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Sample records for containment failure studies

  1. Definition of containment failure

    International Nuclear Information System (INIS)

    Cybulskis, P.

    1982-01-01

    Core meltdown accidents of the types considered in probabilistic risk assessments (PRA's) have been predicted to lead to pressures that will challenge the integrity of containment structures. Review of a number of PRA's indicates considerable variation in the predicted probability of containment failure as a function of pressure. Since the results of PRA's are sensitive to the prediction of the occurrence and the timing of containment failure, better understanding of realistic containment capabilities and a more consistent approach to the definition of containment failure pressures are required. Additionally, since the size and location of the failure can also significantly influence the prediction of reactor accident risk, further understanding of likely failure modes is required. The thresholds and modes of containment failure may not be independent

  2. Steam explosions-induced containment failure studies for Swiss nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Zuchuat, O.; Schmocker, U. [Swiss Federal Nuclear Safety Inspectorate, Villigen (Switzerland); Esmaili, H.; Khatib-Rahbar, M.

    1998-01-01

    The assessment of the consequences of both in-vessel and ex-vessel energetic fuel-coolant interaction for Beznau (a Westinghouse pressurized water reactor with a large, dry containment), Goesgen (a Siemens/KWU pressurized water reactor with a large, dry containment) and Leibstadt (a General Electric boiling water reactor-6 with a free standing steel, MARK-III containment) nuclear power plants is presented in this paper. The Conditional Containment Failure Probability of the steel containment of these Swiss nuclear power plants is determined based on different probabilistic approaches. (author)

  3. Analysis of failures in concrete containments

    International Nuclear Information System (INIS)

    Moreno-Gonzalez, A.

    1989-09-01

    The function of Containment, in an accident event, is to avoid the release of radioactive substances into the surroundings. Containment failure, therefore, is defined as the appearance of leak paths to the external environment. These leak paths may appear either as a result of loss of leaktightness due to degradation of design conditions or structural failure with containment material break. This document is a survey of the state of the art of Containment Failure Analysis. It gives a detailed description of all failure mechanisms, indicating all the possible failure modes and their causes, right from failure resulting from degradation of the materials to structural failure and linear breake failure. Following the description of failure modes, possible failure criteria are identified, with special emphasis on structural failure criteria. These criteria have been obtained not only from existing codes but also from the latest experimental results. A chapter has been dedicated exclusively to failure criteria in conventional structures, for the purpose of evaluating the possibility of application to the case of containment. As the structural behaviour of the containment building is very complex, it is not possible to define failure through a single parameter. It is therefore advisable to define a methodology for containment failure analysis which could be applied to a particular containment. This methodology should include prevailing load and material conditions together with the behaviour of complex conditions such as the liner-anchorage-cracked concrete interaction

  4. Observations on analysis, testing and failure of prestressed concrete containments

    International Nuclear Information System (INIS)

    Murray, D.W.

    1984-01-01

    The paper reviews the mechanics which indicate that a bursting failure with large energy release is the failure mechanism to be expected from ductile lined containment structures pressurized to failure. It reviews a study which shows that, because of leakage, this is not the case for unlined prestressed containments. It argues that current practice, since it does not specifically address the bursting failure problem for lined prestressed containments, is inadequate to ensure that this type of failure could not occur. It concludes that, in view of the inadequacy of the current state-of-the-art to predict leakage from lined structures, the logical remedy is to eliminate all possibility of bursting failure by making provision for venting of containments. (orig.)

  5. Baseline resistance and virological outcome in patients with virological failure who start a regimen containing abacavir: EuroSIDA study

    NARCIS (Netherlands)

    Cabrera, Cecilia; Cozzi-Lepri, Alessandro; Phillips, Andrew N.; Loveday, Clive; Kirk, Ole; Ait-Khaled, Mounir; Reiss, Peter; Kjaer, Jesper; Ledergerber, Bruno; Lundgren, Jens D.; Clotet, Bonaventura; Ruiz, Lidia

    2004-01-01

    Objectives: To investigate the ability of several HIV-1 drug-resistance interpretation systems, as well as the number of pre-specified combinations of abacavir-related mutations, to predict virological response to abacavir-containing regimens in antiretroviral therapy-experienced, abacavir-naive

  6. Degradation and Failure Characteristics of NPP Containment Protective Coating Systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2000-12-01

    A research program to investigate the performance and potential for failure of Service Level I coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel.

  7. Development of a container failure function for copper

    International Nuclear Information System (INIS)

    King, F.; Litke, C.D.

    1990-01-01

    A simple approach to the modeling of failure rates for a copper container under Canadian waste disposal conditions is presented. Both uniform corrosion and pitting must be considered. Short-term failures due to fabrication defects must be taken into account. The model allows for short-term sorption of copper by the clay buffer material, and assumes a steady-state condition for uniform corrosion. Using worst-case assumptions, a container penetration time of 3300 years can be predicted

  8. Behaviour of concrete nuclear containment structures upto ultimate failure with special reference to MAPP-1 containment

    International Nuclear Information System (INIS)

    Appa Rao, T.V.S.R.

    1975-01-01

    Theoretical and experimental methods for investigating the behaviour of concrete secondary containment structures subjected to loads upto their ultimate failure have been discussed in the paper. Need for inelastic nonlinear analysis of containments has been emphasized. Different contitutive models of concrete that can be employed in the nonlinear analysis of concrete structures were briefly reviewed. Based on the experimental results obtained in a 1:12 scale model test conducted at the Structural Engineering Research (Regional) Centre, Madras, behaviour of the MAPP-1 containment to internal pressure loading upto its ultimate failure has been discussed. (author)

  9. Failure Diameter Resolution Study

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-12-19

    Previously the SURFplus reactive burn model was calibrated for the TATB based explosive PBX 9502. The calibration was based on fitting Pop plot data, the failure diameter and the limiting detonation speed, and curvature effect data for small curvature. The model failure diameter is determined utilizing 2-D simulations of an unconfined rate stick to find the minimum diameter for which a detonation wave propagates. Here we examine the effect of mesh resolution on an unconfined rate stick with a diameter (10mm) slightly greater than the measured failure diameter (8 to 9 mm).

  10. Probabilistic analysis of Millstone Unit 3 ultimate containment failure probability given high pressure: Chapter 14

    International Nuclear Information System (INIS)

    Bickel, J.H.

    1983-01-01

    The quantification of the containment event trees in the Millstone Unit 3 Probabilistic Safety Study utilizes a conditional probability of failure given high pressure which is based on a new approach. The generation of this conditional probability was based on a weakest link failure mode model which considered contributions from a number of overlapping failure modes. This overlap effect was due to a number of failure modes whose mean failure pressures were clustered within a 5 psi range and which had uncertainties due to variances in material strengths and analytical uncertainties which were between 9 and 15 psi. Based on a review of possible probability laws to describe the failure probability of individual structural failure modes, it was determined that a Weibull probability law most adequately described the randomness in the physical process of interest. The resultant conditional probability of failure is found to have a median failure pressure of 132.4 psia. The corresponding 5-95 percentile values are 112 psia and 146.7 psia respectively. The skewed nature of the conditional probability of failure vs. pressure results in a lower overall containment failure probability for an appreciable number of the severe accident sequences of interest, but also probabilities which are more rigorously traceable from first principles

  11. Failure assessment techniques to ensure shipping container integrity

    International Nuclear Information System (INIS)

    McConnell, P.

    1986-02-01

    This report discusses several methodologies which may be used to ensure the structural integrity of containment systems to be used for the transport and storage of high-level radioactive substances. For economic reasons, shipping containers constructed of ferritic materials are being considered for manufacture by vendors in the US and Europe. Ferritic show an inherent transition from a ductile, high energy failure mode to a brittle, low energy fracture mode with decreasing temperature. Therefore, formal consideration of means by which to avoid unstable brittle fracture is necessary prior to the licensing of ferritic casks. It is suggested that failure of a shipping container wall be defined as occurring when a flaw extends through the outer wall of the containment system. Crack initiation which may lead to unstable brittle crack growth should therefore be prevented. It is suggested that a fundamental linear elastic fracture mechanics (lefm) approach be adopted on a case-by-case basis, applied perhaps by means of appropriate modifications to ASMA Section III or Section XI. A lefm analysis requires information concerning service temperatures, loading rates, flaw sizes, and applied stresses. Tentative judgments regarding these parameters for typical shipping containers have been made

  12. Degradation and failure characteristics of NPP containment protective coating systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2000-03-30

    A research program to investigate the performance and potential for failure of Service Level 1 coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are discussed in this report and the application of these elements to the System 5 coating system (polyamide epoxy primer, carbon steel substrate) is used to evaluate performance.

  13. Degradation and failure characteristics of NPP containment protective coating systems

    International Nuclear Information System (INIS)

    Sindelar, R.L.

    2000-01-01

    A research program to investigate the performance and potential for failure of Service Level 1 coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are discussed in this report and the application of these elements to the System 5 coating system (polyamide epoxy primer, carbon steel substrate) is used to evaluate performance

  14. Strain-based failure criteria for steel containments

    International Nuclear Information System (INIS)

    Fanous, F.; Greimann, L.F.

    1989-01-01

    The Containment Integrity Division of the Sandia National Laboratories (Sandia) has been conducting a program to evaluate the performance of containment buildings with internal pressure. Sandia has suggested that in the absence of leakage past penetrations, containment buildings will fail by rupturing after large plastic strains are developed up to ultimate strain of the material. This paper represents a portion of work conducted at Ames Laboratory for Sandia, the objective of which was to identify fabrication details that may affect the performance of a containment building. Construction drawings for nine steel containment buildings were surveyed, and several significant strain concentration regions were identified by using recommendations from Sandia and Section NE-3217 of the ASME Boiler and Pressure Vessel Code. These following regions were identified as: eccentricities in stiffener patterns around penetrations, eccentricities in containment shell middle surface, flat plate covers used on spare penetrations, containment base connection details, and containment heads. Examples of each of these regions were analyzed by the finite-element method, by simplified equations or both. In the case of middle surface eccentricities, the strains were found to be self-limiting. Even though flat plates have primary strains, they are typically designed so as not to control. Bolts in the base connection have primary strains and may control. The circumferential compressive strains introduced at the knuckle during buckling of the containment head grow as the pressure increases, but are somewhat restricted by the meridional tension. Finally, three analysis techniques and their associated failure criteria for the analysis of containment strength are introduced. (orig.)

  15. The probability of containment failure by direct containment heating in surry

    Energy Technology Data Exchange (ETDEWEB)

    Pilch, M.M.; Allen, M.D.; Bergeron, K.D.; Tadios, E.L.; Stamps, D.W. [Sandia National Labs., Albuquerque, NM (United States); Spencer, B.W. [Argonne National Lab., IL (United States); Quick, K.S.; Knudson, D.L. [EG and G Idaho, Inc., Idaho Falls, ID (United States)

    1995-05-01

    In a light-water reactor core melt accident, if the reactor pressure vessel (RPV) fails while the reactor coolant system (RCS) at high pressure, the expulsion of molten core debris may pressurize the reactor containment building (RCB) beyond its failure pressure. A failure in the bottom head of the RPV, followed by melt expulsion and blowdown of the RCS, will entrain molten core debris in the high-velocity steam blowdown gas. This chain of events is called a high-pressure melt ejection (HPME). Four mechanisms may cause a rapid increase in pressure and temperature in the reactor containment: (1) blowdown of the RCS, (2) efficient debris-to-gas heat transfer, (3) exothermic metal-steam and metal-oxygen reactions, and (4) hydrogen combustion. These processes, which lead to increased loads on the containment building, are collectively referred to as direct containment heating (DCH). It is necessary to understand factors that enhance or mitigate DCH because the pressure load imposed on the RCB may lead to early failure of the containment.

  16. Containment failure modes preliminary analysis for Atucha-I nuclear power plant during severe accidents

    International Nuclear Information System (INIS)

    Baron, J.; Caballero, C.; Zarate, S.M.

    1997-01-01

    The present work has the objective to analyze the containment behavior of the Atucha-I nuclear power plant during a severe accident, as part of a probabilistic safety assessment (PSA). Initially, a generic description of the containment failure modes considered in other PSAs is performed. Then, the possible containment failure modes for Atucha I are qualitatively analyzed, according to it design peculiarities. These failure modes involve some substantial differences from other PSAs, due to the particular design of Atucha I. Among others, it is studied the influence of: moderator/coolant separation, existence of cooling Zircaloy channels, existence of filling bodies inside the pressure vessel, reactor cavity geometry, on-line refueling mode, and existence of a double shell containment (steel and concrete) with an annular separation room. As a functions of the before mentioning analysis, a series of parameters to be taken into account is defined, on a preliminary basis, for definition of the plant damage states. (author) [es

  17. Passive cooling containment study

    International Nuclear Information System (INIS)

    Shin, J.J.; Iotti, R.C.; Wright, R.F.

    1993-01-01

    Pressure and temperature transients of nuclear reactor containment following postulated loss of coolant accident with a coincident station blackout due to total loss of all alternating current power are studied analytically and experimentally for the full scale NPR (New Production Reactor). All the reactor and containment cooling under this condition would rely on the passive cooling system which removes reactor decay heat and provides emergency core and containment cooling. Containment passive cooling for this study takes place in the annulus between containment steel shell and concrete shield building by natural convection air flow and thermal radiation. Various heat transfer coefficients inside annular air space were investigated by running the modified CONTEMPT code CONTEMPT-NPR. In order to verify proper heat transfer coefficient, temperature, heat flux, and velocity profiles were measured inside annular air space of the test facility which is a 24 foot (7.3m) high, steam heated inner cylinder of three foot (.91m) diameter and five and half foot (1.7m) diameter outer cylinder. Comparison of CONTEMPT-NPR and WGOTHIC was done for reduced scale NPR

  18. Effect on localized waste-container failure on radionuclide transport from an underground nuclear waste vault

    International Nuclear Information System (INIS)

    Cheung, S.C.H.; Chan, T.

    1983-07-01

    In the geological disposal of nuclear fuel waste, one option is to emplace the waste container in a borehole drilled into the floor of the underground vault. In the borehole, the waste container is surrounded by a compacted soil material known as the buffer. A finite-element simulation has been performed to study the effect of localized partial failure of the waste container on the steady-state radionuclide transport by diffusion from the container through the buffer to the surrounding rock and/or backfill. In this study, the radionuclide concentration at the buffer-backfill interface is assumed to be zero. Two cases are considered at the interface between the buffer and the rock. In case 1, a no-flux boundary condition is used to simulate intact rock. In case 2, a constant radionuclide concentration condition is used to simulate fractured rock with groundwater flow. The results show that the effect of localized partial failure of the waste container on the total flux is dependent on the boundary condition at the buffer-rock interface. For the intact rock condition, the total flux is mainly dependent on the location of the failure. The total flux increases as the location changes from the bottom to the top of the emplaced waste container. For a given localized failure of the waste container, the total flux remains unaffected by the area of failed surface below the top of the failure. For fractured rock, the total flux is directly proportional to the failed surface area of the waste container regardless of the failure location

  19. Development of a container failure function for titanium

    International Nuclear Information System (INIS)

    Ikeda, B.M.; Shoesmith, D.W.

    1990-01-01

    Any prediction of container failure times will be based on measurements of crevice corrosion rates under conditions that simulate those anticipated in a waste vault. Since there is a good mechanistic understanding of crevice corrosion in titanium alloys, this is a reasonable approach. Some containers are assumed to fail immediately because of undetected fabrication defects. Experiments designed to measure corrosion penetration rates are under way. Uniform corrosion rates will be determined from weight-gain measurements and estimated from measurements of oxide thickness using Auger spectroscopy. Crevice corrosion can be estimated by counting the number of pits and corroded areas within the crevice using an image analyzer. By performing such analyses on a wide range of specimens under a variety of conditions the authors hope to determine the susceptibilities of titanium alloys to crevice corrosion; measure the uniform and crevice corrosion rates as a function of temperature and chloride concentration; measure the extent of hydrogen pickup as a function of temperature and chloride concentration; and predict the lifetime of containers under Canadian waste vault conditions

  20. The probability of containment failure by direct containment heating in Zion

    Energy Technology Data Exchange (ETDEWEB)

    Pilch, M.M. [Sandia National Labs., Albuquerque, NM (United States); Yan, H.; Theofanous, T.G. [California Univ., Santa Barbara, CA (United States)

    1994-12-01

    This report is the first step in the resolution of the Direct Containment Heating (DCH) issue for the Zion Nuclear Power Plant using the Risk Oriented Accident Analysis Methodology (ROAAM). This report includes the definition of a probabilistic framework that decomposes the DCH problem into three probability density functions that reflect the most uncertain initial conditions (UO{sub 2} mass, zirconium oxidation fraction, and steel mass). Uncertainties in the initial conditions are significant, but our quantification approach is based on establishing reasonable bounds that are not unnecessarily conservative. To this end, we also make use of the ROAAM ideas of enveloping scenarios and ``splintering.`` Two causal relations (CRs) are used in this framework: CR1 is a model that calculates the peak pressure in the containment as a function of the initial conditions, and CR2 is a model that returns the frequency of containment failure as a function of pressure within the containment. Uncertainty in CR1 is accounted for by the use of two independently developed phenomenological models, the Convection Limited Containment Heating (CLCH) model and the Two-Cell Equilibrium (TCE) model, and by probabilistically distributing the key parameter in both, which is the ratio of the melt entrainment time to the system blowdown time constant. The two phenomenological models have been compared with an extensive database including recent integral simulations at two different physical scales. The containment load distributions do not intersect the containment strength (fragility) curve in any significant way, resulting in containment failure probabilities less than 10{sup {minus}3} for all scenarios considered. Sensitivity analyses did not show any areas of large sensitivity.

  1. The probability of containment failure by direct containment heating in Zion. Supplement 1

    Energy Technology Data Exchange (ETDEWEB)

    Pilch, M.M.; Allen, M.D.; Stamps, D.W.; Tadios, E.L. [Sandia National Labs., Albuquerque, NM (United States); Knudson, D.L. [Idaho National Engineering Lab., Idaho Falls, ID (United States)

    1994-12-01

    Supplement 1 of NUREG/CR-6075 brings to closure the DCH issue for the Zion plant. It includes the documentation of the peer review process for NUREG/CR-6075, the assessments of four new splinter scenarios defined in working group meetings, and modeling enhancements recommended by the working groups. In the four new scenarios, consistency of the initial conditions has been implemented by using insights from systems-level codes. SCDAP/RELAP5 was used to analyze three short-term station blackout cases with Different lead rates. In all three case, the hot leg or surge line failed well before the lower head and thus the primary system depressurized to a point where DCH was no longer considered a threat. However, these calculations were continued to lower head failure in order to gain insights that were useful in establishing the initial and boundary conditions. The most useful insights are that the RCS pressure is-low at vessel breach metallic blockages in the core region do not melt and relocate into the lower plenum, and melting of upper plenum steel is correlated with hot leg failure. THE SCDAP/RELAP output was used as input to CONTAIN to assess the containment conditions at vessel breach. The containment-side conditions predicted by CONTAIN are similar to those originally specified in NUREG/CR-6075.

  2. On the failure modes of alternative containment designs following postulated core meltdown

    International Nuclear Information System (INIS)

    Chan, C.K.; Knee, H.E.; Okrent, D.

    1977-01-01

    The containment response to a postulated core meltdown accident in a PWR ice condenser containment, a BWR Mark III containment and a BWR non-inerted Mark I containment has been examined to see if the WASH-1400 containment failure mode judgement for the Surry large, dry containment and the Peach Bottom Mark I inerted-containment are likely to be appropriate for these alternative containment plant designs. For the PWR, the representative accident chosen for the analysis is a large cold leg break accompanied by a loss of all electric power while the BWR respresentative event chosen is a recirculation line break without adequate core cooling function. Two containment event paths are studied for each of these two cases, depending on whether or not containment vapor suppression function is assumed to be available. Both the core and the containment pressure and temperature response to the accident events are computed for the four time intervals which characterize (a) blowdown of the pipe break, (b) core melt, (c) vessel melt-through, and (d) containment foundation penetration. The calculations are based on a best esimate of the most probable sequence, but certain phenomena and events were followed down multiple tracks. It appears that the non-inerted Mark I containment is not so vulnerable to overpressurization from hydrogen burning as the Mark III; however, acceptable temperatures may be exceeded. (Auth.)

  3. Nonlinear failure analysis of a reinforced concrete containment under internal pressure

    International Nuclear Information System (INIS)

    Sharma, S.; Wang, Y.K.; Reich, M.

    1984-01-01

    A detailed nonlinear finite element model is used to investigate the failure response of the Indian Point containment building under severe accident pressures. Refined material models are used to describe the complex stress-strain behavior of the liner and rebar steels, the plain concrete and the reinforced concrete. Structural geometry of the containment is idealized by eight layers of axisymmetric finite elements through the wall thickness in order to closely model the actual placement of the rebars. Soil stiffness under the containment base mat is modeled by a series of nonlinear spring elements. Numerical results presented in the paper describe cracking and plastic deformation (in compression) of the concrete, yielding of the liner and rebar steels and eventual loss of the load carrying capacity of the containment. The results are compared with available data from the previous studies for this containment. 8 references, 9 figures

  4. Effects of national culture on human failures in container shipping: the moderating role of Confucian dynamism.

    Science.gov (United States)

    Lu, Chin-Shan; Lai, Kee-hung; Lun, Y H Venus; Cheng, T C E

    2012-11-01

    Recent reports on work safety in container shipping operations highlight high frequencies of human failures. In this study, we empirically examine the effects of seafarers' perceptions of national culture on the occurrence of human failures affecting work safety in shipping operations. We develop a model adopting Hofstede's national culture construct, which comprises five dimensions, namely power distance, collectivism/individualism, uncertainty avoidance, masculinity/femininity, and Confucian dynamism. We then formulate research hypotheses from theory and test the hypotheses using survey data collected from 608 seafarers who work on global container carriers. Using a point scale for evaluating seafarers' perception of the five national culture dimensions, we find that Filipino seafarers score highest on collectivism, whereas Chinese and Taiwanese seafarers score highest on Confucian dynamism, followed by collectivism, masculinity, power distance, and uncertainty avoidance. The results also indicate that Taiwanese seafarers have a propensity for uncertainty avoidance and masculinity, whereas Filipino seafarers lean more towards power distance, masculinity, and collectivism, which are consistent with the findings of Hofstede and Bond (1988). The results suggest that there will be fewer human failures in container shipping operations when power distance is low, and collectivism and uncertainty avoidance are high. Specifically, this study finds that Confucian dynamism plays an important moderating role as it affects the strength of associations between some national culture dimensions and human failures. Finally, we discuss our findings' contribution to the development of national culture theory and their managerial implications for reducing the occurrence of human failures in shipping operations. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. The assessment of low probability containment failure modes using dynamic PRA

    Science.gov (United States)

    Brunett, Acacia Joann

    Although low probability containment failure modes in nuclear power plants may lead to large releases of radioactive material, these modes are typically crudely modeled in system level codes and have large associated uncertainties. Conventional risk assessment techniques (i.e. the fault-tree/event-tree methodology) are capable of accounting for these failure modes to some degree, however, they require the analyst to pre-specify the ordering of events, which can vary within the range of uncertainty of the phenomena. More recently, dynamic probabilistic risk assessment (DPRA) techniques have been developed which remove the dependency on the analyst. Through DPRA, it is now possible to perform a mechanistic and consistent analysis of low probability phenomena, with the timing of the possible events determined by the computational model simulating the reactor behavior. The purpose of this work is to utilize DPRA tools to assess low probability containment failure modes and the driving mechanisms. Particular focus is given to the risk-dominant containment failure modes considered in NUREG-1150, which has long been the standard for PRA techniques. More specifically, this work focuses on the low probability phenomena occurring during a station blackout (SBO) with late power recovery in the Zion Nuclear Power Plant, a Westinghouse pressurized water reactor (PWR). Subsequent to the major risk study performed in NUREG-1150, significant experimentation and modeling regarding the mechanisms driving containment failure modes have been performed. In light of this improved understanding, NUREG-1150 containment failure modes are reviewed in this work using the current state of knowledge. For some unresolved mechanisms, such as containment loading from high pressure melt ejection and combustion events, additional analyses are performed using the accident simulation tool MELCOR to explore the bounding containment loads for realistic scenarios. A dynamic treatment in the

  6. Plan on test to failure of a prestressed concrete containment vessel model

    International Nuclear Information System (INIS)

    Takumi, K.; Nonaka, A.; Umeki, K.; Nagata, K.; Soejima, M.; Yamaura, Y.; Costello, J.F.; Riesemann, W.A. von.; Parks, M.B.; Horschel, D.S.

    1992-01-01

    A summary of the plans to test a prestressed concrete containment vessel (PCCV) model to failure is provided in this paper. The test will be conducted as a part of a joint research program between the Nuclear Power Engineering Corporation (NUPEC), the United States Nuclear Regulatory Commission (NRC), and Sandia National Laboratories (SNL). The containment model will be a scaled representation of a PCCV for a pressurized water reactor (PWR). During the test, the model will be slowly pressurized internally until failure of the containment pressure boundary occurs. The objectives of the test are to measure the failure pressure, to observe the mode of failure, and to record the containment structural response up to failure. Pre- and posttest analyses will be conducted to forecast and evaluate the test results. Based on these results, a validated method for evaluating the structural behavior of an actual PWR PCCV will be developed. The concepts to design the PCCV model are also described in the paper

  7. Degradation and Failure Characteristics of NPP Containment Protective Coating Systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2001-02-22

    A research program to investigate the performance and potential for debris formation of Service Level I coating systems used in nuclear power plant containment is being performed at the Savannah River Technology Center. The research activities are aligned to address phenomena important to cause coating disbondment as identified by the Industry Coatings Expert Panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are described in this report and the application of these elements to evaluate the performance of the specific coating system of Phenoline 305 epoxy-phenolic topcoat over Carbozinc 11 primer on a steel substrate. This system is one of the predominant coating systems present on steel substrates in NPP containment.

  8. Failure modes of a concrete nuclear-containment building subjected to hydrogen detonation

    International Nuclear Information System (INIS)

    Fugelso, L.E.; Butler, T.A.

    1983-01-01

    Calculated response for the Indian Point reactor containment building to static internal pressure and one case of a dynamic pressure representing hydrogen combustion and detonation are presented. Comparison of the potential failure modes is made. 9 figures

  9. Evaluation of containment failure and cleanup time for Pu shots on the Z machine

    International Nuclear Information System (INIS)

    Darby, John L.

    2010-01-01

    Between November 30 and December 11, 2009 an evaluation was performed of the probability of containment failure and the time for cleanup of contamination of the Z machine given failure, for plutonium (Pu) experiments on the Z machine at Sandia National Laboratories (SNL). Due to the unique nature of the problem, there is little quantitative information available for the likelihood of failure of containment components or for the time to cleanup. Information for the evaluation was obtained from Subject Matter Experts (SMEs) at the Z machine facility. The SMEs provided the State of Knowledge (SOK) for the evaluation. There is significant epistemic- or state of knowledge- uncertainty associated with the events that comprise both failure of containment and cleanup. To capture epistemic uncertainty and to allow the SMEs to reason at the fidelity of the SOK, we used the belief/plausibility measure of uncertainty for this evaluation. We quantified two variables: the probability that the Pu containment system fails given a shot on the Z machine, and the time to cleanup Pu contamination in the Z machine given failure of containment. We identified dominant contributors for both the time to cleanup and the probability of containment failure. These results will be used by SNL management to decide the course of action for conducting the Pu experiments on the Z machine.

  10. Evaluation of containment failure and cleanup time for Pu shots on the Z machine.

    Energy Technology Data Exchange (ETDEWEB)

    Darby, John L.

    2010-02-01

    Between November 30 and December 11, 2009 an evaluation was performed of the probability of containment failure and the time for cleanup of contamination of the Z machine given failure, for plutonium (Pu) experiments on the Z machine at Sandia National Laboratories (SNL). Due to the unique nature of the problem, there is little quantitative information available for the likelihood of failure of containment components or for the time to cleanup. Information for the evaluation was obtained from Subject Matter Experts (SMEs) at the Z machine facility. The SMEs provided the State of Knowledge (SOK) for the evaluation. There is significant epistemic- or state of knowledge- uncertainty associated with the events that comprise both failure of containment and cleanup. To capture epistemic uncertainty and to allow the SMEs to reason at the fidelity of the SOK, we used the belief/plausibility measure of uncertainty for this evaluation. We quantified two variables: the probability that the Pu containment system fails given a shot on the Z machine, and the time to cleanup Pu contamination in the Z machine given failure of containment. We identified dominant contributors for both the time to cleanup and the probability of containment failure. These results will be used by SNL management to decide the course of action for conducting the Pu experiments on the Z machine.

  11. Case studies of steel structure failures

    Directory of Open Access Journals (Sweden)

    P. Bernasovský

    2010-01-01

    Full Text Available The contribution deals with some case studies of steel structure failures, which happened in Slovakia a few years ago. Features of cracking are illustrated on real cases of breakdowns in the transmission gas pipelines, at the cement works and in the petrochemical indus-try. All failures were caused by an incorrect technical approach. Possible remedial measures are proposed.

  12. Fanconi's syndrome and subsequent progressive renal failure caused by a Chinese herb containing aristolochic acid.

    Science.gov (United States)

    Lee, Sangho; Lee, Taewon; Lee, Byungcheol; Choi, Hyuckjai; Yang, Munho; Ihm, Chun-Gyoo; Kim, Myungjae

    2004-06-01

    Chinese herb nephropathy contains a variety of clinical features of progressive renal failure (indicated by studies conducted in Belgium) to the variant type of Fanconi's syndrome. Fanconi's syndrome has mostly been reported in Asian countries, and is characterized by proximal tubular dysfunction and slower progression to end-stage renal disease (ESRD); it also often revealed a reversible clinical course. We describe a 43-year-old woman who presented with polyuria and polydipsia caused by Fanconi's syndrome. The cause of Fanconi's syndrome was not identified because the patient denied the intake of the Chinese herbal mixture at first. Fanconi's syndrome seemed to be reversible in its early stage, but it rapidly progressed to renal failure after 3 months, despite the interruption of Chinese mixture use. A renal biopsy revealed typical findings of aristolochic acid-induced nephropathy. Aristolochic acids were also detected in the Chinese herbs that were consumed. This case highlights the variety of the clinical spectrum of aristolochic acid induced nephropathy (AAN). We emphasize that AAN should be suspected in all patients with Fanconi's syndrome, even if patients deny the intake of any Chinese herbal preparation.

  13. Review of the current understanding of the potential for containment failure from in-vessel steam explosions

    International Nuclear Information System (INIS)

    1985-06-01

    A group of experts was convened to review the current understanding of the potential for containment failure from in-vessel steam explosions during core meltdown accidents in LWRs. The Steam Explosion Review Group (SERG) was requested to provide assessments of: (1) the conditional probability of containment failure due to a steam explosion, (2) a Sandia National Laboratory (SNL) report entitled ''An Uncertainty Study of PWR Steam Explosions,'' NUREG/CR-3369, (3) a SNL proposed steam explosion research program. This report summarizes the results of the deliberations of the review group. It also presents the detailed response of each individual member to each of the issues. The consensus of the SERG is that the occurrence of a steam explosion of sufficient energetics which could lead to alpha-mode containment failure has a low probability. The SERG members disagreed with the methodology used in NUREG/CR-3369 for the purpose of establishing the uncertainty in the probability of containment failure by a steam explosion. A consensus was reached among SERG members on the need for a continuing steam explosion research program which would improve our understanding of certain aspects of steam explosion phenomenology

  14. Predictability of steel containment response near failure track 3 - structural integrity, dynamic behavior, and seismic design

    International Nuclear Information System (INIS)

    Costello, J.F.; Ludwigsen, J.S.; Luk, V.K.; Hessheimer, M.F.

    2000-01-01

    The Nuclear Power Engineering Corporation of Japan and the US Nuclear Regulatory Commission Office of Nuclear Regulatory Research, are co-sponsoring and jointly funding a Cooperative Containment Research Program at Sandia National Laboratories, Albuquerque, New Mexico, USA. As a part of this program, a steel containment vessel model and contact structure assembly was tested to failure with over pressurization at Sandia on December 11--12, 1996. The steel containment vessel model was a mixed-scale model (1:10 in geometry and 1:4 in shell thickness) of a steel containment for an improved Mark-II Boiling Water Reactor plant in Japan. The contact structure, which is a thick, bell-shaped steel shell separated at a nominally uniform distance from the model, provides a simplified representation of features of the concrete reactor shield building in the actual plant. The objective of the internal pressurization test was to provide measurement data of the structural response of the model up to its failure in order to validate analytical modeling, to find its pressure capacity, and to observe the failure model and mechanisms

  15. Evaluation of Pad 18 Spent Mercury Gold Trap Stainless Steel Container Failure

    Energy Technology Data Exchange (ETDEWEB)

    Skidmore, E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-08-03

    Failure of the Pad 18 spent mercury gold trap stainless steel waste container is principally attributed to corrosion induced by degradation of plasticized polyvinyl chloride (pPVC) waste packaging material. Dehydrochlorination of pPVC polymer by thermal and/or radiolytic degradation is well-known to evolve HCl gas, which is highly corrosive to stainless steel and other metals in the presence of moisture. Degradation of the pPVC packaging material was likely caused by radiolysis in the presence of tritium gas within the waste container, though other degradation mechanisms (aging, thermo-oxidation, plasticizer migration) over 30 years storage may have contributed. Corrosion was also likely enhanced by the crevice in the container weld design, and may have been enhanced by the presence of tritiated water. Similar non-failed spent mercury gold trap waste containers did not show radiographic evidence of plastic packaging or trapped free liquid within the container. Therefore, those containers are not expected to exhibit similar failures. Halogenated polymers such as pPVC subject to degradation can evolve halide gases such as HCl, which is corrosive in the presence of moisture and can generate pressure in sealed systems.

  16. A study of common-mode failures

    International Nuclear Information System (INIS)

    Edwards, G.T.; Watson, I.A.

    1979-07-01

    The purpose of the report is to investigate problems of the identification of the common failure mode (CFM) the reliability models used and the data required for their solution, particularly with regard to automatic protection systems for nuclear reactors. The available literature which was surveyed during the study is quoted and used as a basis for the main work of the study. The type of redundancy system under consideration is initially described and the types of CFM to which these systems are prone are identified before a general definition of the term 'common mode failure' is proposed. The definition and proposed classification system for CMF are based on the common cause of failure, so identifying the primary events. Defences against CFM are included and proposals for an overall strategy and detailed recommendations for design and operation are made. Common mode failures in US nuclear reactor systems, aircraft systems, and other sources including chemical plant systems are surveyed. The data indicates the importance of the human error problem in the causes of CMF in design, maintenance and operation. From a study of the collected data a redundancy sub-system model for CMF is developed which identifies three main categories of failure, non-recurrent engineering design errors, maintenance and test errors, and random interest events. The model proposed allows for the improvement in sub-system reliability where appropriate defences are applied. (author)

  17. Technology integration box beam failure study

    Science.gov (United States)

    Shuart, M. J.; Ambur, Damodar R.; Davis, D. D., Jr.; Davis, R. C.; Farley, G. L.; Lotts, C. G.; Wang, J. T.

    1993-01-01

    Composite structures have the potential to be cost-effective, structurally efficient primary aircraft structures. The Advanced Composites Technology (ACT) Program has the goal to develop the technology to exploit this potential for heavily loaded aircraft structures. As part of the ACT Program, Lockheed Aeronautical Systems Company completed the design and fabrication of the Technology Integration Box Beam (TIBB). The TIBB is an advanced composite prototype structure for the center wing section of the C-130 aircraft. Lockheed subjected the TIBB to downbending, upbending, torsion and combined upbending and torsion load conditions to verify the design. The TIBB failed at 83 percent of design ultimate load for the combined upbending and torsion load condition. The objective of this paper is to describe the mechanisms that led to the failure of the TIBB. The results of a comprehensive analytical and experimental study are presented. Analytical results include strain and deflection results from both a global analysis of the TIBB and a local analysis of the failure region. These analytical results are validated by experimental results from the TIBB tests. The analytical and experimental results from the TIBB tests are used to determine a sequence of events that resulted in failure of the TIBB. A potential cause of failure is high stresses in a stiffener runout region. Analytical and experimental results are also presented for a stiffener runout specimen that was used to simulate the TIBB failure mechanisms.

  18. Strengths and Failure Characteristics of Self-Compacting Concrete Containing Recycled Waste Glass Aggregate

    Directory of Open Access Journals (Sweden)

    Rahman Khaleel AL-Bawi

    2017-01-01

    Full Text Available The effects of different proportions of green-colored waste glass (WG cullet on the mechanical and fracture properties of self-compacting concrete (SCC were experimentally investigated. Waste bottles were collected, washed, crushed, and sieved to prepare the cullet used in this study. Cullet was incorporated at different percentages (0%, 20%, 40%, 60%, 80%, and 100% by weight instead of natural fine aggregate (NFA and/or natural coarse aggregate (NCA. Three SCC series were designed with a constant slump flow of 700±30 mm, total binder content of 570 kg/m3 and at water-to-binder (w/b ratio of 0.35. Moreover, fly ash (FA was used in concrete mixtures at 20% of total binder content. Mechanical aspects such as compressive, splitting tensile, and net flexural strengths and modulus of elasticity of SCC were investigated and experimentally computed at 28 days of age. Moreover, failure characteristics of the concretes were also monitored via three-point bending test on the notched beams. The findings revealed that the mechanical properties as well as fracture parameters were adversely influenced by incorporating of WG cullet. However, highest reduction of compressive strength did not exceed 43% recorded at 100% WG replacement level. Concretes containing WG showed less brittle behavior than reference concrete at any content.

  19. Epidemiological Study of Heart Failure in China

    Directory of Open Access Journals (Sweden)

    Yang Guo

    2015-10-01

    Full Text Available Heart failure (HF is a complex clinical syndrome that results from any structural or functional impairment of ventricular filling or ejection of blood. HF is one of the most important and severe end stages of many cardiovascular diseases. Epidemiological studies of HF have focused mainly on the prevalence, incidence, mortality, fatality, and distribution and temporal trends of these indicators among different populations. This review highlights important epidemiological studies of HF in China.

  20. Analysis on the effect of risk from containment failure by over-pressurization during the operation of containment filtered venting system

    International Nuclear Information System (INIS)

    Ham, Jaehyun; Kang, Hyun Gook; Chang, Soon Heung

    2015-01-01

    Passive safety systems which are operated without power source are suggested as a solution SBO. For containment protection system, Containment Filtered Venting System (CFVS) is suggested. CFVS controls the containment pressure by releasing the containment gas through filter passively without any power source. But because still small amount of radioactive material have no choice but to release to the environment, starting time and operation method of CFVS have to be determined carefully. Later starting time brings not only lower release but also higher risk from containment failure by over-pressurization, so it is a problem. In this research, the effect of risk from containment failure by over-pressurization during the operation of containment filtered venting system was analyzed. In this research, optimized values for variables of the CFVS operation method are found as 0.67 MPa, 9 cm, 0.1 MPa each for open pressure, pressure interval, and vent pipe diameter when DF as a function of time and risk from containment over-pressurization failure are considered. Generally in this research, release without risk get lower values in higher pressure, and lower vent pipe diameter. Release with risk get sharply high values when the containment pressure exceeds the design pressure because of the effect of risk from containment failure by over-pressurization. In conclusion, highest pressure, and lowest vent pipe diameter which are not influenced by risk is the optimized values for CFVS operation method because amount of risk is much larger than release through the CFVS

  1. Device for increasing the safety in the environment of nuclear facilities in case of containment failure

    International Nuclear Information System (INIS)

    Morlock, G.; Wiesemes, J.; Bachner, D.

    1978-01-01

    In order to increase the safety in the environment of nuclear facilities, e.g. in case of containment failure, with respect to released radioactive material new or existing facilities are covered with ground. The ground material has got a consistency very much reducing the permeability for liquids and gases. In addition irrigation devices for keeping the ground wet and/or intermediate layers of films pervious to water, e.g. perforated sheets, may be provided. Additionally the ground is protected against frost. Especially suited for ground material is clay. (DG) [de

  2. Failure detection studies by layered neural network

    International Nuclear Information System (INIS)

    Ciftcioglu, O.; Seker, S.; Turkcan, E.

    1991-06-01

    Failure detection studies by layered neural network (NN) are described. The particular application area is an operating nuclear power plant and the failure detection is of concern as result of system surveillance in real-time. The NN system is considered to be consisting of 3 layers, one of which being hidden, and the NN parameters are determined adaptively by the backpropagation (BP) method, the process being the training phase. Studies are performed using the power spectra of the pressure signal of the primary system of an operating nuclear power plant of PWR type. The studies revealed that, by means of NN approach, failure detection can effectively be carried out using the redundant information as well as this is the case in this work; namely, from measurement of the primary pressure signals one can estimate the primary system coolant temperature and hence the deviation from the operational temperature state, the operational status identified in the training phase being referred to as normal. (author). 13 refs.; 4 figs.; 2 tabs

  3. Successive failure, repeat entrepreneurship and no learning: A case study

    Directory of Open Access Journals (Sweden)

    Marius Pretorius

    2011-10-01

    Full Text Available Orientation: Current theories of repeat entrepreneurship provide little explanation for the effect of failure as a ‘trigger’ for creating successive ventures or learning from repeated failures. Research purpose: This study attempts to establish the role of previous failures on the ventures that follow them and to determine the process of learning from successive failures. Motivation for the study: Successive failures offer potentially valuable insights into the relationship between failures on the ventures that follow and the process of learning from failure. Research design, approach and method: The researchers investigated a single case study of one entrepreneur’s successive failures over 20 years. Main findings: Although the causes varied, all the failures had fundamental similarities. This suggested that the entrepreneur had not learnt from them. The previous failures did not trigger the subsequent ventures. Instead, they played a role in causing the failures. Learning from failure does not happen immediately but requires deliberate reflection. Deliberate reflection is a prerequisite for learning from failure as the entrepreneur repeated similar mistakes time after time until he reflected on each failure. Practical/managerial implications: It confirms that failure is a part of entrepreneurial endeavours. However, learning from it requires deliberate reflection. Failure does not ‘trigger’ the next venture and educators should note this. Contribution/value-add: Knowing the effect of failure on consecutive ventures may help us to understand the development of prototypes (mental frameworks and expand the theory about entrepreneurial prototype categories.

