular filtration rate (GFR)]) and complication rates were evaluated. Results. Bipolar RF ablation was performed in 12 procedures and multipolar RF ablation in 16 procedures (2 applicators in 14 procedures and 3 applicators in 2 procedures). One ablation cycle was performed in 15 procedures and two ablation cycles in 13 procedures. Overall ablation time and deployed energy were 35.0 {+-} 13.6 min and 43.7 {+-} 17.9 kJ. Technical success rate was 100 %. Major and minor complication rates were 4 and 14 %. At an imaging follow-up of 15.2 {+-} 8.8 months, local recurrence-free survival was 14.4 {+-} 8.8 months and local tumor control rate was 93 %. GFR did not deteriorate after RF ablation (50.8 {+-} 16.6 ml/min/1.73 m{sup 2} before RF ablation vs. 47.2 {+-} 11.9 ml/min/1.73 m{sup 2} after RF ablation; not significant). Conclusions. CT-guided bipolar and multipolar RF ablation of RCC has a high rate of clinical success and low complication rates. At short-term follow-up, clinical efficacy is high without deterioration of the renal function.

  16. Systems Modelling of the Socio-Technical Aspects of Residential Electricity Use and Network Peak Demand.

    Science.gov (United States)

    Lewis, Jim; Mengersen, Kerrie; Buys, Laurie; Vine, Desley; Bell, John; Morris, Peter; Ledwich, Gerard

    2015-01-01

    Provision of network infrastructure to meet rising network peak demand is increasing the cost of electricity. Addressing this demand is a major imperative for Australian electricity agencies. The network peak demand model reported in this paper provides a quantified decision support tool and a means of understanding the key influences and impacts on network peak demand. An investigation of the system factors impacting residential consumers' peak demand for electricity was undertaken in Queensland, Australia. Technical factors, such as the customers' location, housing construction and appliances, were combined with social factors, such as household demographics, culture, trust and knowledge, and Change Management Options (CMOs) such as tariffs, price, managed supply, etc., in a conceptual 'map' of the system. A Bayesian network was used to quantify the model and provide insights into the major influential factors and their interactions. The model was also used to examine the reduction in network peak demand with different market-based and government interventions in various customer locations of interest and investigate the relative importance of instituting programs that build trust and knowledge through well designed customer-industry engagement activities. The Bayesian network was implemented via a spreadsheet with a tickbox interface. The model combined available data from industry-specific and public sources with relevant expert opinion. The results revealed that the most effective intervention strategies involve combining particular CMOs with associated education and engagement activities. The model demonstrated the importance of designing interventions that take into account the interactions of the various elements of the socio-technical system. The options that provided the greatest impact on peak demand were Off-Peak Tariffs and Managed Supply and increases in the price of electricity. The impact in peak demand reduction differed for each of the locations

  17. Systems Modelling of the Socio-Technical Aspects of Residential Electricity Use and Network Peak Demand.

    Directory of Open Access Journals (Sweden)

    Jim Lewis

    Full Text Available Provision of network infrastructure to meet rising network peak demand is increasing the cost of electricity. Addressing this demand is a major imperative for Australian electricity agencies. The network peak demand model reported in this paper provides a quantified decision support tool and a means of understanding the key influences and impacts on network peak demand. An investigation of the system factors impacting residential consumers' peak demand for electricity was undertaken in Queensland, Australia. Technical factors, such as the customers' location, housing construction and appliances, were combined with social factors, such as household demographics, culture, trust and knowledge, and Change Management Options (CMOs such as tariffs, price, managed supply, etc., in a conceptual 'map' of the system. A Bayesian network was used to quantify the model and provide insights into the major influential factors and their interactions. The model was also used to examine the reduction in network peak demand with different market-based and government interventions in various customer locations of interest and investigate the relative importance of instituting programs that build trust and knowledge through well designed customer-industry engagement activities. The Bayesian network was implemented via a spreadsheet with a tickbox interface. The model combined available data from industry-specific and public sources with relevant expert opinion. The results revealed that the most effective intervention strategies involve combining particular CMOs with associated education and engagement activities. The model demonstrated the importance of designing interventions that take into account the interactions of the various elements of the socio-technical system. The options that provided the greatest impact on peak demand were Off-Peak Tariffs and Managed Supply and increases in the price of electricity. The impact in peak demand reduction differed for each

  18. Role of the Technical Aspects of Hypofractionated Radiation Therapy Treatment of Prostate Cancer: A Review

    Energy Technology Data Exchange (ETDEWEB)

    Clemente, Stefania, E-mail: clemente_stefania@libero.it [Istituto di Ricovero e Cura a Carattere Scientifico Centro di Riferimento Oncologico della Basilicata Rionero in Vulture, Potenza (Italy); Nigro, Roberta [Azienda Sanitaria Locale Rieti, Roma (Italy); Oliviero, Caterina [Istituto di Ricovero e Cura a Carattere Scientifico Centro di Riferimento Oncologico della Basilicata Rionero in Vulture, Potenza (Italy); Marchioni, Chiara [Azienda Sanitaria Locale Rieti, Roma (Italy); Esposito, Marco [Azienda Sanitaria, Firenze (Italy); Giglioli, Francesca Romana [Azienda Ospedaliera Città della Salute e della Scienza di Torino, Torino (Italy); Mancosu, Pietro [Humanitas Clinical and Research Hospital, Rozzano, Milano (Italy); Marino, Carmelo [Humanitas Centro Catanese di Oncologia, Catania (Italy); Russo, Serenella [Azienda Sanitaria, Firenze (Italy); Stasi, Michele [Azienda Ospedaliera Ordine Mauriziano di Torino, Torino (Italy); Strigari, Lidia [Istituto Nazionale Tumori Regina Elena, Roma (Italy); Veronese, Ivan [Universita' degli Studi di Milano, Milano (Italy); Landoni, Valeria [Istituto Nazionale Tumori Regina Elena, Roma (Italy)

    2015-01-01

    The increasing use of moderate (<35 fractions) and extreme (<5 fractions) hypofractionated radiation therapy in prostate cancer is yielding favorable results, both in terms of maintained biochemical response and toxicity. Several hypofractionation (HF) schemes for the treatment of prostate cancer are available, although there is considerable variability in the techniques used to manage intra-/interfraction motion and deliver radiation doses. We performed a review of the published studies on HF regimens as a topic of interest for the Stereotactic Ablative Radiotherapy working group, which is part of the Italian Association of Medical Physics. Aspects of organ motion management (imaging for contouring, target volume definition, and rectum/bladder preparation) and treatment delivery (prostate localization, image guided radiation therapy strategy and frequency) were evaluated and categorized to assess outcome relative to disease control and toxicity. Despite the heterogeneity of the data, some interesting trends that emerged from the review might be useful in identifying an optimum HF strategy.

  19. Technical aspects of nuclear microprobe analysis of senile plaques from alzheimer patients

    Science.gov (United States)

    Larsson, N. P.-O.; Tapper, U. A. S.; Sturesson, K.; Odselius, R.; Brun, A.

    1990-04-01

    Alzheimer's disease, a common form of senile dementia, has been proposed to be caused by aluminium. One of the interesting structures to be studied, senile plaque cores in the brain, have centres of only about 10 μm. We have investigated the possibility of applying nuclear microprobes to sections containing senile plaques. An alternative staining procedure, TMToluidin blue staining using a spray technique, is also presented. An outline is given of a procedure for preparing senile plaque specimens for nuclear microprobe analysis. This includes a technique for accurate ion beam positioning, utilizing electron microscopy-grids. The subject may be of general interest since sample preparation is one of the most important aspects in microprobe analysis of biological matter.

  20. Technical and economic aspects of operation of thermal and hydro power systems

    Energy Technology Data Exchange (ETDEWEB)

    Bakken, Bjoern Harald

    1997-12-31

    This thesis studies system operation and operational costs of primary and secondary control in hydro and thermal power systems. The cost of providing primary control reserves in thermal power systems is estimated to 1-3% of total production cost. Hydro power units, on the other hand, provide a very cheap primary reserve compared to thermal units. The HVDC (High Voltage Direct Current) connection can be used for primary control in either direction but the thesis only considers substitution of reserves in the thermal system with reserves from the hydro system. Since the HVDC connection is easy to control, the transient characteristics are considerably improved, and one can substitute an amount of thermal spinning reserve corresponding to the available HVDC capacity with little disturbance in any system. A more realistic alternative, at present, is to sell secondary control reserves across the HVDC connections. Keeping spinning reserve for automatic secondary control in a thermal power system is estimated to cost 3-5% of total production cost. Secondary control reserves probably cannot compete with the value of the peak load export, but one should seriously consider using part of the HVDC capacity as secondary control reserve for the thermal system during off-peak hours with. The author discusses the concept of automatic secondary control both theoretically and by simulations and finds that there are no special technical difficulties in introducing automatic secondary control in the Nordel (an organization for Nordic power cooperation) system. 78 refs., 4 figs., 23 tabs.

  1. Technical Aspects on the Use of Ultrasonic Bone Shaver in Spine Surgery: Experience in 307 Patients

    Directory of Open Access Journals (Sweden)

    Derya Burcu Hazer

    2016-01-01

    Full Text Available Aim. We discuss technical points, the safety, and efficacy of ultrasonic bone shaver in various spinal surgeries within our own series. Methods. Between June 2010 and January 2014, 307 patients with various spinal diseases were operated on with the use of an ultrasonic bone curette with microhook shaver (UBShaver. Patients’ data were recorded and analyzed retrospectively. The technique for the use of the device is described for each spine surgery procedure. Results. Among the 307 patients, 33 (10.7% cases had cervical disorder, 17 (5.5% thoracic disorder, 3 (0.9% foramen magnum disorder, and 254 (82.7% lumbar disorders. Various surgical techniques were performed either assisted or alone by UBShaver. The duration of the operations and the need for blood replacement were relatively low. The one-year follow-up with Neck Disability Index (NDI and Oswestry Disability Index (ODI scores were improved. We had 5 cases of dural tears (1.6% in patients with lumbar spinal disease. No neurological deficit was found in any patients. Conclusion. We recommend this device as an assistant tool in various spine surgeries and as a primary tool in foraminotomies. It is a safe device in spine surgery with very low complication rate.

  2. Energy from the desert. Very large scale photovoltaic systems: socio-economic, financial, technical and environmental aspects. Executive summary

    Energy Technology Data Exchange (ETDEWEB)

    Kurokawa, K.; Ito, M.; Komoto, K.; Vleuten, P. van der; Faiman, D. (eds.)

    2009-05-15

    This executive summary report for the International Energy Agency (IEA) summarises the objectives and concepts of very large scale photovoltaic power generation (VLS-PV) systems and takes a look at the socio-economic, financial and technical aspects involved as well as the environmental impact of such systems. Potential benefits for desert communities, agricultural development and desalination of water are topics that are looked at. The potential of VLS-PV, its energy payback time and CO{sub 2} emission rates are discussed. Case studies for the Sahara and the Gobi Dessert areas are discussed. A VLS-PV roadmap is proposed and scenarios are discussed. Finally, conclusions are drawn and recommendations are made.

  3. Apheresis therapy in children: an overview of key technical aspects and a review of experience in pediatric renal disease.

    Science.gov (United States)

    Hunt, Elizabeth A K; Jain, Namrata G; Somers, Michael J G

    2013-02-01

    Although there is less experience with its use in children than adults, apheresis can be a life-saving treatment modality in certain pediatric diseases. With attention to specific technical aspects of the treatment, especially circuit volume, apheresis can be safely performed in children of any age or size. Even in pediatric diseases where it is recognized as an important part of therapy, apheresis is unfortunately still underutilized in North America and there needs to be increased awareness of its role and its availability within the pediatric community. Apheresis has been used particularly in children with certain renal diseases, notably ANCA-associated nephritis, anti-GBM disease, and atypical HUS. In addition, it can improve outcomes in transplantation of children with FSGS and can be part of a pre-transplant strategy for children who are highly sensitized and at high risk for graft failure.

  4. Direct carotid artery puncture access for endovascular treatment of acute ischemic stroke: technical aspects, advantages, and limitations.

    Science.gov (United States)

    Mokin, Maxim; Snyder, Kenneth V; Levy, Elad I; Hopkins, L Nelson; Siddiqui, Adnan H

    2015-02-01

    Challenging anatomy for carotid artery access can result in a delay to achieve successful recanalization in patients with acute ischemic stroke. Our objective was to study emergent direct percutaneous carotid artery puncture as an alternative access approach for acute endovascular stroke interventions. We reviewed cases of acute ischemic stroke in which direct carotid artery puncture was used for access. We also reviewed current literature relevant to this subject. We describe the technical aspects, limits, and potential complications associated with direct carotid artery puncture for intracranial acute ischemic stroke interventions, and present cases to illustrate the utility of this access approach. Direct carotid artery puncture is a feasible alternative to transfemoral artery access in cases of stroke with difficult anatomy, including unfavorable arch type, carotid tortuosity, or an ostial lesion. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Coronary computed tomography angiography: overview of technical aspects, current concepts, and perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Chartrand-Lefebvre, C.; Cadrin-Chenevert, A. [Univ. of Montreal Medical Centre, Radiology Dept., Montreal, Quebec (Canada)]. E-mail: chartrandlef@videotron.ca; Bordeleau, E. [Univ. of Montreal Medical Centre, Radiology Dept., Montreal, Quebec (Canada); Hopital Laval, St. Foy, Quebec (Canada); Ugolini, P.; Ouellet, R. [Montreal Inst. of Cardiology, Montreal, Quebec (Canada); Sablayrolles, J.-L. [Centre Cardiologique du Nord, Paris (France); Prenovault, J. [Univ. of Montreal Medical Centre, Radiology Dept., Montreal, Quebec (Canada)

    2007-04-15

    Multidetector-row electrocardiogram (ECC)-gated cardiac computed tomography (CT) will probably be a major noninvasive imaging option in the near future. Recent developments indicate that this new technology is improving rapidly. This article presents an overview of the current concepts, perspectives, and technical capabilities in coronary CT angiography (CTA). We have reviewed the recent literature on the different applications of this technology; of particular note are the many studies that have demonstrated the high negative predictive value (NPV) of coronary CTA, when performed under optimal conditions, for significant stenoses in native coronary arteries. This new technology's level of performance allows it to be used to evaluate the presence of calcified plaques, coronary bypass graft patency, and the origin and course of congenital coronary anomalies. Despite a high NPV, the robustness of the technology is limited by arrhythmias, the requirement of low heart rates, and calcium-related artifacts. Sonic improvements are needed in the imaging of coronary stents, especially the smaller stents, and in the detection and characterization of noncalcified plaques. Further studies are needed to more precisely determine the role of CTA in various symptomatic and asymptomatic patient groups. Clinical testing of 64-slice scanners has recently begun. As the technology improves, so does the spatial and temporal resolution. To date, this is being achieved through the development of systems with an increased number of detectors and shorter gantry rotation time as well as the development of systems equipped with 2 X-ray tubes and the eventual development of flat-panel technology. Thus further improvement of image quality is expected. (author)

  6. Right radial nerve dysfunction following laparoscopic sigmoid colectomy

    Directory of Open Access Journals (Sweden)

    Yoshikazu Takinami

    2014-10-01

    Full Text Available Here, we report a case of right radial nerve dysfunction following laparoscopic sigmoid colectomy under general anesthesia. A 75-year-old man was intubated without excessive retroflexion, and his upper body was held in place by lateral body positioners with protective cushions over the chest and acromioclavicular joints. The patient’s head was maintained at the center and held on the operation table with a memory-foam pillow to prevent hyperextension of the neck. The arms, abducted 80° with the forearms supinated, were held in place on the armrests with protective cushions. The surgical position was a 20° head-down lithotomy position with the right side of the body lowered by 15°. Surgery was completed successfully with no complications, and anesthesia time was 7 h and 37 min. After surgery, however, the patient complained of numbness and hypoesthesia on the radial and ulnar side, respectively, of the right arm from the elbow to the fingertips, with the boundary running between fingers 3 and 4. Dysesthesia was observed in the right fingertips of fingers 1–3. After 3 months of silver spike point low-frequency electrotherapy, hypoesthesia improved, while dysesthesia partially improved, in the dorsal area between right fingers 1 and 2.

  7. Platform development for merging various information sources for water management: methodological, technical and operational aspects

    Science.gov (United States)

    Galvao, Diogo

    2013-04-01

    As a result of various economic, social and environmental factors, we can all experience the increase in importance of water resources at a global scale. As a consequence, we can also notice the increasing need of methods and systems capable of efficiently managing and combining the rich and heterogeneous data available that concerns, directly or indirectly, these water resources, such as in-situ monitoring station data, Earth Observation images and measurements, Meteorological modeling forecasts and Hydrological modeling. Under the scope of the MyWater project, we developed a water management system capable of satisfying just such needs, under a flexible platform capable of accommodating future challenges, not only in terms of sources of data but also on applicable models to extract information from it. From a methodological point of view, the MyWater platform obtains data from distinct sources, and in distinct formats, be they Satellite images or meteorological model forecasts, transforms and combines them in ways that allow them to be fed to a variety of hydrological models (such as MOHID Land, SIMGRO, etc…), which themselves can also be combined, using such approaches as those advocated by the OpenMI standard, to extract information in an automated and time efficient manner. Such an approach brings its own deal of challenges, and further research was developed under this project on the best ways to combine such data and on novel approaches to hydrological modeling (like the PriceXD model). From a technical point of view, the MyWater platform is structured according to a classical SOA architecture, with a flexible object oriented modular backend service responsible for all the model process management and data treatment, while the information extracted can be interacted with using a variety of frontends, from a web portal, including also a desktop client, down to mobile phone and tablet applications. From an operational point of view, a user can not only see

  8. Technical aspects and manufacturing methods for JT-60SA toroidal field coil casings

    Energy Technology Data Exchange (ETDEWEB)

    Rossi, Paolo, E-mail: paolo.rossi@enea.it [ENEA, Via Enrico Fermi 45, 00044 Frascati, Rome (Italy); Cucchiaro, A.; Brolatti, G.; Cocilovo, V.; Ginoulhiac, G.; Polli, G. [ENEA, Via Enrico Fermi 45, 00044 Frascati, Rome (Italy); Gabriele, M.; Di Muzio, F. [Walter Tosto, Via Erasmo Piaggio, 66100 Chieti (Italy); Philips, G.; Tomarchio, V. [JT-60SA European Home Team, Boltzmannstrasse 2, D-85748 Garching (Germany)

    2014-10-15

    wings welded to a central core for a final shape of “D”. Other supports are welded by TIG or Electrode process. This paper describes the technical design solutions, the manufacturing methods defined and the particular processes adopted, such as welding (EB, TIG), non-destructive examinations (NDE), vibration stress relief (VSR) and laser tracker survey, most of which have been validated by the construction of two different sets of full scale mock-ups representing the straight and the curved legs.

  9. SPECT/CT - Technical aspects and optimization possibilities; SPECT/CT - Technische Aspekte und Optimierungsmoeglichkeiten

    Energy Technology Data Exchange (ETDEWEB)

    Roemer, W. [Klinikum Passau, Klinik fuer Nuklearmedizin, Passau (Germany)

    2012-07-15

    In contrast to positron emission tomography/computed tomography (PET/CT), the currently available single photon emission computed tomography/computed tomography (SPECT/CT) systems are very heterogeneous. On the side of the gamma cameras, dual-head systems are established, which are not very different from one manufacturer to the other. For the CT component, there are low dose tubes on the one side and flat detector-based cone beam CT and multislice-CT on the other. The CT image data can be used for anatomic correlation of suspicious findings as well as for attenuation correction of SPECT data. Attenuation correction enables on the one hand enhancement of SPECT image quality and on the other hand quantification of the radioactivity concentration becomes possible. Modern iterative reconstruction algorithms allow scatter correction and attenuation correction of SPECT data using the density values from CT. It still has to be shown to what extent attenuation-corrected whole body SPECT/CT studies will be able to improve the sensitivity of scintigraphy studies. As SPECT/CT primarily aims at morphologic correlation and not detection of additional lesions, an attempt should be made to balance the necessary anatomic information and the additional radiation exposure. Besides SPECT-guided CT all technical possibilities for dose reduction should be exhausted. (orig.) [German] Im Gegensatz zur Positronenemissionstomographie/Computertomographie (PET/CT) sind die auf dem Markt angebotenen Single-photon-emission-computed-tomography/CT(SPECT/CT)-Systeme sehr heterogen. Auf der Seite der Gammakameras sind Zweikopfsysteme etabliert, die sich bei den verschiedenen Wettbewerbern nur unwesentlich unterscheiden. Hingegen reicht bei der CT-Komponente die Palette von der einfachen Niedrigdosisroentgenroehre ueber die flachdetektorbasierte Cone-beam-CT-Technologie bis hin zum Mehrzeilenspiral-CT. Die CT-Bilddaten werden dabei zum einen zur anatomischen Korrelation funktionell auffaelliger

  10. Charging of the Electric Vehicles in Private Sector: Technical and Economic Aspects

    Science.gov (United States)

    Grackova, L.; Oleinikova, I.; Klavs, G.

    2014-12-01

    The economic aspect considered in the work is related to the charging of an electric vehicle (EV) at a single private house when this is done every day. To perform the relevant cost estimation it was necessary to determine: the average annual electricity consumption under the condition of everyday charging an EV and the average electricity consumption off the mains for covering a distance of 100 km by an EV and the time in hours for its charging. Comparison is made for the day-time intervals from which it is possible to choose the preferable for proper loading the electric line and the most beneficial for the consumer. Under analysis are two EV connection scenarios for 100 individual households from which 10%, 20% and 30% have EVs, with 8-h duration of each charging at the current of 13A. The authors consider the consumption and electric energy payment packages which - with planned opening of the electric energy market on January 1, 2015 - will offer the clients the enterprises rendering services on the electric energy sale. Šajā rakstā tiek analizēts vidējais diennakts elektroenerģijas patēriņš un diennakts slodzes grafiki privātmājās apstākļos, kad privātmājas īpašnieki lādē elektroautomobili katru dienu vidējam brauciena attālumam 100 km. Elektroautomobiļa uzlādes režīmi tiek analizēti, ņemot vērā patēriņa elektriskās slodzes grafika kvalitāti raksturojošos rādītājus un patērētāja ekonomiskos ieguvumus. Lai novērtētu ekonomiski stimulētu patērētāju elektroautomobiļa uzlādes laika izvēles ietekmi uz diennakts elektriskās slodzes aizpildījuma koeficientu, tika izveidoti un analizēti 2 scenāriji, kas apraksta 100 privātmāju ar dažādu elektroautomobiļu piederības īpatsvaru divas atšķirīgas automobiļu uzlādes gadījumus.

  11. Surgeon Experience and Medicare Expenditures for Laparoscopic Compared to Open Colectomy.

    Science.gov (United States)

    Sheetz, Kyle H; Ibrahim, Andrew M; Regenbogen, Scott E; Dimick, Justin B

    2017-05-25

    To quantify the extent to which payments for laparoscopic and open colectomy are influenced by a surgeon's experience with laparoscopy. Numerous studies suggest that healthcare costs for laparoscopic colectomy are lower than open surgery. None have assessed the importance of surgeon experience on the relative financial benefits of laparoscopy. We conducted a study of 182,852 national Medicare beneficiaries undergoing laparoscopic or open colectomy between 2010 and 2012. Using instrumental variable methods to account for selection bias, we compared Medicare payments for laparoscopic and open colectomy. We stratified our analysis by surgeons' annual experience with laparoscopic colectomy to determine the influence of provider experience on payments. In the fully adjusted analysis, average episode payments per patient were $2640 [95% confidence interval (CI) -$4091 to -$1189] lower with the laparoscopic approach versus open. Surgeons in the highest quartile of laparoscopic experience demonstrated an average payment savings of $5456 per patient (CI -$7918 to -$2994) in their laparoscopic versus open cases. Among surgeons in the lowest quartile of laparoscopic experience, there was, however, no difference between laparoscopic and open cases (difference: $954, 95% CI -$731 to $2639). Differences in payments were explained by differences in complications rates. Both groups had similar rates of complications for open procedures (least experience, 21%, most experience, 21%; P = 0.45), but differed significantly on rates of complications for laparoscopic cases (least experience, 28%, most experience, 15%; P experience. The laparoscopic approach does not reduce payments for patients whose surgeons have limited experience with the procedure.

  12. Aspectos técnicos envolvidos na construção de um "cluster beowulf" Technical aspects of beowulf cluster construction

    Directory of Open Access Journals (Sweden)

    Ataualpa Albert Carmo Braga

    2003-05-01

    Full Text Available Beowulf cluster is perhaps the cheapest way to construct a high performance computers. The strategy of reaching a high power computing isn't so difficult, but buying and configurating should be done carefully. Technical aspects of hardware components and message-passing libraries are considered, with some results given as examples.

  13. Manual Arts to Technology Education: Are We Ripe for Infusing Aspects of a Green Technology into Career and Technical Education Constituent Subjects?

    Science.gov (United States)

    Asunda, Paul A.

    2010-01-01

    This paper is a conceptual essay that reviews industrial and economic changes that have shaped vocational education to present day Career and Technical Education (CTE) curriculum, and specifically the role of technology education in meeting societal needs. An argument is presented that CTE is ripe to integrate aspects of green technology and…

  14. Aspectos técnicos envolvidos na construção de um "cluster beowulf" Technical aspects of beowulf cluster construction

    OpenAIRE

    Ataualpa Albert Carmo Braga

    2003-01-01

    Beowulf cluster is perhaps the cheapest way to construct a high performance computers. The strategy of reaching a high power computing isn't so difficult, but buying and configurating should be done carefully. Technical aspects of hardware components and message-passing libraries are considered, with some results given as examples.

  15. Technical Aspects Of Beowulf Cluster Construction [aspectos Técnicos Envolvidos Na Construção De Um "cluster Beowulf"

    OpenAIRE

    Braga A.A.C.

    2003-01-01

    Beowulf cluster is perhaps the cheapest way to construct a high performance computers. The strategy of reaching a high power computing isn't so difficult, but buying and configurating should be done carefully. Technical aspects of hardware components and message-passing libraries are considered, with some results given as examples.

  16. Manual Arts to Technology Education: Are We Ripe for Infusing Aspects of a Green Technology into Career and Technical Education Constituent Subjects?

    Science.gov (United States)

    Asunda, Paul A.

    2010-01-01

    This paper is a conceptual essay that reviews industrial and economic changes that have shaped vocational education to present day Career and Technical Education (CTE) curriculum, and specifically the role of technology education in meeting societal needs. An argument is presented that CTE is ripe to integrate aspects of green technology and…

  17. Subtotal Colectomy for Colon Cancer Reduces the Need for Subsequent Surgery in Lynch Syndrome.

    Science.gov (United States)

    Renkonen-Sinisalo, Laura; Seppälä, Toni T; Järvinen, Heikki J; Mecklin, Jukka-Pekka

    2017-08-01

    The risk of metachronous colorectal cancer is high after surgical resection for first colon cancer in Lynch syndrome. This study aimed to examine whether extended surgery decreases the risk of subsequent colorectal cancer and improves long-term survival. This was a retrospective study. Data were collected from a nationwide registry. Two hundred forty-two Lynch syndrome pathogenic variant carriers who underwent surgery for a first colon cancer from 1984 to 2009 were included. Patients underwent standard segmental colectomy (n = 144) or extended colectomy (n = 98) for colon cancer. Patients were followed a median of 14.6 up to 25 years. Risk of subsequent colorectal cancer in either group, overall and disease-specific survival, and operative mortality were the primary outcomes measured. Subtotal colectomy decreased the risk of subsequent colorectal cancer (HR, 0.20; 95% CI, 0.08-0.52; p = 0.001), compared with segmental resection. Subsequent colorectal cancer decreased in MLH1 carriers. The MSH2 carriers showed no statistical difference, possibly because of their small number. Disease-specific and overall survival within 25 years did not differ between the standard and extended surgeries (82.7% vs 87.2%, p = 0.76 and 47.2% vs 41.4%, p = 0.83). The cumulative risk of subsequent colorectal cancer was 20% in 10 years and 47% within 25 years after standard resection and 4% and 9% after extended surgery. The cumulative risk of metachronous colorectal cancer was 7% within 25 years after subtotal colectomy with ileosigmoidal anastomosis. One patient died of postoperative septicemia within 30 days after segmental colectomy. Data on surgical procedures were primarily collected retrospectively. Lynch syndrome pathogenic variant carriers may undergo subtotal colectomy to manage first colon cancer and avoid repetitive abdominal surgery and to reduce the remaining bowel to facilitate easier endoscopic surveillance. It provides no survival benefit, compared with segmental colon

  18. Diffuse abdominal uptake of technetium-99m-HDP after colectomy in Gardner`s syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Alber, T.R.; Scheidt, K.A.; Fajman, W.A. [Emory Univ., Atlanta, GA (United States)

    1995-09-01

    A 37-yr-old man presented with increasing abdominal girth and multiple palpable intra-abdominal masses 3 yr after colectomy for polyposis coli. Whole-body skeletal scintigraphy performed prior to laparotomy demonstrated diffuse abdominal uptake of {sup 99m}Tc-HDP consistent with mesenteric fibromatosis confirmed at surgery. When diffuse abdominal uptake of skeletal imaging agents occurs in patients with prior colectomy for polyposis coli, mesenteric fibromatosis as a manifestation of Gardner`s syndrome should be suspected. This case illustrates another cause of diffuse abdominal uptake of skeletal imaging agents. 15 refs., 3 figs.

  19. Dosimetric and technical aspects of intraoperative I-125 brachytherapy for stage I non-small cell lung cancer

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Mark [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Colonias, Athanasios [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Parda, David [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Trombetta, Mark [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Gayou, Olivier [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Reitz, Bodo [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States); Miften, Moyed [Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212 (United States)

    2007-03-07

    Initial treatment outcome data from our institution for stage I non-small cell lung cancer (NSCLC) patients have shown that sublobar resection in combination with iodine-125 (I-125) brachytherapy is associated with recurrence rates of 2.0%, compared to 18.6% with sublobar resection alone. In this work, the technical and dosimetric aspects required to execute this procedure from the radiation oncology perspective as well as an analysis of the dose distributions of patients treated with this technique are presented. In this treatment technique, I-125 seeds in vicryl suture are embedded into vicryl mesh and surgically inserted providing a 2.0 cm margin on each side of the resection staple line. A nomogram is developed to determine the suture spacing in the vicryl mesh, as a function of seed activity in order to deliver 120 Gy at a distance of 0.5 cm above and below the seed array. Post-operative dosimetry consists of a CT-based planning and dose volume analysis. Dose distributions, dose volume histograms and mean dose data for lung are analysed in a group of patients. Dosimetric results show significant lung sparing with only a small volume of lung irradiated for all patients with mean lung dose values ranging from 1.5 Gy to 5.4 Gy. Lung brachytherapy with I-125 at the time of sublobar resection is a highly conformal option of dose delivery for stage I NSCLC patients with compromised physiologic reserve. Patient-related toxicity clinically measured by loss of pulmonary function and radiation-induced pneumonitis have not been linked to this procedure.

  20. Dosimetric and technical aspects of intraoperative I-125 brachytherapy for stage I non-small cell lung cancer

    Science.gov (United States)

    Johnson, Mark; Colonias, Athanasios; Parda, David; Trombetta, Mark; Gayou, Olivier; Reitz, Bodo; Miften, Moyed

    2007-03-01

    Initial treatment outcome data from our institution for stage I non-small cell lung cancer (NSCLC) patients have shown that sublobar resection in combination with iodine-125 (I-125) brachytherapy is associated with recurrence rates of 2.0%, compared to 18.6% with sublobar resection alone. In this work, the technical and dosimetric aspects required to execute this procedure from the radiation oncology perspective as well as an analysis of the dose distributions of patients treated with this technique are presented. In this treatment technique, I-125 seeds in vicryl suture are embedded into vicryl mesh and surgically inserted providing a 2.0 cm margin on each side of the resection staple line. A nomogram is developed to determine the suture spacing in the vicryl mesh, as a function of seed activity in order to deliver 120 Gy at a distance of 0.5 cm above and below the seed array. Post-operative dosimetry consists of a CT-based planning and dose volume analysis. Dose distributions, dose volume histograms and mean dose data for lung are analysed in a group of patients. Dosimetric results show significant lung sparing with only a small volume of lung irradiated for all patients with mean lung dose values ranging from 1.5 Gy to 5.4 Gy. Lung brachytherapy with I-125 at the time of sublobar resection is a highly conformal option of dose delivery for stage I NSCLC patients with compromised physiologic reserve. Patient-related toxicity clinically measured by loss of pulmonary function and radiation-induced pneumonitis have not been linked to this procedure.

  1. Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy.

    Science.gov (United States)

    Felli, Emanuele; Brunetti, Francesco; Disabato, Mara; Salloum, Chady; Azoulay, Daniel; De'angelis, Nicola

    2014-01-01

    Right colon cancer rarely presents as an emergency, in which bowel occlusion and massive bleeding are the most common clinical presentations. Although there are no definite guidelines, the first line treatment for massive right colon cancer bleeding should ideally stop the bleeding using endoscopy or interventional radiology, subsequently allowing proper tumor staging and planning of a definite treatment strategy. Minimally invasive approaches for right and left colectomy have progressively increased and are widely performed in elective settings, with laparoscopy chosen in the majority of cases. Conversely, in emergent and urgent surgeries, minimally invasive techniques are rarely performed. We report a case of an 86-year-old woman who was successfully treated for massive rectal bleeding in an urgent setting by robotic surgery (da Vinci Intuitive Surgical System®). At admission, the patient had severe anemia (Hb 6 g/dL) and hemodynamic stability. A computer tomography scanner with contrast enhancement showed a right colon cancer with active bleeding; no distant metastases were found. A colonoscopy did not show any other bowel lesion, while a constant bleeding from the right pre-stenotic colon mass was temporarily arrested by endoscopic argon coagulation. A robotic right colectomy in urgent setting (within 24 hours from admission) was indicated. A three-armed robot was used with docking in the right side of the patient and a fourth trocar for the assistant surgeon. Because of the patient's poor nutritional status, a double-barreled ileocolostomy was performed. The post-operative period was uneventful. As the neoplasia was a pT3N0 adenocarcinoma, surveillance was decided after a multidisciplinary meeting, and restoration of the intestinal continuity was performed 3 months later, once good nutritional status was achieved. In addition, we reviewed the current literature on minimally invasive colectomy performed for colon carcinoma in emergent or urgent setting. No

  2. Does infliximab prevent colectomy in acute and chronic active ulcerative colitis?

    DEFF Research Database (Denmark)

    Dan-Nielsen, Steffen; Wewer, Anne Vibeke; Paerregaard, Anders

    2014-01-01

    OBJECTIVES: The aim of the study was to evaluate clinical response, use of colectomy, and adverse events related to infliximab (IFX) treatment in acute and chronic active ulcerative colitis (UC) in children. METHODS: Children from 3 centers, who had received IFX for UC, were identified, and patie...

  3. Effects of subtotal colectomy on bacterial translocation during experimental acute pancreatitis

    NARCIS (Netherlands)

    van Minnen, LP; Nieuwenhuijs, VB; de Bruijn, MT; Verheem, A; Visser, MR; van Dijk, JE; Akkermans, LMA; Gooszen, HG

    2006-01-01

    Objectives: The colon is considered a major source of bacteria causing infection of pancreatic necrosis in acute pancreatitis (AP). Subtotal colectomy before AP in rats reduces mortality, but its role in affecting small bowel flora, bacterial translocation, and infection of pancreatic necrosis is un

  4. Laparoscopic and open subtotal colectomies have similar short-term results

    NARCIS (Netherlands)

    Hoogenboom, Froukje J.; Bosker, Robbert J. I.; Groen, Henk; Meijerink, Wilhelmus J. H. J.; Lamme, Bas; Pierie, Jean Pierre E. N.

    2013-01-01

    Background: Laparoscopic subtotal colectomy (STC) is a complex procedure. It is possible that short-term benefits for segmental resections cannot be attributed to this complex procedure. This study aims to assess differences in shortterm results for laparoscopic versus open STC during a 15year

  5. Lanreotide Autogel in the Treatment of Persistent Diarrhea following a Total Colectomy.

    Science.gov (United States)

    Schoeters, Patrick; De Pooter, Karl

    2015-01-01

    Diarrhea is one of the most common complications following colectomy in patients with slow transit constipation (STC). Early postoperative diarrhea is usually treated with opioid agonists; however, to date, published data on the management of persistent diarrhea after colectomy for STC are scarce. Here, we report a case of severe diarrhea after a total colectomy with ileorectal anastomosis. One year after the surgery, the patient presented with persistent diarrhea. Treatment with a long-acting somatostatin analogue, lanreotide Autogel, was initiated. One month after the first injection of lanreotide Autogel the diarrhea was resolved. The patient's stool transit was markedly improved (type 4 or type 5 according to the Bristol Stool Chart compared to type 7 before the treatment), positively affecting the patient's quality of life (mean score of 2.1 on the Irritable Bowel Syndrome Quality of Life questionnaire compared to 3.9 before the treatment). This case report describes a successful use of lanreotide Autogel in a patient with persistent diarrhea after a total colectomy.

  6. Lanreotide Autogel in the Treatment of Persistent Diarrhea following a Total Colectomy

    Directory of Open Access Journals (Sweden)

    Patrick Schoeters

    2015-01-01

    Full Text Available Diarrhea is one of the most common complications following colectomy in patients with slow transit constipation (STC. Early postoperative diarrhea is usually treated with opioid agonists; however, to date, published data on the management of persistent diarrhea after colectomy for STC are scarce. Here, we report a case of severe diarrhea after a total colectomy with ileorectal anastomosis. One year after the surgery, the patient presented with persistent diarrhea. Treatment with a long-acting somatostatin analogue, lanreotide Autogel, was initiated. One month after the first injection of lanreotide Autogel the diarrhea was resolved. The patient’s stool transit was markedly improved (type 4 or type 5 according to the Bristol Stool Chart compared to type 7 before the treatment, positively affecting the patient’s quality of life (mean score of 2.1 on the Irritable Bowel Syndrome Quality of Life questionnaire compared to 3.9 before the treatment. This case report describes a successful use of lanreotide Autogel in a patient with persistent diarrhea after a total colectomy.

  7. Diffuse enteritis after colectomy for ulcerative colitis : two case reports and review of the literature

    NARCIS (Netherlands)

    Corporaal, Sietske; Karrenbeld, Arend; van der Linde, Klaas; Voskuil, Jan H; Kleibeuker, Jan H; Dijkstra, Gerard

    2009-01-01

    Ulcerative colitis (UC) is an inflammatory disease of the colon. Involvement of the small bowel is limited to backwash ileitis or pouch-related conditions. Here, we report two men with UC who presented with small bowel inflammation and even perforation, within 1 month after subtotal colectomy. Endos

  8. Total colectomy in older patients with acute malignant obstruction of the left-sided colons

    Institute of Scientific and Technical Information of China (English)

    Milivoje Vukovi; Neboja Moljevi; Sinia Crnogorac

    2013-01-01

    Objective: The older population is one of the fastest growing segments of Serbian society. The aging population is also present in developed countries. Demographics the oldest region in the world is Europe. Serbia by the number colorectal cancer suffering among the countries with high risk of disease. In 2006. the number of new cases was around 4 000. Methods: In study retrospective review of 81 patients with malignant obstruction of the left-sided colon, where it underwent a total colectomy. Symptoms and signs of acute obstruction of the left-sided colon are complemented with radiological examination in all patients. The compulsory part of the preoperative examination digitorectal exam how to assess the function of the sphincter apparatus in terms of continence, and to view the rectum and the exclusion of the tumor. In poorly functioning sphincter apparatus was performed Hartmann's procedure, in order to avoid postoperative incontinence. Results: The primary anastomosis rate of 81% in the elderly and 83% of younger patients. In younger group 31 patients underwent a total colectomy with anastomosis and 6 total colectomy with end ileostomy. In older group there were 36 total colectomy with anastomosis and 8 with total colectomy with end ileostomy. Anastomotic leak occurred in 4 patients of elderly group and 2 patients in the younger group. Mortality (30 d) in the older group was 3 patients who had ASA IV, and younger group 2 patients (1 patient ASA III, 1 patients ASA IV). Of the 3 patients died from the older group, 2 patients were end ileostomy.Conclusions:Emergency resection and primary anastomosis for left-sided colon carcinoma can be performed with favorable outcome in the elderly. Years of age are not a decisive prognostic factor in colorectal surgery. The surgeon has a duty of careful selection of patients for resection with anastomosis for malignant obstruction of the left-sided colon, with adequate preoperative preparation and postoperative monitoring.

  9. Technical aspects of pediatric epilepsy surgery: Report of a multicenter, multinational web-based survey by the ILAE Task Force on Pediatric Epilepsy Surgery.

    Science.gov (United States)

    Cukiert, Arthur; Rydenhag, Bertil; Harkness, William; Cross, J Helen; Gaillard, William D

    2016-02-01

    Surgical techniques may vary extensively between centers. We report on a web-based survey aimed at evaluating the current technical approaches in different centers around the world performing epilepsy surgery in children. The intention of the survey was to establish technical standards. A request was made to 88 centers to complete a web-based survey comprising 51 questions. There were 14 questions related to general issues, 13 questions investigating the different technical aspects for children undergoing epilepsy surgery, and 24 questions investigating surgical strategies in pediatric epilepsy surgery. Fifty-two centers covering a wide geographic representation completed the questionnaire. The median number of resective procedures per center per year was 47. Some important technical practices appeared (>80% of the responses) such as the use of prophylactic antibiotics (98%), the use of high-speed drills for bone opening (88%), nonresorbable material for bone flap closure (85%), head fixation (90%), use of the surgical microscope (100%), and of free bone flaps. Other questions, such as the use of drains, electrocorticography (ECoG) and preoperative withdrawal of valproate, led to mixed, inconclusive results. Complications were noted in 3.8% of the patients submitted to cortical resection, 9.9% hemispheric surgery, 5% callosotomy, 1.8% depth electrode implantation, 5.9% subdural grids implantation, 11.9% hypothalamic hamartoma resection, 0.9% vagus nerve stimulation (VNS), and 0.5% deep brain stimulation. There were no major differences across regions or countries in any of the subitems above. The present data offer the first overview of the technical aspects of pediatric epilepsy surgery worldwide. Surprisingly, there seem to be more similarities than differences. That aside many of the evaluated issues should be examined by adequately designed multicenter randomized controlled trials (RCTs). Further knowledge on these technical issues might lead to increased

  10. Initial experience of robotic versus laparoscopic colectomy for transverse colon cancer: a matched case-control study.

    Science.gov (United States)

    de'Angelis, Nicola; Alghamdi, Salah; Renda, Andrea; Azoulay, Daniel; Brunetti, Francesco

    2015-10-09

    Robotic surgery for transverse colon cancer has rarely been described. This study reports our initial experience in robotic resection for transverse colon cancer, by comparing robotic transverse colectomy (RC) to laparoscopic transverse colectomy (LC) in terms of safety, feasibility, short-term outcomes, and the surgeon's psychological stress and physical pain. The study population included the first 22 consecutive patients who underwent RC between March 2013 and December 2014 for histologically confirmed transverse colon adenocarcinoma. These patients were compared with 22 matched patients undergoing LC between December 2010 and February 2013. Patients were matched based on age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, American Joint Committee on Cancer (AJCC) tumor stage, and tumor location (ratio 1:1). Mortality, morbidity, operative, and short-term oncologic outcomes were compared between groups. The operating surgeon's stress and pain were assessed before and after surgery on a 0-100-mm visual analog scale. The demographic and preoperative characteristics were comparable between RC and LC patients. No group difference was observed for intraoperative complications, blood loss, postoperative pain, time to flatus, time to regular diet, and hospital stay. RC was associated with longer operative time than LC (260 min vs. 225 min; p = 0.014), but the overall operative and robotic time in the RC group decreased over time reflecting the increasing experience in performing this procedure. No conversion to laparotomy was observed in the RC group, while two LC patients were converted due to uncontrolled bleeding and technically difficult middle colic pedicle dissection. Postoperative complications (Dindo-Clavien grade I or II) occurred in 11.3 % of patients with no group difference. Mortality was nil. All resections were R0, with >12 lymph nodes harvested in 90.9 % of RC and 95.5 % of LC patients. The surgeon's stress was

  11. Outcome of patients with primary sclerosing cholangitis and ulcerative colitis undergoing colectomy

    Institute of Scientific and Technical Information of China (English)

    Sombat; Treeprasertsuk; Einar; Bjrnsson; Emmanouil; Sinakos; Emma; Weeding; Keith; D; Lindor

    2013-01-01

    AIM:To study the outcomes of primary sclerosing cholangitis(PSC) patients with ulcerative colitis(UC) undergoing colectomy.METHODS:We identified 193 patients with PSC and UC undergoing colectomy at the Mayo Clinic(Rochester,MN,United States),between January 1,1995 and December 31,2008 using a computerized record system.Eighty-nine patients were excluded due to unclear diagnosis,liver transplantation prior to colectomy,age less than 18 years,inadequate follow-up data or known cases of cholangiocarcinoma.We retrospectively reviewed data from patient medical records.Clinical information,date of colectomy,preoperative and follow-up liver tests and pathological findings of the colon were reviewed.The Mayo risk score at baseline was calculated to obtain survival estimates for up to 4 years of follow-up.The primary endpoint was defined by the presence of all-cause mortality and/or liver decompensation requiring liver transplantation.All patients who did not have a clinical note on December 31,2008 were considered as patients with an incomplete follow-up unless they reached a study endpoint(death or underwent liver transplantation) prior to that date.The study was approved by the Institutional Review Boards of the Mayo Clinic.RESULTS:Of the 2441 patients with PSC observed in this period,104 patients(4.3%) had UC and underwent colectomy and were included.The median age was 43.2 years,and 67% were male.The leading indications for colectomy were severe colonic inflammation(49%),the presence of colonic dysplasia during routine surveillance(42%) and bowel perforation(3%).Twenty-six patients were lost to follow-up after a median duration of 3.9 years.The remaining 78 patients included 52 patients(66.7%) who were followed for a median duration of 5.5 years and 26 patients(33.3%) who developed primary endpoints including death(n = 13) or underwent liver transplantation(n = 13) with a median follow up of 2.6 years.For the secondary endpoint,the liver complications within 1 mo

  12. Single-incision laparoscopic colectomy without using special articulating instruments: an initial experience

    Directory of Open Access Journals (Sweden)

    Trakarnsanga Atthaphorn

    2011-12-01

    Full Text Available Abstract Background Single-incision laparoscopic colectomy (SILC was introduced as a novel minimally invasive technique. The benefits of this technique include reducing number of the incision and cosmetic improvement. Unlike the conventional laparoscopic colectomy, majority of previously reported SILC need to be performed using special curved or articulated instruments. The purpose of this study is to demonstrate our initial experience of SILC, which could be performed using the standard laparoscopic instruments. Material and methods Retrospective review of 14 patients who underwent SILC at Siriraj Hospital from May to December 2010, patient's demographic data, perioperative outcomes, early postoperative complications and pathological data were collected and analyzed. Results The mean age of all patients was 60 years. The most common operation with SILC was sigmoidectomy (n = 9, followed by right hemicolectomy (n = 2, left hemicolectomy (n = 1, anterior resection (n = 1, and total colectomy (n = 1. The trocar insertion techniques were multi-fascial incision using regular port (n = 11 and GelPOINT® (n = 3. The mean operative time was 155 minutes (range 90-280 and the mean estimate blood loss was 32.1 mL (range 10-100. All patients were successfully operated without conversion. The mean length of hospital stay was 9 days (range 5-20. There was no mortality. The pathological results revealed colorectal cancer (n = 12, neoplastic polyp (n = 1 and Familial adenomatous polyposis (FAP (n = 1. The mean number of lymph nodes retrieval was 16.6 (range 3-34. Conclusion SILC can successfully and safely be performed with standard laparoscopic instruments. This technique might be an alternative procedure to conventional laparoscopic colectomy with better cosmetic result.