  4. Containment by-pass and isolation failure detection with the expert system ALIBABA

    International Nuclear Information System (INIS)

    Janot, L.; Martin, F.; Rague, B.

    1995-01-01

    In the event of an accident arising in an EDF (Electricite de France) pressurized water reactor, the IPSN Emergency Technical Centre (CTC) would be entrusted to provide the safety authorities with technical assistance. As pad of this responsibility it would analyse and forecast the barriers status (fuel clad, reactor coolant system, containment building), and the related safety functions (subcriticality, water inventory, primary pressure and temperature control, confinement). Its assignments would also require it to evaluate the kinetics and magnitude of a possible fission products release, in progress or to come, so as to advise necessary counter measures in order to ensure the surrounding population's protection, should the occasion arise. A realistic assessment of the release requires a good knowledge of the containment quality. It is therefore important to detect potential isolation faults (isolation failure or by-pass of the third barrier) as soon as possible. Once these leaks are identified, the plant operator will set required corrective arrangements rapidly. The CTC would follow up his actions closely. If none of them happen to be effective, containment leakage would be taken into account when estimating releases. Work of the emergency team lies indeed in two main points: early localization of isolation failure or containment by-pass; following up of the plant operator actions meant to remedy the problem. In order to meet these two requirements IPSN has developed an expert system named ALIBABA. Part one presents its advantages, whereas part two describes the expert system. Part three deals with the software environment and part four offers an example of the help provided by ALIBABA

  5. Failure by void coalescence in metallic materials containing primary and secondary voids subject to intense shearing

    DEFF Research Database (Denmark)

    Nielsen, Kim Lau; Tvergaard, Viggo

    2011-01-01

    this shear failure mode boils down to the interaction between primary voids which rotate and elongate until coalescence occurs under severe plastic deformation of the internal ligaments. The objective of this paper is to analyze this failure mechanism of primary voids and to study the effect of smaller...... secondary damage that co-exists with or nucleation in the ligaments between larger voids that coalesce during intense shearing. A numerical cell-model study is carried out to gain a parametric understanding of the overall material response for different initial conditions of the two void populations......, subject to shear dominated loading. To account for both length scales involved in this study, a continuum model that includes the softening effect of damage evolution in shear is used to represent the matrix material surrounding the primary voids. Here, a recently extended Gurson-type model is used, which...

  6. Probabilitic analysis for fatigue failure of leg-supported liquid containers under random earthquake-type excitation

    International Nuclear Information System (INIS)

    Fujita, Takafumi

    1981-01-01

    Leg-supported cylindrical containers frequently used for nuclear power plants and chemical plants and leg-supported rectangular containers such as water and fuel tanks are the structures, of which the reliability is feared at the time of earthquakes. In this study, about such leg-supported liquid containers, the structural reliability of the system at the time of earthquakes was analyzed from the viewpoint of fatigue failure at the joints of tanks and supporting legs and the fixing parts of legs. The second order unsteady coupled probability density of response displacement and response velocity and the first and second order unsteady probability density of response displacement envelope were determined, then using the results, the expected value, variance and unsteady probability density of cumulative damage were obtained on the basis of Miner's law, thus the structural reliability of the system was analyzed. The result of analysis was verified with the results of vibration tests using many simulated earthquake waves, and the experiment of the fatigue failure of a model with sine wave vibration was carried out. The mechanical model for the analysis, the unsteady probability density described above, the analysis of structural reliability and the experiment are reported. (Kako, I.)

  7. An assessment of BWR (boiling water reactor) Mark III containment challenges, failure modes, and potential improvements in performance

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, J.A.; Pafford, D.J.; Kelly, D.L.; Jones, K.R.; Dallman, F.J. (EG and G Idaho, Inc., Idaho Falls, ID (USA))

    1991-01-01

    This report describes risk-significant challenges posed to Mark III containment systems by severe accidents as identified for Grand Gulf. Design similarities and differences between the Mark III plants that are important to containment performance are summarized. The accident sequences responsible for the challenges and the postulated containment failure modes associated with each challenge are identified and described. Improvements are discussed that have the potential either to prevent or delay containment failure, or to mitigate the offsite consequences of a fission product release. For each of these potential improvements, a qualitative analysis is provided. A limited quantitative risk analysis is provided for selected potential improvements. 21 refs., 5 figs., 46 tabs.

  8. Lower Choline-Containing Metabolites/Creatine (Cr Rise and Failure to Sustain NAA/Cr Levels in the Dorsolateral Prefrontal Cortex Are Associated with Depressive Episode Recurrence under Maintenance Therapy: A Proton Magnetic Resonance Spectroscopy Retrospective Cohort Study

    Directory of Open Access Journals (Sweden)

    Neven Henigsberg

    2017-12-01

    Full Text Available BackgroundThe aim of this study was to evaluate the relationship between changes in proton magnetic resonance spectroscopy (1H-MRS parameters at the start of the index episode recovery phase and at recurrence in patients with recurrent depression who were treated with prolonged maintenance therapy.Methods1H-MRS parameters were analyzed in 48 patients with recurrent depression who required maintenance therapy with antidepressant medication prescribed by a psychiatrist and who continued with the same antidepressant during the maintenance phase, either to recurrence of depression, completion of the 10-year observation period, or the start of the withdrawal phase (tapering-off antidepressant. N-acetylaspartate (NAA, choline-containing metabolites (Cho, creatine (Cr, and glutamine/glutamate were measured at the start of the recovery phase and 6 months later.ResultsRecurrent depressive episodes occurred in 20 patients. These individuals had a smaller increase in Cho/Cr after the beginning of the recovery phase compared to the non-recurrent patient group and also exhibited a decreased NAA/Cr ratio.ConclusionSustainable NAA and increased Cho levels at the onset of the recovery phase of the index episode are early markers of antidepressant effectiveness associated with a lower risk of major depressive disorder recurrence. The NAA and Cho changes in the non-recurrent group may be attributable to increased brain resilience, contrary to the transient temporal effect observed in subjects who experienced a depressive episode.

  9. The probability of Mark-I containment failure by melt-attack of the liner

    International Nuclear Information System (INIS)

    Theofanous, T.G.; Yan, H.; Podowski, M.Z.

    1993-11-01

    This report is a followup to the work presented in NUREG/CR-5423 addressing early failure of a BWR Mark I containment by melt attack of the liner, and it constitutes a part of the implementation of the Risk-Oriented Accident Analysis Methodology (ROAAM) employed therein. In particular, it expands the quantification to include four independent evaluations carried out at Rensselaer Polytechnic Institute, Argonne National Laboratories, Sandia National Laboratories and ANATECH, Inc. on the various portions of the phenomenology involved. These independent evaluations are included here as Parts II through V. The results, and their integration in Part I, demonstrate the substantial synergism and convergence necessary to recognize that the issue has been resolved

  10. Study on local failure mechanism considering stress triaxiality factor

    International Nuclear Information System (INIS)

    Kubota, Shigeto; Sato, Takuya; Kasahara, Naoto

    2015-01-01

    The failure mode so called local failure could occur at structure discontinuities. Local failure is caused from Von Misses stress and hydrostatic stress. So the triaxiality factor considering hydrostatic stress has been introduced to evaluate local failure based on Misses type criteria. However the mechanism of local failure has not been clarified. For this reason it is not easy to say that triaxiality factor is properly applied to evaluate local failure. Thus the purpose of this study is to clarify the relation of local failure and triaxiality factor with tensile tests of notched bars and FEM simulation. As a result, it is clarified that triaxiality factor doesn't always indicate difficulty occurs of plastic deformation. Furthermore it is clarified the relation of local failure and triaxiality factor by introducing the Von Misses stress - hydrostatic stress plane and fracture curve. (author)

  11. Living donor liver transplantation for acute liver failure in pediatric patients caused by the ingestion of fireworks containing yellow phosphorus.

    Science.gov (United States)

    Ates, Mustafa; Dirican, Abuzer; Ozgor, Dincer; Aydin, Cemalettin; Isik, Burak; Ara, Cengiz; Yilmaz, Mehmet; Ayse Selimoglu, M; Kayaalp, Cuneyt; Yilmaz, Sezai

    2011-11-01

    Yellow phosphorus is a protoplasmic toxicant that targets the liver. The ingestion of fireworks containing yellow phosphorus, either by children who accidentally consume them or by adults who are attempting suicide, often results in death due to acute liver failure (ALF). We present the outcomes of 10 children who ingested fireworks containing yellow phosphorus. There were 6 boys and 4 girls, and their ages ranged from 21 to 60 months. One patient remained stable without liver complications and was discharged. Three patients died of hepatorenal failure and cardiovascular collapse, and living donor liver transplantation (LDLT) was performed for 6 patients. The patients had grade II or III encephalopathy, a mean alanine aminotransferase level of 1148.2 IU/L, a mean aspartate aminotransferase level of 1437.5 IU/L, a mean total bilirubin level of 6.9 mg/dL, a mean international normalized ratio of 6.6, a mean Pediatric End-Stage Liver Disease score of 33.7, and a mean Child-Pugh score of 11.3. Postoperatively, 2 patients had persistent encephalopathy and died on the second or third postoperative day, and 1 patient died of cardiac arrest on the first postoperative day despite a well-functioning graft. The other 3 patients were still alive at a mean of 204 days. In conclusion, the ingestion of fireworks containing yellow phosphorus causes ALF with a high mortality rate. When signs of irreversible ALF are detected, emergency LDLT should be considered as a lifesaving procedure; however, if yellow phosphorus toxicity affects both the brain and the heart in addition to the liver, the mortality rate remains very high despite liver transplantation. Copyright © 2011 American Association for the Study of Liver Diseases.

  12. Numerical Study of Severe Accidents on Containment Venting Conditions

    International Nuclear Information System (INIS)

    Lee, Na Rae; Bang, Young Suk; Park, Tong Kyu; Lee, Doo Yong; Choi, Yu Jung; Lee, Sang Won; Kim, Hyeong Taek

    2014-01-01

    Under severe accident, the containment integrity can be challenged due to over-pressurization by steam and non-condensable gas generation. According to Seismic Probabilistic Safety Assessment (PSA) result, the late containment failure by over-pressurization has been identified as the most probable containment failure mode. In addition, the analyses of Fukushima nuclear power plant accident reveal the necessity of the proper containment depressurization to prevent the large release of the radionuclide to environment. Containment venting has been considered as an effective approach to maintain the containment integrity from over-pressurization. Basic idea of containment venting is to relieve the pressure inside of the containment by establishing a flow path to the external environment. To ensure the containment integrity under over-pressure conditions, it is crucial to conduct the containment vent in a timely manner with a sufficient discharge flow rate. It is also important to optimize the vent line size to prevent additional risk of leakage and to install at the site with limited space availability. The purpose of this study is to identify the effective venting conditions for preventing the containment over-pressurization and investigate the vent flow characteristics to minimize the consequence of the containment ventilation.. In order that, thermodynamic behavior of the containment and the discharged flow depending on different vent strategies are analyzed and compared. The representative accident scenarios are identified by reviewing the Level 2 PSA result and the sensitivity analyses with varying conditions (i.e. vent line size and vent initiation pressure) are conducted. MAAP5 model for the OPR1000 Korea nuclear power plant has been used for severe accident simulations. Containment venting can be an effective strategy to prevent the significant failure of the containment due to over-pressurization. However, it should be carefully conducted because the vented

  13. [Therapeutic failure in scabies: An observational study].

    Science.gov (United States)

    De Sainte Marie, B; Mallet, S; Gaudy-Marqueste, C; Baumstarck, K; Bentaleb, N; Loundou, A; Hesse, S; Monestier, S; Grob, J-J; Richard, M-A

    2016-01-01

    Several sources suggest an escalation of scabies in France. To describe a population of patients continuing to present with scabies despite multiple treatments in order to identify factors associated with persistence of infection. A descriptive cross-sectional study in adults and children consulting for persistent scabies despite at least one previous treatment. A standardized questionnaire explored potential sources of treatment failure. Thirty-one patients were analyzed. Initial symptoms were noted to have started between two and 52 weeks earlier (mean: 19 weeks). The mean number of prior consultations with a general practitioner was 3.1 (0-10) and 1.7 with a dermatologist (0-7). The mean number of patients per household was 3.5 (1-9). At least one dose of oral ivermectin (maximum of 6 doses per household) was prescribed for 84 % of patients (29 % of whom were not fasted at the time). Further, 74 % of patients received at least one local application of esdepallethrin and piperonyl butoxide (maximum: 5 courses), four received benzyl benzoate and two received permethrin; however, 58 % did not reapply the substance after hand washing. All households bought the prescribed treatments despite the costs. Close contacts of patients were treated in 58 % of households. Decontamination of bedding and clothing was carried out properly in 90 % of households. Persistence of infection appears to be linked to: (1) insufficient treatment of close contacts; (2) absence of a second treatment between days 7 and 14; (3) insufficient efficacy of the available treatments, doubtless due to multiple factors (intrinsic resistance of Sarcoptes, failure to repeat treatment, poor explanation of methods for dosing and application, and oral intake of treatments). Access to non-reimbursed treatments was not identified as a problem and decontamination of bedding and clothing was correctly performed in most cases. Though certain fundamental aspects of scabies treatment must be better

  14. Associations of heart failure with sleep quality: The rotterdam study

    NARCIS (Netherlands)

    L.A. Zuurbier (Lisette); A.I. Luik (Annemarie); M.J.G. Leening (Maarten); A. Hofman (Albert); R. Freak-Poli (Rosanne); O.H. Franco (Oscar); B.H.Ch. Stricker (Bruno); H.W. Tiemeier (Henning)

    2015-01-01

    textabstractStudy Objectives: The prevalence of sleep disturbances and heart failure increases with age. We aimed to evaluate the associations of incident heart failure and cardiac dysfunction with changes in sleep quality. Methods: This prospective population-based study was conducted in the

  15. Proposed shake table studies for NAPP containment

    International Nuclear Information System (INIS)

    Akolkar, P.M.; Khuddus, M.A.

    1975-01-01

    The proposal for shake table studies on model of containment structure of Narora Atomic Power Project is discussed. The physical characteristics such as the dimensions, connection details of the containment with the internal structure and the dynamic interaction between the two have been described. The dynamic scale factors obtained through similitude requirements and dimensional analysis have been presented and the modelling aspects and the choice of model material and scale have been discussed. The proposed type of tests, necessary measurement and instrumentation have been mentioned. The limitations imposed by similitude requirements on model studies are brought out and the usefulness of the results of the proposed tests in the dynamic design of the containment have been covered. (author)

  16. An assessment of BWR (boiling water reactor) Mark-II containment challenges, failure modes, and potential improvements in performance

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, D.L.; Jones, K.R.; Dallman, R.J. (EG and G Idaho, Inc., Idaho Falls, ID (USA)); Wagner, K.C. (Science Applications International Corp., Albuquerque, NM (USA))

    1990-07-01

    This report assesses challenges to BWR Mark II containment integrity that could potentially arise from severe accidents. Also assessed are some potential improvements that could prevent core damage or containment failure, or could mitigate the consequences of such failure by reducing the release of fission products to the environment. These challenges and improvements are analyzed via a limited quantitative risk/benefit analysis of a generic BWR/4 reactor with Mark II containment. Point estimate frequencies of the dominant core damage sequences are obtained and simple containment event trees are constructed to evaluate the response of the containment to these severe accident sequences. The resulting containment release modes are then binned into source term release categories, which provide inputs to the consequence analysis. The output of the consequences analysis is used to construct an overall base case risk profile. Potential improvements and sensitivities are evaluated by modifying the event tree spilt fractions, thus generating a revised risk profile. Several important sensitivity cases are examined to evaluate the impact of phenomenological uncertainties on the final results. 75 refs., 25 figs., 65 tabs.

  17. Design and construction of a large reinforced concrete containment model to be tested to failure

    International Nuclear Information System (INIS)

    Ucciferro, J.J.; Horschel, D.S.

    1987-01-01

    The US Nuclear Regulatory Commission is investigating the performance of LWR containments subjected to severe accidents. This work is being performed by the Containment Integrity Division at Sandia National Laboratories (Sandia). The latest research effort involves the testing of a 1/6-scale reinforced concrete containment model. The containment, which was designed and constructed by United Engineers and Constructors, is the largest and most complex model of its kind. The design and construction of the containment model are the subject of this paper. The objective of the containment model tests is to generate data that can be used to qualify methods for reliably predicting the response of LWR containment buildings to severe accident loads. The data recorded during testing include deformations and leakage past sealing surfaces, as well as strains and displacements of the containment shell

  18. Renal failure in a guinea pig (Cavia porcellus) following ingestion of oxalate containing plants

    OpenAIRE

    Holowaychuk, Marie K.

    2006-01-01

    A 1-year-old guinea pig presented with anorexia, lethargy, and weight loss, 1 week after ingesting a peace lily leaf. Laboratory findings were suggestive of renal failure and included elevated blood urea nitrogen and creatinine with concurrent isosthenuria. The guinea pig was euthanized 1 month later due to worsening clinical signs.

  19. Study on alternatives of inertisation of nuclear power plant containment

    International Nuclear Information System (INIS)

    Baron, J.H.; Zarate, S.M.

    1998-01-01

    In the course of a severe accident in a nuclear power plant, the hydrogen generation and other flammable gases, during the core degradation phase and the interaction corium-concrete, could produce the failure of the containment by overpressure of by combustion. According to the analysis of the potential effects of hydrogen evolution, following accidents inside the containment trough a Defense-in depth principle, which attempts to assure that the containment must not fail catastrophically, two techniques have been evaluated: a: Inertisation pre-accident and b: Inertisation post-accident. The technique of inertisation pre-accident consists in replacing the air of the containment with inert-gas like nitrogen (N 2 ) or carbon dioxide (CO 2 ) during the normal operation. The inertisation post-accident in combination with early venting system consists in replacing the air of the containment with inert-gas like nitrogen (N 2 ) or carbon dioxide (CO 2 ), immediately after the beginning of the accident, while the radioactivity is still negligible inside the containment. A system of inertisation pre-accident with nitrogen is used on BWR Mark I and Mark II. Investigations on the inertisation post-accident of the containment atmosphere during severe accidents have been carried out with different objectives from principles of the decade of 1980. Studies concerning hydrogen problem for the nuclear power plants Atucha I and CAREM-25 have permitted to know that the hydrogen generation during an accidental sequence with core degradation, would result important, being able to arrive to form explosive mixtures. In the present work, the applicability of the techniques of inertisation is analyzed for the containment of the Atucha I and CAREM-25, considering the particular design characteristics of these plants. (author) [es

  20. A Study of Failure Criteria of Fibrous Composite Materials

    Science.gov (United States)

    Paris, Federico; Jackson, Karen E. (Technical Monitor)

    2001-01-01

    The research described in this paper is focused on two areas: (1) evaluation of existing composite failure criteria in the nonlinear, explicit transient dynamic finite element code, MSC.Dytran, and (2) exploration of the possibilities for modification of material and failure models to account for large deformations, progressive failure, and interaction of damage accumulation with stress/strain response of laminated composites. Following a review of the MSC.Dytran user manual, a bibliographical review of existing failure criteria of composites was performed. The papers considered most interesting for the objective of this report are discussed in section 2. The failure criteria included in the code under consideration are discussed in section 3. A critical summary of the present procedures to perform analysis and design of composites is presented in section 4. A study of the most important historical failure criteria for fibrous composite materials and some of the more recent modifications proposed were studied. The result of this analysis highlighted inadequacies in the existing failure criteria and the need to perform some numerical analyses to elucidate the answer to questions on which some of the proposed criteria are based. A summary of these ideas, which is a proposal of studies to be developed, is presented in section 5. Finally, some ideas for future developments are summarized in section 6.

  1. Efficacy and Safety of Quinolone-Containing Rescue Therapies After the Failure of Non-Bismuth Quadruple Treatments for Helicobacter pylori Eradication: Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Marin, Alicia C; Nyssen, Olga P; McNicholl, Adrian G; Gisbert, Javier P

    2017-05-01

    Anti-Helicobacter pylori eradication treatment fails in a significant percentage of cases. Although this percentage has been reduced to 5-15% with the use of non-bismuth quadruple therapies, limited data exist regarding rescue after failure of these treatments. The aim of this study was to systematically review the efficacy and safety of quinolone-containing therapies after the failure of non-bismuth quadruple regimens. Studies evaluating the efficacy of second-line quinolone-containing therapies after the failure of non-bismuth sequential or concomitant regimens were selected. Efficacy (by intention to treat) was analyzed using the inverse variance method; safety data were recorded as the occurrence of any adverse event. The risk of bias of each primary study was evaluated using the Risk of Bias in Non-randomized Studies-of Interventions (ROBINS-I) tool. The quality of the evidence was summarized using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. Sixteen studies were included. The 10-day levofloxacin/amoxicillin/proton pump inhibitor (PPI) triple therapy (LT) achieved eradication rates of 80% (95% CI 71-88). Regarding the moxifloxacin/amoxicillin/PPI triple therapy (MT), its efficacy was higher when administered for 14 days instead of 7 days (80 vs 63%). Two studies investigated the levofloxacin/bismuth-containing quadruple therapies (LBQ) obtaining eradication rates over 90%. Safety was similar in all treatments. The sensitivity analyses showed that results for LT were robust, but MT had weak evidence. Quinolone-containing triple therapies reported eradication rates ≤80%, but LBQ therapies showed encouraging rates. However, the strength of the evidence was very low. The efficacy of LBQ should be corroborated in more studies, and the usefulness of quinolones needs to be evaluated in areas with moderate to high bacterial resistances.

  2. Feasibility study for an alternative PWR-containment. Stage 3

    International Nuclear Information System (INIS)

    Eibl, J.

    1994-08-01

    The following report deals with a feasibility study on a lightwater reactor containment which is oriented at the German 1300 MW Convoy Type reactor. It was the aim of this containment development for a future nuclear ractor to restrict all consequences of an extreme reactor failure exclusively to the interior of the containment. Also the decay heat of the relevant core catchers is provided to be removed by passive means. This containment development was a common project with the Nuclear Research Centre at Karlsruhe (KFK). As a consequence of this intention the concept started from upper physical limits, such as a maximum static pressure of 1,5 MPa at 200 , a global and local detonation pressure of 8,4 MPa at an impulse of 5,0 kPas, an upward directed force exerted by the pressure vessel of 300 MN, a horizontal force exerted by the moving pressure vessel onto its environment of 70 MN, a cavern pressure around the core catcher of 3,0 resp., 2,0 MPa and a steam explosion-energy of 300 MJ. Such a contaiment concept is presented and inverstigated with respect to its feasibility, statically and dynamically in all relevant details including earthquake actions. (orig.) [de

  3. Effect of length of thinning area on the failure behavior of carbon steel pipe containing a defect of wall thinning

    International Nuclear Information System (INIS)

    Kim, Jin Weon; Park, Chi Yong

    2003-01-01

    The present study performed pipe failure tests using 102 mm-Sch. 80 carbon steel pipe with various simulated wall thinning defects, to investigate the effect of axial length of wall thinning and internal pressure on the failure behavior of pipe thinned by flow accelerated corrosion (FAC). The tests were conducted under loading conditions of four-point bending with and without internal pressure. The results showed that a failure mode of pipe with a defect depended on the magnitude of internal pressure and axial thinning length as well as stress type and thinning depth and circumferential angle. Both load carrying capability (LCC) and deformation capability (DC) were depended on stress type in the thinning area and dimensions of thinning defect. For applying tensile stress to the thinned area, the dependence of LCC on the axial length of wall thinning was determined by circumferential thinning angle, and the DC was proportionally increased with increase in axial length of wall thinning regardless of the circumferential angle. For applying compressive stress to thinned area, however, the LCC was decreased with increase in axial length of the thinned area. Also, the effect of internal pressure on failure behavior was characterized by failure mode of thinned pipe, and it promoted crack occurrence and mitigated a local buckling of the thinned area

  4. Task E container corrosion studies: Annual report

    International Nuclear Information System (INIS)

    Bunnell, L.R.; Doremus, L.A.; Topping, J.B.; Duncan, D.R.

    1994-06-01

    The Pacific Northwest Laboratory is conducting the Solid Waste Technology Support Program (SWTSP) for Westinghouse Hanford Company (WHC). Task E is the Container Corrosion Study Portion of the SWTSP that will perform testing to provide defensible data on the corrosion of low-carbon steel, as used in drums to contain chemical and radioactive wastes at the Hanford Site. A second objective of Task E is to provide and test practical alternative materials that have higher corrosion resistance than low-carbon steel. The scope of work for fiscal year (FY) 1993 included initial testing of mild steel specimens buried in Hanford soils or exposed to atmospheric corrosion in metal storage sheds. During FY 1993, progress was made in three areas of Task E. First, exposure of test materials began at the Soil Corrosion Test Site where low-carbon steel specimens were placed in the soil in five test shafts at depths of 9 m (30 ft). Second, the corrosion measurement of low-carbon steel in the soil of two solid waste trenches continued. The total exposure time is ∼ 500 days. Third, an atmospheric corrosion test of low-carbon steel was put initiated in a metal shed (Building 2401-W) in the 200 West Area. This annual report describes the Task E efforts and provides a current status

  5. PRAGMATIC FAILURE IN LISTENING CLASS A CASE STUDY OF X GRADE STUDENTS OF SMK TAMANSISWA CILACAP

    Directory of Open Access Journals (Sweden)

    Septiyana Pengesti

    2015-07-01

    Full Text Available In communication, sometimes people hear the unrelated utterances between speaker and hearer but the conversation is usually still continued that way. In this way, the pragmatic role is needed. However, in many cases the use of pragmatic might fail for many reasons: cross-culture understanding, or violating the politeness. This case happens not only in real conversation but also the classroom. This article is aimed to analyze the pragmatic failure in listening class of EFL. The discussion starts from the definition of Pragmatics and the speech act, Pragmatic failure and listening skill. It will be followed by the analysis of the pragmatic failure some conversations in listening class of EFL class. This study shows that there are at least five conversations which contain amount of pragmatic failure. The failure produced by the learners is categorized as pragmalinguistic failure related to Tho mas (1983 statement that pragmalinguistic failure related to different branches in linguistics, especially the relation between pragmatics and grammatical forms.

  6. Acute renal failure in liver transplant patients: Indian study.

    Science.gov (United States)

    Naik, Pradeep; Premsagar, B; Mallikarjuna, M

    2015-01-01

    The acute renal failure is the frequent medical complication observed in liver transplant patients. The objective of this study was to determine the cause of acute renal failure in post liver transplant patients. A total of 70 patients who underwent (cadaveric 52, live 18) liver transplantation were categorized based on clinical presentation into two groups, namely hepatorenal failure (HRF, n = 29), and Hepatic failure (HF, n = 41). All the patients after the liver transplant had received tacrolimus, mycophenolate and steroids. We analyzed the modification of diet in renal disease, (MDRD) serum urea, creatinine and albumin before and after 5th and 30th day of liver transplant and data was categorized into survivors and non-survivors group. In HRF survivor group, serum creatinine, and urea levels were high and, albumin, MDRD were low in pre- transplant and reached to normal levels on 30th day of post transplant, and 79.3 % of patients in this group showed resumption of normal kidney function. On the contrary in HRF nonsurvivor group, we did not observed any significant difference and 20.7 % of patients showed irreversible changes after the liver transplant. In HF survivor group, 82.9 % of liver failure patients did not show any deviation in serum creatinine, urea, albumin and MDRD, whereas in HF non survivor group, 17.1 % of liver failure patients who had HCV positive before the transplant developed acute renal failure. The levels of creatinine, urea, albumin and MDRD were normal before the transplant and on day 30th, the levels of albumin and MDRD were significantly low whereas serum urea, creatinine levels were high. In conclusion, based on these observations, an diagnosis and treatment of Acute renal failure is important among the liver transplantation cases in the early postoperative period.

  7. Studies on fuel failure detection in Rikkyo Research Reactor

    International Nuclear Information System (INIS)

    Matsuura, T.; Hayashi, S.H.; Harasawa, S.; Tomura, K.

    1992-01-01

    Studies on fuel failure detection have been made since 1986 in Rikkyo Research Reactor. One of the methods is the monitoring of the trace concentration of fission products appearing in the air on the surface of the water tank of the reactor. The interested radionuclides here are 89 Rb and 138 Cs, which are the daughter nuclides of the FP rare gas nuclides, 89 Kr and 138 Xe, respectively and have the half lives of 15.2 min and 32.2 min respectively. They are detected on a filter paper attached on a conventional dust sampler, by sucking the air of the surface of the water for 15 ∼ 30 min during reactor operation (100 kW). In this presentation are reported the results of an attempt to increase the sensitivity of detecting these nuclides by introducing nitrogen gas bubbles into the water. The bubbling of the gas increased the sensitivity as much as several times compared with the case without bubbling. These measurements are giving us the 'background' concentration, the order of which is almost unchanged for these several years, --in 10 -6 Bq/cm 3 . The origin of these nuclides is considered to be not from the fuel but from the uranium contained as an impurity in the reactor material in the core. (author)

  8. Electron microscopy--new tool for service failure study

    Energy Technology Data Exchange (ETDEWEB)

    Warke, W.R.; McCall, J.L.

    1965-05-01

    Electron microscopy, now well established as a research tool for the study of metal fractures, can be valuable for analyzing service failures. The high magnifications of electron microscopes, ranging from 500 to 200,000 X, coupled with their large vertical resolution, make it possible to distinguish overload failures from fatigue failures from brittle intergranular failures, and so on. Generally speaking, 2 basic techniques are used to replicate fractured surfaces. They the direct carbon method and the 2-stage plastic carbon technique. Each has its limitations and specific areas of application. Direct carbon eliminates an intermediate step; it thus gives a higher fidelity replica and allows extraction of inclusions and precipitates, but destroys the sample. The plastic carbon replica is nondestructive, but less faithful in reproducing the finest features of the surface. For this reason, the direct method is used primarily for fundamental research, while the plastic carbon technique is used when specimen availability is a problem or service failures are to be analyzed. The applicability of electron microscopy to service failure analyses is illustrated by 3 examples.

  9. ERG review of containment failure probability and repository functional design criteria

    International Nuclear Information System (INIS)

    Gopal, S.

    1986-06-01

    The Engineering Review Group (ERG) was established by the Office of Nuclear Waste Isolation (ONWI) to help evaluate engineering-related issues in the US Department of Energy's nuclear waste repository program. The June 1984 meeting of the ERG considered two topics: (1) statistical probability for containment of nuclides within the waste package and (2) repository design criteria. This report documents the ERG's comments and recommendations on these two subjects and the ONWI response to the specific points raised by ERG

  10. Chinese Herbs Containing Aristolochic Acid Associated with Renal Failure and Urothelial Carcinoma: A Review from Epidemiologic Observations to Causal Inference

    Directory of Open Access Journals (Sweden)

    Hsiao-Yu Yang

    2014-01-01

    Full Text Available Herbal remedies containing aristolochic acid (AA have been designated to be a strong carcinogen. This review summarizes major epidemiologic evidence to argue for the causal association between AA exposure and urothelial carcinoma as well as nephropathy. The exposure scenarios include the following: Belgian women taking slimming pills containing single material Guang Fang Ji, consumptions of mixtures of Chinese herbal products in the general population and patients with chronic renal failure in Taiwan, occupational exposure in Chinese herbalists, and food contamination in farming villages in valleys of the Danube River. Such an association is corroborated by detecting specific DNA adducts in the tumor tissue removed from affected patients. Preventive actions of banning such use and education to the healthcare professionals and public are necessary for the safety of herbal remedies.

  11. Rare cause of right heart failure: contained rupture of a sinus of Valsalva aneurysm associated intraventricular septal aneurysm.

    Science.gov (United States)

    Mookadam, F; Haley, J; Mendrick, Ed

    2005-06-01

    Sinus of Valsalva aneurysm (SVA) is a rare congenital lesion described first in 1840 by John Thurnam (Cited by Boutefou JM, Moret PR, Hahn C, Hanf E. Aneurysms of the sinus of Valsalva: report of seven cases and review of the literature. Am J Med 1978;65:18-24). In most cases unruptured Sinus of Valsalva aneurysm (SVA) is clinically silent; however, if it progressively enlarges it may cause coronary artery compression, complete heart block, or right ventricular outflow tract obstruction (Meier JH, Seward JD, Miller FA, Oh J, Sarano ME. Aneurysms in the left ventricular outflow tract: clinical presentation, causes, and echocardiographic features. J Am Soc Echocardiogr 1998;11:729-45; D'Silva SA, Dalve BV, Lokhandwala YY, Kale PA, Tendolkar AG. Unruptured congenital aneurysm of the left sinus of Valsalva presenting as acute right heart failure. Chest 1992;101:578-79) or is a potential source of cerebrovascular emboli. (Shahrabani RM, Jairaj PS. Unruptured aneurysm of the sinus of Valsalva: a potential source of cerebrovascular embolism. Br Heart J 1993;69:266-67). In this report, we describe a case of right coronary sinus of Valsalva aneurysm with a contained rupture. The containing rupture is in intraventricular septal aneurysm; the patient presents with right-sided heart failure.

  12. Containment

    International Nuclear Information System (INIS)

    Anon.

    1987-01-01

    The primary mission of the Containment Group is to ensure that underground nuclear tests are satisfactorily contained. The main goal is the development of sound technical bases for containment-related methodology. Major areas of activity include siting, geologic description, emplacement hole stemming, and phenomenological predictions. Performance results of sanded gypsum concrete plugs on the Jefferson, Panamint, Cornucopia, Labquark, and Bodie events are given. Activities are also described in the following areas: computational capabilities site description, predictive modeling, and cavity-pressure measurement. Containment publications are listed. 8 references

  13. Potential mechanisms for corrosion and stress corrosion cracking failure of 3013 storage containers composed of 316 stainless steel

    International Nuclear Information System (INIS)

    Kolman, D.G.; Butt, D.P.

    1998-01-01

    The degradation of 316 stainless steel (SS) storage container materials is a potential problem for radioactive waste disposition. Container materials will be exposed to significant ionizing radiation, elevated temperatures, embrittling and/or alloying agents (e.g., gallium), chloride-containing compounds (as much as 20 wt% Cl or Cl - ), oxidizing compounds, and a limited quantity of moisture. Additionally, containers will contain welds that have heterogeneous composition due to solute segregation and that may retain significant residual stress. All of the above-listed environmental and material conditions have been shown to be deleterious to material integrity under certain conditions. Unfortunately, the precise conditions within each container and environment is unknown and may vary widely from container to container. Thus, no single test or set of tests will be able mimic the broad range of storage container conditions. Additionally, material behavior cannot be predicted because the synergistic effects of temperature, time, chloride, moisture, sensitization, weldments, salt formation, etc., have not been fully studied. The complexity and uncertainty of storage conditions precludes any detailed recommendations. This document attempts to detail selected previous studies and to suggest some general guidelines for storage of radioactive waste. Because of the voluminous research in this area, this review cannot be considered to be comprehensive. Readers are directed to references that contain detailed reviews of particular processes for more information. Note that the effect of gallium on the degradation of SS storage containers has been discussed elsewhere and will not be discussed here

  14. High prevalence of nephrogenic systemic fibrosis in chronic renal failure patients exposed to gadodiamide, a gadolinium-containing magnetic resonance contrast agent

    DEFF Research Database (Denmark)

    Rydahl, Casper; Thomsen, Henrik S; Marckmann, Peter

    2008-01-01

    patients with stage 5 CKD at exposure (n = 102) was 18% (95% CI: 11%-27%). No cases were seen among 88 gadodiamide-exposed patients who had milder degrees of renal insufficiency (prevalence 0%, 95% CI: 0%-4%). CONCLUSIONS: The risk of NSF is unacceptably high among stage 5 CKD patients exposed......OBJECTIVE: Nephrogenic systemic fibrosis (NSF) is a serious disease affecting renal failure patients. It may be caused by some gadolinium (Gd)-containing contrast agents, including gadodiamide. The study aimed at estimating the prevalence of NSF after gadodiamide exposure for patients with chronic...

  15. Ritual failure in Romans 6 | Smit | HTS Teologiese Studies ...

    African Journals Online (AJOL)

    Ritual studies are slow to make a large impact on New Testament studies, despite a number of notable exceptions. This notwithstanding, rituals occur frequently in the New Testament, in particular when there is a problem with a ritual. In this article, recent anthropological work on 'ritual failure' is used to address Paul's ...

  16. [Surgical sterilization failure: a study of 290 cases].

    Science.gov (United States)

    Trias Fargas, M

    1981-01-01

    This study seeks to establish the failure rate of sterilizations in the Profamilia pilot clinic in Bogota, and analyzes the chronology of the resulting pregnancies and their possible causes and the reactions of the women who became pregnant. 31,828 sterilizations were performed in the clinic between 1973 and 1980, 8% of them minilaparotomies. 272 of 290 pregnancies diagnosed after sterilization were method failures, the other 18 having begun before the operation. Almost 60% of the pregnancies occurred within 1 year of the operation, and all but 4% occurred within 4 years. The rate calculated on the basis of the 1st 12,000 sterilizations, 142 of which were followed by pregnancies due to method failure, was 1.18%, or 1 case per 85 operations. The average age of the women who became pregnant was 31.0 years, compared to the average of 33.4 years for all women undergoing sterilization. Possible reasons for the failures are discussed, including incomplete follow-up, defective materials, surgical skill, and the performance of operations by students. Analyses of 157 cases of reinterventions indicate that 27% of the failures resulted from human error and the rest from method imperfections including incomplete occlusion of the tube, recanalization, and refistulization. 7.35% of the pregnancies were ectopic. 33.8% of the women who became pregnant bore children, 11.7% had spontaneous abortions, and 54.5% sought induced abortions.

  17. The study of Influencing Maintenance Factors on Failures of Two gypsum Kilns by Failure Modes and Effects Analysis (FMEA

    Directory of Open Access Journals (Sweden)

    Iraj Alimohammadi

    2014-06-01

    Full Text Available Developing technology and using equipment in Iranian industries caused that maintenance system would be more important to use. Using proper management techniques not only increase the performance of production system but also reduce the failures and costs. The aim of this study was to determine the quality of maintenance system and the effects of its components on failures of kilns in two gypsum production companies using Failure Modes and Effects Analysis (FMEA. Furthermore the costs of failures were studied. After the study of gypsum production steps in the factories, FMEA was conducted by the determination of analysis insight, information gathering, making list of kilns’ component and filling up the FMEA’s tables. The effects of failures on production, how to fail, failure rate, failure severity, and control measures were studied. The evaluation of maintenance system was studied by a check list including questions related to system components. The costs of failures were determined by refer in accounting notebooks and interview with the head of accounting department. It was found the total qualities of maintenance system in NO.1 was more than NO.2 but because of lower quality of NO.1’s kiln design, number of failures and their costs were more. In addition it was determined that repair costs in NO.2’s kiln were about one third of NO.1’s. The low severity failures caused the most costs in comparison to the moderate and low ones. The technical characteristics of kilns were appeared to be the most important factors in reducing of failures and costs.

  18. Therapeutic patient education in heart failure: do studies provide sufficient information about the educational programme?

    Science.gov (United States)

    Albano, Maria Grazia; Jourdain, Patrick; De Andrade, Vincent; Domenke, Aukse; Desnos, Michel; d'Ivernois, Jean-François

    2014-05-01

    Therapeutic patient education programmes on heart failure have been widely proposed for many years for heart failure patients, but their efficiency remains questionable, partly because most articles lack a precise programme description, which makes comparative analysis of the studies difficult. To analyse the degree of precision in describing therapeutic patient education programmes in recent randomized controlled trials. Three major recent recommendations on therapeutic patient education in heart failure inspired us to compile a list of 23 relevant items that an 'ideal' description of a therapeutic patient education programme should contain. To discover the extent to which recent studies into therapeutic patient education in heart failure included these items, we analysed 19 randomized controlled trials among 448 articles published in this field from 2005 to 2012. The major elements required to describe a therapeutic patient education programme were present, but some other very important pieces of information were missing in most of the studies we analysed: the patient's educational needs, health literacy, projects, expectations regarding therapeutic patient education and psychosocial status; the educational methodology used; outcomes evaluation; and follow-up strategies. Research into how therapeutic patient education can help heart failure patients will be improved if more precise descriptions of patients, educational methodology and evaluation protocols are given by authors, ideally in a standardized format. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  19. [Galician study of heart failure in primary care (GALICAP Study)].

    Science.gov (United States)

    Otero-Raviña, Fernando; Grigorian-Shamagian, Lilian; Fransi-Galiana, Luis; Názara-Otero, Carlos; Fernández-Villaverde, José M; del Alamo-Alonso, Alberto; Nieto-Pol, Enrique; de Santiago-Boullón, Miguel; López-Rodríguez, Isidro; Cardona-Vidal, José M; Varela-Román, Alfonso; González-Juanatey, José R

    2007-04-01

    Heart failure (HF) is an important public health concern. Our aim was to evaluate the characteristics of HF patients in Galicia, Spain. This descriptive, cross-sectional, multicenter study involved 149 primary care physicians and recorded the characteristics of 1195 patients diagnosed with HF. Some 48% of patients were male, and their mean age was 76 years, though women were older (P<.001). Disease history included hypertension in 82%, hyperlipidemia in 47%, diabetes in 31%, atrial fibrillation in 49%, valvular disease in 35%, and ischemic heart disease in 32%. Mean systolic and diastolic blood pressures were 131 mm Hg and 76 mm Hg, respectively. Pressure was controlled (

  20. Hydrogen distribution studies relevant to CANDU containments

    International Nuclear Information System (INIS)

    Krause, M.; Whitehouse, D.R.; Chan, C.K.; Jones, S.C.A.

    1995-01-01

    Following a loss of coolant accident with coincident loss of emergency core cooling, hydrogen may be produced in a CANDU reactor from the in-core Zircaloy-steam reaction, and released into containment. To meet the requirements for predicting containment hydrogen distribution, and to support measures for mitigation, a computer code GOTHIC is used. Simulations of gas mixing were performed using simple well defined experiments in a small-scale compartment, helium being substituted for hydrogen. At the time of the conference, results indicated that GOTHIC could quantitatively predict the stratified gas distribution resulting from buoyant gas injection near the bottom of an unobstructed compartment. When gas was injected near the top, GOTHIC underpredicted maximum gas concentration at the top, and overpredicted mixing. These errors arise from the finite-volume approximation. 2 refs., 11 figs

  1. Studies for reactor containment at Narora

    International Nuclear Information System (INIS)

    Kurien, M.Z.

    1975-01-01

    The primary reactor containment at Narora has the unusual function of also carrying the heavy boilers (heat exchangers) and providing a flat work surface over the roof. The site being in a seismically active region, certain conflicting requirements in regard to ideal conditions to resist and analyse functional loads and seismic loads have to be reconciled. Alternative schemes are proposed and the stress flow for each major loading case examined and their consequent relative advantages discussed. Problems at the joints and functions are examined and the implications of various arrangements are reviewed. Suggestions to reduce the magnitude of the problems are tentatively proposed. (author)

  2. Heart failure in India: The INDUS (INDia Ukieri Study study

    Directory of Open Access Journals (Sweden)

    Vivek Chaturvedi

    2016-01-01

    Full Text Available Introduction: There are few data on heart failure (HF burden and none available on the community prevalence of HF in India. We conducted a study aimed at determining the HF prevalence in a rural community as well as tertiary hospital care setting in North India. We also reviewed the existing literature regarding the estimated and projected prevalence of HF in India. Methodology: All adults (>20 years with chronic breathlessness in six villages under a primary health care center in Northern India were identified and evaluated with standardized questionnaire and physical examination by trained health care workers. HF was diagnosed by standardized criteria and a transthoracic echocardiogram was performed in all subjects. In the hospital study, 500 consecutive patients presenting to our tertiary referral hospital were evaluated for the diagnosis of HF. For the systematic review, all published studies addressing HF or the burden of risk factors in India were identified. Projections for the absolute HF burden were made using local data and global studies of HF incidence, morbidity, and mortality. Results: Among the surveyed rural adult population of 10,163 patients, chronic breathlessness was present in 128 (1.3%. HF was present in 9% (n = 12, of which 67% (n = 8 had preserved left ventricular (LV systolic function and 33% (n = 4 had LV systolic dysfunction. Therefore, the prevalence of HF in this general community was 1.2/1000. All patients with HF and preserved ejection fraction had poorly controlled hypertension. In the hospital study, of 500 consecutive patients, 20.4% had HF. Rheumatic heart disease (52% was the most common cause followed by ischemic heart disease (17%. The mean age of presentation was 39 ± 16 years. The prevalence of HF in the outpatient department patients was 22.5% below 30 years and 14.9% above 50 years, reflecting the young population of HF. For the estimates concerning HF burden in India, projections were made using both

  3. Corrosion process studies in a nuclear waste container

    International Nuclear Information System (INIS)

    Guasp, Ruben A.; Lanzani, Liliana A.; Coronel, Pascual; Bruzzoni, Pablo; Semino, Carlos J.

    1999-01-01

    Latest results on corrosion behavior studies on high activity nuclear waste container are reported. Corrosion evaluation on lead base alloys and modeling to predict carbon steel external container cover generalized corrosion, are the main issues of these studies. (author)

  4. Contribution to the physical study of sheath failure detections

    International Nuclear Information System (INIS)

    Mangin, Jean-Paul

    1968-11-01

    As the study of an installation aimed at the detection of sheath failure requires the knowledge of a great number of data related to all the fields of nuclear technology (fission mechanisms, sheath failure mechanisms, recoil of fission products, distribution of the heat transfer fluid in the reactor, techniques of measurement of beta and gamma neutrons, nuclear safety, and so on), this report aims at highlighting some specific issues, more particularly those related to sensors based on delayed neutrons. After having recalled the principles of sheath failure detection, the author presents the various aspects of the study of the formation of fission products and of their passage into the heat transfer fluid: detection by using delayed neutrons, detection by electrostatic collection, passage of fuel fission products into the coolant (recoil, corrosion, gaseous diffusion in the fuel), formation of fission products in the fuel (fission product efficiency). He reports the study of the transport of fission products by the coolant from their place of birth to the place of measurement. He presents the system of measurement by detection of delayed neutrons and by electrostatic collection, reports a sensitivity calculation, a background noise assessment, the determination of detection threshold, and the application of sensitivity and detection thresholds calculations [fr

  5. Studies on yttrium-containing smart alloys

    Energy Technology Data Exchange (ETDEWEB)

    Klein, Felix; Wegener, Tobias; Litnovsky, Andrey; Rasinski, Marcin; Linsmeier, Christian [Forschungszentrum Juelich GmbH, Institut fuer Energie- und Klimaforschung - Plasmaphysik (Germany); Mayer, Joachim [Ernst Ruska-Centrum, 52425 Juelich (Germany)

    2016-07-01

    Tungsten is the main candidate as plasma-facing armour material for future fusion reactors, like DEMO. Advantages of tungsten include high melting point, high thermal conductivity, low tritium retention, and low erosion yield. A problem is oxide volatilisation under accidental conditions where the temperature of the first wall can reach 1200 K to 1450 K and air ingress occurs. Therefore smart tungsten alloys are developed. Smart alloys are supposed to preserve properties of tungsten during plasma operation coupled with suppressed tungsten oxide formation in case of an accident. Lab-scale tungsten-chromium-yttrium (W-Cr-Y) samples prepared by magnetron sputtering are used as model system. The mechanisms of oxidation and its dynamics are studied using a thermogravimetric system, focussed ion beam, and electron microscopy. A composition scan was conducted: The new material composition featuring W, ∝ 12 wt.% Cr, ∝ 0.3 wt.% Y showed strongest suppression of oxidation, no pores, and least internal oxidation. At 1273 K in argon-oxygen atmosphere an oxidation rate of 3 . 10{sup -6} mg{sup 2}cm{sup -4}s{sup -1} was measured. At 1473 K ternary W-Cr-Y alloys suppressed evaporation up to 20 min while for W-Cr evaporation was already evident after 5 min. Comparison of passivation in dry and humid atmosphere, at temperatures of 1073 K to 1473 K is performed.

  6. Studies on yttrium-containing smart alloys

    International Nuclear Information System (INIS)

    Klein, Felix; Wegener, Tobias; Litnovsky, Andrey; Rasinski, Marcin; Linsmeier, Christian; Mayer, Joachim

    2016-01-01

    Tungsten is the main candidate as plasma-facing armour material for future fusion reactors, like DEMO. Advantages of tungsten include high melting point, high thermal conductivity, low tritium retention, and low erosion yield. A problem is oxide volatilisation under accidental conditions where the temperature of the first wall can reach 1200 K to 1450 K and air ingress occurs. Therefore smart tungsten alloys are developed. Smart alloys are supposed to preserve properties of tungsten during plasma operation coupled with suppressed tungsten oxide formation in case of an accident. Lab-scale tungsten-chromium-yttrium (W-Cr-Y) samples prepared by magnetron sputtering are used as model system. The mechanisms of oxidation and its dynamics are studied using a thermogravimetric system, focussed ion beam, and electron microscopy. A composition scan was conducted: The new material composition featuring W, ∝ 12 wt.% Cr, ∝ 0.3 wt.% Y showed strongest suppression of oxidation, no pores, and least internal oxidation. At 1273 K in argon-oxygen atmosphere an oxidation rate of 3 . 10 -6 mg 2 cm -4 s -1 was measured. At 1473 K ternary W-Cr-Y alloys suppressed evaporation up to 20 min while for W-Cr evaporation was already evident after 5 min. Comparison of passivation in dry and humid atmosphere, at temperatures of 1073 K to 1473 K is performed.

  7. Early failure analysis of machining centers: a case study

    International Nuclear Information System (INIS)

    Wang Yiqiang; Jia Yazhou; Jiang Weiwei

    2001-01-01

    To eliminate the early failures and improve the reliability, nine ex-factory machining centers are traced under field conditions in workshops. Their early failure information throughout the ex-factory run-in test is collected. The field early failure database is constructed based on the collection of field early failure data and the codification of data. Early failure mode and effects analysis is performed to indicate the weak subsystem of a machining center or the troublemaker. The distribution of the time between early failures is analyzed and the optimal ex-factory run-in test time for machining center that may expose sufficiently the early failures and cost minimum is discussed. Suggestions how to arrange ex-factory run-in test and how to take actions to reduce early failures for machining center is proposed

  8. An Experimental Study of Shear-Dominated Failure in the 2013 Sandia Fracture Challenge Specimen

    Energy Technology Data Exchange (ETDEWEB)

    Corona, Edmundo [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Deibler, Lisa Anne [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Reedlunn, Benjamin [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Ingraham, Mathew Duffy [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Williams, Shelley [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-04-01

    This report presents an experimental study motivated by results obtained during the 2013 Sandia Fracture Challenge. The challenge involved A286 steel, shear-dominated compression specimens whose load-deflection response contained a load maximum fol- lowed by significant displacement under decreasing load, ending with a catastrophic fracture. Blind numerical simulations deviated from the experiments well before the maximum load and did not predict the failure displacement. A series of new tests were conducted on specimens machined from the original A286 steel stock to learn more about the deformation and failure processes in the specimen and potentially improve future numerical simulations. The study consisted of several uniaxial tension tests to explore anisotropy in the material, and a set of new tests on the compression speci- men. In some compression specimen tests, stereo digital image correlation (DIC) was used to measure the surface strain fields local to the region of interest. In others, the compression specimen was loaded to a given displacement prior to failure, unloaded, sectioned, and imaged under the microscope to determine when material damage first appeared and how it spread. The experiments brought the following observations to light. The tensile tests revealed that the plastic response of the material is anisotropic. DIC during the shear- dominated compression tests showed that all three in-plane surface strain components had maxima in the order of 50% at the maximum load. Sectioning of the specimens revealed no signs of material damage at the point where simulations deviated from the experiments. Cracks and other damage did start to form approximately when the max- imum load was reached, and they grew as the load decreased, eventually culminating in catastrophic failure of the specimens. In addition to the steel specimens, a similar study was carried out for aluminum 7075-T651 specimens. These specimens achieved much lower loads and displacements

  9. Mutational correlates of virological failure in individuals receiving a WHO-recommended tenofovir-containing first-line regimen: An international collaboration

    NARCIS (Netherlands)

    S.Y. Rhee (Soo Yoon); V. Varghese (Vici); Holmes, S.P. (Susan P.); Van Zyl, G.U. (Gert U.); Steegen, K. (Kim); Boyd, M.A. (Mark A.); D.A. Cooper (David); Nsanzimana, S. (Sabin); Saravanan, S. (Shanmugam); C. Charpentier (Charlotte); T. de Oliveira (Tulio); Etiebet, M.A.A. (Mary-Ann A.); F. Garcia; D. Goedhals; Gomes, P. (Perpetua); H.F. Günthard; R.L. Hamers (Raph); Hoffmann, C.J. (Christopher J); G.M. Hunt (Gillian M.); Jiamsakul, A. (Awachana); P. Kaleebu (Pontiano); P.J. Kanki; R. Kantor (Rami); B. Kerschberger; V.C. Marconi; D'amour Ndahimana, J. (Jean); N. Ndembi (Nicaise); Ngo-Giang-Huong, N. (Nicole); C. Rokx (Casper); M.M. Santoro (Maria); J.M. Schapiro (Jonathan); D. Schmidt; Seu, L. (Lillian); K.C. Sigaloff (Kim); S. Sirivichayakul (Sunee); Skhosana, L. (Lindiwe); H. Sunpath; M. Tang; Yang, C. (Chunfu); Carmona, S. (Sergio); Gupta, R.K. (Ravindra K.); R.W. Shafer (Robert)

    2017-01-01

    textabstractTenofovir disoproxil fumarate (TDF) genotypic resistance defined by K65R/N and/or K70E/Q/G occurs in 20% to 60% of individuals with virological failure (VF) on a WHO-recommended TDF-containing first-line regimen. However, the full spectrum of reverse transcriptase (RT) mutations selected

  10. Mutational Correlates of Virological Failure in Individuals Receiving a WHO-Recommended Tenofovir-Containing First-Line Regimen: An International Collaboration

    NARCIS (Netherlands)

    Rhee, Soo-Yon; Varghese, Vici; Holmes, Susan P.; van Zyl, Gert U.; Steegen, Kim; Boyd, Mark A.; Cooper, David A.; Nsanzimana, Sabin; Saravanan, Shanmugam; Charpentier, Charlotte; de Oliveira, Tulio; Etiebet, Mary-Ann A.; Garcia, Federico; Goedhals, Dominique; Gomes, Perpetua; Günthard, Huldrych F.; Hamers, Raph L.; Hoffmann, Christopher J.; Hunt, Gillian; Jiamsakul, Awachana; Kaleebu, Pontiano; Kanki, Phyllis; Kantor, Rami; Kerschberger, Bernhard; Marconi, Vincent C.; D'amour Ndahimana, Jean; Ndembi, Nicaise; Ngo-Giang-Huong, Nicole; Rokx, Casper; Santoro, Maria M.; Schapiro, Jonathan M.; Schmidt, Daniel; Seu, Lillian; Sigaloff, Kim C. E.; Sirivichayakul, Sunee; Skhosana, Lindiwe; Sunpath, Henry; Tang, Michele; Yang, Chunfu; Carmona, Sergio; Gupta, Ravindra K.; Shafer, Robert W.

    2017-01-01

    Tenofovir disoproxil fumarate (TDF) genotypic resistance defined by K65R/N and/or K70E/Q/G occurs in 20% to 60% of individuals with virological failure (VF) on a WHO-recommended TDF-containing first-line regimen. However, the full spectrum of reverse transcriptase (RT) mutations selected in

  11. Evaluation of cardiac sympathetic nerve activity and aldosterone suppression in patients with acute decompensated heart failure on treatment containing intravenous atrial natriuretic peptide

    International Nuclear Information System (INIS)

    Kasama, Shu; Toyama, Takuji; Kurabayashi, Masahiko; Iwasaki, Toshiya; Sumino, Hiroyuki; Kumakura, Hisao; Minami, Kazutomo; Ichikawa, Shuichi; Matsumoto, Naoya; Nakata, Tomoaki

    2014-01-01

    Aldosterone prevents the uptake of norepinephrine in the myocardium. Atrial natriuretic peptide (ANP), a circulating hormone of cardiac origin, inhibits aldosterone synthase gene expression in cultured cardiocytes. We evaluated the effects of intravenous ANP on cardiac sympathetic nerve activity (CSNA) and aldosterone suppression in patients with acute decompensated heart failure (ADHF). We studied 182 patients with moderate nonischemic ADHF requiring hospitalization and treated with standard therapy containing intravenous ANP and 10 age-matched normal control subjects. ANP was continuously infused for >96 h. In all subjects, delayed total defect score (TDS), heart to mediastinum ratio, and washout rate were determined by 123 I-metaiodobenzylguanidine (MIBG) scintigraphy. Left ventricular (LV) end-diastolic volume, end-systolic volume, and ejection fraction were determined by echocardiography. All patients with acute heart failure (AHF) were examined once within 3 days and then 4 weeks after admission, while the control subjects were examined only once (when their hemodynamics were normal). Moreover, for 62 AHF patients, plasma aldosterone concentrations were measured at admission and 1 h before stopping ANP infusion. 123 I-MIBG scintigraphic and echocardiographic parameters in normal subjects were more favorable than those in patients with AHF (all p < 0.001). After treatment, all these parameters improved significantly in AHF patients (all p < 0.001). We also found significant correlation between percent changes of TDS and aldosterone concentrations (r = 0.539, p < 0.001) in 62 AHF patients. The CSNA and LV performance were all improved in AHF patients. Furthermore, norepinephrine uptake of myocardium may be ameliorated by suppressing aldosterone production after standard treatment containing intravenous ANP. (orig.)

  12. Evaluation of cardiac sympathetic nerve activity and aldosterone suppression in patients with acute decompensated heart failure on treatment containing intravenous atrial natriuretic peptide

    Energy Technology Data Exchange (ETDEWEB)

    Kasama, Shu [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Cardiovascular Hospital of Central Japan (Kitakanto Cardiovascular Hospital), Department of Cardiovascular Medicine, Gunma (Japan); Toyama, Takuji; Kurabayashi, Masahiko [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Iwasaki, Toshiya; Sumino, Hiroyuki; Kumakura, Hisao; Minami, Kazutomo; Ichikawa, Shuichi [Cardiovascular Hospital of Central Japan (Kitakanto Cardiovascular Hospital), Department of Cardiovascular Medicine, Gunma (Japan); Matsumoto, Naoya [Nihon University School of Medicine, Department of Cardiology, Tokyo (Japan); Nakata, Tomoaki [Sapporo Medical University School of Medicine, Second (Cardiology) Department of Internal Medicine, Sapporo, Hokkaido (Japan)

    2014-09-15

    Aldosterone prevents the uptake of norepinephrine in the myocardium. Atrial natriuretic peptide (ANP), a circulating hormone of cardiac origin, inhibits aldosterone synthase gene expression in cultured cardiocytes. We evaluated the effects of intravenous ANP on cardiac sympathetic nerve activity (CSNA) and aldosterone suppression in patients with acute decompensated heart failure (ADHF). We studied 182 patients with moderate nonischemic ADHF requiring hospitalization and treated with standard therapy containing intravenous ANP and 10 age-matched normal control subjects. ANP was continuously infused for >96 h. In all subjects, delayed total defect score (TDS), heart to mediastinum ratio, and washout rate were determined by {sup 123}I-metaiodobenzylguanidine (MIBG) scintigraphy. Left ventricular (LV) end-diastolic volume, end-systolic volume, and ejection fraction were determined by echocardiography. All patients with acute heart failure (AHF) were examined once within 3 days and then 4 weeks after admission, while the control subjects were examined only once (when their hemodynamics were normal). Moreover, for 62 AHF patients, plasma aldosterone concentrations were measured at admission and 1 h before stopping ANP infusion. {sup 123}I-MIBG scintigraphic and echocardiographic parameters in normal subjects were more favorable than those in patients with AHF (all p < 0.001). After treatment, all these parameters improved significantly in AHF patients (all p < 0.001). We also found significant correlation between percent changes of TDS and aldosterone concentrations (r = 0.539, p < 0.001) in 62 AHF patients. The CSNA and LV performance were all improved in AHF patients. Furthermore, norepinephrine uptake of myocardium may be ameliorated by suppressing aldosterone production after standard treatment containing intravenous ANP. (orig.)

  13. Survival analysis of heart failure patients: A case study.

    Directory of Open Access Journals (Sweden)

    Tanvir Ahmad

    Full Text Available This study was focused on survival analysis of heart failure patients who were admitted to Institute of Cardiology and Allied hospital Faisalabad-Pakistan during April-December (2015. All the patients were aged 40 years or above, having left ventricular systolic dysfunction, belonging to NYHA class III and IV. Cox regression was used to model mortality considering age, ejection fraction, serum creatinine, serum sodium, anemia, platelets, creatinine phosphokinase, blood pressure, gender, diabetes and smoking status as potentially contributing for mortality. Kaplan Meier plot was used to study the general pattern of survival which showed high intensity of mortality in the initial days and then a gradual increase up to the end of study. Martingale residuals were used to assess functional form of variables. Results were validated computing calibration slope and discrimination ability of model via bootstrapping. For graphical prediction of survival probability, a nomogram was constructed. Age, renal dysfunction, blood pressure, ejection fraction and anemia were found as significant risk factors for mortality among heart failure patients.

  14. Iron deficiency in chronic systolic heart failure(indic study

    Directory of Open Access Journals (Sweden)

    Sunil Verma

    2016-01-01

    Full Text Available Background: Chronic systolic heart failure (HF is characterized by the left ventricular dysfunction, exercise intolerance and is associated with neurohormonal activation that affects several organs such as kidney and skeletal muscle. Anemia is common in HF and may worsen symptoms. Iron deficiency (ID is also common in HF patients with or without anemia. Iron is the key cofactor in oxidative metabolism in skeletal muscle and the Krebs cycle. There is a paucity of data regarding iron metabolism in chronic systolic HF in India. Methods: IroN Deficiency In CHF study (INDIC is an observational study that investigated forty chronic heart failure patients for the presence of ID. Serum ferritin (micrograms per liter, serum iron (micrograms per liter, total iron binding capacity (micrograms per liter, transferring (milligrams per deciliter, and transferrin saturation were measured to assess iron status. Results: There were 67.5% (27/40 patients who had ID with a mean serum ferritin level of 76.4 μg/L. Of the 27 iron deficient patients, 22 (55% had an absolute ID, and 5 had a functional ID. Eight out of 27 of the iron deficient patients were anemic (20% of the total cohort, 30% of the iron deficient patients. Anemia was seen in 6 other patients, which was possibly anemia of chronic disease. There was a trend for more advanced New York Heart Association (NYHA class (NYHA III and NYHA IV patients with ID (37.4% vs. 30.77%, P = 0.697. Conclusion: In our study, ID was very common, affecting more than half of the patients with systolic HF. Absolute ID was the most common cause of ID and patients with ID had a tendency to have advanced NYHA class. Our study also demonstrated that ID can occur in the absence of anemia (iron depletion.

  15. Study on the CFD simulation of refrigerated container

    Science.gov (United States)

    Arif Budiyanto, Muhammad; Shinoda, Takeshi; Nasruddin

    2017-10-01

    The objective this study is to performed Computational Fluid Dynamic (CFD) simulation of refrigerated container in the container port. Refrigerated container is a thermal cargo container constructed from an insulation wall to carry kind of perishable goods. CFD simulation was carried out use cross sectional of container walls to predict surface temperatures of refrigerated container and to estimate its cooling load. The simulation model is based on the solution of the partial differential equations governing the fluid flow and heat transfer processes. The physical model of heat-transfer processes considered in this simulation are consist of solar radiation from the sun, heat conduction on the container walls, heat convection on the container surfaces and thermal radiation among the solid surfaces. The validation of simulation model was assessed uses surface temperatures at center points on each container walls obtained from the measurement experimentation in the previous study. The results shows the surface temperatures of simulation model has good agreement with the measurement data on all container walls.

  16. From breathless to failure: symptom onset and diagnostic meaning in patients with heart failure-a qualitative study.

    Science.gov (United States)

    Taylor, C J; Hobbs, F D R; Marshall, T; Leyva-Leon, F; Gale, N

    2017-03-10

    To explore 2 key points in the heart failure diagnostic pathway-symptom onset and diagnostic meaning-from the patient perspective. Qualitative interview study. Participants were recruited from a secondary care clinic in central England following referral from primary care. Over age 55 years with a recent (failure confirmed by a cardiologist following initial presentation to primary care. Semistructured interviews were carried out with 16 participants (11 men and 5 women, median age 78.5 years) in their own homes. Data were audio-recorded and transcribed. Participants were asked to describe their diagnostic journey from when they first noticed something wrong up to and including the point of diagnosis. Data were analysed using the framework method. Participants initially normalised symptoms and only sought medical help when daily activities were affected. Failure to realise that anything was wrong led to a delay in help-seeking. Participants' understanding of the term 'heart failure' was variable and 1 participant did not know he had the condition. The term itself caused great anxiety initially but participants learnt to cope with and accept their diagnosis over time. Greater public awareness of symptoms and adequate explanation of 'heart failure' as a diagnostic label, or reconsideration of its use, are potential areas of service improvement. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  17. Building Failures And Collapses: A Case Study Of Portharcourt ...

    African Journals Online (AJOL)

    The Cases of Building failures and consequent collapse in Nigeria has reached an alarming and lamentable stage. It is a disaster comparable to flood disaster, earthquake and aeroplane clash considering the loss of life and destruction of property. Building failure are mostly observed in big cities where there are multiple ...

  18. Pump shaft failures - a compendium of case studies

    CSIR Research Space (South Africa)

    Bernt, F

    2001-04-01

    Full Text Available During operation, pump shafts usually suffer from degradation as a result of corrosion and/or mechanical degradation, usually in the form of fatigue failures. In many cases corrosion precedes fatigue failure and can actually accelerate the rate...

  19. Protecting against failure by brittle fracture in ferritic-steel shipping containers greater than four-in. thick

    International Nuclear Information System (INIS)

    Schwartz, M.W.

    1982-12-01

    This report presents methods for protecting against brittle fracture spent-fuel shipping containers made from ferritic-steel forgings greater than four in. thick. Both fracture arrest and fracture initiation criteria were examined as bases for establishing requirements for the design and selection of materials for shipping containers. This report also includes a discussion of the brittle-fracture sensitivity of the containers to various processes used in container fabrication. 19 figures, 3 tables

  20. NPR and ANSI Containment Study Using Passive Cooling Techniques

    International Nuclear Information System (INIS)

    Shin, J. J.; Iotti, R. C.; Wright, R. F.

    1993-01-01

    Passive containment cooling study of NPR (New Production Reactor) and ANSI (Advanced Neutron Source) following postulated loss of coolant accident with a coincident station blackout due to total loss of all alternating current power are studied analytically and experimentally. All the reactor and containment cooling under this condition would rely on the passive cooling system which removes reactor decay heat and provides emergency core and containment cooling. Containment passive emergency core and containment cooling. Containment passive cooling for this study takes place in the annulus between containment steel shell and concrete shield building by natural convection air flow and concrete shield building by natural convection air flow and thermal radiation. Various heat transfer coefficients inside annular air space were investigated by running the modified Contempt code Contempt-Npr. In order to verify proper heat transfer coefficient, temperature, heat flux and velocity profiles were measured inside annular air space of the test facility which is a 24 foot (7.3m) high, steam heated inner cylinder of three foot (.91m) diameter and five and halt foot (1.7m) diameter outer cylinder. Comparison of Contempt-Npr and WGOTHIC was done for reduced scale Npr. It is concluded that Npr and ANSI containments can be passively cooled with air alone without extended cooling surfaces or passive water spray

  1. Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

    Science.gov (United States)

    Flores, Melissa; Malin, Jane T.

    2013-01-01

    An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component s functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

  2. Pump impeller failures - a compendium of case studies

    CSIR Research Space (South Africa)

    Van Bennekom, A

    2001-04-01

    Full Text Available This paper presents a collection of pump impeller failures that have been encountered during the consulting activities at the University of the Witwatersrand and the Plant Infrastructure and Pipelines Centre at the Council for Scientific...

  3. A community based study of failure to thrive in Israel.

    Science.gov (United States)

    Wilensky, D S; Ginsberg, G; Altman, M; Tulchinsky, T H; Ben Yishay, F; Auerbach, J

    1996-01-01

    OBJECTIVE: To examine the characteristics of infants suffering from failure to thrive in a community based cohort in Israel and to ascertain the effect of failure to thrive on their cognitive development. METHODS: By review of records maintained at maternal and child health clinics in Jerusalem and the two of Beit Shemesh, epidemiological data were obtained at age 15 months on a cohort of all babies born in 1991. For each case of failure to thrive, a matched control was selected from the same maternal and child health clinic. At age 20 months, cognitive development was measured, and at 25 months a home visit was carried out to assess maternal psychiatric status by questionnaire, and the HOME assessment was performed to assess the home environment. RESULTS: 3.9% of infants were found to have fallen below the third centile in weight for at least three months during the first year of life. Infants with failure to thrive did not differ from the general population in terms of obstetric or neonatal complications, birth order, or parents' ethnic origin, age, or years of education. The infants with failure to thrive did have lower birthweights and marginally smaller head circumferences at birth. Developmental assessment at 20 months of age showed a DQ of 99.7 v 107.2 in the matched controls, with 11.5% having a DQ below 80, as opposed to only 4.6% of the controls. No differences were found in maternal psychiatric problems as measured by a self report questionnaire. There were, however, significant differences in subscales of the HOME scale. CONCLUSIONS: (1) Infants who suffered from failure to thrive had some physiological predispositions that put them at risk; (2) failure to thrive may be an early marker of families providing suboptimal developmental stimulation. PMID:8869197

  4. Parametric study of radioactive release from a breached containment

    International Nuclear Information System (INIS)

    Kenigsberg, A.; Hasan, D.; Elias, E.

    1980-01-01

    A hypothetical accident is analyzed, in which an external (out-of-plant) natural or man-made event causes a loss-of-coolant accident after penetrating the containment wall. The computer codes CONTEMPT and RELAP4 have been used to study the containment thermal-hydraulic behavior during the accident. Results are given in the form of graphs showing the thermal-hydraulic response of the containment and the profile of radioactive release to the atmosphere. The physical model and input data are discussed. 13 refs

  5. Sensitivity Study on Analysis of Reactor Containment Response to LOCA

    International Nuclear Information System (INIS)

    Chung, Ku Young; Sung, Key Yong

    2010-01-01

    As a reactor containment vessel is the final barrier to the release of radioactive material during design basis accidents (DBAs), its structural integrity must be maintained by withstanding the high pressure conditions resulting from DBAs. To verify the structural integrity of the containment, response analyses are performed to get the pressure transient inside the containment after DBAs, including loss of coolant accidents (LOCAs). The purpose of this study is to give regulative insights into the importance of input variables in the analysis of containment responses to a large break LOCA (LBLOCA). For the sensitivity study, a LBLOCA in Kori 3 and 4 nuclear power plant (NPP) is analyzed by CONTEMPT-LT computer code

  6. Sensitivity Study on Analysis of Reactor Containment Response to LOCA

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Ku Young; Sung, Key Yong [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2010-10-15

    As a reactor containment vessel is the final barrier to the release of radioactive material during design basis accidents (DBAs), its structural integrity must be maintained by withstanding the high pressure conditions resulting from DBAs. To verify the structural integrity of the containment, response analyses are performed to get the pressure transient inside the containment after DBAs, including loss of coolant accidents (LOCAs). The purpose of this study is to give regulative insights into the importance of input variables in the analysis of containment responses to a large break LOCA (LBLOCA). For the sensitivity study, a LBLOCA in Kori 3 and 4 nuclear power plant (NPP) is analyzed by CONTEMPT-LT computer code

  7. Medical costs in patients with heart failure after acute heart failure events: one-year follow-up study.

    Science.gov (United States)

    Kim, Eugene; Kwon, Hye-Young; Baek, Sang Hong; Lee, Haeyoung; Yoo, Byung-Su; Kang, Seok-Min; Ahn, Youngkeun; Yang, Bong-Min

    2018-03-01

    This study investigated annual medical costs using real-world data focusing on acute heart failure. The data were retrospectively collected from six tertiary hospitals in South Korea. Overall, 330 patients who were hospitalized for acute heart failure between January 2011 and July 2012 were selected. Data were collected on their follow-up medical visits for 1 year, including medical costs incurred toward treatment. Those who died within the observational period or who had no records of follow-up visits were excluded. Annual per patient medical costs were estimated according to the type of medical services, and factors contributing to the costs using Gamma Generalized Linear Models (GLM) with log link were analyzed. On average, total annual medical costs for each patient were USD 6,199 (±9,675), with hospitalization accounting for 95% of the total expenses. Hospitalization cost USD 5,904 (±9,666) per patient. Those who are re-admitted have 88.5% higher medical expenditure than those who have not been re-admitted in 1 year, and patients using intensive care units have 19.6% higher expenditure than those who do not. When the number of hospital days increased by 1 day, medical expenses increased by 6.7%. Outpatient drug costs were not included. There is a possibility that medical expenses for AHF may have been under-estimated. It was found that hospitalization resulted in substantial costs for treatment of heart failure in South Korea, especially in patients with an acute heart failure event. Prevention strategies and appropriate management programs that would reduce both frequency of hospitalization and length of stay for patients with the underlying risk of heart failure are needed.

  8. Study on Flexible Pavement Failures in Soft Soil Tropical Regions

    Science.gov (United States)

    Jayakumar, M.; Chee Soon, Lee

    2015-04-01

    Road network system experienced rapid upgrowth since ages ago and it started developing in Malaysia during the colonization of British due to its significant impacts in transportation field. Flexible pavement, the major road network in Malaysia, has been deteriorating by various types of distresses which cause descending serviceability of the pavement structure. This paper discusses the pavement condition assessment carried out in Sarawak and Sabah, Malaysia to have design solutions for flexible pavement failures. Field tests were conducted to examine the subgrade strength of existing roads in Sarawak at various failure locations, to assess the impact of subgrade strength on pavement failures. Research outcomes from field condition assessment and subgrade testing showed that the critical causes of pavement failures are inadequate design and maintenance of drainage system and shoulder cross fall, along with inadequate pavement thickness provided by may be assuming the conservative value of soil strength at optimum moisture content, whereas the exiting and expected subgrade strengths at equilibrium moisture content are far below. Our further research shows that stabilized existing recycled asphalt and base materials to use as a sub-base along with bitumen stabilized open graded base in the pavement composition may be a viable solution for pavement failures.

  9. Frequency and echocardiographic study of dilated cardiomyopathy in children presenting with cardiac failure

    International Nuclear Information System (INIS)

    Khan, M.A.; Mohammad, J.; Hussain, M.

    2004-01-01

    Objective: To evaluate the role of echocardiography in diagnosis of dilated cardiomyopathy as a cause of cardiac failure in children. Design: This was descriptive study. Children presenting with cardiac failure from indoor patients were selected and echocardiography along with chest X- ray, ECG, cardiac enzymes and ASO titre was performed in all patients. Subject: Fifty hospitalized patients with congestive heart failure were selected consecutively from hospitalized patients. Main Outcome: Role of echocardiography in the diagnosis of dilated cardiomyopathy in children presenting with cardiac failure. Results: Out of fifty patients admitted with cardiac failure 27 (54%) cases were found to be dilated cardiomyopathy while congenital heart disease, myocarditis and rheumatic heart disease were found in 12 (24%), 8 (16%) and 3 (6%) cases respectively. Conclusion: Dilated cardiomyopathy is an important cause of cardiac failure in children and echocardiography is an important tool to diagnose and differentiate dilated cardiomyopathy from other causes of cardiac failure. (author)

  10. Central motor control failure in fibromyalgia: a surface electromyography study.

    Science.gov (United States)

    Casale, Roberto; Sarzi-Puttini, Piercarlo; Atzeni, Fabiola; Gazzoni, Marco; Buskila, Dan; Rainoldi, Alberto

    2009-07-01

    Fibromyalgia (FM) is characterised by diffuse musculoskeletal pain and stiffness at multiple sites, tender points in characteristic locations, and the frequent presence of symptoms such as fatigue. The aim of this study was to assess whether the myoelectrical manifestations of fatigue in patients affected by FM are central or peripheral in origin. Eight female patients aged 55.6 +/- 13.6 years (FM group) and eight healthy female volunteers aged 50.3 +/- 9.3 years (MCG) were studied by means of non-invasive surface electromyography (s-EMG) involving a linear array of 16 electrodes placed on the skin overlying the biceps brachii muscle, with muscle fatigue being evoked by means of voluntary and involuntary (electrically elicited) contractions. Maximal voluntary contractions (MVCs), motor unit action potential conduction velocity distributions (mean +/- SD and skewness), and the mean power frequency of the spectrum (MNF) were estimated in order to assess whether there were any significant differences between the two groups and contraction types. The motor pattern of recruitment during voluntary contractions was altered in the FM patients, who also showed fewer myoelectrical manifestations of fatigue (normalised conduction velocity rate of changes: -0.074 +/- 0.052%/s in FM vs -0.196 +/- 0.133%/s in MCG; normalised MNF rate of changes: -0.29 +/- 0.16%/s in FM vs -0.66 +/- 0.34%/s in MCG). Mean conduction velocity distribution and skewnesses values were higher (p fatigue in FM is the electrophysiological expression of muscle remodelling in terms of the prevalence of slow conducting fatigue-resistant type I fibres. As the only between-group differences concerned voluntary contractions, they are probably more related to central motor control failure than muscle membrane alterations, which suggests pathological muscle fibre remodelling related to altered suprasegmental control.

  11. Central motor control failure in fibromyalgia: a surface electromyography study

    Science.gov (United States)

    Casale, Roberto; Sarzi-Puttini, Piercarlo; Atzeni, Fabiola; Gazzoni, Marco; Buskila, Dan; Rainoldi, Alberto

    2009-01-01

    Background Fibromyalgia (FM) is characterised by diffuse musculoskeletal pain and stiffness at multiple sites, tender points in characteristic locations, and the frequent presence of symptoms such as fatigue. The aim of this study was to assess whether the myoelectrical manifestations of fatigue in patients affected by FM are central or peripheral in origin. Methods Eight female patients aged 55.6 ± 13.6 years (FM group) and eight healthy female volunteers aged 50.3 ± 9.3 years (MCG) were studied by means of non-invasive surface electromyography (s-EMG) involving a linear array of 16 electrodes placed on the skin overlying the biceps brachii muscle, with muscle fatigue being evoked by means of voluntary and involuntary (electrically elicited) contractions. Maximal voluntary contractions (MVCs), motor unit action potential conduction velocity distributions (mean ± SD and skewness), and the mean power frequency of the spectrum (MNF) were estimated in order to assess whether there were any significant differences between the two groups and contraction types. Results The motor pattern of recruitment during voluntary contractions was altered in the FM patients, who also showed fewer myoelectrical manifestations of fatigue (normalised conduction velocity rate of changes: -0.074 ± 0.052%/s in FM vs -0.196 ± 0.133%/s in MCG; normalised MNF rate of changes: -0.29 ± 0.16%/s in FM vs -0.66 ± 0.34%/s in MCG). Mean conduction velocity distribution and skewnesses values were higher (p fatigue in FM is the electrophysiological expression of muscle remodelling in terms of the prevalence of slow conducting fatigue-resistant type I fibres. As the only between-group differences concerned voluntary contractions, they are probably more related to central motor control failure than muscle membrane alterations, which suggests pathological muscle fibre remodelling related to altered suprasegmental control. PMID:19570214

  12. Central motor control failure in fibromyalgia: a surface electromyography study

    Directory of Open Access Journals (Sweden)

    Buskila Dan

    2009-07-01

    Full Text Available Abstract Background Fibromyalgia (FM is characterised by diffuse musculoskeletal pain and stiffness at multiple sites, tender points in characteristic locations, and the frequent presence of symptoms such as fatigue. The aim of this study was to assess whether the myoelectrical manifestations of fatigue in patients affected by FM are central or peripheral in origin. Methods Eight female patients aged 55.6 ± 13.6 years (FM group and eight healthy female volunteers aged 50.3 ± 9.3 years (MCG were studied by means of non-invasive surface electromyography (s-EMG involving a linear array of 16 electrodes placed on the skin overlying the biceps brachii muscle, with muscle fatigue being evoked by means of voluntary and involuntary (electrically elicited contractions. Maximal voluntary contractions (MVCs, motor unit action potential conduction velocity distributions (mean ± SD and skewness, and the mean power frequency of the spectrum (MNF were estimated in order to assess whether there were any significant differences between the two groups and contraction types. Results The motor pattern of recruitment during voluntary contractions was altered in the FM patients, who also showed fewer myoelectrical manifestations of fatigue (normalised conduction velocity rate of changes: -0.074 ± 0.052%/s in FM vs -0.196 ± 0.133%/s in MCG; normalised MNF rate of changes: -0.29 ± 0.16%/s in FM vs -0.66 ± 0.34%/s in MCG. Mean conduction velocity distribution and skewnesses values were higher (p Conclusion The apparent paradox of fewer myoelectrical manifestations of fatigue in FM is the electrophysiological expression of muscle remodelling in terms of the prevalence of slow conducting fatigue-resistant type I fibres. As the only between-group differences concerned voluntary contractions, they are probably more related to central motor control failure than muscle membrane alterations, which suggests pathological muscle fibre remodelling related to altered

  13. Status of containment integrity studies for continued in-tank storage of Hanford defense high-level waste

    International Nuclear Information System (INIS)

    Baca, R.G.; Beitel, G.A.; Mercier, P.F.; Moore, E.L.; Vollert, F.R.

    1978-09-01

    Information is provided on the technical studies that have been implemented for evaluating the containment integrity of the single-shell waste storage tanks. The major areas of study are an analysis of storage tank integrity, a failure mode analysis, and storage tank improvements. Evaluations of tank structural integrity include theoretical studies on static and dynamic load responses, laboratory studies on concrete durability, and experimental studies on the potential for exothermic reactions of salt cake. The structural analyses completed to date show that the tanks are in good condition and have a safety margin against overload. Environmental conditions that could cause a loss of durability are limited to the waste chemicals stored (which do not have access to the concrete). Concern that a salt cake exothermic reaction may initiate a loss of containment is not justifiable based on extensive testing completed. A failure mode analysis of a tank liner failure, a sidewall failure, and a dome collapse shows that no radiologic hazard to man results. Storage tank improvement studies completed show that support of a tank dome is achievable. Secondary containment provided by chemical grouts and bentonite clay slurry walls does not appear promising. It is now estimated that the single-shell tanks will be serviceable for the storage of salt cake waste for decades under currently established operating temperature and load limits

  14. Experimental studies of hydrogen behavior in ice condenser containments

    International Nuclear Information System (INIS)

    Lundstrom, P.; Tuomisto, H.; Lamberg, T.; Hongisto, O.