  13. Happy Culture:A New Ecological Aspect of Modern Technical Education%快乐文化:现代技工教育生态新思维

    Institute of Scientific and Technical Information of China (English)

    张可安

    2013-01-01

    Happy culture refers to the human society in the history of practice in the creation of material wealth and spiritual wealth of the exposed better posture or vivid feeling. This article from the spiritual ecology ecological system, material, ecological and behavioral ecology four aspects of modern technical education ecology culture construction of modern technical education happy; happy cultural ecology, to modern technical college students psychology, work efficiency and learning have a positive effect, to promote modern technical education develop-ment has very important significance.%  快乐文化指的是人类在社会历史实践中所创造的物质财富和精神财富所显露的美好的姿态或生动的意态。从精神生态、物质生态、制度生态和行为生态四个方面阐述现代技工教育生态的快乐文化,指出构建现代技工教育快乐文化生态,对现代技工院校的师生心理、工作学习效率等都有积极的影响,对促进现代技工教育发展具有十分重要的意义。

  14. Technical feasibility and economics of tertiary oil recovery combined with hydrogen recovery from the resulting petroleum gas. Vol. 1. Technical aspects. Technische Machbarkeit und Wirtschaftlichkeit der kombinierten Tertiaeroelfoerderung mit Wasserstoffgewinnung aus dem anfallenden Erdoelgas. Bd. 1. Technik

    Energy Technology Data Exchange (ETDEWEB)

    1987-06-01

    The report investigates the technical feasibility of using the HTR modular reactor for steam supply to tertiary oil recovery, and for hydrogen recovery from the resulting petroleum gas. The report focusses on the design of the two main components, HTR modular reactor with a steam generator, and HTR modular reactor with a steam reformer, and on explaining the alternative system concepts feasible by varying the mode of combination of the two main components. Also, the design concept of a system for heat transport using nuclear long-distance energy (ADAM and EVE) is explained. The technical aspects of the required water treatment system and of the gas production unit for hydrogen recovery are discussed. (orig.).

  15. Technical-economical, agronomical, pedological, hygienic and normative aspects of municipal wastewater sludges; Aspetti tecnico-economici, agronomici, pedologici, igienico-sanitari e normativi dei fanghi di depurazione civile

    Energy Technology Data Exchange (ETDEWEB)

    Ottavi, C. [ENEA, Rome (Italy). Dip. Ambiente; Ottaviani, M. [Istituto Superiore di Sanita, Rome (Italy). Lab. di Igiene Ambientale; Figliolia, A. [Istituto Sperimentale per la Nutrizione delle Piante, Rome (Italy)

    1995-12-01

    This review is intended to give an overview on the technical, economical, agronomical, pedological and hygienic aspects of sludges from treatment plants of civil wastewater, Both Italian and European regulations on the sludge disposal are considered.

  16. Technical evaluation of the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Haddam Neck Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Laudenbach, D.H.

    1979-03-01

    The technical evaluation of the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Haddam Neck Nuclear Power Plant is presented. Design basis criteria used to evaluate the acceptability of the system included operator action, system testability, single failure criterion, and seismic Category I and IEEE Std-279-1971 criteria. This report is supplied as part of the Selected Electrical, Instrumentation, and Control Systems Issues Support Program being conducted for the U.S. Nuclear Regulatory Commission by Lawrence Livermore Laboratory.

  17. Technical evaluation of the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Point Beach Nuclear Power Plant, Units 1 and 2

    Energy Technology Data Exchange (ETDEWEB)

    Laudenbach, D.H.

    1979-03-01

    The technical evaluation is presented for the electrical, instrumentation, and control design aspects of the low temperature overpressure protection system for the Point Beach nuclear power plant, Units 1 and 2. Design basis criteria used to evaluate the acceptability of the system included operator action, system testability, single failure criterion, and seismic Category I and IEEE Std-279-1971 criteria. This report is supplied as part of the Selected Electrical, Instrumentation, and Control Systems Issues Support Program being conducted for the U.S. Nuclear Regulatory Commission by Lawrence Livermore Laboratory.

  18. Short and long-term outcomes of laparoscopic colectomy in obese patients.

    Science.gov (United States)

    Vignali, Andrea; De Nardi, Paola; Ghirardelli, Luca; Di Palo, Saverio; Staudacher, Carlo

    2013-11-14

    To investigate the impact of laparoscopic colectomy on short and long-term outcomes in obese patients with colorectal diseases. A total of 98 obese (body mass index > 30 kg/m(2)) patients who underwent laparoscopic (LPS) right or left colectomy over a 10 year period were identified from a prospective institutionally approved database and manually matched to obese patients who underwent open colectomy. Controls were selected to match for body mass index, site of primary disease, American Society of Anesthesiologists score, and year of surgery (± 3 year). The parameters analyzed included age, gender, comorbid conditions, American Society of Anaesthesiologists class, diagnosis, procedure, and duration of operation, operative blood loss, and amount of homologous blood transfused. Conversion rate, intra and postoperative complications as were as reoperation rate, 30 d and long-term morbidity rate were also analyzed. For continuous variables, the Student's t test was used for normally distributed data the Mann-Whitney U test for non-normally distributed data. The Pearson's χ(2) tests, or the Fisher exact test as appropriate, were used for proportions. Conversion to open surgery was necessary in 13 of 98 patients (13.3%). In the LPS group, operative time was 29 min longer and blood loss was 78 mL lower when compared to open colectomy (P = 0.03, P = 0.0001, respectively). Overall morbidity, anastomotic leak and readmission rate did not significantly differ between the two groups. A trend toward a reduction of wound complications was observed in the LPS when compared to open group (P = 0.09). In the LPS group, an earlier recovery of bowel function (P = 0.001) and a shorter length of stay (P = 0.03) were observed. After a median follow-up of 62 (range 12-132) mo 23 patients in the LPS group and 38 in the open group experienced long-term complications (LPS vs open, P = 0.03). Incisional hernia resulted to be the most frequent long-term complication with a significantly

  19. Review and comment on the advanced spent fuel management process (1): Technical aspects and non-proliferation concerns

    Energy Technology Data Exchange (ETDEWEB)

    Song, Yo Taik

    2001-01-01

    Efforts are made to analyze the project, the Advanced Spent Fuel Management Technology (ASFMT), which is currently carried out at Korea Atomic Energy Research Institute, on the technical feasibility and validity as well as on the nuclear non-proliferation concerns. The project is a part of a program under the 'Long and Midterm Nuclear Development Program'. On the technical analysis, reviewed the papers presented at the national and international meetings on the subject by KAERI staffs, and also participated to various technical discussions on the 'Mock-up Test', currently in progress. On the non-proliferation concerns, the ASFMT project was reviewed and analyzed in reference to various programs currently in progress or in a formulation stages in US, such as the DOE TOPS and ATW. Further reviewed the past JASNEC process and programs for possible application of the ASFMT project for JASNEC project. Provided a few thoughts for effectively carrying out the ASFMT project, and a plan for the next phase is presented.

  20. Reed harvesting from wetlands for bioenergy : technical aspects, sustainability and economic viability of reed harvesting in Ukraine

    NARCIS (Netherlands)

    Sluis, van der T.; Poppens, R.P.; Kraisvitnii, P.; Rii, O.; Lesschen, J.P.; Galytska, M.; Elbersen, H.W.

    2013-01-01

    In this report the different aspects of reed and reed lands are discussed related to sustainable harvesting of biomass. This is based on a pilot project for Poltava Oblast, funded by Agency NL of the Dutch Ministry of Economic Affairs. Within the ‘Pellets for Power project’ several areas were

  1. Allogeneic transplantation of the radial side of the hand in the rhesus monkey : technical, functional and immunological aspects.

    NARCIS (Netherlands)

    S.E.R. Hovius (Steven); H.P.J.D. Stevens (Jeroen)

    1991-01-01

    textabstractAs this is the era of transplantation it is inevitable that the field of allogeneic transplantation for the reconstruction of the upper extremity is explored also. This double-thesis deals with a number of aspects concerning allogeneic transplantation of the radial side of the hand in a

  2. Technical aspects of typing for HLA-DP alleles using allele-specific DNA in vitro amplification and sequence-specific oligonucleotide probes. Detection of single base mismatches

    DEFF Research Database (Denmark)

    Fugger, L; Morling, N; Ryder, L P

    1990-01-01

    The polymerase chain reaction (PCR) is an effective method for in vitro DNA amplification which combined with probing with synthetic oligonucleotides can be used for, e.g., HLA-typing. We have studied the technical aspects of HLA-DP typing with the technique. DNA from mononuclear nucleated cells ...... mismatches may be detected in the PCR and typing for HLA-DP gene variants, which differ for only one base, may be performed.......The polymerase chain reaction (PCR) is an effective method for in vitro DNA amplification which combined with probing with synthetic oligonucleotides can be used for, e.g., HLA-typing. We have studied the technical aspects of HLA-DP typing with the technique. DNA from mononuclear nucleated cells...... was extracted with either a simple salting out method or phenol/chloroform. Both DNAs could be readily used for PCR. The MgC2 concentration of the PCR buffer and the annealing temperature of the thermal cycle of the PCR were the two most important variables. The MgCl2 concentration and the temperature must...

  3. [Strategy for technical evaluation in radiation oncology: methodological and ethical aspects, the French society for radiation oncology's opinion].

    Science.gov (United States)

    Chauvet, B; Mornex, F; Mahé, M-A

    2014-10-01

    Evidence-based medicine is a paradigm founded on a hierarchy of research design, accepted as a dogma. Applied to radiation oncology, and specifically to radiotherapy technical comparisons, evidence-based medicine implies methodological and ethical problems. The concept of "incremental" evolution and the dosimetric evidence are proposed as an acceptable alternative to comparative clinical trials if total dose, time, fractionation, and target volumes are not modified. For other situations, either randomized comparative trials or observational studies are needed. When randomized comparative trials are not possible, observational studies, whose validity can be enhanced by appropriate methodology, must be considered as a valid method. Copyright © 2014 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.

  4. Influence of obesity on the short-term outcome of laparoscopic colectomy for colorectal cancer

    Directory of Open Access Journals (Sweden)

    Sakamoto Kazuhiro

    2007-01-01

    Full Text Available Purpose: Obesity has been generally associated with increased surgical risk. However, data on the outcome of laparoscopic colectomy in obese and non-obese patients are controversial. The aim of this study is to assess the short-term outcome of laparoscopic colectomy for colorectal cancer (CRC in obese patients as compared with non-obese patients. Materials and Methods: Sixty-nine patients who underwent laparoscopic anterior resection for CRC during the past six years were retrospectively evaluated. The patients with CRC involving the sigmoid or rectosigmoid colon and subjected to intracorporeal anastomosis were included in this study. They were divided into three groups according to body mass index (BMI: obese (BMI ≥ 28.0 kg/m 2 , pre-obese (BMI: 25.0-27.9 kg/m 2 and non-obese (BMI < 25.0 kg/m 2 . Results: Nine patients (13.0 % were obese, 11 patients (15.9% were pre-obese and 49 patients (71.1% were non-obese. Patient characteristics, such as age, gender, tumor location, previous laparotomy, were similar among the three groups. There were no significant differences in operative time, blood loss, intraoperative complications and conversion rates. Postoperative complications and duration of postoperative hospital stay were also similar among the three groups. However, two of the three patients in the pre-obese group had to be operated on again due to incarceration of the small bowel into a port site. Conclusions: Laparoscopic colectomy can be safely performed in obese patients with short-term results similar to those obtained in non-obese and pre-obese patients.

  5. Emergency colectomy for fulminant Clostridium difficile colitis: Striking the right balance.

    Science.gov (United States)

    Osman, Khalid A; Ahmed, Mohamed H; Hamad, Mahir A; Mathur, Dilip

    2011-10-01

    The number of reported cases of Clostridium difficile (CD) infections has increased markedly worldwide. CD causes a spectrum of clinical syndromes, ranging from mild diarrhea to a very severe illness in the form of pseudomembranous colitis (PMC), toxic megacolon, leading to colonic perforation, peritonitis, and even death. In today's practice, toxic megacolon is more often caused by pseudomembranous colitis than ulcerative colitis. There is urgent need to establish clear guidelines about how and when to refer patients with fulminant CD colitis to surgeons. Furthermore, there is no strict protocol for the timing of surgical intervention. The aim of this review is to review the available evidence about the criteria for referral to surgeons and timing for surgery. Medline search was carried out for articles published on fulminant CD colitis with emergency colectomy from 1966 to 2010. There were no prospective randomized trails. All retrospective cohort and case control studies were included. We excluded case reports, letters, and studies with less than five patients. Our search showed that patients with confirmed or suspected CD who failed to respond to maximum medical therapy and develop three of the following should be referral for surgical assessment: abdominal pain, abdominal distension, localized tenderness, pyrexia >38°C, and tachycardia >100 beats per minute. In addition to the above, if the patient is above 65 years old and develops four of the following, they should be considered for an emergency colectomy: WBC >16 × 10⁹/l, lactate >2.2 mmol/l, albumin colitis in spite of maximum anti-clostridial therapy. Colectomy still carries a high mortality rate; however, timely surgical intervention in fulminant CD colitis (FCDC) prevents many deaths in selected cases. In the absence of published prospective multicenter trial, we suggest that our criteria may enhance early diagnosis and consideration of early referral for surgery. Ultimately, this may reduce the

  6. Colorectal cancer associated with abdominal aortic aneurysm: results of EVAR followed by colectomy.

    Science.gov (United States)

    Illuminati, Giulio; Ceccanei, Gianluca; Pacilè, Maria A; Pizzardi, Giulia; Palumbo, Piergaspare; Vietri, Francesco

    2013-01-01

    The association of colorectal cancer and abdominal aortic aneurysm (AAA) is infrequent but poses special problems of priority of treatment under elective circumstances. The purpose of this study was to retrospectively evaluate the outcome of 16 consecutive patients undergoing endovascular aneurysm repair (EVAR) followed by colectomy. Operative mortality was nil. Operative morbidity included two transient rise of serum creatinine level and one extraperitoneal anastomotic leakage which evolved favourably with conservative treatment. EVAR allowed a very short delay of treatment of colorectal cancer after aneurysm repair, minimizing operative complications.

  7. Use of infliximab in the prevention and delay of colectomy in severe steroid dependant and refractory ulcerative colitis

    Institute of Scientific and Technical Information of China (English)

    Robert P Willert; Ian Craig Lawrance

    2008-01-01

    AIM: To determine if infliximab can prevent or delay surgery in refractory ulcerative colitis (UC).METHODS: UC patients who failed to have their disease controlled with conventional therapies and were to undergo colectomy if infliximab failed to induce a clinical improvement were reviewed.Patients were primarily treated with a single 5 mg/kg infliximab dose.The Colitis Activity Index (CAI) was used to determine response and remission.Data of 8 wk response and colectomy rates at 6 mo and 12 mo were collected.RESULTS: Fifteen patients were included, 7 with UC unresponsive or intolerant to IV hydrocortisone, and 8 with active disease despite oral steroids (all but one with therapeutic dosage and duration of immunomodulation).All the Ⅳ hydrocortisone-resistant/intolerant patients had been on azathioprine/6-MP < 8 wk.At 8 wk, infliximab induced a response in 86.7% (13/15) with 40% in remission (6/15).Within 6 mo of treatment 26.7% (4/15)had undergone colectomy and surgery was avoided in 46.6% (7/15) at 12 mo.The colectomy rate at 12 mo in those on immunomodulatory therapy < 8 wk at time of infliximab was 12.5% (1/8) compared with 100%(7/7) in patients who were on long-term maintenance immunomodulators (P < 0.02).CONCLUSION: Infliximab prevented colectomy due to active disease in immunomodulatory-naive, refractory UC patients comparable to the use of Cyclosporine.In patients, however, on effective dosage and duration of immunomodulation at time of infliximab therapy colectomy was not avoided.

  8. Sigmoid Colectomy for Acute Diverticulitis in Immunosuppressed vs Immunocompetent Patients: Outcomes From the ACS-NSQIP Database.

    Science.gov (United States)

    Al-Khamis, Ahmed; Abou Khalil, Jad; Demian, Marie; Morin, Nancy; Vasilevsky, Carol-Ann; Gordon, Philip H; Boutros, Marylise

    2016-02-01

    The management of acute diverticulitis in immunosuppressed patients is increasingly debated. The appropriate timing and type of operation remains controversial. This study examines the impact of immunosuppression on mortality and morbidity following colectomies for diverticulitis in the emergency and elective settings. With the use of the American College of Surgeons National Surgical Quality Improvement Program database, the outcomes of immunosuppressed compared with immunocompetent patients who underwent colectomy for acute diverticulitis were compared. The multi-institutional database was queried for patients who underwent colectomy for acute diverticulitis from 2005 to 2012. The impact of immunosuppression on mortality, major morbidity, organ space infection, infectious complications, and wound dehiscence was assessed. Of 26,987 patients, 1332 were immunosuppressed and 25,655 were immunocompetent; 4271 patients had emergency (596 immunosuppressed and 3675 immunocompetent) and 22,716 patients had elective (736 immunosuppressed and 21,980 immunocompetent) colectomies for diverticulitis. In both groups, mortality and major morbidity were significantly higher in the emergency (immunosuppressed 16% and 45%, immunocompetent 4% and 28%) compared with the elective setting (immunosuppressed 2% and 25%, immunocompetent 0.4% and 12%), p < 0.001. On multivariate regression for the emergency setting, immunosuppression significantly increased mortality (OR, 1.79; 95% CI, 1.17-2.75) and did not significantly increase morbidity. On multivariate regression for the elective setting, mortality was similar in immunosuppressed and immunocompetent groups; however, major morbidity (OR, 1.46; 95% CI, 1.17-1.83) and wound dehiscence (OR, 2.69; 95% CI, 1.63-4.42) were significantly increased in immunosuppressed compared with immunocompetent patients. The retrospective design and standardized outcomes are based on heterogeneous data. Emergency colectomy for diverticulitis is associated

  9. Technical Aspects of Implanting the t-Branch Off-the-Shelf Multibranched Stent-Graft for Thoracoabdominal Aneurysms.

    Science.gov (United States)

    Tsilimparis, Nikolaos; Fiorucci, Beatrice; Debus, Eike Sebastian; Rohlffs, Fiona; Kölbel, Tilo

    2017-06-01

    To describe the planning and technique for implantation of the t-Branch off-the-shelf multibranched aortic endograft. Total endovascular repair of thoracoabdominal aneurysms (TAAAs) with branched endografts is one of the most important paradigm shifts in the past decade. The t-Branch endograft, an off-the-shelf multibranched graft introduced in the European market in late 2012, allows treatment of patients with suitable anatomy in both the elective and urgent settings to avoid delays related to manufacturing time of custom-made devices. The steps required for the planning and implantation of the device are described, including some tips and tricks. The use of an off-the-shelf multibranched device is an appealing option in the treatment of TAAAs, especially in the acute setting. Nevertheless, results of complex aortic repairs with this specific device are associated with a learning curve and can be improved by identifying a number of intraoperative risks and paying heed to several technical details.

  10. Comparison of Return of Bowel Function and Length of Stay in Patients Undergoing Laparoscopic Versus Open Colectomy

    Science.gov (United States)

    Jones, Mark W.; Hunt, Dan L.; Lane, Mindy K.

    2007-01-01

    Background: Over the last decade, many advances have been made in laparoscopic techniques in various surgical specialties. The technique of laparoscopic-assisted colectomy (LAC) has been reported since 1992 and has been slowly gaining popularity in the surgical community. Several studies have compared laparoscopic versus open colectomy, assessing its applicability to patients with colon cancer, Crohn's disease, and diverticular disease. Studies to date have assessed length of stay, operative time, and clinical outcome. This study focuses on return of bowel function and length of hospital stay in patients undergoing LAC compared with those undergoing open colectomy. Methods: We performed a retrospective review of patients undergoing either open colon resection or LAC between January 2000 and December 2005. All disease processes and both emergent and elective cases were included. Return of bowel function was determined by passage of flatus or first passage of stool and compared between the 2 groups. The data were statistically analyzed using the Student t test for interval data, and nominal data were analyzed using the chi-square analysis (95% confidence interval; CI). Results: The study included 247 patients; 179 (72.5%) underwent open colectomy and 68 (27.5%) underwent LAC. Passage of flatus took 3.6 days (95% CI .18 or 3.4 to 3.8) for open colectomy, and 2.9 days (95% CI .19 or 2.7 to 3.1) for LAC. First bowel movement took 4.4 days (95% CI .19 or 4.2 to 4.6) for open colectomy and 3.7 days (95% CI .22 or 3.5 to 3.9) for LAC. When compared between the groups, mean length of hospital stay was 8.01 days (95% CI .93 or 7.1 to 8.9) for open colectomy and 4.38 days (95% CI .38 or 4.0 to 4.8) for LAC. Conclusion: Both return of bowel function and length of stay were statistically significantly shorter in LAC compared with those in open colectomy, which may indicate faster recovery after bowel surgery in patients undergoing the laparoscopic approach. PMID:17651560

  11. The Brazilian psychiatric reform: historical and technical-supportive aspects of experiences carried out in the cities of São Paulo, Santos and Campinas

    Directory of Open Access Journals (Sweden)

    Cristina Amélia Luzio

    2007-01-01

    Full Text Available The Brazilian psychiatric reform: historical and technical-supportive aspects of experiences carried out in the cities of São Paulo (capital, Santos and Campinas, in order to understand their material, social and political impacts, the progress in the process of breaking away from the psychiatric ward model, and the establishment of creative and productive groups, required to build up the psychosocial treatment in regard to mental health, as well as to evaluate the contribution that the SUS (Brazilian Public Health System had on the psychiatric reform in the mentioned cities. The research, which is the basis of this paper, is part of a thesis regarding mental health care, whereby the innovative projects implemented in those cities served as framework and basis for comparison to analyze mental health policy in small and medium-sized cities and towns in the state of São Paulo.

  12. A new proposal for laparoscopic left colectomy in a rat model

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    Leonardo de Castro Durães

    2013-04-01

    Full Text Available PURPOSE: To evaluate the feasibility and safety of a new technique for laparoscopic segmental colectomy and primary anastomosis in the left colon of rats. METHODS: Thirty rats were randomly assigned to three groups of ten animals each. All animals underwent segmental resection of the left colon and end-to-end anastomosis. In Group I, the animals underwent laparoscopic surgery with carbon dioxide pneumoperitoneum at a pressure of 5 mmHg. In Group II, the animals underwent pneumoperitoneum with carbon dioxide at a pressure of 12 mmHg. In Group III, the control group, the animals underwent open surgery. All animals were reopened on the 7th postoperative day and were evaluated for peritonitis, abscesses, anastomotic dehiscence and bowel obstruction, and the anastomosis bursting pressure was measured. RESULTS: No obstructions, peritonitis or abscesses were found in any of the animals. An animal in Group I exhibited a blocked anastomosis leakage. The average anastomosis bursting pressure in the 30 animals was 187.02 ± 68.35 mmHg. There was no significant difference in the anastomosis bursting pressure among the groups (p = 0.503 CONCLUSION: The laparoscopic experimental model was feasible and safe for segmental colectomy and anastomosis of the left colon in rats.

  13. Cattle traceability in the Mid-South region of Mato Grosso State: economic, technical and conception aspects

    Directory of Open Access Journals (Sweden)

    Rodrigo de Andrade Ferrazza

    2013-02-01

    Full Text Available It was aimed to investigate economic aspects of the establishment of traceability in the Mid-South region of MT, Brazil, methods of animal identification, complains, drawbacks and degree of importance given by ranchers. During May to July 2009 were conducted interviews with 13 owners of Rural Establishments Approved in SISBOV (ERAS and the survey of economic values practiced by three certifying companies and one slaughterhouse from the region. All the farms interviewed utilized earring and bottom. The main difficulties for the establishment of tracking were the frequent changes (46.30%, the understanding of the laws (30.57%, and the choice of the certifier (23.13%. The greatest drawbacks of Cattle and Buffalo Identification and Certification System (SISBOV were the excessive delay of official audits (53.85%, the instability of differential value (23.10%, loss of identification elements (15.39% and the delay when requested earring reprinting (7.69%. The importance ascribed was ensuring the credibility and adding value to the Brazilian product (84.61%. The individual value for the tracking process was R$ 4,34. The difference of tracked animal slaughtered for the European Union was R$ 10,73@-1. The establishment of the tracking system presented economic viability and the variation of the values paid by the tracked meat despite animals aiming exportation.

  14. Minimal Incision Scar-Less Open Umbilical Hernia Repair in Adults - Technical Aspects and Short Term Results

    Directory of Open Access Journals (Sweden)

    Sanoop Koshy Zachariah

    2014-09-01

    Full Text Available Background: There is no gold standard technique for umbilical hernia repair .Conventional open umbilical hernia repair often produces an undesirable scar. Laparoscopic umbilical hernia repair requires multiple incisions beyond the umbilicus, specialized equipments, and expensive tissue separating mesh. We describe our technique of open umbilical hernia repair utilizing a small incision. The technique was derived from our experience with single incision laparoscopy. We report the technical details and short term results. Methods: This is a retrospective analysis of the first 20 patients who underwent minimal incision scar-less open umbilical hernia repair, from June 2011 to February 2014. A single intra-umbilical curved incision was used to gain access to the hernia sac. Primary suture repair was performed for defects upto 2cm.Larger defects were repaired using an onlay mesh. In patients with a BMI of 30 kg/m2 or greater, onlay mesh hernioplasty was performed irrespective of the defect size.Results: A total of 20 patients, 12 males and 8 females underwent the procedure. Mean age was 50 (range 29 - 82 years. Mean BMI was 26.27 (range 20. -33.1 kg/m2. Average size of the incision was 1.96 range (1.5 to 2.5 cm. Mesh hernioplasty was done in 9 patients. 11 patients underwent primary suture repair alone. There were no postoperative complications associated with his technique. Average post operative length of hospital stay was 3.9 (range 2-10 days. Mean follow-up was 29.94 months, (2 weeks to 2.78 years. On follow up there was no externally visible scar in any of the patients. There were no recurrences on final follow up. Conclusion: This technique provides a similar cosmetic effect as obtained from single port laparoscopy. It is easy to perform safe, offers good cosmesis, does not require incisions beyond the umbilicus and cost effective, with encouraging results on short term follow up. Further research is needed to assess the true potential of the

  15. An overview of chemical straightening of human hair: technical aspects, potential risks to hair fibre and health and legal issues.

    Science.gov (United States)

    Miranda-Vilela, A L; Botelho, A J; Muehlmann, L A

    2014-02-01

    Personal image, as it relates to external beauty, has attracted much attention from the cosmetic industry, and capillary aesthetics is a leader in consumption in this area. There is a great diversity of products targeting both the treatment and beautification of hair. Among them, hair straighteners stand out with a high demand by costumers aiming at beauty, social acceptance and ease of daily hair maintenance. However, this kind of treatment affects the chemical structure of keratin and of the hair fibre, bringing up some safety concerns. Moreover, the development of hair is a dynamic and cyclic process, where the duration of growth cycles depends not only on where hair grows, but also on issues such as the individual's age, dietary habits and hormonal factors. Thus, although hair fibres are composed of dead epidermal cells, when they emerge from the scalp, there is a huge variation in natural wave and the response to hair cosmetics. Although it is possible to give the hair a cosmetically favourable appearance through the use of cosmetic products, for good results in any hair treatment, it is essential to understand the mechanisms of the process. Important information, such as the composition and structure of the hair fibres, and the composition of products and techniques available for hair straightening, must be taken into account so that the straightening process can be designed appropriately, avoiding undesirable side effects for hair fibre and for health. This review aims to address the morphology, chemical composition and molecular structure of hair fibres, as well as the products and techniques used for chemical hair relaxing, their potential risk to hair fibre and to health and the legal aspects of their use. © 2013 Society of Cosmetic Scientists and the Société Française de Cosmétologie.

  16. Efficacy of computed tomography for the prediction of colectomy and mortality in patients with clostridium difficile infection

    Directory of Open Access Journals (Sweden)

    Laura Paláu-Dávila

    2016-12-01

    Conclusion: We designed a CT scale to predict colectomy, able to rule out the development of fulminant colitis and the need for surgical procedure. Patients with wall thickening of the caecum, ascending, descending or sigmoid colon were more likely to die within 30 days of CDI diagnosis.

  17. Colectomy rate in steroid-refractory colitis initially responsive to cyclosporin: a long-term retrospective cohort study

    Directory of Open Access Journals (Sweden)

    David Ezio

    2007-03-01

    Full Text Available Abstract Background There is consistent evidence that 50% of patients with acute, steroid-resistant flare of ulcerative colitis (UC may achieve remission and avoid colectomy if treated with cyclosporin (CsA. However, follow-up of the responders has shown that most of them relapse and need surgery shortly after the response. We compared the records of our CsA-treated patients with those of other groups in order to help clarify this matter. Methods All patients admitted consecutively to our Unit with an attack of UC and treated with CsA between January 1991 and December 1999 were studied. Patients were begun on continuously-infused CsA at 2 mg/kg/day (1991–1996, or on NEORAL at an initial dose of 5 mg/kg/day (1996–1999. The maintenance treatment included oral CsA for 3–6 months with or without azathioprine (AZA. CsA failure was defined as a relapse requiring steroids with or without progression to colectomy; the cumulative probability of relapse/colectomy was assessed by Fisher's exact tests and Kaplan-Meier analysis. Results Among the patients, 39/61 (63% initially responded. These 39 included a fatality and 4 drop-outs (unrelated to the side-effects of CsA, leaving 34 patients for the study. Of these, 61% and 35% were colectomy-free at 1 and 7 years, respectively; the corresponding figures were 80 and 60% respectively in the subset treated with AZA, but 47% and 15% in the AZA-untreated subgroup (p= 0.0007 at 7 years. Among the 34 patients, 44% were relapse-free at 1 year, but all had relapsed at 7 years (p = 0.0635. The overall resort to colectomy was 72%, while 19% of the patients remained colectomy-free. Conclusion Sixty percent of a cohort of patients with steroid-refractory colitis responded to CsA and 60% of these responders retained the colon after 1 year. These figures fell to 35% at 7 years but improved to 60% on AZA. The overall need for colectomy remains high in these patients and toxicity must be monitored.

  18. The American Society of Colon and Rectal Surgeons Assessment Tool for Performance of Laparoscopic Colectomy.

    Science.gov (United States)

    Champagne, Bradley J; Steele, Scott R; Hendren, Samantha K; Bakaki, Paul M; Roberts, Patricia L; Delaney, Conor P; Brady, Justin T; MacRae, Helen M

    2017-07-01

    The lack of consensus for performance assessment of laparoscopic colorectal resection is a major impediment to quality improvement. The purpose of this study was to develop and assess the validity of an evaluation tool for laparoscopic colectomy that is feasible for wide implementation. During the pilot phase, a small group of experts modified previous assessment tools by watching videos for laparoscopic right colectomy with the following categories of experience: novice (less than 20 cases), intermediate (50-100 cases), and expert (more than 500 cases). After achieving sufficient reliability (κ > 0.8), a user-friendly tool was validated among a large group of blinded, trained experts. The study was conducted through the American Society of Colon and Rectal Surgeons Operative Competency Evaluation Committee. Raters were from the Operative Competency Evaluation Committee of the American Society of Colon and Rectal Surgeons. Assessment tool reliability and internal consistency were measured. From October 2014 through February 2015, 4 groups of 5 raters blinded to surgeon skill level evaluated 6 different laparoscopic right colectomy videos (novice = 2, intermediate = 2, expert = 2). The overall Cronbach α was 0.98 (>0.9 = excellent internal consistency). The intraclass correlation for the overall assessment was 0.93 (range, 0.77-0.93) and was >0.74 (excellent) for each step. The average scores (scale, 1-5) for experts were significantly better than those in the intermediate category, with a mean (SD) of 4.51 (0.56) versus 2.94 (0.56; p = 0.003). Videos in the intermediate group scored more favorably than beginner videos for each individual step and overall performance (mean (SD) = 3.00 (0.32) vs 1.78 (0.42); p = 0.006). The study was limited by rater bias to technique and style. The unique and robust methodology in this trial produced an assessment tool that was feasible for raters to use when assessing videotaped laparoscopic right hemicolectomies. The potential

  19. Laparoscopic colectomy in an adult with single ventricle physiology: Anesthetic implications and management

    Directory of Open Access Journals (Sweden)

    Kelly J Zach

    2015-01-01

    Full Text Available Increasing numbers of adult patients with complex congenital heart conditions are presenting for noncardiac surgery later in life. These disorders can present challenges for surgical and anesthesia providers. Specifically, single ventricle lesions offer anatomic and physiologic concerns during the perioperative period. Single ventricle physiology represents a delicate balance between systemic and pulmonary blood flow. Any alterations in blood flow through these systems can produce undesirable hemodynamic changes, especially during the perioperative period. We present a case of an adult patient with a single left ventricle who presented for laparoscopic total colectomy due to inflammatory bowel disease. His abnormal anatomy coupled with the hemodynamic disruptions caused by laparoscopy presented significant anesthetic challenges. We highlight the anesthetic concerns of single ventricle physiology, specifically pertaining to laparoscopic surgery. We provide recommendations for safely managing these patients perioperatively. With detailed preoperative evaluation and close hemodynamic monitoring during the perioperative period, these patients can experience successful surgical and anesthetic outcomes.

  20. Single-port laparoscopic left colectomy for colo-colonic intussusception caused by giant lipoma

    Directory of Open Access Journals (Sweden)

    Fahrettin Acar

    2013-09-01

    Full Text Available Laparoscopic surgery for colorectal disease has beenshown to improve postoperative healing compared withopen surgery. Specifically, studies suggest that laparoscopictechniques can reduce postoperative pain andrecovery time, reduce the need for postoperative analgesia,and allow a more rapid return to normal activitiescompared with open surgery. A series of cases have beenreported in the literature concerning the success rate ofsingle-incision laparoscopic colectomy used in the treatmentof benign or malign colorectal disease. A 38-year-oldfemale patient having chronic cramping abdominal pain,who’s descending colon included a giant lipoma causingintussusceptions. Lipoma was detected by colonoscopy,the histological examination revealed lipoma and thenwas operated with single port laparoscopic left colectomyin elective conditions. No intraoperative and postoperativecomplications occurred. The operation time was 105minutes. The wound size was 2.5 cm. The patient wasdischarged uneventfully on postoperative day four.Key words: Lipoma, colo-colonic intussusceptions, singleincision

  1. Symptomatic pneumatosis intestinalis(including portal venous gas) after laparoscopic total colectomy

    Institute of Scientific and Technical Information of China (English)

    Aneela; Shah; Hazar; Al; Furajii; Ronan; A; Cahill

    2014-01-01

    The development of intramural intestinal gas may indi-cate a serious postoperative complication and thereforeany radiological indication of such "pneumatosis intes-tinalis"(PI) in an unwell patient after surgery shouldput the clinical team on high-alert. However immedi-ate recourse to relook laparotomy may not be alwaysnecessary and, further, in some cases may possiblyaccelerate the deterioration especially if it proves to benon-therapeutic. Careful and close clinical monitoring,as is described in this clinical report, may allow discrimi-native identification of those in whom this finding is infact transient and therefore benign and who thereforecan be successfully treated without operative re-inter-vention. We describe the presenting features and back-ground scenario of PI early after laparoscopic total col-ectomy for medically refractory, severe ulcerative colitisand detail the critical postoperative decision pivots.

  2. Acute iatrogenic polycythemia induced by massive red blood cell transfusion during subtotal abdominal colectomy

    Directory of Open Access Journals (Sweden)

    David Chiapaikeo

    2015-03-01

    Full Text Available A 46 year old man was transfused ten units of packed red blood cells during subtotal colectomy after intraoperative point-of-care testing values demonstrated hemoglobin values less than seven grams per deciliter (g/dL. A post-operative hemoglobin analyzed in a standard hematologic laboratory revealed a hemoglobin value of 27.8 g/dL. He underwent emergent red blood cell depletion therapy which decreased his hemoglobin to 7.5 g/dL. The physiologic consequences of iatrogenic polycythemia caused by massive transfusion during major abdominal surgery must take into account the fluid shifts that interplay between the osmotic load, viscosity of blood, and postoperative third spacing of fluid. Treatment of acute iatrogenic polycythemia can be effectively accomplished by red blood cell depletion therapy. However, fluid shifts caused by massive transfusion followed by rapid red cell depletion produce a unique physiologic state that is without a well-described algorithm for management.

  3. Linear IgA dermatosis associated with ulcerative colitis: complete and sustained remission after total colectomy.

    Science.gov (United States)

    Vargas, Thiago Jeunon de Sousa; Fialho, Mônica; Santos, Luiza Tavares dos; Rodrigues, Palmira Assis de Jesus Barreto; Vargas, Ana Luisa Bittencourt Sampaio Jeunon; Sousa, Maria Auxiliadora Jeunon

    2013-01-01

    Linear IgA dermatosis has been increasingly associated with inflammatory bowel diseases, particularly ulcerative colitis. A 13-year-old male patient with an 11-month history of ulcerative colitis developed vesicles, pustules and erosions on the skin of the face, trunk and buttocks and in the oral mucosa. The work-up revealed a neutrophil-rich sub-epidermal bullous disease and linear deposition of IgA along the dermoepidermal junction, establishing the diagnosis of linear IgA dermatosis. The patient experienced unsatisfactory partial control of skin and intestinal symptoms despite the use of adalimumab, mesalazine, prednisone and dapsone for some months. After total colectomy, he presented complete remission of skin lesions, with no need of medications during two years of follow-up. A review of previously reported cases of the association is provided here and the role of ulcerative colitis in triggering linear IgA dermatosis is discussed.

  4. Spontaneous Regression of Polyposis following Abdominal Colectomy and Helicobacter pylori Eradication for Cronkhite-Canada Syndrome

    Directory of Open Access Journals (Sweden)

    Kimitoshi Kato

    2013-03-01

    Full Text Available The etiology of Cronkhite-Canada syndrome (CCS remains unknown and many cases are refractory to treatment. Therefore, new therapies are urgently needed. Furthermore, a number of CCS cases with gastrointestinal carcinoma have been reported. Our patient had rapid onset of CCS and early development of colon carcinoma associated with adenomas. High anterior resection of the sigmoid colon and ileostomy were performed, and her symptoms and endoscopic and histological findings improved. Helicobacter pylori eradication was carried out 2 years later, surgical closure of an ileal fistula the following year. After 4 months, upper gastrointestinal endoscopy and colonoscopy showed that the CCS lesions had completely disappeared, and biopsies confirmed a normal stomach, duodenum, ileum and colon histologically. The patient has maintained remission for 2 years. The clinical course of this case, showing complete regression of CCS lesions following abdominal colectomy and H. pylori eradication, suggests the significance of H. pylori infection in the treatment of CCS.

  5. Single incision laparoscopic total abdominal colectomy with ileorectal anastomosis for synchronous colon cancer.

    Science.gov (United States)

    Bardakcioglu, O; Ahmed, S

    2010-09-01

    Single incision laparoscopy is currently performed mostly for basic laparoscopic procedures involving single abdominal quadrants. The aim of this case report is to show that single incision laparoscopic techniques can be utilized for complex abdominal laparoscopic procedures with a large target organ and a working space involving all quadrants of the abdominal cavity. A single incision laparoscopic total abdominal colectomy with an ileorectal anastomosis and intraoperative CO(2) colonoscopy was performed for a patient with synchronous adenocarcinoma of the cecum and the sigmoid colon. The patient was discharged home on postoperative day 4 and had no immediate postoperative complications. Single incision laparoscopy is feasible for complex colorectal procedures. Some of the techniques used may be adapted further to achieve colonic resection via a natural orifice in the future.

  6. Colectomy and ileorectal anastomosis is still an option for selected patients with familial adenomatous polyposis

    DEFF Research Database (Denmark)

    Bülow, Steffen; Bulow, C.; Vasen, H.;

    2008-01-01

    PURPOSE: The risk of rectal cancer after colectomy and ileorectal anastomosis may be reduced in the last decades, as patients with severe polyposis now have an ileoanal pouch. We have reevaluated the risk of rectal cancer and proctectomy for all causes according to the year of operation. METHODS......: On the basis of the year of operation in 776 patients with ileorectal anastomosis and 471 pouch patients in Denmark, Finland, Holland, and Sweden, the "pouch period" was defined to start in 1990. Ileorectal anastomosis follow-up data was captured by May 31, 2006. The cumulative risk of rectal cancer.......17) changed. However, in females the cumulative risk of rectal cancer (p = 0.04) and of proctectomy (p = 0.03) were lower in the pouch period. CONCLUSIONS: Since the introduction of the ileoanal pouch rectal cancer has decreased after ileorectal anastomosis, but only statistically significant in females...

  7. Transplantation of umbilical cord-derived mesenchymal stem cells as a novel strategy to protect the central nervous system: technical aspects, preclinical studies, and clinical perspectives.

    Science.gov (United States)

    Dalous, Jérémie; Larghero, Jérome; Baud, Olivier

    2012-04-01

    The prevention of perinatal neurological disabilities remains a major challenge for public health, and no neuroprotective treatment to date has proven clinically useful in reducing the lesions leading to these disabilities. Efforts are, therefore, urgently needed to test other neuroprotective strategies including cell therapies. Although stem cells have raised great hopes as an inexhaustible source of therapeutic products that could be used for neuroprotection and neuroregeneration in disorders affecting the brain and spinal cord, certain sources of stem cells are associated with potential ethical issues. The human umbilical cord (hUC) is a rich source of stem and progenitor cells including mesenchymal stem cells (MSCs) derived either from the cord or from cord blood. hUC MSCs (hUC-MSCs) have several advantages as compared to other types and sources of stem cells. In this review, we will summarize the most recent findings regarding the technical aspects and the preclinical investigation of these promising cells in neuroprotection and neuroregeneration, and their potential use in the developing human brain. However, extensive studies are needed to optimize the administration protocol, safety parameters, and potential preinjection cell manipulations before designing a controlled trial in human neonates.

  8. Technical aspects of bone scintigraphy.

    Science.gov (United States)

    Brown, M L; O'Connor, M K; Hung, J C; Hayostek, R J

    1993-07-01

    Optimal bone scintigraphy is obtained by using a current generation gamma camera with a high-resolution collimator, minimizing the patient-to-collimator distance, using scatter reduction techniques where possible, and obtaining a 500,000 to 1 million count image for 40-cm field of view camera. Hard copy images from an analog or digital formatter should be optimized to display all intensities either on the same images or, when necessary, to display the low count information on one image and the high count information on another. Additional images using different collimators, such as converging or pinhole collimators, and oblique and lateral views should be obtained when necessary to demonstrate or define the pathologic area. To optimize SPECT imaging, the following parameters should be used: a high-resolution collimator, a 128 x 128 acquisition matrix, and minimum separation between the patient and the collimator, which may require the use of an elliptic orbit. Between 64 and 128 views should be obtained, and depending on preference, the planar data should be prefiltered with a Butterworth, order 8-12 and a cutoff at 0.5 Nyquist. The data should then be reconstructed using a simple ramp filter. This method provides a good technique when one is first beginning to perform bone SPECT. Attenuation correction is not generally beneficial for SPECT bone studies, although sometimes weighted backprojection may improve image contrast and resolution. Finally, the use of volume rendering may help clarify the location of suspect lesions.