    1997-01-01

    A new hydrogen management scheme is being developed for the Loviisa ice condenser containment as a part of a comprehensive severe accident management (SAM) strategy. The scheme relies on containment-wide natural circulations that develop, once the ice condenser doors are forced open as a SAM measure, to produce effective mixing and a slow rise in hydrogen concentrations. Controlled removal of hydrogen from the containment atmosphere, and effective dissipation of the energy in the ice beds are also important elements of the hydrogen management scheme. The VICTORIA experiments in association with scaling and modelling studies are an important basis for the development of the hydrogen management scheme. VICTORIA represents an 1/15th scale model of the Loviisa containment. Numerous experiments have been carried out for studies of the convective flow behavior and hydrogen distribution. This paper focuses on experimental results on the important issues of containment upper compartment mixing behavior and containment behavior in a scenario with depleted ice condensers. (author)

  15. Comorbid Depression and Heart Failure: A Community Cohort Study.

    Directory of Open Access Journals (Sweden)

    Bhautesh Dinesh Jani

    Full Text Available To examine the association between depression and clinical outcomes in heart failure (HF in a community cohort.HF patients in Minnesota, United States completed depression screening using the 9-item Patient Health Questionnaire (PHQ-9 between 1st Oct 2007 and 1st Dec 2011; patients with PHQ-9≥5 were labelled "depressed". We calculated the risk of death and first hospitalization within 2 years using Cox regression. Results were adjusted for 10 commonly used prognostic factors (age, sex, systolic blood pressure, estimated glomerular filtration rate, serum sodium, ejection fraction, blood urea nitrogen, brain natriuretic peptide, presence of diabetes and ischaemic aetiology. Area under the curve (AUC, integrated discrimination improvement (IDI and net reclassification improvement (NRI compared depression as a predictor against the aforementioned factors.425 patients (mean age 74, 57.6% males were included in the study; 179 (42.1% had PHQ-9≥5. The adjusted hazard ratio of death was 2.02 (95% CI 1.34-3.04 and of hospitalization was 1.42 (95% CI 1.13-1.80 for those with compared to those without depression. Adding depression to the models did not appreciably change the AUC but led to statistically significant improvements in both the IDI (p = 0.001 and p = 0.005 for death and hospitalization, respectively and NRI (for death and hospitalization, 35% (p = 0.002 and 27% (p = 0.007 were reclassified correctly, respectively.Depression is frequent among community patients with HF and associated with increased risk of hospitalizations and death. Risk prediction for death and hospitalizations in HF patients can be improved by considering depression.

  16. soil failure crescent radii measurement for draft in tillage study

    African Journals Online (AJOL)

    user

    1986-09-01

    Sep 1, 1986 ... effective width of the failure crescent. V. = vertical component of blade force. V. = width of blade α. = blade rate angle δ. = soil metal friction angle. ϒs. = ..... Report. Department of. Agricultural. Engineering,. McGill University Montreal, canada, 1976. 13. Mckyes, E. and O.S. Ali. The cut- ting of soil by narrow.

  17. A Study on Pragmatic Failure in Cross-Cultural Communication

    Science.gov (United States)

    Fang, Jie

    2010-01-01

    Through analyzing and comparing the anecdotes of pragmatic failure in cross-cultural communication from the aspects of lexicon, syntax and discourse, some pragmatic strategies are suggested in intercultural communication. To improve learners' cultural awareness and communicative competence, a cultural-linguistic approach in foreign language…

  18. Soil Failure Crescent Radii Measurement for Draft in Tillage Study ...

    African Journals Online (AJOL)

    Field clay loam and sandy loam soils were tilled with a chisel shaped tine at different tillage geometries. Soil cracks and the extent of their propagations in the front and to the sides of the tillage tool were observed and measured. These measurements provided the failure crescent radii and the soil furrow geometry used in ...

  19. Increasing and decreasing factors of hope in infertile women with failure in infertility treatment: A phenomenology study.

    Science.gov (United States)

    Mosalanejad, Leili; Parandavar, Nehle; Gholami, Morteza; Abdollahifard, Sareh

    2014-02-01

    Assisted reproductive technology (ART) provide the hope of pregnancy for infertile women, but do not always turn this hope into reality. The purpose of this study was to explore the lived experience of infertile women from increasing and decreasing factors of hope in infertile women with failure in infertility treatment. Using a qualitative research design (Phenomenology study), 23 subjects were selected who had experienced infertility failure visited by gynecologist (Rasekh Infertility center) in 2012. The data were collected through semi structured interviews and analyzed using interpretive research strategies of phenomenology by Collizi's seven-stage method. Totally 96 codes were identified. The data arranged in two categories. The factors decreasing and increasing hope in infertility treatments. Totally 5 themes and 20 sub themes were extracted. The increasing factors which emerged from the data contain "spiritual source", "family interaction and support" and "information through the media", and decreasing factors contain "nature of treatments" and "negatively oriented mind".

  20. Accurate Prediction of Motor Failures by Application of Multi CBM Tools: A Case Study

    Science.gov (United States)

    Dutta, Rana; Singh, Veerendra Pratap; Dwivedi, Jai Prakash

    2018-02-01

    Motor failures are very difficult to predict accurately with a single condition-monitoring tool as both electrical and the mechanical systems are closely related. Electrical problem, like phase unbalance, stator winding insulation failures can, at times, lead to vibration problem and at the same time mechanical failures like bearing failure, leads to rotor eccentricity. In this case study of a 550 kW blower motor it has been shown that a rotor bar crack was detected by current signature analysis and vibration monitoring confirmed the same. In later months in a similar motor vibration monitoring predicted bearing failure and current signature analysis confirmed the same. In both the cases, after dismantling the motor, the predictions were found to be accurate. In this paper we will be discussing the accurate predictions of motor failures through use of multi condition monitoring tools with two case studies.

  1. Cytological analysis of the oral cells of chronic renal failure patients: a cytomorphometric study

    OpenAIRE

    TOZOĞLU, Ümmühan; KELEŞ, Mustafa; ÜNAL, Deniz; UYANIK, Abdullah

    2011-01-01

    The aim of this study was to cytologically analyze the tongue mucosa, buccal mucosa, and floor of the mouth of patients with chronic renal failure and healthy volunteers to determine what cellular changes are caused by uremic diseases. Materials and methods: In order to evaluate cellular changes induced by chronic renal failure, exfoliative cytology was used for the analysis of the tongue mucosa, buccal mucosa, and floor of the mouth of 20 uremic patients with chronic renal failure and 20 he...

  2. Concept study for a combined reinforced concrete containment

    International Nuclear Information System (INIS)

    Liersch, G.; Peter, U.; Danisch, R.; Freiman, M.; Hummer, M.; Roettinger, H.; Hansen, H.

    1994-01-01

    A variety of different steel and concrete containment types had been designed and constructed in the past. Most of the concrete containments had been prestressed offering the advantage of small displacements and certain leak tightness of the concrete itself. However, considerable stresses in concrete as well as in the tendons have to be maintained during the whole lifetime of the plant in order to guarantee the required prestressing. The long-time behaviour and the ductility in case of beyond design load cases must be verified. In contrary to a prestressed containment a reinforced containment will only significantly be loaded during test conditions or when needed in case of accidents. It offers additional margins which can be used especially for dynamic loads like impacts or for beyond design considerations. The aim of this paper is to show the feasibility of a so-called combined containment which means capable to resist both - severe internal accidents and external hazards mainly the aircraft crash impact as considered in the design of nuclear power plants in Germany. The concept is a lined reinforced containment without prestressing. The mechanical resistance function is provided by the reinforced concrete and the leak tightness function will be taken by a so called composite liner made of non-metallic materials. Some results of tests performed at SIEMENS laboratories and at the University of Karlsruhe which show the capability of a composite liner to bridge over cracks at the concrete surface will be presented in the paper. The study shows that the combined reinforced concrete containment with a composite liner offers a robust concept with high flexibility with respect to load requirements, beyond design considerations and geometrical shaping (arrangement of openings, integration with adjacent structures). The concept may be further optimized by partial prestressing at areas of high concentration of stresses such as at transition zones or at disturbances around

  3. Probabilistic study of cascading failures in complex interdependent lifeline systems

    International Nuclear Information System (INIS)

    Hernandez-Fajardo, Isaac; Dueñas-Osorio, Leonardo

    2013-01-01

    The internal complexity of lifeline systems and their standing interdependencies can operate in conjunction to amplify the negative effects of external disruptions. This paper introduces a simulation-based methodology to evaluate the joint impact of interdependence, component fragilities, and cascading failures in systemic fragility estimates. The proposed strategy uses a graph model of interdependent networks, an enhanced betweenness centrality for cascading failures approximation, and an interdependence model accounting for coupling uncertainty in the simulation of damage propagation for probabilistic performance assessment. This methodology is illustrated through its application to a realistic set of power and water networks subjected to earthquake scenarios and random failures. Test case results reveal two key insights: (1) the intensity of a perturbation influences interdependent systemic fragility by shaping the magnitudes of initial component damage and, sometimes counter-intuitively, the subsequent interdependence effects and (2) increasing local redundancy mitigates the effects of interdependence on systemic performance, but such intervention is incapable of eliminating interdependent effects completely. The previous insights provide basic guidelines for the design of systemic retrofitting policies. Additionally, the limitations of local capacity redundancy as a fragility control measure highlight the need for a critical assessment of intervention strategies in distributed infrastructure networks. Future work will assess the fragility-reduction efficiency of strategies involving informed manipulation of individual systemic topologies and the interdependence interfaces connecting them. - Highlights: ► An new simulation methodology effectively produces interdependent fragility assessments, IFAs. ► IFAs include perturbation action, cascading failures, and interdependent effects. ► Method tested using coupled networks exposed to earthquake and random

  4. Study on real-time elevator brake failure predictive system

    Science.gov (United States)

    Guo, Jun; Fan, Jinwei

    2013-10-01

    This paper presented a real-time failure predictive system of the elevator brake. Through inspecting the running state of the coil by a high precision long range laser triangulation non-contact measurement sensor, the displacement curve of the coil is gathered without interfering the original system. By analyzing the displacement data using the diagnostic algorithm, the hidden danger of the brake system can be discovered in time and thus avoid the according accident.

  5. Container-content compatibility studies: a pharmaceutical team's integrated approach.

    Science.gov (United States)

    Laschi, Alda; Sehnal, Natacha; Alarcon, Antoine; Barcelo, Beatrice; Caire-Maurisier, François; Delaire, Myriam; Feuilloley, Marc; Genot, Stéphanie; Lacaze, Catherine; Pisarik, Luc; Smati, Christophe

    2009-01-01

    Container-content compatibility studies are required as part of the submission of a new product market authorization file or for a change relating to the primary product-contact packaging. Many regulatory publications and guidances are available in the USA, Europe, and Japan. However these publications and guidances are not sufficiently precise enough to allow for consistent interpretation and implementation of the technical requirements. A working group has been formed by the French Society of Pharmaceutical Science and Technology (SFSTP) in order to propose guidance for container-content interaction studies that meet both European and US requirements, and allows consistent and standardized information to be presented by the industry to the regulators. When a pharmaceutical drug product remains in prolonged contact with a material, the two critical points to consider are the drug product's quality and safety. A pharmaceutical evaluation of the container-content relationship should be done based on the knowledge of the contact material (e.g., type, physicochemical properties), its manufacturing processes (e.g., the type of sterilization that could potentially alter the interactions), and the formulation components involved in contact with this material (e.g., physicochemical properties, pharmaceutical presentation, route of administration). Quality is evaluated using the stability study performed on the product. Safety is partially evaluated with the stability study and is analyzed in conjunction with toxicity testing, specifically with cytotoxicity testing. The toxicity aspect is the key point of the container-content compatibility study and of patient safety. Migration tests are conducted when an interaction is suspected, or found based on previous results, to identify the component responsible for this interaction and to help select a new material if needed. Therefore, such tests are perhaps not the best ones to use for the purpose of safety evaluation

  6. Analytical studies on optimization of containment design pressure

    International Nuclear Information System (INIS)

    Haware, S.K.; Ghosh, A.K.; Kushwaha, H.S.

    2005-01-01

    optimizing on the size of BOP in order to optimize the containment design pressure. The results of the optimization studies are presented and discussed in the paper. (authors)

  7. Failure Investigation of Debonded Sandwich Columns: An Experimental and Numerical Study

    DEFF Research Database (Denmark)

    Moslemian, Ramin; Berggreen, Christian; Carlsson, Leif A.

    2009-01-01

    Failure of compression loaded sandwich columns with an implanted through-width face/core debond is examined. Compression tests were conducted on sandwich columns containing implemented face/core debonds. The strains and out-of-plane displacements of the debonded region were monitored using the di...

  8. Technique for studies of ductile fracture in metals containing voids or inclusions

    International Nuclear Information System (INIS)

    Tittmann, B.R.; Nadler, H.; Paton, N.E.

    1976-01-01

    A technique of sample preparation is described for the study of the ductile fracture which occurs in metals containing failure initiating voids or inclusions. For the measurements discussed, commercial grade Ti--6 percent Al--4 percent V was machined into the form of right circular cylinders, each about 2 cm in dia and 3 cm long. The specimen was then prepared by taking a pair of these cylinders and diffusion bonding their end faces together to form one cylinder 6 cm long. Prior to bonding, the surfaces to be mated were machined in such a way then when mated, the desired shape, location, and number of defects would result arrayed on the bond plane. The results of the tensile tests show that of the three parameters measured, (yield stress, tensile strength, and ductility) only the ductility (reduction of area) exhibited a sufficiently significant variation over the samples tested to be a meaningful variable. The reason for the small change observed in ultimate strength with increasing volume fraction of defects is thought to be as follows: The metal near an array of voids may be compared with the necked portion of a tensile bar of ductile material. For this latter problem, Bridgman [Studies in Large Plastic Flow and Fracture, McGraw-Hill, New York, 1952] has shown that large triaxial stresses are induced in the necked region of a deformed bar. While the analogy is not exact, in many respects the region near a bond line containing voids is like the necked tensile bar. The bond-line voids may induce local triaxial stresses of the same type as those found for a cylindrically symmetric tensile bar, though the mathematical form and magnitude will be different. Consequently, while fracture originated at or near the bond-line voids at a strain below bulk-metal failure strain, the apparent failure stress is not markedly reduced even for significant volume fractions on bond-line voids

  9. An Exploratory Study of the Formation and Impact of Electronic Service Failures

    DEFF Research Database (Denmark)

    Tan, Chee-Wee; Benbasat, Izak; Cenfetelli, Ronald

    2016-01-01

    E-commerce service failures have been the bane of e-commerce, compelling customers to either abandon transactions entirely or switch to traditional brick-and-mortar establishments. Yet, there is a paucity of studies that investigates how such failures manifest on e-commerce websites and their imp...

  10. Methods and Case Studies for Teaching and Learning about Failure and Safety.

    Science.gov (United States)

    Bignell, Victor

    1999-01-01

    Discusses methods for analyzing case studies of failures of technological systems. Describes two distance learning courses that compare standard models of failure and success with the actuality of given scenarios. Provides teaching and learning materials and information sources for application to aspects of design, manufacture, inspection, use,…

  11. Experimental and numerical study of the micro-mechanical failure in composites

    DEFF Research Database (Denmark)

    Ashouri Vajari, Danial; Martyniuk, Karolina; Sørensen, Bent F.

    2013-01-01

    The fibre/matrix interfacial debonding is found to be the first microscale failure mechanism leading to subsequent macroscale transverse cracks in composite materials under tensile load. In this paper, the micromechanical interface failure in fiber-reinforced composites is studied experimentally...

  12. THE METHODOLOGICAL REVIEW OF THE STUDIES INVESTIGATING THE SUCCESS AND FAILURE FACTORS IN NEWPRODUCT DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Haluk Köksal

    2013-05-01

    Much has been written on the factors which can distinguish between successful and failure products. However, the methodologies in this area of research are almost as numerous as the articles which have been written. This article reviews the studies on new product success and failure factors from the methodological perspective.

  13. Coronary Calcification and the Risk of Heart Failure in the Elderly The Rotterdam Study

    NARCIS (Netherlands)

    Leening, Maarten J. G.; Elias-Smale, Suzette E.; Kavousi, Maryam; Felix, Janine F.; Deckers, Jaap W.; Vliegenthart, Rozemarijn; Oudkerk, Matthijs; Hofman, Albert; Steyerberg, Ewout W.; Stricker, Bruno H. Ch; Witteman, Jacqueline C. M.

    OBJECTIVES The purpose of this study was to determine the association of coronary artery calcification (CAC) with incident heart failure in the elderly and examine its independence of overt coronary heart disease (CHD). BACKGROUND Heart failure is often observed as a first manifestation of coronary

  14. Learning from Engineering Failures: A Case Study of the Deepwater Horizon

    Science.gov (United States)

    Rose, Mary Annette; Hunt, Brian

    2012-01-01

    Natural catastrophes and engineering failures provide timely, motivating, and conceptually rich backdrops for learning. Engineering educators have long embraced case studies of engineering failures as a sound pedagogical strategy for meeting several learning standards, such as "design within realistic constraints", and teaching failure…

  15. The use of metabolic balance studies in the objective discrimination between intestinal insufficiency and intestinal failure

    DEFF Research Database (Denmark)

    Prahm, August P; Brandt, Christopher F; Askov-Hansen, Carsten

    2017-01-01

    Background: In research settings that use metabolic balance studies (MBSs) of stable adult patients with short bowel syndrome, intestinal failure (IF) and dependence on parenteral support (PS) have been defined objectively as energy absorption metabolic rate (BMR), wet......, to objectivize the cause of nutritional dyshomeostasis (oral failure, malabsorption, or both), and to quantify the effects of treatment....

  16. How and why of orthodontic bond failures: An in vivo study

    Directory of Open Access Journals (Sweden)

    R K Vijayakumar

    2014-01-01

    Full Text Available Introduction: The bonding of orthodontic brackets and their failure rates by both direct and in-direct procedures are well-documented in orthodontic literature. Over the years different adhesive materials and various indirect bonding transfer procedures have been compared and evaluated for bond failure rates. The aim of our study is to highlight the use of a simple, inexpensive and ease of manipulation of a single thermo-plastic transfer tray and the use the of a single light cure adhesive to evaluate the bond failure rates in clinical situations. Materials and Methods: A total of 30 patients were randomly divided into two groups (Group A and Group B. A split-mouth study design was used, for, both the groups so that they were distributed equally with-out bias. After initial prophylaxis, both the procedures were done as per manufactures instructions. All patients were initially motivated and reviewed for bond failures rates for 6 months. Results: Bond failure rates were assessed for over-all direct and indirect procedures, anterior and posterior arches, and for individual tooth. Z-test was used for statistically analyzing, the normal distribution of the sample in a spilt mouth study. The results of the two groups were compared and P value was calculated using Z-proportion test to assess the significance of the bond failure. Conclusion: Over-all bond failure was more for direct bonding. Anterior bracket failure was more in-direct bonding than indirect procedure, which showed more posterior bracket failures. In individual tooth bond failure, mandibular incisor, and premolar brackets showed more failure, followed by maxillary premolars and canines.

  17. Microstructural Study of IF-WS2 Failure Modes

    Directory of Open Access Journals (Sweden)

    Jamie Cook

    2014-07-01

    Full Text Available This manuscript summarizes the failure mechanisms found in inorganic fullerene-type tungsten disulfide (IF-WS2 nanoparticles treated with diverse pressure loading methods. The approaches utilized to induce failure included: the use of an ultrasonic horn, the buildup of high pressures inside a shock tube which created a shock wave that propagated and impinged in the sample, and impact with military rounds. After treatment, samples were characterized using electron microscopy, powder X-ray diffraction, energy dispersive X-ray spectroscopy, and surface area analysis. The microstructural changes observed in the IF-WS2 particulates as a consequence of the treatments could be categorized in two distinct fracture modes. The most commonly observed was the formation of a crack at the particles surface followed by a phase transformation from the 3D cage-like structures into the 2D layered polymorphs, with subsequent agglomeration of the plate-like sheets to produce larger particle sizes. The secondary mechanism identified was the incipient delamination of IF-WS2. We encountered evidence that the IF-WS2 structure collapse initiated in all cases at the edges and vertices of the polyhedral particles, which acted as stress concentrators, independent of the load application mode or its duration.

  18. A Case Study of Environmental Injustice: The Failure in Flint

    Directory of Open Access Journals (Sweden)

    Carla Campbell

    2016-09-01

    Full Text Available The failure by the city of Flint, Michigan to properly treat its municipal water system after a change in the source of water, has resulted in elevated lead levels in the city’s water and an increase in city children’s blood lead levels. Lead exposure in young children can lead to decrements in intelligence, development, behavior, attention and other neurological functions. This lack of ability to provide safe drinking water represents a failure to protect the public’s health at various governmental levels. This article describes how the tragedy happened, how low-income and minority populations are at particularly high risk for lead exposure and environmental injustice, and ways that we can move forward to prevent childhood lead exposure and lead poisoning, as well as prevent future Flint-like exposure events from occurring. Control of the manufacture and use of toxic chemicals to prevent adverse exposure to these substances is also discussed. Environmental injustice occurred throughout the Flint water contamination incident and there are lessons we can all learn from this debacle to move forward in promoting environmental justice.

  19. In vitro study investigating the mechanical properties of acrylic bone cement containing calcium carbonate nanoparticles.

    Science.gov (United States)

    Hill, Janet; Orr, John; Dunne, Nicholas

    2008-11-01

    A successful total hip replacement has an expected service life of 10-20 years with over 75% of failures due to aseptic loosening which is directly related to cement mantle failure. The aim of the present study was to investigate the addition of nanoparticles of calcium carbonate to acrylic bone cement. It was anticipated that an improvement in mechanical performance of the resultant nanocomposite bone cement would be achieved. A design of experiment approach was adopted to maximise the mechanical properties of the bone cement containing nanoparticles of calcium carbonate and to determine the constituents and preparation methods for which these occur. The selected conditions provided improvements of 21% in energy to maximum load, 10% in elastic modulus, 7% in bending strength and 8% in bending modulus when compared with bone cement without nanoparticles. Although cement containing nanoCaCO(3) coated in sodium citrate also enhanced the energy to maximum load by 28% and the elastic modulus by 14% when compared with control cement, it is not recommended as a factor in the production of nanocomposite bone cement due to reduction in the bending properties of the final bone cement.

  20. Synthesis, structural and property studies of bismuth containing perovskites

    OpenAIRE

    Chen, Wei-tin

    2009-01-01

    Several bismuth-containing transition metal perovskites that are of interest as potential multiferroic materials have been synthesised and studied. These materials have been structurally characterised and their physical properties have been examined at varying temperatures and pressures. The new series of substituted bismuth ferrite perovskites BixCa1-xFeO3, where x = 0.4 - 1.0, has been prepared. A disordered cubic phase (x = 0.4 - 0.67) and the coexistence of rhombohedral ...

  1. Synthesis and study of conjugated polymers containing Di- or Triphenylamine

    Energy Technology Data Exchange (ETDEWEB)

    Sukwattanasinitt, M.

    1996-06-21

    This thesis consists of two separate parts. The first part addresses the synthesis and study of conjugated polymers containing di- or triphenylamine. Two types of polymers: linear polymers and dendrimers, were synthesized. The polymers were characterized by NMR, IR, UV, GPC, TGA and DSC. Electronic and optical properties of the polymers were studied through the conductivity measurements and excitation- emission spectra. the second part of this thesis deals with a reaction of electron-rich acetylenes with TCNE. The discovery of the reaction from charge transfer complex studies and the investigation of this reaction on various electron-rich acetylenes are presented.

  2. A study on hydrogen mixing and transport in the containment

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hee Dong; Hong, Seong Wan; Yoo, Kun Joong [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1994-07-01

    This report deals with the regulation and research status for hydrogen burn that can be occurred in severe accidents and the possibility of the local detonation through the analysis of the local hydrogen concentration in the containment. In this study, CONTAIN version 1.12 which can model integrated ex-vessel phenomena during the severe accidents is used. To predict the local hydrogen concentration, containment is divided into sixteen sub-compartments taking into account geometric characteristics of Ulchin 3,4 NPP. Because the local hydrogen concentration depends upon accident sequences, the accident sequence for TMLB` and medium LOCA which are predicted to generate more hydrogen among accident sequences are considered. The thermal hydraulic primary system source data and the corium composition data were adopted from the MAAP calculation results. The sensitivity study is also performed to examine the effect of the equivalent fraction of zirconium oxidation in the reactor vessel and flow loss coefficient between flow path. The result of this study can be used as base data to install the igniters that is considered to prevent a detonation. (Author) 15 refs., 35 figs., 12 tabs.

  3. Mutational Correlates of Virological Failure in Individuals Receiving a WHO-Recommended Tenofovir-Containing First-Line Regimen: An International Collaboration

    Directory of Open Access Journals (Sweden)

    Soo-Yon Rhee

    2017-04-01

    Full Text Available Tenofovir disoproxil fumarate (TDF genotypic resistance defined by K65R/N and/or K70E/Q/G occurs in 20% to 60% of individuals with virological failure (VF on a WHO-recommended TDF-containing first-line regimen. However, the full spectrum of reverse transcriptase (RT mutations selected in individuals with VF on such a regimen is not known. To identify TDF regimen-associated mutations (TRAMs, we compared the proportion of each RT mutation in 2873 individuals with VF on a WHO-recommended first-line TDF-containing regimen to its proportion in a cohort of 50,803 antiretroviral-naïve individuals. To identify TRAMs specifically associated with TDF-selection pressure, we compared the proportion of each TRAM to its proportion in a cohort of 5805 individuals with VF on a first-line thymidine analog-containing regimen. We identified 83 TRAMs including 33 NRTI-associated, 40 NNRTI-associated, and 10 uncommon mutations of uncertain provenance. Of the 33 NRTI-associated TRAMs, 12 – A62V, K65R/N, S68G/N/D, K70E/Q/T, L74I, V75L, and Y115F – were more common among individuals receiving a first-line TDF-containing compared to a first-line thymidine analog-containing regimen. These 12 TDF-selected TRAMs will be important for monitoring TDF-associated transmitted drug-resistance and for determining the extent of reduced TDF susceptibility in individuals with VF on a TDF-containing regimen.

  4. Inhibition of Fas-associated death domain-containing protein (FADD protects against myocardial ischemia/reperfusion injury in a heart failure mouse model.

    Directory of Open Access Journals (Sweden)

    Qian Fan

    Full Text Available As technological interventions treating acute myocardial infarction (MI improve, post-ischemic heart failure increasingly threatens patient health. The aim of the current study was to test whether FADD could be a potential target of gene therapy in the treatment of heart failure.Cardiomyocyte-specific FADD knockout mice along with non-transgenic littermates (NLC were subjected to 30 minutes myocardial ischemia followed by 7 days of reperfusion or 6 weeks of permanent myocardial ischemia via the ligation of left main descending coronary artery. Cardiac function were evaluated by echocardiography and left ventricular (LV catheterization and cardiomyocyte death was measured by Evans blue-TTC staining, TUNEL staining, and caspase-3, -8, and -9 activities. In vitro, H9C2 cells transfected with ether scramble siRNA or FADD siRNA were stressed with chelerythrin for 30 min and cleaved caspase-3 was assessed.FADD expression was significantly decreased in FADD knockout mice compared to NLC. Ischemia/reperfusion (I/R upregulated FADD expression in NLC mice, but not in FADD knockout mice at the early time. FADD deletion significantly attenuated I/R-induced cardiac dysfunction, decreased myocardial necrosis, and inhibited cardiomyocyte apoptosis. Furthermore, in 6 weeks long term permanent ischemia model, FADD deletion significantly reduced the infarct size (from 41.20 ± 3.90% in NLC to 26.83 ± 4.17% in FADD deletion, attenuated myocardial remodeling, improved cardiac function and improved survival. In vitro, FADD knockdown significantly reduced chelerythrin-induced the level of cleaved caspase-3.Taken together, our results suggest FADD plays a critical role in post-ischemic heart failure. Inhibition of FADD retards heart failure progression. Our data supports the further investigation of FADD as a potential target for genetic manipulation in the treatment of heart failure.

  5. Different types of door-opening motions as contributing factors to containment failures in hospital isolation rooms.

    Directory of Open Access Journals (Sweden)

    Julian W Tang

    Full Text Available Hospital isolation rooms are vital for the containment (when under negative pressure of patients with, or the protection (when under positive pressure of patients, from airborne infectious agents. Such facilities were essential for the management of highly contagious patients during the 2003 severe acute respiratory syndrome (SARS outbreaks and the more recent 2009 A/H1N1 influenza pandemic. Many different types of door designs are used in the construction of such isolation rooms, which may be related to the space available and affordability. Using colored food dye as a tracer, the qualitative effects of door-opening motions on the dissemination of potentially contaminated air into and out of a single isolation room were visualized and filmed using Reynolds-number-equivalent, small-scale, water-tank models fitted with programmable door-opening and moving human figure motions. Careful scaling considerations involved in the design and construction of these water-tank models enabled these results to be accurately extrapolated to the full-scale situation. Four simple types of door design were tested: variable speed single and double, sliding and hinged doors, in combination with the moving human figure. The resulting video footage was edited, synchronized and presented in a series of split-screen formats. From these experiments, it is clear that double-hinged doors pose the greatest risk of leakage into or out of the room, followed by (in order of decreasing risk single-hinged, double-sliding and single-sliding doors. The relative effect of the moving human figure on spreading any potential contamination was greatest with the sliding doors, as the bulk airflows induced were large relative to those resulting from these door-opening motions. However, with the hinged doors, the airflows induced by these door-opening motions were significantly greater. Further experiments involving a simulated ventilated environment are required, but from these findings

  6. Heart failure and risk of dementia: a Danish nationwide population-based cohort study.

    Science.gov (United States)

    Adelborg, Kasper; Horváth-Puhó, Erzsébet; Ording, Anne; Pedersen, Lars; Toft Sørensen, Henrik; Henderson, Victor W

    2017-02-01

    The association between heart failure and dementia remains unclear. We assessed the risk of dementia among patients with heart failure and members of a general population comparison cohort. Individual-level data from Danish medical registries were linked in this nationwide population-based cohort study comparing patients with a first-time hospitalization for heart failure between 1980 and 2012 and a year of birth-, sex-, and calendar year-matched comparison cohort from the general population. Stratified Cox regression analysis was used to compute 1-35-year hazard ratios (HRs) for the risk of all-cause dementia and, secondarily, Alzheimer's disease, vascular dementia, and other dementias. Analyses included 324 418 heart failure patients and 1 622 079 individuals from the general population (median age 77 years, 52% male). Compared with the general population cohort, risk of all-cause dementia was increased among heart failure patients [adjusted HR 1.21, 95% confidence interval (CI) 1.18-1.24]. The associations were stronger in men and in heart failure patients under age 70. Heart failure patients had higher risks of vascular dementia (adjusted HR 1.49, 95% CI 1.40-1.59) and other dementias (adjusted HR 1.30, 95% CI 1.26-1.34) than members of the general population cohort. Heart failure was not associated with Alzheimer's disease (adjusted HR 1.00, 95% CI 0.96-1.04). Heart failure was associated with an increased risk of all-cause dementia. Heart failure may represent a risk factor for dementia, but not necessarily for Alzheimer's disease. © 2016 The Authors. European Journal of Heart Failure © 2016 European Society of Cardiology.

  7. [Studies on Yakushi Buddha and its medicinal container].

    Science.gov (United States)

    Okuda, Jun

    2014-01-01

    In Japan, there are about 250 Yakushi Buddha (i.e., Buddha of Healing) statues in Buddhist temples. They are listed as Important Cultural Properties and 14 of them are National Treasures. Belief in Yakushi Buddha was especially prevalent from the 7th to the 13th centuries in Japan. The oldest wooden Yakushi Buddha statue is in Horin-ji Temple in Nara. Among the approximately 250 Yakushi Buddha statues, about 200 have medicinal containers-or rarely, a bowl-in the palm of the left hand. However, these medicinal containers are wooden blocks. Very recently, it was found that the Yakushi Buddha statue in the Suho-Kokubun-ji Temple in Yamaguchi Prefecture, Japan has a medicinal container in the palm of his left hand, in which an offering (i.e., 220 g of materials) was found. The date on the reverse side of the lid places the offering at October 12, 1699. The offering is composed of five cereals (rice, barley, wheat, soybean and azuki bean), five medicinal plants (Acori graminei, Acori calami, Ginseng, Flos caryophylli and Lignum santali albi) and six minerals (rock crystals, purple and blue lead glass, CaCO3 particles, and silver and golden foils). Recently, the pharmacy educational program was extended from four to six years in order to meet clinical pharmacy requirements for patients. From studying the Buddha of Healing and its medicinal container described above, the author suggests that, in addition to pharmaceutical bioscience, philosophical concept be studied as part of the history of pharmacy in the future.

  8. Doping control container for urine stabilization: a pilot study.

    Science.gov (United States)

    Tsivou, Maria; Giannadaki, Evangelia; Hooghe, Fiona; Roels, Kris; Van Gansbeke, Wim; Garribba, Flaminia; Lyris, Emmanouil; Deventer, Koen; Mazzarino, Monica; Donati, Francesco; Georgakopoulos, Dimitrios G; Van Eenoo, Peter; Georgakopoulos, Costas G; de la Torre, Xavier; Botrè, Francesco

    2017-05-01

    Urine collection containers used in the doping control collection procedure do not provide a protective environment for urine, against degradation by microorganisms and proteolytic enzymes. An in-house chemical stabilization mixture was developed to tackle urine degradation problems encountered in human sport samples, in cases of microbial contamination or proteolytic activity. The mixture consists of antimicrobial substances and protease inhibitors for the simultaneous inactivation of a wide range of proteolytic enzymes. It has already been tested in lab-scale, as part of World Anti-Doping Agency's (WADA) funded research project, in terms of efficiency against microbial and proteolytic activity. The present work, funded also by WADA, is a follow-up study on the improvement of chemical stabilization mixture composition, application mode and limitation of interferences, using pilot urine collection containers, spray-coated in their internal surface with the chemical stabilization mixture. Urine in plastic stabilized collection containers have been gone through various incubation cycles to test for stabilization efficiency and analytical matrix interferences by three WADA accredited Laboratories (Athens, Ghent, and Rome). The spray-coated chemical stabilization mixture was tested against microorganism elimination and steroid glucuronide degradation, as well as enzymatic breakdown of proteins, such as intact hCG, recombinant erythropoietin and small peptides (GHRPs, ipamorelin), induced by proteolytic enzymes. Potential analytical interferences, observed in the presence of spray-coated chemical stabilization mixture, were recorded using routine screening procedures. The results of the current study support the application of the spray-coated plastic urine container, in the doping control collection procedure. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  9. A Method for Analyzing Effects of Dam Failures in Design Studies.

    Science.gov (United States)

    1972-08-01

    THOMAS UNCLASSIFIED HEC-TP_39 EEE~hEE~hEEE AUGUST 1972 -’ECHNICAL PAPER NO. 39 A METHOD FOR ANALYZING EFFECTS OF DAN FAILURES IN DESIGN STUDIES by WILLIAM...downstream structure. In the design studies for a dafm o be located downstreali from an existing dam, the effects of failure of the upstream structure...ANALYZING EFFECTS OF DAM FAILURES IN DESIGN STUDIES (1) by William A. Thomas (2 ) ABSTRACT In the planning and design of dams and embankments for large

  10. Psychosocial risk factors and heart failure hospitalization: a prospective cohort study

    DEFF Research Database (Denmark)

    Rod, Naja Hulvej; Andersen, Ingelise; Prescott, Eva

    2011-01-01

    interval: 1.20, 3.10) and women (hazard ratio = 2.56, 95% confidence interval: 1.80, 3.65). Contrary to expectation, major life events, social network, and sleeping medication did not play an individual role for heart failure hospitalization. Because of the high prevalence of vital exhaustion...... of the population reported some degree of vital exhaustion. The vital exhaustion score was associated with a higher risk of heart failure in a dose-response manner (P associated with a 2-fold higher risk of heart failure in both men (hazard ratio = 1.93, 95% confidence......Prospective studies on the role of psychosocial factors in heart failure development are virtually nonexistent. The authors aimed to address the effect of psychosocial factors on the risk of heart failure hospitalization in men and women free of cardiovascular disease. In 1991-1993, the 8...

  11. Renal failure in lithium-treated bipolar disorder: a retrospective cohort study.

    Directory of Open Access Journals (Sweden)

    Helen Close

    Full Text Available Lithium users are offered routine renal monitoring but few studies have quantified the risk to renal health. The aim of this study was to assess the association between use of lithium carbonate and incidence of renal failure in patients with bipolar disorder.This was a retrospective cohort study using the General Practice Research Database (GPRD and a nested validation study of lithium exposure and renal failure. A cohort of 6360 participants aged over 18 years had a first recorded diagnosis of bipolar disorder between January 1, 1990 and December 31, 2007. Data were examined from electronic primary care records from 418 general practices across the UK. The primary outcome was the hazard ratio for renal failure in participants exposed to lithium carbonate as compared with non-users of lithium, adjusting for age, gender, co-morbidities, and poly-pharmacy.Ever use of lithium was associated with a hazard ratio for renal failure of 2.5 (95% confidence interval 1.6 to 4.0 adjusted for known renal risk factors. Absolute risk was age dependent, with patients of 50 years or older at particular risk of renal failure: Number Needed to Harm (NNH was 44 (21 to 150.Lithium is associated with an increased risk of renal failure, particularly among the older age group. The absolute risk of renal failure associated with lithium use remains small.

  12. Markers of Atherosclerosis, Clinical Characteristics, and Treatment Patterns in Heart Failure: A Case-Control Study of Middle-Aged Adult Heart Failure Patients in Rural Kenya.

    Science.gov (United States)

    Bloomfield, Gerald S; DeLong, Allison K; Akwanalo, Constantine O; Hogan, Joseph W; Carter, E Jane; Aswa, Daniel F; Binanay, Cynthia; Koech, Myra; Kimaiyo, Sylvester; Velazquez, Eric J

    2016-03-01

    Although risk factors for heart failure are increasingly common worldwide, the contribution of atherosclerosis to heart failure in sub-Saharan Africa is largely unknown. This study assessed the association between atherosclerotic risk factors and heart failure in a developing country. We performed a case-control study of heart failure in rural Kenya. We assessed the risk factors for heart failure by using international criteria based on electrocardiogram (ECG), echocardiogram, physical examination findings, and laboratory testing. Atherosclerotic risk factors were determined by ECG, echocardiogram, ankle-brachial index (ABI), and lipid testing. We described the relationship of wall motion abnormalities on echocardiogram, ABI heart failure with multivariable logistic regression adjusting for age and sex and using adjusted odds ratios (AORs) and 95% confidence intervals (CIs). There were 125 cases and 191 controls (n = 316); 49% were male. The mean age was 60 (SD = 13) years. Most patients had hypertension (53%), and 16% had human immunodeficiency virus infection. Lipids were in the normal range for all. Cases were older than controls (62 years vs. 58 years, respectively). The most common abnormality associated with heart failure was dilated cardiomyopathy. Ischemic heart failure was the second most common cause in men. Cases were more likely to have an ABI heart failure is more common in Kenya than previously recognized. Noninvasive markers of atherosclerosis are routinely found among patients with heart failure. Treatment and prevention of heart failure in sub-Saharan Africa must consider many causes including those related to atherosclerosis. Copyright © 2016 World Heart Federation (Geneva). Published by Elsevier B.V. All rights reserved.

  13. Photoelectric work function studies of carbonaceous films containing Ni nanocrystals

    International Nuclear Information System (INIS)

    Czerwosz, E.; Dluzewski, P.; Kutner, T.; Stacewicz, T.

    2003-01-01

    In this paper we present the results of photoelectric work function measurements for carbonaceous films containing Ni nanocrystals. The investigated films were obtained by thermal vacuum deposition method. The structure of films was studied by electron diffraction, transmission microscopy and Raman spectroscopy. Film structure depends on Ni contents in the film volume. Work function determined from photoelectric measurements for all investigated films are similar and lie in the range of 2.65-2.93 eV. The decrease of work function value with the cleaning of the film's surface with UV pulsed laser beam was observed

  14. Synthesis and Characterization of Organotin Containing Copolymers: Reactivity Ratio Studies

    Directory of Open Access Journals (Sweden)

    Mohamed H. El-Newehy

    2010-03-01

    Full Text Available Organotin monomers containing dibutyltin groups – dibutyltin citraconate (DBTC as a new monomer and dibutyltin maleate (DBTM – were synthesized. Free radical copolymerizations of the organotin monomers with styrene (ST and butyl acrylate (BA were performed. The overall conversion was kept low (≤15% wt/wt for all studied samples and the copolymers composition was determined from tin analysis using the Gillman and Rosenberg method. The reactivity ratios were calculated from the copolymer composition using the Fineman-Ross (FR method. The synthesized monomers were characterized by elemental analysis, 1H-, 13C-NMR and FTIR spectroscopy.

  15. Study of the distribution of hydrogen in a PWR containment with CFD codes; Estudio de la distribucion de hidrogeno en una contencion PWR con codigos CFD

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, G.; Matias, R.; Fernandez, K.; Justo, D.; Bocanegra, R.; Mena, L.; Queral, C.

    2015-07-01

    During a severe accident in a PWR, the hydrogen generated may be distributed in the containment atmosphere and reach the combustion conditions that can cause the containment failure. In this research project, a preliminary study has been done about the capacities of ANSYS Fluent 15.0 and GOTHIC 8.0 to tri dimensional distribution of the hydrogen in a PWR containment during a severe accident. (Author)

  16. A Prospective Study of the Association Between Dispositional Optimism and Incident Heart Failure

    Science.gov (United States)

    Kim, Eric S.; Smith, Jacqui; Kubzansky, Laura D.

    2015-01-01

    Background Although higher optimism has been linked with an array of positive health behaviors, biological processes, and cardiovascular outcomes, the relationship between optimism and heart failure has not been examined. In the United States, 80% of heart failures occur in adults aged 65+. Therefore, we examined whether higher optimism was linked with a reduced incidence of heart failure among older adults. Methods and Results Prospective data were from the Health and Retirement Study, a nationally representative study of older U.S adults. Our sample included 6,808 participants who were followed for four years. Multiple logistic regression models were used to assess if optimism was independently associated with incident heart failure. We adjusted for sociodemographic, behavioral, biological, and psychological covariates. Higher optimism was associated with a lower risk of incident heart failure over the follow-up period. In a model that adjusted for sociodemographic factors, each standard deviation increase in optimism had an odds ratio of 0.74 (95% CI, 0.63–0.85) for heart failure. Effects of optimism persisted even after adjusting for a wide range of covariates. There was also evidence of a dose-response relationship. As optimism increased, risk of developing heart failure decreased monotonically, with a 48% reduced odds among people with the highest versus lowest optimism. Conclusions This is the first study to suggest that optimism is associated with a lower risk of heart failure. If future studies confirm these findings, they may be used to inform new strategies for preventing or delaying the onset of heart failure. PMID:24647117

  17. Causes and prevention of splitting/bursting failure of concrete crossties: a computational study

    Science.gov (United States)

    2017-09-17

    Concrete splitting/bursting is a well-known failure mode of concrete crossties that can compromise the crosstie integrity and raise railroad maintenance and track safety concerns. This paper presents a computational study aimed at better understandin...

  18. Elements of methodology for study the failures of great systems. Logical and algebraic calculus

    International Nuclear Information System (INIS)

    Vergez, Pierre.

    1982-01-01

    The methodology described here talks about some parts of the study concerning the failures of a determined system or supposed such. In these parts appears the most important logical and algebraic calculus. They are processed after the transformation of the system in the form of an equivalent functional scheme. The purpose of this methodology is the study of the effect of failure, of repairing or drift for one or several devices [fr

  19. 'We view that as contraceptive failure': containing the 'multiplicity' of contraception and abortion within Scottish reproductive healthcare.

    Science.gov (United States)

    Beynon-Jones, Siân M

    2013-03-01

    Within contemporary Scottish policy guidance, abortion is routinely configured as evidence of a resolvable problem with the healthcare provision of contraception. This article draws on 42 semi-structured interviews with Scottish health professionals conducted during 2007-2008, in order to explore how, and in what form, realities of contraception/abortion are sustained within abortion practice. In addition to providing empirical insights concerning this sociologically neglected aspect of reproductive healthcare, it demonstrates how a novel conceptual approach could be used to develop existing social scientific analyses of the provision of techniques of fertility prevention. Science and Technology Studies (STS) has highlighted the importance of studying the complex socio-material practices through which realities are enacted (or 'performed'). Mobilising this insight, my analysis illustrates the complex socio-material work required to enact abortion as evidence of a 'problem' with contraception that is resolvable within the healthcare consultation. This work, I argue, renders visible the ontologically 'multiple' (Mol, 2002) nature of contraception/abortion, with important implications for both social science and policy approaches to these techniques of fertility prevention. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Computer simulation study International Container Terminal "Tanjung Perak", Surabaya, Indonesia

    NARCIS (Netherlands)

    Groenveld, R.; Wanders, S.

    1998-01-01

    The Tanjung Perak harbour of the city of Surabaya on the island Java, Indonesia has experienced a considerable growth of container traffic. In order to adequately deal with the expected continuing increase of container traffic in the future, the International container terminal is presently being

  1. Insomnia and the risk of incident heart failure: a population study.

    Science.gov (United States)

    Laugsand, Lars E; Strand, Linn B; Platou, Carl; Vatten, Lars J; Janszky, Imre

    2014-06-01

    Insomnia is highly prevalent among heart failure patients, but only a few small studies have investigated insomnia symptoms and risk of heart failure. We aimed to assess the prospective association between self-reported insomnia symptoms and the risk of incident heart failure in a large Norwegian cohort. Baseline data on insomnia symptoms, including difficulty initiating sleep, difficulty maintaining sleep and having non-restorative sleep, socio-demographic variables, and health status, including established cardiovascular risk factors, were collected from 54 279 men and women 20-89 years of age who participated in the Nord-Trøndelag Health study (HUNT) between 1995 and 1997 and were free from known heart failure at baseline. The cohort was followed for incident heart failure from baseline through 2008. We used Cox proportional hazard models to assess the association of baseline insomnia symptoms with the risk of heart failure. A total of 1412 cases of heart failure occurred during a mean follow-up of 11.3 years (SD = 2.9 years), either identified at hospitals or by the National Cause of Death Registry. There was a dose-dependent association between the number of insomnia symptoms and risk of heart failure. The multi-adjusted hazard ratios were 0.96 (0.57-1.61), 1.35 (0.72-2.50), and 4.53 (1.99-10.31) for people with one, two, and three insomnia symptoms, compared with people with none of the symptoms (P for trend 0.021). Insomnia is associated with an increased risk of incident heart failure. If our results are confirmed by others and causation is proved, evaluation of insomnia symptoms might have consequences for cardiovascular prevention. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2013. For permissions please email: journals.permissions@oup.com.

  2. Microanalysis study of archaeological mural samples containing Maya blue pigment

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez del Rio, M. [ESRF, BP220, F-38043 Grenoble (France)]. E-mail: srio@esrf.fr; Martinetto, P. [Laboratoire de Cristallographie, CNRS, BP166 F-30842 Grenoble (France); Somogyi, A. [ESRF, BP220, F-38043 Grenoble (France); Reyes-Valerio, C. [INAH, Mexico DF (Mexico); Dooryhee, E. [Laboratoire de Cristallographie, CNRS, BP166 F-30842 Grenoble (France); Peltier, N. [Laboratoire de Cristallographie, CNRS, BP166 F-30842 Grenoble (France); Alianelli, L. [INFM-OGG c/o ESRF, BP220, F-38043 Grenoble Cedex (France); Moignard, B. [C2RMF, 6 Rue des Pyramides, F-75041 Paris Cedex 01 (France); Pichon, L. [C2RMF, 6 Rue des Pyramides, F-75041 Paris Cedex 01 (France); Calligaro, T. [C2RMF, 6 Rue des Pyramides, F-75041 Paris Cedex 01 (France); Dran, J.-C. [C2RMF, 6 Rue des Pyramides, F-75041 Paris Cedex 01 (France)

    2004-10-08

    Elemental analysis by X-ray fluorescence and particle induced X-ray emission is applied to the study of several Mesoamerican mural samples containing blue pigments. The most characteristic blue pigment is Maya blue, a very stable organo-clay complex original from Maya culture and widely used in murals, pottery and sculptures in a vast region of Mesoamerica during the pre-hispanic time (from VIII century) and during the colonization until 1580. The mural samples come from six different archaeological sites (four pre-hispanic and two from XVI century colonial convents). The correlation between the presence of some elements and the pigment colour is discussed. From the comparative study of the elemental concentration, some conclusions are drawn on the nature of the pigments and the technology used.

  3. Microanalysis study of archaeological mural samples containing Maya blue pigment

    International Nuclear Information System (INIS)

    Sanchez del Rio, M.; Martinetto, P.; Somogyi, A.; Reyes-Valerio, C.; Dooryhee, E.; Peltier, N.; Alianelli, L.; Moignard, B.; Pichon, L.; Calligaro, T.; Dran, J.-C.

    2004-01-01

    Elemental analysis by X-ray fluorescence and particle induced X-ray emission is applied to the study of several Mesoamerican mural samples containing blue pigments. The most characteristic blue pigment is Maya blue, a very stable organo-clay complex original from Maya culture and widely used in murals, pottery and sculptures in a vast region of Mesoamerica during the pre-hispanic time (from VIII century) and during the colonization until 1580. The mural samples come from six different archaeological sites (four pre-hispanic and two from XVI century colonial convents). The correlation between the presence of some elements and the pigment colour is discussed. From the comparative study of the elemental concentration, some conclusions are drawn on the nature of the pigments and the technology used

  4. Task E container corrosion studies: Annual report. Revision 1

    International Nuclear Information System (INIS)

    Bunnell, L.R.; Doremus, L.A.; Topping, J.B.; Duncan, D.R.

    1994-06-01

    The Pacific Northwest Laboratory is conducting the Solid Waste Technology Support Program (SWTSP) for Westinghouse Hanford Company (WHC). Task E is the Container Corrosion Study Portion of the SWTSP that will perform testing to provide defensible data on the corrosion of low-carbon steel, as used in drums to contain chemical and radioactive wastes at the Hanford Site. A second objective of Task E is to provide and test practical alternative materials that have higher corrosion resistance than low-carbon steel. The scope of work for fiscal year (FY) 1993 included initial testing of mild steel specimens buried in Hanford soils or exposed to atmospheric corrosion in metal storage sheds. During FY 1993, progress was made in three areas of Task E. First, exposure of test materials began at the Soil Corrosion Test Site where low-carbon steel specimens were placed in the soil in five test shafts at depths of 9 m (30 ft). Second, the corrosion measurement of low-carbon steel in the soil of two solid waste trenches continued. The total exposure time is ∼ 500 days. Third, an atmospheric corrosion test of low-carbon steel was initiated in a metal shed (Building 2401-W) in the 200 West Area. This annual report describes the Task E efforts and provides a current status

  5. Aging management and life extension - Containment aging study

    International Nuclear Information System (INIS)

    Tai, Tom M.; Deng, Daniel

    2004-01-01

    Bechtel is currently completing an aging study on a concrete containment structure. The target plant is a two-unit PWR plant with a generating capacity of about 850 MWe from each unit. Both units are less than 20 years old. The total electrical energy output from this plant site accounts for more than 50% of the utility's baseload operation. Although no utility in the United States has made a decision to submit a license renewal application, some have begun to investigate the feasibility of developing an life cycle management (LCM) program for a strategy to operate their plants efficiently, to investigate the financial benefit and safety implications of license renewal to operate their nuclear power plants beyond their current licensed periods, and to prepare a program plan for plant decommissioning. The LCM program includes economic, environmental, regulatory and technical aspects of continuing plant operations beyond the current license period. The Electric Power Research Institute (EPRI) has been supportive to assist utilities and owners groups in their research and development efforts to develop the technical requirements and the issues associated with important to license renewal structures. The focus of this paper is on the technical issues related to the evaluation of the material condition of the containment structure with respect to aging and the effective management of that aging. (author)

  6. On the Formulation of Anisotropic-Polyaxial Failure Criteria: A Comparative Study

    Science.gov (United States)

    Parisio, Francesco; Laloui, Lyesse

    2018-02-01

    The correct representation of the failure of geomaterials that feature strength anisotropy and polyaxiality is crucial for many applications. In this contribution, we propose and evaluate through a comparative study a generalized framework that covers both features. Polyaxiality of strength is modeled with a modified Van Eekelen approach, while the anisotropy is modeled using a fabric tensor approach of the Pietruszczak and Mroz type. Both approaches share the same philosophy as they can be applied to simpler failure surfaces, allowing great flexibility in model formulation. The new failure surface is tested against experimental data and its performance compared against classical failure criteria commonly used in geomechanics. Our study finds that the global error between predictions and data is generally smaller for the proposed framework compared to other classical approaches.

  7. Customers’ Response to Service Failure: An Empirical Study on Indonesian Customers

    Directory of Open Access Journals (Sweden)

    Jeanne Ellyawati

    2017-06-01

    Full Text Available The purpose of this study is to identify customers’ response to service failure. It is about why some customers are likely to complain and others are not. This study adopts the concept of customer complaint behavior (CCB with three-dimensional model: private response, voice response, and third party response. It also identifies the relationships between CCB and customers’ demographic backgrounds such as age, gender, and education backgrounds; and their complaining behaviors. Data were collected from 200 customers who have experienced service failure (response rate 86.5%. Using chi square method, it identifies the type of complaint which is often performed in service encounter. The research findings suggest that due to service failure, most customers are likely to engage in private and voice response. Further findings suggest that most complainers who experienced service failure are likely to express a set of multiple responses.

  8. Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF): study design and methods.

    Science.gov (United States)

    Masterson Creber, Ruth; Patey, Megan; Dickson, Victoria Vaughan; DeCesaris, Marissa; Riegel, Barbara

    2015-03-01

    Lack of engagement in self-care is common among patients needing to follow a complex treatment regimen, especially patients with heart failure who are affected by comorbidity, disability and side effects of poly-pharmacy. The purpose of Motivational Interviewing Tailored Interventions for Heart Failure (MITI-HF) is to test the feasibility and comparative efficacy of an MI intervention on self-care, acute heart failure physical symptoms and quality of life. We are conducting a brief, nurse-led motivational interviewing randomized controlled trial to address behavioral and motivational issues related to heart failure self-care. Participants in the intervention group receive home and phone-based motivational interviewing sessions over 90-days and those in the control group receive care as usual. Participants in both groups receive patient education materials. The primary study outcome is change in self-care maintenance from baseline to 90-days. This article presents the study design, methods, plans for statistical analysis and descriptive characteristics of the study sample for MITI-HF. Study findings will contribute to the literature on the efficacy of motivational interviewing to promote heart failure self-care. We anticipate that using an MI approach can help patients with heart failure focus on their internal motivation to change in a non-confrontational, patient-centered and collaborative way. It also affirms their ability to practice competent self-care relevant to their personal health goals. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. A survey on critical factors on educational failure: A case study of private universities in Iran

    OpenAIRE

    Mohammad Reza Iravani

    2011-01-01

    One of the primary issues on many developing countries is educational failure associated with schoolchildren or university students. Many students cannot continue their educations for different reasons such as lack of family support either financially or emotionally. In this paper, we study the effects of family background characteristics on educational participation in one of Iranian cities. We select 40 students who have the history of educational failure and distribute some questionnaire a...

  10. Implant failure and history of failed endodontic treatment: A retrospective case-control study

    OpenAIRE

    Chatzopoulos, Georgios S.; Wolff, Larry F.

    2017-01-01

    Background Residual bacterial biofilm and/or bacteria in planktonic form may be survived in the bone following an extraction of an infected tooth that was endodontically treated unsuccessfully Failed endodontic treatment may be associated with failure of implants to osseointegrate in the same sites. Therefore, the aim of this retrospective case-control study is to examine the risk of implant failure in previous failed endodontic sites. Material and Methods This retrospective case-control stud...

  11. Factors Relating to the Success or Failure of College Algebra Internet Students: A Grounded Theory Study

    OpenAIRE

    Walker, Christine

    2008-01-01

    The purpose of this grounded theory study was to discover the factors that contribute to the success or failure of college algebra for students taking college algebra by distance education Internet, and then generate a theory of success or failure of the group of College Algebra Internet students at one Utah college. Qualitative data were collected and analyzed on students’ perceptions and perspectives of a College Algebra Internet course that they took during the spring or summer 2006 semest...

  12. AC impedance studies of V2O5 containing glasses

    Science.gov (United States)

    Szu, Sungping; Lu, Shing-Gwo

    2007-04-01

    Glasses with composition V2O5-BaO-MO-B2O3(MO=SiO2,GeO2,P2O5) were studied using AC impedance analyzer. The measurements show that conductivities increase with V2O5 contents, and the P2O5 containing glasses have higher conductivities. The electric modulus was analyzed based on the Kohlrausch-Williams-Watts (KWW) relaxation function, φ(t)=exp[-(t/τ0)]. The exponent n increases with V2O5 content. In addition, as the temperature approaches glass transition temperature, n increases with temperature. The results are interpreted in terms of Ngai's coupling model when applied to polaron conductivity relaxation.

  13. NMR studies on an oligodeoxynucleotide containing 2-aminopurine opposite adenine

    International Nuclear Information System (INIS)

    Fazakerley, G.V.; Sowers, L.C.; Eritja, R.; Kaplan, B.E.; Goodman, M.F.

    1987-01-01

    A heteroduplex containing the mismatch 2-aminopurine (AP)-adenine has been synthesized and studied by proton NMR. The mismatch was incorporated into the sequence d[CGG(AP)GGC] x d-(GCCACCG). One-dimensional nuclear Overhauser effect measurements in H 2 O and two-dimensional nuclear Overhauser effect spectra in D 2 O show AP x A base pairs in a wobble structure in which both bases are in the anti conformation. The adenine is stacked well in the helix, but the helix twist between the adenine and neighboring cytosine in the 3' direction is unusually small. As a result, the aminopurine on the opposite strand is somewhat pushed out of the helix. From the measurements of the imino proton line widths, the two adjacent G x C base pairs are not found to be significantly destabilized by the presence of the purine-purine wobble pair

  14. Insulin Pump Failures: Has There Been an Improvement? Update of a Prospective Observational Study.

    Science.gov (United States)

    Guenego, Agathe; Bouzillé, Guillaume; Breitel, Stéphanie; Esvant, Annabelle; Poirier, Jean-Yves; Bonnet, Fabrice; Guilhem, Isabelle

    2016-12-01

    Insulin pump failures had been assessed in our center by a prospective observational study from 2001 to 2007. The aim of this study was to update our data since 2008 and to determine whether there exist specific risk factors for insulin pump failures. All insulin pump defects were prospectively collected between 2008 and 2013 in a monocentric cohort of 350 new pumps. Clinical consequences were recorded. Brand and model of pumps and type of defects and patients' characteristics (gender, type of diabetes, age at diabetes diagnosis, age at first pump, pump treatment duration, number of previous pumps, and number of previous pump failures) were tested for possible association with insulin pump failure. Malfunctions occurred in 239 (68%) pumps. The incidence rate was 33/100 pump-years. There were 28 (12%) complete failures, 17 (7%) alarms, 83 (35%) mechanical defects, and 105 (44%) minor defects. Survival curves did not differ according to pump brand and model. Hyperglycemia occurred in 2.9% of cases. In multivariate analysis, only patient age less than 40 years at the initiation of pump therapy was associated with higher risk of malfunction (hazard ratio 1.64; 95% confidence interval 1.19-2.24; P = 0.002). Pump malfunctions remain common with modern pumps. We report less complete failures than in our previous study. This could be because of improvement in quality of pumps or to our strategy of systematic screening and replacement in case of mechanical defects.

  15. Defective support network: a major obstacle to coping for patients with heart failure: a qualitative study

    Directory of Open Access Journals (Sweden)

    Parvin Mangolian Shahrbabaki

    2016-04-01

    Full Text Available Background: Heart failure as a chronic disease poses many challenges for a patient in his or her everyday life. Support in various aspects of life positively affects coping strategies and influences the well-being and health outcomes of heart failure patients. Inadequate support may lead to a worsening of symptoms, increased hospital readmissions, psychological disorders, and a reduced quality of life. Objective: This study explored obstacles to coping related to support for heart failure patients as viewed by the patients themselves and their family members and caregivers. Design: This qualitative study was conducted using content analysis. The 20 Iranian participants included 11 patients with heart failure, three cardiologists, three nurses, and three family members of heart failure patients selected through purposive sampling. Data were collected through semi-structured interviews and analyzed using the Lundman and Graneheim qualitative content analysis method. Results: During data analysis, ‘defective support network’ developed as the main theme along with four other categories of ‘inadequate family performance’, ‘inadequate support by the healthcare team’, ‘distorted societal social support’, and ‘inadequate welfare support’. Conclusion: The findings of the current study can assist health authorities and planners in identifying the needs of patients with heart failure so as to focus and plan on facilitating their coping as much as possible by obviating the existing obstacles.

  16. Toxicity studies of iron-containing ayurvedic drug Kasisa Bhasma

    Directory of Open Access Journals (Sweden)

    Satadru Palbag

    2016-01-01

    Full Text Available Background: Kasisa is an important iron-containing mineral drug of ayurvedic Rasa Shastra and employs for various therapeutic uses in anemia, hair growth modulator, eye disorders, skin disorders, etc. Objective: In this study, shodhana was done by triturating in lemon juice and calcination was done by traditional heating arrangement with Kanji (sour gruel method. Both the purified and calcined product of the Kasisa was subjected to histopathological and toxicological study to evaluate the safety of this iron-based ayurvedic medicine. Materials and Methods: Thirty-two adult Charles Foster albino rats of either sex, 16 for each drug (Shodhita Kasisa, Kasisa Bhasma, were taken for the whole study. Toxicological study of the brain, liver, kidney, and spleen was performed. Results: Kasisa Bhasma at higher dose of 100 mg/kg showed some adverse effects in isolated organs of experimental animals, but the extent of damage is minimal compared to Shodhita Kasisa which showed adverse effects at 25-50 mg/kg. Conclusions: Kasisa Bhasma is nontoxic and safer as compared to Shodhita Kasisa. It can be administered at a controlled dose to affect therapeutic efficacy.

  17. Effect of repeated intracoronary injection of bone marrow cells in patients with ischaemic heart failure the Danish stem cell study - congestive heart failure trial (DanCell-CHF)

    DEFF Research Database (Denmark)

    Diederichsen, A.C.; Møller, Jacob Eifer; Thayssen, P.

    2008-01-01

    BACKGROUND: It has been suggested that myocardial regeneration may be achieved by a single intracoronary bone marrow derived stem cell infusion in selected patients with ischaemic heart disease. The effect is uncertain in patients with chronic ischaemic heart failure and it is not known whether...... repeated infusions would have additional positive effects. AIMS: To assess whether two treatments of intracoronary infusion of bone marrow stem cells, administered 4 months apart, could improve left ventricular (LV) systolic function in patients with chronic ischaemic heart failure. METHODS: The study......, NYHA class improved (pstem cell treatment in patients with chronic ischaemic heart failure Udgivelsesdato: 2008/7...

  18. Derivation of Failure Rates and Probability of Failures for the International Space Station Probabilistic Risk Assessment Study

    Science.gov (United States)

    Vitali, Roberto; Lutomski, Michael G.

    2004-01-01

    National Aeronautics and Space Administration s (NASA) International Space Station (ISS) Program uses Probabilistic Risk Assessment (PRA) as part of its Continuous Risk Management Process. It is used as a decision and management support tool to not only quantify risk for specific conditions, but more importantly comparing different operational and management options to determine the lowest risk option and provide rationale for management decisions. This paper presents the derivation of the probability distributions used to quantify the failure rates and the probability of failures of the basic events employed in the PRA model of the ISS. The paper will show how a Bayesian approach was used with different sources of data including the actual ISS on orbit failures to enhance the confidence in results of the PRA. As time progresses and more meaningful data is gathered from on orbit failures, an increasingly accurate failure rate probability distribution for the basic events of the ISS PRA model can be obtained. The ISS PRA has been developed by mapping the ISS critical systems such as propulsion, thermal control, or power generation into event sequences diagrams and fault trees. The lowest level of indenture of the fault trees was the orbital replacement units (ORU). The ORU level was chosen consistently with the level of statistically meaningful data that could be obtained from the aerospace industry and from the experts in the field. For example, data was gathered for the solenoid valves present in the propulsion system of the ISS. However valves themselves are composed of parts and the individual failure of these parts was not accounted for in the PRA model. In other words the failure of a spring within a valve was considered a failure of the valve itself.

  19. Studies of severe accidents in light water reactors. Containment performance

    International Nuclear Information System (INIS)

    Hayns, M.R.; Phillips, D.W.; Young, R.L.D.

    1987-01-01

    The containment system of a LWR is an obvious component of the plant which performs an important safety function in preventing the release of fission products to the environment in the event of design basis accidents. With over 260 LWRs in service worldwide, and others still under construction, there is a considerable diversity of containment types and combinations of containment safeguards systems. All of these satisfy local regulatory requirements which are principally aimed at the design basis accidents, and these requirements naturally have a considerable uniformity. However, their design diversity becomes more relevant to the performance of the containment in severe accident conditions, and this aspect of containment performance is reviewed in this paper. The ability of the containment to mitigate severe accident consequences introduces the potential for accident management and recovery and this in turn points towards a range of new containment systems and concepts. PSA helps in judging these possibilities and in forming policies and procedures for accident management. It is perhaps in accident management that severe accident containment performance will be most beneficial in the future, and where additional effort in containment analysis will be focused

  20. Selection of reference genes for gene expression studies in heart failure for left and right ventricles.

    Science.gov (United States)

    Li, Mengmeng; Rao, Man; Chen, Kai; Zhou, Jianye; Song, Jiangping

    2017-07-15

    Real-time quantitative reverse transcriptase-PCR (qRT-PCR) is a feasible tool for determining gene expression profiles, but the accuracy and reliability of the results depends on the stable expression of selected housekeeping genes in different samples. By far, researches on stable housekeeping genes in human heart failure samples are rare. Moreover the effect of heart failure on the expression of housekeeping genes in right and left ventricles is yet to be studied. Therefore we aim to provide stable housekeeping genes for both ventricles in heart failure and normal heart samples. In this study, we selected seven commonly used housekeeping genes as candidates. By using the qRT-PCR, the expression levels of ACTB, RAB7A, GAPDH, REEP5, RPL5, PSMB4 and VCP in eight heart failure and four normal heart samples were assessed. The stability of candidate housekeeping genes was evaluated by geNorm and Normfinder softwares. GAPDH showed the least variation in all heart samples. Results also indicated the difference of gene expression existed in heart failure left and right ventricles. GAPDH had the highest expression stability in both heart failure and normal heart samples. We also propose using different sets of housekeeping genes for left and right ventricles respectively. The combination of RPL5, GAPDH and PSMB4 is suitable for the right ventricle and the combination of GAPDH, REEP5 and RAB7A is suitable for the left ventricle. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Oral toxicity study of certain plant extracts containing pyrrolizidine alkaloids.

    Science.gov (United States)

    Şeremet, Oana Cristina; Bărbuceanu, Florica; Ionică, Floriana Elvira; Margină, Denisa Marilena; GuŢu, Claudia Maria; Olaru, Octavian Tudorel; Ilie, Mihaela; Gonciar, Veaceslav; Negreş, Simona; ChiriŢă, Cornel

    2016-01-01

    Pyrrolizidine alkaloids (PAs) are a class of toxic compounds which are found in plants. Poisoning caused by these toxins is associated with acute and chronic liver damage. Tussilago farfara (coltsfoot), Petasites hybridus (common butterbur), Senecio vernalis (eastern groundsel) and Symphytum officinale (comfrey) are traditional phytotherapic species, which beside the therapeutic bioactive compounds contain PAs. The aim of the paper was to assess the safety of some dry extracts obtained from these species. For the determination of acute toxicity, Organization for Economic Cooperation and Development (OECD) Guideline No. 423 was used. For the determination of repeated dose oral toxicity, Senecionis vernalis herba and Symphyti radix extracts (250 mg÷kg) were administrated, by gavage, for 28 days, and their effects on animal weight, liver and biliary functions, hepatic tissue and oxidative stress were investigated. After the acute toxicity testing, the dry extracts were placed in the GHS Category V (LD50>5000 mg÷kg, p.o.). For the subacute toxicity testing, no death or any signs of toxicity were observed. Also, no significant differences in biochemical parameters were observed between control and treated groups. The observed histopathological lesions were non-specific and were not consistent with the data reported in the literature for PAs exposure. In conclusion, the administration for 28 days, of the tested extracts, in a dose which correspond to a PAs concentration over the limits imposed in some countries, produced no hepatic and biliary toxic effects. Further studies, extended over a longer period of time, are needed in order to determine the safety of plant extracts containing PAs.

  2. Human safety study of body lotion containing Kathon CG.

    Science.gov (United States)

    Schwartz, S R; Weiss, S; Stern, E; Morici, I J; Moss, J N; Goodman, J J; Scarborough, N L

    1987-04-01

    The safety of Kathon CG biocide as a preservative in leave-on body lotions was assessed by 2 double-blind studies, using similar protocols. A total of 209 healthy male and female subjects aged 18 to 65 years, 100 in California (72 test subjects, 28 controls) and 109 in Florida (88 test subjects, 21 controls) completed the studies which included pre- and post-use phase diagnostic patch testing with Kathon CG 100 ppm active ingredient, and 13 weeks daily applications of either a test lotion containing Kathon CG 15 ppm active ingredient or a control lotion without Kathon CG. No evidence of irritation or sensitization attributable to use of the biocide was found during regular dermatological examinations during the use phase. Post-use phase patch testing produced negative results in all subjects with the exception of 1 control subject in Florida who had positive readings at the 2- and 4-week post-use phase patch testing. Overall, these studies show there is minimal, if any, risk of adverse effects associated with the use of Kathon CG 15 ppm active ingredient in a leave-on application.

  3. Characterization and stability studies of emulsion systems containing pumice

    Directory of Open Access Journals (Sweden)

    Marilene Estanqueiro

    2014-04-01

    Full Text Available Emulsions are the most common form of skin care products. However, these systems may exhibit some instability. Therefore, when developing emulsions for topical application it is interesting to verify whether they have suitable physical and mechanical characteristics and further assess their stability. The aim of this work was to study the stability of emulsion systems, which varied in the proportion of the emulsifying agent cetearyl alcohol (and sodium lauryl sulfate (and sodium cetearyl sulfate (LSX, the nature of the oily phase (decyl oleate, cyclomethicone or dimethicone and the presence or absence of pumice (5% w/w. While maintaining the samples at room temperature, rheology studies, texture analysis and microscopic observation of formulations with and without pumice were performed. Samples were also submitted to an accelerated stability study by centrifugation and to a thermal stress test. Through the testing, it was found that the amount of emulsifying agent affects the consistency and textural properties such as firmness and adhesiveness. So, formulations containing LSX (5% w/w and decyl oleate or dimethicone as oily phase had a better consistency and remained stable with time, so exhibited the best features to be used for skin care products.

  4. The first multicenter, randomized, controlled trial of home telemonitoring for Japanese patients with heart failure: home telemonitoring study for patients with heart failure (HOMES-HF).

    Science.gov (United States)

    Kotooka, Norihiko; Kitakaze, Masafumi; Nagashima, Kengo; Asaka, Machiko; Kinugasa, Yoshiharu; Nochioka, Kotaro; Mizuno, Atsushi; Nagatomo, Daisuke; Mine, Daigo; Yamada, Yoko; Kuratomi, Akiko; Okada, Norihiro; Fujimatsu, Daisuke; Kuwahata, So; Toyoda, Shigeru; Hirotani, Shin-Ichi; Komori, Takahiro; Eguchi, Kazuo; Kario, Kazuomi; Inomata, Takayuki; Sugi, Kaoru; Yamamoto, Kazuhiro; Tsutsui, Hiroyuki; Masuyama, Tohru; Shimokawa, Hiroaki; Momomura, Shin-Ichi; Seino, Yoshihiko; Sato, Yasunori; Inoue, Teruo; Node, Koichi

    2018-02-15

    Home telemonitoring is becoming more important to home medical care for patients with heart failure. Since there are no data on home telemonitoring for Japanese patients with heart failure, we investigated its effect on cardiovascular outcomes. The HOMES-HF study was the first multicenter, open-label, randomized, controlled trial (RCT) to elucidate the effectiveness of home telemonitoring of physiological data, such as body weight, blood pressure, and pulse rate, for Japanese patients with heart failure (UMIN Clinical Trials Registry 000006839). The primary end-point was a composite of all-cause death or rehospitalization due to worsening heart failure. We analyzed 181 recently hospitalized patients with heart failure who were randomly assigned to a telemonitoring group (n = 90) or a usual care group (n = 91). The mean follow-up period was 15 (range 0-31) months. There was no statistically significant difference in the primary end-point between groups [hazard ratio (HR), 0.95; 95% confidence interval (CI), 0.548-1.648; p = 0.572]. Home telemonitoring for Japanese patients with heart failure was feasible; however, beneficial effects in addition to those of usual care were not demonstrated. Further investigation of more patients with severe heart failure, participation of home medical care providers, and use of a more integrated home telemonitoring system emphasizing communication as well as monitoring of symptoms and physiological data are required.

  5. Failure Modes

    DEFF Research Database (Denmark)

    Jakobsen, K. P.; Burcharth, H. F.; Ibsen, Lars Bo

    1999-01-01

    The present appendix contains the derivation of ten different limit state equations divided on three different failure modes. Five of the limit state equations can be used independently of the characteristics of the subsoil, whereas the remaining five can be used for either drained or undrained...

  6. Real System Failures

    Data.gov (United States)

    National Aeronautics and Space Administration — This resource area contains descriptions of actual electronic systems failure scenarios with an emphasis on the diversity of failure modes and effects that can...

  7. STUDY OF PHARMACO THERAPEUTIC CONSIDERATIONS IN THE MANAGEMENT OF HEART FAILURE

    Directory of Open Access Journals (Sweden)

    Souris Kondaveti

    2015-02-01

    Full Text Available BACKGROUND AND OBJECTIVES: Congestive heart failure (CHF continues to be a major clinical and public health problem. Conflicting data exists about its rate of occurrence in general population, relative frequencies of predisposing heart diseases and the prognosis of the patient. In the present study, gender aspects, age wise distribution, drug distribution pattern were assessed in these patients. MATERIALS AND METHODS: A total number of 100 patients from the medical outpatient department of medicine, M.G.M. Hospital Warangal were en rolled into the study. All male and female patients between 30 to 85 years of age, diagnosed with heart failure falling into the category of functional New York Heart Association (NYHA class II or III with left ventricular ejection fraction (LVEF ≤35% we re included in the study. RESULTS: Of the 100 subjects studied 55 (40 - 75 yr were male and 45 (35 - 73 yr were female. 94 patients presented with ischemic heart failure compared to only 6 patients with non - ischemic heart failure. Out of total subjects enrol led, 61 were put on Digoxin, 71 on Diuretics, 47 on ACEI, 20 on Beta Blocker (Carvedilol, 30 on Nitrates, 64 on Anticoagulants, 19 on Statins. CONCLUSION: The incidence of heart failure was more in advanced age groups and slightly more common in males. Is chemic heart disease accounted for heart failure in majority of patients in our study we found that Digoxin, Diuretics, ACEI and Anticoagulants followed by Nitrates, Beta blockers and Statins were the most prescribed medications in the management of heart failure

  8. A degradation study of PLLA containing lauric acid.

    Science.gov (United States)

    Renouf-Glauser, Annette C; Rose, John; Farrar, David; Cameron, Ruth E

    2005-05-01

    Addition of lauric acid to poly (L-lactide) (PLLA) has resulted in a new family of enhanced degradation biomaterials. Presented is PLLA4.5 (PLLA containing 4.5 wt% lauric acid), the fastest degrading of the family. Degradation was studied via mass changes, gel-permeation chromatography, wide- and small-angle X-ray scattering (WAXS and SAXS), simultaneous SAXS and tensile testing, and visual observation. The undegraded PLLA4.5 deformed by crazing, recognisable from the characteristic shape of the SAXS pattern. As water up-take and degradation proceeded, samples crystallised, decreasing the SAXS long period, until by 4 days the deformation mechanism had become that of crystal-mediated deformation. This resulted in a 'peanut-lemon'-shaped SAXS pattern, interpreted in terms of cavitation and fibrillated shear. Further degradation up to 12 days resulted in the same deformation mechanism at different sample displacements, with samples failing earlier during tensile testing until a ductile-brittle transition occurred. At 30-40 days water up-take and mass-loss increased significantly and global whitening of samples occurred, while the crystallinity and long period stabilised. Complete degradation had not occurred by the end of the study at 73 days. Through an understanding of how the changes in morphology during degradation affect the micromechanisms of deformation, it may be possible to design microstructures to give a tailored evolution of mechanical response in the body.

  9. Advanced chronic heart failure : A position statement from the Study Group on Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

    NARCIS (Netherlands)

    Metra, Marco; Ponikowski, Piotr; Dickstein, Kenneth; McMurray, John J. V.; Gavazzi, Antonello; Bergh, Claes-Hakan; Fraser, Alan G.; Jaarsma, Tiny; Pitsis, Antonis; Mohacsi, Paul; Boehm, Michael; Anker, Stefan; Dargie, Henry; Brutsaert, Dirk; Komajda, Michel

    2007-01-01

    Therapy has improved the survival of heart failure (HF) patients. However, many patients progress to advanced chronic HF (ACHF). We propose a practical clinical definition and describe the characteristics of this condition. Patients that are generally recognised as ACHF often exhibit the following

  10. Heat stroke leading to acute liver injury & failure: A case series from the Acute Liver Failure Study Group.

    Science.gov (United States)

    Davis, Brian C; Tillman, Holly; Chung, Raymond T; Stravitz, Richard T; Reddy, Rajender; Fontana, Robert J; McGuire, Brendan; Davern, Timothy; Lee, William M

    2017-04-01

    In the United States, nearly 1000 annual cases of heat stroke are reported but the frequency and outcome of severe liver injury in such patients is not well described. The aim of this study was to describe cases of acute liver injury (ALI) or failure (ALF) caused by heat stroke in a large ALF registry. Amongst 2675 consecutive subjects enrolled in a prospective observational cohort of patients with ALI or ALF between January 1998 and April 2015, there were eight subjects with heat stroke. Five patients had ALF and three had ALI. Seven patients developed acute kidney injury, all eight had lactic acidosis and rhabdomyolysis. Six patients underwent cooling treatments, three received N-acetyl cysteine (NAC), three required mechanical ventilation, three required renal replacement therapy, two received vasopressors, one underwent liver transplantation, and two patients died-both within 48 hours of presentation. All cases occurred between May and August, mainly in healthy young men because of excessive exertion. Management of ALI and ALF secondary to heat stroke should focus on cooling protocols and supportive care, with consideration of liver transplantation in refractory patients. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  11. A STUDY ON CLINICAL AND AETIOLOGICAL PROFILE OF HEART FAILURE AT KBN TEACHING AND GENERAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    Chandrakala Guruprasad Yelwanti

    2016-10-01

    Full Text Available BACKGROUND The heart failure is a worldwide health problem with ever increasing proportion and is a major health problem in elderly persons. It has many aetiological factors. It is one of the most frequently encountered illnesses in day-to-day practice and most common cause of death in patients with cardiac disease. This study was done to determine the age and sex distribution and to evaluate clinical features and aetiological factors in patients admitted with heart failure at Khaja Banda Nawaz Teaching and General Hospital, Gulbarga, on the basis of clinical assessment, electrocardiography and echocardiography. MATERIALS AND METHODS A prospective study was done in Department of General Medicine at Khaja Banda Nawaz Teaching and General Hospital, Gulbarga, from January 2015 to June 2016 on patients with heart failure to determine the clinical and aetiological profile. A total of 100 cases above the age of 20 years were included in the study. The patients below the age of 20 years and known cases of congenital heart disease were excluded. RESULTS Out of 100 patients, the heart failure was seen more commonly in men than in women between the age groups of 46-65 years of age. Breathlessness was the most common presentation followed by pedal oedema, orthopnoea, etc. In our study, the primary aetiology for heart failure was found to be coronary artery disease (47% followed by dilated cardiomyopathy (20%, hypertension (14%, rheumatic heart disease (7%, anaemia (6%, cor pulmonale (4% and others (2%. Dyslipidaemia was the common risk factor followed by obesity and smoking. CONCLUSION The heart failure commonly occurs in elderly people and the incidence was higher in men than in women. The commonest presentation was breathlessness followed by pedal oedema. The commonest cause of heart failure was coronary artery disease followed by dilated cardiomyopathy and then hypertension combined with ischaemic heart disease.

  12. Successes and Failures Teaching Visual Ethics: A Class Study

    Science.gov (United States)

    Roundtree, Aimee Kendall

    2010-01-01

    This article discusses and evaluates the inclusion of ethics learning modules in a graduate- level visual design theory course. Modules were designed as a part of an NEH grant. Students grappled with case studies that probed the ethics of visuals at the crux of the BP oil refinery accident, NASA space shuttle disasters, the Enron collapse, and…

  13. Vitamin D biology and heart failure : Clinical and experimental studies

    NARCIS (Netherlands)

    Meems, Laura

    2015-01-01

    In the last decade, vitamin D biology has been studied more extensively than ever before.. The use of vitamin D supplements is common, and so is determination of plasma vitamin D status. Besides its role in bone homeostasis, vitamin D is thought to be an important player in the development and

  14. Thesaurus-Based Automatic Indexing: A Study of Indexing Failure.

    Science.gov (United States)

    Caplan, Priscilla Louise

    This study examines automatic indexing performed with a manually constructed thesaurus on a document collection of titles and abstracts of library science master's papers. Errors are identified when the meaning of a posted descriptor, as identified by context in the thesaurus, does not match that of the passage of text which occasioned the…

  15. Fuel salt and container material studies for MOSART transforming system

    Energy Technology Data Exchange (ETDEWEB)

    Ignatiev, V.; Feynberg, O.; Merzlyakov, A.; Surenkov, A.; Zagnitko, A. [National Research Center, Kurchatov Institute, Moscow (Russian Federation); Afonichkin, V.; Bovet, A.; Khokhlov, V. [Institute of High Temperature Electrochemisty, Ekaterinburg (Russian Federation); Subbotin, V.; Gordeev, M.; Panov, A.; Toropov, A. [Institute of Technical Physics, Snezhinsk (Russian Federation)

    2013-07-01

    A study is under progress to examine the feasibility of single stream Molten Salt Actinide Recycling and Transmuting system without and with Th support (MOSART) fuelled with different compositions of actinide tri-fluorides (AnF{sub 3}) from used LWR fuel. New fast-spectrum design options with homogeneous core and fuel salts with high enough solubility for AnF{sub 3} are being examined because of new goals. The flexibility of single fluid MOSART concept with Th support is underlined, particularly, possibility of its operation in self-sustainable mode (Conversion Ratio: CR=1) using different loadings and make up. The paper summarizes the most current status of fuel salt and container material data for the MOSART concept received within ISTC-3749 and ROSATOM-MARS projects. Key physical and chemical properties of various fluoride fuel salts are reported. The issues like salt purification, the electroreduction of U(IV) to U(III) in LiF-ThF{sub 4} and the electroreduction of Yb(III) to Yb(II) in LiF-NaF are detailed.

  16. Immersion studies on candidate container alloys for the Tuff Repository

    International Nuclear Information System (INIS)

    Beavers, J.A.; Durr, C.L.

    1991-05-01

    Cortest Columbus Technologies (CC Technologies) is investigating the long-term performance of container materials used for high-level radioactive waste packages. This information is being developed for the Nuclear Regulatory Commission to aid in their assessment of the Department of Energy's application to construct a geologic repository for disposal of high-level radioactive waste. This report summarizes the results of exposure studies performed on two copper-base and two Fe-Cr-Ni alloys in simulated Tuff Repository conditions. Testing was performed at 90 degrees C in three environments; simulated J-13 well water, and two environments that simulated the chemical effects resulting from boiling and irradiation of the groundwater. Creviced specimens and U-bends were exposed to liquid, to vapor above the condensed phase, and to alternate immersion. A rod specimen was used to monitor corrosion at the vapor-liquid interface. The specimens were evaluated by electrochemical, gravimetric, and metallographic techniques following approximately 2000 hours of exposure. Results of the exposure tests indicated that all four alloys exhibited acceptable general corrosion rates in simulated J-13 well water. These rates decreased with time. Incipient pitting was observed under deposits on Alloy 825 and pitting was observed on both Alloy CDA 102 and Alloy CDA 715 in the simulated J-13 well water. No SCC was observed in U-bend specimens of any of the alloys in simulated J-13 well water. 33 refs., 48 figs., 23 tabs

  17. Intellectual Failure and Ideological Success in Organization Studies

    DEFF Research Database (Denmark)

    Alvesson, Mats; Kärreman, Dan

    2016-01-01

    This article discusses the current self-confidence and apparent success—at least by market/popularity measures—of leadership studies (LS) in general and transformational leadership (TFL) in particular. An alternative interpretation is offered, suggesting that it is the ideological character of th....... The article concludes that the currently popular streams are strongly structured by ideology—drawing on hero and religious mythologies—and suggests some ways to reduce the ideological overtone and the resulting tendency to produce tautologies and biased results....