  9. Technical aspects of home hemodialysis

    Directory of Open Access Journals (Sweden)

    Alhomayeed B

    2009-01-01

    Full Text Available Home hemodialysis (HHD has proved to be a useful form of renal replacement therapy. The economic advantage of HHD is well established and interest in it is renewed. Once it has been decided to establish a HHD program, a well developed strategic plan is required. This should address financial and logistical issues and establish policies that will address responsi-bilities of both patients and HD centers. The recruitment of patients is facilitated by ensuring that all incident patients have early access to an education program describing all forms of renal replacement therapy that the regional renal program provides. Patients and members of the pre-dialysis education program should understand the selection process criteria in advance. Once the assessment is completed and the patient agrees to the proceedings, a plan of action should be esta-blished for enrolling the patient into the program and initiating training. Patients′ education pro-gram should take into consideration principles of adult learning. When choosing dialysis equip-ment for home use, the needs and preferences of the patients should be respected. As a rule of thumb, the equipment should be simple to use, yet still provide adequate and reliable therapy. De-ciding where to set up and position the HHD equipment is important. Installation of HHD ma-chine at home requires a continuous supply of accessories. Before establishing a HHD program, commitment of the dialysis center to provide and maintain the infrastructure of the program is mandatory. The estimated patients suitable for HHD are less than 15% of all prospective dialysis patients. Generally, those who are have greatly improved quality of life and by using modalities such as nocturnal and daily dialysis can have improved physical well-being with considerable potential cost savings.

  10. Technical aspects of CT scanning.

    Science.gov (United States)

    Maravilla, K R; Pastel, M S

    1978-01-01

    The advent of computed tomography (CT) has initiated a technological revolution which continues to the present time. A brief review of basic principles of CT scanning is presented, and the evolution of modern CT scanner systems is traced. Some early indications of future trends are also presented.

  11. Technical aspects of home hemodialysis.

    Science.gov (United States)

    Alhomayeed, B; Lindsay, R M

    2009-03-01

    Home hemodialysis (HHD) has proved to be a useful form of renal replacement therapy. The economic advantage of HHD is well established and interest in it is renewed. Once it has been decided to establish a HHD program, a well developed strategic plan is required. This should address financial and logistical issues and establish policies that will address responsi-bilities of both patients and HD centers. The recruitment of patients is facilitated by ensuring that all incident patients have early access to an education program describing all forms of renal replacement therapy that the regional renal program provides. Patients and members of the pre-dialysis education program should understand the selection process criteria in advance. Once the assessment is completed and the patient agrees to the proceedings, a plan of action should be esta-blished for enrolling the patient into the program and initiating training. Patients' education pro-gram should take into consideration principles of adult learning. When choosing dialysis equip-ment for home use, the needs and preferences of the patients should be respected. As a rule of thumb, the equipment should be simple to use, yet still provide adequate and reliable therapy. De-ciding where to set up and position the HHD equipment is important. Installation of HHD ma-chine at home requires a continuous supply of accessories. Before establishing a HHD program, commitment of the dialysis center to provide and maintain the infrastructure of the program is mandatory. The estimated patients suitable for HHD are less than 15% of all prospective dialysis patients. Generally, those who are have greatly improved quality of life and by using modalities such as nocturnal and daily dialysis can have improved physical well-being with considerable potential cost savings.

  12. Liposome Bupivacaine for Postsurgical Analgesia in Adult Patients Undergoing Laparoscopic Colectomy: Results from Prospective Phase IV Sequential Cohort Studies Assessing Health Economic Outcomes

    Directory of Open Access Journals (Sweden)

    Keith A. Candiotti, MD

    2014-12-01

    Conclusions: Compared with intravenous opioid PCA, a liposome bupivacaine-based multimodal analgesia regimen reduced postsurgical opioid use, hospital length of stay, and ORAEs, and may lead to improved postsurgical outcomes following laparoscopic colectomy.

  13. Autoimmune Hemolytic Anemia Triggered by Infection with Human Parvovirus B19 after Total Abdominal Colectomy for Ulcerative Colitis.

    Science.gov (United States)

    Iida, Tomoya; Satoh, Shuji; Nakagaki, Suguru; Shimizu, Haruo; Kaneto, Hiroyuki

    2016-01-01

    A 50-year-old man was admitted to our hospital for an adhesive ileus 14 years after total abdominal colectomy for ulcerative colitis (UC). The ileus decreased with conservative treatment, however, autoimmune hemolytic anemia (AIHA) was diagnosed due to worsening anemia, a positive direct Coombs test, low haptoglobin, high lactase dehydrogenase, reticulocytosis, and an increase in the erythroblastic series in a bone-marrow examination. Human parvovirus B19 (PV-B19) IgM and PV-B19 DNA were present, indicating the development of AIHA triggered by an infection with PV-B19. The patient is currently being monitored after spontaneous remission. This is the first report of UC after total abdominal colectomy complicated by AIHA triggered by PV-B19 infection.

  14. Análise técnica de fontes de nutrientes associadas a sistemas de preparo do solo Nutrient sources associated with soil tillage systems: technical aspects

    Directory of Open Access Journals (Sweden)

    Carla Maria Pandolfo

    2008-04-01

    crop attributes. The study was carried out at an experimental station of Epagri in Campos Novos, on a Typic Hapludox, in a long-term experiment. The treatments were a combination of five tillage systems (no-till, chisel plow, conventional tillage, conventional tillage with burned crop residues, and conventional tillage with crop residues removal with five nutrient sources (TES = control, without fertilizer; AM = mineral fertilizer according with technical recommendation for each crop; CA = 5 Mg ha-1 year-1 of moist poultry litter; DLB = 60 m³ ha-1 year-1 of liquid cattle manure; and, DLS = 40 m³ ha-1 year-1 of liquid pig manure. A model was established to evaluate the nutrient sources use. The model was fed data of soil and crop attributes, that were transformed into the respective indexes. A model was used to quantify and analyze the effect of nutrient sources on technical aspects of each soil management type. The outputs were triangular pictures and their areas, with the respective confidence limits (p < 0.10. The nutrient sources did not differ when the plant, chemical and physical indexes were considered together, whereas results of poultry litter were best when evaluated by the chemical or the plant index. The technical behavior of the nutrient sources and the physical index in particular were related to soil tillage. Among the evaluated tillage systems, no-till performed best and the conventional system with straw removal worst. The model used to analyze the technical aspects was an efficient tool for a more comprehensive evaluation of the use of organic nutrient sources.

  15. Laparoscopic versus open colectomy for TNM stage III colon cancer: results of a prospective multicenter study in Italy.

    Science.gov (United States)

    Guerrieri, Mario; Campagnacci, Roberto; De Sanctis, Angelo; Lezoche, Giovanni; Massucco, Paolo; Summa, Massimo; Gesuita, Rosaria; Capussotti, Lorenzo; Spinoglio, Giuseppe; Lezoche, Emanuele

    2012-11-01

    There is still debate about the practicality of performing laparoscopic colectomy instead of open colectomy for patients with curable cancer, although laparoscopic surgery is now being performed even for patients with advanced colon cancer. We compared the long-term results of laparoscopic versus open colectomy for TNM stage III carcinoma of the colon in a large series of patients followed up for at least 3 years. The subjects of this prospective non-randomized multicentric study were 290 consecutive patients, who underwent open surgery (OS group; n = 164) or laparoscopic surgery (LS group; n = 126) between 1994 and 2005, at one of the four surgical centers. The same surgical techniques were used for the laparoscopic and open approaches to right and left colectomy. The distribution of TNM substages (III A, III B, IIIC) as well as the grading of carcinomas (G1, G2, G3) were similar in each arm of the study. The median follow-up periods were 76.9 and 58.0 months after OS and LS, respectively. There were 10 (6.1 %) versus 9 (7.1 %) deaths unrelated to cancer, 15 (9.1 %) versus 5 (4 %) cases of local recurrence, 7 (4.2 %) versus 5 (4 %) cases of peritoneal carcinosis, and 37 (22.5 %) versus 14 (11.1 %) cases of metastases in the OS and LS groups, respectively. There was also one case of port-site recurrence after LS (0.8 %). The OS group had a significantly higher probability of local recurrence and metastases (p cancer-related death (p = 0.001) than the LS group. These findings support that LS is safe and effective for advanced carcinoma of the colon. Although the LS group in this study had a significantly better long-term outcome than the OS group, further investigations are needed to draw a definitive conclusion.

  16. Effect of Gum Chewing on Bowel Motility in Patients with Colorectal Cancer after Open Colectomy: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Cherdsak Duangchan

    2016-05-01

    Full Text Available Background: Postoperative ileus (POI usually delays the postoperative recovery after open colectomy. Gum chewing may facilitate bowel motility through cephalic-vagal stimulation. Bowel sounds, the time to first postoperative flatus and defecation, the common nursing outcomes of bowel motility, has not been investigated in Thai patients. This study examines the effect of gum chewing on bowel motility in colorectal cancer patients after open colectomy. Methods: A single blind randomized controlled trial was conducted with 32 patients in experimental and 32 patients in control groups. The experimental group chewed a piece of sugar-free gum with a fruity flavor for 20 minutes each time, three times a day starting from the first postoperative day till the date of first oral liquid received, while the control group receive routine care. Results: The bowel sounds of the experimental group after chewing gum significantly increased more than those of the control group (p = 0.00. The time to the first postoperative flatus in the experimental group was significantly shorter than that in the control group; likewise the first postoperative defecation was also shorter (p = 0.04, p = 0.02, respectively. Conclusion: Gum chewing is helpful in stimulating bowel motility measured by an increase in bowel sounds and in reduced times to first postoperative flatus and defecation. This nursing intervention may be used for stimulating bowel motility in patients with colorectal cancer after an open colectomy.

  17. Dexmedetomidine versus Magnesium Sulfate as Adjunct during Anesthesia for Laparoscopic Colectomy

    Directory of Open Access Journals (Sweden)

    Pierre Zarif

    2016-01-01

    Full Text Available Objectives. To compare dexmedetomidine versus magnesium during laparoscopic colectomy. Patients and Methods. 51 patients were randomly allocated into 3 groups: group C (control received saline infusion, group D dexmedetomidine 1 g/kg and then 0.4 g/kg/hr, and group M MgSO4 2 g and then 15 g/kg/min. Intraoperative hemodynamics were measured before and 1 min after intubation (T1 and T2, before and 5 min after peritoneal insufflation (T3 and T4, before and 5 min after 30° Trendelenburg position (T5 and T6, 5 min after resuming flat position (T7, 5 min after peritoneal deflations (T8, after extubation (T9, and at time of admission to PACU (T10. Recovery time and degree of sedation were assessed. Results. HR and MAP were significantly higher in T2, T4, and T6 compared to T1, T3, and T5, respectively, in all groups with lower measurements in groups D and M compared to group C. Mean of collective measurements was significantly higher in group C. Recovery time and sedation score were significantly higher in groups D and M. Time to Aldrete score of ≥9 was significantly longer in groups D and M. Conclusion. Both drugs ameliorate the pressor responses during LC with a nonsignificant difference. This study is registered with PACTR201602001481308.

  18. Dexmedetomidine versus Magnesium Sulfate as Adjunct during Anesthesia for Laparoscopic Colectomy

    Science.gov (United States)

    Zarif, Pierre; Abdelhaq, Mohamed Mohamed; Mikhail, Hany M. S.; Farag, Ahmed

    2016-01-01

    Objectives. To compare dexmedetomidine versus magnesium during laparoscopic colectomy. Patients and Methods. 51 patients were randomly allocated into 3 groups: group C (control) received saline infusion, group D dexmedetomidine 1 g/kg and then 0.4 g/kg/hr, and group M MgSO4 2 g and then 15 g/kg/min. Intraoperative hemodynamics were measured before and 1 min after intubation (T1 and T2), before and 5 min after peritoneal insufflation (T3 and T4), before and 5 min after 30° Trendelenburg position (T5 and T6), 5 min after resuming flat position (T7), 5 min after peritoneal deflations (T8), after extubation (T9), and at time of admission to PACU (T10). Recovery time and degree of sedation were assessed. Results. HR and MAP were significantly higher in T2, T4, and T6 compared to T1, T3, and T5, respectively, in all groups with lower measurements in groups D and M compared to group C. Mean of collective measurements was significantly higher in group C. Recovery time and sedation score were significantly higher in groups D and M. Time to Aldrete score of ≥9 was significantly longer in groups D and M. Conclusion. Both drugs ameliorate the pressor responses during LC with a nonsignificant difference. This study is registered with PACTR201602001481308. PMID:27051421

  19. Technical, economic and regulatory aspects for the insertion of renewable sources in the Brazilian energy market; Aspectos tecnicos, economicos e regulatorios para a insercao de fontes renovaveis no mercado eletrico brasileiro

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Rafael Malheiro [Universidade Federal do Rio de Janeiro (PEO/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Programa de Engenharia Oceanica], E-mail: rafael@lts.coppe.ufrj.br; Nogueira, Larissa Goncalves [Universidade Estadual de Campinas (UNICAMP), SP (Brazil). Curso de Pos-Graduacao em Planejamento de Sistemas Energeticos], E-mail: larissa@fem.unicamp.br

    2010-07-01

    This paper discusses technical, economical, political and regulatory aspects which have been favourable to the insertion of renewable sources in the Brazilian electric matrix, specifically those one referred to the season and intermittency interference on those final costs. Additionally, land markers will be indicated for the introduction of renewable source projects in a such way to become more attractive under the viewpoint of the investor due to adequacy of energy generation strategy.

  20. Applying the European protocol for the quality control of the physical and technical aspects of mammography screening threshold contrast visibility assessment to digital systems

    Science.gov (United States)

    Van Metter, Richard; Heath, Michael; Fletcher-Heath, Lynn

    2006-03-01

    The need to assure the image quality of digital systems for mammography screening applications is now widely recognized. One approach is embodied in Part B of the European Protocol for the Quality Control of the Physical and Technical Aspects of Mammography Screening (EPQCM), which prescribes criteria for several interconnected image quality metrics. The focus of this study is on the "threshold contrast visibility" (TCV) protocol (section 2.4.1 of the EPQCM), in which human observers score images of a CDMAM or similar 4-AFC phantom. This section of the EPQCM currently omits many critical experimental details, which must be gleaned from ancillary documents. Given these, the purpose of this study is to quantify the effects of several remaining experimental variables, including phantom design, and the methods used for scoring and analysis, on the measured results. Preliminary studies of two CDMAM version 3.4 (CDMAM 3.4) phantoms have revealed a 17% difference in TCV when averaged over all target diameters from 0.1 to 2.0 mm. This indicates phantom variability may affect results at some sites. More importantly, we have shown that the current CDMAM phantom design, methods for scoring, and analysis, substantially limit the ability to measure system performance accurately and precisely. An improved phantom design has been shown to avoid these limitations. Viewing environment and presentation context affect the performance and efficiency of visual scoring of phantom images. An automated display tool has been developed that isolates individual 4-AFC targets of CDMAM phantom images, automatically optimizes window/level, and automatically records observers' scores. While not substantially changing TCV, the tool has increased scoring efficiency while mitigating several of the limitations associated with unassisted visual scoring. For example, learning bias and navigational issues are completely avoided. Ultimately, software-based ideal observer scoring will likely prove to be

  1. Impact of obesity on laparoscopic-assisted left colectomy in different stages of the learning curve.

    Science.gov (United States)

    Sarli, Leopoldo; Rollo, Alessio; Cecchini, Stefano; Regina, Gabriele; Sansebastiano, Giuliano; Marchesi, Federico; Veronesi, Licia; Ferro, Michelina; Roncoroni, Luigi

    2009-04-01

    This study is aimed at verifying if the surgeon's experience has an impact on the risk of conversion to open surgery of laparoscopic left colectomy performed in obese patients. A multiple logistic regression analysis was performed of 181 laparoscopic left hemicolectomies completed between April 2001 and June 2006. The results were analysed statistically in relation to the learning curve, by comparing factors that could have had an impact on the risk of conversion in the first 91 cases and in the last 90 cases. The overall conversion rate was 11%. Only weight level was found to be predictive of conversion to open surgery. No death was observed. Sixteen patients presented postoperative complications (8.8%), with no significant differences between obese and nonobese patients (P=0.95). The conversion rate was higher in the group of the first 91 cases: 15.6% versus 6.6% (P=0.05). Average body mass index of converted patients resulted as being higher than that of nonconverted ones (29.97+/-3.76 vs. 25.48+/-3.72; Plearning curve, but the difference was not observed during the second period (P=0.87). On multiple logistic regression analysis, obesity was found to be predictive of conversion only during the first period. The data indicate that the laparoscopic colorectal surgery is feasible and effective in obese patients both when the surgeon is expert in laparoscopic colorectal resection and at the initial phase of the experience. At the initial phase of the experience obesity constitutes a higher risk of conversion to open surgery.

  2. Implementation and usefulness of single access laparoscopic segmental and total colectomy.

    LENUS (Irish Health Repository)

    Baig, Muhammad N

    2012-02-06

    Aim:  Single access laparoscopic surgery is a recent vogue in the field of minimally invasive colorectal surgery. While selected series have indicated feasibility, we prospectively examined its usefulness for resectional surgery in routine practice. Method:  All patients undergoing laparoscopic colorectal resection over a twelve month period were considered for a single access approach by a single surgical team in a university hospital. This utilised a \\'Glove\\' port via a 3-5 cm periumbilical or stomal site incision with standard rigid laparoscopic instruments then being used. Results:  Of 74 planned laparoscopic colorectal resections, 35 (47%) were performed by this single incision laparoscopic modality without disruption of theatre list efficiency or surgical training obligations. The mean (range) age and BMI of these 25 consecutive right sided resections, 8 total colectomies (7 urgent operations) and 2 anterior resections was 58 (22-82) years and 23.9 (18.6-36.2) kg\\/m(2) respectively. The modal postoperative day of discharge was 4. For right sided resections, the mean (range) post-op stay in those undergoing surgery for benign disease was 4, while for those undergoing operation for neoplasia (n=18, mean age 71 years) it was 5.8 days and the average lymph node harvest was 13. Use of the glove port reduced trocar cost by 58% (€60\\/£53) by allowing use of trocar sleeves alone without obturators. Conclusion:  Single incision laparoscopic surgery is an effective option for abdominal surgery and seems especially suited for laparoscopic-assisted right sided colonic resections. The Glove port technique facilitates procedural frequency and familiarity and proves economically favourable.

  3. Technical and economic aspects of high-pressure gas pipeline rehabilitation - the Czech way; Les aspects techniques et economiques des rehabilitations des gazoducs a haut pression - la route Tcheque

    Energy Technology Data Exchange (ETDEWEB)

    Petr, Crha; Petr, Paoized; Jano, Zvada [CEPS, (Czech Republic)

    2000-07-01

    The Czech gas industry is more than 150 years old. The first high-pressure pipelines were built at the end of the 1930's. At present, more than 4,800 km of pipelines older than 30 years are in operation. These lines are therefore approaching the age at which their technical condition needs to be examined to guarantee their safe and reliable operation. Moreover most of these lines were originally designed for town gas distribution at a pressure of 25 bar. Nevertheless, the pipe material's actual parameters usually permit an increase in MAOP, which is very desirable in natural gas distribution. Verifying fitness for purpose; the actual level of safety; the pipelines ability to meet the requirements of current regulations; the actual material properties; as well as repairing the defects identified - all of these are components of a comprehensive approach known as pipeline rehabilitation. Its purpose is to achieve at least the original technical condition of the pipeline and, wherever possible, exploit the original technical parameters more than in pre-rehabilitation operation. This poster describes a method of high-pressure rehabilitation developed on the basis of more than 15 years of research into steel pipe reliability and applied on an industrial scale in the Czech Republic over the past ten years. In addition to the technical description, the economic benefits offered by this method are indicated. (authors)

  4. Laparoscopic versus open hepatectomy with or without synchronous colectomy for colorectal liver metastasis: a meta-analysis.

    Directory of Open Access Journals (Sweden)

    MingTian Wei

    Full Text Available BACKGROUND: To compare short-term and long-term results of colorectal patients undergoing laparoscopic and open hepatectomy. Moreover, outcomes of laparoscopic versus open procedures for simultaneous primary colorectal tumor and liver metastasis resection were compared. METHODS: A systematic search was conducted in the PubMed and EmBase databases (until Oct. 22. 2013 with no limits. Bibliographic citation management software (EndNote X6 was used for extracted literature management. Quality assessment was performed according to a modification of the Newcastle-Ottawa Scale. The data were analyzed using Review Manager (Version 5.1, and sensitivity analysis was performed by sequentially omitting each study. RESULTS: Finally, 14 studies, including a total of 975 CLM (colorectal liver metastasis patients, compared laparoscopic with open hepatectomy. 3 studies of them, including a total of 107 CLM patients, compared laparoscopic with open procedures for synchronous hepatectomy and colectomy. Laparoscopic hepatectomy was associated with a significantly less blood loss, shorter hospitalization time, and less operative transfusion rate. In addition, lower hospital morbidity rate (OR=0.57, 95%CI:0.42-0.78, P=0.0005 and better R0 resection (OR=2.44, 95%CI:1.21-4.94, P=0.01 were observed in laparoscopic hepatectomy. For long-term outcomes, there were no significant differences between two surgical procedures on recurrence and overall survival. In comparison of synchronous hepatectomy and colectomy, laparoscopic procedure displayed shorter hospitalization (MD = -3.40, 95%CI:-4.37-2.44, P<0.00001 than open procedure. Other outcomes, including surgical time, estimated blood loss, hospital morbidity, and overall survival did not differ significantly in the comparison. CONCLUSIONS: Laparoscopic hepatectomy with or without synchronous colectomy are acceptable for selective CLM patients. We suggest standard inclusion criteria of CLM patients be formulated.

  5. Total colectomy for colon perforation after kayexalate administration: a case report and literature review of a rare complication

    Science.gov (United States)

    Dunlap, Robert Hunt; Martinez, Ryan

    2016-01-01

    Kayexalate is an ion exchange resin that is commonly used to acutely treat patients with hyperkalemia. Bowel ulceration and necrosis is a rare and uncommonly recognized complication of kayexalate administration. More often, concomitant administration with sorbitol is reported to damage the bowel; however, there are reports of kayexalate administration causing bowel necrosis without sorbitol. We present a case of a critically ill patient who underwent total colectomy for colonic necrosis secondary to oral kayexalate administration that was not recognized until late in the pathologic process. We also review the literature to further investigate this progression. PMID:27765805

  6. Technical evaluation of the electrical, instrumentation, and control design aspects of the override of containment purge valve isolation and other engineered safety feature signals for the Fort Calhoun Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Hackett, D.B.

    1980-01-01

    This report documents the technical evaluation of the electrical, instrumentation, and control design aspects of the override of containment purge valve isolation and other engineered safety feature signals for the Fort Calhoun nuclear power plant. The review criteria are based on IEEE Std-279-1971 requirements for the safety signals to all purge and ventilation isolation valves. This report is supplied as part of the Selected Electrical, Instrumentation, and Control Systems Issues Program being conducted for the US Nuclear Regulatory Commission by Lawrence Livermore Laboratory.

  7. Subtotal colectomy with antiperistaltic cecoproctostomy is an alternative technique for two-stage management of obstructed left colon carcinoma

    Institute of Scientific and Technical Information of China (English)

    JIANG Cong-qing; QIAN Qun; WU Yun-hua; ZHANG Ya-jie; ZHENG Ke-yan; LIU Zhi-su

    2010-01-01

    @@ Left colon carcinoma presented with obstruction is a frequently encountered emergency. The surgical treatment of acutely obstructed left colon carcinoma (OLCC) still remains controversial because of its high associated morbidity and mortality, and the number of different surgical options available. Despite current trends toward emergency colectomy with primary anastomosis or colonic stenting as a bridge to subsequent elective surgery, the left hemicolectomy with temporary terminal colostomy remains a choice. Some of these patients who have received temporary colostomies are candidates for restoration of intestinal continuity when patient's medical conditions are optimized. The conventional open approach for the closure of left sided colostomies carries a significant morbidity with leakage rates ranging from 0 to 15% and an operative mortality reported as high as 10%. In fact, some patients with colostomies have significant intra-abdominal adhesions,which may result in difficulties in adequate mobilization of hepatic flexure and transverse colon and flawless anastomotic construction. Here we propose an alternative technique for the management of OLCC: subtotal colectomy with antiperistaltic cecoproctostomy.

  8. On the Necessity of Changes in the Strategy of Utilization Ship Boiler Technical Condition Maintenance in the Aspect of LNG Applied as Fuel

    Science.gov (United States)

    Adamkiewicz, Andrzej; Zeńczak, Wojciech

    2017-03-01

    Heavy oils (HFO fuels) used on ships play a part in degradation of technical condition of heat exchange surfaces of utilization boilers especially on the exhaust gas side. Presence of sulphur in these fuels is the main factor favouring degradation. The upper limit for sulphur content in the fuel used outside the SECA areas equal to 3.5% is currently in force, at least until the year 2020 or 2025. The recommended by classification societies overhauls of utilization boilers are, therefore characterized by a specially chosen strategy thanks to which it is possible to maintain their appropriate technical condition. The requirement to use fuels with low sulphur content (LSFO), which are significantly more expensive than MDO fuels, in the areas of controlled sulphur emissions also led to a further introduction of alternative fuels, such as methanol and above all liquefied natural gas (LNG), onto ships. That is especially valid for the ship owners whose vessels e.g. ferries sail mainly within SCECA This article analyses the consequences of the introduced fuel change on utilization boiler maintenance. A change in the technical condition maintenance strategy for utilization boilers has been suggested.

  9. ON THE NECESSITY OF CHANGES IN THE STRATEGY OF UTILIZATION SHIP BOILER TECHNICAL CONDITION MAINTENANCE IN THE ASPECT OF LNG APPLIED AS FUEL

    Directory of Open Access Journals (Sweden)

    Andrzej ADAMKIEWICZ

    2017-01-01

    Full Text Available Heavy oils (HFO fuels used on ships play a part in degradation of technical condition of heat exchange surfaces of utiliza-tion boilers especially on the exhaust gas side. Presence of sulphur in these fuels is the main factor favouring degrada-tion. The upper limit for sulphur content in the fuel used outside the SECA areas equal to 3.5% is currently in force, at least until the year 2020 or 2025. The recommended by classification societies overhauls of utilization boilers are, there-fore characterized by a specially chosen strategy thanks to which it is possible to maintain their appropriate technical condition. The requirement to use fuels with low sulphur content (LSFO, which are significantly more expensive than MDO fuels, in the areas of controlled sulphur emissions also led to a further introduction of alternative fuels, such as methanol and above all liquefied natural gas (LNG, onto ships. That is especially valid for the ship owners whose vessels e.g. ferries sail mainly within SCECA This article analyses the consequences of the introduced fuel change on utilization boiler maintenance. A change in the technical condition maintenance strategy for utilization boilers has been suggested.

  10. AICE Survey of USSR Air Pollution Literature, Volume 15: A Third Compilation of Technical Reports on the Biological Effects and the Public Health Aspects of Atmospheric Pollutants.

    Science.gov (United States)

    Nuttonson, M. Y.

    Ten papers were translated: Maximum permissible concentrations of noxious substances in the atmospheric air of populated areas; Some aspects of the biological effect of microconcentrations of two chloroisocyanates; The toxicology of low concentrations of aromatic hydrocarbons; Chronic action of low concentrations of acrolein in air on the…

  11. Assessment of the role of aptitude in the acquisition of advanced laparoscopic surgical skill sets: results from a virtual reality-based laparoscopic colectomy training programme.

    LENUS (Irish Health Repository)

    Nugent, Emmeline

    2012-09-01

    The surgeons of the future will need to have advanced laparoscopic skills. The current challenge in surgical education is to teach these skills and to identify factors that may have a positive influence on training curriculums. The primary aim of this study was to determine if fundamental aptitude impacts on ability to perform a laparoscopic colectomy.

  12. Rehabilitation of former East German mining districts: Technical, economic, legal, and political aspects; Wiedernutzbarmachung ehemaliger ostdeutscher Bergbaugebiete - technische, wirtschaftliche, rechtliche und politische Aspekte

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    The conference papers focus on the following main aspects involved in activities relating to the rehabilitation or decommissioning and safe post-shutdown operation of former uranium ore, potash or surface brown coal mining sites: regional development planning, Land development planning, water resources management and rehabilitation, soil mechanics and related problems, radiation protection issues in connection with the former uranium ore mining districts, geotechnical and hydrological aspects to be considered with underground mines. Separate subject analyses and abstracts of twelve of the conference papers are available in the ENERGY database. (orig/CB) [Deutsch] Die Sanierung und Verwahrung ehemaliger Bergwerke in den Bereichen Braunkohletagebau, Uran-und Kalibergbau betreffend werden folgende Schwerpunktthemen behandelt: Raumordnung, Landesplanung, Sanierung des Wasserhaushalts, Probleme der Bodenmechnik, Strahlenschutzprobleme bei der Sanierung der Uranerzbergbaugebiete, geotechnische und hydrologische Aspekte bei der Verwahrung untertaegiger Bergwerke sowie Wirtschaft und Umwelt. Es wurden 12 Beitraege separat fuer die Datenbank Energy aufgenommen.

  13. Feeding biogas onto the national gas grid - Technical and economical aspects on omitting propane addition; Inmatning av biogas paa naturgasnaetet - Tekniska och ekonomiska aspekter paa slopad propantillsats

    Energy Technology Data Exchange (ETDEWEB)

    Nelsson, Corfitz

    2012-07-01

    Biogas injection into the natural gas grid is a common practice in Sweden today. In order to condition the biogas to the quality matching the natural gas, propane (approx. 8 %) is injected in the biogas. This is a costly procedure which also introduces fossil components into a renewable gas flow. Because of this, it is desired to terminate the propane injection and inject biogas straight into the gas grid. This might affect certain customers and will affect billing procedures and this study has briefly examined the impact of injection of biogas in the gas grid without propane addition. The main findings are: 1. It seems technically possible to inject biogas without propane into the gas grid. Attention has to be paid to the quality requirements of certain sensitive customers, but most customers can accept the quality variations. 2. It is recommended that the minimum methane content of injected biogas is raised to 98 %. This might affect the operation and choice of upgrading equipment and will have to be evaluated from both a technical and an economical viewpoint in each case. 3. Downgrading the natural gas to biogas quality by air injection is not an option. 4. In order to make simplify billing procedures, the geographic location of biogas site injecting gas into the distribution network is crucial. The biogas site should be placed as close to the transmission network as possible. Further, two case studies concerning biogas injection into the transmission network are briefly discussed.

  14. Energy conservation analysis using Fuzzy logic considering technical and environmental aspects; Analise da conservacao de energia utilizando logica fuzzy considerando aspectos tecnicos e o meio ambiente

    Energy Technology Data Exchange (ETDEWEB)

    Haddad, Jamil; Yamachita, Roberto Akira; Guardia, Eduardo Crestana [Universidade Federal de Itajuba (UNIFEI), MG (Brazil). Centro de Excelencia em Eficiencia Energetica; Reis, Alexandre de Souza Rodrigues dos; Pinto, Luiz Fernando do Monte [Furnas Centrais Eletricas, Rio de Janeiro, RJ (Brazil)

    2008-07-01

    This article presents the results obtained in the Project of Research and Development of Furnas Centrais Eletricas, which was accomplished with the partnership of the Fundacao de Pesquisa e Assessoramento a Industria - FUPAI. This project analyzed technically and economically the pollution caused in the electric net by the use, in growing scale, of nonlinear loads, such as: compact fluorescent lamps, microwave ovens, VHS systems, DVD, sound systems, etc. It was also analyzed the environmental impact caused by these lamps due to the presence of the mercury; and as complement to the traditional theory of economical analysis, a tool of economical analysis was developed using the theory of fuzzy sets for the uncertainty variables or of difficult quantification. (author)

  15. Metabolic and hematologic consequences of colectomy associated to hepatectomy in rats Consequências metabólicas e hematológicas da colectomia associada à hepatectomia em ratos

    OpenAIRE

    Marília Daniela Ferreira Carvalho; Irami Araújo-Filho; Ítalo Medeiros Azevedo; Amália Cínthia Meneses Rêgo; Aldo Cunha Medeiros

    2011-01-01

    PURPOSE: To investigate the influence of partial colectomy associated with hepatectomy on the biodistribution of the 99mTc-phytate, on metabolic parameters, as well as labeling and morphology of red blood cells. METHODS: Wistar rats were distributed into three groups (each with six), nominated as colectomy, colectomy+hepatectomy and sham. In the 30th postoperative day all rats were injected with 99mTc-phytate 0.1mL i.v. (radioactivity 0.66 MBq). After 15 minutes, liver sample was harvested an...

  16. Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy.

    Science.gov (United States)

    Patel, Ramnik V; Njere, Ike; Campbell, Alison; Daniel, Rejoo; Azaz, Amer; Fleet, Mahmud

    2014-08-20

    A case of acute sigmoid volvulus in a 14-year-old adolescent girl presenting with acute low large bowel obstruction with a background of chronic constipation has been presented. Abdominal radiograph and CT scan helped in diagnosis. She underwent emergency colonoscopic detorsion and decompression uneventfully. Lower gastrointestinal contrast study showed very redundant sigmoid colonic loop without any transition zone and she subsequently underwent elective sigmoid colectomy with good outcome. The sigmoid volvulus should be considered in the differential diagnosis of paediatric acute abdomen presenting with marked abdominal distention, absolute constipation and pain but without vomiting. Plain abdominal radiograph and the CT scan are helpful to confirm the diagnosis. Early colonoscopic detorsion and decompression allows direct visualisation of the vascular compromise, assessment of band width of the volvulus and can reduce complications and mortality. Associated Hirschsprung's disease should be suspected if clinical and radiological features are suggestive in which case a rectal biopsy before definitive surgery should be considered.

  17. Short-term outcomes of simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases.

    Science.gov (United States)

    Inoue, Akira; Uemura, Mamoru; Yamamoto, Hirofumi; Hiraki, Masayuki; Naito, Atsushi; Ogino, Takayuki; Nonaka, Ryoji; Nishimura, Junichi; Wada, Hiroshi; Hata, Taishi; Takemasa, Ichiro; Eguchi, Hidetoshi; Mizushima, Tsunekazu; Nagano, Hiroaki; Doki, Yuichiro; Mori, Masaki

    2014-01-01

    Although simultaneous resection of primary colorectal cancer and synchronous liver metastases is reported to be safe and effective, the feasibility of a laparoscopic approach remains controversial. This study evaluated the safety, feasibility, and short-term outcomes of simultaneous laparoscopic surgery for primary colorectal cancer with synchronous liver metastases. From September 2008 to December 2013, 10 patients underwent simultaneous laparoscopic resection of primary colorectal cancer and synchronous liver metastases with curative intent at our institute. The median operative time was 452 minutes, and the median estimated blood loss was 245 mL. Median times to discharge from the hospital and adjuvant chemotherapy were 13.5 and 44 postoperative days, respectively. Negative resection margins were achieved in all cases, with no postoperative mortality or major morbidity. Simultaneous laparoscopic colectomy and hepatectomy for primary colorectal cancer with synchronous liver metastases appears feasible with low morbidity and favorable outcomes.

  18. Vehicle and positive control values from the in vivo rodent comet assay and biomonitoring studies using human lymphocytes: historical database and influence of technical aspects.

    Science.gov (United States)

    Pant, Kamala; Springer, S; Bruce, S; Lawlor, T; Hewitt, N; Aardema, M J

    2014-10-01

    There is increased interest in the in vivo comet assay in rodents as a follow-up approach for determining the biological relevance of chemicals that are genotoxic in in vitro assays. This is partly because, unlike other assays, DNA damage can be assessed in this assay in virtually any tissue. Since background levels of DNA damage can vary with the species, tissue, and cell processing method, a robust historical control database covering multiple tissues is essential. We describe extensive vehicle and positive control data for multiple tissues from rats and mice. In addition, we report historical data from control and genotoxin-treated human blood. Technical issues impacting comet results are described, including the method of cell preparation and freezing. Cell preparation by scraping (stomach and other GI tract organs) resulted in higher % tail DNA than mincing (liver, spleen, kidney etc) or direct collection (blood or bone marrow). Treatment with the positive control genotoxicant, ethyl methanesulfonate (EMS) in rats and methyl methanesulfonate in mice, resulted in statistically significant increases in % tail DNA. Background DNA damage was not markedly increased when cell suspensions were stored frozen prior to preparing slides, and the outcome of the assay was unchanged (EMS was always positive). In conclusion, historical data from our laboratory for the in vivo comet assay for multiple tissues from rats and mice, as well as human blood show very good reproducibility. These data and recommendations provided are aimed at contributing to the design and proper interpretation of results from comet assays.

  19. Mobile CT. Technical aspects of prehospital stroke imaging before intravenous thrombolysis; CT im Notarztwagen. Technische Aspekte der praehospitalen radiologischen Schlaganfalldiagnostik vor systemischer Thrombolyse

    Energy Technology Data Exchange (ETDEWEB)

    Gierhake, Daniel; Villringer, K.; Fiebach, J.B. [Charite - Universitaetsmedizin Berlin (Germany). Center for Stroke Research Berlin (CSB); Weber, J.E.; Audebert, H.J. [Charite - Universitaetsmedizin Berlin (Germany). Center for Stroke Research Berlin (CSB); Charite - Universitaetsmedizin Berlin (Germany). Klinik fuer Neurologie; Ebinger, M. [Charite - Universitaetsmedizin Berlin (Germany). Center for Stroke Research Berlin (CSB); Charite - Universitaetsmedizin Berlin (Germany). Klinik und Hochschulambulanz fuer Neurologie

    2013-01-15

    To reduce the time from symptom onset to treatment with tissue plasminogen activator (tPA) in ischemic stroke, an ambulance was equipped with a CT scanner. We analyzed process and image quality of CT scanning during the pilot study regarding image quality and safety issues. The pilot study of a stroke emergency mobile unit (STEMO) ran over a period of 12 weeks on 5 weekdays from 7a. m. to 6:30 p. m. A teleradiological service for the justifying indication and reporting was established. The radiographer was responsible for the performance of the CT scan on the ambulance. 64 cranial CT scans and 1 intracranial CT angiography were performed. We compared times from ambulance alarm to treatment decision (time of last brain scan) with a cohort of 50 consecutive tPA treatments before implementation of STEMO. 62 (95 %) of the 65 scans performed had sufficient quality for reading. Technical quality was not optimal in 45 cases (69 %) mainly caused by suboptimal positioning of patient or eye lense protection. Motion artefacts were observed in 8 exams (12 %). No safety issues occurred for team or patients. 23 patients were treated with thrombolysis. Time from alarm to last CT scan was 18 minutes shorter than in the tPA cohort before STEMO implementation. A teleradiological support for primary stroke imaging by CT on-site is feasible, quality-wise of diagnostic value and has not raised safety issues. (orig.)

  20. Magnetic resonance angiography: technical aspects of a noninvasive method for vascular study; Angiografia por ressonancia magnetica: aspectos tecnicos de um metodo de estudo vascular nao-invasivo

    Energy Technology Data Exchange (ETDEWEB)

    Caldana, Rogerio Pedreschi; Bezerra, Alexandre Sergio de Araujo; D' Ippolito, Giuseppe [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Dept. de Diagnostico por Imagem]. E-mail: rogercal@uol.com.br; Soares, Adriano Fleury de Faria [Complexo Hospitalar Sao Luiz, Sao Paulo, SP (Brazil)

    2004-02-01

    Early magnetic resonance angiography techniques used flow-sensitive sequences to obtain contrast of the vascular structures. Three techniques are based on this approach: phase-contrast, time-of-flight and black blood techniques. However, these acquisition methods are time-consuming and more susceptible to movement artifacts, flow-related artifacts and signal loss due to stenotic lesions. They also present low sensitivity for slow flow detection. The use of paramagnetic contrast medium in magnetic resonance angiography studies provides a simple and quick way of obtaining vascular enhancement. Image contrast is based on vascular enhancement in opposition to background suppression. Important factors for the technical improvement of gadolinium-enhanced magnetic resonance angiography is a useful diagnostic tool for investigation of anatomical anomalies, stenotic and occlusive disease, and surgical complications, particularly in patients with organ transplants. Gadolinium-enhanced magnetic resonance angiography is a useful diagnostic tool for investigation of anatomical anomalies, stenotic and occlusive disease, and surgical complications, particularly in patients with organ transplants. Gadolinium-enhanced magnetic resonance angiography has the advantage of a noninvasive method since it does not require ionizing radiation or an iodine contrast medium and allows the evaluation of parenchymatous structures for additional diagnostic information. (author)

  1. Geographical aspects of a territory and the velocity of liquidation natural-technical emergency situations' consequences (the case of Leningradskaya oblast in Russia)

    Science.gov (United States)

    Vashalova, Tatiana; Gavrilova, Sofia

    2013-04-01

    The velocity of liquidation of consequences of emergency situation or natural hazards is on of two main components of nonmonetized evaluation of their graveness. Besides the level of technical and economical securance of repair works the big role in their differentiation plays macro and mesolocation of the repaire object in phisical- and economicalgeographical space. The enlistment of theses factors differs very much for the accidents of various origin and for various territories with their own combination of phisical- and economicalgeographical conditions. In this work the first attempt of analysis of influence of the phisical- and economicalgeographical conditions on the duration of repair the electricity supplies, broken down by the hazardous hydrometeorological phenomena in Leneigradskaya oblast in Russia was made. This region, situated on north-west of the country, outstands with variety of phisical- and economicalgeographical conditions. In this project the data of Laboratory of snow avalanches and mudflows (geographical faculty, MSU), open-sourced map data and the archive of newspapers of Leningradskaya oblast were used. It is very important to understand, that the transportation of the electricity by electric power lines is the main way of transportation energy in Russia. The interruption of power supply, caused by dangerous phenomena, happens in majority cases because of kinking or break of the cable. The break takes places during the strong winds and fall of the trees on the cable or icing and their break during the strong winds. The frequency of strong winds in the terms of one sinoptical cicle (5-7 days) appears as an independent factor of elongation of terms of repairing the power supply. Such phisicogeographical singularities of landscape of Leningradkaya oblast as the grade of loiss soil and swampiness of different districts apears as a factor, wgich modulate the dependence of the velocity of repairing the power supply from the characteristics of

  2. Recanalization strategy of retrograde angioplasty in patients with coronary chronic total occlusion -analysis of 24 cases, focusing on technical aspects and complications.

    Science.gov (United States)

    Lee, Nae-Hee; Seo, Hye-Sun; Choi, Jae-Hyuk; Suh, Jon; Cho, Yoon Haeng

    2010-10-08

    Retrograde approach through collateral channels was recently proposed to increase the success rate of percutaneous coronary intervention (PCI) for coronary chronic total occlusion (CTO), but this approach is still an incompletely described technique. We analyzed 24 cases of retrograde PCI for CTO, which were done from July 2006 to April 2008. Septal collaterals were more frequently used than epicardial collaterals (75% vs. 25%), without showing statistical differences in wire passage rate according to the size or location of the collaterals. Once the retrograde wire successfully crossed collateral (18/24 cases), CTO lesion was successfully crossed in all cases by using 4 different kinds of techniques: retrograde wire crossing (44%), kissing wire (22%), controlled antegrade and retrograde subintimal tracking (22%), and reverse controlled antegrade and retrograde subintimal tracking (11%). Among them, successful recanalization was achieved in 17 cases, yielding 71% retrograde PCI success rate. In failed cases with retrograde approach, 4 cases were recanalized by switching to antegrade approach. Thus, total PCI success rate was 88% (21/24 cases). There were several cases of unexpected complications mainly related to collateral-donor artery without in-hospital major adverse cardiac events (MACE). During clinical follow-up (median 10.3 months), overall MACE rate was 18% in the successful retrograde PCI group. The retrograde approach can improve the success rate with PCI for CTO. However, strict case selection with systemized approach is essential due to the technical complexities accompanied by the potential risk of unexpected complications. Copyright © 2009 Elsevier B.V. All rights reserved.

  3. Modal analysis applied to rotor balancing: two relevant technical aspects; Analisis modal aplicado al balanceo de rotores: dos aspectos tecnicos relevantes

    Energy Technology Data Exchange (ETDEWEB)

    Aguirre Romano, Jorge E.; Preciado Delgado, Eduardo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1991-12-31

    In applying the modal analysis to rotor balancing, it is frequent to find technical matters that are hardly developed in text books or that can only be deducted through a profound and complex study. For this reason, an engineer dedicated to the practice that wishes to deepen in the subject of rotor balancing, can hardly understand these matters, unless they are developed with the specific orientation that relate them with the balancing practice. In this paper two of these subjects related to the definition and recollection of modal parameters are presented: a) the fundamental form of the polar diagrams of response, that can be perfectly circular in certain cases and b) the relationship that exists among the modal forms of a rotor and the distribution of weights that must be placed to balance them in a given way. [Espanol] Al aplicar el analisis modal al balanceo de rotores, es frecuente encontrar temas tecnicos que dificilmente se desarrollan en los libros de texto, o que solo pueden deducirse mediante un estudio profundo y complejo. Por esta razon, un ingeniero dedicado a la practica que desee profundizar en el tema de balanceo de rotores, dificilmente podra comprender estos temas, a no ser que estos sean desarrollados con la orientacion especifica que los relacionen con la practica del balanceo. En este trabajo se presentan dos de esos temas relacionados con la definicion y obtencion de los parametros modales: a) la forma fundamental de los diagramas polares de respuesta, que puede ser circular perfecta en ciertos casos, y b) la relacion que existe entre las formas modales de un rotor y la distribucion de pesos que se deben colocar para balancear un modo dado.

  4. Teaching Technical Writing - Towards Technical Writing

    DEFF Research Database (Denmark)

    Kastberg, Peter

    2000-01-01

    In this paper I will present key aspects of the curriculum for the university degree in technical translation that I have designed for and subsequently implemented at the German Department of the Aarhus School of Business, Denmark. My starting point will be a critical discussion of the norm...... that used to govern what the quality of an LSP text should be as opposed to the standpoint, which I advocate. By way of summing up, I will show how a university curriculum is designed so that - upon graduation - the technical translator could also be methodological quite well suited to take on the challenge...... of technical writing....

  5. Récupération assistée des hydrocarbures par injection de CO2. Aspects techniques et économiques Enhanced Hydrocarbon Recovery by CO2 Flooding. Technical and Economic Aspects

    Directory of Open Access Journals (Sweden)

    Simandoux P.

    2006-11-01

    Full Text Available L'injection de gaz carbonique dans les gisements pétroliers a donné lieu depuis une quinzaine d'années à de très nombreuses études de laboratoire et sur modèles. De multiples pilotes ont été réalisés et quelques projets industriels sont en cours. II est donc intéressant de faire un bilan des connaissances et de l'expérience ainsi acquise, afin de tenter de dégager les perspectives de développement du procédé. La première partie rappelle le comportement du CO2 en présence d'hydrocarbures et les principaux mécanismes d'action dans le processus de récupération. On examine ensuite dans une deuxième partie les principales applications pilotes ou industrielles et les problèmes opérationnels rencontrés. Ce bilan permet de dégager les caractéristiques principales du procédé, les difficultés essentielles rencontrées. Un aperçu est donné sur les recherches en cours en vue de résoudre ces difficultés et améliorer le procédé. La dernière partie s'attache à préciser les perspectives d'application de l'injection de CO2 et pour cela trois aspects essentiels pour le développement du procédé sont discutés : les performances et le domaine d'emploi, la disponibilité et le coût des différentes sources potentielles de CO2 et enfin l'évaluation économique du procédé. The injection of carbon dioxide into oil fields has been the subject of extensive laboratory and modeling research for the last 15 years. Many pilot experiments have been performed, and several industrial projects are under way. Therefore it is interesting to review the state-of-the-art of the know-how and experience thus acquired so as to try to determine the outlook for the development of the process. The first part of this article reviews the behavior of CO2 in the presence of hydrocarbons and the leading action mechanisms in the recovery process. The second part examines the leading pilot or industrial applications and the operational problems

  6. Two Patients with Fulminant Clostridium difficile Enteritis Who Had Not Undergone Total Colectomy: A Case Series and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Eliza W. Beal

    2015-01-01

    Full Text Available Introduction. Clostridium difficile is the most common cause of healthcare associated infectious diarrhea, and its most common clinical manifestation is pseudomembranous colitis. Small bowel enteritis is reported infrequently in the literature and typically occurs only in patients who have undergone ileal pouch anastomosis due to inflammatory bowel disease or total abdominal colectomy for other reasons. Presentation of Cases. We report here two cases in which patients developed small bowel C. difficile enteritis in the absence of these underlying conditions. Discussion. Neither patient had underlying inflammatory bowel disease and both had a significant amount of colon remaining. Conclusion. These two cases demonstrate that small bowel C. difficile enteritis should be included in the differential diagnosis of patients on antibiotic therapy who demonstrate signs and symptoms of worsening abdominal disease during their postoperative course, even if they lack the major predisposing factors of inflammatory bowel disease or history of total colectomy.

  7. Computed tomography in multiple trauma patients. Technical aspects, work flow, and dose reduction; Polytrauma-Computertomographie. Technische Grundlagen, Workflow und Dosisreduktion

    Energy Technology Data Exchange (ETDEWEB)

    Fellner, F.A. [AKH Linz - Kepler Universitaetsklinikum/JKU, Zentrales Radiologie Institut, Linz (Austria); Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen (Germany); Krieger, J.; Floery, D. [AKH Linz - Kepler Universitaetsklinikum/JKU, Zentrales Radiologie Institut, Linz (Austria); Lechner, N. [AKH Linz - Kepler Universitaetsklinikum/JKU, Abteilung fuer Medizintechnik, Linz (Austria)

    2014-09-15

    Patients with severe, life-threatening trauma require a fast and accurate clinical and imaging diagnostic workup during the first phase of trauma management. Early whole-body computed tomography has clearly been proven to be the current standard of care of these patients. A similar imaging quality can be achieved in the multiple trauma setting compared with routine imaging especially using rapid, latest generation computed tomography (CT) scanners. This article encompasses a detailed view on the use of CT in patients with life-threatening trauma. A special focus is placed on radiological procedures in trauma units and on the methods for CT workup in routine cases and in challenging situations. Another focus discusses the potential of dose reduction of CT scans in multiple trauma as well as the examination of children with severe trauma. Various studies have demonstrated that early whole-body CT positively correlates with low morbidity and mortality and is clearly superior to the use of other imaging modalities. Optimal trauma unit management means a close cooperation between trauma surgeons, anesthesiologists and radiologists, whereby the radiologist is responsible for a rapid and accurate radiological workup and the rapid communication of imaging findings. However, even in the trauma setting, aspects of patient radiation doses should be kept in mind. (orig.) [German] Polytraumatisierte Patienten beduerfen im Rahmen der initialen Schockraumversorgung einer schnellen und exakten klinischen und bildgebenden Diagnostik. Fuer ein optimales Schockraummanagement ist heute die essenzielle Bedeutung einer zeitnah durchgefuehrten Ganzkoerper-CT unbestritten. Insbesondere durch schnelle CT-Scanner der letzten Generationen kann im Rahmen der Schockraum-CT eine aehnlich gute Bildqualitaet wie in der Routinediagnostik erzielt werden. Dieser Artikel beleuchtet den Einsatz der CT im Schockraum bei polytraumatisierten Patienten, wobei das Hauptaugenmerk auf Methoden des

  8. Biological therapy in the treatment of moderate-to-severe ulcerative colitis patients: can colectomy be prevented?

    Directory of Open Access Journals (Sweden)

    Fábio Vieira Teixeira

    2011-12-01

    Full Text Available Ulcerative colitis treatment intends to induce remission, and its maintenance. Biological drugs, such as infliximab, have been indicated in moderate and severe cases of the disease, which are unresponsive to conventional medication. Randomized controlled trials proved the efficacy of biological treatment with high rates of sustained disease remission and mucosal healing. Recently, the concept of mucosal healing has been inversely associated with surgical treatment. Patients treated with infliximab have lower colectomy rates than those receiving conventional therapies. We suppose that earlier use of biological drugs in disease's course would lead to better clinical control and mucosal healing, with a consequent reduction in colectomy rates. To support this hypothesis, a literature review from January, 1996 to April, 2011 was performed.O tratamento da colite ulcerativa tem como objetivo induzir a remissão, além da manutenção da remissão da doença. Agentes biológicos como o infliximabe têm sido indicados em casos moderados e graves da doença, os quais não respondem à medicação convencional. Ensaios clínicos randomizados comprovaram a eficácia do tratamento biológico com altas taxas de remissão da doença e cicatrização sustentada da mucosa. Recentemente, o conceito de cicatrização da mucosa tem sido inversamente associado com o tratamento cirúrgico. Pacientes tratados com infliximabe têm taxas mais baixas de colectomia se comparados com aqueles que receberam terapias convencionais. Supõe-se que quanto mais cedo for introduzida a terapia biológica no curso da doença, melhor seriam o controle clínico e a cicatrização da mucosa, com consequente redução nas taxas de colectomia. Para apoiar esta hipótese, foi realizada uma revisão da literatura entre janeiro de 1996 e abril de 2011.

  9. [AN ENTRY FOR A "DICTIONARY OF GENETICS" GENERATION AND ASPECTS OF HEREDITY FROM THE PRESOCRATICS TO GALEN: THE MAIN NOTIONS AND THE TECHNICAL TERMINOLOGY].

    Science.gov (United States)

    Giorgianni, Franco; Provenza, Antonietta

    2015-01-01

    This article aims at dealing with the historical development and the terminology of the notion of generation in ancient Greece, taking as well into consideration several aspects of the notion of heredity, for, at present, research in this field lacks a consistent encyclopedic entry on such subjects. The Presocratic - mainly Empedoclean - notions of 'mixing' and 'separation' lurk behind the Hippocratic treatise De genitura/De natura pueri, in which the process of generation is explained through the 'mixing' mechanism of a female semen and a male one. Semen comes from each part of both parents, so it is sound from the sound parts, and unhealthy from the unhealthy parts. It is considered as the "foam of blood" (Diogenes, A 24 DK), gathering itself into a web of blood vessels that bring it to the genital organs. The mixed semen keeps on fixing itself in the womb thanks to pneuma ('breath'), until the embryo takes human shape. Generation is influenced by both the environment (Airs, Waters, Places) and dietetics (On Regimen, I). Male and female are on different levels in CH, since the former is characterized as hot and strong, and the latter is considered as cold and weak; as a consequence of this, the articulation takes longer in the case of a female embryo. On the other hand, the pangenesis and the preformism theory claim for a strong mutual relationship. Sex determination depends from the 'prevalence' of the male or female semen. The generation of twins of different sex depends from such 'prevalence', as well as from the conformation of the womb and its places (right/male, left/female). Both nature (physis) and use (nomos) have a role in the mechanism of inheritance, as the case of the Macrocephalians in Airs Waters Places shows. On the other hand, Plato's Timaeus exemplifies the theory according to which semen derives from the spinal marrow. The structures of the body - bones, flesh, nerves - aim at protecting marrow itself for the sake of maintaining the continuity

  10. O Rugby em Cadeira de Rodas: aspectos técnicos e táticos e diretrizes para seu desenvolvimento The Wheelchair Rugby: technical and tactical aspects and a guideline for development

    Directory of Open Access Journals (Sweden)

    Mateus Betanho Campana

    2011-12-01

    Full Text Available O objetivo desse relato de experiência foi descrever aspectos técnicos e táticos do Rugby em Cadeira de Rodas e oferecer indicações de como trabalhá-los para um melhor rendimento do time. Utilizando o método de pesquisa observacional, coletamos informações de times nacionais e internacionais no período de setembro/2008 a dezembro/2009. A observação incluiu treinamentos e competições nacionais e internacionais. Nos resultados apresentamos três elementos técnicos: passe, recepção e domínio de bola. Ainda, jogadas de defesa e ataque, usadas nos âmbitos nacional e internacional são descritas. Concluímos que há um domínio de técnicas e táticas na equipe nacional, mas que a experiência de jogo, a falta de comunicação em quadra e o desconhecimento das regras são elementos que prejudicam o rendimento do time. Esperamos que este estudo auxilie pesquisadores e técnicos a dar continuidade à pesquisa e às ações em quadra, contribuindo para o desenvolvimento da modalidade no Brasil.The aim of this case report was to describe tactical and technical aspects of Wheelchair Rugby and shows directions of how work them to achieve the better results for the team. The observational research methodology was used. Data collection was made from national and international teams between September/2008 to December/2009. The observations included training sessions and competition of nationals and international teams. In results we presented four technical elements: pass, reception, dislocation at the court and ball control. National and international defensives and offensives plays are also described. We conclude that the national teams have domain about technical and tactical skills however, the lack of game experience, lack of communication inside the court, and lack of knowledge about the rules are the weaker points that compromise team performance. We hope that this work helps researchers and coaches to continue the study and the

  11. Nominal aspect

    DEFF Research Database (Denmark)

    Rijkhoff, Jan

    1991-01-01

    In a general way the notion 'aspect' can be defined as the way in which a property or relation is represented in some dimension. Two kinds of aspect can be distinguished: verbal and nominal aspect. The study of verbal aspect has a long tradition, but nominal aspect has only been introduced recently......, at least in the sense in which it is used here (Rijkhoff 1989b, 1990a, 1990b). After a brief look at the more familiar verbal aspects, each of the nominal aspects is discussed in some detail. Then the relevance of nominal aspect will be considered in connection with (i) certain 'number markers' (which...... will be analysed as nominal aspect markers below), (ii) noun-incorporation, and (iii) predicate nouns....

  12. Some technical aspects of town water fluoration

    Directory of Open Access Journals (Sweden)

    Galán, F. J.

    1973-12-01

    Full Text Available Not availableAl plantearse, por la Jefatura de Sanidad Provincial, la conveniencia de proceder a la fluoración de las aguas de abastecimiento de Pamplona, surgió la duda de si la adición del ion flúor en concentraciones del orden de 1 p.p.m. era fácilmente realizable y si ello podría producir efectos secundarios perjudiciales en la red de distribución.

  13. Technical aspects of trans reduction in margarines

    Directory of Open Access Journals (Sweden)

    Van Duijn Gerrit

    2000-01-01

    Full Text Available The opinion of nutritional science on the effect of trans fatty acids on blood cholesterol has drastically changed during the last decade. As a reaction to these new findings, the European margarine industry decided in the mid nineties to eliminate trans containing components from their margarine fat phase compositions. This excluded practically the use of partially hydrogenated oils and fats. Trans-free margarines have been introduced with optimised fat crystal structures stabilising a maximum of water in oil emulsion with a minimum of solid fat phase. These fat crystal structures are formed by fat phase components obtained from interesterification and/or fractionation of non-hydrogenated and/or fully hydrogenated feedstocks.

  14. Uterus retrieval in cadaver: technical aspects.

    Science.gov (United States)

    Akar, M Erman; Ozkan, O; Ozekinci, M; Sindel, M; Yildirim, F; Oguz, N

    2014-01-01

    The authors describe uterus retrieval in cadavers. Uterine retrieval with its vasculature could be successfully achieved in four of the presented cases. Special attention was given to dissection of bilateral ureters and hypogastric vasculature. Uterine retrieval with its vasculature and supporting sacrouterine,vesicouterine peritoneal folds is an anatomically feasible procedure in preparation for uterus transplantation.

  15. Exhaled Breath Condensate: Technical and Diagnostic Aspects

    Directory of Open Access Journals (Sweden)

    Efstathia M. Konstantinidi

    2015-01-01

    Full Text Available Purpose. The aim of this study was to evaluate the 30-year progress of research on exhaled breath condensate in a disease-based approach. Methods. We searched PubMed/Medline, ScienceDirect, and Google Scholar using the following keywords: exhaled breath condensate (EBC, biomarkers, pH, asthma, gastroesophageal reflux (GERD, smoking, COPD, lung cancer, NSCLC, mechanical ventilation, cystic fibrosis, pulmonary arterial hypertension (PAH, idiopathic pulmonary fibrosis, interstitial lung diseases, obstructive sleep apnea (OSA, and drugs. Results. We found 12600 related articles in total in Google Scholar, 1807 in ScienceDirect, and 1081 in PubMed/Medline, published from 1980 to October 2014. 228 original investigation and review articles were eligible. Conclusions. There is rapidly increasing number of innovative articles, covering all the areas of modern respiratory medicine and expanding EBC potential clinical applications to other fields of internal medicine. However, the majority of published papers represent the results of small-scale studies and thus current knowledge must be further evaluated in large cohorts. In regard to the potential clinical use of EBC-analysis, several limitations must be pointed out, including poor reproducibility of biomarkers and absence of large surveys towards determination of reference-normal values. In conclusion, contemporary EBC-analysis is an intriguing achievement, but still in early stage when it comes to its application in clinical practice.

  16. Open data science technical and cultural aspects

    CERN Document Server

    CERN. Geneva

    2005-01-01

    Research in STM fields routinely generates and requires large amounts of data in electronic form. The growth of scientific research using infrastructures such as the Grid, UK's eScience programme and cyber infrastructure requires the re-use, repurposing and redissemination of this information. Fields like bioinformatics, astronomy, physics, and earth/environmental sciences routinely use such data as primary research input. Much of this is now carried out by machines which harvest data from multiple sources in dynamic and iterative ways, validate, filter compute and republish it. The current publication process and legal infrastructure is now a serious hindrance to this. Most STM data are never published and the re-usability of those that are is often unclear as authors and publishers give no explicit permission. However almost all authors intend that published data (non-copyrightable “facts”) are for the re-use of and redissemination to the STM community and the world in general. Many publishers agree wit...

  17. Autonomous driving technical, legal and social aspects

    CERN Document Server

    Gerdes, J; Lenz, Barbara; Winner, Hermann

    2016-01-01

    This book takes a look at fully automated, autonomous vehicles and discusses many open questions: How can autonomous vehicles be integrated into the current transportation system with diverse users and human drivers? Where do automated vehicles fall under current legal frameworks? What risks are associated with automation and how will society respond to these risks? How will the marketplace react to automated vehicles and what changes may be necessary for companies? Experts from Germany and the United States define key societal, engineering, and mobility issues related to the automation of vehicles. They discuss the decisions programmers of automated vehicles must make to enable vehicles to perceive their environment, interact with other road users, and choose actions that may have ethical consequences. The authors further identify expectations and concerns that will form the basis for individual and societal acceptance of autonomous driving. While the safety benefits of such vehicles are tremendous, the auth...

  18. Acute fulminant pseudomembranous colitis which developed after ileostomy closure and required emergent total colectomy: a case report

    Directory of Open Access Journals (Sweden)

    Abe Iku

    2012-05-01

    Full Text Available Abstract Introduction Pseudomembranous colitis is known to be caused by Clostridium difficile; and, in 3% to 8% of patients, it lapses into an aggressive clinical course that is described as fulminant. We present here a case of extremely rapid and fatal fulminant pseudomembranous colitis that developed after ileostomy closure, a minor surgical procedure. To the best of our knowledge, this is the first case report of fatal fulminant pseudomembranous colitis after closure of a diversion ileostomy in an adult. Case presentation A 69-year-old Japanese man, who had previously undergone low anterior resection and creation of a diverting ileostomy for stage III rectal carcinoma was admitted for ileostomy closure. Preoperatively, he received oral kanamycin and metronidazole along with parenteral cefmetazole. His surgery and postoperative course were uneventful until the third postoperative day, when fever and watery diarrhea became apparent. The next day he presented with epigastric and left lower abdominal pain. Computed tomography revealed a slightly distended colon. Later that night, his blood pressure fell and intravenous infusion was started. In the early morning of the fifth postoperative day, his blood pressure could be maintained only with a vasopressor. Follow-up computed tomography demonstrated severe colonic dilation. A colonoscopy confirmed the presence of pseudomembranous colitis, and so oral vancomycin was administered immediately. However, within three hours of the administration, his condition rapidly deteriorated into shock. Although an emergent total colectomy with creation of an end ileostomy was performed, our patient died 26 hours after the surgery. The histopathological examination was consistent with pseudomembranous colitis. Conclusion It is important to recognize that, although rare, there is a type of extremely aggressive pseudomembranous colitis in which the usual waiting period for medical treatment might be lethal. We

  19. Totally Transanal Laparo-Endoscopic Single-Site ProctoColectomy-Ileoanal J-Pouch (TLPC-J: An Experimental Study of a Novel Approach

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Vahdad

    2015-09-01

    Full Text Available Background: The natural orifice transluminal endoscopic surgery (NOTES has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J is a novel method in minimally invasive surgery for total colectomy. The main goal of this study is to perform this new method on an animal model, to assess probable complication and to resolve probable issues by using patients that are candidate for total colectomy. Method: Five dogs were prepared in lithotomy position. The TLPC-I procedure consists of endorectal technique with full thickness rectal dissection starting 1 cm orally from the dentate line above the peritoneal reflection and the proximal bowel was replaced into the abdominal cavity. Afterwards, the TriPort system was inserted in the anal canal and mesentrial resection of the total colon, mobilization of a distal ileal segment and intracorporeal suture of an ileal J-loop was accomplished by this system. An incision in the J-loop was conducted transanally. The J-pouch was created with an Endo-GIA® and sutured to the rectal wall. Results: All animals survived and passed stool with clear post operation situation. There was no infection in site of anastomosis. Conclusion: The TLPC-I provides the possibility of surgery without abdominal wall incision and decreases post operation complication such as pain, abdominal wound infection and wound dehiscence. This technique increases the quality of life and surgeons can discharge the patients early.

  20. Trainee-associated outcomes in laparoscopic colectomy for cancer: propensity score analysis accounting for operative time, procedure complexity and patient comorbidity.

    Science.gov (United States)

    Kasten, Kevin R; Celio, Adam C; Trakimas, Lauren; Manwaring, Mark L; Spaniolas, Konstantinos

    2017-07-19

    Surgical trainee association with operative outcomes is controversial. Studies are conflicting, possibly due to insufficient control of confounding variables such as operative time, case complexity, and heterogeneous patient populations. As operative complications worsen long-term outcomes in oncologic patients, understanding effect of trainee involvement during laparoscopic colectomy for cancer is of utmost importance. Here, we hypothesized that resident involvement was associated with worsened 30-day mortality and 30-day overall morbidity in this patient population. Patients undergoing laparoscopic colectomy for oncologic diagnosis from 2005 to 2012 were assessed using the American College of Surgeons National Surgical Quality Improvement Program dataset. Propensity score matching accounted for demographics, comorbidities, case complexity, and operative time. Attending only cases were compared to junior, middle, chief resident, and fellow level cohorts to assess primary outcomes of 30-day mortality and 30-day overall morbidity. A total of 13,211 patients met inclusion criteria, with 4075 (30.8%) cases lacking trainee involvement and 9136 (69.2%) involving a trainee. Following propensity matching, junior (PGY 1-2) and middle level (PGY 3-4) resident involvement was not associated with worsened outcomes. Chief (PGY 5) resident involvement was associated with worsened 30-day overall morbidity (15.5 vs. 18.6%, p = 0.01). Fellow (PGY > 5) involvement was associated with worsened 30-day overall morbidity (16.0 vs. 21.0%, p < 0.001), serious morbidity (9.3 vs. 13.5%, p < 0.001), minor morbidity (9.8 vs. 13.1%, p = 0.002), and surgical site infection (7.9 vs. 10.5%, p = 0.006). No differences were seen in 30-day mortality for any resident level. Following propensity-matched analysis of cancer patients undergoing laparoscopic colectomy, chief residents, and fellows were associated with worsened operative outcomes compared to attending along cases, while junior

  1. Meta-analysis of single-incision laparoscopic colectomy versus conventional multiport laparoscopic colectomy%单孔腹腔镜与传统多孔腹腔镜结肠切除术对比的荟萃分析

    Institute of Scientific and Technical Information of China (English)

    于晓天; 鱼海峰; 蒋超; 张楷; 张淼; 张云

    2013-01-01

    Objective Investigate the potential advantages and application value of SILC by comparing singleincision laparoscopic colectomy (SILC) with conventional multiport laparoscopic colectomy (CMLC).Methods The relevant literatures comparing SILC with CMLC were searched through PubMed,Embase and the Cochrane Library.Operative time,blood loss,the rate of conversion to open or additional port,the rate of postoperative complications,and length of stay were pooled and compared using RevMan 5.0 software.The risk ratios and their 95% confidence intervals were calculated to evaluate the safety and efficacy of each technique.Results A total of 1 220 patients in 18 studies were reviewed and the data were pooled for analysis.Patients undergoing SILC had less blood loss (pooled mean difference=-20.25; 95% CI:-39.25 to-1.24; P=0.04),shorter length of stay (pooled mean difference=-0.38; 95% CI:-0.63 to-0.13; P=0.002).No significant difference was present in operative time (pooled mean difference=3.90; 95% CI:-2.45 to 10.24; P=0.23),the rate of conversion to open surgery/adding ports (pooled risk ratios=1.67; 95% CI:0.96 to 2.91; P=0.07) or the rate of postoperative complications (pooled risk ratios=0.89; 95% CI:0.69 to 1.14; P=0.36).Conclusions SILC appears to have comparable results to CMLC.It has the relative benefits on surgical trauma,and postoperative recovery over CMLC.%目的:比较单孔腹腔镜与传统多孔腹腔镜结肠切除手术的有效性和安全性,探讨单孔腹腔镜结肠切除术的潜在优势及应用价值.方法:检索PubMed、Embase、the Cochrane Library数据库公开发表的单孔腹腔镜与传统多孔腹腔镜结肠切除术比较的研究文献.采用RevMan 5.0统计软件,合并及比较两者手术时间、术中出血量、中转开腹和(或)增加穿刺孔率、术后并发症发生率、住院时间等,选择计算相对危险度(RR)和均数差值(MD)作为效应尺度指标来评估两种手术方式

  2. "Ultra" E.R.A.S. in laparoscopic colectomy for cancer: discharge after the first flatus? A prospective, randomized trial.

    Science.gov (United States)

    Garulli, Gianluca; Lucchi, Andrea; Berti, Pierluigi; Gabbianelli, Carlo; Siani, Luca Maria

    2017-04-01

    Enhanced Recovery After Surgery (E.R.A.S.) programs are now widely accepted in colonic laparoscopic resections because of faster recovery and less perioperative complications. The aim of this study was to assess safety and feasibility of discharging patients operated on by laparoscopic colectomy on postoperative day 2, so long as the first flatus has passed and in the absence of complication-related symptoms. This study was a non-inferiority, open-label, single-center, prospective, randomized study comparing "Ultra" to Classic E.R.A.S. with discharge on POD 2 and 4, respectively. Seven hundred and sixty-five patients with resectable non-metastatic colonic cancer were analyzed: 384 patients were assigned to "Ultra" E.R.A.S. and 381 to Classic E.R.A.S. Primary end-point was mortality; secondary end-points were morbidity, readmission and reoperation rate. Limitations are: it is a single-center experience; it is not double-blind, with the intrinsic risk of intentional or unconscious bias; exclusion criteria because of "non-compliance" may be considered arbitrary. Mortality was 0.89 % in "Ultra" E.R.A.S. group and 0.59 % in Classic E.R.A.S. (p = 0.571). Morbidity was 34.1 % for "Ultra" E.R.A.S. arm and 35.4 % for Classic E.R.A.S. (p = 0.753). Readmissions were 5.6 % for "Ultra" E.R.A.S. and 5.9 % for Classic E.R.A.S. (p = 0.359). Reoperation rate was 3.8 % for "Ultra" ERAS and 4.7 % for Classic E.R.A.S. (p = 0.713). Multivariate regression analyses using Cox's proportional hazard model showed that mortality (primary end-point), morbidity, reoperation and readmission (secondary end-points) were not significantly influenced by the two different perioperative regimens; conversely, the global cost of "Ultra" E.R.A.S. regimen was more economically effective. "Ultra" E.R.A.S. showed to be safe, actual and effective; discharge on postoperative day 2 after the first flatus passage, in the absence of complication-related symptoms, should be actively considered in

  3. Hand-assisted versus straight laparoscopic sigmoid colectomy on a training simulator: what is the difference? A stepwise comparison of hand-assisted versus straight laparoscopic sigmoid colectomy performance on an augmented reality simulator.

    LENUS (Irish Health Repository)

    Leblanc, Fabien

    2010-12-01

    We hypothesized that simulator-generated metrics and intraoperative errors may be able to differentiate the technical differences between hand-assisted laparoscopic (HAL) and straight laparoscopic (SL) approaches.

  4. Endoscopic endonasal transsphenoidal approach for pituitary adenomas: technical aspects and report of casuistic Abordagem endoscópica endonasal para adenomas de hipófise: aspectos técnicos e relato de casuística

    Directory of Open Access Journals (Sweden)

    Américo Rubens Leite dos Santos

    2010-08-01

    Full Text Available OBJECTIVE: Analyse technical aspects, effectiveness and morbidity of the endoscopic endonasal transphenoidal approach for pituitary adenomas. METHOD: From January 2005 to September 2008, 30 consecutive patients underwent endoscopic endonasal resection of pituitary adenomas with a follow up from 3 to 36 months. Their medical charts were retrospectively analysed. RESULTS: There were 18 women and 12 men, mean age 44 years (range 17-65 yr. Among the 30 patients, 23 had macroadenomas and 7 microadenomas. Twelve patients had non-functioning tumors, 9 had ACTH-secreting tumors, 8 had GH-secreting tumors and 1 prolactinoma. Complete resection and hormonal control was achieved in all microadenomas. Macroadenomas were completely removed in 6 patients, subtotal resection in 6 and partial resection in 11. Three patients had diabetes insipidus and 5 had CSF leaks treated with lumbar drainage. CONCLUSION: The endonasal endoscopic approach for pituitary tumors is effective and has low morbidity.OBJETIVO: Analisar aspectos técnicos, eficácia e morbidade do acesso transesfenoidal endonasal endoscópico para adenomas hipofisários. MÉTODO: Estudo retrospectivo de trinta pacientes consecutivos submetidos à ressecção endoscópica endonasal de adenomas hipofisários, entre janeiro de 2005 e setembro de 2008, com seguimento pós-operatório entre três e 36 meses. RESULTADOS: Foram operados 18 mulheres e 12 homens com idades variando entre 17 e 65 anos (média 44 anos. Entre os 30 casos operados, 23 eram macroadenomas e sete microadenomas. Doze pacientes apresentavam adenomas não-funcionantes, nove tumores secretores de ACTH, oito tumores secretores de GH e um prolactinoma. Ressecção macroscópica completa e controle endócrino foram conseguidos em todos microadenomas. Ressecção dos macroadenomas foi completa em seis pacientes, subtotal em seis e parcial em seis casos. Três pacientes desenvolveram diabetes insipidus e cinco tiveram fístula liqüórica p

  5. Total abdominal colectomy

    Science.gov (United States)

    ... the rectum. This can cause an infection or abscess. Scarring of the connection between the small intestine ... More Crohn disease Ileostomy Total proctocolectomy and ileal - anal pouch Total proctocolectomy with ileostomy Ulcerative colitis Patient ...

  6. Understanding Socio Technical Modularity

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff; Kudsk, Anders; Hvam, Lars

    2011-01-01

    Modularity has gained an increasing popularity as a central concept for exploring product structure, process structure, organization structure and supply chain structure. With the offset in system theory the predominant understanding of modularity however faces difficulties in explaining the social...... Theory in particular. By formulating modularity from an ANT perspective covering social, material and process aspects, the modularity of a socio-technical system can be understood as an entanglement of product, process, organizational and institutional modularity. The theoretical framework is illustrated...

  7. Effect of Coffee on the Length of Postoperative Ileus After Elective Laparoscopic Left-Sided Colectomy: A Randomized, Prospective Single-Center Study.

    Science.gov (United States)

    Dulskas, Audrius; Klimovskij, Michail; Vitkauskiene, Marija; Samalavicius, Narimantas E

    2015-11-01

    Postoperative ileus is common problem after colorectal surgery. A positive effect of coffee to bowel movement has been described. It is still unclear whether coffee decreases the risk of postoperative ileus. The purpose of this study was to determine whether consuming a 100-mL cup of coffee is effective in preventing or reducing postoperative ileus. This was a prospective, single-center, randomized controlled study. The study was conducted at a university teaching hospital. All of the patients who were scheduled for elective laparoscopic left-sided colectomy at our hospital after the detection of malignant disease in a preoperative biopsy between January 2013 and December 2014 entered the study. The patients were assigned randomly before surgery to receive coffee with caffeine (first group), coffee without caffeine (second group), or water (third group) after the procedure (100 mL 3 times daily). The primary end point was time to first bowel movement; secondary end points were time to first flatus and time to tolerance of solid food. A total of 105 patients were randomly assigned, 35 to each group. Fifteen patients were excluded. Patient demographic characteristics were similar in the groups. The time until the first bowel movement (measured in days) was significantly (p flatus (1.47 versus 1.57 and 1.77 for decaffeinated coffee versus coffee with caffeine and water; p > 0.05) did not show statistical significance. Postoperative hospital stay was similar in all 3 of the groups. This is a single-center study with a relatively small sample size. Coffee consumption after colectomy was safe and in the decaffeinated group associated with a reduced time to first bowel action. Caffeine is not a main ingredient affecting the length of postoperative ileus.

  8. Technical Network

    CERN Multimedia

    2007-01-01

    In order to optimize the management of the Technical Network (TN), to ease the understanding and purpose of devices connected to the TN, and to improve security incident handling, the Technical Network Administrators and the CNIC WG have asked IT/CS to verify the "description" and "tag" fields of devices connected to the TN. Therefore, persons responsible for systems connected to the TN will receive email notifications from IT/CS asking them to add the corresponding information in the network database. Thank you very much for your cooperation. The Technical Network Administrators & the CNIC WG

  9. Technical Network

    CERN Multimedia

    2007-01-01

    In order to optimise the management of the Technical Network (TN), to facilitate understanding of the purpose of devices connected to the TN and to improve security incident handling, the Technical Network Administrators and the CNIC WG have asked IT/CS to verify the "description" and "tag" fields of devices connected to the TN. Therefore, persons responsible for systems connected to the TN will receive e-mails from IT/CS asking them to add the corresponding information in the network database at "network-cern-ch". Thank you very much for your cooperation. The Technical Network Administrators & the CNIC WG

  10. Tela de polipropileno no reparo laparoscópico de grandes hérnias hiatais: aspectos técnicos The polypropylene mesh in the laparoscopic repair of large hiatal hernias: technical aspects

    Directory of Open Access Journals (Sweden)

    André Brandalise

    2012-12-01

    months. All patients have at least one follow-up endoscopy or esophageal contrast examination, and a clinical interview. In this follow-up period, no cases of complications related to the prosthesis (stenosis or erosion were observed. CONCLUSION: The use of this model of polypropylene mesh is safe if the technical aspects of its placement are followed carefully.

  11. SPAM -- Technological and Legal Aspects

    CERN Document Server

    Banday, M Tariq

    2011-01-01

    In this paper an attempt is made to review technological, economical and legal aspects of the spam in detail. The technical details will include different techniques of spam control e.g., filtering techniques, Genetic Algorithm, Memory Based Classifier, Support Vector Machine Method, etc. The economic aspect includes Shaping/Rate Throttling Approach/Economic Filtering and Pricing/Payment based spam control. Finally, the paper discusses the legal provisions for the control of spam. The scope of the legal options is limited to USA, European Union, New Zealand, Canada, Britain and Australia.

  12. Imagining Technicities

    DEFF Research Database (Denmark)

    Liboriussen, Bjarke; Plesner, Ursula

    2011-01-01

    The actors of the building industry have access to a range of Information and Communication Technologies (ICTs), and are constantly presented with new software and new communications platforms. Through case studies, and inspired by sociotechnical approaches to the study of emerging technologies......, this article focuses on innovative uses of virtual worlds in architecture. We interviewed architects, industrial designers and other practitioners. Conceptually supported by an understanding of technicity found in Cultural Studies, the interviews were then coded with a focus on interviewees’ references...... to the elements of taste and skill. In the final analysis those references were synthesized as five imagined technicities: the architect, the engineer, the client, the Chinese, and the Virtual World native. Because technicities are often assumed and rarely discussed as actants who influence practice, their role...

  13. Imagining Technicities

    DEFF Research Database (Denmark)

    Liboriussen, Bjarke; Plesner, Ursula

    2011-01-01

    , this article focuses on innovative uses of virtual worlds in architecture. We interviewed architects, industrial designers and other practitioners. Conceptually supported by an understanding of technicity found in Cultural Studies, the interviews were then coded with a focus on interviewees’ references......The actors of the building industry have access to a range of Information and Communication Technologies (ICTs), and are constantly presented with new software and new communications platforms. Through case studies, and inspired by sociotechnical approaches to the study of emerging technologies...... to the elements of taste and skill. In the final analysis those references were synthesized as five imagined technicities: the architect, the engineer, the client, the Chinese, and the Virtual World native. Because technicities are often assumed and rarely discussed as actants who influence practice, their role...

  14. Regulatory aspects

    Science.gov (United States)

    Stern, Arthur M.

    1986-07-01

    At this time, there is no US legislation that is specifically aimed at regulating the environmental release of genetically engineered organisms or their modified components, either during the research and development stage or during application. There are some statutes, administered by several federal agencies, whose language is broad enough to allow the extension of intended coverage to include certain aspects of biotechnology. The one possible exception is FIFRA, which has already brought about the registration of several natural microbial pesticides but which also has provision for requiring the registration of “strain improved” microbial pesticides. Nevertheless, there may be gaps in coverage even if all pertinent statutes were to be actively applied to the control of environmental release of genetically modified substances. The decision to regulate biotechnology under TSCA was justified, in part, on the basis of its intended role as a gap-filling piece of environmental legislation. The advantage of regulating biotechnology under TSCA is that this statute, unlike others, is concerned with all media of exposure (air, water, soil, sediment, biota) that may pose health and environmental hazards. Experience may show that extending existing legislation to regulate biotechnology is a poor compromise compared to the promulgation of new legislation specifically designed for this purpose. It appears that many other countries are ultimately going to take the latter course to regulate biotechnology.

  15. Understanding Socio Technical Modularity

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff; Kudsk, Anders; Hvam, Lars

    2011-01-01

    Modularity has gained an increasing popularity as a central concept for exploring product structure, process structure, organization structure and supply chain structure. With the offset in system theory the predominant understanding of modularity however faces difficulties in explaining the social...... dimension of modularity like irrational behaviors, cultural differences, learning processes, social organization and institutional influences on modularity. The paper addresses this gab offering a reinterpretation of the modularity concept from a socio-technical perspective in general and Actor Network...... Theory in particular. By formulating modularity from an ANT perspective covering social, material and process aspects, the modularity of a socio-technical system can be understood as an entanglement of product, process, organizational and institutional modularity. The theoretical framework is illustrated...

  16. Technical and economical aspects of the fuel alcohol production in micro distilleries at Rio Grande do Sul, Brazil; Aspectos tecnicos e economicos da producao de alcool combustivel em microdestilarias no Rio Grande do Sul

    Energy Technology Data Exchange (ETDEWEB)

    Mayer, Flavio Dias; Bisognin, Dilson Antonio; Hoffmann, Ronaldo; Jahn, Sergio Luis [Universidade Federal de Santa Maria (UFSM), RS (Brazil)

    2010-07-01

    The increasing of ethanol production at Rio Grande do Sul, Brazil, will occur in small scale, through the microdistilleries installed at the present sugar cane producer regions, characterized by the small properties and familiar manpower. However, that production scale is lack of technical and cost analysis for allowing a better evaluation of the existent scenery at the State or Rio Grande do Sul, Brazil. From the production data of four microdistilleries installed at the Rio Grande do Sul, it is possible to affirm that the income obtained for the substract extraction and fermentation are reasonable (average 70.4 and 82.8, respectively). The distillation, however, posses a low yield (average 65.9%), resulting in a negative impact in the industrial productivity, on the energetic factor and the production cost. The increasing of yield of distillation for a satisfactory value (92.0 %) would result in a increasing of industrial productivity up to 61 % (Case B). So, it is necessary a more technical attention to that step for guarantee the development of the ethanol production activity in a small scale.

  17. CURRICULA CONTENT FOR TECHNICAL EDUCATION.

    Science.gov (United States)

    SCHILL, WILLIAM

    THE TECHNICIAN IS NOT A RETRAINED CRAFTSMAN NOR A FLUNKED-OUT ENGINEERING STUDENT. HE IS A NEW AND UNIQUE ASPECT OF TECHNOLOGICAL SOCIETY. THREE LEVELS OF TECHNICIANS ARE DESCRIBED--THE ENGINEERING TECHNICIAN, THE INDUSTRIAL TECHNICIAN, AND THE TECHNICAL SPECIALIST. THERE IS A LARGE GAP BETWEEN ABSTRACT ENGINEERING AND PRODUCTION, AND THE…

  18. FOREX trading strategy formation using technical analysis

    OpenAIRE

    Klimavičius, Domas

    2010-01-01

    FOREX technical analysis indicators, their characteristics and capabilities are researched in this final master thesis. The main goal of this thesis is to determine if technical analysis indicators can recognise patterns in price movements and if they can predict future price movement. The first part of the thesis presents with FOREX theoretical aspects, its characteristics and participants. In the second part of the thesis FOREX analysis tools are overviewed, focusing on technical analysis. ...

  19. Momentum in Transformation of Technical Infrastructure

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Elle, Morten

    1999-01-01

    Current infrastructure holds a considerable momentum and this momentum is a barrier of transformation towards more sustainable technologies and more sustainable styles of network management. Using the sewage sector in Denmark as an example of a technical infrastructure system this paper argues...... that there are technical, economical and social aspects of the current infrastructures momentum....

  20. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    2010-01-01

    Operational Experience At the end of the first full-year running period of LHC, CMS is established as a reliable, robust and mature experiment. In particular common systems and infrastructure faults accounted for <0.6 % CMS downtime during LHC pp physics. Technical operation throughout the entire year was rather smooth, the main faults requiring UXC access being sub-detector power systems and rack-cooling turbines. All such problems were corrected during scheduled technical stops, in the shadow of tunnel access needed by the LHC, or in negotiated accesses or access extensions. Nevertheless, the number of necessary accesses to the UXC averaged more than one per week and the technical stops were inevitably packed with work packages, typically 30 being executed within a few days, placing a high load on the coordination and area management teams. It is an appropriate moment for CMS Technical Coordination to thank all those in many CERN departments and in the Collaboration, who were involved in CMS techni...

  1. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    2010-01-01

    Operational Experience Since the closure of the detector in February, the technical operation of CMS has been quite smooth and reliable. Some minor interventions in UXC were required to cure failures of power supplies, fans, readout boards and rack cooling connections, but all these failures were repaired in scheduled technical stops or parasitically during access dedicated to fixing LHC technical problems. The only occasion when CMS had to request an access between fills was to search for the source of an alarm from the leak-detection cables mounted in the DT racks. After a few minutes of diagnostic search, a leaking air-purge was found. Replacement was complete within 2 hours. This incident demonstrated once more the value of these leak detection cables; the system will be further extended (during the end of year technical stop) to cover more racks in UXC and the floor beneath the detector. The magnet has also been operating reliably and reacted correctly to the 14s power cut on 29 May (see below). In or...

  2. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    TECHNICAL TRAINING Monique Duval tel. 74924 technical.training@cern.ch Monday 9 February 2004 From 10:00 to 12:00 - IT Auditorium - bldg. 31, 3rd floor ANSOFT High-Frequency Seminar David Prestaux, Application Engineer, ANSOFT F-78535 BUC, France This Technical Training seminar will present two Ansoft application products: Ansoft HFSS and Ansoft Designer. Ansoft HFSS makes use of the Finite Element Method (FEM) to calculate field solutions from first principles. It can accurately predict all high-frequency behaviours such as dispersion, mode conversion, and losses due to materials and radiation. Ansoft Designer is a suite of design tools to fully integrate high-frequency, physics-based electromagnetic simulations into a seamless system-level simulation environment. Ansoft Designer uses a simple interface to give complete control over every design task, by a method allowing multiple solvers, Solver on Demand. • Introduction • Overview of the Ansoft Total solution • Ansoft HFSS 9...

  3. 机器人手术系统辅助结肠癌手术13例%Robotic-assisted laparoscopic colectomy for colon cancer: a report of 13 cases

    Institute of Scientific and Technical Information of China (English)

    鲍扬; 江志伟; 谢立飞; 刘凤涛; 黎介寿

    2011-01-01

    Objective To investigate the safety and feasibility of robotic-assisted laparoscopic colectomy for colonic cancer. Methods The clinical outcomes of 13 patients with colon cancer undergoing robotic-assisted laparoscopic colectomy from May 2010 to November 2010 were retrospectively evaluated. Results All the operations were performed successfully, including 5 right colectomies, 3 left colectomies, and 3 sigmoidectomies. The operative time was (171.5±31.8) minutes. The estimated blood loss was (54.6±21.8) ml. Time to the return of bowel function was (60.9±15.8) hours and postoperative hospital stay was (6.4±3.6) days. There was one patient developed fat liquefaction at the incision. No bleeding, anastomotic fistula, anastomotic stenosis, or other complications were found. Conclusion Robotic-assisted laparoscopic colectomy is safe and feasible for colon cancer resection.%目的 探讨达芬奇机器人手术系统辅助结肠癌手术的安全性与可行性.方法 回顾性总结2010年5-11月实施的13例达芬奇机器人手术系统辅助结肠癌手术的治疗效果.结果 13例结肠癌患者行右半结肠切除5例、左半结肠切除3例、乙状结肠切除5例.手术均顺利完成,无中转开腹.手术时间(171.5±31.8)min,术中失血量(54.6±21.8)ml,术后肠蠕动恢复时间为(60.9±15.8)h,术后住院时间(6.4±3.6)d.术后除1例切口脂肪液化外,未出现出血、吻合口瘘、吻合口狭窄等并发症.结论 达芬奇机器人手术系统应用于结肠癌手术安全可行.