  18. Glove failure in elective thyroid surgery: A prospective randomized study

    Directory of Open Access Journals (Sweden)

    Dariusz Timler

    2015-06-01

    Full Text Available Objectives: To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz. Material and Methods: Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10 codes. Nine hundred seventy-two pairs (sets of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1 to detect leakage. Results: Glove perforation was detected in 89 of 972 glove sets (9.2%. Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001. The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%, and the non-dominant ring finger (17.9%. Conclusions: This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.

  19. Factors associated with nursing students' academic success or failure: a retrospective Italian multicenter study.

    Science.gov (United States)

    Dante, A; Valoppi, G; Saiani, L; Palese, A

    2011-01-01

    With the increasing standardization of nursing education in Europe under the Bologna Process Declaration (1999), there is a growing interest in defining a common concept of academic success and/or failure, measuring associated factors and comparing differences and similarities between different countries. While there is literature available on these issues from other countries, the phenomenon has not been studied in Italy. The aim of this study was to define the factors associated with academic success or failure in an Italian cohort of nursing students on a bachelor's degree course. A retrospective multicenter study design was adopted. All students enrolling in the academic year 2004-05 on two different bachelor's courses in the north of Italy were interviewed. Only 81 of the 117 students considered (69.2%) concluded their course in three years. Multivariate analysis identified two factors determining academic success/failure: good results in the entry examination for the bachelor's degree in nursing sciences were associated with academic success (OR 4.217, IC(95%) 1.501-11.84), while family commitments, e.g. caring for children or elderly people were associated with academic failure (OR 0.120, IC(95%) 0.03-0.471). Academic failure has a strong impact on students, their families, the teaching faculties and the community, and its prevention is a challenge in the countries with a shortage of nurses. Copyright © 2010 Elsevier Ltd. All rights reserved.

  20. An experimental study on embankment failure induced by prolonged immersion in floodwater

    Directory of Open Access Journals (Sweden)

    Yu-long Luo

    2016-01-01

    Full Text Available Prolonged immersion in floodwater is one of the main causes of embankment failure or dam breaks, although failure mechanisms have not been extensively studied. In this study, an embankment model was constructed to investigate the influence of prolonged immersion in floodwater on the failure of an embankment. The results indicate that: (1 the phreatic surface gradually rises and negative pore pressures gradually dissipate with the time of prolonged immersion in floodwater, and, finally, a stable and fully saturated state is reached; (2 observable cracks and a heave phenomenon are found near the downstream toe and in the top stratum of the foundation, which are attributed to the large uplift pressure on the interface between the top stratum and the pervious substratum, the tremendous impact effect induced by the rapid rise in water level, and the reduction of shear strength of heavy silt loam. The present study enhances our in-depth knowledge of the mechanisms of embankment failure induced by floodwater, and provides experimental data for validation of mathematical models of the embankment seepage failure.

  1. Does allograft failure impact school attendance in children? A NAPRTCS study.

    Science.gov (United States)

    Chen, Ashton; Martz, Karen; Rao, Panduranga

    2012-04-01

    Studies show that adult dialysis patients with allograft failure have increased mortality and morbidity on dialysis compared to transplant naïve patients. We previously showed comparable mortality risk in pediatric dialysis patients after allograft failure compared to transplant naïve patients; the impact on morbidity is less clear. Specifically, the effect of allograft failure on school attendance in pediatric patients has not previously been studied. Using the North American Pediatric Renal Trials and Collaborative Studies database, we compared school attendance between transplant naïve and allograft failure patients from 1 January 1992 to 31 December 2007. School attendance was compared between the two groups at 6 and 12 months after dialysis initiation using a chi-square test. Factors which can potentially impact on school attendance data were evaluated using a multivariate logistic regression analysis. There were 2783 patients who had a follow-up at least 6 months after dialysis initiation and were capable of attending school during the study period. Patients were categorized by transplant history: previous allograft failure (n=576) and transplant naïve (n=2207). At 6 months, full-time school attendance was 67.2% in the allograft failure group and 72.3% in the transplant naïve group (P=0.0164). At 12 months, attendance was 68.6% in the allograft failure group and 72.5% in the transplant naïve group (P=0.103). After covariate adjustment, transplant failure did not impact school attendance at either 6 or 12 months follow-up [hazard ratio (HR) 1.12, confidence interval (CI) 0.91-1.39; HR 0.99, CI 0.78-1.27, respectively]. Children with failed allografts who return to dialysis have comparable school attendance compared to their transplant naïve dialysis counterparts. These results suggest that transplant failure is not an adverse prognostic factor for quality of life as measured by full-time school attendance.

  2. Failures of Corporate Governance in Housing Cooperatives – Case Study

    Directory of Open Access Journals (Sweden)

    Waldemar Walczak

    2013-09-01

    Full Text Available Purpose: The purpose of this paper is a discussion and in-depth analysis of the legal and organizational circumstances associated with the activities of Supervisory Boards in housing cooperatives.Methodology: A critical analysis of the existing legislation, own analytical analysis of the source documents, supplemented by conclusions and observations formulated on the basis of a case study, for the preparation of which information has been used obtained from primary sources in the form of documents of the analyzed housing cooperative and information obtained through participant observation.Findings: What has a decisive impact on the mechanisms of corporate governance in housing cooperatives are the direct behaviors of Supervisory Board members, as well as the lack of awareness and involvement of the residents, who do not want to actively participate in the life of the cooperative. A diagnosis is presented of the most important factors that infl uence the actual operations of the analyzed Supervisory Board. While the current legal regulations make it possible to ensure effective and proper control as well as adequate supervision over the activities of cooperatives.Originality: The paper enriches the theory of management sciences in terms of a wider perception of the term corporate governance in relation to other organizations than companies. The presented methodological approach that is the basis for a comprehensive and thorough inspection of the activities of the Management Board can be used in other cooperatives as well. In the literature on the subject no similar analysis, supported by the results of own analytical research, had been found.

  3. Studies on the supramolecular shape memory polyurethane containing pyridine moieties

    Science.gov (United States)

    Shaojun, Chen

    Fabricating smart materials with supramolecular switch is an attractive research topic. In this study, supramolecular polyurethane networks containing pyridine moieties (PUPys) were synthesized from N,N-bis(2-hydroxylethyl)isonicotinamide (BINA), hexamethylene diisocyanate (HDI), 4, 4-diphenylmethane diisocyanate (MDI) and 1,4-butanediol (BDO). A series of studies were carried out to investigate the supramolecular structure, morphology and shape memory properties including of thermal-induced shape memory effect and moisture-sensitive shape memory effect. Results show that hydrogen-bonded supramolecular structure and phase separation morphology are formed in the PUPys. The glass transition temperature (Tg) of soft phase is controlled by the hydrogen bonding while the hard phase grows up from amorphous phase to crystalline phase as the BINA content increases. The addition of MDI-BDO promotes the formation of amorphous hard phase. PUPys have high shape fixity and high shape recovery with the recovery temperature of 45 °C-55 °C. To achieve satisfying shape recovery, 30wt% BINA contents are required. The addition of MDI-BDO improves the shape recovery force. In addition, PUPys have high moisture absorption which increases with the increase of temperature, relative humidity, BINA content as well as the decrease of MDI-BDO content. The final shape recovery decreases with the decrease of BINA content significantly and the strain recovery start time, strain recovery time, strain recovery end time and the time length are also short in the higher BINA content PUPys. Moreover, it is found that the low critical value of BINA unit for PUPys having moisture-sensitive SME is still 30wt%. The addition of MDI-BDO improves the moisture-sensitive shape recovery. Finally, it is proposed that the hydrogen bonding present in the pyridine ring serves as "switch" whereas the formed hard phase via hydrogen bonding present in the urethane groups acts as the physical netpoints for the both

  4. An Extended Study on Students' Perceptions of Success and Failure in Nursing School.

    Science.gov (United States)

    Van de Walle, Debra

    Changes in students' perceptions of success and failure as they progressed through a diploma hospital nursing program were studied, in a replication of a study by Davidhizar. Weiner's attribution theory was also assessed to determine students views of the following explanations of success: effort, ability, task ease, or luck. Effort was cited as…

  5. Smoking and risk of kidney failure in the Singapore Chinese health study.

    Directory of Open Access Journals (Sweden)

    Aizhen Jin

    Full Text Available The relationship between smoking and risk of kidney failure, especially in people of Chinese origin, is not clear. We analyzed data from the Singapore Chinese Health Study to investigate whether smoking increases the risk of kidney failure.The Singapore Chinese Health Study is a population-based cohort of 63,257 Chinese adults enrolled between 1993 and 1998. Information on smoking status was collected at baseline. Incidence of kidney failure was identified via record linkage with the nationwide Singapore Renal Registry until 2008. Kidney failure was defined by one of the following: 1 serum creatinine level of more than or equal to 500 µmol/l (5.7 mg/dl, 2 estimated glomerular filtration rate of less than 15 ml/min/1.73 m(2, 3 undergoing hemodialysis or peritoneal dialysis, 4 undergone kidney transplantation. Cox proportional hazard regression analysis was performed for the outcome of kidney failure after adjusting for age, education, dialect, herbal medications, body mass index, sex, physician-diagnosed hypertension and diabetes mellitus.The mean age of subjects was 55.6 years at baseline, and 44% were men. Overall 30.6% were ever smokers (current or former at baseline. A total of 674 incident cases of kidney failure occurred during a median follow-up of 13.3 years. Among men, smokers had a significant increase in the adjusted risk of kidney failure [hazard ratio (HR: 1.29; 95% CI: 1.02-1.64] compared to never smokers. There was a strong dose-dependent association between number of years of smoking and kidney failure, (p for trend = 0.011. The risk decreased with prolonged cessation (quitting ≥10 years since baseline. The number of women smokers was too few for conclusive relationship.Information on baseline kidney function was not available.Cigarette smoking is associated with increased risk of kidney failure among Chinese men. The risk appears to be dose- and duration-dependent and modifiable after long duration of cessation.

  6. Parametric study of propeller boss cap fins for container ships

    Directory of Open Access Journals (Sweden)

    Sang-Seop Lim

    2014-06-01

    Full Text Available The global price of oil, which is both finite and limited in quantity, has been rising steadily because of the increasing requirements for energy in both developing and developed countries. Furthermore, regulations have been strengthened across all industries to address global warming. Many studies of hull resistance, propulsion and operation of ships have been performed to reduce fuel consumption and emissions. This study examined the design parameters of the propeller boss cap fin (PBCF and hub cap for 6,000TEU container ships to improve the propulsion efficiency. The design parameters of PBCF have been selected based on the geometrical shape. Computational fluid dynamics (CFD analysis with a propeller open water (POW test was performed to check the validity of CFD analysis. The design of experiment (DOE case was selected as a full factorial design, and the experiment was analyzed by POW and CFD analysis. Analysis of variance (ANOVA was performed to determine the correlation among design parameters. Four design alternatives of PBCF were selected from the DOE. The shape of a propeller hub cap was selected as a divergent shape, and the divergent angle was determined by the DOE. Four design alternatives of PBCF were attached to the divergent hub cap, and the POW was estimated by CFD. As a result, the divergent hub cap with PBCF has a negative effect on the POW, which is induced by an increase in torque coefficient. A POW test and cavitation test were performed with a divergent hub cap with PBCF to verify the CFD result. The POW test result showed that the open water efficiency was increased approximately 2% with a divergent hub cap compared to a normal cap. The POW test result was similar to the CFD result, and the divergent hub cap with the PBCF models showed lower open water efficiency. This was attributed to an increase in the torque coefficient just like the CFD results. A cavitation test was performed using the 2 models selected. The test

  7. Parametric study of propeller boss cap fins for container ships

    Science.gov (United States)

    Lim, Sang-Seop; Kim, Tae-Won; Lee, Dong-Myung; Kang, Chung-Gil; Kim, Soo-Young

    2014-06-01

    The global price of oil, which is both finite and limited in quantity, has been rising steadily because of the increasing requirements for energy in both developing and developed countries. Furthermore, regulations have been strengthened across all industries to address global warming. Many studies of hull resistance, propulsion and operation of ships have been performed to reduce fuel consumption and emissions. This study examined the design parameters of the propeller boss cap fin (PBCF) and hub cap for 6,000TEU container ships to improve the propulsion efficiency. The design parameters of PBCF have been selected based on the geometrical shape. Computational fluid dynamics (CFD) analysis with a propeller open water (POW) test was performed to check the validity of CFD analysis. The design of experiment (DOE) case was selected as a full factorial design, and the experiment was analyzed by POW and CFD analysis. Analysis of variance (ANOVA) was performed to determine the correlation among design parameters. Four design alternatives of PBCF were selected from the DOE. The shape of a propeller hub cap was selected as a divergent shape, and the divergent angle was determined by the DOE. Four design alternatives of PBCF were attached to the divergent hub cap, and the POW was estimated by CFD. As a result, the divergent hub cap with PBCF has a negative effect on the POW, which is induced by an increase in torque coefficient. A POW test and cavitation test were performed with a divergent hub cap with PBCF to verify the CFD result. The POW test result showed that the open water efficiency was increased approximately 2% with a divergent hub cap compared to a normal cap. The POW test result was similar to the CFD result, and the divergent hub cap with the PBCF models showed lower open water efficiency. This was attributed to an increase in the torque coefficient just like the CFD results. A cavitation test was performed using the 2 models selected. The test result showed

  8. Study on crystallization behaviour of co-polyamide 66 containing ...

    Indian Academy of Sciences (India)

    Abstract. In this paper, the isothermal crystallization and non-isothermal crystallization behaviour of flame retardant co-polyamide 66 (FR-PA66) containing triaryl phosphine oxide (TPO) were researched by employing differential scanning calorimetry (DSC), polarized optical microscopy (POM), respectively. The effects of ...

  9. Amyloid-β and the failure to form mitochondrial cristae: a biomimetic study involving artificial membranes.

    Science.gov (United States)

    Khalifat, Nada; Puff, Nicolas; Dliaa, Mariam; Angelova, Miglena I

    2012-01-01

    Alzheimer's disease (AD) is a degenerative disease of the central nervous system which causes irreversible damage to neuron structure and function. The main hypothesis concerning the cause of AD is excessive accumulation of amyloid-β peptides (Aβ). There has recently been a surge in studies on neuronal morphological and functional pathologies related to Aβ-induced mitochondrial dysfunctions and morphological alternations. What is the relation between the accumulation of Aβ in mitochondria, decreased production of ATP, and the large number of mitochondria with broken or scarce cristae observed in AD patients' neurons? The problem is complex, as it is now widely recognized that mitochondria function determines mitochondrial inner membrane (IM) morphology and, conversely, that IM morphology can influence mitochondrial functions. In our previous work, we designed an artificial mitochondrial IM, a minimal model system (giant unilamellar vesicle) mimicking the IM. We showed experimentally that modulation of the local pH gradient at the membrane level of cardiolipin-containing vesicles induces dynamic membrane invaginations similar to the mitochondrial cristae. In the present work we show, using our artificial IM, that Aβ renders the membrane unable to support the formation of cristae-like structures when local pH gradient occurs, leading to the failure of this cristae-like morphology. Fluorescent probe studies suggest that the dramatic change of membrane mechanical properties is due to Aβ-induced lipid bilayer dehydration, increased ordering of lipids, loss of membrane fluidity, and possibly to Aβ-induced changes in dynamic friction between the two leaflets of the lipid membrane.

  10. Experimental Study on Thermal Vacuum Environment Sensitivity of Spacecraft Antenna's Typical Failure

    Directory of Open Access Journals (Sweden)

    Bi Yanqiang

    2017-01-01

    Full Text Available With the development of space applications, spacecraft antenna has become an indispensable part of any space system. The spacecraft antenna affects and constrains the performance and functionality of the entire wireless communication system as well as the entire spacecraft. Spacecraft antenna has to withstand the noise, vibration, shock and acceleration as launched, and weightlessness, high vacuum, radiation, extreme hot and cold alternating space environment on-orbit[1].The influence of different environmental factors on the typical failure modes of spacecraft antenna is different. The environmental adaptability of the spacecraft antenna depends mainly on its structural design, material, process and other factors. In this paper, the influence of different environmental factors on the typical failure modes of the spacecraft antenna is studied. The sensitivity analysis of the typical failure modes of the thermal vacuum environment is verified by experiments, which provides support for the development of the spacecraft antenna.

  11. Experimental study on uniaxial ratcheting deformation and failure behavior of 304 stainless steel

    International Nuclear Information System (INIS)

    Yang Xianjie; Gao Qing; Cai Lixun; Liu Yujie

    2004-01-01

    In the paper, the tests of cyclic strain ratcheting and low cycle fatigue for 304 stainless steel under uniaxial cyclic straining were carried out to systematically explore the deformation and failure behavior of the material. The experimental study shows that the cyclic strain ratcheting deformation behavior of the material is different from either the uniaxial monotonic tensile one or the cyclic deformation one under the symmetrical cyclic straining with the same strain amplitude, and the strain ratcheting deformation and failure behaviors depend on both the plastic strain amplitude and the strain increment at the cyclic maximum strain. Some significant results were observed

  12. Understanding aging in containment cooling systems

    International Nuclear Information System (INIS)

    Lofaro, R.J.

    1993-01-01

    A study has been performed to assess the effects of aging in nuclear power plant containment cooling systems. Failure records from national databases, as well as plant specific data were reviewed and analyzed to identify aging characteristics for this system. The predominant aging mechanisms were determined, along with the most frequently failed components and their associated failure modes. This paper discusses the aging mechanisms present in the containment spray system and the containment fan cooler system, which are two systems used to provide the containment cooling function. The failure modes, along with the relative frequency of each is also discussed

  13. ESR studies of heat treated metal-containing polyacrylonitriles

    International Nuclear Information System (INIS)

    Solodovnikov, S.P.; Bronshtejn, L.M.; Loginova, T.P.; Mirzoeva, E.Sh.; Lependina, O.L.; Valetskij, P.M.

    1993-01-01

    Heat treated metal-containing polyacrylonitriles that were obtained in air (220 deg, 13 h) and based on chromium, molybdenum-, and tungstencarbonyl polyacrylonitriles, were investigated using ESR method. As a result of heat treatment, oxides of corresponding metals and paramagnetci centres appeared, whose concentration was dependent on the duration of heating. Subsequent carbonization (980 deg, argon) led to the reduction of metal oxides and to the disappearance of paramagnetic centres

  14. Surface study of mixtures containing cyclic ethers and isomeric chlorobutanes

    International Nuclear Information System (INIS)

    Royo, F.M.; Villares, A.; Martin, S.; Giner, B.; Lafuente, C.

    2007-01-01

    Experimental surface tensions and the corresponding surface tensions deviations for the mixtures containing 1,3-dioxolane or 1,4-dioxane and 1-chlorobutane, 2-chlorobutane, 1-chloro-2-methylpropane or 2-chloro-2-methylpropane, measured with a drop volume tensiometer, are reported at the temperatures of 298.15 K and 313.15 K. The excess surface concentrations of isomeric chlorobutanes are also evaluated using a monolayer model

  15. Biodegradation studies of oil sludge containing high hydrocarbons concentration

    International Nuclear Information System (INIS)

    Olguin-Lora, P.; Munoz-Colunga, A.; Castorena-Cortes, G.; Roldan-Carrillo, T.; Quej Ake, L.; Reyes-Avila, J.; Zapata-Penasco, I.; Marin-Cruz, J.

    2009-01-01

    Oil industry has a significant impact on environment due to the emission of, dust, gases, waste water and solids generated during oil production all the way to basic petrochemical product manufacturing stages. the aim of this work was to evaluate the biodegradation of sludge containing high hydrocarbon concentration originated by a petroleum facility. A sludge sampling was done at the oil residuals pool (ORP) on a gas processing center. (Author)

  16. Testicular failure in boys with Prader-Willi syndrome: longitudinal studies of reproductive hormones.

    NARCIS (Netherlands)

    Siemensma, E.P.C.; Lind van Wijngaarden, R.F. de; Otten, B.J.; Jong, F.H. de; Hokken-Koelega, A.C.S.

    2012-01-01

    CONTEXT: The pathophysiology of hypogonadism in boys with Prader-Willi Syndrome (PWS) remains uncertain. Several reports described hypogonadotropic hypogonadism, some reported primary gonadal failure, and others a combination of both. OBJECTIVES: The aim of the study was to evaluate gonadal function

  17. Testicular failure in boys with Prader-Willi syndrome: Longitudinal studies of reproductive hormones

    NARCIS (Netherlands)

    E.P.C. Siemensma (Elbrich); R.F.A. De Lind Van Wijngaarden (Roderick F.); B.J. Otten (Barto); F.H. de Jong (Frank); A.C.S. Hokken-Koelega (Anita)

    2012-01-01

    textabstractContext: The pathophysiology of hypogonadism in boys with Prader-Willi Syndrome( PWS) remains uncertain. Several reports described hypogonadotropic hypogonadism, some reported primary gonadal failure, and others a combination of both. Objectives: The aim of the study was to evaluate

  18. STEM - software test and evaluation methods. A study of failure dependency in diverse software

    International Nuclear Information System (INIS)

    Bishop, P.G.; Pullen, F.D.

    1989-02-01

    STEM is a collaborative software reliability project undertaken in partnership with Halden Reactor Project, UKAEA, and the Finnish Technical Research Centre. The objective of STEM is to evaluate a number of fault detection and fault estimation methods which can be applied to high integrity software. This Report presents a study of the observed failure dependencies between faults in diversely produced software. (author)

  19. Patient work in end-stage heart failure: a prospective longitudinal multiple case study

    NARCIS (Netherlands)

    Willems, D. L.; Hak, A.; Visser, F. C.; Cornel, J.; van der Wal, G.

    2006-01-01

    OBJECTIVE: The most recent WHO definition of palliative care regards living as actively as possible as an important aim. We explored, over a 1-year period, the work this involves for patients with end-stage heart failure. DESIGN: Prospective longitudinal multiple case study using qualitative

  20. Frostbite with rhabdomyolysis and renal failure: radionuclide study. [/sup 99m/Tc

    Energy Technology Data Exchange (ETDEWEB)

    Rosenthall, L.; Kloiber, R.; Gagnon, R.; Damtew, B.; Lough, J.

    1981-08-01

    There is a growing list of muscle lesions exhibiting concentration of bone-seeking /sup 99m/Tc-labeled phosphate complexes; however, rhabdomyolysis due to cold injury has not been included. We performed a multiradiopharmaceutical study that yielded interesting results on a patient who sustained frostbite injury of the legs that led to rhabdomyolysis and acute renal failure.

  1. Failure rate modeling using fault tree analysis and Bayesian network: DEMO pulsed operation turbine study case

    International Nuclear Information System (INIS)

    Dongiovanni, Danilo Nicola; Iesmantas, Tomas

    2016-01-01

    Highlights: • RAMI (Reliability, Availability, Maintainability and Inspectability) assessment of secondary heat transfer loop for a DEMO nuclear fusion plant. • Definition of a fault tree for a nuclear steam turbine operated in pulsed mode. • Turbine failure rate models update by mean of a Bayesian network reflecting the fault tree analysis in the considered scenario. • Sensitivity analysis on system availability performance. - Abstract: Availability will play an important role in the Demonstration Power Plant (DEMO) success from an economic and safety perspective. Availability performance is commonly assessed by Reliability Availability Maintainability Inspectability (RAMI) analysis, strongly relying on the accurate definition of system components failure modes (FM) and failure rates (FR). Little component experience is available in fusion application, therefore requiring the adaptation of literature FR to fusion plant operating conditions, which may differ in several aspects. As a possible solution to this problem, a new methodology to extrapolate/estimate components failure rate under different operating conditions is presented. The DEMO Balance of Plant nuclear steam turbine component operated in pulse mode is considered as study case. The methodology moves from the definition of a fault tree taking into account failure modes possibly enhanced by pulsed operation. The fault tree is then translated into a Bayesian network. A statistical model for the turbine system failure rate in terms of subcomponents’ FR is hence obtained, allowing for sensitivity analyses on the structured mixture of literature and unknown FR data for which plausible value intervals are investigated to assess their impact on the whole turbine system FR. Finally, the impact of resulting turbine system FR on plant availability is assessed exploiting a Reliability Block Diagram (RBD) model for a typical secondary cooling system implementing a Rankine cycle. Mean inherent availability

  2. Incidence of school failure according to baseline leisure-time physical activity practice: prospective study.

    Science.gov (United States)

    Rombaldi, Airton J; Clark, Valerie L; Reichert, Felipe F; Araújo, Cora L P; Assunção, Maria C; Menezes, Ana M B; Horta, Bernardo L; Hallal, Pedro C

    2012-12-01

    To evaluate the prospective association between leisure-time physical activity practice at 11 years of age and incidence of school failure from 11 to 15 years of age. The sample comprised >4,300 adolescents followed up from birth to 15 years of age participating in a birth cohort study in Pelotas, Brazil. The incidence of school failure from age 11 to 15 years was calculated by first excluding from the analyses all subjects who experienced a school failure before 11 years of age, and then categorizing as "positive" all those who reported repeating a grade at school from 11 to 15 years of age. Leisure-time physical activity was measured using a validated questionnaire. The incidence of school failure was 47.9% among boys and 38.2% among girls. Adolescents in the top quartile of leisure-time physical activity practice at 11 years of age had a higher likelihood of school failure (OR: 1.36; 95% CI: 1.06, 1.75) compared with the least active adolescents. In adjusted analyses stratified by sex, boys in the top quartile of leisure-time physical activity practice at 11 years of age were also more likely to have failed at school from age 11 to 15 years (OR: 1.60; 95% CI: 1.09, 2.33). Adolescents allocating >1,000 min/wk to leisure-time physical activity were more likely to experience a school failure from 11 to 15 years of age. Although this finding does not advocate against physical activity promotion, it indicates that excess time allocated to physical activity may jeopardize school performance among adolescents. Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  3. Failure rate modeling using fault tree analysis and Bayesian network: DEMO pulsed operation turbine study case

    Energy Technology Data Exchange (ETDEWEB)

    Dongiovanni, Danilo Nicola, E-mail: danilo.dongiovanni@enea.it [ENEA, Nuclear Fusion and Safety Technologies Department, via Enrico Fermi 45, Frascati 00040 (Italy); Iesmantas, Tomas [LEI, Breslaujos str. 3 Kaunas (Lithuania)

    2016-11-01

    Highlights: • RAMI (Reliability, Availability, Maintainability and Inspectability) assessment of secondary heat transfer loop for a DEMO nuclear fusion plant. • Definition of a fault tree for a nuclear steam turbine operated in pulsed mode. • Turbine failure rate models update by mean of a Bayesian network reflecting the fault tree analysis in the considered scenario. • Sensitivity analysis on system availability performance. - Abstract: Availability will play an important role in the Demonstration Power Plant (DEMO) success from an economic and safety perspective. Availability performance is commonly assessed by Reliability Availability Maintainability Inspectability (RAMI) analysis, strongly relying on the accurate definition of system components failure modes (FM) and failure rates (FR). Little component experience is available in fusion application, therefore requiring the adaptation of literature FR to fusion plant operating conditions, which may differ in several aspects. As a possible solution to this problem, a new methodology to extrapolate/estimate components failure rate under different operating conditions is presented. The DEMO Balance of Plant nuclear steam turbine component operated in pulse mode is considered as study case. The methodology moves from the definition of a fault tree taking into account failure modes possibly enhanced by pulsed operation. The fault tree is then translated into a Bayesian network. A statistical model for the turbine system failure rate in terms of subcomponents’ FR is hence obtained, allowing for sensitivity analyses on the structured mixture of literature and unknown FR data for which plausible value intervals are investigated to assess their impact on the whole turbine system FR. Finally, the impact of resulting turbine system FR on plant availability is assessed exploiting a Reliability Block Diagram (RBD) model for a typical secondary cooling system implementing a Rankine cycle. Mean inherent availability

  4. Identifying the latent failures underpinning medication administration errors: an exploratory study.

    Science.gov (United States)

    Lawton, Rebecca; Carruthers, Sam; Gardner, Peter; Wright, John; McEachan, Rosie R C

    2012-08-01

    The primary aim of this article was to identify the latent failures that are perceived to underpin medication errors. The study was conducted within three medical wards in a hospital in the United Kingdom. The study employed a cross-sectional qualitative design. Interviews were conducted with 12 nurses and eight managers. Interviews were transcribed and subject to thematic content analysis. A two-step inter-rater comparison tested the reliability of the themes. Ten latent failures were identified based on the analysis of the interviews. These were ward climate, local working environment, workload, human resources, team communication, routine procedures, bed management, written policies and procedures, supervision and leadership, and training. The discussion focuses on ward climate, the most prevalent theme, which is conceptualized here as interacting with failures in the nine other organizational structures and processes. This study is the first of its kind to identify the latent failures perceived to underpin medication errors in a systematic way. The findings can be used as a platform for researchers to test the impact of organization-level patient safety interventions and to design proactive error management tools and incident reporting systems in hospitals. © Health Research and Educational Trust.

  5. Review of constitutive models and failure criteria for concrete

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Jeong Moon; Choun, Young Sun [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2000-03-01

    The general behavior, constitutive models, and failure criteria of concrete are reviewed. The current constitutive models for concrete cannot satisfy all of mechanical behavior of concrete. Among several constitutive models, damage models are recommended to describe properly the structural behavior of concrete containment buildings, because failure modes and post-failure behavior are important in containment buildings. A constitutive model which can describe the concrete behavior in tension is required because the containment buildings will reach failure state due to ultimate internal pressure. Therefore, a thorough study on the behavior and models under tension stress state in concrete and reinforced concrete has to be performed. There are two types of failure criteria in containment buildings: structural failure criteria and leakage failure criteria. For reinforced or prestressed concrete containment buildings, concrete cracking does not mean the structural failure of containment building because the reinforcement or post-tensioning system is able to resist tensile stress up to yield stress. Therefore leakage failure criteria will be prior to structural failure criteria, and a strain failure criterion for concrete has to be established. 120 refs., 59 figs., 1 tabs. (Author)

  6. Hydrogen mixing study (HMS) in LWR type containments

    International Nuclear Information System (INIS)

    Travis, J.R.

    1983-01-01

    A numerical technique has been developed for calculating the full three-dimensional time-dependent Navier-Stokes equations with multiple speies transport. The method is a modified form of the Implicit Continuous-fluid Eulerian (ICE) technique to solve the governing equations for low Mach number flows where pressure waves and local variations in compression and expansion are not significant. Large density variations, due to thermal and species concentration gradients, are accounted for without the restrictions of the classical Boussinesq approximation. Calculations of the EPRI/HEDL standard problems verify the feasibility of using this finite-difference technique for analyzing hydrogen mixing within LWR containments

  7. Implant failure and history of failed endodontic treatment: A retrospective case-control study.

    Science.gov (United States)

    Chatzopoulos, Georgios S; Wolff, Larry F

    2017-11-01

    Residual bacterial biofilm and/or bacteria in planktonic form may be survived in the bone following an extraction of an infected tooth that was endodontically treated unsuccessfully Failed endodontic treatment may be associated with failure of implants to osseointegrate in the same sites. Therefore, the aim of this retrospective case-control study is to examine the risk of implant failure in previous failed endodontic sites. This retrospective case-control study is based on 94 dental records of implants placed at the University of Minnesota School of Dentistry. Dental records of patients who received an implant in sites with previously failed endodontic therapy in the dental school were identified from the electronic database, while control subjects were obtained from the same pool of patients with the requirement to have received an implant in a site that was not endodontically treated. The mean age of the population was 62.89±14.17 years with 57.4% of the sample being females and 42.6% of them being males. In regards to the socio-economic status and dental insurance, 84.0% of this population was classified as low socio-economic status and 68.1% had dental insurance. Tobacco use was self-reported by 9.6% and hypercholesterolemia was the most prevalent systemic medical condition. Dental implant failure was identified in two of the included records (2.1%), both of which were placed in sites with a history of failed endodontic treatment. Within the limitations of this retrospective case-control study, further investigation with a larger population group into implant failure of sites that previously had unsuccessful endodontic treatment would be warranted. Implant failure may be associated with a history of failed endodontic treatment. Key words: Implantology, endodontics, osseointegration, treatment outcome, case-control study.

  8. Core Domains for Clinical Research in Acute Respiratory Failure Survivors: An International Modified Delphi Consensus Study.

    Science.gov (United States)

    Turnbull, Alison E; Sepulveda, Kristin A; Dinglas, Victor D; Chessare, Caroline M; Bingham, Clifton O; Needham, Dale M

    2017-06-01

    To identify the "core domains" (i.e., patient outcomes, health-related conditions, or aspects of health) that relevant stakeholders agree are essential to assess in all clinical research studies evaluating the outcomes of acute respiratory failure survivors after hospital discharge. A two-round consensus process, using a modified Delphi methodology, with participants from 16 countries, including patient and caregiver representatives. Prior to voting, participants were asked to review 1) results from surveys of clinical researchers, acute respiratory failure survivors, and caregivers that rated the importance of 19 preliminary outcome domains and 2) results from a qualitative study of acute respiratory failure survivors' outcomes after hospital discharge, as related to the 19 preliminary outcome domains. Participants also were asked to suggest any additional potential domains for evaluation in the first Delphi survey. Web-based surveys of participants representing four stakeholder groups relevant to clinical research evaluating postdischarge outcomes of acute respiratory failure survivors: clinical researchers, clinicians, patients and caregivers, and U.S. federal research funding organizations. None. None. Survey response rates were 97% and 99% in round 1 and round 2, respectively. There were seven domains that met the a priori consensus criteria to be designated as core domains: physical function, cognition, mental health, survival, pulmonary function, pain, and muscle and/or nerve function. This study generated a consensus-based list of core domains that should be assessed in all clinical research studies evaluating acute respiratory failure survivors after hospital discharge. Identifying appropriate measurement instruments to assess these core domains is an important next step toward developing a set of core outcome measures for this field of research.

  9. Development of self-care educational material for patients with heart failure in Japan: a pilot study.

    Science.gov (United States)

    Kato, Naoko; Kinugawa, Koichiro; Sano, Miho; Seki, Satomi; Kogure, Asuka; Kobukata, Kihoko; Ochiai, Ryota; Wakita, Sanae; Kazuma, Keiko

    2012-06-01

    This study assessed the need for information regarding heart failure and self-care, developed self-care educational material, and investigated the feasibility of the material. A total of 22 hospitalized heart failure patients (mean age: 63 years) completed a self-administered questionnaire. We found that more than 90% of patients desired information, particularly about heart failure symptoms, time to notify healthcare providers, prognosis, and exercise/physical activity. After examining the eight existing brochures for Japanese heart failure patients, we developed self-care educational material. This was based on heart failure guidelines and on the results of our inquiry regarding information needs. Finally, a pilot study was conducted in nine hospitalized heart failure patients (mean age: 57 years). None of the patients had difficulty reading or understanding the educational material. The self-administrated questionnaire survey revealed that comprehension of the following improved after the educational sessions with the material: heart failure symptoms, medication, weighing, sodium intake, and fluid intake (P failure patients have a great need for information about heart failure. Our pilot study suggests that the material was readable and had a beneficial effect on heart failure comprehension. © 2012 Blackwell Publishing Asia Pty Ltd.

  10. Insulin pump failures in Italian children with Type 1 diabetes: retrospective 1-year cohort study.

    Science.gov (United States)

    Rabbone, I; Minuto, N; Bonfanti, R; Marigliano, M; Cerutti, F; Cherubini, V; d'Annunzio, G; Frongia, A P; Iafusco, D; Ignaccolo, G; Lombardo, F; Schiaffini, R; Toni, S; Tumini, S; Zucchini, S; Pistorio, A; Scaramuzza, A E

    2017-05-01

    Insulin pump failure and/or malfunction requiring replacement have not been thoroughly investigated. This study evaluated pump replacement in children and adolescents with Type 1 diabetes using insulin pump therapy. Data were collected for all participants younger than 19 years, starting insulin pump therapy before 31 December 2013. For each child, age, disease duration, date of insulin pump therapy initiation, insulin pump model, failure/malfunction/replacement yes/no and reason were considered for the year 2013. Data were returned by 40 of 43 paediatric centres belonging to the Diabetes Study Group of the Italian Society of Paediatric Endocrinology and Diabetology. In total, 1574 of 11 311 (13.9%) children and adolescents with Type 1 diabetes were using an insulin pump: 29.2% Animas VIBE ™ , 9.4% Medtronic MiniMed 715/515 ™ , 34.3% Medtronic MiniMed VEO ™ , 24.3% Accu-Check Spirit Combo ™ and 2.8% other models. In 2013, 0.165 insulin pump replacements per patient-year (11.8% due to pump failure/malfunction and 4.7% due to accidental damage) were recorded. Animas VIBE ™ (22.1%) and Medtronic MiniMed VEO ™ (17.7%) were the most replaced. In a large cohort of Italian children and adolescents with Type 1 diabetes, insulin pump failure/malfunction and consequent replacement are aligned with rates previously reported and higher in more sophisticated pump models. © 2016 Diabetes UK.

  11. A survey on critical factors on educational failure: A case study of private universities in Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Reza Iravani

    2011-10-01

    Full Text Available One of the primary issues on many developing countries is educational failure associated with schoolchildren or university students. Many students cannot continue their educations for different reasons such as lack of family support either financially or emotionally. In this paper, we study the effects of family background characteristics on educational participation in one of Iranian cities. We select 40 students who have the history of educational failure and distribute some questionnaire among them. Our survey is mainly based on relationship between family characteristics such as age, educational level, etc. The results indicate that different family characteristics could highly influence educational failure. Some of the most important factors that all students agreed on are family dispute, lack of interest and support on behalf of their parents, disregarding students' creativity, university professors with weak performance and high living expenses as well as high tuitions. There are other issues, which could impact educational failure such as having a university with good discipline and studying in overcrowded classes.

  12. Contraceptive failure--results from a study conducted among women with accepted and unaccepted pregnancies in Denmark

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2002-01-01

    , and 2614 received antenatal care. The variables studied comprise age, partner relationship, number of births, occupational and economical situation, and contraceptive use.Contraceptive failure, defined as contraceptive use (condom, diaphragm, IUD, oral contraception, or another modern method......Most studies focusing on contraceptive failure in relation to pregnancy have focused on contraceptive failure among women having induced abortions, thereby neglecting those women who, despite contraceptive failure, accept the pregnancy and intend to carry the fetus to term. To get a more complete...... picture of the problem of contraceptive failure, this study focuses on contraceptive failure among women with diverse pregnancy outcomes.In all, 3520 pregnant women attending Odense University Hospital were included: 373 had induced abortions, 435 had spontaneous abortions, 97 had ectopic pregnancies...

  13. Success and Failures of Acquisitions: A Case Study for a Chemical Company

    Directory of Open Access Journals (Sweden)

    Shainaaz MOOSA MUSTAFFA

    2017-05-01

    Full Text Available The purpose of this study was to perform a universal inspection of the processes adopted in acquisitions by concentrating on attributes which are speedily implemented in the industry. The approach to this research study was based on literature reviews to gain knowledge on the causes of failure and the factors attributed to the success of acquisitions in the case study concerning a chemical company. This method was applied to identify if the failures and successes researched are shown in the case study. The research study firstly looked at various approaches to acquisitions, namely, the pre-acquisition, post-acquisition and integration phases together with the motives for acquisitions. The study delves further into factors influencing the failures and successes of acquisitions. A notable body of research was consulted to focus on these factors. The research study highlights a framework incorporating the management of post-integration strategy concurrently with the people and the organisational goals. The key findings showed that the company lacked a formal integration plan, cultural integration, ad proper communication plans. This resulted in staff unrest and high attrition of staff from deal announcement date up to post integration, leading to high resistance from staff and poor people integration. The company did however achieve financial success through synergy realisation. This positive outcome could have been achieved quicker with the proper integration plans within the different phases of the acquisition. The knowledge attained from this study will hopefully add to the body of knowledge on acquisitions.

  14. Study on Geotechnique and Geohydrology in Failure Areas, P2PLR-BATAN, Serpong

    International Nuclear Information System (INIS)

    Heri-Syaeful; Suharji; Sartapa; Suparjo-AS

    2004-01-01

    Failures in reverse side of 50 and 52 building, first en occurred in early 2002, temporary treatment on slope failure which conducted in the middle of the year 2002 has not solved the problem, because it did not consider the aspect of geo technique and geohydrology that causing the failure. Geo technique and geohydrology study in failure area covered field work, laboratory work and geo technic/geohydrology analysis. Field works includes topographic mapping, core drilling, hand auger, groundwater level monitoring, standard penetration test and undisturbed sampling. Laboratory work includes index properties and engineering properties test. Studio works covered geotechnical analysis for the calculation of safety factor, while geohydrology analysis to understand the groundwater system. Slope stability analysis resulting the small number of safety factor, between 0,305-1,637 on normal condition, 0,293-1,597 on saturated condition and 0,205-1,075 on earthquake condition. From the geohydrology analysis, concluded that water clogging still occurs in several areas of slope, causing the excess of pore water pressure and decreasing the value of soil shear strength. (author)

  15. A Study of Failure Strength for Fiber-Reinforced Composite Laminates with Consideration of Interface

    Directory of Open Access Journals (Sweden)

    Junjie Ye

    2015-01-01

    Full Text Available Composite laminates can exhibit the nonlinear properties due to the fiber/matrix interface debonding and matrix plastic deformation. In this paper, by incorporating the interface stress-displacement relations between fibers and matrix, as well as the viscoplastic constitutive model for describing plastic behaviors of matrix materials, a micromechanical model is used to investigate the failure strength of the composites with imperfect interface bonding. Meanwhile, the classic laminate theory, which provides the relation between micro- and macroscale responses for composite laminates, is employed. Theory results show good consistency with the experimental data under unidirectional tensile conditions at both 23°C and 650°C. On this basis, the interface debonding influences on the failure strength of the [0/90]s and [0/±45/90]s composite laminates are studied. The numerical results show that all of the unidirectional (UD laminates with imperfect interface bonding provide a sharp decrease in failure strength in the σxx-σyy plane at 23°C. However, the decreasing is restricted in some specific region. In addition, for [0/90]s and [0/±45/90]s composite laminates, the debonding interface influences on the failure envelope can be ignored when the working temperature is increased to 650°C.

  16. The use of metabolic balance studies in the objective discrimination between intestinal insufficiency and intestinal failure.

    Science.gov (United States)

    Prahm, August P; Brandt, Christopher F; Askov-Hansen, Carsten; Mortensen, Per B; Jeppesen, Palle B

    2017-09-01

    Background : In research settings that use metabolic balance studies (MBSs) of stable adult patients with short bowel syndrome, intestinal failure (IF) and dependence on parenteral support (PS) have been defined objectively as energy absorption absorption Intestinal absorption was measured from April 2003 to March 2015 in 175 consecutive patients with intestinal insufficiency (INS) in 96-h MBSs. They had not received PS 3 mo before referral. Results: To avoid the need for PS, the minimum absorptive requirements were energy absorption of ≥81% of BMR and WW absorption of ≥21 g · kg body weight -1 · d -1 , which were equivalent to findings in research settings (differences of 3.6% and 8.7%; P = 0.65 and 0.60, respectively). Oral failure defined as energy intake absorption and WW absorption, respectively. Conclusions: In clinical settings, the borderlines between INS and IF were not significantly different from those in research settings, even in an unselected patient population in which oral failure was also a predominant cause of nutritional dyshomeostasis. MBSs may be recommended to identify the individual patient in the spectrum from INS to IF, to objectivize the cause of nutritional dyshomeostasis (oral failure, malabsorption, or both), and to quantify the effects of treatment. © 2017 American Society for Nutrition.

  17. Study of Stress Migration Failure in SiLKTM/SiO2 Hybrid Cu Interconnects

    International Nuclear Information System (INIS)

    Tsuchikawa, Haruo; Nakamura, Tomoji; Suzuki, Takashi; Mori, Hiroko; Shono, Ken

    2004-01-01

    Stress migration (SM) behavior is studied for a 130nm-node SiLK TM /SiO2 hybrid structure in which the interlevel dielectrics (ILD) consist of SiLK TM for trench levels and SiO2 for via levels. The failure rate dependence on the temperature, line width and circuit is examined in detail. Furthermore, an effect of dielectric deposition process on the reliability of the hybrid interconnects is investigated. It has been found that SM behavior is essentially similar to that reported in Cu/SiO2 systems. It has also been clarified that SiO2 PVD conditions at via level had a large impact on the failure rate. Therefore, the control of ILD deposition conditions is found to be one of the key factors in suppressing the SM failure. In order to examine the effect of the PVD conditions, the residual stress in vias were measured by using X-ray diffraction method. The results show that σx (the stress component parallel to the surface) in vias greatly depends on the PVD conditions. Then, the relationship between the PVD conditions and the SM failure rate is clarified

  18. Respiratory failure following anti-lung serum: study on mechanisms associated with surfactant system damage

    International Nuclear Information System (INIS)

    Lachmann, B.; Hallman, M.; Bergmann, K.C.

    1987-01-01

    Within 2 minutes intravenous anti-lung serum (ALS) into guinea pig induces a respiratory failure that is fatal within 30 min. The relationship between surfactant, alveolar-capillary permeability and respiratory failure was studied. Within two minutes ALS induced a leak in the alveolar-capillary barrier. Within 30 minutes 28.3% (controls, given normal rabbit serum: 0.7%) of iv 131 I-albumin, and 0.5% (controls 0.02%) of iv surfactant phospholipid tracer were recovered in bronchoalveolar lavage. Furthermore, 57% (controls 32%) of the endotracheally administered surfactant phospholipid became associated with lung tissue and only less than 0.5% left the lung. The distribution of proteins and phospholipids between the in vivo small volume bronchoalveolar lavages and the ex vivo bronchoalveolar lavages were dissimilar: 84% (controls 20%) of intravenously injected, lavageable 131 I-albumin and 23% (controls 18%) of total lavageable phospholipid were recovered in the in vivo small volume bronchoalveolar lavages. ALS also decreased lavageable surfactant phospholipid by 41%. After ALS the minimum surface tension increased. The supernatant of the lavage increased the minimum surface tension of normal surfactant. In addition, the sediment fraction of the lavage had slow surface adsorption, and a marked reduction in 35,000 and 10,000 MW peptides. Exogenous surfactant ameliorated the ALS-induced respiratory failure. We propose that inhibition, altered intrapulmonary distribution, and dissociation of protein and phospholipid components of surfactant are important in early pathogenesis of acute respiratory failure

  19. The Consequences of Service Encounter Failure in Shopping Centers: A Study with Visually Impaired Consumers

    Directory of Open Access Journals (Sweden)

    Pedro Felipe da Costa Coelho

    2017-06-01

    Full Text Available The advent of the Brazilian Law on the Inclusion of People with Disabilities, in 2015, has brought a series of implications for marketing researchers, since it concerns the rights to include people with disabilities in public and private consumption spaces, such as shopping malls. Despite the growth of these consumer spaces in Brazil, several failures in service encounters are frequent, especially when consumers are visually impaired. Therefore, this study aims to understand the consequences of service encounters failures in shopping malls for the consumer with visual disabilities. To reach this goal, we used a qualitative approach of phenomenological nature. Data were collected through direct and naturalistic observations and conduct of nine face-to-face interviews with visually impaired consumers. Through content analysis of the results, we concluded that there is a diversity of failures occurred in service encounters, such as excessive piety of sellers to consumers, contempt and the sudden change in the service script. For this reason, the consequences of service encounter failure were from the verbal confrontation and the withdrawal of the transaction to the word-of-mouth and negative expressions of frustration in virtual social networks. This article also presents managerial and academic contributions for marketing researchers.

  20. Heart Failure Therapeutics on the Basis of a Biased Ligand of the Angiotensin-2 Type 1 Receptor Rationale and Design of the BLAST-AHF Study (Biased Ligand of the Angiotensin Receptor Study in Acute Heart Failure)

    NARCIS (Netherlands)

    Felker, G. Michael; Butler, Javed; Collins, Sean P.; Cotter, Gad; Davison, Beth A.; Ezekowitz, Justin A.; Filippatos, Gerasimos; Levy, Phillip D.; Metra, Marco; Ponikowski, Piotr; Soergel, David G.; Teerlink, John R.; Violin, Jonathan D.; Voors, Adriaan A.; Pang, Peter S.

    The BLAST-AHF (Biased Ligand of the Angiotensin Receptor Study in Acute Heart Failure) study is designed to test the efficacy and safety of TRV027, a novel biased ligand of the angiotensin-2 type 1 receptor, in patients with acute heart failure (AHF). AHF remains a major public health problem, and

  1. Analysis of Renal Artery Stenosis in Patients with Heart Failure: A RASHEF Study.

    Science.gov (United States)

    Zheng, Bin; Ma, Qin; Zheng, Li-Hong; Yong, Qiang; He, Yi-Hua; Liu, Jing-Hua

    2015-10-20

    Previous data are controversial about the association of renal artery stenosis (RAS) with clinical outcome in patients with heart failure. Definition of RAS in previous studies might not be appropriate. By definition of RAS with renal duplex sonography, we investigated the association of RAS with clinical outcome in patients with heart failure. In this retrospective study, we identified 164 patients with heart failure (New York Heart Association classification ≥II; left ventricular ejection fraction renal duplex sonography during hospital stay. RAS was defined as renal-aortic ratio ≥3.5 or a peak systolic velocity ≥200 cm/s (or both), or occlusion of the renal artery. Categorical data of patients were compared using the Chi-square test or Fisher's exact test. Cox proportional hazards regression modeling technique was used to investigate the prognostic significance of possible predictors. Finally, 143 patients were enrolled. Median follow-up time was 32 months (1-53 months). Twenty-two patients were diagnosed as RAS by renal duplex sonography, including 13 unilateral RAS (3 left RAS, 10 right RAS) and 9 bilateral RAS. There were more all-cause mortality and cardiovascular death in patients with RAS than patients without RAS. By multivariate analysis, RAS was a significant predictor for all-cause death and cardiovascular death (hazard ratio [HR] = 4.155, 95% confidence interval [CI]: 1.546-11.164, P = 0.005; and HR = 3.483, 95% CI: 1.200-10.104, P = 0.022, respectively). As for composite endpoint events, including death, nonfatal myocardial infarction, ischemic stroke or intracranial hemorrhage, rehospitalization for cardiac failure, and renal replacement therapy, only angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker was significant predictor. RAS was not a significant predictor for composite endpoint events. Our data suggested that RAS is associated with a poorer clinical outcome in patients with heart failure.

  2. Childhood socio-economic status, school failure and drug abuse: a Swedish national cohort study.

    Science.gov (United States)

    Gauffin, Karl; Vinnerljung, Bo; Fridell, Mats; Hesse, Morten; Hjern, Anders

    2013-08-01

    To investigate whether socio-economic status (SES) in childhood and school failure at 15 years of age predict illicit drug abuse in youth and young adulthood. Register study in a Swedish national cohort born 1973-88 (n = 1,405,763), followed from age 16 to 20-35 years. Cox regression analyses were used to calculate hazard ratios (HR) for any indication of drug abuse. Our outcomes were hospital admissions, death and criminality associated with illicit drug abuse. Data on socio-demographics, school grades and parental psychosocial problems were collected from censuses (1985 and 1990) and national registers. School failure was defined as having mean school grades from the final year in primary school lower than -1 standard deviation and/or no grades in core subjects. School failure was a strong predictor of illicit drug abuse with an HR of 5.87 (95% CI: 5.76-5.99) after adjustment for age and sex. Childhood SES was associated with illicit drug abuse later in life in a stepwise manner. The lowest stratum had a HR of 2.28 (95% CI: 2.20-2.37) compared with the highest stratum as the reference, when adjusted for other socio-demographic variables. In the fully adjusted model, the effect of SES was greatly attenuated to an HR of 1.23 (95% CI: 1.19-1.28) in the lowest SES category, while the effect of school failure remained high with an HR of 4.22 (95% CI: 4.13-4.31). School failure and childhood socio-economic status predict illicit drug abuse independently in youth and young adults in Sweden. © 2013 Society for the Study of Addiction.

  3. Helicobacter pylori second-line rescue therapy with levofloxacin- and bismuth-containing quadruple therapy, after failure of standard triple or non-bismuth quadruple treatments.

    Science.gov (United States)

    Gisbert, J P; Romano, M; Gravina, A G; Solís-Muñoz, P; Bermejo, F; Molina-Infante, J; Castro-Fernández, M; Ortuño, J; Lucendo, A J; Herranz, M; Modolell, I; Del Castillo, F; Gómez, J; Barrio, J; Velayos, B; Gómez, B; Domínguez, J L; Miranda, A; Martorano, M; Algaba, A; Pabón, M; Angueira, T; Fernández-Salazar, L; Federico, A; Marín, A C; McNicholl, A G

    2015-04-01

    The most commonly used second-line Helicobacter pylori eradication regimens are bismuth-containing quadruple therapy and levofloxacin-containing triple therapy, both offering suboptimal results. Combining bismuth and levofloxacin may enhance the efficacy of rescue eradication regimens. To evaluate the efficacy and tolerability of a second-line quadruple regimen containing levofloxacin and bismuth in patients whose previous H. pylori eradication treatment failed. This was a prospective multicenter study including patients in whom a standard triple therapy (PPI-clarithromycin-amoxicillin) or a non-bismuth quadruple therapy (PPI-clarithromycin-amoxicillin-metronidazole, either sequential or concomitant) had failed. Esomeprazole (40 mg b.d.), amoxicillin (1 g b.d.), levofloxacin (500 mg o.d.) and bismuth (240 mg b.d.) was prescribed for 14 days. Eradication was confirmed by (13) C-urea breath test. Compliance was determined through questioning and recovery of empty medication envelopes. Incidence of adverse effects was evaluated by questionnaires. 200 patients were included consecutively (mean age 47 years, 67% women, 13% ulcer). Previous failed therapy included: standard clarithromycin triple therapy (131 patients), sequential (32) and concomitant (37). A total of 96% took all medications correctly. Per-protocol and intention-to-treat eradication rates were 91.1% (95%CI = 87-95%) and 90% (95%CI = 86-94%). Cure rates were similar regardless of previous (failed) treatment or country of origin. Adverse effects were reported in 46% of patients, most commonly nausea (17%) and diarrhoea (16%); 3% were intense but none was serious. Fourteen-day bismuth- and levofloxacin-containing quadruple therapy is an effective (≥90% cure rate), simple and safe second-line strategy in patients whose previous standard triple or non-bismuth quadruple (sequential or concomitant) therapies have failed. © 2015 John Wiley & Sons Ltd.

  4. Leach rate studies on glass containing actual radioactive waste

    International Nuclear Information System (INIS)

    Walker, D.D.; Wiley, J.R.; Dukes, M.D.; LeRoy, J.H.

    1980-01-01

    Borosilicate glass containing radioactive wastes from the Savannah River Plant have been leached for 900 days. The International Standards Organization's (ISO) static leach test procedure was used on glass buttons in various leachants. Leach rates based on 90 Sr and 137 Cs analyses were similar: 2 x 10 -8 to 3 x 10 -8 g/(cm 2 )(d) in distilled water, 1 x 10 -8 to 3 x 10 -7 g/(cm 2 )(d) in pH 7 buffer, 3 x 10 -7 to 7 x 10 -7 g/(cm 2 )(d) in pH 9 buffer, and 7 x 10 -6 to 8 x 10 -5 g/(cm 2 )(d) in pH 4 buffer. Rates based on Pu analyses were the same as above in distilled water and pH 9 buffer, but were lower by an order of magnitude in pH 4 and pH 7 buffers. Almost all leach rates remained constant between 200 and 900 days of leaching. Increasing the concentration of the buffering agents had no effect on the leach rates at pH 7 (phosphate) and pH 9 (carbonate), but dramatically increased the rates at pH 4 (acetate). Leach rates did not differ significantly between high aluminum and high iron waste glasses

  5. Studies on a Heat Storage Container with Phase Change Material

    Science.gov (United States)

    Toyoda, Naoki; Watanabe, Koji; Watanabe, Mituo; Yanadori, Michio

    This paper deals with the heat transfer characteristics when a phase change medium discharges the storing energy to a finned tube in a heat storage container. In this experiments, the phase change medium is Calcium Chloride Hexahydrate (CaCl26H2O)with fusion temperature 28°C. The following results are obtained. 1. In solidification process of the medium, the heat discharge quantity to a finned tube is greater than that to a single tube, However, the heat dischage quantity of the finned tube does not increase inproportion to the surface area of the fin. 2. The fin effect of the finned tube decreases as the increase of the accumulative heat discharge quantity rate. 3. This reason lies in the fact that the thermal resistance of the finned tube is greater than that of the single tube. Especially, in the range of the large values of the accumulative heat discharge quantity rate, it is consiberable that the themal resistanse increases so that the ratio of the dead space of the heat transfer area increases at the contact parts of the fins and the tube.

  6. Atrio-ventricular deformation and heart failure in Ebstein's Anomaly - A cardiovascular magnetic resonance study.

    Science.gov (United States)

    Steinmetz, Michael; Broder, Marike; Hösch, Olga; Lamata, Pablo; Kutty, Shelby; Kowallick, Johannes T; Staab, Wieland; Ritter, Christian Oliver; Hasenfuß, Gerd; Paul, Thomas; Lotz, Joachim; Schuster, Andreas

    2018-04-15

    We aimed to quantify atrial and ventricular myocardial deformation in Ebstein's Anomaly (EA) in a case-control study with cardiovascular magnetic resonance (CMR) feature tracking and to correlate changes in cardiac performance with the severity of disease and clinical heart failure parameters. Atrial and ventricular deformation was measured using CMR feature tracking in 30 EA and 20 healthy control subjects. Atrial performance was characterized using longitudinal strain and strain rate parameters for reservoir function, conduit function and booster pump function. Ventricular performance was characterized using RV and LV global longitudinal strain (εl) and LV circumferential and radial strain (εc and εr). Volumetric measurements for the ventricles including the Total Right/Left-Volume-Index (R/L-Volume-Index) and heart failure markers (BNP, NYHA class) were also quantified. EA patients showed significantly impaired right atrial performance, which correlated with heart failure markers (NYHA, BNP, R/L-Volume-Index). LA function in EA patients was also impaired with atrial contractile function correlating with NYHA class. EA patients exhibited impaired RV myocardial deformation, also with a significant correlation with heart failure markers. CMR feature tracking can be used to quantify ventricular and atrial function in a complex cardiac malformation such as EA. EA is characterized by impaired quantitative right heart atrio-ventricular deformation, which is associated with heart failure severity. While LV function remains preserved, there is also significant impairment of LA function. These quantitative performance parameters may represent early markers of cardiac deterioration of potential value in the clinical management of EA. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  7. Porosity determination from 2-D resistivity method in studying the slope failures

    Science.gov (United States)

    Maslinda, Umi; Nordiana, M. M.; Bery, A. A.

    2017-07-01

    Slope failures have become the main focus for infrastructures development on hilly areas in Malaysia especially the development of tourism and residential. Lack of understanding and information of the subsoil conditions and geotechnical issues are the main cause of the slope failures. The failures happened are due to a combination of few factors such as topography, climate, geology and land use. 2-D resistivity method was conducted at the collapsed area in Selangor. The 2-D resistivity was done to study the instability of the area. The collapsed occurred because of the subsurface materials was unstable. Pole-dipole array was used with 5 m minimum electrode spacing for the 2-D resistivity method. The data was processed using Res2Dinv software and the porosity was calculated using Archie's law equation. The results show that the saturated zone (1-100 Ωm), alluvium or highly weathered rock (100-1000 Ωm), boulders (1600-7000 Ωm) and granitic bedrock (>7000 Ωm). Generally, the slope failures or landslides occur during the wet season or after rainfall. It is because of the water infiltrate to the slope and cause the saturation of the slope which can lead to landslides. Then, the porosity of saturated zone is usually high because of the water content. The area of alluvium or highly weathered rock and saturated zone have high porosity (>20%) and the high porosity also dominated at almost all the collapsed area which means that the materials with porosity >20% is potential to be saturated, unstable and might trigger slope failures.

  8. Effects of combined exercise training and electromyostimulation treatments in chronic heart failure: A prospective multicentre study.

    Science.gov (United States)

    Iliou, Marie C; Vergès-Patois, Bénédicte; Pavy, Bruno; Charles-Nelson, Anais; Monpère, Catherine; Richard, Rudy; Verdier, Jean C

    2017-08-01

    Background Exercise training as part of a comprehensive cardiac rehabilitation is recommended for patients with cardiac heart failure. It is a valuable method for the improvement of exercise tolerance. Some studies reported a similar improvement with quadricipital electrical myostimulation, but the effect of combined exercise training and electrical myostimulation in cardiac heart failure has not been yet evaluated in a large prospective multicentre study. Purpose The aim of this study was to determine whether the addition of low frequency electrical myostimulation to exercise training may improve exercise capacity and/or muscular strength in cardiac heart failure patients. Methods Ninety-one patients were included (mean age: 58 ± 9 years; New York Heart Association II/III: 52/48%, left ventricular ejection fraction: 30 ± 7%) in a prospective French study. The patients were randomised into two groups: 41 patients in exercise training and 50 in exercise training + electrical myostimulation. All patients underwent 20 exercise training sessions. In addition, in the exercise training + electrical myostimulation group, patients underwent 20 low frequency (10 Hz) quadricipital electrical myostimulation sessions. Each patient underwent a cardiopulmonary exercise test, a six-minute walk test, a muscular function evaluation and a quality of life questionnaire, before and at the end of the study. Results A significant improvement of exercise capacity (Δ peak oxygen uptake+15% in exercise training group and +14% in exercise training + electrical myostimulation group) and of quality of life was observed in both groups without statistically significant differences between the two groups. Mean creatine kinase level increased in the exercise training group whereas it remained stable in the combined group. Conclusions This prospective multicentre study shows that electrical myostimulation on top of exercise training does not demonstrate any significant

  9. A study on the standard 8-node solid finite element for nonlinear analysis of reinforced concrete containment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hong-Pyo; Choun, Young-Sun; Seo, Jeong-Moon

    2005-02-01

    The objective of this research is to investigate the elasto-plastic solid element model for the safety assessment of the nuclear containment buildings and finally to implement into the computer module. For this purpose, 8-node solid element has been formulated with elasto-plastic reinforced concrete material model based on the Drucker-Prager failure criteria. The material model has employed standard plasticity theories, isotropic hardening model, associated plastic flow rule, 3-dimensional cracking criteria, concrete tensile softening model, shear transfer model due to aggregate interaction and compressive strength reduction factor. The stress-strain curves for reinforcement steel are generally used bi-linear hardening model in tension and compression. Several benchmark tests have been employed to validate developed elasto-plastic material model. The research result throughout this study can be directly used as basis information for the development of numerical analysis system for the nuclear containment buildings and general reinforced concrete structures.

  10. Reactor container

    International Nuclear Information System (INIS)

    Ichiki, Tadaharu; Saba, Kazuhisa.

    1979-01-01

    Purpose: To improve the earthquake resistance as well as reduce the size of a container for a nuclear reactor with no adverse effects on the decrease of impact shock to the container and shortening of construction step. Constitution: Reinforcing profile steel materials are welded longitudinally and transversely to the inner surface of a container, and inner steel plates are secured to the above profile steel materials while keeping a gap between the materials and the container. Reactor shielding wall planted to the base concrete of the container is mounted to the pressure vessel, and main steam pipeways secured by the transverse beams and led to the outside of container is connected. This can improve the rigidity earthquake strength and the safetiness against the increase in the inside pressure upon failures of the container. (Yoshino, Y.)

  11. Time-to-Event Analysis of Individual Variables Associated with Nursing Students' Academic Failure: A Longitudinal Study

    Science.gov (United States)

    Dante, Angelo; Fabris, Stefano; Palese, Alvisa

    2013-01-01

    Empirical studies and conceptual frameworks presented in the extant literature offer a static imagining of academic failure. Time-to-event analysis, which captures the dynamism of individual factors, as when they determine the failure to properly tailor timely strategies, impose longitudinal studies which are still lacking within the field. The…

  12. Barriers and facilitators to palliative care of patients with chronic heart failure in Germany: a study protocol

    Directory of Open Access Journals (Sweden)

    Stefan Köberich

    2015-07-01

    Full Text Available Background. Despite its high prevalence, similar symptoms and symptom burden, people suffering from chronic heart failure receive less palliative care than patients with malignant diseases. Internationally, numerous barriers to palliative care of patients with chronic heart failure are known, however, there are no credible data regarding barriers and facilitators to palliative care of people suffering from chronic heart failure available for Germany. Design and Methods. Tripartite study. First part of this study evaluates health care providers’ (physicians and nurses perceived barriers and facilitators to palliative care of patients with chronic heart failure using a qualitative approach. At least 18 persons will be interviewed. In the second part, based on the results of part one, a questionnaire about barriers and facilitators to palliative care of patients with chronic heart failure will be designed and applied to at least 150 physicians and nurses. In the last part a classic Delphi method will be used to develop specific measures to improve the palliative care for chronic heart failure patients. Expected Impact for Public Health. The results of this study will help to understand why patients with heart failure are seldom referred to palliative care and will provide solutions to overcome these barriers. Developed solutions will be the first step to improve palliative care in patients with heart failure in Germany. In addition, the results will help health care providers in other countries to take action to improve palliative care situations for heart failure patients.

  13. Parametric Studies Of Failure Mechanisms In Thermal Barrier Coatings During Thermal Cycling Using FEM

    Science.gov (United States)

    Srivathsa, B.; Das, D. K.

    2015-12-01

    Thermal barrier coatings (TBCs) are widely used on different hot components of gas turbine engines such as blades and vanes. Although, several mechanisms for the failure of the TBCs have been suggested, it is largely accepted that the durability of these coatings is primarily determined by the residual stresses that are developed during the thermal cycling. In the present study, the residual stress build-up in an electron beam physical vapour deposition (EB-PVD) based TBCs on a coupon during thermal cycling has been studied by varying three parameters such as the cooling rate, TBC thickness and substrate thickness. A two-dimensional thermomechanical generalized plane strain finite element simulations have been performed for thousand cycles. It was observed that these variations change the stress profile significantly and the stress severity factor increases non-linearly. Overall, the predictions of the model agree with reported experimental results and help in predicting the failure mechanisms.

  14. Family caregivers' experiences of caring for patients with heart failure: a descriptive, exploratory qualitative study.

    Science.gov (United States)

    Etemadifar, Shahram; Bahrami, Masoud; Shahriari, Mohsen; Farsani, Alireza Khosravi

    2015-06-01

    Living with heart failure is a complex situation for family caregivers. Many studies addressing the challenges faced by heart failure family caregivers have already been conducted in Western societal settings. Sociocultural factors and perspectives influence the family caring experience and roles. The ethnic/culturally based differences in family caring behavior make this a subject worth further exploration and clarification. This study explores the experiences of family caregivers in Iran of caring for patients with heart failure. A descriptive, exploratory, and qualitative approach was applied to gain authentic insight into the experiences of participants. Purposive sampling was used to recruit 21 family caregivers from three educational hospitals in Isfahan, Iran. Data were collected using semistructured interviews and field notes. Interviews and field notes were transcribed verbatim and concurrently analyzed. Three major themes emerged from the analysis of the transcripts: caregiver uncertainty, lack of familial and organizational support, and Allah-centered caring. Participants believed that they did not have the basic knowledge related to their disease and drugs. In addition, they received little guidance from the healthcare team. Lack of support and insurance as well as financial issues were major problems faced by the caregivers. They accepted the providence of Allah and noted that Allah always helps them accomplish their caregiving responsibilities. The care performed by the caregivers of patients with heart failure exceeds their individual capabilities. Nurses, other healthcare providers, and health policy makers may use the findings of this study to develop more effective programs to address these challenges and to provide more effective support.Sociocultural factors and perspectives were the primary factors affecting the caregiving experiences of participants in this study. Improved understanding of these factors and perspectives will help healthcare

  15. Fatigue failure analysis of vibrating screen spring by means of finite element simulation: a case study

    OpenAIRE

    Franco Rodríguez, Rosendo

    2017-01-01

    Vibrating screens are often used in the mining industry to separate mineral particles by size. In many designs, spring arrays are used to provide the system with the necessary stiffness for screens to vibrate in a controlled manner. Naturally, these springs are subjected to varying loading cycles, which can cause their premature fatigue failure. This behavior has been studied by means of finite element analysis and compared with data obtained from a real case scenario, in which a helical spri...

  16. Outcomes of Children With and Without Hepatic Encephalopathy From the Pediatric Acute Liver Failure Study Group.

    Science.gov (United States)

    Ng, Vicky L; Li, Ruosha; Loomes, Kathleen M; Leonis, Mike A; Rudnick, David A; Belle, Steven H; Squires, Robert H

    2016-09-01

    Hepatic encephalopathy (HE) is challenging to identify in children with acute liver failure and was not a requirement for enrollment into the Pediatric Acute Liver Failure Study Group (PALFSG). The outcomes of PALFSG participants presenting with and without HE are presented. PALFSG participants were classified based on daily assessment of HE during the first 7 days following study enrollment: group 1-never developed HE; group 2-no HE at enrollment with subsequent HE development; and group 3-HE at study enrollment. Clinical and biochemical parameters and outcomes of death, spontaneous recovery, or liver transplantation were compared between groups. Data from 769 PALFSG (54% boys; median age 4.2 years; range 0-17.9 years) participants were analyzed, with 277 in group 1 (36%), 83 in group 2 (11%), and 409 in group 3 (53%). Mortality occurred in 11% of all participants and was highest among group 3 participants who demonstrated persistent grade III-IV HE (55%) or showed progression of HE (26%). Eleven (4%) group 1 participants died within 21 days of enrollment. Spontaneous recovery was highest in group 1 (79%) and lowest in group 2 (25%; P pediatric acute liver failure prognostication schema are needed.

  17. An endoscopic study of upper-GI mucosal changes in patients with congestive heart failure.

    Science.gov (United States)

    Raja, Kaiser; Kochhar, Rakesh; Sethy, Pradeepta K; Dutta, Usha; Bali, Harinder K; Varma, Jagmohan S

    2004-12-01

    Congestive heart failure results in an increase in systemic venous pressure that is transmitted to the inferior vena cava and to the hepatic veins. This can cause GI vascular and mucosal congestion. The aim of this study was to define upper-GI mucosal changes in patients with congestive heart failure. A total of 57 patients with congestive heart failure presenting with GI symptoms underwent upper endoscopy. Echocardiography was performed in all patients to determine the ejection fraction and the degree of tricuspid regurgitation. Transabdominal US was performed to measure the diameters of the hepatic veins, the inferior vena cava, and the portal vein. The presence and the severity of gastropathy and duodenopathy were compared with the parameters relating to severity of cardiac failure. Of the 57 patients studied, gastric mucosal changes were observed in 50 (88%), duodenal mucosal changes in 31 (54%), and esophageal mucosal changes in none. Gastric mucosal changes were the following: mosaic-like pattern (n = 50), punctate spots (n = 34), thickened folds (n = 5), watermelon stomach (n = 3), and telangiectasia (n = 10). Duodenal mucosal changes were the following: mosaic-like pattern (n = 29), thickened folds (n = 8), and telangiectasia (n = 2). Upper-GI symptoms were associated with gastropathy ( p = 0.027) and duodenopathy ( p = 0.003). The presence and the severity of duodenopathy showed a high degree of positive correlation with the presence and the severity of gastropathy (gamma value 0.690; p value <0.001). Patients with gastropathy and duodenopathy had higher mean inferior vena cava and hepatic vein diameters than those without gastropathy and duodenopathy. The severity of duodenopathy but not that of gastropathy was significantly associated with increasing severity of tricuspid regurgitation ( p = 0.001), larger portal vein diameter ( p = 0.02), and lower ejection fraction ( p = 0.008). Among patients with congestive cardiac failure with GI symptoms, changes

  18. An Investigation of Digital Instrumentation and Control System Failure Modes

    International Nuclear Information System (INIS)

    Korsah, Kofi; Cetiner, Mustafa Sacit; Muhlheim, Michael David; Poore, Willis P. III

    2010-01-01

    A study sponsored by the Nuclear Regulatory Commission study was conducted to investigate digital instrumentation and control (DI and C) systems and module-level failure modes using a number of databases both in the nuclear and non-nuclear industries. The objectives of the study were to obtain relevant operational experience data to identify generic DI and C system failure modes and failure mechanisms, and to obtain generic insights, with the intent of using results to establish a unified framework for categorizing failure modes and mechanisms. Of the seven databases studied, the Equipment Performance Information Exchange database was found to contain the most useful data relevant to the study. Even so, the general lack of quality relative to the objectives of the study did not allow the development of a unified framework for failure modes and mechanisms of nuclear I and C systems. However, an attempt was made to characterize all the failure modes observed (i.e., without regard to the type of I and C equipment under consideration) into common categories. It was found that all the failure modes identified could be characterized as (a) detectable/preventable before failures, (b) age-related failures, (c) random failures, (d) random/sudden failures, or (e) intermittent failures. The percentage of failure modes characterized as (a) was significant, implying that a significant reduction in system failures could be achieved through improved online monitoring, exhaustive testing prior to installation, adequate configuration control or verification and validation, etc.

  19. Study on identification of irradiated food containing cellulose by ESR

    International Nuclear Information System (INIS)

    Wan Xiaojuan; Dou Daying; Xu Gang; Jiao Zheng; Wang Jia; Zheng Jianfei; Jiao Zheng; Wu Minghong; Ding Guoji

    2008-01-01

    The fast development and application of food irradiation technology signify the necessity and urgency to research on effective detection method for irradiated food. In this paper, we report a preliminary study in this area with dried chili powder, peanuts and strawberry seeds. The food samples were irradiated to 0.5, 1.0, 3.0, 5.0 and 10.0 kGy by 60 Co gamma rays. The relation between ESR intensity and irradiation dose, and correlation R 2 , were studied. The results showed that the ESR signal intensity is positively related with the dose. ESR intensity of the strawberry increased the slowest with the dose, and the chili powder had the most accurate calculation. Accurate dose-effect curves, however, require repeating tests and further studies are needed to verify the ESR results. (authors)

  20. Recommendations for protecting against failure by brittle fracture: Category II and III ferritic steel shipping containers with wall thickness greater than four inches

    International Nuclear Information System (INIS)

    Schwartz, M.W.; Fischer, L.E.

    1996-08-01

    This report provides criteria for selecting ferritic steels that would prevent brittle fracture in Category II and III shipping containers with wall thickness greater than 4 inches. These methods are extensions of those previously used for Category II and III containers less than 4 inches thick and Category I containers more than 4 inches thick

  1. Methodology of long term behaviour study of containment materials

    International Nuclear Information System (INIS)

    Vernaz, E.; Godon, N.

    1994-01-01

    Here is the presentation of the papers shown in the colloquium on environment and ceramics; the Atomic Energy Commissariat (Cea) have been working for fifteen years on the long term behaviour of fission products glasses on very long periods, about several millions years. The method of studies is detailed. 2 refs

  2. Simple platelet markers: Mean platelet volume and congestive heart failure coexistent with periodontal disease. Pilot studies.

    Science.gov (United States)

    Czerniuk, Maciej R; Bartoszewicz, Zbigniew; Dudzik-Niewiadomska, Iwona; Pilecki, Tomasz; Górska, Renata; Filipiak, Krzysztof J

    2017-07-17

    Conducted pilot study concerning mean platelet volume parameter among patients suffering from congestive heart failure and periodontal disease. Examination of dynamic changes of platelet and periodontal markers in group of 50 patients before and an average of 6 months subsequent to professional periodontal treatment. Both platelet and periodontal parameters decreased after periodontal treatment, what is more, the decrease of mean platelet volume (MPV) value due to periodontal disease/mm improvement was shown to be statistically significant (p = 0.05). Improvement of periodontal status may influence decrease of MPV value andincrease of congestive heart failure treatment efficacy and effect patient comfort. It is a new, not frequently used pattern of chronic disease treatment optimalization.

  3. Study for the identification of irradiated carbohydrate containing food

    International Nuclear Information System (INIS)

    Scherz, H.

    1991-01-01

    The study was undertaken to find radiation specific substances of carbohydrates and methods to detect those ones in irradiated food. Deoxycompounds have been found by irradiation of carbohydrates. It could be stated, that the formation of these substances was radiation specific. The irradiation of wheat for desinfestation was high actual at the moment of this study and therefore it was tried to find these deoxycompounds in irradiated potato starch and wheat flour. These substances were isolated and one of them was identified as w-hydroxymaltol. This substance was also found in irradiated wheat flour. The dependence between the amount of w-hydroxymaltol and the irradiation dosage was determined for both materials. (7 refs, 2 figs)

  4. Weight Loss Failure and Reoperation After Laparoscopic Adjustable Gastric Banding and Gastric Bypass: a Case-Matched Cohort Study.

    Science.gov (United States)

    Bittner, James G; Clingempeel, Natasha L; Wolf, Luke G

    2017-11-01

    Not long ago, laparoscopic adjustable gastric banding (LAGB) was considered a safe and effective treatment of morbid obesity; however, long-term outcomes revealed significant complication and failure rates. We hypothesized that LAGB has higher rates of weight loss failure, reoperation, and overall failure compared to laparoscopic gastric bypass (LRYGB) at long-term follow-up. A matched case-control study was performed. Patients who underwent primary LAGB or LRYGB at a university hospital between 2004 and 2011 were propensity matched for age, gender, race, body mass index (BMI), and weight-related co-morbidities. Outcomes included demographics, percent excess weight loss (% EWL) and reoperation, weight loss failure (failure (procedure-related reoperation and/or failure at 3 years (75 vs. 10.5%, P failure rates were higher after LAGB. The most common complication after LAGB was pouch/esophageal enlargement (9.7%) and after LRYGB was internal hernia (4.8%). LAGB patients had higher morbidity (19 vs. 12.7%, P = 0.04) but similar procedure-related mortality (0 vs. 0.4%). LAGB has significantly higher rates of weight loss failure compared to LRYGB with similar rates of procedure-related reoperation. Overall failure rates are higher after LAGB. These data suggest the long-term effectiveness of LAGB might be limited.

  5. Third heart sound in hospitalised patients with acute heart failure: insights from the ATTEND study.

    Science.gov (United States)

    Minami, Y; Kajimoto, K; Sato, N; Aokage, T; Mizuno, M; Asai, K; Munakata, R; Yumino, D; Murai, K; Hagiwara, N; Mizuno, K; Kasanuki, H; Takano, T

    2015-08-01

    Several previous studies have suggested that detection of a third heart sound (S3) in patients with chronic congestive heart failure is associated with adverse long-term outcomes. However, the short-term prognostic value of identifying an S3 on admission in patients with acute heart failure (AHF) is not well established. We therefore analysed the in-hospital prognostic value of detecting an S3 on admission in hospitalised patients with AHF. The Acute Decompensated Heart Failure Syndromes (ATTEND) study investigators enrolled 4107 patients hospitalised with AHF. Investigators evaluated the presence or absence of an S3 during routine physical examination. On admission to hospital, 1673 patients (41%) had an S3. Patients with an S3 had a higher heart rate, higher serum level of B-type natriuretic peptide and higher creatinine levels than patients without an S3. However, there were no significant differences of systolic blood pressure, serum sodium, haemoglobin, C-reactive protein and total bilirubin between the two groups. Multivariate analysis adjusted for various markers of disease severity revealed that only the presence of an S3 was independently associated with an increase of in-hospital all cause death [adjusted odds ratio (OR), 1.69; 95% confidence interval (CI), 1.19-2.41; p = 0.003] and cardiac death (adjusted OR, 1.66; 95% CI, 1.08-2.54; p = 0.020) among the congestive physical findings related to heart failure (S3, rales, jugular venous distension and peripheral oedema). Detecting an S3 on admission was independently associated with adverse in-hospital outcomes in patients with AHF. Our findings suggest that careful bedside assessment is clinically meaningful. © 2014 John Wiley & Sons Ltd.

  6. Renal Hemodynamic Effects of Serelaxin in Patients With Chronic Heart Failure A Randomized, Placebo-Controlled Study

    NARCIS (Netherlands)

    Voors, Adriaan A.; Dahlke, Marion; Meyer, Sven; Stepinska, Janina; Gottlieb, Stephen S.; Jones, Andrew; Zhang, Yiming; Laurent, Didier; Slart, Riemer H. J. A.; Navis, Gerjan J.

    2014-01-01

    Background-Serelaxin is a promising therapy for acute heart failure. The renal hemodynamic effects of serelaxin in patients with chronic heart failure are unknown. Methods and Results-In this double-blind, randomized, placebo-controlled, multicenter study, patients with New York Heart Association

  7. Use of quinine and mortality-risk in patients with heart failure--a Danish nationwide observational study

    DEFF Research Database (Denmark)

    Gjesing, Anne; Gislason, Gunnar H; Christensen, Stefan B

    2015-01-01

    PURPOSE: Leg cramps are common in patients with heart failure. Quinine is frequently prescribed in low doses to these patients, but safety of this practice is unknown. We studied the outcomes associated with use of quinine in a nationwide cohort of patients with heart failure. METHODS: Through in...

  8. Meta-Analysis of Clinical Studies Supports the Pharmacokinetic Variability Hypothesis for Acquired Drug Resistance and Failure of Antituberculosis Therapy

    OpenAIRE

    Pasipanodya, Jotam G.; Srivastava, Shashikant; Gumbo, Tawanda

    2012-01-01

    Laboratory studies have questioned nonadherence as a cause of antituberculosis drug failure and propose that between-patient pharmacokinetic variability may be the cause. This meta-analysis provides clinical evidence that pharmacokinetic variability of isoniazid alone leads to worse microbiological failure, relapse, and acquired drug resistance.

  9. Heart failure patients' experiences with continuity of care and its relation to medication adherence: a cross-sectional study

    NARCIS (Netherlands)

    Uijen, A.A.; Bosch, M.; Bosch, W.J. van den; Bor, H.; Wensing, M.J.P.; Schers, H.J.

    2012-01-01

    ABSTRACT: BACKGROUND: A growing number of health care providers are nowadays involved in heart failure care. This could lead to discontinuity and fragmentation of care, thus reducing trust and hence poorer medication adherence. This study aims to explore heart failure patients' experiences with

  10. Curcumin containing monoolein aqueous dispersions: A preformulative study

    Energy Technology Data Exchange (ETDEWEB)

    Esposito, Elisabetta, E-mail: ese@unife.it [Department of Life Sciences and Biotechnology, University of Ferrara, I-44121 Ferrara (Italy); Ravani, Laura [Department of Life Sciences and Biotechnology, University of Ferrara, I-44121 Ferrara (Italy); Mariani, Paolo [Department of Life and Environmental Sciences and CNISM, Università Politecnica delle Marche, I-60100 Ancona (Italy); Contado, Catia [Department of Chemistry, University of Ferrara, I-44121 Ferrara (Italy); Drechsler, Markus [Macromolecular Chemistry II, University of Bayreuth (Germany); Puglia, Carmelo [Department of Drug Sciences, University of Catania, I-95125 Catania (Italy); Cortesi, Rita [Department of Life Sciences and Biotechnology, University of Ferrara, I-44121 Ferrara (Italy)

    2013-12-01

    The present study describes the production and characterization of monoolein aqueous dispersions (MAD) as drug delivery systems for curcumin (CR). MAD based on monoolein and different emulsifiers have been produced and characterized. Morphology and dimensional distribution have been investigated by Cryogenic Transmission Electron Microscopy (cryo-TEM), X-ray and Photon Correlation Spectroscopy (PCS). Monoolein in different mixtures with sodium cholate, sodium caseinate, bentonite and poloxamer resulted in heterogeneous dispersions constituted of unilamellar vesicles, cubosomes and sponge type phases, depending on the employed components, as found by cryo-TEM and X-ray studies. CR was encapsulated with entrapment efficiencies depending on the MAD composition, particularly the highest was reached in the case of monoolein/poloxamer/sodium cholate mixture. The same mixture was able to maintain CR stability also after 6 months. CR release modalities were in vitro investigated in order to mimic a possible subcutaneous administration of MAD. It was found that MAD constituted of monoolein/poloxamer and monoolein/poloxamer/sodium cholate mixtures were able to sustain CR release. MAD viscous vehicles were produced by xanthan gum. CR percutaneous absorption has been studied in vitro using excised human skin membranes [stratum corneum epidermis (SCE)] mounted into Franz cells. It was found that fluxes (F{sub n}) of CR incorporated in MAD are influenced by the presence of monoolein based nanosystems. In particular xanthan gum based MAD better control CR diffusion from MAD. - Highlights: • Curcumin (CR) can be solubilized in monoolein aqueous dispersions (MAD). • Different emulsifiers result in different inner structures in the disperse phase. • Monoolein/poloxamer/sodium cholate mixture (MCP) results in the highest CR encapsulation. • MCP maintains CR stability for 6 months. • Xanthan gum based MAD better control CR fluxes with respect to plain gel and liquid MAD.