  4. Solar wash dryer, an environment-friendly alternative. Study of technical, architectural and societal aspects. Final report; Zonnewasdroger, een milieuvriendelijk alternatief. Onderzoek naar technische, bouwkundige en maatschappelijke aspecten. Eindrapportage

    Energy Technology Data Exchange (ETDEWEB)

    Israels, E.; Elema, K.; Bouwens, C.; Duijvestein, A.; Van der Eerden, E.; Van Putten, W.; Woltmeijer, E.

    1995-10-01

    The use of electric tumble dryers in the Netherlands increases at a great pace. Holland Energy Systems (HES) developed a prototype solar wash dryer in which the advantages of open air drying and electric drying are combined. The dryer consists of a transparent plate with an air cavity behind it. On the innerside of the air cavity is a metal dark-colored plate, the absorber. Behind this solar collector is the actual drying space, equipped with mobile racks for the laundry. If the sun does not produce enough heat the outside air will be heated electrically. The dryer also contains a flat water tank to store heat at the bottom of the drying compartment. In this report attention is paid to the architectural implementation possibilities of the solar wash dryer and the adjustments that might be made in the design of a house. Next to architectural aspects also juridical and societal aspects are discussed, in particular concerning the fitting-in of the housing construction. figs., tabs., 5 appendices, 11 refs.

  5. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2011-01-01

    In this report we will review the main achievements of the Technical Stop and the progress of several centrally-managed projects to support CMS operation and maintenance and prepare the way for upgrades. Overview of the extended Technical Stop  The principal objectives of the extended Technical Stop affecting the detector itself were the installation of the TOTEM T1 telescopes on both ends, the readjustment of the alignment link-disk in YE-2, the replacement of the light-guide sleeves for all PMs of both HFs, and some repairs on TOTEM T2 and CASTOR. The most significant tasks were, however, concentrated on the supporting infrastructure. A detailed line-by-line leak search was performed in the C6F14 cooling system of the Tracker, followed by the installation of variable-frequency drives on the pump motors of the SS1 and SS2 tracker cooling plants to reduce pressure transients during start-up. In the electrical system, larger harmonic filters were installed in ...

  6. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball

    Overview From a technical perspective, CMS has been in “beam operation” state since 6th November. The detector is fully closed with all components operational and the magnetic field is normally at the nominal 3.8T. The UXC cavern is normally closed with the radiation veto set. Access to UXC is now only possible during downtimes of LHC. Such accesses must be carefully planned, documented and carried out in agreement with CMS Technical Coordination, Experimental Area Management, LHC programme coordination and the CCC. Material flow in and out of UXC is now strictly controlled. Access to USC remains possible at any time, although, for safety reasons, it is necessary to register with the shift crew in the control room before going down.It is obligatory for all material leaving UXC to pass through the underground buffer zone for RP scanning, database entry and appropriate labeling for traceability. Technical coordination (notably Stephane Bally and Christoph Schaefer), the shift crew and run ...

  7. 从技术标准层面解决“最低价中标”弊端的思考%Thinking of solution to the disadvantages of“lowest-bid”from the technical standard aspect

    Institute of Scientific and Technical Information of China (English)

    沈斌

    2015-01-01

    通过对“最低价中标”弊端的思考,揭示了招标投标活动中法律政策、道德诚信很难解决的最低中标价可能低于成本价问题,实质就是成本价的界定问题,提出了从技术标准层面上制订相关标准、规范和办法来完善招投标活动中的商务行为。%Based the thinking to the disadvantages of“lowest-bid”,revealed the lowest priced lower than the cost price difficult to solve in legal policy,moral good faith in bidding activities,the essence was the problem definition of cost price,put forward the business behavior from the technical level formulated relevant standards,norms and ways to perfect the bidding activities.

  8. The Roles of Technical Communication Researchers in Design Scholarship

    Science.gov (United States)

    Sánchez, Fernando

    2017-01-01

    Design has come to be understood as an essential aspect of the work that technical communicators claim. As a result, research in the field of technical communication has approached studies of design in numerous ways. This article showcases how technical communication researchers assume the roles of observers, testers, critics, creators, and…

  9. 48 CFR 3419.870 - Acquisition of technical requirements.

    Science.gov (United States)

    2010-10-01

    ... ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS SMALL BUSINESS AND SMALL DISADVANTAGED BUSINESS CONCERNS Contracting With the Small Business Administration (The 8(a) Program) 3419.870 Acquisition of technical... SBA through a limited technical competition if technical aspects, methodology, or approach are of...

  10. [Analogies and analogy research in technical biology and bionics].

    Science.gov (United States)

    Nachtigall, Werner

    2010-01-01

    The procedural approaches of Technical Biology and Bionics are characterized, and analogy research is identified as their common basis. The actual creative aspect in bionical research lies in recognizing and exploiting technically oriented analogies underlying a specific biological prototype to indicate a specific technical application.

  11. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    Tuesday 30 March TECHNICAL TRAINING SEMINAR From 9:00 to 12:00 and from 13:00 to 16:00 hrs - Council Chamber, Salle B, Salle des Pas Perdus National Instruments (NI) on Tour 2004 Claudia Jüngel, Evrem Yarkin, Joel Clerc, Hervé Baour / NATIONAL INSTRUMENTS The special event NI on Tour 2004, run in Germany, Austria and Switzerland, will be at CERN on March 30. Technical seminars and free introductory courses will be offered all day long in the Council Chamber, Salle B, and Salle des Pas Perdus (buildings 61 and 503). Technical conferences: 09:00 - 12:00 Data acquisition systems on PCs. Industrial measurement and control techniques. 13:00 - 16:00 Advanced LabVIEW software and PXI instrumentation. Measuring instruments and system components for teststand automation. Introductory courses: 09:00 - 12:00 DIAdem: Data analysis and presentation 13:00 - 16:00 Data acquisition with LabVIEW Language: English and French Free special seminar. Registration is recommended with National Instruments Swi...

  12. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    Tuesday 30 March TECHNICAL TRAINING SEMINAR From 9:00 to 12:00 and from 13:00 to 16:00 hrs - Council Chamber, Salle B, Salle des Pas Perdus National Instruments (NI) on Tour 2004 Claudia Jüngel, Evrem Yarkin, Joel Clerc, Hervé Baour / NATIONAL INSTRUMENTS The special event NI on Tour 2004, run in Germany, Austria and Switzerland, will be at CERN on March 30. Technical seminars and free introductory courses will be offered all day long in the Council Chamber, Salle B, and Salle des Pas Perdus (buildings 61 and 503). Technical conferences: 09:00 - 12:00 Data acquisition systems on PCs. Industrial measurement and control techniques. 13:00 - 16:00 Advanced LabVIEW software and PXI instrumentation. Measuring instruments and system components for teststand automation. Introductory courses: 09:00 - 12:00 DIAdem: Data analysis and presentation 13:00 - 16:00 Data acquisition with LabVIEW Language: English and French Free special seminar. Registration is recommended with National Instruments Switzerland (please sp...

  13. Future of high energy physics some aspects

    CERN Document Server

    Prokofiev, Kirill

    2017-01-01

    This book comprises 26 carefully edited articles with well-referenced and up-to-date material written by many of the leading experts. These articles originated from presentations and dialogues at the second HKUST Institute for Advanced Study Program on High Energy Physics are organized into three aspects, Theory, Accelerator, and Experiment, focusing on in-depth analyses and technical aspects that are essential for the developments and expectations for the future high energy physics.

  14. Aspectos técnico-ambientais da produção orgânica na região citrícola do Vale do Rio Caí, RS Technical and environment aspects of the organic production on citric region of Caí Valley, in the state of Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Nestor Valtir Panzenhagen

    2008-02-01

    Full Text Available Há uma preocupação crescente sobre a necessidade de produção e consumo de alimentos mais saudáveis, sem uso de agrotóxicos nem fertilizantes sintético-industriais. Neste contexto se insere a prática da agricultura orgânica, que, contudo, apresenta resultados ainda pouco avaliados nos meios acadêmicos e científicos. Assim, pretendeu-se nesta pesquisa diagnosticar aspectos técnico-ambientais da produção orgânica na região citrícola do Vale do Rio Caí, no Rio Grande do Sul. Inicialmente, foram selecionadas propriedades de oito agricultores familiares, todas já convertidas ao sistema orgânico de produção, sendo aplicadas entrevistas semi-estruturadas. Os produtores mostram-se satisfeitos com o sistema orgânico de produção e revelam bom conhecimento sobre o ambiente, plantas, solos e processos agroecológicos, adquiridos através da participação em eventos técnicos e em reuniões da Cooperativa Ecocitrus. A constante troca de experiências entre esses agricultores tem melhorado sua qualificação técnica, além de melhor conscientizá-los nos aspectos políticos, econômicos e sociais.There's a growing concern about the need for production and consumption of healthier food, without pesticides and chemical fertilizers. The practice of organic agriculture appears in this context, but still shows little assessed results in the academic and scientific context. Thus, this research is aimed at the diagnoses of organic production of citrus in the region of Caí Valley, in southern Brazil. Initially eight producers were selected, all already converted to the organic production system. To carry out the research, semi-structured surveys were applied, seeking the diagnoses of technical and environmental aspects. The organic producers have shown to be satisfied with the organic production system. Moreover, show good knowledge about the environment, plants, soil and agrobiological processes, which is possible technical events and

  15. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2011-01-01

      Operational experience 2011 CMS is approaching the end of a very successful year of operation. Proton- proton running ended in the late afternoon of 30th October with a stunning 5.73 fb–1 delivered by LHC, of which CMS recorded 5.22 fb–1. During heavy-ion operation, which continues until 7th December, both the accelerator and the CMS detector have also performed very well. Despite the encouraging overall reliability of technical operation, several infrastructure failures which occurred since the last Bulletin are worthy of mention, with one leading for the first time to significant data-loss. On 10th July, a CERN-wide power failure brought down essentially all services including the magnet, due to an MCS setting being left in “manual” after the recent technical stop, but there was no significant damage and the detector was operational before the LHC, despite a slow and tortuous recovery (one of several indications this year that there is room for improve...

  16. TECHNICAL COORDINATION

    CERN Multimedia

    Austin Ball

    Summary of progress since last CMS week. Ten years of construction work have been completed. CMS is closed, in very close to the ideal low luminosity configuration, and performed well in the first tests with LHC beam. Behind this encouraging news is the story of a summer of intense commitment by many teams (from the collaboration and 3 CERN departments) working together, against the clock and despite many minor setbacks, to ensure that the experiment was ready to play a leading role in the excitement of September 10. Following beampipe bakeout and refill with pure neon, a magnificent effort by the ECAL group and the pt 5 technical crew made it possible to install and commission all 4 ECAL endcap Dees before the end of August. In the shadow of this activity, the barrel and forward pixel trackers and part of the beam monitoring were installed within the vac tank. The pt 5 technical teams then succeeded in safely removing the 20t installation tables and their support blocks from beneath the already installed ...

  17. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2013-01-01

    For the reporting period, the CMS common systems and infrastructure worked well, without failures that caused significant data losses. One more disconnection of the magnet cold box occurred in the shadow of interruptions in data taking, caused by a series of technical faults. The recognition during 2012 that re-connection can only safely be done at around 2 T implies a minimum magnet recovery time of 12 hours and raises serious concerns about the number of ramping cycles of the magnet these incidents cause. This has triggered studies of how to make the cryo-system of the magnet more robust against failures. The proton-proton run ended just before the end-of-year CERN closure, during which CASTOR was installed on the negative end of CMS and both ZDC calorimeters were installed in TAN absorbers the LHC tunnel, in preparation for the heavy-ion run. The installation of CASTOR was an excellent “engineering test” of procedures for working in an activated environment. Despite some technical pr...

  18. Aspects and Polymorphism in AspectJ

    DEFF Research Database (Denmark)

    Lorenz, David Harel; Ernst, Erik

    2003-01-01

    -oriented programming (AOP). In AOP, pieces of crosscutting behavior are extracted from the base code and localized in aspects, losing as a result their polymorphic capabilities while introducing new and unexplored issues. In this paper, we explore what kinds of polymorphism AOP languages should support, using AspectJ...... as the basis for the presentation. The results are not exclusive to AspectJ---aspectual polymorphism may make aspects in any comparable AOSD language more expressive and reusable across programs, while preserving safety....

  19. Reader-Centered Technical Writing

    Science.gov (United States)

    Narayanan, M.

    2012-12-01

    Technical writing is an essential part of professional communication and in recent years it has shifted from a genre-based approach. Formerly, technical writing primarily focused on generating templates of documents and sometimes it was creating or reproducing traditional forms with minor modifications and updates. Now, technical writing looks at the situations surrounding the need to write. This involves deep thinking about the goals and objectives of the project on hand. Furthermore, one observes that it is very important for any participatory process to have the full support of management. This support needs to be well understood and believed by employees. Professional writing may be very persuasive in some cases. When presented in the appropriate context, technical writing can persuade a company to improve work conditions ensuring employee safety and timely production. However, one must recognize that lot of professional writing still continues to make use of reports and instruction manuals. Normally, technical and professional writing addresses four aspects. Objective: The need for generating a given professionally written technical document and the goals the document is expected to achieve and accomplish. Clientele: The clientele who will utilize the technical document. This may include the people in the organization. This may also include "unintended readers." Customers: The population that may be affected by the content of the technical document generated. This includes the stakeholders who will be influenced. Environment: The background in which the document is created. Also, the nature of the situation that warranted the generation of the document. Swiss Psychologist Jean Piaget's view of Learning focuses on three aspects. The author likes to extend Jean Piaget's ideas to students, who are asked to prepare and submit Reader-Centered Technical Writing reports and exercises. Assimilation: Writers may benefit specifically, by assimilating a new object into

  20. AspectKE*

    DEFF Research Database (Denmark)

    Yang, Fan; Masuhara, Hidehiko; Aotani, Tomoyuki

    2010-01-01

    Enforcing security policies to distributed systems is difficult, in particular, when a system contains untrusted components. We designed AspectKE*, a distributed AOP language based on a tuple space, to tackle this issue. In AspectKE*, aspects can enforce access control policies that depend......KE*, and demonstrate usefulness of AspectKE* through a security aspect for a distributed chat system....

  1. Technical presentation

    CERN Multimedia

    FP Department

    2009-01-01

    07 April 2009 Technical presentation by Leuze Electronics: 14.00 – 15.00, Main Building, Room 61-1-017 (Room A) Photoelectric sensors, data identification and transmission systems, image processing systems. We at Leuze Electronics are "the sensor people": we have been specialising in optoelectronic sensors and safety technology for accident prevention for over 40 years. Our dedicated staff are all highly customer oriented. Customers of Leuze Electronics can always rely on one thing – on us! •\tFounded in 1963 •\t740 employees •\t115 MEUR turnover •\t20 subsidiaries •\t3 production facilities in southern Germany Product groups: •\tPhotoelectric sensors •\tIdentification and measurements •\tSafety devices

  2. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2010-01-01

    Overview Once again, the bulk of this article reviews the intense activity of a recently completed shutdown, which, although quite unforeseeable until a few weeks before it started, proved by its success that our often advertised capability to conduct major maintenance within a two month period is real. Although safely completed, on-time to remarkable precision, the activity was not without incident, and highlighted our dependence on many experienced, specialist teams and their precise choreography. Even after the yoke was safely closed, magnet re-commissioning and beampipe pumpdown showed new and thought-provoking behaviour. The struggle to maintain adequate technical resources will be a pre-occupation over the coming months, in parallel with the start of truly sustained operation, for which various procedures are still being put in place. Planning for future shutdowns must now become a high priority, with many working groups and task forces already in existence to prepare infrastructure improvements and to...

  3. Technical presentation

    CERN Multimedia

    GS Department

    2010-01-01

    10 March 2010 DYNEOS 10:00 – 12:00 - Main Building, Room B, 61-1-009 Dyneos AG is active in the fields of photonics, laser and high-precision positioning. Our highly qualified engineer team has more than 30 years of experience in electro-optical solutions sales. The engineers are supported by a technical and administrative team. We are focused on the Swiss market and represent six suppliers (Coherent, PI Physik Instrumente, SIOS, Nanonics Imaging, APE, Ekspla) in order to give a qualified sales and service support to our customers. Our products are dedicated to the research field as well as to industry. In addition to standard catalog products, we offer custom designs to fulfill the specific needs of OEM customers or specific applications.

  4. Technical presentation

    CERN Multimedia

    FI Department

    2008-01-01

    RADIOSPARES, the leading catalogue distributor of components (electronic, electrical, automation, etc.) and industrial supplies will be at CERN on Friday 3 October 2008 (Main Building, Room B, from 9.00 a.m. to 3.00 p.m.) to introduce its new 2008/2009 catalogue. This will be the opportunity for us to present our complete range of products in more detail: 400 000 part numbers available on our web site (Radiospares France, RS International, extended range of components from other manufacturers); our new services: quotations, search for products not included in the catalogue, SBP products (Small Batch Production: packaging in quantities adapted to customers’ requirements); partnership with our focus manufacturers; demonstration of the on-line purchasing tool implemented on our web site in conjunction with CERN. RADIOSPARES will be accompanied by representatives of FLUKE and TYCO ELECTRONICS, who will make presentations, demonstrate materials and answer any technical questio...

  5. Technical Training: Technical Training Seminar

    CERN Multimedia

    2004-01-01

    TECHNICAL TRAINING Monique Duval tel. 74924 technical.training@cern.ch Tuesday 3 February 2004 From 09:00 to 13:30 - Training Centre Auditorium - bldg. 593, room 11 USB (Universal Serial Bus) CYPRESS Seminar Claudia Colombini, Field Application Engineer CYPRESS ActiveComp Electronic GmbH D-85077 MANCHING, Germany As a pioneer in USB, CYPRESS sets the standard for cost-effective solutions without sacrificing functionality, performance or reliability. Having shipped over 200 million USB devices, Cypress is the undisputed market leader and demonstrates unmatched USB expertise. With the industry's broadest selection of USB solutions, Cypress has the right silicon, software and support for every USB application, from Low-speed to High-Speed and USB On-The-Go (OTG). 9:00 - 10:30 Overview of USB systems. USB CYPRESS product overview. Peripherals: Low Speed, Full Speed, High Speed (1.1 and 2.0). Hub Solutions, Embedded Host Solutions, On-The-Go (OTG) and wireless USB. USB Development Tools (first part) 10:30 -...

  6. Architectural aspects in power plant construction

    Energy Technology Data Exchange (ETDEWEB)

    Schoenfelder, K.H.

    1984-01-01

    Environmental considerations increasingly force the architects to carefully balance all requirements involved when planning power stations. For instance, an approach considering purely technical requirements would frequently spoil the landscape. On the basis of the vast experience gained, our architects are in a position to offer or develop solutions which take account of all aspects involved.

  7. No 2965, No 254. Report on new energy technologies and carbon dioxide sequestration: scientifical and technical aspects; N. 2965, N. 254. Rapport sur les nouvelles technologies de l'energie et la sequestration du dioxyde de carbone: aspects scientifiques et techniques

    Energy Technology Data Exchange (ETDEWEB)

    Bataille, Ch.; Birraux, C

    2006-03-15

    The abatement of CO{sub 2} emissions is a huge technical and economical challenge. Fossil fuels, which represent 88% of the world primary energy consumption, are the main source of the 25 billions of CO{sub 2} released each year in the atmosphere. The mastery of CO{sub 2} emissions cannot come from a single technology but must result from the simultaneous implementation of several means, like the development of carbon-free energies and the mastery of fossil fuel emissions. The opportunities of progress are numerous and compatible with the economic development. This document presents, first, the different greenhouse gases, the CO{sub 2} emissions per country and the main sources of CO{sub 2} emissions (power and heat generation, transports). Then it presents different ways of abatement of CO{sub 2} emissions: clean coal technologies, gas combined cycles, CO{sub 2} sequestration, reduction of fuel consumption in transports, development of carbon-free energies: wind power, solar photovoltaic for decentralized power generation, nuclear energy for a competitive power generation and for CO{sub 2} abatement, biofuels of 2. generation and fuel cells. The conclusion stresses on the investments needed for the renewal and increase of energy capacities, and on the necessary visibility and moderation of emission abatement mechanisms (carbon trading and CO{sub 2} prices). (J.S.)

  8. The Kinematic Chain Model Analysis of Two Technical Aspects of Sanda Whip Leg Movements%散打鞭腿动作技术的二环节链模型的运动学分析

    Institute of Scientific and Technical Information of China (English)

    张江龙; 韩伟; 张欣然

    2013-01-01

    The whip leg action is the core of Sanda technology, in order to concise descriptions, the Sanda whip leg movement is simplified into a two link kinematic chain model. Whip leg movements of the hip, knee and thigh, calf links determine the position vector in three-dimensional plane, and by these to determine the whip leg movements the kinematics parameters of each joint, and links, and then determine the objective function (terminal velocity V), three-dimensional kinematics equation of human body whip leg action is established, and makes whip leg movement of each aspect have mathematical description. The study results include that: 1) the angular velocity of the thigh leg whip action is determined by the angular velocity and angular velocity of hip joint the calf, angular velocity is determined by the angular velocity of thigh and knee, work closely with the three determines the whip leg tip speed;2) in the T1 stage, leg dive after the curvature should less than 450°, while in the time of attacking leg leaving off the ground, the angular velocity greater than that of the leg link thigh, which is the most beneficial to increase the knee joint speed, and the angular velocity of knee joint as leg attack back away is mainly decided by leg pedaling the ground reaction force;3) in the T2 stage, the fully folding the leg and thigh is in favor of knee joint angular velocity Increase;4) in the whip leg link chain model of human body, the principle theory of whip compliance follows the momentum transfer from proximal to distal link by link, timely and effective braking cocoa hip to have knee momentum increase, the brake of the knee joint can make the momentum transfer to the end, and lead to the end acceleration. 5) in the chain model of Sanda whip leg links only links and joints having time coordination can they play the best effect at the end attack.%  鞭腿动作是散打腿法技术的核心,将散打鞭腿动作简化为一个二环节运动链模型,对散

  9. Utilisation de produits organiques oxygénés comme carburants et combustibles dans les moteurs. Première partie : Aspects techniques de l'utilisation sur moteur Using Oxygenated Organics Products As Fuels in Engines. Part One: Technical Aspects of Use in Engines

    Directory of Open Access Journals (Sweden)

    Guibet J. C.

    2006-11-01

    Full Text Available L'étude consiste à examiner les principales incidences techniques de l'emploi de produits organiques oxygénés (alcools, ethers. . . comme carburants et combustibles dans les moteurs à allumage commandé et diesel. On a tenté d'établir une synthèse des études très nombreuses réalisées sur ce sujet surtout depuis les cinq dernières années. On a considéré une large variété de produits (méthanol, éthanol, autres alcools, éthers organiques, systèmes acétono-butyliques. . . utilisés tels quels ou en mélange dans les produits pétroliers classiques. Des techniques particulières comme la carburation catalytique, la fumigation ou la double injection ont également été examinées. This article examines the main technical impacts of using oxygenated organic products (alcohols, ethers, etc. as fuels in spark-ignition and diesel engines. An attempt is made to provide a synthesis of the enormous volume of research that has been done on this subject, especially in the last five years. A wide variety of products is considered (methanol, ethanol, other alcohols, organic ethers, butyl-acetone systems, etc. , used either unblended or blended with conventional petroleum produtcs. Special techniques such as catalytic carburation, fumigation or dual injection are also examined.

  10. Single-Access Laparoscopic Rectal Surgery Is Technically Feasible

    Directory of Open Access Journals (Sweden)

    Siripong Sirikurnpiboon

    2013-01-01

    Full Text Available Introduction. Single-access laparoscopic surgery (SALS has been successfully introduced for colectomy surgery; however, for mid to low rectum procedures such as total mesorectal excision, it can be technically complicated. In this study, we introduced a single-access technique for rectum cancer operations without the use of other instruments. Aims. To show the short-term results of single-access laparoscopic rectal surgery in terms of pathologic results and immediate complications. Settings and Design. Prospective study. Materials and Methods. We selected middle rectum to anal canal cancer patients to undergo single-access laparoscopic rectal resection for rectal cancer. All patients had total mesorectal excisions. An umbilical incision was made for the insertion of a single multichannel port, and a mesocolic window was created to identify the inferior mesenteric artery and vein. Total mesorectal excision was performed. There were no perioperative complications. The mean operative time was 269 minutes; the median hospital stay was 7 days; the mean wound size was 5.5 cm; the median number of harvested lymph nodes was 15; and all patients had intact mesorectal capsules. Statistical Analysis Used. Mean, minimum–maximum. Conclusion. Single-access laparoscopic surgery for rectal cancer is feasible while oncologic principles and patient safety are maintained.

  11. 腹腔镜同时性多原发结直肠癌根治术%Laparoscopic colectomy for synchronous multiple primary colorectal carcinoma

    Institute of Scientific and Technical Information of China (English)

    李慧诚; 刘习红; 王希; 李文煜; 冯丽光; 肖凌晖; 王骅; 曾惠明

    2013-01-01

    同时性多原发结直肠癌(SCC)临床较少见,其发病率呈上升趋势,目前无固定外科手术模式,需根据肿瘤的位置、范围、间距及患者的综合情况等决定.全直肠系膜切除术(TME)及完整结肠系膜切除术(CME)已被公认为是直肠癌及结肠癌的标准化手术方式.2010年8月至2013年5月惠州市第一人民医院运用腹腔镜技术结合TME及CME手术技术,开展了3例腹腔镜SCC根治术,总结出默契的团队配合、精准的手术平面把握、熟练的血管裸化技术及完整的结直肠系膜切除是手术成功的保障,腹腔镜SCC根治术安全可行.%Synchronous multiple primary colorectal carcinoma (SCC) is rarely seen in the clinical practice,while it has a increasing tendency of incidence.The surgical treatment of SCC has not been normalized.The extent of resection should be individually determined according to the lesion location,range,the distance of lesions and the general condition of the patients.Total mesorectal excision (TME) and complete mesocolic excision (CME) were recognized as the standardized surgical treatment for SCC.From August 2010 to May 2013,3 patients with SCC received laparoscopic radical resection for SCC at the Huizhou First People's Hospital.Based on the clinical practice,we concluded that having a tacit teamwork,grasping the precise surgical plane,using skilled technology of dissecting blood vessel and excising the total mesentery of colorectum are guarantees for successful operation.Laparoscopic colectomy for SCC is feasible and safe.

  12. TECHNICAL COORDINATION

    CERN Multimedia

    Austin Ball

    2013-01-01

      Since the last report, much visible progress has been made, as the LS1 programme approaches the halfway point. From early October, technical and safety shift-crew have been present around the clock, allowing detectors to stay switched on overnight, ensuring that safety systems are operational and instructions for non-expert shift-crew are clear. LS1 progress Throughout the summer, whilst the solenoid vacuum tank and YB0 surfaces were accessible, an extensive installation programme took place to prepare for Tracker colder operation and the PLT installation, in 2014, the Phase 1 Pixel Tracker installation, in 2016–’17, and the HCAL Phase 1 upgrade completion, ending in LS2. This included pipework for N2 or dry air to flush the Tracker bulkhead region, many sensors to monitor temperature and dew point in the Tracker and its service channels, heating wires outside the Tracker cooling bundles, supports for the new vacuum-jacketed, concentric, CO2 Pixel cooling lines, the PLT cool...

  13. TECHNICAL COORDINATION

    CERN Multimedia

    A. Ball and W. Zeuner

    2012-01-01

      UXC + detectors As explained in detail in the November 2011 bulletin, the bellows unit at −18.5 m from the CMS interaction point was identified as a prime candidate for the regularly occurring pressure spikes which occasionally led to sustained severe background conditions in 2011, affecting dead time and data quality. Similar regions in LHC with vacuum instabilities were observed to be close to bellows, which radiography showed to have distorted RF-fingers — on removal, they proved to have been severely overheated. The plans for the Year-End Technical Stop were adapted to prioritise radiography of the bellows at 16 m to 18 m either end of CMS. Excellent work by the beam pipe, survey and heavy mechanical teams allowed the X-rays to be taken as planned on 20th December, showing that the bellow at −18.5m had an obvious non-conformity. The RF-fingers were found inside the end of the opposing flared pipe instead of outside. In addition, the overlap between fingers and...

  14. 达芬奇系统联合纤维结肠镜乙状结肠腺瘤切除术%Robotic-assisted local colectomy combined with colonoscope in treatment of sigmoid adenoma

    Institute of Scientific and Technical Information of China (English)

    鲍扬; 江志伟; 汪志明; 谢立飞; 刘凤涛; 黎介寿

    2011-01-01

    Objective To investigate the safety and feasibility of robotic-assisted local cotectomy combined with colonoscope in the treatment of sigmoid adenoma. Methods One male patient with sigmold adenoma received robot-assisted local colectomy combined with colonoscope. Results Da vinci surgical system was found to be associated with fewer hemorrhage, a more rapid intestinal recovery time after operation and therefore a shorter hospital stay, and no complications. Conclusion Robot-assisted local colectomy can be applied safely for sigmoid adenoma.%目的 探讨达芬奇手术系统联合纤维结肠镜行乙状结肠腺瘤局部切除的安全性与可行性.方法 2010年5月为1例乙状结肠腺瘤病人实施了达芬奇系统联合结肠镜结肠腺瘤局部切除术,研究其手术技术、手术安全性、术后恢复情况.结果 手术顺利,无术中并发症发生.术后第2天恢复胃肠道功能,第4天出院.结论 达芬奇系统联合结肠镜应用于结肠腺瘤局部切除术安全可行.

  15. Laparoscopy-assisted versus open total colectomy: Comparison of clinical outcomes%腹腔镜辅助与开腹全结肠切除术的临床疗效比较

    Institute of Scientific and Technical Information of China (English)

    崔建; 张建立; 江秀丽

    2012-01-01

    Objective With the extensive application of minimally invasive techniques, laparoscopy-assisted total colectomy ( LATC ) has been used to treat a variety of colorectal diseases. The article is to compare the clinical outcome of LATC with that of open total colectomy, and investigate the safety and feasibility of LATC. Methods We retrospectively analyzed 12 cases of open total colectomy and 11 cases of LATC, and compared the demographics, peri- and post-operative data, and treatment outcomes between the two groups. Results Total colectomy was successfully accomplished in 22 of the cases without severe complications, but changed to open abdominal surgery in the other 1 case of multiple colonic cancer. Compared with the patients that underwent open surgery, the LATC group showed significantly less blood loss, shorter incision and postoperative hospital stay ( P 0.05 ). During the 6 - 18 months follow-up, no local recurrence or distant metastasis was found, and the stool frequency was 2-5 times per day. Conclusion Laparocopy-assisted total colectomy is an applicable option for its safety and desirable short-term outcome.%目的 随着微创技术的广泛应用,腹腔镜全结肠切除术已应用于治疗多种结直肠疾病.文中比较腹腔镜辅助与开腹全结肠切除术的临床疗效,探讨腹腔镜辅助全结肠切除术的安全性和可行性.方法 回顾性分析23例全结肠切除术的临床资料,分为开腹手术组(l2例)和腹腔镜手术组(11例),比较2组患者的一般情况、手术情况、术后情况以及疗效评价.结果 22例患者顺利完成手术,无相关并发症,1例结肠多原发癌患者中转开腹.腹腔镜组的失血量、术后住院天数和切口长度均少于或小于开腹组(P0.05),腹腔镜组手术时间相比开腹手术组延长105min(P<0.05).术后随访6~18个月,患者均未见转移及复发,排便次数2~5次/d.结论 腹腔镜辅助全结肠切除术安全可行,近期疗效良好.

  16. Metabolic and hematologic consequences of colectomy associated to hepatectomy in rats Consequências metabólicas e hematológicas da colectomia associada à hepatectomia em ratos

    Directory of Open Access Journals (Sweden)

    Marília Daniela Ferreira Carvalho

    2011-12-01

    Full Text Available PURPOSE: To investigate the influence of partial colectomy associated with hepatectomy on the biodistribution of the 99mTc-phytate, on metabolic parameters, as well as labeling and morphology of red blood cells. METHODS: Wistar rats were distributed into three groups (each with six, nominated as colectomy, colectomy+hepatectomy and sham. In the 30th postoperative day all rats were injected with 99mTc-phytate 0.1mL i.v. (radioactivity 0.66 MBq. After 15 minutes, liver sample was harvested and weighed. Percentage radioactivity per gram of tissue (%ATI/g was determined using an automatic gamma-counter. Serum AST, ALT, alkaline phosphatase and red blood cells labeling were determined. RESULTS: The liver %ATI/g and red blood cells labeling were lower in colectomy and colectomy+hepatectomy rats than in sham rats (p OBJETIVO: Investigar a influência da colectomia associada à hepatectomia parcial, na biodistribuição do fitato-99mTcO4, na marcação e morfologia de hemácias e em parâmetros metabólicos. MÉTODOS: Ratos Wistar foram distribuídos em três grupos (seis animais cada, denominados: colectomia, colectomia+hepatectomia e sham. No 30º dia pós-operatório, em todos eles foi feita injeção de 0,1 mL i.v. de fitato-99mTcO4 (radioatividade 0,66 MBq. Após 15 minutos, uma amostra de fígado foi colhida e pesada. O percentual de radioatividade por grama de tecido (%ATI/g foi determinado no fígado e hemácias usando-se um contador gama automático. Dosagem sérica de AST, ALT, fosfatase alcalina, morfologia e marcação de hemácias com pertecnetato foram determinadas. RESULTADOS: O %ATI/g no fígado e nas hemácias foi menor nos animais dos grupos colectomia e colectomia+hepatectomia do que no grupo sham (p<0,05; teste de Tukey. Nenhuma diferença foi detectada comparando os grupos colectomia e colectomia+hepatectomia. A morfologia das hemácias não diferiu entre os três grupos. Os níveis séricos de AST, ALT e fosfatase alcalina foram

  17. Pushing the envelope: laparoscopy and primary anastomosis are technically feasible in stable patients with Hinchey IV perforated acute diverticulitis and gross faeculent peritonitis.

    Science.gov (United States)

    Di Saverio, Salomone; Vennix, Sandra; Birindelli, Arianna; Weber, Dieter; Lombardi, Raffaele; Mandrioli, Matteo; Tarasconi, Antonio; Bemelman, Willem A

    2016-12-01

    Modern management of severe acute complicated diverticulitis continues to evolve towards more conservative and minimally invasive strategies. Although open sigmoid colectomy with end colostomy remains the most commonly used procedure for the treatment of perforated diverticulitis with purulent/faeculent peritonitis, recent major advances challenged this traditional approach, including the increasing attitude towards primary anastomosis as an alternative to end colostomy and use of laparoscopic approach for urgent colectomy. Provided an accurate patients selection, having the necessary haemodynamic stability, pneumoperitoneum is established with open Hasson technique and diagnostic laparoscopy is performed. If faeculent peritonitis (Hinchey IV perforated diverticulitis) is found, laparoscopy can be continued and a further three working ports are placed using bladeless trocars, as in traditional laparoscopic sigmoidectomy, with the addition of fourth trocar in left flank. The feacal matter is aspirated either with large-size suction devices or, in case of free solid stools, these can be removed with novel application of tight sealing endobags, which can be used for scooping the feacal content out and for its protected retrieval. After decontamination, a sigmoid colectomy is performed in the traditional laparoscopic fashion. The sigmoid is fully mobilised from the retroperitoneum, and mesocolon is divided up to the origin of left colic vessels. Whenever mesentery has extremely inflamed and thickened oedematous tissues, an endostapler with vascular load can be used to avoid vascular selective ligatures. Splenic flexure should be appropriately mobilised. The specimen is extracted through mini-Pfannenstiel incision with muscle splitting technique. Transanal colo-rectal anastomosis is fashioned. Air-leak test must be performed and drains placed where appropriate. The video shows operative technique for a single-stage, entirely laparoscopic, washout and sigmoid colectomy

  18. Aspect and Reference time

    NARCIS (Netherlands)

    Borik, O.

    2002-01-01

    This thesis provides a theory of aspect in Russian based on the notion of Reference time. The main claim advocated in this study is that there are two types of aspect, predicational/telicity aspect and perspective or Reference time aspect. It is argued that these two types should be carefully distin

  19. Industrial espionage and technical surveillance counter measurers

    CERN Document Server

    Androulidakis, Iosif

    2016-01-01

    This book examines technical aspects of industrial espionage and its impact in modern companies, organizations, and individuals while emphasizing the importance of intellectual property in the information era. The authors discuss the problem itself and then provide statistics and real world cases. The main contribution provides a detailed discussion of the actual equipment, tools and techniques concerning technical surveillance in the framework of espionage. Moreover, they present the best practices and methods of detection (technical surveillance counter measures) as well as means of intellectual property protection.

  20. Prophylactic colectomy for hyperplastic polyposis.

    LENUS (Irish Health Repository)

    Doran, D

    2011-03-01

    Hyperplastic polyposis (HP) is important to recognise as it increases the risk of adenomata which may develop dysplastic change or frank adenocarcinoma. We present the case of a 58-year-old woman with HP.

  1. Stoma-Const - the technical aspects of stoma construction

    DEFF Research Database (Denmark)

    Correa Marinez, Adiela; Erestam, Sofia; Haglind, Eva

    2014-01-01

    BACKGROUND: The construction of a colostomy is a common procedure, but the evidence for the different parts of the construction of the colostomy is lacking. Parastomal hernia is a common complication of colostomy formation. The aim of this study is to standardise the colostomy formation...... and to compare three types of colostomy formation (one including a mesh) regarding the development of parastomal hernia. METHODS/DESIGN: Stoma-Const is a Scandinavian randomised trial comparing three types of colostomy formation. The primary endpoint is parastomal herniation as shown by clinical examination......-related quality of life and health economic analysis as well as re-operation rate and mortality within 30 days and 12 months of primary surgery. Follow-up is scheduled at 4-6 weeks, and 6 and 12 months. Inclusion is set at 240 patients. DISCUSSION: Parastomal hernia is a common complication after colostomy...

  2. Technical aspects of magnetic resonance imaging in parathyroid gland lesions

    Energy Technology Data Exchange (ETDEWEB)

    Hemmingsson, A.; Ericsson, A.; Ljunghall, S.; Juhlin, C.; Jung, B.; Rastad, J.; Thuomas, K.A.; Akerstroem, G.

    Two patients with primary hyperparathyroidism were examined before parathyroid surgery with magnetic resonance imaging at 0.35 telsa in order to analyse optimal methods of visualization. Two large parathyroid glands in the neck had long transverse relaxation times which rendered them clearly visible in T2-weighted images as structures of a signal intensity higher than that of the surrounding. Large parathyroid lesions may thus be easily detected by magnetic resonance imaging provided proper examination parameters are employed.

  3. Selective reduction in multifetal pregnancies: technical and psychological aspects.

    Science.gov (United States)

    Vauthier-Brouzes, D; Lefebvre, G

    1992-05-01

    To evaluate efficiency and safety of a very early transvaginal selective reduction procedure in multifetal pregnancies. Prospective study. Obstetric and Gynecology Department, University of Paris VI. Twenty-two patients with multifetal pregnancies: 14 triplets, 8 quadruplets, and 1 quintuplet. Selective embryonic reduction was performed at 7 weeks of amenorrhea under general anesthesia by transvaginal embryo puncture and aspiration. Two embryos were left in place. Pregnancy outcome (immediate or delayed complication, term of delivery, newborns) and psychological impact. No complication occurred. The 22 patients now have delivered at 36.5 weeks of amenorrhea, on average giving birth to 44 neonates with no congenital malformation. If the procedure generates anxiety, it is nevertheless perceived as necessary for the successful outcome of the pregnancy. Early mechanical transvaginal embryo reduction performed at 7 weeks of amenorrhea, leaving two embryos is, in our opinion, a simple and safe procedure with no affect on remaining fetuses. It is necessary when there are four or more embryos, and it should also be proposed for triplets. In these circumstances, patients saw reduction as a necessary procedure.

  4. Technical aspects of the first JET tritium experiment

    Energy Technology Data Exchange (ETDEWEB)

    Huguet, M.; Bell, A.C.; Booth, S.J.; Caldwell-Nichols, C.; Carmichael, A.; Chuilon, R.; Davies, N.; Dietz, K.J.; Delvart, F.; Erhorn, F.; Falter, H.; Green, B.J.; Grieveson, B.; Haange, R.; Haigh, A.; Hemmerich, J.L.; Holland, D.; How, J.; Jones, T.T.C.; Laesser, R.; Laveyry, M.; Lupo, J.; Miller, A.; Milverton, P.; Newbert, G.; Orchard, J.; Peacock, A.; Russ, R.; Saibene, G.; Sartori, R.; Serio, L.; Stagg, R.; Svensson, S.L.; Thompson, E.; Trevalion, P.; Usselmann, E.; Winkel, T.; Wykes, M.E.P. (JET Joint Undertaking, Abingdon (United Kingdom))

    1992-09-01

    In November 1991, for the first time a controlled fusion experiment involving mixed deuterium/tritium plasmas was carried out resulting in the release of a peak D-T fusion power of approximately 1.7 MW. The preparations for this First Tritium Experiment, the equipment used for introduction of the tritium and the collection of the exhaust gas as well as the implementation of the experiment and the subsequent clean-up phase are described. (orig.).

  5. SEMANTIC NETWORKS: THEORETICAL, TECHNICAL, METHODOLOGIC AND ANALYTICAL ASPECTS

    Directory of Open Access Journals (Sweden)

    José Ángel Vera Noriega

    2005-09-01

    Full Text Available This work is a review of the methodological procedures and cares for the measurement of the connotative meanings which will be used in the elaboration of instruments with ethnic validity. Beginning from the techniques originally proposed by Figueroa et al. (1981 and later described by Lagunes (1993, the intention is to offer a didactic panorama to carry out the measurement by semantic networks introducing some recommendations derived from the studies performed with this method.

  6. A review of the technical aspects of drug nebulization

    NARCIS (Netherlands)

    Le Brun, P P; de Boer, A.H.; Frijlink, H W; Heijerman, H G

    2000-01-01

    Nebulizers are widely used for the inhalation of drug solutions in a variety of respiratory diseases. The efficacy of nebulizer therapy is influenced by a great number of factors, including the design of the device and the characteristics of the drug solution. Incorrect cleaning, maintenance and dis

  7. Technical aspects concerning the safe and secure use of drones

    NARCIS (Netherlands)

    Elands, P.J.M.; Kraker, J.K. de; Laarakkers, J.; Olk, J.G.E.; Schonagen, J.J.

    2016-01-01

    On request of the Dutch National Coordinator for Security and Counterterrorism (NCTV) of the Ministry of Security and Justice, TNO has investigated the issues and corresponding risks which arise from the introduction and use of drones in the national airspace.

  8. Photovoltaic Pumps: Technical and Practical Aspects for Applications in Agriculture

    OpenAIRE

    A. Petroselli; P. Biondi; A. Colantoni; D. Monarca; Cecchini, M; A. Marucci; Cividino Sirio

    2012-01-01

    The paper deals with a series of tests conducted on a PV-DC pump in Viterbo (42°24′ North, 12°06′ East). The tests lasted from January 2003 up to November 2004 and involved measurements of solar radiation, on both a horizontal surface and the tilted module surface, flow rates, volumes, and total dynamic heads. In total, up to 3000 data were collected every day whose analysis allowed us to find empirical relationships among system efficiencies, solar radiations, and total dynamic heads. In the...

  9. Photovoltaic Pumps: Technical and Practical Aspects for Applications in Agriculture

    Directory of Open Access Journals (Sweden)

    A. Petroselli

    2012-01-01

    Full Text Available The paper deals with a series of tests conducted on a PV-DC pump in Viterbo (42°24′ North, 12°06′ East. The tests lasted from January 2003 up to November 2004 and involved measurements of solar radiation, on both a horizontal surface and the tilted module surface, flow rates, volumes, and total dynamic heads. In total, up to 3000 data were collected every day whose analysis allowed us to find empirical relationships among system efficiencies, solar radiations, and total dynamic heads. In the second part of the paper we develop a simple method that allows both the assessment of performances of the whole system when installed in a different site from that in which the tests were performed and the optimal inclination angle of the panel to be determined in relation to annual or seasonal use (see irrigation.

  10. The principles and technical aspects of diuresis renography

    Energy Technology Data Exchange (ETDEWEB)

    Conway, J.J. (Children' s Memorial Hospital, Chicago, IL (USA))

    1989-12-01

    It is intuitive that dilation of the urinary tract is most likely caused by obstruction. However, the opposite is more often true. That is, dilation is not associated with obstruction, especially in children. The most common causes for hydronephrosis and hydroureter include infection, vesicoureteral reflux, congenital megacalyces and megaureter, previous obstruction, and bladder noncompliance. Theoretically, one can consider obstruction on the basis of its significance, which is that there may be a loss of renal function with time. Techniques such as intravenous pyelography and ultrasonography, which anatomically document the degree of dilation of the urinary tract, cannot quantitatively determine the presence of obstruction or its significance. Radionuclide renography more readily quantifies abnormal renal function. Serial renographic studies with furosemide can document renal function loss and, thus, determine the significance of the obstruction. Diuresis renography with furosemide provides an objective quantitative means for determining the renal function changes over time.

  11. Technical, Psychological, and Economic Aspects of DIEP Flap Breast Reconstruction

    NARCIS (Netherlands)

    T.H.C. Damen (Tim)

    2011-01-01

    textabstractIn the Western world the incidence of breast cancer (BC) is high. In the Netherlands the lifetime risk for women to develop BC is around 13%, making it the most common form of cancer among women with approximately 12.000 women being diagnosed annually. Also, increasing numbers of women a

  12. Single incision laparoscopic splenectomy, technical aspects and feasibility considerations.

    Science.gov (United States)

    Cabras, Francesco; Fabrizio, Lazzara; Bracale, Umberto; Andreuccetti, Jacopo; Pignata, Giusto

    2014-12-01

    Minimally invasive techniques have been introduced to reduce morbidity related to standard laparoscopic procedures. One such approach is laparoendoscopic single-site surgery. The aim of the study was to present our initial clinical experience of using this technique for elective splenectomy. We carried out single access laparoscopic splenectomy (SALS) for an 8 cm cystic lesion of the spleen, involving the hilum, on a 38-year-old woman. The procedure was performed with a single-port device (4-channel) via a 2.5-cm umbilical incision. A flexible 5-mm optic and straight laparoscopic instruments were used. The operative time was 75 min. There was no blood loss. No complications were observed. The postoperative period was uneventful. Although substantial development of the instruments and skills is needed, this SALS technique appears to be feasible and safe. Nevertheless, further experience and observations are necessary.

  13. Spectromicroscopy in Biophysics with MEPHISTO: Instrumentation Aspects and Technical Improvements

    Science.gov (United States)

    de Stasio, Gelsomina; Capozi, Mario; Gilbert, Benjamin; Perfetti, Paolo; Droubay, Tim; Pauli, Brian; Tonner, Giorgio; Margaritondo, Georgio

    1998-03-01

    The synchrotron imaging photoelectron spectromicroscope MEPHISTO recently reached the world record resolution of 50 nm. We will present the design and performance of this novel instrument, which is mainly dedicated to biophysics experiments in neurobiology, but is also used in materials science research. We will also discuss the possibility of using the MEPHISTO in the transmission mode, as opposed to the photoemission mode, and the unique possibility of studying live cells. Elemental analysis of living biological systems in the microscopic domain is not possible with any other instrument to our knowledge.

  14. Technical Aspects of Telepathology with Emphasis on Future Development

    Directory of Open Access Journals (Sweden)

    P. Schwarzmann

    2000-01-01

    Full Text Available Pathology undergoes presently changes due to new developments in diagnostic opportunities and cost saving efforts in health care. Out of the wide field of telepathology the paper selects three prototype applications: telepathology in teleeducation, expert advice for preselected details of a slide and finally telepathology for remote diagnosis. The most challenging field for remote diagnosis is the application in the frozen section scenario. The paper starts with the mental experiment to map conventional procedures to counterparts in telepathology.

  15. [Cyberknife robotic stereotactic radiotherapy: technical aspects and recent developments].

    Science.gov (United States)

    Thariat, J; Marcié, S; Marcy, P-Y; Trimaud, R; Angellier, G; Mammar, H; Bondiau, P-Y; Gerard, J-P

    2010-07-01

    Cyberknife (Accuray Inc. Sunnyvale, USA) stereotactic body radiation therapy (SBRT) involves the delivery of a small number of large doses of radiation to a target volume using continuously evolving advanced technology. It has emerged as a novel treatment modality for cancer and modified some concepts of cancer treatment. It is indicated in early-stage primary cancer, sometimes as an alternative to surgery. It is also indicated for patients with oligometastatic disease who have relatively long survival with the aim to optimize disease control with a good quality of life. Although there remain some uncertainties regarding the radiobiology of hypofractionation, local control and tolerance have been promising. Indications are increasing under strict quality assurance programs worldwide and prospective clinical evaluation.

  16. TECHNICAL-TECHNOLOGICAL ASPECTS OF APPLYING NEW FORMS OF PLOUGHSHARE

    Directory of Open Access Journals (Sweden)

    Đuro Banaj

    2008-07-01

    Full Text Available Investigation of the various ploghshare materials wear on the five bottom plough was conducted in October and November, 2001. The ploughing was carried out on a carbonate humogley of powder clay texture. While working, the power unit work speed ranged from 4.9 km/h to 6.40 km/h, averaging 5.58 km/h. The ploughing was done at depth of 25.5 cm on the average. The ploughshares were used for 309 hours. The total of 226 ha were ploughed consuming 1.37 h/ha. Each ploughshare ploughed 22.6 ha. Total weight of all ploughshares amounted to 38625 g prior the investigation and 30460 g at its end. It is by 8165 g i.e. 21.13% less compared to the initial weight. The loss of 760 and 930 g i.e. 33.5 and 38.1% referred mostly to D1 and L1 respectively. After the investigation they became useless for further work. Their use costs amount to HRK 10.06/ha.Tip of the ploughsahres D2 and L2 were useless after their work resulted in 33.3% loss of the initial weight. The third group of the ploughshares including ploughsahres D3, L3, D4 and L4 was characterized by an average weight loss of 770 g i.e. 18.5% whereas use costs ranged from 4.41 to 5.57 HRK/ha. They were able for continued ploughing. Tip of the ploughsahers D5 and L5, known for the loss of 27.1% of the initial weight became useless for the further work. Their costs were 3.03 HRK/ha.

  17. Technical aspects of trans reduction in modified fats

    Directory of Open Access Journals (Sweden)

    Van Duijn Gerrit

    2005-09-01

    Full Text Available Modification of the solid phase lines of naturally occurring oils and fats is required to produce optimal hardstocks for fat continuous products like margarines, spreads and shortenings. Trans-free hardstocks are produced by combination of the trans-free modification techniques: full hydrogenation, interesterification, and fractionation together with the choice of the feedstock. The introduction of trans-free hardstocks in domestic margarines since 1995 has drastically reduced the daily trans intake by European consumers.

  18. Technical aspects concerning the safe and secure use of drones

    NARCIS (Netherlands)

    Elands, P.J.M.; Kraker, J.K. de; Laarakkers, J.; Olk, J.G.E.; Schonagen, J.J.

    2016-01-01

    On request of the Dutch National Coordinator for Security and Counterterrorism (NCTV) of the Ministry of Security and Justice, TNO has investigated the issues and corresponding risks which arise from the introduction and use of drones in the national airspace.

  19. Dirty Bombs: The Technical Aspects of Radiological Dispersion Devices

    Science.gov (United States)

    2004-06-01

    www.afrri.usuhs.mil/www/outreach/training.htm last accessed: 20APR04 xxiv Neifert, Alex. Case Study: Accidental Leakage of Cesium-137 in Goiania , Brazil, in...www.berkeleynucleonics.com/radiation/rindex.htm last accessed: 07JUN04 viii Neifert, Alex. Case Study: Accidental Leakage of Cesium-137 in Goiania ...Accidental Leakage of Cesium-137 in Goiania , Brazil, in 1987, http://www.nbc- med.org/SiteContent/MedRef/OnlineRef/CaseStudies/csgoiania.html last

  20. Technical aspects concerning the safe and secure use of drones

    NARCIS (Netherlands)

    Elands, P.J.M.; Kraker, J.K. de; Laarakkers, J.; Olk, J.G.E.; Schonagen, J.J.

    2016-01-01

    On request of the Dutch National Coordinator for Security and Counterterrorism (NCTV) of the Ministry of Security and Justice, TNO has investigated the issues and corresponding risks which arise from the introduction and use of drones in the national airspace. The issues identified are primarily rel

  1. Technical aspects of biodiesel production from vegetable oils

    Directory of Open Access Journals (Sweden)

    Krishnakumar Janahiraman

    2008-01-01

    Full Text Available Biodiesel, a promising substitute as an alternative fuel has gained significant attention due to the finite nature of fossil energy sources and does not produce sulfur oxides and minimize the soot particulate in comparison with the existing one from petroleum diesel. The utilization of liquid fuels such as biodiesel produced from vegetable oil by transesterification process represents one of the most promising options for the use of conventional fossil fuels. In the first step of this experimental research, edible rice bran oil used as test material and converted into methyl ester and non-edible jatropha vegetable oil is converted into jatropha oil methyl ester, which are known as biodiesel and they are prepared in the presence of homogeneous acid catalyst and optimized their operating parameters like reaction temperature, quantity of alcohol and the catalyst requirement, stirring rate and time of esterification. In the second step, the physical properties such as density, flash point, kinematic viscosity, cloud point, and pour point were found out for the above vegetable oils and their methyl esters. The same characteristics study was also carried out for the diesel fuel for obtaining the baseline data for analysis. The values obtained from the rice bran oil methyl ester and jatropha oil methyl ester are closely matched with the values of conventional diesel and it can be used in the existing diesel engine without any hardware modification. In the third step the storage characteristics of biodiesel are also studied. .

  2. Technical, Psychological, and Economic Aspects of DIEP Flap Breast Reconstruction

    NARCIS (Netherlands)

    T.H.C. Damen (Tim)

    2011-01-01

    textabstractIn the Western world the incidence of breast cancer (BC) is high. In the Netherlands the lifetime risk for women to develop BC is around 13%, making it the most common form of cancer among women with approximately 12.000 women being diagnosed annually. Also, increasing numbers of women

  3. Holmium laser enucleation of the prostate hyperplasia: technical aspects

    Directory of Open Access Journals (Sweden)

    P. V. Glybochko

    2015-01-01

    Full Text Available Holmium laser enucleation of the prostate (HoLEP was first described by doctor P.J. Gilling et al. from New Zealand in 1996. The operation involves anatomical dissection of the prostatic tissue off the surgical capsule using a high-powered holmium laser followed by intravesical morsellation. The objective of this article is to explain the techniques for HoLEP.

  4. Water management paradigms in Iran: technical, social and ethical aspects

    NARCIS (Netherlands)

    Balali, M.R.; Keulartz, F.W.J.; Korthals, M.J.J.A.A.

    2007-01-01

    In Iran, water scarcity is one of the main problems threatening food security. The country is confronted with the challenge to continue the expansion of food production to meet future demand without negative effects on the environment. To illuminate the problems and perspectives of water management

  5. Optimising AspectJ

    DEFF Research Database (Denmark)

    Avgustinov, Pavel; Christensen, Aske Simon; Hendren, Laurie

    2005-01-01

    AspectJ, an aspect-oriented extension of Java, is becoming increasingly popular. However, not much work has been directed at optimising compilers for AspectJ. Optimising AOP languages provides many new and interesting challenges for compiler writers, and this paper identifies and addresses three...... all of the techniques in this paper in abc, our AspectBench Compiler for AspectJ, and we demonstrate significant speedups with empirical results. Some of our techniques have already been integrated into the production AspectJ compiler, ajc 1.2.1....

  6. Discovering Early Aspects

    NARCIS (Netherlands)

    Baniassad, E.; Clements, P.; Araujo, J.; Moreira, A.; Rashid, A.; Tekinerdogan, B.

    2006-01-01

    Traditionally, aspect-oriented software development (AOSD) has focused on the software life cycle's implementation phase: aspects are identified and captured mainly in code. But aspects are evident earlier in the life cycle, such as during requirements gathering and architecture development. Identif

  7. Aspects, Dependencies, and Interactions

    NARCIS (Netherlands)

    Chitchyan, R; Fabry, J.; Bergmans, Lodewijk; Südholt, M.; Consel, C.

    2007-01-01

    For Aspect-Oriented Software Development (AOSD) the topic of Aspects, Dependencies and Interactions is of high importance across the whole range of development activities – from requirements engineering through to language design. Aspect interactions must be adequately addressed all across the softw

  8. Internal dosimetry technical basis manual

    Energy Technology Data Exchange (ETDEWEB)

    1990-12-20

    The internal dosimetry program at the Savannah River Site (SRS) consists of radiation protection programs and activities used to detect and evaluate intakes of radioactive material by radiation workers. Examples of such programs are: air monitoring; surface contamination monitoring; personal contamination surveys; radiobioassay; and dose assessment. The objectives of the internal dosimetry program are to demonstrate that the workplace is under control and that workers are not being exposed to radioactive material, and to detect and assess inadvertent intakes in the workplace. The Savannah River Site Internal Dosimetry Technical Basis Manual (TBM) is intended to provide a technical and philosophical discussion of the radiobioassay and dose assessment aspects of the internal dosimetry program. Detailed information on air, surface, and personal contamination surveillance programs is not given in this manual except for how these programs interface with routine and special bioassay programs.

  9. The Gender Dimension of Technical Change and Task Inputs

    OpenAIRE

    Joanne Lindley

    2011-01-01

    Studies have shown technical change has led to job polarisation. A relatively unexplored aspect of this is whether there has been a gender bias. This paper shows gender bias in technology driven skill polarisation. Between 1997 and 2006 the demand for women shows hollowing out across education groups as a consequence of technical change. This was not the case for men. Overall, the demand for women has fallen relative to that for men as a consequence of technical change. This can be explained ...

  10. Designing socio-technical systems: Structures and processes

    NARCIS (Netherlands)

    Bots, P.W.G.; Van Daalen, C.

    2012-01-01

    The Systems Engineering, Policy Analysis and Management (SEPAM) MSc curriculum taught at Delft University of Technology focuses on the design of socio-technical systems (STS). We teach our students to structure design activities by considering what we call the TIP aspects: Technical systems, Institu

  11. Characterization of the distributed generation of electricity by grid-connected photovoltaic systems in Brazil, with respect to technical, economic and regulatory aspects; Caracterizacao da geracao distribuida de eletricidade por meio de sistemas fotovoltaicos conectados a rede, no Brasil, sob os aspectos tecnico, economico e regulatorio

    Energy Technology Data Exchange (ETDEWEB)

    Benedito, Ricardo da Silva

    2009-07-01

    This work characterizes the distributed generation of electricity from Grid-Connected Photovoltaic Systems (GCPS) in Brazil, according to technical, economic and regulatory aspects. The country currently has 35 GCPS in operation, totaling an installed power of 161.32 kW{sub p}. Most of this power is in the South and Southeast and has been implemented by universities, research centers and electric power utilities, with a small participation of private initiative. The solar energy generation cost from GCPS was calculated for sixteen strategically selected localities. This value varies according to the greater or minor availability of the solar resource and the adopted discounting rate. The average value found was 0.56 US$ /kWh, about 2,1 times bigger than the average residential tariff in the same cities. Arguing that the conventional tariff tends to grow in coming years, pressed by the imbalance between supply and demand, and that the cost of photovoltaic generation tends to decrease over the same period due to productivity gains in the manufacturing process of photovoltaic components, a mathematical model was developed to predict the time that these two indicators will be equal. It was found that the average time of equalization will be 7.0 years and may be less than 5.0 years in locations where the conventional energy is more expensive than the national average and average annual irradiation is higher than that in the rest of the country. Finally, this work presents how the Brazilian legislation deals with the photovoltaic generators connected to the public distribution network, showing the points for and legal obstacles to the dissemination of GCPS. (author)

  12. Future space transportation systems. Part 1: Safety aspects. Part 2: Technical aspects

    Science.gov (United States)

    Ploechinger, Ludwig; Kuczera, Heribert

    Damage statistics on Ariane, Atlas Centaur and Delta flights are examined. The modifications demanded by insurance companies for the Ariane 1, 2 and 3 boosters, equipment bay and first stage reinforcement are reviewed and the new concept of Ariane 5 is described. The progress in horizontal takeoff and landing aircraft with airbreathing propulsion are examined and the German Saenger and its hypersonic technology program are described.

  13. Some technical writing skills industry needs

    Science.gov (United States)

    Smith, F. R.

    1981-01-01

    It is suggested that engineers and other technical students be taught three classes of skills in technical writing. First, "Big Picture Things", which includes: the importance of clear writing, the wide scope of writing, the wide scope of writing tasks that will be faced in industry, and the principles of organization of technical materials such as; how to analyze, classify, partition, and interpret. Second, "Writing Procedures", which encompasses: how to get words on paper efficiently and team-write. Third, "Writing Details", in which two considerations are important: how to achieve precision in the use of language and the aspects of style. Three problems in style are cited: the problem of sentence transition, overuse of attributive adjectives, and verbosity in paragraph structure. The most important thing in technical writing is considered to be functionality, economy and clarity.

  14. 2013 Technical Roundtable

    Science.gov (United States)

    On December 9, 2013, EPA reconvened the study’s Technical Roundtable. Subject-matter experts discussed the outcomes of the 2013 Technical Workshops, stakeholder engagement, and plans for draft assessment report.

  15. Technical Assistance Plan (TAP)

    Science.gov (United States)

    A Technical Assistance Plan (TAP) enables community groups to retain the services of an independent technical advisor and to provide resources for a community group to help inform other community members about site decisions.

  16. Technical training - places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  17. Technical training: places available

    CERN Multimedia

    2014-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Marie Lahchimi, Technical Training Administration (Tel: 74924)

  18. Technical training: places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  19. Technical training: places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tél : 74924)  

  20. Technical training: places available

    CERN Multimedia

    2014-01-01

    If you would like more information on a course, or have any other inquiry/suggestions, please contact Technical.Training@cern.ch. Eva Stern and Elise Romero, Technical Training Administration (Tel: 74924)

  1. Book Review: New Perspectives on Technical Editing

    Science.gov (United States)

    Murphy, A. J. (Ed.); Sterken, Christiaan

    2012-08-01

    New Perspectives on Technical Editing by Avon J. Murphy (ed.) ISBN : 978-0895033949 (2010) Baywood Publishing Company Inc, Hardcover, 210 pages, 35.5 GBP This book presents a collection of 10 chapters dealing with diverse aspects of technical editing (ie, editorial planning, and analysis and structural changes made to other people's technological documents): research in technical editing, trends and teaching of technical editing, copyediting, and technical journal editing. The role and function of the modern journal and book editor is also dealt with in detail. Each chapter is written by an expert in the field: senior editors, university professors in technical communication, technical writers and linguists. The ever-evolving role of the editor is clearly elucidated in several historical reviews, and in the descriptions of the expectations for the future. A very striking aspect of this book is its extensive collection of bibliographic resources: every chapter lists dozens of very useful references, and the closing chapter, and annotated bibliography, contain many not so well known references, and are most useful. All in all, the book is a treasure trove listing more than 400 references, in addition to numerous webpage URLs embedded in the texts. The book is designed to help the reader to understand current practices and norms in technical editing, and to help to take action in editing as well as in teaching and educating would-be editors. The audience for this book thus includes editors and teachers, but also writers, researchers and students. A deep reading of this book will result in a better understanding of the difference between full technical editing and its much narrower component so well known as copyediting, and will convince any prospective editor that editing should not be undertaken if the people involved do not master the art of precision and accuracy in technical (as well as in human) communication, do not possess the technical know how and computer

  2. 76 FR 64083 - Reliability Technical Conference; Notice of Technical Conference

    Science.gov (United States)

    2011-10-17

    ... Energy Regulatory Commission Reliability Technical Conference; Notice of Technical Conference Take notice that the Federal Energy Regulatory Commission will hold a Technical Conference on Tuesday, November 29... addressing risks to reliability that were identified in earlier Commission technical conferences....

  3. Cohesion and Metaphor Aspects in Andabhuana Text

    Directory of Open Access Journals (Sweden)

    Ida Bagus Mahardika

    2015-02-01

    Full Text Available Cohesion and metaphor are the unique and interesting parts of language aspects in Andhabhuan text to research. They are quite dominant aspects in the story in developing its literature aesthetic. This research is based on the arts technical and analytical method. The result of the research on those two aspects shows that traditional aesthetic style in arts, as described in Andabhuana verses emphasize on the reference, meaning, selection and variation of words. The language parts used are aimed at bringing the text ideology to humanity perspective, especially the ?iwatattwa values as parts of Hindu teaching. Hence the cohesion and metaphor in Andabhuana text  are  semiotic description to transform to Balinese Hindus as most of them follow ?iwatattwa belief.

  4. Lexical and Grammatical Aspect

    NARCIS (Netherlands)

    van Hout, Angeliek; Lidz, Jeffrey; Snyder, William; Pater, Joe

    The temporality of a given situation ‘out there in the world’ can be described in many ways. Tense and aspect offer the essential parameters. Lexical aspect characterizes event descriptions; a situation with a sleeping child can be referred to as a state of affairs (be asleep) or as a happening

  5. Colostomy irrigation: review of a number of technical aspects Irrigación de la colostomía: revisión sobre algunos aspectos técnicos Irrigação da colostomia: revisão acerca de alguns aspectos técnicos

    Directory of Open Access Journals (Sweden)

    Isabel Umbelina Ribeiro Cesaretti

    2008-01-01

    Full Text Available OBJECTIVE: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method's training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. METHODS: After searching in the designated sources, sixty-three articles were identified. RESULTS: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. CONCLUSION: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.OBJETIVO: Realizar una revisión bibliográfica sobre cuatro aspectos técnicos relacionados a la irrigación de la colostomía: volumen de agua a ser infundido, momento del post-operatorio en que se debe iniciar el entrenamiento para el uso del método, tiempo de manutención de 24 horas como intervalo entre las irrigaciones y tiempo gastado en la realización del procedimiento, visando contribuir en la sistematización más adecuada del método. MÉTODOS: Una vez realizadas las búsquedas en las fuentes planificadas, fueron identificados 63 artículos. RESULTADOS: Se observó la inexistencia de un consenso entre los diversos autores consultados: el volumen de agua infundido varió de 500ml a 1500ml, aunque, en la práctica, el volumen

  6. Cognitive Aspects of Prejudice

    Science.gov (United States)

    Tajfel, Henri

    1969-01-01

    This paper is a slightly revised version of a contribution to a symposium on the "Biosocial Aspects of Race," held in London, September, 1968; symposium was published in the "Journal of Biosocial Science," Supplement No. 1, July, 1969. (RJ)

  7. Foundational aspects of security

    DEFF Research Database (Denmark)

    Chatzikokolakis, Konstantinos; Mödersheim, Sebastian Alexander; Palamidessi, Catuscia

    2014-01-01

    This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security.......This Special Issue of the Journal of Computer Security focuses on foundational aspects of security, which in recent years have helped change much of the way we think about and approach system security....

  8. Aspects of Malpractice in Prosthodontics.

    Science.gov (United States)

    Nassani, Mohammad Zakaria

    2017-06-09

    Crowns, fixed partial dentures, and removable dentures are the popular prosthetic dental restorations in current dental practice. Prosthodontic rehabilitation of the mouth, particularly in advanced and complex cases, requires careful planning, adequate clinical skills, and exacting technical standards. While a successful outcome is the ultimate goal for any prosthodontic treatment, complications, injuries, dissatisfaction, and/or failure may occur. When such events develop as a result of negligence or violation of standards of care, they are considered under the term of malpractice and may incur ethical and medico-legal implications. This paper reviews and highlights some aspects of malpractice in prosthodontics. The current state of prosthodontic malpractice on a global level will also be evaluated. Standards of prosthodontic care, current literature of prosthodontic malpractice, where and how prosthodontic malpractice occurs, and recommendations for the future are presented. A thorough understanding of what is quality prosthodontic care and what disrupts this care can be a useful guard against professional litigation and may protect patients from poor quality of dental prosthetic care. © 2017 by the American College of Prosthodontists.

  9. Transformation of technical infrastructure

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev

    1998-01-01

    article about the need of new planning forums in order to initiate transformations with in management of large technical systems for energy, waste and water supply.......article about the need of new planning forums in order to initiate transformations with in management of large technical systems for energy, waste and water supply....

  10. Technical Communication in Japan

    Institute of Scientific and Technical Information of China (English)

    Hiraku Amemiya

    2010-01-01

    @@ 1.Characteristics of Japanese Technical Communication(TC) The visual orientation of information characterizes Japanese technical communication.Manuals that have won Japan Manual Awards in the past have employed various designs with graphical presentations that evoke the style of popular magazines.

  11. Technical Manual. The ACT®

    Science.gov (United States)

    ACT, Inc., 2014

    2014-01-01

    This manual contains technical information about the ACT® college readiness assessment. The principal purpose of this manual is to document the technical characteristics of the ACT in light of its intended purposes. ACT regularly conducts research as part of the ongoing formative evaluation of its programs. The research is intended to ensure that…

  12. Summer Technical Students 2004

    CERN Multimedia

    Maximilien Brice

    2004-01-01

    About 100 technical and doctoral students arrive each year, undergraduates and post-graduates who are preparing diploma or doctoral theses in applied science and technology. They spend up to two years at the Laboratory, as technical students as part of their formal training for a recognised degree or its equivalent.

  13. Technical Program, 1974,

    Science.gov (United States)

    proposed AGARD Technical Program and Budget for 1974. The report reflects the program that was unanimously approved by the AGARD National Delegates Board...required to support the proposed 1974 AGARD technical program is presented in Section 3. The separate publications summary shown in Section 4 identifies by

  14. FAO Technical meeting on prebiotics.

    Science.gov (United States)

    Pineiro, Maya; Asp, Nils-Georg; Reid, Gregor; Macfarlane, Sandra; Morelli, Lorenzo; Brunser, Oscar; Tuohy, Kieran

    2008-09-01

    Recognizing the possible beneficial effect of prebiotics in food, the Food and Agriculture Organization of the United Nations (FAO) convened a Technical meeting to start work on the evaluation of the functional and health properties of prebiotics. A group of international experts agreed on guidelines, recommended criteria, and methodology for conducting a systematic approach for the evaluation of prebiotics leading to its safe use in food. It was recommended that a full expert consultation be convened under the auspices of FAO. This work provides governments, industry, and consumers with scientific advice in relation to functional and health aspects of prebiotics and general guidance for the assessment of prebiotics in relation to their nutritional properties or safety. These guidelines may also be used by Member Countries and Codex Alimentarius to identify and define what data need to be available to accurately substantiate health and nutrition claims.

  15. Technical Agency in Practice

    DEFF Research Database (Denmark)

    Krummheuer, Antonia Lina

    2015-01-01

    The paper combines the discussion of technical agency and hybrid networks of Actor-Network Theory (ANT) with an ethnomethodological/conversation analytical (EMCA) perspective on situated practices in which participants ascribe agency to technical artefacts. While ANT works with (ethnographic......) description of hybrid networks in which human and non-human actants are granted agency without differentiating different kinds of agency, EMCA focuses on the member's perspectives and the situated construction of technical agency that is made relevant within an ongoing interaction. Based on an EMCA analysis...... of three video recordings of situations in which technical agency is made relevant by the human participants, the paper demonstrates different ways in which agency is granted to technical artefacts. Human participants can treat a technology as communication partner, as an active part (and actant...

  16. Technical Agency in Practice

    DEFF Research Database (Denmark)

    Krummheuer, Antonia Lina

    2015-01-01

    ) description of hybrid networks in which human and non-human actants are granted agency without differentiating different kinds of agency, EMCA focuses on the member's perspectives and the situated construction of technical agency that is made relevant within an ongoing interaction. Based on an EMCA analysis......The paper combines the discussion of technical agency and hybrid networks of Actor-Network Theory (ANT) with an ethnomethodological/conversation analytical (EMCA) perspective on situated practices in which participants ascribe agency to technical artefacts. While ANT works with (ethnographic...... of three video recordings of situations in which technical agency is made relevant by the human participants, the paper demonstrates different ways in which agency is granted to technical artefacts. Human participants can treat a technology as communication partner, as an active part (and actant...

  17. Organisational aspects of care.

    Science.gov (United States)

    Bloomfield, Jacqueline; Pegram, Anne

    2015-03-04

    Organisational aspects of care, the second essential skills cluster, identifies the need for registered nurses to systematically assess, plan and provide holistic patient care in accordance with individual needs. Safeguarding, supporting and protecting adults and children in vulnerable situations; leading, co-ordinating and managing care; functioning as an effective and confident member of the multidisciplinary team; and managing risk while maintaining a safe environment for patients and colleagues, are vital aspects of this cluster. This article discusses the roles and responsibilities of the newly registered graduate nurse. Throughout their education, nursing students work towards attaining this knowledge and these skills in preparation for their future roles as nurses.

  18. Technical Writing in the Netherlands.

    Science.gov (United States)

    de Vet, Dominique M. W.

    1996-01-01

    Discusses the technical writing profession in the Netherlands. Bases the discussion on two studies--one directed at technical freelancers and another directed at technical writers working within organizations. Gives a profile of technical writers in the Netherlands; an impression of the problems technical writers in organizations deal with;…

  19. Low Aspect-Ratio Wings for Wing-Ships

    DEFF Research Database (Denmark)

    Filippone, Antonino; Selig, M.

    1998-01-01

    Flying on ground poses technical and aerodynamical challenges. The requirements for compactness, efficiency, manouverability, off-design operation,open new areas of investigations in the fieldof aerodynamic analysis and design. A review ofthe characteristics of low-aspect ratio wings, in- and out...

  20. Clinical aspects of a rotational total skin electron irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, T.H.; Pla, C.; Pla, M.; Podgorsak, E.B. (McGill Univ., Montreal, Quebec (Canada). Dept. of Radiation Oncology)

    1984-06-01

    A simple rotational total skin electron irradiation technique utilising a single large field electron beam is presented. Clinical and technical aspects of the technique are discussed and treatment results for the first 10 patients treated for wide-spread mycosis fungoides reported. The technique is simple and well tolerated by patients, and can easily be implemented in centres utilising electron beam radiotherapy.

  1. Review of mass transfer aspects for biological gas treatment

    NARCIS (Netherlands)

    Kraakman, N.J.R.; Rocha-Rios, J.; Van Loosdrecht, M.C.M.

    2011-01-01

    This contribution reviews the mass transfer aspects of biotechnological processes for gas treatment, with an emphasis on the underlying principles and technical feasible methods for mass transfer enhancements. Understanding of the mass transfer behavior in bioreactors for gas treatment will result i

  2. Formal modelling and analysis of socio-technical systems

    DEFF Research Database (Denmark)

    2016-01-01

    systems are still mostly identified through brainstorming of experts. In this work we discuss several approaches to formalising socio-technical systems and their analysis. Starting from a flow logic-based analysis of the insider threat, we discuss how to include the socio aspects explicitly, and show......Attacks on systems and organisations increasingly exploit human actors, for example through social engineering. This non-technical aspect of attacks complicates their formal treatment and automatic identification. Formalisation of human behaviour is difficult at best, and attacks on socio-technical...... a formalisation that proves properties of this formalisation. On the formal side, our work closes the gap between formal and informal approaches to socio-technical systems. On the informal side, we show how to steal a birthday cake from a bakery by social engineering....

  3. Macroeconomic aspects of dollarization

    OpenAIRE

    Kolář, Ladislav

    2009-01-01

    The dissertation deals mainly with explanation of the term "de jure dollarization" and confronts the dollarization regime with others. The core of the whole dissertation is to outline the factors which indicate fulfillment of dollarization and the positives or negatives that it brings. It slightly refers to the regional monetary integration in several regions and discovers mutual aspects with the dollarization.

  4. Quantum Chromodynamics: Computational Aspects

    CERN Document Server

    Schaefer, Thomas

    2016-01-01

    We present a brief introduction to QCD, the QCD phase diagram, and non-equilibrium phenomena in QCD. We emphasize aspects of the theory that can be addressed using computational methods, in particular euclidean path integral Monte Carlo, fluid dynamics, kinetic theory, classical field theory and holographic duality.

  5. [Psychosocial aspects of halitosis

    NARCIS (Netherlands)

    Jongh, A. de; Baat, C. de; Horstman, M.

    2012-01-01

    Using a representative sample from the Dutch population, some psychosocial aspects of halitosis were examined. The results of the survey showed that almost 90% of the Dutch population aged 16 years and older were regularly faced with halitosis. Forty percent reported to be exposed to someone with ha

  6. Aspects of Marine Ecology.

    Science.gov (United States)

    Awkerman, Gary L.

    This publication is designed for use in standard science curricula to develop oceanologic manifestations of certain science topics. Included are teacher guides, student activities, and demonstrations to impart ocean science understanding, specifically, aspects of marine ecology, to high school students. The course objectives include the ability of…

  7. Tense, aspect, and modality

    NARCIS (Netherlands)

    Pfau, R.; Steinbach, M.; Woll, B.; Pfau, R.; Steinbach, M.; Woll, B.

    2012-01-01

    Cross-linguistically, the grammatical categories tense, aspect, and modality - when they are overtly expressed - are generally realized by free morphemes (such as adverbials and auxiliaries) or by bound inflectional markers. The discussion in this chapter will make clear that this generalization als

  8. Diagnostic aspects of gonorrhoea

    NARCIS (Netherlands)

    E. Stolz (Ernst)

    1974-01-01

    textabstractIn 1971 an investigation into the epidemiological, clinical, bacteriological and therapeutic aspects of gonorrhoea was started in collaboration with the Bacteriological Laboratory of the University Hospital/Medical Faculty Rotterdam. Jn the framework of this investigation, the data were

  9. A Technical Assessment of Seismic Yield Estimation. Appendix. Part 1

    Science.gov (United States)

    1981-01-01

    AFTAC-TR-77-22, Air Force Technical Applications Center, Patrick Air Force Base, Florida (1977). 12. Springer, D. L. and Hannon, W. J., Amplitude...Underground Explosions in Stable Rocks, Izvestia, Earth Physics, 11, 65-73 (1974). (Translated by M. N. Pillai , UDC 534, 222.2.) 22. Marshall, P. D., Aspects...Technical Applications Center, Patrick Air Force Base, Florida (1977). 3. Hurdlow, W. R., Wave Propagation out of the Tatum Dome, Lawrence Livermore

  10. Milestones for National Technical

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    The first session of National Technical Committee of Auto Standardization was established onApri128,1988. The first session of National Technical Committee of Auto Standardization (SAC/TC 114)was established in Beijing on April 28,1988,under the approval of the National Bureau of Standards at that time,with the official from China Association of Automobile Manufacturers as its director.It played a very impoorant role,not only in the unified management of auto standards but also in the technical work of the management of auto products.

  11. NCDC Technical Reports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NCDC Technical Reports is a set of retrospective analyses produced by the Research Customer Service Group and the National Climatic Data Center from 1995 to 2008....

  12. Technical report writing today

    CERN Document Server

    Riordan, Daniel G

    2014-01-01

    "Technical Report Writing Today" provides thorough coverage of technical writing basics, techniques, and applications. Through a practical focus with varied examples and exercises, students internalize the skills necessary to produce clear and effective documents and reports. Project worksheets help students organize their thoughts and prepare for assignments, and focus boxes highlight key information and recent developments in technical communication. Extensive individual and collaborative exercises expose students to different kinds of technical writing problems and solutions. Annotated student examples - more than 100 in all - illustrate different writing styles and approaches to problems. Numerous short and long examples throughout the text demonstrate solutions for handling writing assignments in current career situations. The four-color artwork in the chapter on creating visuals keeps pace with contemporary workplace capabilities. The Tenth Edition offers the latest information on using electronic resum...

  13. Technical Agency in Practice

    DEFF Research Database (Denmark)

    Krummheuer, Antonia Lina

    2015-01-01

    ) description of hybrid networks in which human and non-human actants are granted agency without differentiating different kinds of agency, EMCA focuses on the member's perspectives and the situated construction of technical agency that is made relevant within an ongoing interaction. Based on an EMCA analysis...... of three video recordings of situations in which technical agency is made relevant by the human participants, the paper demonstrates different ways in which agency is granted to technical artefacts. Human participants can treat a technology as communication partner, as an active part (and actant...... in which the human participants orient towards the artefact in different ways; thereby, the construction of technical agency can shift from moment to moment....

  14. Superfund Technical Assistance Grants

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset includes data related to the Superfund Technical Assistance Grant program, including grant number, award amounts, award dates, period of performance,...

  15. OSH technical reference manual

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    In an evaluation of the Department of Energy (DOE) Occupational Safety and Health programs for government-owned contractor-operated (GOCO) activities, the Department of Labor`s Occupational Safety and Health Administration (OSHA) recommended a technical information exchange program. The intent was to share written safety and health programs, plans, training manuals, and materials within the entire DOE community. The OSH Technical Reference (OTR) helps support the secretary`s response to the OSHA finding by providing a one-stop resource and referral for technical information that relates to safe operations and practice. It also serves as a technical information exchange tool to reference DOE-wide materials pertinent to specific safety topics and, with some modification, as a training aid. The OTR bridges the gap between general safety documents and very specific requirements documents. It is tailored to the DOE community and incorporates DOE field experience.

  16. Behavioural aspects of terrorism.

    Science.gov (United States)

    Leistedt, Samuel J

    2013-05-10

    Behavioural and social sciences are useful in collecting and analysing intelligence data, understanding terrorism, and developing strategies to combat terrorism. This article aims to examine the psychopathological concepts of terrorism and discusses the developing roles for behavioural scientists. A systematic review was conducted of studies investigating behavioural aspects of terrorism. These studies were identified by a systematic search of databases, textbooks, and a supplementary manual search of references. Several fundamental concepts were identified that continue to influence the motives and the majority of the behaviours of those who support or engage in this kind of specific violence. Regardless of the psychological aspects and new roles for psychiatrists, the behavioural sciences will continue to be called upon to assist in developing better methods to gather and analyse intelligence, to understand terrorism, and perhaps to stem the radicalisation process. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  17. ROBOTIC SURGERY: BIOETHICAL ASPECTS

    Science.gov (United States)

    SIQUEIRA-BATISTA, Rodrigo; SOUZA, Camila Ribeiro; MAIA, Polyana Mendes; SIQUEIRA, Sávio Lana

    2016-01-01

    ABSTRACT Introduction: The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area. Objective: To present review of the ethical aspects of robot use in surgery. Method: Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Results: Of the citations obtained, were selected 17 articles, which were used for the preparation of the article. It contains brief presentation on robotics, its inclusion in health and bioethical aspects, and the use of robots in surgery. Conclusion: Robotic surgery is a reality today in many hospitals, which makes essential bioethical reflection on the relationship between health professionals, automata and patients. PMID:28076489

  18. Safety Aspects in Radioactive Waste Management

    Directory of Open Access Journals (Sweden)

    Peter W. Brennecke

    2007-01-01

    Full Text Available In recent years, within the framework of national as well as international programmes, notable advances and considerable experience have been reached, particularly in minimising of the production of radioactive wastes, conditioning and disposal of short-lived, low and intermediate level waste, vitrification of fission product solutions on an industrial scale and engineered storage of long-lived high level wastes, i.e. vitrified waste and spent nuclear fuel. Based on such results, near-surface repositories have successfully been operated in many countries. In contrast to that, the disposal of high level radioactive waste is still a scientific and technical challenge in many countries using the nuclear power for the electricity generation. Siting, planning and construction of repositories for the high level wastes in geological formations are gradually advancing. The site selection, the evaluation of feasible sites as well as the development of safety cases and performance of site-specific safety assessments are essential in preparing the realization of such a repository. In addition to the scientific-technical areas, issues regarding economical, environmental, ethical and political aspects have been considered increasingly during the last years. Taking differences in the national approaches, practices and the constraints into account, it is to be recognised that future developments and decisions will have to be extended in order to include further important aspects and, finally, to enhance the acceptance and confidence in the safety-related planning work as well as in the proposed radioactive waste management and disposal solutions.

  19. Aspects of B physics

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard, M.K.

    1987-10-14

    Various aspects of weak decays are commented on. Probing of the standard model and of phenomena beyond the standard model are discussed, followed by a theoretical view of B mesons and some experimental observations on B mesons. The point is made that any data on B decay would be interesting in that it would provide powerful new constraints in analyses of the standard model and extensions thereof. (LEW)

  20. Electrochemical kinetics theoretical aspects

    CERN Document Server

    Vetter, Klaus J

    1967-01-01

    Electrochemical Kinetics: Theoretical Aspects focuses on the processes, methodologies, reactions, and transformations in electrochemical kinetics. The book first offers information on electrochemical thermodynamics and the theory of overvoltage. Topics include equilibrium potentials, concepts and definitions, electrical double layer and electrocapillarity, and charge-transfer, diffusion, and reaction overvoltage. Crystallization overvoltage, total overvoltage, and resistance polarization are also discussed. The text then examines the methods of determining electrochemical reaction mechanisms

  1. LNG project - contractual aspects

    Energy Technology Data Exchange (ETDEWEB)

    Goncalves, Bruno Almeida

    2008-07-01

    This paper intends to provide from the legal point of view an outline of the main challenges of a LNG project in the upstream, regulatory aspects, liquefaction, financing and midstream through a basic checklist; an overview of the contractual complexity of a LNG project; some basic discussion of particular LNG contract clauses; and a comparative analysis between the classic clauses of a Gas Transportation Agreement (GTA) through a gas pipeline and LNG logistic. (author)

  2. Strategic Aspects of Hegemony

    OpenAIRE

    Robert E. Goodin; Güth, Werner; Snidal, Duncan

    2005-01-01

    Hegemony is a central feature of contemporary international politics but it remains seriously under-theorized. We draw on cooperative game theory to represent and analyze different aspects of hegemony. After developing a general conception of hegemony, we analyze the circumstances under which a Hegemon needs assistance from allies, examine when prospective allies have incentives to cooperate with or challenge Hegemon and evaluate the prospects for exploitation by Hegemon. Throughout, we conne...

  3. MARKETING MIX THEORETICAL ASPECTS

    OpenAIRE

    Margarita Išoraitė

    2016-01-01

    Aim of article is to analyze marketing mix theoretical aspects. The article discusses that marketing mix is one of the main objectives of the marketing mix elements for setting objectives and marketing budget measures. The importance of each element depends not only on the company and its activities, but also on the competition and time. All marketing elements are interrelated and should be seen in the whole of their actions. Some items may have greater importance than others; it depends main...

  4. Technical Report Writing Today

    DEFF Research Database (Denmark)

    Riordan, Daniel G.

    2014-01-01

    Section 1: Technical Communication Basics (8 chapters on tech com, audiences, tech com process, tech com style, researching, designing pages, using visual aids, describing). Section 2: Technical Communication Applications (7 chapters on sets of instructions, informal reports and email, developing...... websites/using social media, formal reports, recommendation and feasibility reports, proposals, user manuals). Section 3: Professional Communication (2 chapters and 2 appendices on presentations, job application materials, brief handbook for tech writers, documenting sources)....

  5. Technical Report Writing Today

    DEFF Research Database (Denmark)

    Riordan, Daniel G.

    2014-01-01

    Section 1: Technical Communication Basics (8 chapters on tech com, audiences, tech com process, tech com style, researching, designing pages, using visual aids, describing). Section 2: Technical Communication Applications (7 chapters on sets of instructions, informal reports and email, developing...... websites/using social media, formal reports, recommendation and feasibility reports, proposals, user manuals). Section 3: Professional Communication (2 chapters and 2 appendices on presentations, job application materials, brief handbook for tech writers, documenting sources)....

  6. SCIENTIFIC AND TECHNICAL POTENTIAL: UKRAINE AND THE WORLD

    Directory of Open Access Journals (Sweden)

    Vasyl H Gerasymchuk

    2008-10-01

    Full Text Available The main scientific goal of paper is researching of theoretical and practical problems of scientific and technical potential of Ukraine and other countries in the aspect of globalization. The paper reveals analysis of approaches of evaluation of scientific and technical potential on different levels, comparing Romania, Hungary and Ukraine by the selected indicators which recognized of knowledge economy and define on scientific and technical potential, structural changes in economy that influenced on changes in scientific and technical development of Ukraine, technological and personnel components. Authors assert that domestic industry of high technologies can be all-sufficient for terms at least maintenance of existent scientific and technical potential and productions capacities and their update.

  7. 78 FR 27963 - Reliability Technical Conference; Notice of Technical Conference

    Science.gov (United States)

    2013-05-13

    ... Energy Regulatory Commission Reliability Technical Conference; Notice of Technical Conference Take notice that the Federal Energy Regulatory Commission will hold a Technical Conference on Tuesday, July 9, 2013... to the webcast. The Capitol Connection provides technical support for webcasts and offers the...

  8. Colectomias no tratamento cirúrgico da constipação intestinal crônica: report of four cases Colectomy in the surgical treatment of chronic intestinal constipation

    Directory of Open Access Journals (Sweden)

    Maria Auxiliadora Prolungatti César

    2008-06-01

    Full Text Available INTRODUÇÃO: A constipação intestinal é um distúrbio do trato digestório em que a atividade intestinal está reduzida, assim como a freqüência de evacuações; associada a fezes secas e endurecidas, acumuladas devido ao longo tempo de permanência no cólon. OBJETIVO: Avaliar quatro pacientes submetidos à colectomia total para o tratamento da constipação intestinal. MÉTODO: Estudo retrospectivo realizado por meio do levantamento de prontuários de pacientes submetidos à ressecção cirúrgica do cólon no tratamento da constipação intestinal crônica no período de 1998 a 2006. RESULTADOS: Em nossa casuística, que envolve o HUT e uma paciente operada no Hospital São Lucas de Taubaté, quatro pacientes foram submetidos à colectomia total para o tratamento da constipação intestinal crônica. Todos eram do sexo feminino, com mais de 30 anos de idade e apresentavam uma evolução do quadro há mais de 10 anos. Os resultados obtidos foram considerados satisfatórios por três pacientes, apesar de uma delas evacuar seis ou mais vezes ao dia. A quarta paciente referiu permanência do quadro, evacuando uma vez a cada sete dias, em média. CONCLUSÃO: O tratamento cirúrgico é uma alternativa nos casos crônicos incapacitantes, refratários a outras formas de tratamento. Os pacientes com indicação cirúrgica devem antes ser submetidos a uma evolução fisiológica e investigação clínica completa, para confirmação do quadro de inércia colônica.INTRODUCTION: The intestinal constipation is a disturb of the alimentary tract in which its activity is reduced, as well as the frequency of evacuations; associated to dry and hardened excrements witch accumulate because of the long permanence in colon. OBJECTIVE: To evaluate four patients submitted to the total colectomy for the treatment of the intestinal constipation. METHOD: Retrospective study carried through by the analysis of handbooks of patients submitted to the surgical

  9. Using Problem Based Learning and Game Design to motivate Non-technical Students to engage in Technical Learning

    DEFF Research Database (Denmark)

    Reng, Lars; Schoenau-Fog, Henrik

    2010-01-01

    of Medialogy, we employ problem based learning and game design to engage these students in learning the technical elements. This paper will describe our approach and exemplify the method by introducing various examples of student projects, where the interest in game design combined with problem based learning...... technology, a broader segment of students are consequently enrolled. One of the challenges of these new educations is to motivate the artistic minded students in learning the technical aspects of the curriculum, as they need these qualifications to work in the industry. At Aalborg University’s department...... have engaged and motivated artistic students to learn technical topics on their own....

  10. On the Practice and Exploration of Higher Vocational Colleges’ Teaching Team Construction--A Case Study of the"Six Aspects Project"Team Construction of Huanggang Vocational and Technical College%高职院校教学团队建设的实践与探索--以黄冈职业技术学院“六个一工程”团队建设为例

    Institute of Scientific and Technical Information of China (English)

    伊小琴

    2014-01-01

    The enhancement of the team construction is an important measure to promote the teaching re⁃form and improve the teaching quality in colleges and universities. By the team construction of the"Six Aspects Project", Huanggang Vocational and Technical College has created a team with its own characteristics, found out the combination of the college development and the market needs, improved the talents cultivation quality and built a brand team.%加强教学团队建设是促进高校教学改革和提高教学质量的重要举措。黄冈职业技术学院通过“六个一工程”团队建设,创造出团队自身特色,找到学校发展和市场需要的结合点,提高了人才培养质量,塑造出品牌团队。

  11. Colectomia eletiva laparoscópica esquerda para a doença diverticular: estudo monocêntrico sobre 205 pacientes consecutivos Elective laparoscopic left colectomy for diverticular disease: a monocentric study on 205 consecutive patients

    Directory of Open Access Journals (Sweden)

    João Odilo Gonçalves Pinto

    2010-12-01

    de distúrbios funcionais do cólon foram anotados. Houve sete (3,41%, estenoses da anastomose e em dois precisou de re-operação. A taxa de recidiva foi de 1,95% (4 casos. Idade e complicações intra-operatórias foram identificadas como fatores de risco para a conversão. A presença de lesões associadas foi significativamente correlacionada com a persistência de sintomas funcionais do cólon durante o seguimento. CONCLUSÕES: A colectomia laparoscópica esquerda é segura e eficaz em comparação com todas as outras modalidades de tratamento da doença diverticular. Diagnóstico preciso e cuidado nas indicações são essenciais para atingir bons resultados.BACKGROUND: The increased prevalence of diverticular disease has made its most appropriate management a matter of constant debate. Especially for the cases of diverticulitis, considerable progress has been made in terms of diagnosis and management. The surgical resection of the involved colon is the only means of definitely eradicate this condition and so, the elective laparoscopic colectomy has emerged as a safe and interesting choice among the options of treatment. AIM: To analyze the outcomes of the laparoscopic left colectomy for diverticular disease performed over a 17-year period at a single institution. METHODS: Between April 1990 and May 2007, a total of 205 consecutive left laparoscopic colectomies were retrospectively reviewed. Data obtained included the pre-operative work-up, indications for surgery, operative results, complications and follow-up. Univariate and multivariate statistical analyzes were performed in an effort to identity risk factors for adverse outcomes in the series. RESULTS: Indications were for non-complicated acute diverticulitis (80%, acute or chronic complicated diverticulitis (18.05% and bleeding diverticular disease (1.95%. The conversion rate was 5.85% (12 cases. The median operative time was 180 (100-420 min with a hospital stay of 7 (5-44 days. The mean length of the

  12. Engineering the System and Technical Integration

    Science.gov (United States)

    Blair, J. C.; Ryan, R. S.; Schutzenhofer, L. A.

    2011-01-01

    Approximately 80% of the problems encountered in aerospace systems have been due to a breakdown in technical integration and/or systems engineering. One of the major challenges we face in designing, building, and operating space systems is: how is adequate integration achieved for the systems various functions, parts, and infrastructure? This Contractor Report (CR) deals with part of the problem of how we engineer the total system in order to achieve the best balanced design. We will discuss a key aspect of this question - the principle of Technical Integration and its components, along with management and decision making. The CR will first provide an introduction with a discussion of the Challenges in Space System Design and meeting the challenges. Next is an overview of Engineering the System including Technical Integration. Engineering the System is expanded to include key aspects of the Design Process, Lifecycle Considerations, etc. The basic information and figures used in this CR were presented in a NASA training program for Program and Project Managers Development (PPMD) in classes at Georgia Tech and at Marshall Space Flight Center (MSFC). Many of the principles and illustrations are extracted from the courses we teach for MSFC.

  13. AspectJ in action practical aspect-oriented programming

    CERN Document Server

    Laddad, Ramnivas

    2003-01-01

    A guide to aspect-oriented programming and the AspectJ language, this book provides code examples that enable quick implementation of functionality in a system. Thorough introductions to AOP and AspectJ will help developers learn or advance their knowledge of AspectJ. Examples of everyday situations in which AspectJ solutions can be applied, such as logging, policy enforcement, resource pooling, business logic, thread-safety, authentication and authorization, and transaction management are provided. In addition, design patterns and idioms are covered, as is business rule implementation. The latest technologies, such as JEES, JAAS, and log4j, are explained and connected with AspectJ.

  14. New technical aspects for operators of photovoltaic power plants {<=} 30 kWp according to paragraph 6 sect. 2 No. 2 EEG. A critical evaluation; Neue technische Vorgaben fuer Betreiber von PV-Anlagen {<=} 30 kWp gem. paragraph 6 Abs. 2 Nr. 2 EEG. Eine kritische Betrachtung

    Energy Technology Data Exchange (ETDEWEB)

    Schmelzer, Knut [Jena Univ. (Germany). Inst. fuer Energiewirtschaftsrecht; Schneidewindt, Holger [Verbraucherzentrale NRW (Germany)

    2012-02-15

    It is narrow in some German powerdistribution networks, especially in the southern Germany, where the sun appears frequently and extensively. And it gets even more closely. With the expansion of the technical requirements in paragraph 6, paragraph 2, No. 2 EEG (Renewable Energy Law) as a prerequisite for ensuring the network stability, since 1st January, 2012, the legislature responds to the plant growths of the recent years. Not always with a sense of proportion and under acceptance of a great legal uncertainty.

  15. Saarland and Rheinland-Pfalz Mines Inspectorate. Annual report 1996. Economic and technical aspects, industrial safety and environmental protection, statistics, activities of the mining authorities; Oberbergamt fuer das Saarland und das Land Rheinland-Pfalz. Jahresbericht 1996. Bergwirtschaft, Bergtechnik, Arbeitsschutz, Umweltschutz, Statistiken, Taetigkeiten der Bergbehoerden

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    The annual report of the Saarland and Rheinland-Pfalz Mines Inspectorate outlines the economic and technical developments in mining in these two German states as well as the activities of the mining authorities in all fields of mining. (orig.) [Deutsch] Der Jahresbericht des Oberbergamtes fuer das Saarland und das Land Rheinland-Pfalz gibt einen Ueberblick zur bergwirtschaftlichen und bergtechnischen Entwicklung in beiden Bundeslaendern und vermittelt einen umfassenden Einblick in die Taetigkeiten der Bergbehoerden in den vielfaeltigen Bergbauzweigen. (orig.)

  16. Forestry certification social aspects

    CSIR Research Space (South Africa)

    Hamman, J

    2000-01-01

    Full Text Available intimidating to respondents. Related to the question of language is the question of race. South Africa's political history has been characterised by colonialist dispossession and racial exclusivity in political decision-making. The effect of this on rural... and environmental aspects of the audit, the forester seems to be more uncomfortable responding to the social auditor. The skill levels required to gain and maintain the trust of the forest management is very high, and the same racial factors play a role...

  17. Fractal aspects of hadrons

    CERN Document Server

    Deppman, Airton

    2016-01-01

    The non extensive aspects of $p_T$ distributions obtained in high energy collisions are discussed in relation to possible fractal structure in hadrons, in the sense of the thermofractal structure recently introduced. The evidences of self-similarity in both theoretical and experimental works in High Energy and in Hadron Physics are discussed, to show that the idea of fractal structure of hadrons and fireballs have being under discussion for decades. The non extensive self-consistent thermodynamics and the thermofractal structure allow one to connect non extensivity to intermittence and possibly to parton distribution functions in a single theoretical framework.

  18. Knockout reactions: experimental aspects

    Energy Technology Data Exchange (ETDEWEB)

    Cortina Gil, D. [Santiago de Compostela Univ. (Spain)

    2007-07-01

    The availability of radioactive beams has given rise to intense activity in the field of direct reactions. The removal of one(two)-nucleon (referred to as nucleon knockout in this text) from a fast exotic projectile has been extensively investigated. This lecture provides a general overview of the experimental results achieved using this technique. The sensitivity of the method to different experimental aspects is illustrated with a few examples. Special attention is given to the application of nucleon-knockout reactions as a general purpose spectroscopic tool. (author)

  19. Comportamento do fator de necrose tumoral e da proteína C reativa em hepatectomia simultânea com colectomia em ratos Behavior of the tumor necrosis factor and C-reactive protein in simultaneous hepatectomy plus colectomy in rats

    Directory of Open Access Journals (Sweden)

    Hamilton Luiz Xavier Funes

    2005-04-01

    Full Text Available OBJETIVO: Observar o comportamento do fator de necrose tumoral-a (TNFalfa e da proteína C reativa (PCR em cirurgias simultâneas de fígado e intestino. MÉTODO: Para este objetivo foi desenvolvido um modelo experimental, no qual foram operados quarenta ratos da raça Wistar, divididos em quatros grupos: grupo controle, grupo 1 com ratos submetidos à hepatectomia a 70%, grupo 2 com ratos submetidos à colectomia e grupo 3 com cirurgia simultânea de hepactetomia e colectomia. Em todos os grupos foram dosados TNFalfa e PCR uma hora após o procedimento. Os animais foram mortos em seguida. RESULTADOS: Os valores encontrados mostraram alteração nas dosagens desses elementos nos diversos grupos, sendo que no grupo 3 houve aumento significativo do TNFalfa e queda de PCR. CONCLUSÃO: Quanto mais complexo se tornou o ato cirúrgico os níveis sangüíneos de TFNalfa aumentaram e os níveis sangüíneos da PCR diminuíram significativamente.BACKGROUND: The aim of this experimental study was to observe the behavior of Tumor Necrosis Factor and C-Reative Protein in simultaneous colectomy plus hepatectomy. METHODS: In this experimental model, 40 Wistar rats underwent surgery. They were divided into four groups: the control group; group 1, rats submitted to hepatectomy to 70%; group 2, rats submitted to colectomy; and group 3, rats submitted simultaneously to both procedures: hepatectomy plus colectomy. In all groups, TNF and PCR were collected one hour after the surgical procedure. The animals were killed afterwards. RESULTS: The dosage of these elements showed values with some alterations in all groups. Group three showed a significant increase of TNFalpha and decrease of PCR. CONCLUSION: The more complex became the surgical act the blood levels of TFNalpha have increased and the levels of the PCR decreased significantly.

  20. Technical Assistance to Developers

    Energy Technology Data Exchange (ETDEWEB)

    Rockward, Tommy [Los Alamos National Laboratory; Borup, Rodney L. [Los Alamos National Laboratory; Garzon, Fernando H. [Los Alamos National Laboratory; Mukundan, Rangachary [Los Alamos National Laboratory; Spernjak, Dusan [Los Alamos National Laboratory

    2012-07-17

    This task supports the allowance of technical assistance to fuel-cell component and system developers as directed by the DOE. This task includes testing of novel materials and participation in the further development and validation of single cell test protocols. This task also covers technical assistance to DOE Working Groups, the U.S. Council for Automotive Research (USCAR) and the USCAR/DOE Driving Research and Innovation for Vehicle efficiency and Energy sustainability (U.S. Drive) Fuel Cell Technology Team. Assistance includes technical validation of new fuel cell materials and methods, single cell fuel cell testing to support the development of targets and test protocols, and regular advisory participation in other working groups and reviews. This assistance is made available to PEM fuel cell developers by request and DOE Approval. The objectives are to: (1) Support technically, as directed by DOE, fuel cell component and system developers; (2) Assess fuel cell materials and components and give feedback to developers; (3) Assist the DOE Durability Working Group with the development of various new material durability Testing protocols; and (4) Provide support to the U.S. Council for Automotive Research (USCAR) and the USCAR/DOE Fuel Cell Technology Team. FY2012 specific technical objectives are: (1) Evaluate novel MPL materials; (2) Develop of startup/ shutdown protocol; (3) Test the impact of hydrophobic treatment on graphite bi-polar plates; (4) Perform complete diagnostics on metal bi-polar plates for corrosion; and (5) Participate and lead efforts in the DOE Working Groups.

  1. Neurological aspects of grief.

    Science.gov (United States)

    Silva, Adriana C; de Oliveira Ribeiro, Natalia P; de Mello Schier, Alexandre R; Arias-Carrión, Oscar; Paes, Flavia; Nardi, Antonio E; Machado, Sergio; Pessoa, Tamires M

    2014-01-01

    Despite grief being a universal experience and the increased scientific attention paid to grief and bereavement in recent years, studies that seek to better understand the role of the neurological aspects of grief are still scarce. We found 5 studies that discussed the relationship between the neurological aspects of grief due to the death of a loved one. All studies showed an activation of common areas, i.e., the anterior cingulate cortex (ACC), posterior cingulate cortex (PCC), prefrontal cortex (PFC), insula and amygdala. These findings could indicate that there is a group of areas working together and responding to generate the symptomatology of grief. Because grief is a universal experience, it is essential that the necessary and effective support can be provided to those who experience the loss of someone considered important in their lives, and this requires understanding grief's manifestation, its differential diagnosis in reference to other clinical conditions, mainly psychiatric ones, and adequate forms of intervention and treatment when necessary. Proper understanding and support can help prevent the emergence of more serious health problems.

  2. PRAGMATIC ASPECT OF CITATION

    Directory of Open Access Journals (Sweden)

    Tatiana Sergeevna SIRENKO

    2014-01-01

    Full Text Available The article is devoted to the research of the prag-matic aspect of citation in fictional text from the in-tertextual point of view. The theory of intertextuality was formed in the works of M.Bakhtin and devel-oped by Y. Kristeva after the analysis of the works of post-modern writers. So allusion and citation began to be investigated not from the philology point of view only but from the linguistics as well. The pur-pose of the article is to investigate the pragmatic aspect of citation which includes also the investiga-tion of its pragmatic functions. Different views on the citation classification are also mentioned in the article as it is an actual problem in modern linguis-tics. Novels by British writer J. Fforde are the mate-rial for the investigation article because they pos-sess a big amount of intertextual inclusion in the text in general and citation in particular.

  3. 76 FR 52955 - Medicare Program; Meeting of the Technical Advisory Panel on Medicare Trustee Reports

    Science.gov (United States)

    2011-08-24

    ... highly technical aspects of estimation involving economics and actuarial science. Panelists are not... nature and will focus on the actuarial and economic assumptions and methods by which Trustees might...

  4. Fuel Element Technical Manual

    Energy Technology Data Exchange (ETDEWEB)

    Burley, H.H. [ed.

    1956-08-01

    It is the purpose of the Fuel Element Technical Manual to Provide a single document describing the fabrication processes used in the manufacture of the fuel element as well as the technical bases for these processes. The manual will be instrumental in the indoctrination of personnel new to the field and will provide a single data reference for all personnel involved in the design or manufacture of the fuel element. The material contained in this manual was assembled by members of the Engineering Department and the Manufacturing Department at the Hanford Atomic Products Operation between the dates October, 1955 and June, 1956. Arrangement of the manual. The manual is divided into six parts: Part I--introduction; Part II--technical bases; Part III--process; Part IV--plant and equipment; Part V--process control and improvement; and VI--safety.

  5. Technical training - places available

    CERN Multimedia

    2012-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch Valeria Perez Reale, Learning Specialist, Technical Programme Coordinator (Tel.: 62424) Eva Stern and Elise Romero, Technical Training Administration (Tel.: 74924) HR Department »Electronics design Next Session Duration Language Availability Comprehensive VHDL for FPGA Design 08-Oct-12 to 12-Oct-12 5 days English 3 places available Foundations of Electromagnetism and Magnet Design (EMAG) 14-Nov-12 to 27-Nov-12 6 days English 20 places available Impacts de la suppression du plomb (RoHS) en électronique 26-Oct-12 to 26-Oct-12 8 hours French 15 places available Introduction to VHDL 10-Oct-12 to 11-Oct-12 2 days English 7 places available LabVIEW Real Time and FPGA 13-Nov-12 to 16-Nov-12 5 days French 5 places available »Mechanical design Next Se...

  6. Technical training: places available

    CERN Multimedia

    2013-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch Valeria Perez Reale, Learning Specialist, Technical Programme Coordinator (Tel.: 62424) Eva Stern and Elise Romero, Technical Training Administration (Tel.: 74924)   Electronics design Next Session Duration Language Introduction to VHDL 21-Feb-13 to 22-Feb-13 2 days English Mechanical design Next Session Duration Language ANSYS - Introduction à ANSYS Mechanical APDL 04-Feb-13 to 07-Feb-13 4 days English Applications de la cotation fonctionnelle et du langage ISO 06-Feb-13 to 08-Feb-13 2 days 4 hours French CATIA V5 – Surfacique 14-Jan-13 to 15-Jan-13 2 days French Office software Next Session Duration Language ACCESS 2010 - niveau 2 : ECDL 06-Feb-13 to 07-Feb-13 2 days French Dreamweaver CS3 - Niveau 1 14-Jan-13 to 15-Jan-13 2 d...

  7. Windows 10 Technical Preview

    OpenAIRE

    Jyväsjärvi, Teppo

    2015-01-01

    Tässä opinnäytetyössä tutustaan uuden kesällä 2015 virallisesti julkaistavan Windows 10 -käyttöjärjestelmän Technical Preview -kehitysversioon. Ensimmäinen Technical Preview -versio julkaistiin syksyllä 2014. Opinnäytetyössä tutustaan Windows 10:n uusin ominaisuuksiin ja tehdään vertailua aiemman Windows 8.1 -version kanssa. Työssä Windows 10 Technical Preview asennetaan virtuaalikoneelle, käydään läpi asennuksen eri vaiheet sekä suurimmat muutokset käyttöliittymässä ja sovelluksissa. Op...

  8. Technical training - Places available

    CERN Multimedia

    2012-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch Valeria Perez Reale, Learning Specialist, Technical Programme Coordinator (Tel.: 62424) Eva Stern and Elise Romero, Technical Training Administration (Tel.: 74924)   Electronics design Next Session Duration Language Availability Certified LabVIEW Associate Developer (CLAD) 06-Dec-12 to 06-Dec-12 1 hour English One more place available Compatibilité électromagnetique (CEM): Applications 23-Nov-12 to 23-Nov-12 3.5 hours English 3 places available Compatibilité électromagnétique (CEM): Introduction 23-Nov-12 to 23-Nov-12 3 hours English 43 places available Effets des Radiations sur les composants et systèmes électroniques 11-Dec-12 to 12-Dec-12 1 day 4 hours French 9 places available LabVIEW for beginners ...

  9. Transformation of technical infrastructure

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev

    The scope of the project is to investigate the possibillities of - and the barriers for a transformation of technical infrastructure conserning energy, water and waste. It focus on urban ecology as a transformation strategy. The theoretical background of the project is theories about infrastructure......, the evolution of large technological systems and theories about organisational and technological transformationprocesses. The empirical work consist of three analysis at three different levels: socio-technical descriptions of each sector, an envestigation of one municipality and envestigations of one workshop...

  10. CERN Technical Training : Vista !

    CERN Multimedia

    HR Department

    2008-01-01

    You are running Vista on your new PC – or are planning to install it? The Technical Training service is organizing a half-day training course on the new features of the VISTA operating system. This course introduces the new interfaces and presents the new functionalities for people who are experienced in the use of Windows XP. The next bilingual sessions of this course will take place on 12 December 2008 and 30 January 2009. Register using our catalogue: http://cta.cern.ch/cta2/f?p=110:9 or contact us with your questions/comments at mailto:Technical.Training@cern.ch

  11. CERN Technical Training : Vista !

    CERN Multimedia

    HR Department

    2008-01-01

    Are you running Vista on your new PC – or are you planning to install it? The Technical Training service is organizing a half-day training course on the new features of the VISTA operating system. This course introduces the new interfaces and presents the new functionalities for people who are experienced in the use of Windows XP. The next bilingual sessions of this course will take place on 12 December 2008 and 30 January 2009. Register using our catalogue: http://cta.cern.ch/cta2/f?p=110:9 or contact us with your questions/comments at mailto:Technical.Training@cern.ch

  12. CERN Technical Training : Vista !

    CERN Multimedia

    HR Department

    2008-01-01

    Are you running Vista on your new PC – or are planning to install it? The Technical Training service is organizing a half-day training course on the new features of the VISTA operating system. This course introduces the new interfaces and presents the new functionalities for people who are experienced in the use of Windows XP. The next bilingual sessions of this course will take place on 12 December 2008 and 30 January 2009. Register using our catalogue: http://cta.cern.ch/cta2/f?p=110:9 or contact us with your questions/comments at Technical.Training@cern.ch

  13. CERN Technical Training : Vista !

    CERN Multimedia

    HR Department

    2009-01-01

    Are you running Vista on your new PC – or are you planning to install it? The Technical Training service is organizing a half-day training course on the new features of the VISTA operating system. This course introduces the new interfaces and presents the new functionalities for people who are experienced in the use of Windows XP. The next bilingual session of this course will take place on 30 January 2009. Register using our catalogue: http://cta.cern.ch/cta2/f?p=110:9 or contact us with your questions/comments at mailto:Technical.Training@cern.ch

  14. CERN Technical Training : Vista !

    CERN Multimedia

    HR Department

    2008-01-01

    You are running Vista on your new PC – or are planning to install it? The Technical Training service is organizing a half-day training on the new features of the VISTA operating system. This course introduces the new interfaces and presents the new functionalities for people who are experienced using Windows XP. The next bilingual sessions of this course will take place on December 12, 2008 and January 30, 2009. Register using our catalogue : http://cta.cern.ch/cta2/f?p=110:9 or contact us with your questions/comments at Technical.Training@cern.ch

  15. Regional technical innovation suitability and economic growth in China

    NARCIS (Netherlands)

    Zhou, Qing; Zhu, Dan; Ren, Liqin

    2012-01-01

    This paper aims to use quantitative method to analyse the suitability of regional technical innovation and further compare its influence to regional economic growth in China. Based on literature review, the authors develop an evaluation index system containing four aspects (namely, innovators, innov

  16. Regional technical innovation suitability and economic growth in China

    NARCIS (Netherlands)

    Zhou, Qing; Zhu, Dan; Brouwers-Ren, Liqin

    2012-01-01

    This paper aims to use quantitative method to analyse the suitability of regional technical innovation and further compare its influence to regional economic growth in China. Based on literature review, the authors develop an evaluation index system containing four aspects (namely, innovators,

  17. Technical progress of nuclear energy: economic and environmental prospects

    Energy Technology Data Exchange (ETDEWEB)

    Naudet, G.

    1994-12-31

    This document deals with three different aspects of the nuclear energy: first the operating and economic performances of nuclear power plants in the world, the French nuclear competitiveness. Then, the technical and economic perspectives about reactors and fuels cycle and the advantages towards atmospheric pollution are discussed to favour a new worldwide nuclear development. (TEC). 8 refs., 4 figs., 6 tabs.

  18. Radioactivity and Man Minicourse, Career Oriented Pre-Technical Physics.

    Science.gov (United States)

    Dallas Independent School District, TX.

    This instructional guide, intended for student use, develops the subject of radioactivity and man through a series of sequential activities. A technical development of the subject is pursued with examples stressing practical aspects of the concepts. Included in the minicourse are: (1) the rationale, (2) terminal behavioral objectives, (3) enabling…

  19. The Job Training and Job Satisfaction Survey Technical Manual

    Science.gov (United States)

    Schmidt, Steven W.

    2004-01-01

    Job training has become an important aspect of an employee's overall job experience. However, it is not often called out specifically on instruments measuring job satisfaction. This technical manual details the processes used in the development and validation of a survey instrument to measure job training satisfaction and overall job…

  20. Research and research impact of a technical university

    DEFF Research Database (Denmark)

    Schwarz, Annette Winkel; Schwarz, S.; Tijssen, R. J. W.

    1998-01-01

    The research output of the Danish Technical University (DTU) has been studied as an aspect of the organization's research policy and visibility in its international context. Papers published in the three-year period (1992-94) were grouped according to 20 clusters of research areas. Using citation...

  1. The difficult gallbladder: technical tips for laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Rosenberg, J; Bisgaard, T

    2000-01-01

    in the gallbladder, use of the Endo Paddle Retract (United States Surgical Corp., Norwalk, CT, USA) to depress abdominal viscera, and subtotal cholecystectomy). These methods may be used in situations in which there is no operative risk for complications, such as bile duct injury, but technical aspects...

  2. Aspects of Color Superconductivity

    CERN Document Server

    Hong, D K

    2001-01-01

    I discuss some aspects of recent developments in color superconductivity in high density quark matter. I calculate the Cooper pair gap and the critical points at high density, where magnetic gluons are not screened. The ground state of high density QCD with three light flavors is shown to be a color-flavor locking state, which can be mapped into the low-density hadronic phase. The meson mass at the CFL superconductor is also calculated. The CFL color superconductor is bosonized, where the Fermi sea is identified as a $Q$-matter and the gapped quarks as topological excitations, called superqualitons, of mesons. Finally, as an application of color supercoductivity, I discuss the neutrino interactions in the CFL color superconductor.

  3. CUSTOMER LOYALTY THEORETICAL ASPECTS

    Directory of Open Access Journals (Sweden)

    Margarita IŠORAITĖ

    2016-08-01

    Full Text Available Customer loyalty - is a voluntary user solution for a long time to build relationships with the company. Loyalty is the user's desire for a long time to continue their relationship with a particular company, because loyal customers are those who purchase goods/services of the company from time to time. Loyalty can be treated as a customer desire, willingness to be a regular customer for a long time, buying and using the goods of the chosen companies by recommending them to friends and colleagues. Loyalty can be seen as a multi-dimension, covering behavioral and positional components, where positional aspect reflects customers' approach to business, while the behavioral dimension reveals a frequent and regular shopping, purchase quantity, size, range, availability, etc.

  4. Psychiatric aspects of burn

    Directory of Open Access Journals (Sweden)

    Dalal P

    2010-10-01

    Full Text Available Burn injuries and their subsequent treatment cause one of the most excruciating forms of pain imaginable. The psychological aspects of burn injury have been researched in different parts of the world, producing different outcomes. Studies have shown that greater levels of acute pain are associated with negative long-term psychological effects such as acute stress disorder, depression, suicidal ideation, and post-traumatic stress disorder for as long as 2 years after the initial burn injury. The concept of allostatic load is presented as a potential explanation for the relationship between acute pain and subsequent psychological outcomes. A biopsychosocial model is also presented as a means of obtaining better inpatient pain management and helping to mediate this relationship.

  5. Formal aspects of resilience

    Directory of Open Access Journals (Sweden)

    Diana-Maria Drigă

    2015-12-01

    Full Text Available The concept of resilience has represented during the recent years a leading concern both in Romania, within the European Union and worldwide. Specialists in economics, management, finance, legal sciences, political sciences, sociology, psychology, grant a particular interest to this concept. Multidisciplinary research of resilience has materialized throughout the time in multiple conceptualizations and theorizing, but without being a consensus between specialists in terms of content, specificity and scope. Through this paper it is intended to clarify the concept of resilience, achieving an exploration of the evolution of this concept in ecological, social and economic environment. At the same time, the paper presents aspects of feedback mechanisms and proposes a formalization of resilience using the logic and mathematical analysis.

  6. Technological Aspects: High Voltage

    CERN Document Server

    Faircloth, D C

    2013-01-01

    This paper covers the theory and technological aspects of high-voltage design for ion sources. Electric field strengths are critical to understanding high-voltage breakdown. The equations governing electric fields and the techniques to solve them are discussed. The fundamental physics of high-voltage breakdown and electrical discharges are outlined. Different types of electrical discharges are catalogued and their behaviour in environments ranging from air to vacuum are detailed. The importance of surfaces is discussed. The principles of designing electrodes and insulators are introduced. The use of high-voltage platforms and their relation to system design are discussed. The use of commercially available high-voltage technology such as connectors, feedthroughs and cables are considered. Different power supply technologies and their procurement are briefly outlined. High-voltage safety, electric shocks and system design rules are covered.

  7. Aspects of Gond Astronomy

    CERN Document Server

    Vahia, M N

    2013-01-01

    The Gond community is considered to be one of the most ancient tribes of India with a continuing history of several thousand years. They are also known for their largely isolated history which they have retained through the millennia. Several of their intellectual traditions therefore are a record of parallel aspects of human intellectual growth, and still preserve their original flavour and have not been homogenised by the later traditions of India. In view of this, the Gonds provide a special window to the different currents that constitute contemporary India. In the present study, we summarise their mythology, genetics and script. We then investigate their astronomical traditions and try to understand this community through a survey of 15 Gond villages spread over Maharashtra, Andhra Pradesh and Madhya Pradesh. We show that they have a distinctly different view of the sky from the conventional astronomical ideas encountered elsewhere in India, which is both interesting and informative. We briefly comment o...

  8. International trade. Multinational aspects.

    Science.gov (United States)

    Ozawa, Y

    2000-01-01

    Of numerous regional economic agreements, the European Union (EU), the North American Free Trade Agreement (NAFTA), South American Common Market (MERCOSUR), the Association of Southeast Asian Nations (ASEAN), the South Asian Association for Regional Cooperation (SAARC) and the Australia-New Zealand Closer Economic Relations Agreement are examples that are actively pursuing regional integration for freer trade of animals and animal products. The World Trade Organization (WTO) believes that regional and multinational integration initiatives are complements rather than alternatives in the pursuit of more open trade. In the efforts to harmonize SPS standards among multilateral trading nations, it is recommended that national requirements meet the standards developed by the OIE and the FAO/WHO Codex Alimentarius Commission as the minimum requirements rather than adopting the standards of the lowest common denominator. Regional grouping may hinder multilateral or bilateral trade between the countries of a group and those of the other groups. How to eliminate such non-tariff barriers as traditional trade custom remains to be examined. Ongoing activities of VICH (Harmonisation of Technical Requirements for Registration of Veterinary Medical Products) may pave the way for more open trade in pharmaceutical products between multilateral regional groups.

  9. Mobile Learning Aspects and Readiness

    National Research Council Canada - National Science Library

    Hana Mohammed Eltayeb Abdall; Mohammed Osman Ali Hegazi

    2014-01-01

      This paper provide the aspects of mobile learning by presenting the differences techniques and aspects of using mobile devices in education according to the perspective of researches and studies...

  10. ROBOTIC SURGERY: BIOETHICAL ASPECTS.

    Science.gov (United States)

    Siqueira-Batista, Rodrigo; Souza, Camila Ribeiro; Maia, Polyana Mendes; Siqueira, Sávio Lana

    2016-01-01

    The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area. To present review of the ethical aspects of robot use in surgery. Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Of the citations obtained, were selected 17 articles, which were used for the preparation of the article. It contains brief presentation on robotics, its inclusion in health and bioethical aspects, and the use of robots in surgery. Robotic surgery is a reality today in many hospitals, which makes essential bioethical reflection on the relationship between health professionals, automata and patients. A utilização de robôs em procedimentos cirúrgicos tem sido cada vez mais frequente na atualidade, o que permite a emergência de inúmeras questões bioéticas nesse âmbito. Apresentar revisão sobre os aspectos éticos dos usos de robôs em cirurgia. Realizou-se revisão nas bases de dados Pubmed, SciELO e Lilacs cruzando-se os descritores "bioética", "cirurgia", "ética", "laparoscopia" e "robótica". Do total de citações obtidas, selecionou-se 17 artigos, os quais foram utilizados para a elaboração do artigo. Ele contém breve apresentação sobre a robótica, sua inserção na saúde e os aspectos bioéticos da utilização dos robôs em procedimentos cirúrgicos. A cirurgia robótica é uma realidade, hoje, em muitas unidades hospitalares, o que torna essencial a reflexão bioética sobre as relações entre profissionais da saúde, autômatos e pacientes.

  11. Understanding Project Based Production through Socio-technical Modularity

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff

    to the practices of PBP and other production practices is the goal of balancing the dilemma between creativity and productivity. In response to industrialized production, the concept of modularity gained popularity for addressing this dilemma by exploring product, process and organization structures. However...... with the starting point in system theory and a strong bias towards industrial production, the predominant understanding of modularity faces difficulty in explaining practices of Project Based Production in both social – technical and dynamic – stable aspects. Illustrated by a case the paper addresses this gap......, by offering a reinterpretation of the modularity concept from a socio-technical perspective in general and Actor Network Theory (ANT) in particular. By formulating modularity from an ANT perspective covering social, material and process aspects, the modularity of a socio-technical practice can be understood...

  12. Technical bio-oils. Fundamentals - products - framework conditions; Technische Biooele. Grundlagen - Produkte - Rahmenbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-03-27

    The Fachagentur Nachwachsende Rohstoffe e.V. (Guelzow-Pruezen, Federal Republic of Germany) and the Federal Ministry of Food, Agriculture and Consumer Protection (Bonn, Federal Republic of Germany) report on technical bio-oils. The contribution under consideration consists of the following chapters: Fundamentals, technical properties, applications, environmental aspects, legal framework conditions, funding measures; market of biological lubricants, economic operation with biological lubricants.

  13. Specifics of the technical and technological ergonomy in the course of labour training (normative standards)

    OpenAIRE

    Klinkov, Georgi

    2014-01-01

    Ergonomy is defined as “a complex science which studies the human being and his/her labour by exploring the technical aspects of the connection between the workers, the material environment and the interaction between them on an informational and technical level”. The main functions are related to the design, technology of crafting, application and the development.

  14. Modeling Interdependent Socio-technical Networks via ABM Smart Grid Case

    NARCIS (Netherlands)

    Worm, D.T.H.; Langley, D.J.; Becker, J.M.

    2013-01-01

    The objective of this paper is to improve scientific modeling of interdependent socio-technical networks. In these networks the interplay between technical or infrastructural elements on the one hand and social and behavioral aspects on the other hand, is of importance. Examples include electricity

  15. Modeling interdependent socio-technical networks: The smart grid—an agent-based modeling approach

    NARCIS (Netherlands)

    Worm, D.; Langley, D.J.; Becker, J.

    2014-01-01

    The aim of this paper is to improve scientific modeling of interdependent socio-technical networks. In these networks the interplay between technical or infrastructural elements on the one hand and social and behavioral aspects on the other hand, plays an important role. Examples include electricity

  16. Reconstructing design, explaining artifacts: philosophical reflections on the design and explanation of technical artifacts

    NARCIS (Netherlands)

    De Ridder, G.J.

    2007-01-01

    Philosophers of science have by and large neglected technology. In this book, I have tried to do something about this lacuna by analyzing a few aspects of technical artifacts from a philosophical angle. The project was part of the research program "The Dual Nature of Technical Artifacts" based at De

  17. Review of PREPA Technical Requirements for Interconnecting Wind and Solar Generation

    Energy Technology Data Exchange (ETDEWEB)

    Gevorgian, Vahan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Booth, Sarah [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2013-11-01

    The Puerto Rico Electric Power Authority developed the minimum technical requirements for interconnection of wind turbine generation and photovoltaic power plants. NREL has conducted a review of these requirements based on generic technical aspects and electrical characteristics of wind and photovoltaic power plants, and on existing requirements from other utilities (both U.S. and European).

  18. PISA 2012 Technical Report

    Science.gov (United States)

    OECD Publishing, 2014

    2014-01-01

    The "PISA 2012 Technical Report" describes the methodology underlying the PISA 2012 survey, which tested 15-year-olds' competencies in mathematics, reading and science and, in some countries, problem solving and financial literacy. It examines the design and implementation of the project at a level of detail that allows researchers to…

  19. Routledge French technical dictionary

    CERN Document Server

    1994-01-01

    The French-English volume of this highly acclaimed set consists of some 100,000 keywords in both French and English, drawn from the whole range of modern applied science and technical terminology. Covers over 70 subject areas, from engineering and chemistry to packaging, transportation, data processing and much more.

  20. Technical Due Diligence

    DEFF Research Database (Denmark)

    Jensen, Per Anker; Varano, Mattia

    2011-01-01

    Technical Due Diligence (TDD) as an evaluation of the performance of constructed facilities has become an important new field of practice for consultants. Before the financial crisis started in autumn 2008 it represented the fastest growing activity in some consulting companies. TDD is mostly car...

  1. CATV Technical Papers.

    Science.gov (United States)

    National Cable Television Association, Inc., Washington, DC.

    Complete technical papers of the 1977 National Cable Television Association Convention are included in this report. Twenty-two of 32 papers and two abstracts cover the topics of advanced cable television techniques, human reactions to television picture impairment, special displays and services, protection from theft of service, everyday…

  2. Technical Training: Places available

    CERN Multimedia

    Monique Duval

    2005-01-01

    The number of places available may vary. Please check our Web site to find out the current availability. Places are available on the following courses: LabVIEW Migration 6 to 7: 14.6.2005 (1 day) IT3T/1 - Read your mail and more with Outlook 2003 : 14.6.2005 (IT Technical Training Tutorial, free of charge) IT3T/2 - Creating, managing and using distribution lists with Simba2 : 16.6.2005 (IT Technical Training Tutorial, free of charge) FrontPage 2003 - niveau 2 : 16 & 17.6.2005 (2 jours) size="2">(1journée) Hands-on Introduction to Python Programming: 28 - 30.6.2005 (3 days) Introduction to ANSYS: 21 - 24.6.2005 (4 days) IT3T/3 - Working remotely with Windows XP: 28.6.2005 (IT Technical Training Tutorial, free of charge) IT3T/4 - Editing Websites with Frontpage 2003: 30.6.2005 (IT Technical Training Tutorial, free of charge) LabVIEW base 1 : 4 - 6.7.2005 (3 jours) LabVIEW Basics 2: AutoCorrect, Find/Replace) : 4.7.2005 (afternoon) WORD 2003 (Shor...

  3. Technical Training: Places available

    CERN Multimedia

    Monique Duval

    2005-01-01

    The number of places available may vary. Please check our Web site to find out the current availability. Places are available on the following courses: LabVIEW Real-Time (F) : 7 - 9.6.2005 (3 jours) LabVIEW Migration 6 to 7: 14.6.2005 (1 day) IT3T/1 - Read your mail and more with Outlook 2003 : 14.6.2005 (IT Technical Training Tutorial, free of charge) IT3T/2 - Creating, managing and using distribution lists with Simba2 : 16.6.2005 (IT Technical Training Tutorial, free of charge) FrontPage 2003 - niveau 2 : 16 & 17.6.2005 (2 jours) Utilisation de fichiers PDF avec ACROBAT 6.0 : 20.6.2005 (1journée) Introduction to ANSYS: 21 - 24.6.2005 (4 days) IT3T/3 - Working remotely with Windows XP : 28.6.2005 (IT Technical Training Tutorial, free of charge) IT3T/4 - Editing Websites with Frontpage 2003 : 30.6.2005 (IT Technical Training Tutorial, free of charge) WORD 2003 (Short Course I) - HowTo... Work with repetitive tasks /AutoText, AutoFormat, AutoC...

  4. Improved technical specifications

    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, D.R.

    1994-12-31

    Improved technical specifications for nuclear power plants are outlined. The objectives of this work are to improve safety, provide a clearer understanding of safety significance, and ease NRC and industry administrative burdens. Line item improvements, bases, and implementation of the specifications are discussed.

  5. Materials Technical Team Roadmap

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-08-01

    Roadmap identifying the efforts of the Materials Technical Team (MTT) to focus primarily on reducing the mass of structural systems such as the body and chassis in light-duty vehicles (including passenger cars and light trucks) which enables improved vehicle efficiency regardless of the vehicle size or propulsion system employed.

  6. Towards technical application of large eddy simulation

    Energy Technology Data Exchange (ETDEWEB)

    Breuer, M. [Erlangen-Nuernberg Univ., Erlangen (DE). Inst. of Fluid Mechanics (LSTM)

    2001-07-01

    The paper is concerned with the computation of high Reynolds number circular cylinder flow (Re = 3900/140,000) based on the large eddy simulation (LES) technique. Because this flow involves a variety of complex flow features encountered in technical applications, successful simulations for this test case, especially at high Reynolds numbers, can be considered as the first step to real world applications of LES. Based on an efficient finite-volume LES code, a detailed study on different aspects influencing the quality of LES results was carried out. In the present paper, some of the results are presented and compared with experimental measurements available. (orig.)

  7. EXPLORING THE KEY ASPECTS OF MANAGEMENT ORGANIZATIONS IN SHIPPING BUSINESS

    Directory of Open Access Journals (Sweden)

    Metin Celik

    2008-01-01

    Full Text Available Ship management, recognized as one of the complex business disciplines, consists of various managerial aspects in different levels of organization hierarchy such as administrative, technical, and operational. On the other hand, the requirements of international maritime rules & regulations, market competitiveness, safety and environmental related concerns are the primarily constraints in maritime transportation industry. This paper mainly concentrates on identification of key issues within the concept of ship management in shore-based organizational level. Consequently, the relative importance of the each item is determined quantitatively by utilizing Analytic Network Process (ANP that led to ensure dependencies and feedbacks between relevant aspects.

  8. Materiality and the Enduring Aspects of Organisational Identities

    DEFF Research Database (Denmark)

    Backer, Lise

    2007-01-01

    This article contributes to the emerging body of work in organisational theory that seeks to include materiality in conceptualising processes of organizing (e.g. Law, 1994; Doolin, 2003; Czarniawska and Gustavsson, 2004; Dale, 2005). Using the four largest multinational oil companies' green...... transition towards renewable energies as a case the article integrates material aspects into the theory on the narration of organisational identities. Following Czarniawska (1997) the concept of organisational identity is viewed as an evolving organisational narrative. Following Law (1994......) this organisational narrative is then conceptualised as a socio-technical narrative. The article describes how oil related technologies and their accompanying symbolic meaning and technical oil related standards can be conceptualised as part of the enduring aspects in oil companies' organisational identities...

  9. Meteorological aspects of siting large wind turbines

    Energy Technology Data Exchange (ETDEWEB)

    Hiester, T.R.; Pennell, W.T.

    1981-01-01

    This report, which focuses on the meteorological aspects of siting large wind turbines (turbines with a rated output exceeding 100 kW), has four main goals. The first is to outline the elements of a siting strategy that will identify the most favorable wind energy sites in a region and that will provide sufficient wind data to make responsible economic evaluations of the site wind resource possible. The second is to critique and summarize siting techniques that were studied in the Department of Energy (DOE) Wind Energy Program. The third goal is to educate utility technical personnel, engineering consultants, and meteorological consultants (who may have not yet undertaken wind energy consulting) on meteorological phenomena relevant to wind turbine siting in order to enhance dialogues between these groups. The fourth goal is to minimize the chances of failure of early siting programs due to insufficient understanding of wind behavior.

  10. ASPECTS OF OPTIMIZATION OF WATER MANAGEMENT SYSTEMS

    Directory of Open Access Journals (Sweden)

    E. BEILICCI

    2013-03-01

    Full Text Available Water management system include all activities and works which providing the administration of public domain of water, with local / national interest, and qualitative, quantitative and sustainable management of water resources. Hydrotechnical arrangements, consisting of a set of hydraulic structures, produce both a favorable and unfavorable influences on environment. Their different constructive and exploitation solutions exercise a significantly impact on the environment. Therefore the advantages and disadvantages of each solution must be weighed and determined to materialize one or other of them seriously argued.The optimization of water management systems is needed to meet current and future requirements in the field of rational water management in the context of integrated water resources management. Optimization process of complex water management systems includes several components related to environmental protection, technical side and the business side. This paper summarizes the main aspects and possibilities of optimization of existing water management systems and those that are to be achieved.

  11. Preoperative location of colorectal polyps in laparoscopic colectomy%内镜无法切除的结直肠息肉腹腔镜手术前定位方法对比研究

    Institute of Scientific and Technical Information of China (English)

    刘健培; 黄品婕; 陈图锋; 郑宗珩; 卫洪波

    2014-01-01

    Objective To investigate the efficacies of preoperative location with titanium clip and methylene blue staining in laparoscopic colectomy.Methods The clinical data of 31 patients with colorectal polyps which could not be resected under endoscope were admitted to the Third Affiliated Hospital of Sun Yat-Sen University from August 2006 to September 2012 were retrospectively analyzed.According to the methods of preoperative location of colorectal polyps,all patients were divided into the titanium clip group (18 patients) and the methylene blue group (13 patients).Titanium clip group:enteroscopic and pathological examination were firstly performed,and then 1 or 2 titanium clips were placed at the superior and inferior part of the polyps.After enteroscopic examination,abdominal X ray examination was performed to detect the position of polyps according to the positions of the titanium clips.Methylene blue group:after colonoscopy,methylene blue of 1 mL was injected into the adjacent mucosa of the polyps,and 4 positions around the polyps were selected for the injection of methylene blue.If the 2 locating methods were failed,intraoperative enteroscopy was performed.Laparoscopic resection for intestine or mesenterium was performed according to the treatment principle of colorectal neoplasms,and the location efficacy of the 2 methods and the treatment of the 2 groups were analyzed.The measurement data and the count data were analyzed using the t test and chi-square test,respectively.Results The success rates of the titanium clip group and the methylene blue group were 15/18 and 8/13,with no significant difference between the 2 groups (x2=0.284,P >0.05).The polyps in 8 patients which were failed to be localized by titanium clip or methylene blue were localized by intraoperative enteroscopy,while the operation time was prolonged to (44 ± 13)minutes.No positioning errors were detected in all the 31 patients.Laparoscopic right colectomy was performed on 4 patients

  12. METHODOLOGICAL ASPECTS OF LOGISTIC SYSTEMS OF THE COMPANY

    Directory of Open Access Journals (Sweden)

    Lăpăduşi Mihaela Loredana

    2009-11-01

    Full Text Available Extremely complex issues including large scale logistics issue, whose solving depends on many sets of circumstances and political, economic, technical, cultural and environment factors can be approached by calling big systems theory. In the present stage of the development of new international economical activities of the scientific research, in the conceptualization plan it is impossible that when we call an inter and multidisciplinary approach of a complex technical-economical issue – and the logistics’ issue in the most general sense of the meaning is one of these - to build the appropriate theoretical structure other than starting from the system concept. Global economy, integrated as it currently works confronts itself more and more with complex problems (that have simultaneous technical, economical, ecological and social aspects and of broad dimensions drawing a large number of people, organisms and organizations.

  13. HISTORICAL ASPECTS OF PHALLOPLASTY

    Directory of Open Access Journals (Sweden)

    P. S. Kyzlasov

    2017-01-01

    Full Text Available Reconstruction of the penis in transgender operations, amputation of the penis, congenital deformities and anomalies of the penis was and remains today an important issue in plastic surgery of the urogenital region. The only method to restore the penis is phalloplasty. In general, over the past decades, generations of clinicians have different ways and flaps for total fallouretheral reconstruction. Thus was formulated the characteristics of an ideal flap for the formation of neophallos, which should be safe, sensitive, without hair, and with long leg. However, despite the fact that the characteristics of a perfect flap, nowadays there is no “gold standard” in the formation of neophallos, as phalloplasty is a fairly complicated surgery, and the choice of method depends on many factors. The choice of methodology is determined by the plastics surgeon and to each patient is individual, depends on the etiology of the disease and the possibility of choosing the form of the donor’s transplant. This article presents a literature review devoted to the historical aspects of phalloplasty. In the article, in chronological order reflected the evolution of the different forming methods neofallos, phallourethrоplasty, describes their advantages and disadvantages.

  14. Cultural aspects of suicide.

    Science.gov (United States)

    Maharajh, Hari D; Abdool, Petal S

    2005-09-08

    Undefined cultural factors cannot be dismissed and significantly contribute to the worldwide incidence of death by suicide. Culture is an all embracing term and defines the relationship of an individual to his environment. This study seeks to investigate the effect of culture on suicide both regionally and internationally. Culture-bound syndrome with suicidal behaviours specific to a particular culture or geographical region are discussed. Opinions are divided as to the status of religious martyrs. The law itself is silent on many aspects of suicidal behaviour and despite decriminalization of suicide as self-murder, the latter remains on the statutes of many developing countries. The Caribbean region is of concern due to its steady rise in mean suicide rate, especially in Trinidad and Tobago where socio-cultural factors are instrumental in influencing suicidal behaviour. These include transgenerational cultural conflicts, psycho-social problems, media exposure, unemployment, social distress, religion and family structure. The methods used are attributed to accessibility and lethality. Ingestion of poisonous substances is most popular followed by hanging. The gender differences seen with regard to suicidality can also be attributed to gender related psychopathology and psychosocial differences in help-seeking behaviour. These are influenced by the cultural environment to which the individual is exposed. Culture provides coping strategies to individuals; as civilization advances many of these coping mechanisms are lost unclothing the genetic predisposition of vulnerable groups. In the management of suicidal behaviour, a system of therapeutic re-culturation is needed with an emphasis on relevant culture- based therapies.

  15. [Psychosocial aspects of halitosis].

    Science.gov (United States)

    de Jongh, A; de Baat, C; Horstman, M

    2012-09-01

    Using a representative sample from the Dutch population, some psychosocial aspects of halitosis were examined. The results of the survey showed that almost 90% of the Dutch population aged 16 years and older were regularly faced with halitosis. Forty percent reported to be exposed to someone with halitosis at least once a week, men significantly more frequently than women. Although less strongly than body odour, halitosis was reported as being one of the most severe 'let-downs' in social interactions. The greater the social distance between subjects, the less likely is the chance that a person's attention will be drawn to halitosis experienced. When it comes to an unknown person, the chance was no more than 7%, suggesting that it is problematic to draw a person's attention to the presence of halitosis. Considering the potential social consequences of halitosis is it important that dentists and dental hygienists draw patients' attention to the presence of halitosis, when this is the case, thereby encouraging them to seek adequate treatment.

  16. Hydrodynamic aspect of caves

    Directory of Open Access Journals (Sweden)

    Franci Gabrovsek

    2008-01-01

    Full Text Available From a hydrological point of view, active caves are a series of connected conduits which drain water through an aquifer. Water tends to choose the easiest way through the system but different geological and morphological barriers act as flow restrictions. The number and characteristics of restrictions depends on the particular speleogenetic environment, which is a function of geological, geomorphological, climatological and hydrological settings. Such a variety and heterogeneity of underground systems has presented a challenge for human understanding for many centuries. Access to many underground passages, theoretical knowledge and recent methods (modeling, water pressure-resistant dataloggers, precise sensors etc. give us the opportunity to get better insight into the hydrodynamic aspect of caves. In our work we tried to approach underground hydrodynamics from both theoretical and practical points of view. We present some theoretical background of open surface and pressurized flow in underground rivers and present results of some possible scenarios. Moreover, two case studies from the Ljubljanica river basin are presented in more detail: the cave system between Planinsko polje and Ljubljansko barje, and the cave system between Bloško polje and Cerkniško polje. The approach and methodology in each case is somewhat different, as the aims were different at the beginning of exploration. However, they both deal with temporal and spatial hydrodynamics of underground waters. In the case of Bloško polje-Cerkniško polje system we also explain the feedback loop between hydrodynamics and Holocene speleogenesis.

  17. Psychiatric Aspects of Infertility

    Directory of Open Access Journals (Sweden)

    Hacer Sezgin

    2014-06-01

    Full Text Available Infertility can be defined as a crisis with cultural, religious, and class related aspects, which coexists with medical, psychiatric, psychological, and social problems. Relation between psychiatric and psychological factors stem from a mutual interaction of both. Family is an important institution in maintaining human existence and raising individuals in line with society's expectations. Fertility and reproduction are seen as universal functions unique to women with raising children as the expected result of the family institution. Incidence of infertility has increased recently and can become a life crisis for a couple. Even though not being able to have a child affects both sexes emotionally, women feel greater amounts of stress, pressure, anxiety, and depression.Consequences of infertility arise from short and long-term devastating effects on both individual's physical and mental health, and marital system. Many studies focus on infertility related psychological and psychiatric disorders (depression, anxiety, grief, marital conflict, gender differences, relation between the causes of infertility and psychopathology, the effects of psychiatric evaluation and intervention -when necessaryon the course of infertility treatment, pregnancy rates, and childbirth. The most important underlying causes of high levels of stress and anxiety that infertile women experience are the loss of maternity, reproduction, sense of self, and genetic continuity. In this review article is to investigate the relationship between medically unexplained symptoms and psychiatric symptoms. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 165-185

  18. Strategic Aspects of Communication

    Science.gov (United States)

    Hagen, Edward; Hammerstein, Peter; Hess, Nicole

    Rarely do human behavioral scientists and scholars study language, music, and other forms of communication as strategies—a means to some end. Some even deny that communication is the primary function of these phenomena. Here we draw upon selections of our earlier work to briefly define the strategy concept and sketch how decision theory, developed to explain the behavior of rational actors, is applied to evolved agents. Communication can then be interpreted as a strategy that advances the "fitness interests" of such agents. When this perspective is applied to agents with conflicts of interest, deception emerges as an important aspect of communication. We briefly review costly signaling, one solution to the problem of honest communication among agents with conflicts of interest. We also explore the subversion of cooperative signals by parasites and by plants defending themselves against herbivores, and we touch on biases in human gossip. Experiments with artificial embodied and communicating agents confirm that when there are conflicts of interest among agents, deception readily evolves. Finally, we consider signaling among super-organisms and the possible implications for understanding human music and language.

  19. Gastric cancer: basic aspects.

    Science.gov (United States)

    Resende, Carlos; Thiel, Alexandra; Machado, José C; Ristimäki, Ari

    2011-09-01

    Gastric cancer (GC) is a world health burden, ranging as the second cause of cancer death worldwide. Etiologically, GC arises not only from the combined effects of environmental factors and susceptible genetic variants but also from the accumulation of genetic and epigenetic alterations. In the last years, molecular oncobiology studies brought to light a number of genes that are implicated in gastric carcinogenesis. This review is intended to focus on the recently described basic aspects that play key roles in the process of gastric carcinogenesis. Genetic variants of the genes IL-10, IL-17, MUC1, MUC6, DNMT3B, SMAD4, and SERPINE1 have been reported to modify the risk of developing GC. Several genes have been newly associated with gastric carcinogenesis, both through oncogenic activation (GSK3β, CD133, DSC2, P-Cadherin, CDH17, CD168, CD44, metalloproteinases MMP7 and MMP11, and a subset of miRNAs) and through tumor suppressor gene inactivation mechanisms (TFF1, PDX1, BCL2L10, XRCC, psiTPTE-HERV, HAI-2, GRIK2, and RUNX3). It also addressed the role of the inflammatory mediator cyclooxygenase-2 (COX-2) in the process of gastric carcinogenesis and its importance as a potential molecular target for therapy.

  20. Gestational surrogacy: Psychosocial aspects

    Directory of Open Access Journals (Sweden)

    Nicolás Ruiz-Robledillo

    2016-12-01

    Full Text Available Innovation in assisted reproductive technologies together with increased infertility and new family structures are increasing the use of gestational surrogacy as a means to have children. Before, during and after the process, it is necessary to study the psychosocial characteristics of triad members: the gestational surrogate, intended parents, and offspring. Research has indicated positive adaptation to the process and benefits for all members of the triad. Altruism is the main motivation of surrogates. Notably, psychological well-being has been found to be higher in individuals who have become parents through surrogacy than in those who have used egg donation or have followed a natural process of conception. Moreover, no differences in psychosocial characteristics have been observed in the offspring, compared with children born through natural conception or egg donation. Results highlight the positive aspects of surrogacy. Future research should investigate psychosocial factors that modulate the process, acting as risk and protective factors for well-being of the triad members, and identify the optimal profiles of surrogates for the process to be a success.

  1. Research of cost aspects of cement pavements construction

    Science.gov (United States)

    Bezuglyi, Artem; Illiash, Sergii; Tymoshchuk, Oleksandr

    2017-09-01

    The tendency to increasing traffic volume on public roads and to increased axle loads of vehicles makes the road scientists to develop scientifically justified methods for preserving the existing and developing the new transport network of Ukraine. One of the options for solving such issues is the construction of roads with rigid (cement concrete) pavement. However, any solution must be justified considering technical and economic components. This paper presents the results of the research of cost aspects of cement pavements construction.

  2. Technical Assistance Needs Assessments (TANAs)

    Science.gov (United States)

    The Technical Assistance Needs Assessment (TANA) is a process to identify whether a community requires additional support from EPA in order to understand technical information and have meaningful participation in the Superfund decision-making process.

  3. El Salvador - Formal Technical Education

    Data.gov (United States)

    Millennium Challenge Corporation — With a budget of nearly $20 million, the Formal Technical Education Sub-Activity was designed to strengthen technical and vocational educational institutions in the...

  4. INTERPERSONAL COMMUNICATION: PSYCHOLINGUISTIC ASPECT

    Directory of Open Access Journals (Sweden)

    Mitrofanova, I.I.

    2016-09-01

    Full Text Available The article considers language as the organization of the speech of any person in any situation, without which it is impossible to characterize the internal structure of the speech stream. Language is exactly a system of guidelines necessary for the activity in the social world. Communication is primarily nothing but as a way of making one or another correction in the image of the interlocutor’s world. In order for a language to serve as a means of communication, it must have a single or a similar understanding of reality behind it. Conversely, the unity of understanding the reality and the unity of coherence presuppose the possibility of adequate communication. A mandatory component of communication is the communicative act, that is, the act of sharing information between people. The speech, i.e. the natural sound language is an important means of conveying information that defines this aspect of the communication process as verbal communication. The idea of dialogue as the space, in which the exchange of information takes place, is defined as initial. Essentially, it is the dialogue that in this case acts as the backbone principle in dealing with problems of language. It is here that the essence of social and psychological transition to the analysis of communication is most visibly concentrated. An individual essentially "lives" in the world of Another person’s worlds, and studying the words of this person, he or she studies the "world" of Another person. Thus, the dialogue is not merely the interaction (verbal with another person, but, ultimately, the interaction with the world of culture.

  5. Computational Aspects of Equilibria

    Science.gov (United States)

    Yannakakis, Mihalis

    Equilibria play a central role in game theory and economics. They characterize the possible outcomes in the interaction of rational, optimizing agents: In a game between rational players that want to optimize their payoffs, the only solutions in which no player has any incentive to switch his strategy are the Nash equilibria. Price equilibria in markets give the prices that allow the market to clear (demand matches supply) while the traders optimize their preferences (utilities). Fundamental theorems of Nash [34] and Arrow-Debreu [2] established the existence of the respective equilibria (under suitable conditions in the market case). The proofs in both cases use a fixed point theorem (relying ultimately on a compactness argument), and are non-constructive, i.e., do not yield an algorithm for constructing an equilibrium. We would clearly like to compute these predicted outcomes. This has led to extensive research since the 60’s in the game theory and mathematical economics literature, with the development of several methods for computation of equilibria, and more generally fixed points. More recently, equilibria problems have been studied intensively in the computer science community, from the point of view of modern computation theory. While we still do not know definitely whether equilibria can be computed in general efficiently or not, these investigations have led to a better understanding of the computational complexity of equilibria, the various issues involved, and the relationship with other open problems in computation. In this talk we will discuss some of these aspects and our current understanding of the relevant problems. We outline below the main points and explain some of the related issues.

  6. Cultural Aspects of Suicide

    Directory of Open Access Journals (Sweden)

    Hari D. Maharajh

    2005-01-01

    Full Text Available Undefined cultural factors cannot be dismissed and significantly contribute to the worldwide incidence of death by suicide. Culture is an all embracing term and defines the relationship of an individual to his environment. This study seeks to investigate the effect of culture on suicide both regionally and internationally. Culture-bound syndrome with suicidal behaviours specific to a particular culture or geographical region are discussed. Opinions are divided as to the status of religious martyrs. The law itself is silent on many aspects of suicidal behaviour and despite decriminalization of suicide as self-murder, the latter remains on the statutes of many developing countries. The Caribbean region is of concern due to its steady rise in mean suicide rate, especially in Trinidad and Tobago where socio-cultural factors are instrumental in influencing suicidal behaviour. These include transgenerational cultural conflicts, psycho-social problems, media exposure, unemployment, social distress, religion and family structure. The methods used are attributed to accessibility and lethality. Ingestion of poisonous substances is most popular followed by hanging. The gender differences seen with regard to suicidality can also be attributed to gender related psychopathology and psychosocial differences in help-seeking behaviour. These are influenced by the cultural environment to which the individual is exposed. Culture provides coping strategies to individuals; as civilization advances many of these coping mechanisms are lost unclothing the genetic predisposition of vulnerable groups. In the management of suicidal behaviour, a system of therapeutic re-culturation is needed with an emphasis on relevant culture- based therapies.

  7. ION-1 technical manual

    Energy Technology Data Exchange (ETDEWEB)

    Halbig, J.K.; Caine, J.C.

    1985-07-01

    The portable gamma-ray and neutron detector electronics (ION-1) gives a digital readout of the current-mode response produced by gamma rays in an ion chamber and of amplification and scaling of pulses received from a neutron detector. The primary application is the measurement of gamma-ray and neutron activity of irradiated reactor fuels stored at a reactor or at a storage pond away from a reactor. ION-1 is the first such instrument to use a design that allows communication of procedures, response, and results between instrument and inspector. It prompts the inspector through procedures, carries out programmed measurement steps, calculates results and error estimates, and performs internal diagnostic checks. This Technical Manual describes adjustment procedures and limited technical information that enable the inspector to troubleshoot at the board level. 5 figs., 10 tabs.

  8. Technical Training: Places available

    CERN Multimedia

    Monique Duval

    2005-01-01

    The number of places available may vary. Please check our Web site to find out the current availability. Places are available on the following courses: PowerPoint 2003 (F) : 25.4.2005 (1 jour) WORD 2003 - niveau 1 : 2 & 3.5.2005 (2 jours) FrontPage 2003 - niveau 1 : 9 & 10.5.2005 (2 jours) ELEC-2005 - Summer Term: System electronics for physics - Issues : 10, 12, 17, 19, 24, 26 & 31.5.2005 (7 x 2h lectures) AutoCAD 2005 - niveau 1 : 11 & 12.5.2005 (2 days) Finite State Machines in the JCOP Framework: 24 - 26.5.2005 (3 days) The Joint PVSS JCOP Framework: 30.5 - 3.6.2005 (5 days) LabVIEW Migration 6 to 7: 14.6.2005 (1 day) Introduction to ANSYS: 21 - 24.6.2005 (4 days) ENSEIGNEMENT TECHNIQUE TECHNICAL TRAINING Monique Duval 74924 technical.training@cern.ch

  9. Technical Training: Places available

    CERN Multimedia

    Monique Duval

    2004-01-01

    If you wish to participate in one of the following courses, please discuss with your supervisor and apply electronically directly from the course description pages that can be found on the Web at: http://www.cern.ch/Training/ or fill in an 'application for training' form available from your Divisional Secretariat or from your DTO (Divisional Training Officer). Applications will be accepted in the order of their receipt. The number of places available may vary. Please check our Web site to find out the current availability. Places are available in the following courses: The Joint PVSS JCOP Framework: 14 - 18.6.2004 (5 days) EXCEL 2003 - niveau 2 : 17 & 18.6.2004 (2 jours) MAGNE-04 : Magnétisme pour l'électrotechnique : 6 au 8.7.2004 (3 jours) Technical Training Monique Duval - Tel.74924 technical.training@cern.ch

  10. Independent technical review, handbook

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    Purpose Provide an independent engineering review of the major projects being funded by the Department of Energy, Office of Environmental Restoration and Waste Management. The independent engineering review will address questions of whether the engineering practice is sufficiently developed to a point where a major project can be executed without significant technical problems. The independent review will focus on questions related to: (1) Adequacy of development of the technical base of understanding; (2) Status of development and availability of technology among the various alternatives; (3) Status and availability of the industrial infrastructure to support project design, equipment fabrication, facility construction, and process and program/project operation; (4) Adequacy of the design effort to provide a sound foundation to support execution of project; (5) Ability of the organization to fully integrate the system, and direct, manage, and control the execution of a complex major project.

  11. Bioethics for Technical Experts

    Science.gov (United States)

    Asano, Shigetaka

    Along with rapidly expanding applications of life science and technology, technical experts have been implicated more and more often with ethical, social, and legal problems than before. It should be noted that in this background there are scientific and social uncertainty elements which are inevitable during the progress of life science in addition to the historically-established social unreliability to scientists and engineers. In order to solve these problems, therefore, we should establish the social governance with ‘relief’ and ‘reliance’ which enables for both citizens and engineers to share the awareness of the issues, to design social orders and criterions based on hypothetical sense of values for bioethics, to carry out practical use management of each subject carefully, and to improve the sense of values from hypothetical to universal. Concerning these measures, the technical experts can learn many things from the present performance in the medical field.

  12. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Maxwell, Mike, J., P.E.

    2012-08-30

    The STI product is the Final Technical Report from ReliOn, Inc. for contract award DE-EE0000487: Recovery Act PEM Fuel Cell Systems Providing Emergency Reserve and Backup Power. The program covered the turnkey deployment of 431 ReliOn fuel cell systems at 189 individual sites for AT&T and PG&E with ReliOn functioning as the primary equipment supplier and the project manager. The Final Technical Report provides an executive level summary, a comparison of the actual accomplishments vs. the goals and objectives of the project, as well as a summary of the project activity from the contract award date of August 1, 2009 through the contract expiration date of December 31, 2011. Two photos are included in the body of the report which show hydrogen storage and bulk hydrogen refueling technologies developed as a result of this program.

  13. Manageability of Technical Innovation through Technical Property Rights

    Directory of Open Access Journals (Sweden)

    Michael Horeth

    2016-06-01

    Full Text Available The term innovation is used in many respects and has been evolving over the last decades. This paper mainly focusses on managing technical innovation and differentiates this kind of innovation from others. For managing technical innovation, this work applies technical property rights, patents and utility models. The opportunity to protect the companies’ technical knowledge legally is, apart from strategic measurements like trade secrecy, a very valuable tool to manage and commercialize innovation considering the shift from closed to rather open innovation. This paper discusses the applicability of legal protection measurements for the management of technical innovation containing a critical appraisal.

  14. Percutaneous vertebroplasty: technical considerations

    Institute of Scientific and Technical Information of China (English)

    Gao-jun TENG; Shi-cheng HE

    2005-01-01

    Percutaneous vertebroplasty (PVP) is a relative new interventional technique, which is widely used in treatment of vertebral collapse caused by vertebral neoplasms and osteoporotic compression fractures. The general technical considerations of PVP techniques are discussed based on authors' experience obtained over 400 patients in the past years in this article, including preparation of PMMA, instrument of PVP, guidance and puncture approaches, and technique of the procedure, etc. The conclusion is that PVP is a safe procedure if the physicians handle it properly.

  15. Technical approach document

    Energy Technology Data Exchange (ETDEWEB)

    1989-12-01

    The Uranium Mill Tailings Radiation Control Act (UMTRCA) of 1978, Public Law 95-604 (PL95-604), grants the Secretary of Energy the authority and responsibility to perform such actions as are necessary to minimize radiation health hazards and other environmental hazards caused by inactive uranium mill sites. This Technical Approach Document (TAD) describes the general technical approaches and design criteria adopted by the US Department of Energy (DOE) in order to implement remedial action plans (RAPS) and final designs that comply with EPA standards. It does not address the technical approaches necessary for aquifer restoration at processing sites; a guidance document, currently in preparation, will describe aquifer restoration concerns and technical protocols. This document is a second revision to the original document issued in May 1986; the revision has been made in response to changes to the groundwater standards of 40 CFR 192, Subparts A--C, proposed by EPA as draft standards. New sections were added to define the design approaches and designs necessary to comply with the groundwater standards. These new sections are in addition to changes made throughout the document to reflect current procedures, especially in cover design, water resources protection, and alternate site selection; only minor revisions were made to some of the sections. Sections 3.0 is a new section defining the approach taken in the design of disposal cells; Section 4.0 has been revised to include design of vegetated covers; Section 8.0 discusses design approaches necessary for compliance with the groundwater standards; and Section 9.0 is a new section dealing with nonradiological hazardous constituents. 203 refs., 18 figs., 26 tabs.

  16. Technical training - Places available

    CERN Multimedia

    2012-01-01

    If you would like more information on a course, or for any other inquiry/suggestions, please contact Technical.Training@cern.ch Valeria Perez Reale, Learning Specialist, Technical Programme Coordinator (Tel.: 62424) Eva Stern and Elise Romero, Technical Training Administration (Tel.: 74924) HR Department Electronic Design Next Session Duration Language Availability Comprehensive VHDL for FPGA Design 08-Oct-12 to 12-Oct-12 5 days English 4 places Electrostatique / Protection ESD 28-Sep-12 to 28-Sep-12 3 hours French 25 places Impacts de la suppression du plomb (RoHS) en électronique 26-Oct-12 to 26-Oct-12 8 hours French 14 places Introduction to VHDL 10-Oct-12 to 11-Oct-12 2 days English 9 places LabVIEW Real Time and FPGA 13-Nov-12 to 16-Nov-12 5 days French 5 places LabVIEW for Experts 24-Sep-12 to 28-Sep-12 5 days English 6 places LabVIEW for beginners 15-Oct-12 to 17-...

  17. História familial e câncer colorretal em idade precoce: deve-se indicar colectomia estendida? Family history of colorectal cancer at early age: should extended colectomy be indicated?

    Directory of Open Access Journals (Sweden)

    Renato de Araújo Bonardi

    2006-09-01

    Full Text Available OBJETIVO: avaliar a história familial e as características dos tumores em dois grupos distintos por sua faixa etária, bem como questionar quanto à necessidade de colectomia estendida, baseando-se nestas características. MÉTODO: Em estudo retrospectivo analisaram-se 106 pacientes por meio do prontuário e de contato telefônico com o próprio doente e/ou familiares, operados no HC-UFPR. Foram divididos em 2 grupos: Grupo A (n=51 com 55 anos ou menos, e Grupo B (n=55 com mais de 55 anos. Avaliou-se o número de doentes com parentes de 1º. grau com câncer colorretal e em outros sítios; o número de parentes com CCR; o sítio do tumor; o estadiamento TNM; os óbitos no período e a presença de neoplasias associadas. RESULTADOS: No grupo A, 16 (31,4% pacientes tinham parentes com câncer colorretal. No grupo B, sete (12,7% (p=0,032. No grupo A houve 16 (31,4% pacientes de familiares com outro tipo de neoplasia. No grupo B, 19 (34,5% doentes (p=0,837. Ao incluírem-se apenas as neoplasias associadas à Síndrome do HNPCC, como endométrio e estômago, houve 5 (9,8% pacientes no grupo A e 3 (5,9% no grupo B (p=0,477. No grupo A, 3 (5,8% doentes apresentaram neoplasias associadas ao CCR, sendo elas estômago, rim e bexiga. No grupo B, 3 (5,4% doentes, mas os tumores eram de mama e próstata (p=0,624. Predominou no grupo A pacientes com estádio III (41,2% e no grupo B, o estádio II (51,9% (p=0,480. Houve 19,6% de óbitos no grupo A e 32,7% no Grupo B (p=0,185. CONCLUSÃO: Pacientes com idade = 55 anos possuem história familial mais representativa para o CCR que pacientes mais idosos, podendo fazer parte da síndrome do HNPCC. Possivelmente se beneficiem de colectomia estendida.AIM: To evaluate the family history and the characteristics of the tumors in two different groups of patients, divided by age, questioning the necessity of extensive colectomy for the adequate treatment. METHODS: One hundred and six patients were analyzed

  18. Incremento de costes atribuible a la infección quirúrgica de la apendicectomía y colectomía Increase in costs attributable to surgical infection after appendicectomy and colectomy

    Directory of Open Access Journals (Sweden)

    J. Ríos

    2003-06-01

    expresaron como media aritmética. Se consideró un nivel de significación estadística un valor de p Objective: To determine the costs, with the help of direct case to case measurement, of the surgical site infection in apendicectomy and colectomy. Methods: Design: cases and controls study, population-based, in which the cases were all the patients diagnosed of surgical site infection after apendicectomy or colectomy in SCIAS- Hospital de Barcelona, and the controls were a random sample of noninfected patients that presented common characteristics for matching purposes. Study period: from January 1, 1998, to December 31, 1999. Types of matching: a individual, patients grouped according to main diagnosis, main surgical procedure, age and gender, and b patients grouped according to main diagnosis, main surgical procedure, age and gender using in addition, as controls criteria, the number of secondary diagnoses. Data sources: computer system with all the registries and clinical histories in electronic support, including the costs registered in real time. Analytical Accounting: ADS plus® program that calculated the real costs (patient to patient extracted from real data, such as drugs consumption, medical supplies, additional diagnosis tests and generated stays. The structural costs were imputed in the matrix of costs from the countable calculation and its impact on the direct costs. The cost attributable to the infection was calculated as the additional cost resultant from the difference between cases and controls. Statistical analysis: the statistical calculations were made by means of the statistical package SPSS, version 9.0. Nonparametric tests were used considering the sample size. The test of Wilcoxon for continuous variables, with the purpose of comparing age, operations length, hospital stay and costs, was applied. The results were expressed as arithmetic mean. A level of statistical meaning of p < 0.01 was considered. Results: The first matching included 23 cases

  19. Working through envy: some technical issues.

    Science.gov (United States)

    Moser-Ha, H

    2001-08-01

    The author argues that envy appears in an analysis as a hostile, life-destroying force and is directed at the good qualities of the object, often manifesting in the patient's need to devalue analytic work that has been helpful. An intractable negative therapeutic reaction can thus become a persistent feature of an analysis. Sometimes powerful envy is silently operating beneath the surface, with the patient feeling continually wronged and mistreated by the object. The author argues that bringing the projected envy into the patient's personality structure is an important aspect of successful analysis, but that various technical problems have to be considered before painful insight can be achieved into the division in the patient's self. Presenting material from a relatively long analysis, she discusses some technical issues in dealing with these processes. Interpretation of envy can be a delicate matter, requiring consideration not only of how to interpret, but also of the nature of the countertransference and the form of the interpretation. A transference interpretation directed solely at the patient's self-destructive behaviour and destructiveness towards the object carries the risk of further stimulating the destructiveness, even if it is correct; it is also important to bring the patient's libidinal aspect into the interpretation.

  20. Socio-therapeutic aspects of creative resocialization

    Directory of Open Access Journals (Sweden)

    Hubert Kupiec

    2011-12-01

    Full Text Available In the context of a search for effective methods of resocialization this article refers to the possibility and the grounds for using socio-therapeutic aspects of creative resocialization. In the first part there are presented the basic assumptions of socio-therapeutic method and the concept of creative resocialization, stemming from the cultural and technical methods of resocialization treatment, though significantly different from it. Then the similarities, connections and differences between socio-therapy and creative resocialization are presented with the emphasis on showing the complementation of both theoretical approaches. In the final part of the article there is shown an example of a practical use of the author’s considerations, in the form of photography workshop organised for underage pupils of MOW [Juvenile Detention Centre] in Szczecin City. In conclusions the arguments put forward point to the fact that when organising creative resocialization activities it is worth to remember to take the socio-therapeutic aspects into account already on the planning stage and knowingly use them when conducting the tasks. Both the nature of the social maladjustment as well as the group work speak in favour of this view.

  1. Disposal of radioactive waste. Some ethical aspects

    Energy Technology Data Exchange (ETDEWEB)

    Streffer, Christian

    2014-07-01

    The threat posed to humans and nature by radioactive material is a result of the ionizing radiation released during the radioactive decay. The present use of radioactivity in medicine research and technologies produces steadily radioactive waste. It is therefore necessary to safely store this waste, particularly high level waste from nuclear facilities. The decisive factors determining the necessary duration of isolation or confinement are the physical half-life times ranging with some radionuclides up to many million years. It has therefore been accepted worldwide that the radioactive material needs to be confined isolated from the biosphere, the habitat of humans and all other organisms, for very long time periods. Although it is generally accepted that repositories for the waste are necessary, strong public emotions have been built up against the strategies to erect such installations. Apparently transparent information and public participation has been insufficient or even lacking. These problems have led to endeavours to achieve public acceptance and to consider ethical acceptability. Some aspects of such discussions and possibilities will be taken up in this contribution. This article is based on the work of an interdisciplinary group. The results have been published in 'Radioactive Waste - Technical and Normative Aspects of its Disposal' by C. Streffer, C.F. Gethmann, G. Kamp et al. in 'Ethics of Sciences and Technology Assessment', Volume 38, Springer-Verlag Berlin Heidelberg 2011.

  2. Prototyping and Composing Aspect Languages: using an Aspect Interpreter Framework

    NARCIS (Netherlands)

    Havinga, W.K.; Bergmans, Lodewijk; Aksit, Mehmet

    2008-01-01

    Domain specific aspect languages (DSALs) are becoming more popular because they can be designed to represent recurring concerns in a way that is optimized for a specific domain. However, the design and implementation of even a limited domain-specific aspect language can be a tedious job. To address

  3. abc: The AspectBench Compiler for AspectJ

    DEFF Research Database (Denmark)

    Allan, Chris; Avgustinov, Pavel; Christensen, Aske Simon;

    2005-01-01

    abc is an extensible, optimising compiler for AspectJ. It has been designed as a workbench for experimental research in aspect-oriented programming languages and compilers. We outline a programme of research in these areas, and we review how abc can help in achieving those research goals...

  4. IDENTIFICATION OF ASPECTS USING COLOURED PETRINETS AND ASPECT REALIZATION

    Directory of Open Access Journals (Sweden)

    S.SOWMYADEVI

    2013-04-01

    Full Text Available a major impediment to program comprehension, maintenance and resolvability is the existence of crosscutting concerns scattered across different modules tangled with implementations of other concerns. Presence of crosscutting concerns in software systems can lead to bloated and inefficient software systems that are difficult to evolve, hard to analyse, difficult to reuse and costly to maintain. Aspect-oriented programming is a complementary programming technique to the object-oriented programming. It provides tools for managing so called cross-cutting concerns. The concept of aspect orientation with presentation of a method could modulate crosscutting concerns into the single manageable unit called, aspect. This method will solve many problems such as tangling and scattering of code. But the identification and specification of crosscutting concerns and considering it as aspects is not an easy job. The proposed method defines requirements and concerns in the formal form by Petri Nets and named them as requirement nets and concern nets. Concern nets with dependencies which there are between requirement nets, model the final system. The execution of final modelled software system based on Petri Nets and monitoring its transitions, shows crosscutting concerns which are candidate aspects. In this paper, we propose a formal method based on Petri Nets, for the identification of aspect and finding out the most dominant aspect. Then the aspect realization is done by using programming language with some case study.

  5. Leo Szilard Lectureship Award: Science Matters - Technical Dimensions of Arms Control and Non-Proliferation Agreements

    Science.gov (United States)

    Timbie, James

    2017-01-01

    Agreements to reduce nuclear arms and prevent proliferation of nuclear weapons are technical as well as political documents. They must be both technically sound and politically acceptable. This presentation illustrates technical aspects of arms control and non-proliferation agreements, with examples from SALT I, INF, the HEU Agreement, START, and the Iran nuclear negotiations, drawing on 44 years of personal experience in the negotiation of these agreements. The lecture is designed to convey an appreciation of the role that individuals with technical training can play in diplomatic efforts to reduce nuclear forces and prevent nuclear proliferation.

  6. Understanding the Modularity of Socio-technical Production Systems

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff

    This paper seeks to contribute to the development of Configurational Theory by offering a reinterpretation of the modularity concept from a socio-technical perspective in general and Actor Network Theory (ANT) in particular. By formulating modularity from an ANT perspective covering social......, material and process aspects, the modularity of a socio-technical system can be understood as an entanglement of product, process, organizational and institutional modularity dimension. The developed theoretical framework is used for analyzing the modularity of three different production systems the pre......-modern, modern and post-modern construction practices....

  7. Testing of technical analysis on USD/JPY

    OpenAIRE

    Danilov, Evgenii

    2017-01-01

    The main objective of this thesis is to create a successful Forex trading strategy based only on chart patterns as an instrument of the technical analysis method. To fulfill the aim of the work, it is devided into two parts. Part One describes theoretical aspects of Forex trading such as basic terms and principles and gives the reader an insight into evaluation methods used on the market. There is an introduction to the technical analysis and a detailed explanation of the instruments used in ...

  8. The Gender Dimension of Technical Change and Job Polarisation

    OpenAIRE

    Joanne Lindley

    2010-01-01

    Many studies have shown that technical change has led to job polarisation. A relatively unexplored aspect of this is whether there has been a gender bias. This paper is the first to show gender bias in technology driven skill polarisation. Between 1997 and 2006 the demand for women shows hollowing out across high, medium and low education groups, as a consequence of technical change. This was not the case for men. Decomposing the fall in the gender pay gap shows further evidence for gender bi...

  9. Tense and Aspect in English

    DEFF Research Database (Denmark)

    Davidsen-Nielsen, Niels

    2013-01-01

    In the 1990's the author cooperated with Carl Bache on a grammar of English. It turned out that the views they had previously arrived at individually on tense and aspect could be combined by operating with a fused system involving four ordered choices resulting in sixteen tense-aspect forms...

  10. Aspects of spirituality concerning illness

    NARCIS (Netherlands)

    van Leeuwen, Rene; Tiesinga, Lucas J.; Jochemasen, Henk; Post, Doeke

    2007-01-01

    The spiritual dimension of illness, health and care may be seen as a unique aspect in addition to the physical, mental and social dimension. This contribution describes experiences of patients, nurses and hospital chaplains in relation to the spiritual aspects of being ill. Qualitative research was

  11. Practical aspects of cervical cancer

    NARCIS (Netherlands)

    Tillaart, Sabrina Ada Hendrika Maria van den

    2013-01-01

    The thesis describes studies on practical aspects of cervical cancer, concering surgical considerations, and aspects of tumour behaviour and tumour spread. The thesis comprises studies on: the comparison of nerve-sparing and non-nerve-sparing radical hysterectomy for cervical cancer; a new surgical

  12. Aspects of spirituality concerning illness

    NARCIS (Netherlands)

    van Leeuwen, Rene; Tiesinga, Lucas J.; Jochemasen, Henk; Post, Doeke

    2007-01-01

    The spiritual dimension of illness, health and care may be seen as a unique aspect in addition to the physical, mental and social dimension. This contribution describes experiences of patients, nurses and hospital chaplains in relation to the spiritual aspects of being ill. Qualitative research was

  13. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Sobecky, Patricia A; Taillefert, Martial

    2013-03-29

    This final technical report describes results and findings from a research project to examine the role of microbial phosphohydrolase enzymes in naturally occurring subsurface microorganisms for the purpose of promoting the immobilization of the radionuclide uranium through the production of insoluble uranium phosphate minerals. The research project investigated the microbial mechanisms and the physical and chemical processes promoting uranium biomineralization and sequestration in oxygenated subsurface soils. Uranium biomineralization under aerobic conditions can provide a secondary biobarrier strategy to immobilize radionuclides should the metal precipitates formed by microbial dissimilatory mechanisms remobilize due to a change in redox state.

  14. Technical barrier challenges

    Institute of Scientific and Technical Information of China (English)

    李思佳

    2014-01-01

    according to a famouse report,the foreign Technical Barriers to Trade(TBT)have some effects on the exports of the People’s Republic of China.Major findings are as follows:(1)TBT makes it more difficult for China to export;(2)TBT increases the costs of Chinese export commodities;(3)TBT causes friction and confilicts in the international trade;(4)SOME developed countries have moved their phase-outs to China and other developing countries,which have become victims of TBT.

  15. RADTRAN 6 technical manual.

    Energy Technology Data Exchange (ETDEWEB)

    Weiner, Ruth F.; Neuhauser, Karen Sieglinde; Heames, Terence John; O' Donnell, Brandon M.; Dennis, Matthew L.

    2014-01-01

    This Technical Manual contains descriptions of the calculation models and mathematical and numerical methods used in the RADTRAN 6 computer code for transportation risk and consequence assessment. The RADTRAN 6 code combines user-supplied input data with values from an internal library of physical and radiological data to calculate the expected radiological consequences and risks associated with the transportation of radioactive material. Radiological consequences and risks are estimated with numerical models of exposure pathways, receptor populations, package behavior in accidents, and accident severity and probability.

  16. RADTRAN 6 Technical Manual

    Energy Technology Data Exchange (ETDEWEB)

    Weiner, Ruth F. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Neuhauser, Karen Sieglinde [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Heames, Terence John [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); O' Donnell, Brandon M. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dennis, Matthew L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2014-01-01

    This Technical Manual contains descriptions of the calculation models and mathematical and numerical methods used in the RADTRAN 6 computer code for transportation risk and consequence assessment. The RADTRAN 6 code combines user-supplied input data with values from an internal library of physical and radiological data to calculate the expected radiological consequences and risks associated with the transportation of radioactive material. Radiological consequences and risks are estimated with numerical models of exposure pathways, receptor populations, package behavior in accidents, and accident severity and probability.

  17. Colectomia direita associada à gastroduodenopancreatectomia em bloco por tumor infiltrativo de cólon: relato de caso Right colectomy associated to gastroduodenopancreatectomy in bloc for infiltrative colon tumor: case report

    Directory of Open Access Journals (Sweden)

    Maria Auxiliadora Prolungatti Cesar

    2009-09-01

    gastroduodenopancreatectomy. CASE REPORT: Man,73 years old, white, that for eight months presented asthenia,and lost approximately 20kg. Physical examination: mass in right flank of approximately 15cm. The colonoscopy demonstrated right tumor of colon, adenocarcinoma. Durin a surgery it was observed ascending tumoral mass involving colon until hepatic angle invading the second to the third duodenal portion. Right colectomy associated with gastroduodenopancreatectomy was performed. The pathological exam differentiated adenocarcinoma of duodenal and pancreatic thick intestine with metastasis and angio-lymphatic infiltration. The patient survived for 8 months. CONCLUSION: The gastroduodenopancreatectomy must be considered the absence of distant metastasis and when the clinical condition of the patient not to allow and was the behavior adjusted for this patient.

  18. TECHNICAL TRAINING SEMINAR

    CERN Multimedia

    Davide Vitè

    2002-01-01

    Wednesday 6 March TECHNICAL TRAINING SEMINAR from 9:30 to 16:45 - IT Amphitheatre - bldg. 31.3.004 Analog Devices DSP Day Thorsten Kistler (Application Engineer), Steffen Boerner (Product Specialist) / ANALOG DEVICES Munich Trying to meet your design challenges, Analog Devices compiles application information and offers chipsets, software, reference designs and mixed-signal, application specific DSPs, for a range of real-time signal processing applications. This seminar will present the latest 16bit fixed-point and 32bit floating-point DSPs (roadmaps; internal architectures, blocks, features benchmarks), with their software, development kits and emulators: Fixed-Point DSP-Family, ADSP-218x and ADSP-219x Blackfin DSP SHARC-Family, 2106x and 2116x TigerSHARC Industrial Contact: François Caloz, Sasco-Spoerle GmbH Language: English Free seminar, no registration Organiser: Davide Vitè / HR-TD / 75141 Davide.Vite@cern.ch Please read the full information on the Technical Training Seminars...

  19. Technical training: places available

    CERN Multimedia

    HR Department

    2007-01-01

    CERN Technical Training: Open Courses (April - June 2007) The following course sessions are currently scheduled in the framework of the CERN Technical Training Programme 2007:   AutoCAD 2006 - niveau 1 (course in French): 25.4.- 26.4.2007 & 2.5. - 3.5.2007 (4 days in 2 modules, 5 places available) AutoCAD 2006 - niveau 1 (course in French): 27.6.- 28.6.2007 & 3.7. - 4.7.2007 (4 days in 2 modules, 5 places available) AutoCAD Mechanical 2006 (course in French) 21.6.-22.6.2007 (2 days, 8 places available) * NEW COURSE* Automate de securite S7 (course in French) 14.5.-16.5.2007 (3 days, 4 places available) * NEW COURSE* Automate de securite S7 (course in French): 9.5.-11.5.2007 (3 days, 4 places available) JCOP - Joint PVSS-JCOP Frameswork (course in English): 21.5.-25.5.2007 (5 days, 12 places available) JCOP - Finite State Machines in the JCOP Frameswork (course in English): 12.6.-14.6.2007 (3 days, 12 places available) LabVIEW Basics 1 (in English): 2.-4.5.2007 (3 days, 7 places ...

  20. Technical Training: Places available

    CERN Multimedia

    Monique Duval

    2005-01-01

    The number of places available may vary. Please check our Web site to find out the current availability. Places are available on the following courses: Hands-on Introduction to Python Programming: 28 - 30.6.2005 (3 days) Introduction to ANSYS: 21 - 24.6.2005 (4 days) IT3T/3 - Working remotely with Windows XP: 28.6.2005 (IT Technical Training Tutorial, free of charge) IT3T/4 - Editing Websites with Frontpage 2003: 30.6.2005 (IT Technical Training Tutorial, free of charge) Utilisation des fichiers PDF avec ACROBAT 7.0 : 5.7.2005 (1 jour) FrontPage 2003 - niveau 1 : 6-7.7.2005 (2 jours) LabVIEW base 1 : 4 - 6.7.2005 (3 jours) LabVIEW Basics 2: 7 - 8.7.2005 (2 days) WORD 2003 (Short Course I) - HowTo... Work with repetitive tasks /AutoText, AutoFormat, AutoCorrect, Find/Replace) : 4.7.2005 (afternoon) WORD 2003 (Short Course II) - HowTo... Mail merge: 5.7.2005 (afternoon) WORD 2003 (Short Course III) - HowTo (4 mornings) EXCEL 2003 (Short Course I) - HowTo... Work ...