  11. Comparative study of biogenic and abiotic iron-containing materials

    Energy Technology Data Exchange (ETDEWEB)

    Cherkezova-Zheleva, Z., E-mail: zzhel@ic.bas.bg; Shopska, M., E-mail: shopska@ic.bas.bg; Paneva, D. [Bulgarian Academy of Sciences, Institute of Catalysis (Bulgaria); Kovacheva, D. [Bulgarian Academy of Sciences, Institute of General and Inorganic Chemistry (Bulgaria); Kadinov, G.; Mitov, I. [Bulgarian Academy of Sciences, Institute of Catalysis (Bulgaria)

    2016-12-15

    Series of iron-based biogenic materials prepared by cultivation of Leptothrix group of bacteria in different feeding media (Sphaerotilus-Leptothrix group of bacteria isolation medium, Adler, Lieske and silicon-iron-glucose-peptone) were studied. Control samples were obtained in the same conditions and procedures but the nutrition media were not infected with bacteria, i.e. they were sterile. Room and low temperature Mössbauer spectroscopy, powder X-ray diffraction (XRD), and infrared spectroscopy (IRS) were used to reveal the composition and physicochemical properties of biomass and respective control samples. Comparative analysis showed differences in their composition and dispersity of present phases. Sample composition included different ratio of nanodimensional iron oxyhydroxide and oxide phases. Relaxation phenomena such as superparamagnetism or collective magnetic excitation behaviour were registered for some of them. The experimental data showed that the biogenic materials were enriched in oxyhydroxides of high dispersion. Catalytic behaviour of a selected biomass and abiotic material were studied in the reaction of CO oxidation. In situ diffuse-reflectance (DR) IRS was used to monitor the phase transformations in the biomass and CO conversion.

  12. Failure Study of Composite Materials by the Yeh-Stratton Criterion

    Science.gov (United States)

    Yeh, Hsien-Yang; Richards, W. Lance

    1997-01-01

    The newly developed Yeh-Stratton (Y-S) Strength Criterion was used to study the failure of composite materials with central holes and normal cracks. To evaluate the interaction parameters for the Y-S failure theory, it is necessary to perform several biaxial loading tests. However, it is indisputable that the inhomogeneous and anisotropic nature of composite materials have made their own contribution to the complication of the biaxial testing problem. To avoid the difficulties of performing many biaxial tests and still consider the effects of the interaction term in the Y-S Criterion, a simple modification of the Y-S Criterion was developed. The preliminary predictions by the modified Y-S Criterion were relatively conservative compared to the testing data. Thus, the modified Y-S Criterion could be used as a design tool. To further understand the composite failure problem, an investigation of the damage zone in front of the crack tip coupled with the Y-S Criterion is imperative.

  13. Thermodynamic Study of Molecular Interactions in Eutectic Mixtures Containing Camphene.

    Science.gov (United States)

    Okuniewski, Marcin; Paduszyński, Kamil; Domańska, Urszula

    2016-12-22

    Terpenes are an abundant and diverse class of chemicals having numerous applications in different areas of chemistry. Therefore, a detailed knowledge of physical and thermodynamic properties of terpenes and their mixtures with other compounds is highly desired. This paper reports both a thermodynamic study on solid-liquid equilibrium (SLE) phase diagrams in binary systems formed by (±)-camphene (a representative terpene) and one of the following solvents: n-decane, n-dodecane, 1-decanol, 1-dodecanol, phenylmethanol, 2-phenylethanol, 2-cyclohexylethanol. The observed trends in the measured SLE data are discussed in terms of structure (alkyl chain length, aromacity) of the solvent and molecular interactions. Modeling of the considered SLE phase diagrams with three well-established thermodynamic models, namely, modified UNIFAC (Dortmund), perturbed-chain statistical associating fluid theory (PC-SAFT) and conductor-like screening model for real solvents (COSMO-RS), is presented. A comparative analysis of their performance is given in terms of average absolute deviations between predicted and experimental SLE temperature.

  14. Studies in mice fed a diet containing irradiated fish

    International Nuclear Information System (INIS)

    1979-01-01

    Three groups of mice were observed in utero and for eighty (80) weeks thereafter to study growth, food consumption, hematology, blood chemistry and survival with particular interest in carcinogenic potential. Group I received only Purina Mouse Chow, Group II received a diet composed of 45% non-irradiated fish and 55% Purina Mouse Chow, and Group III received a diet composed of 45% gamma irradiated fish and 55% Purina Mouse Chow. Differences observed in body weights between control and fish treated diets were due to the incorporation of fish into the diet and not the results of fish being treated with gamma irradiation. Differences observed in food consumption between control and fish treated diets were due to the incorporation of fish into the diet and not the result of fish being treated with gamma irradiation. No daily observations were made which could be attributed to the treatment of fish with gamma irradiation. No observations were made at any time interval for hematology which could be attributed to the treatment of fish with gamma irradiation. No observations were made at any time interval for clinical chemistry which could be attributed to the treatment of fish with gamma irradiation. Palpable mass data did not reveal any trends which could be related to the treatment of fish with gamma irradiation. Gross observations at necropsy were limited to spontaneously occurring lesions or artifacts of necropsy technique commonly associated with animals of this species and age. Organ weight data did not reveal any trends which could be related to the treatment of fish with gamma irradiation. Pathological findings were limited to spontaneously occurring lesions or artifacts of necropsy technique commonly associated with animals of this species and age. (orig.)

  15. Contraceptive failure

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2002-01-01

    , and 2614 received antenatal care. The variables studied comprise age, partner relationship, number of births, occupational and economical situation, and contraceptive use.Contraceptive failure, defined as contraceptive use (condom, diaphragm, IUD, oral contraception, or another modern method...... to use of condom and oral contraception than women aged 25-34 years. In addition, contraceptive failure was found to be associated with being single, a student, and having given birth twice or more previously. Regarding pregnancy acceptance, being 25-34 years of age was positively associated, whereas...

  16. Hydrogen combustion study in the containment of Atucha-I nuclear power plant

    International Nuclear Information System (INIS)

    Baron, J.H.; Gonzalez Videla, E.

    1997-01-01

    In this paper the combustion of hydrogen was modeled and studied in the containment vessel of the Atucha I nuclear power station using the CONTAIN package. The hydrogen comes from the oxidation of metallic materials during the severe accidents proposed. The CONTAIN package is an integrated tool that analyzes the physical, chemical and radiation conditions that affect the containment structure of the radioactive materials unloaded from the primary system during a severe accident in the reactor. (author) [es

  17. Balancing stroke and bleeding risks in patients with atrial fibrillation and renal failure: the Swedish Atrial Fibrillation Cohort study.

    Science.gov (United States)

    Friberg, Leif; Benson, Lina; Lip, Gregory Y H

    2015-02-01

    Patients who have both atrial fibrillation (AF) and renal failure have an increased risk of thrombo-embolism. Renal failure is also a risk factor for bleeding, which makes decisions regarding thromboprophylaxis complicated. Our aim was to determine risks for ischaemic stroke and bleeding in patients with AF and renal failure in relation to anticoagulant strategies. This is retrospective non-randomized study of Swedish health registers comprising 307 351 patients with AF, of whom 13 435 had a previous diagnosis of renal failure. Ischaemic stroke occurred more often in AF patients with renal failure (annual rate, 3.9% vs. no renal failure, 2.9%), but this was related to concomitant comorbidities [adjusted hazard ratio (HR) 1.02, 95% confidence interval (CI) 0.95-1.10]. Adding renal failure to the established stroke risk stratification schemes (CHADS2 and CHA2DS2-VASc) did not improve their predictive value. Renal failure was an independent risk factor for intracranial bleeding [adjusted HR: 1.27 (1.09-1.49)]. Most patients with renal failure benefited from warfarin treatment, despite their high bleeding risk. The incidence of the combined endpoint ischaemic or haemorrhagic stroke or death was lower among those who used warfarin than among those who did not use warfarin (adjusted HR: 0.76, CI 0.72-0.80). Patients with both AF and renal failure will probably benefit most from having the same treatment as is recommended for other patients with AF, without setting a higher or lower threshold for treatment. Adding additional points for renal failure to the CHADS2 and CHA2DS2-VASc scores did not improve their predictive value. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  18. Adherence to self-care in patients with heart failure in the HeartCycle study.

    Science.gov (United States)

    Stut, Wim; Deighan, Carolyn; Cleland, John G; Jaarsma, Tiny

    2015-01-01

    The purpose of this study was to evaluate a novel online education and coaching program to promote self-care among patients with heart failure. In this program, education and coaching content is automatically tailored to the knowledge and behavior of the patient. The evaluation of the program took place within the scope of the HeartCycle study. This multi-center, observational study examined the ability of a third generation telehealth system to enhance the management of patients recently (self-care behavior was assessed at baseline and study-end by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence to daily weighing, blood pressure monitoring, and reporting of symptoms was determined by analyzing the system's database. Of 123 patients enrolled, the mean age was 66±12 years, 66% were in NYHA III and 79% were men. Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (Pmeasuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%. Self-reported self-care behavior scores improved significantly during the period of observation, and the objective evidence of adherence to daily weight and blood pressure measurements was high and remained stable over time. However, adherence to daily reporting of symptoms was lower and declined in the long-term.

  19. Factors associated with syphilis treatment failure and reinfection: a longitudinal cohort study in Shenzhen, China.

    Science.gov (United States)

    Luo, Zhenzhou; Zhu, Lin; Ding, Yi; Yuan, Jun; Li, Wu; Wu, Qiuhong; Tian, Lishan; Zhang, Li; Zhou, Guomao; Zhang, Tao; Ma, Jianping; Chen, Zhongwei; Yang, Tubao; Feng, Tiejian; Zhang, Min

    2017-09-13

    The treatment failure and reinfection rates among syphilis patients are high, and relevant studies in China are limited. The aim of this study was to detect the rates of treatment failure and reinfection after syphilis treatment and to explore the potential associated factors. We conducted a longitudinal cohort study in a sexually transmitted disease clinic, the Department of Dermatology and Venereology in Nanshan Center for Chronic Disease Control. Serological testing was performed at baseline and throughout the 2-year follow-up for syphilis patients. To identify potential predictors of treatment outcomes, multivariate logistics analyses were utilized to compare the demographic and clinical characteristics of patients with serological failure/reinfection to those with serological cure/serofast. From June 2011 to June 2016, a total of 1133 patients were screened for syphilis. Among the 770 patients who completed the 2-year follow-up, 510 first-diagnosed patients were included in the final analysis. Multivariate logistics analysis revealed the stage of syphilis (secondary syphilis VS. primary syphilis: adjusted odds ratio, 3.50; 95% confidence interval, 1.11-15.47; p = 0.04), HIV status (positive VS. negative: adjusted odds ratio, 3.06; 95% confidence interval, 1.15-8.04; p = 0.02) and frequency of condom use (always use VS. never use: adjusted odds ratio, 0.28; 95% confidence interval 0.08-0.75; p = 0.02) were significantly associated with the serological outcome. The clinical implications of our findings suggest that it is very important to perform regular clinical and serologic evaluations after treatment. Health counseling and safety education on sex activity should be intensified among HIV-infected patients and secondary syphilis patients after treatment.

  20. Efficacy of anti-pruritis drugs in chronic renal failure: a comparative study

    Directory of Open Access Journals (Sweden)

    "H. Khalili

    2006-07-01

    Full Text Available Background: Pruritus is one of the most common problems in patients suffering chronic renal failure. Twenty five - 35% of predialysis patients and 60-80% of patients during dialysis complain pruritus. The exact pathophysiology of pruritus is unknown; however, some possible interactive factors include: histamine release from mast cells and basophiles, uremic skin, cutaneous mast cells proliferation, adipose cells atrophy, electrolyte imbalance, and accumulation of bile acids. Since histamine is the main proposed mediator in pruritus, the goal of this study was to evaluate the role of antihistamines in controling of pruritus of patients with chronic renal failure. This study was done as a before - after study during one year period in dialysis department of Imam Khomeini hospital. Methods: Thirty patients complied with inclusion criteria were entered in the study. Treatment strategy was: 2 weeks treatment with hydroxyzine 25 mg TDS, followed by one week wash-out period, then 2 weeks ketotifen therapy 1mg BID and finally two weeks treatment with chlorpheniramine 4mg BD following one week washout period after ketotifen therapy. Pruritus severity before and after each treatment period was evaluated with Pruritus Severity Score (PSS chart. Results: The mean PSS reduction by hydroxyzine, ketotifen and chlorpheniramine, were 33%, 4.5% and 20%, respectively. Conclusion: PSS improvement with hydroxyzine and chlorpheniramine was statistically significant (p<0.001. However, ketotifen induced pruritus reduction was not considerably significant.

  1. Impact of preoperative chronic renal failure on liver transplantation: a population-based cohort study

    Directory of Open Access Journals (Sweden)

    Chung PC

    2016-12-01

    Full Text Available Peter Chi-Ho Chung,1,2 Hsiu-Pin Chen,1,2 Jr-Rung Lin,3,4 Fu-Chao Liu,1,2 Huang-Ping Yu1,2 1Department of Anesthesiology, Chang Gung Memorial Hospital, 2College of Medicine, 3Clinical Informatics and Medical Statistics Research Center, 4Graduate Institute of Clinical Medicine, Chang Gung University, Taoyuan, Taiwan Purpose: The purpose of this study was to assess whether preoperative chronic renal failure (CRF affects the rates of postoperative complications and survival after liver transplantation. Methods: This population-based retrospective cohort study included 2,931 recipients of liver transplantation performed between 1998 and 2012, enrolled from the Taiwan National Health Insurance Research Database. Patients were divided into two groups, based on the presence or absence of preoperative CRF. Results: The overall estimated survival rate of liver transplantation recipients (LTRs with preoperative CRF was significantly lower than that of patients without preoperative CRF (P=0.0085. There was no significant difference between the groups in terms of duration of intensive care unit stay, total hospital stay, bacteremia, postoperative bleeding, and pneumonia during hospitalization. Long-term adverse effects, including cerebrovascular disease and coronary heart disease, were not different between patients with versus without CRF. Conclusion: These findings suggest that LTRs with preoperative CRF have a higher rate of mortality. Keywords: chronic renal failure, cohort study, survival rate, liver transplantation, population-based study

  2. Canagliflozin and Heart Failure in Type 2 Diabetes Mellitus: Results From the CANVAS Program (Canagliflozin Cardiovascular Assessment Study).

    Science.gov (United States)

    Rådholm, Karin; Figtree, Gemma; Perkovic, Vlado; Solomon, Scott D; Mahaffey, Kenneth W; de Zeeuw, Dick; Fulcher, Greg; Barrett, Terrance D; Shaw, Wayne; Desai, Mehul; Matthews, David R; Neal, Bruce

    2018-03-11

    BACKGROUND : Canagliflozin is a sodium glucose cotransporter 2 inhibitor that reduces the risk of cardiovascular events. We report the effects on heart failure and cardiovascular death overall, in those with and without a baseline history of heart failure, and in other participant subgroups. METHODS : The CANVAS Program (Canagliflozin Cardiovascular Assessment Study) enrolled 10 142 participants with type 2 diabetes mellitus and high cardiovascular risk. Participants were randomly assigned to canagliflozin or placebo and followed for a mean of 188 weeks. The primary end point for these analyses was adjudicated cardiovascular death or hospitalized heart failure. RESULTS : Participants with a history of heart failure at baseline (14.4%) were more frequently women, white, and hypertensive and had a history of prior cardiovascular disease (all P failure was reduced in those treated with canagliflozin compared with placebo (16.3 versus 20.8 per 1000 patient-years; hazard ratio [HR], 0.78; 95% confidence interval [CI], 0.67-0.91), as was fatal or hospitalized heart failure (HR, 0.70; 95% CI, 0.55-0.89) and hospitalized heart failure alone (HR, 0.67; 95% CI, 0.52-0.87). The benefit on cardiovascular death or hospitalized heart failure may be greater in patients with a prior history of heart failure (HR, 0.61; 95% CI, 0.46-0.80) compared with those without heart failure at baseline (HR, 0.87; 95% CI, 0.72-1.06; P interaction =0.021). The effects of canagliflozin compared with placebo on other cardiovascular outcomes and key safety outcomes were similar in participants with and without heart failure at baseline (all interaction P values >0.130), except for a possibly reduced absolute rate of events attributable to osmotic diuresis among those with a prior history of heart failure ( P =0.03). CONCLUSIONS : In patients with type 2 diabetes mellitus and an elevated risk of cardiovascular disease, canagliflozin reduced the risk of cardiovascular death or hospitalized heart

  3. Patterns and predictors of patient and caregiver engagement in heart failure care: a multi-level dyadic study.

    Science.gov (United States)

    Lee, Christopher S; Vellone, Ercole; Lyons, Karen S; Cocchieri, Antonello; Bidwell, Julie T; D'Agostino, Fabio; Hiatt, Shirin O; Alvaro, Rosaria; Buck, Harleah G; Riegel, Barbara

    2015-02-01

    Heart failure is a burdensome clinical syndrome, and patients and their caregivers are responsible for the vast majority of heart failure care. This study aimed to characterize naturally occurring archetypes of patient-caregiver dyads with respect to patient and caregiver contributions to heart failure self-care, and to identify patient-, caregiver- and dyadic-level determinants thereof. Dyadic analysis of cross-sectional data on patients and their caregivers. Outpatient heart failure clinics in 28 Italian provinces. 509 Italian heart failure patients and their primary caregivers. Multilevel and mixture modeling were used to generate dyadic averages and incongruence in patient and caregiver contributions to heart failure self-care and identify common dyadic archetypes, respectively. Three distinct archetypes were observed. 22.4% of dyads were labeled as novice and complementary because patients and caregivers contributed to different aspects of heart failure self-care that was generally poor; these dyads were predominantly older adults with less severe heart failure and their adult child caregivers. 56.4% of dyads were labeled as inconsistent and compensatory because caregivers reported greater contributions to the areas of self-care most insufficient on the part of the patients; patients in these dyads had the highest prevalence of hospitalizations for heart failure in the past year and the fewest limitations to performing activities of daily living independently. Finally, 21.2% of dyads were labeled as expert and collaborative because of high contributions to all aspects of heart failure self-care, the best relationship quality and lowest caregiver strain compared with the other archetypes; patients in this archetype were likely the sickest because they also had the worst heart failure-related quality of life. Three distinct archetypes of dyadic contributions to heart failure care were observed that represent a gradient in the level of contributions to self

  4. [Chronic renal failure, dialysis and transplant: multicentric study: 1996-2003].

    Science.gov (United States)

    Grimoldi, Irene A; Briones, Liliana M; Ferraris, Jorge R; Rodríguez Rilo, Laila; Sojo, Ernesto; Turconi, Amalia; Wainberg, Elena; Zalba, Javier; Sepliarsky, Adrián

    2008-12-01

    The multicentric study of chronic renal failure, dialysis and transplant started in 1996 by the Nephrology Committee of the Argentine Pediatrics Society with the aim of knowing the development characteristics of children with this pathology. The study included children and adolescents on conservative treatment, dialysis or transplant who have registered any of the three modalities before being 19 year-old, since january 1996 to december 2003. The statistical analysis was made with the statistical software SAS; in order to calculate the survival curve, the method employed was Kaplan-Meier and the standardized height and weight z-scores were calculated. In this report, there is data related to 710 patients with chronic renal failure, under conservative treatment 34.2%, dialysis 57.6% and transplant 29.5%. The end-stage renal disease incidence was of 6.5/million inhabitants. The main etiologies were obstructive uropathy 18.3%, reflux nephropathy 15.1%, hemolytic uremic syndrome 14.4%, aplasia/dysplasia/hypoplasia 13.8%, and focal segmental glomerulosclerosis 8.9%. From the patients on dialysis treatment, 62.3% were under hemodialysis, and only 37.7% on peritoneal dialysis. Live-donor sources accounted for 46.2 % of the transplants, with a 1-year patient's survival of 98.7% and a 1-year graft survival of 96.4 %, similar with both donors. The results obtained, even though they do not correspond to the total population affected and the monitoring is still insufficient, allowed us to have a profile of the chronic renal failure in our country.

  5. Time-to-event analysis of individual variables associated with nursing students' academic failure: a longitudinal study.

    Science.gov (United States)

    Dante, Angelo; Fabris, Stefano; Palese, Alvisa

    2013-12-01

    Empirical studies and conceptual frameworks presented in the extant literature offer a static imagining of academic failure. Time-to-event analysis, which captures the dynamism of individual factors, as when they determine the failure to properly tailor timely strategies, impose longitudinal studies which are still lacking within the field. The aims of this longitudinal study were to investigate the time which elapses from a nursing student's admission to a Bachelor of Nursing program to their academic failure and to estimate the predictive power of individual variables on academic failure. Enrolled students (n = 170) in two Italian nursing degree programs during academic year 2008-2009, received at the beginning of each years a questionnaire which evaluated individual variables. Academic failure rate was 37.2 %. Time-to-event analysis has shown that academic failure occurred after an average of 664.52 days of course attendance ((95 %)CI = 623.2-705.8). Kaplan-Meier analyses demonstrated a high likelihood of failure among males (χ(2) 7.790, p 0.005) and among those who had obtained a final average grade in their secondary education ≤73/100 (χ(2)11.676, p 0.001). Cox regression analysis confirmed an increased likelihood of failure over time among males as compared to females (HR 1.931, (95 %)CI = 1.017-3.670), and among students living more than a 30 min commute from their place of study (HR 1.898, (95 %)CI = 1.015-3.547). The effect of these two factors on academic failure has been seen to manifest primarily toward the end of students' second academic year; students at risk might be supported by the appropriate university staff prior to this period.

  6. Donor risk factors for graft failure in the cornea donor study.

    Science.gov (United States)

    Sugar, Joel; Montoya, Monty; Dontchev, Mariya; Tanner, Jean Paul; Beck, Roy; Gal, Robin; Gallagher, Shawn; Gaster, Ronald; Heck, Ellen; Holland, Edward J; Kollman, Craig; Malling, Jackie; Mannis, Mark J; Woody, Jason

    2009-10-01

    The purpose of this study was to assess the relationship between donor factors and 5-year corneal graft survival in the Cornea Donor Study. Donor corneas met criteria established by the Eye Bank Association of America, had an endothelial cell density of 2300 to 3300/mm, and were determined to be of good to excellent quality by the eye banks. Donor corneas were assigned using a random approach and surgeons were masked to information about the donor cornea including donor age. Surgery and postoperative care were performed according to the surgeons' usual routines and subjects were followed for 5 years. Donor and donor cornea factors were evaluated for their association with graft failure, which was defined as a regraft or a cloudy cornea that was sufficiently opaque to compromise vision for a minimum of 3 consecutive months. Graft failure was not significantly associated with the type of tissue retrieval (enucleation versus in situ), processing factors, timing of use of the cornea, or characteristics of the donor or the donor cornea. Adjusting for donor age did not affect the results. Donor and donor cornea characteristics do not impact graft survival rates for corneas comparable in quality to those used in this study.

  7. Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study.

    Science.gov (United States)

    Ota, Ken S; Beutler, David S; Sheikh, Hassam; Weiss, Jessica L; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D; Loli, Akil I

    2013-10-01

    This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the "Weekday Daytime" period, Eighty-five percent of the totals calls were made. There were 229 calls during the "Weekday Nights" period with 1.5 inbound calls per week. The "Total Weekend" calls were 10.2% of the total calls which equated to a weekly average of 8.8. Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations.

  8. Contraceptive failure--results from a study conducted among women with accepted and unaccepted pregnancies in Denmark

    DEFF Research Database (Denmark)

    Rasch, Vibeke

    2002-01-01

    , and 2614 received antenatal care. The variables studied comprise age, partner relationship, number of births, occupational and economical situation, and contraceptive use.Contraceptive failure, defined as contraceptive use (condom, diaphragm, IUD, oral contraception, or another modern method...

  9. Study on TCM syndromes of liver failure and yang-supporting therapy

    Directory of Open Access Journals (Sweden)

    MAO Dewen

    2015-01-01

    Full Text Available This paper reviews traditional Chinese medicine (TCM physicians′understanding of liver failure including its TCM causes, mechanisms, positions, and syndrome differentiation in various dynasties. The results suggest that modern researchers agree with ancient physicians on these aspects of liver failure. Based on achievements of ancient TCM physicians, modern researchers have further developed and improved their understanding of TCM causes, mechanisms, positions, and syndrome differentiation of liver failure. Moreover, this paper discusses the treatment of chronic liver failure with yang-supporting therapy, which provides a novel perspective and method for treating chronic liver failure.

  10. Study on transient hydrogen behavior and effect on passive containment cooling system of the advanced PWR

    International Nuclear Information System (INIS)

    Wang Yan

    2014-01-01

    A certain amount of hydrogen will be generated due to zirconium-steam reaction or molten corium concrete interaction during severe accidents in the pressurized water reactor (PWR). The generated hydrogen releases into the containment, and the formed flammable mixture might cause deflagration or detonation to produce high thermal and pressure loads on the containment, which may threaten the integrity of the containment. The non-condensable hydrogen in containment may also reduce the steam condensation on the containment surface to affect the performance of the passive containment cooling system (PCCS). To study the transient hydrogen behavior in containment with the PCCS performance during the accidents is significant for the further study on the PCCS design and the hydrogen risk mitigation. In this paper, a new developed PCCS analysis code with self-reliance intellectual property rights, which had been validated by comparison on the transients in the containment during the design basis accidents with other developed PCCS analysis code, is brief introduced and used for the transient simulation in the containment under a postulated small break LOCA of cold-leg. The results show that the hydrogen will flow upwards with the coolant released from the break and spread in the containment by convection and diffusion, and it results in the increase of the pressure in the containment due to reducing the heat removal capacity of the PCCS. (author)

  11. Rationale and design of PICNIC study: nutritional intervention program in hospitalized patients with heart failure who are malnourished.

    Science.gov (United States)

    Gámez-López, Antonio L; Bonilla-Palomas, Juan L; Anguita-Sánchez, Manuel; Moreno-Conde, Mirian; López-Ibáñez, Cristina; Alhambra-Expósito, Rosa; Castillo-Domínguez, Juan C; Villar-Ráez, Antonia; Suárez de Lezo, José

    2014-04-01

    Hospitalized patients with heart failure who are malnourished present a worse prognosis than those with an adequate nutritional status. It is unknown whether a nutritional intervention can modify the prognosis of these patients. The aim of this study is to assess the efficacy of a nutritional intervention on morbidity and mortality in hospitalized patients with heart failure who are malnourished. PICNIC is a multicentre, randomized, controlled trial in which hospitalized patients with heart failure and malnutrition, as defined by the Mini Nutritional Assessment, are randomly assigned to conventional management of heart failure or conventional management of heart failure and an individualized nutritional intervention consisting of 3 points: optimization of diet, specific recommendations, and prescription, if deemed necessary, of nutritional supplements. A sample size of 182 patients for a maximum follow-up of 12 months has been estimated. The primary endpoint is time to death from any cause or rehospitalization because of heart failure. Analysis is by intention to treat. PICNIC study will determine the prognostic impact of a nutritional intervention in hospitalized patients with heart failure who are malnourished. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  12. Interactive Digital e-Health Game for Heart Failure Self-Management: A Feasibility Study.

    Science.gov (United States)

    Radhakrishnan, Kavita; Toprac, Paul; O'Hair, Matt; Bias, Randolph; Kim, Miyong T; Bradley, Paul; Mackert, Michael

    2016-12-01

    To develop and test the prototype of a serious digital game for improving community-dwelling older adults' heart failure (HF) knowledge and self-management behaviors. The serious game innovatively incorporates evidence-based HF guidelines with contemporary game technology. The study included three phases: development of the game prototype, its usability assessment, and evaluation of the game's functionality. Usability testing included researchers' usability assessment, followed by research personnel's observations of participants playing the game, and participants' completion of a usability survey. Next, in a pretest-post-test design, validated instruments-the Atlanta Heart Failure Knowledge Test and the Self Care for Heart Failure Index-were used to measure improvement in HF self-management knowledge and behaviors related to HF self-maintenance, self-management, and self-efficacy, respectively. A postgame survey assessed participants' perceptions of the game. During usability testing, with seven participants, 100%, 100%, and 86% found the game easy to play, enjoyable, and helpful for learning about HF, respectively. In the subsequent functionality testing, with 19 participants, 89% found the game interesting, enjoyable, and easy to play. Playing the game resulted in a significant improvement in HF self-management knowledge, a nonsignificant improvement in self-reported behaviors related to HF self-maintenance, and no difference in HF self-efficacy scores. Participants with lower education level and age preferred games to any other medium for receiving information. It is feasible to develop a serious digital game that community-dwelling older adults with HF find both satisfying and acceptable and that can improve their self-management knowledge.

  13. Interactive Digital e-Health Game for Heart Failure Self-Management: A Feasibility Study

    Science.gov (United States)

    Toprac, Paul; O'Hair, Matt; Bias, Randolph; Kim, Miyong T.; Bradley, Paul; Mackert, Michael

    2016-01-01

    Abstract Objective: To develop and test the prototype of a serious digital game for improving community-dwelling older adults' heart failure (HF) knowledge and self-management behaviors. The serious game innovatively incorporates evidence-based HF guidelines with contemporary game technology. Materials and Methods: The study included three phases: development of the game prototype, its usability assessment, and evaluation of the game's functionality. Usability testing included researchers' usability assessment, followed by research personnel's observations of participants playing the game, and participants' completion of a usability survey. Next, in a pretest–post-test design, validated instruments—the Atlanta Heart Failure Knowledge Test and the Self Care for Heart Failure Index—were used to measure improvement in HF self-management knowledge and behaviors related to HF self-maintenance, self-management, and self-efficacy, respectively. A postgame survey assessed participants' perceptions of the game. Results: During usability testing, with seven participants, 100%, 100%, and 86% found the game easy to play, enjoyable, and helpful for learning about HF, respectively. In the subsequent functionality testing, with 19 participants, 89% found the game interesting, enjoyable, and easy to play. Playing the game resulted in a significant improvement in HF self-management knowledge, a nonsignificant improvement in self-reported behaviors related to HF self-maintenance, and no difference in HF self-efficacy scores. Participants with lower education level and age preferred games to any other medium for receiving information. Conclusion: It is feasible to develop a serious digital game that community-dwelling older adults with HF find both satisfying and acceptable and that can improve their self-management knowledge. PMID:27976955

  14. Coping with academic failure, a study of Dutch children with dyslexia.

    Science.gov (United States)

    Singer, Elly

    2008-11-01

    This paper reports the results of a study of strategies that Dutch children with dyslexia employ to cope with recurrent academic failure. All of the students in the study had developed strategies for protecting their self-esteem. Using Harter's theory of coping with discrepancies between performance and standards, we distinguish four strategies: (1) working hard and committing to standards, (2) lowering standards, (3) seeking support from significant others (i.e. parents and teachers), and (4) avoiding comparisons with significant others (i.e. peers). Although self-talk emerged as an important component of all four strategies, it was employed both adaptively (e.g. to preserve the students' belief in their own academic capacities) and maladaptively (e.g. to devalue the importance of learning). The students relied most strongly on support from their parents; teachers and peers were more likely to be seen as threats to self-esteem. Strategies of teachers and parents to encourage adaptive coping with recurrent academic failure are confirming the student's self-worth, explaining dyslexia, showing faith in the student's capacities, fostering adaptive self-talk, providing educational treatment, and preventing teasing and bullying. Besides that, teachers and parents should cooperate. Copyright (c) 2007 John Wiley & Sons, Ltd.

  15. Assessment of surge arrester failure rate and application studies in Hellenic high voltage transmission lines

    Energy Technology Data Exchange (ETDEWEB)

    Christodoulou, C.A.; Fotis, G.P.; Gonos, I.F.; Stathopulos, I.A. [National Technical University of Athens, School of Electrical and Computer Engineering, High Voltage Laboratory, 9 Iroon Politechniou St., Zografou Campus, 157 80 Athens (Greece); Ekonomou, L. [A.S.PE.T.E. - School of Pedagogical and Technological Education, Department of Electrical Engineering Educators, N. Heraklion, 141 21 Athens (Greece)

    2010-02-15

    The use of transmission line surge arresters to improve the lightning performance of transmission lines is becoming more common. Especially in areas with high soil resistivity and ground flash density, surge arresters constitute the most effective protection mean. In this paper a methodology for assessing the surge arrester failure rate based on the electrogeometrical model is presented. Critical currents that exceed arresters rated energy stress were estimated by the use of a simulation tool. The methodology is applied on operating Hellenic transmission lines of 150 kV. Several case studies are analyzed by installing surge arresters on different intervals, in relation to the region's tower footing resistance and the ground flash density. The obtained results are compared with real records of outage rate showing the effectiveness of the surge arresters in the reduction of the recorded failure rate. The presented methodology can be proved valuable to the studies of electric power systems designers intending in a more effective lightning protection, reducing the operational costs and providing continuity of service. (author)

  16. Chocolate consumption and risk of heart failure in the Physicians' Health Study.

    Science.gov (United States)

    Petrone, Andrew B; Gaziano, J Michael; Djoussé, Luc

    2014-12-01

    To test the hypothesis that chocolate consumption is associated with a lower risk of heart failure (HF). We prospectively studied 20 278 men from the Physicians' Health Study. Chocolate consumption was assessed between 1999 and 2002 via a self-administered food frequency questionnaire and HF was ascertained through annual follow-up questionnaires with validation in a subsample. We used Cox regression to estimate multivariable adjusted relative risk of HF. During a mean follow-up of 9.3 years there were 876 new cases of HF. The mean age at baseline was 66.4 ± 9.2 years. Hazard ratios [95% confidence intervals (CI)] for HF were 1.0 (ref), 0.86 (0.72-1.03), 0.80 (0.66-0.98), 0.92 (0.74-1.13), and 0.82 (0.63-1.07), for chocolate consumption of less than 1/month, 1-3/week, 2-4/week, and 5+/week, respectively, after adjusting for age, body mass index (BMI), smoking, alcohol, exercise, energy intake, and history of atrial fibrillation (P for quadratic trend = 0.62). In a secondary analysis, chocolate consumption was inversely associated with risk of HF in men whose BMI was chocolate might be associated with a lower risk of HF in male physicians. © 2014 The Authors. European Journal of Heart Failure © 2014 European Society of Cardiology.

  17. Peri-implantitis and late implant failures in postmenopausal women: a cross-sectional study.

    Science.gov (United States)

    Dvorak, Gabriella; Arnhart, Christoph; Heuberer, Simone; Huber, Christian D; Watzek, Georg; Gruber, Reinhard

    2011-10-01

    Systemic bone loss is a major cause of fractures in postmenopausal women and may also affect the jawbone; however, its consequences on the success of dental implants remain poorly understood. In this cross-sectional study, the relation between self-reported osteoporosis and the success rate of dental implants in an adult female population was evaluated. The primary outcome parameters were the occurrence of peri-implantitis and late implant failures. Women with unknown bone status were excluded from the study. The potential confounders age, recipient site, smoking, periodontal disease and time of loading were recorded. Data from 203 women with a mean age of 63 ± 9 years and 967 dental implants were investigated. The patients were classified according to their medical history into one of three groups: osteoporosis (47 women), osteopenia (16 women) and healthy controls (140 women). Patients with unknown bone status (n=26) were excluded. The multi-level statistical analysis showed no association between peri-implantitis [odds ratio (OR) 2.1; p=0.6] or implant failure [hazards ratio (HR) 2.5; p=0.2] and systemic bone loss. No relation was found between osteoporosis and peri-implantitis in an adult female population. © 2011 John Wiley & Sons A/S.

  18. Determinants of Deescalation Failure in Critically Ill Patients with Sepsis: A Prospective Cohort Study.

    Science.gov (United States)

    Salahuddin, Nawal; Amer, Lama; Joseph, Mini; El Hazmi, Alya; Hawa, Hassan; Maghrabi, Khalid

    2016-01-01

    Introduction. Deescalation refers to either discontinuation or a step-down of antimicrobials. Despite strong recommendations in the Surviving Sepsis Guidelines (2012) to deescalate, actual practices can vary. Our objective was to identify variables that are associated with deescalation failure. Methods. In this prospective study of patients with sepsis/septic shock, patients were categorized into 4 groups based on antibiotic administration: no change in antibiotics, deescalation, escalation (where antibiotics were changed to those with a broader spectrum of antimicrobial coverage), or mixed changes (where both escalation to a broader spectrum of coverage and discontinuation of antibiotics were carried out). Results. 395 patients were studied; mean APACHE II score was 24 ± 7.8. Antimicrobial deescalation occurred in 189 (48%) patients; no changes were made in 156 (39%) patients. On multivariate regression analysis, failure to deescalate was significantly predicted by hematologic malignancy OR 3.3 (95% CI 1.4-7.4) p resistance OR 2.9 (95% CI 1.4-6.0) p = 0.003, baseline serum procalcitonin OR 1.01 (95% CI 1.003-1.016) p = 0.002, and SAPS II scores OR 1.01 (95% CI 1.004-1.02) p = 0.006. Conclusions. Current deescalation practices reflect physician reluctance when dealing with complicated, sicker patients or with drug-resistance or fungal sepsis. Integrating an antibiotic stewardship program may increase physician confidence and provide support towards increasing deescalation rates.

  19. Lack of awareness of treatment failure among HIV-1-infected patients in Guinea-Bissau - a retrospective cohort study.

    Science.gov (United States)

    Jespersen, Sanne; Hønge, Bo Langhoff; Medina, Candida; da Silva Té, David; Correira, Faustino Gomes; Laursen, Alex Lund; Erikstrup, Christian; Østergaard, Lars; Wejse, Christian

    2015-01-01

    With more people receiving antiretroviral treatment (ART), the need to detect treatment failure and switch to second-line ART has also increased. We assessed CD4 cell counts (as a marker of treatment failure), determined the rate of switching to second-line treatment and evaluated mortality related to treatment failure among HIV-infected patients in Guinea-Bissau. In this retrospective cohort study, adult patients infected with HIV-1 receiving ≥6 months of ART at an HIV clinic in Bissau were included from June 2005 to July 2014 and followed until January 2015. Treatment failure was defined as 1) a fall in CD4 count to baseline (or below) or 2) CD4 levels persistently below 100 cells/µL after ≥6 months of ART. Cox hazard models, with time since six months of ART as the time-varying coefficient, were used to estimate the hazard ratio for death and loss to follow-up. We assessed 1,591 HIV-1-infected patients for immunological treatment failure. Treatment failure could not be determined in 594 patients (37.3%) because of missing CD4 cell counts. Among the remaining 997 patients, 393 (39.4%) experienced failure. Only 39 patients (9.9%) with failure were switched from first- to second-line ART. The overall switching rate was 3.1 per 100 person-years. Mortality rate was higher in patients with than without treatment failure, with adjusted hazard rate ratios (HRRs) 10.0 (95% CI: 0.9-107.8), 7.6 (95% CI: 1.6-35.5) and 3.1 (95% CI: 1.5-6.3) in the first, second and following years, respectively. During the first year of follow-up, patients experiencing treatment failure had a higher risk of being lost to follow-up than patients not experiencing treatment failure (adjusted HRR 4.4; 95% CI: 1.7-11.8). We found a high rate of treatment failure, an alarmingly high number of patients for whom treatment failure could not be assessed, and a low rate of switching to a second-line therapy. These factors could lead to an increased risk of resistance development and excess

  20. Lack of awareness of treatment failure among HIV-1-infected patients in Guinea-Bissau – a retrospective cohort study

    Science.gov (United States)

    Jespersen, Sanne; Hønge, Bo Langhoff; Medina, Candida; da Silva Té, David; Correira, Faustino Gomes; Laursen, Alex Lund; Erikstrup, Christian; Østergaard, Lars; Wejse, Christian

    2015-01-01

    Introduction With more people receiving antiretroviral treatment (ART), the need to detect treatment failure and switch to second-line ART has also increased. We assessed CD4 cell counts (as a marker of treatment failure), determined the rate of switching to second-line treatment and evaluated mortality related to treatment failure among HIV-infected patients in Guinea-Bissau. Methods In this retrospective cohort study, adult patients infected with HIV-1 receiving ≥6 months of ART at an HIV clinic in Bissau were included from June 2005 to July 2014 and followed until January 2015. Treatment failure was defined as 1) a fall in CD4 count to baseline (or below) or 2) CD4 levels persistently below 100 cells/µL after ≥6 months of ART. Cox hazard models, with time since six months of ART as the time-varying coefficient, were used to estimate the hazard ratio for death and loss to follow-up. Results We assessed 1,591 HIV-1-infected patients for immunological treatment failure. Treatment failure could not be determined in 594 patients (37.3%) because of missing CD4 cell counts. Among the remaining 997 patients, 393 (39.4%) experienced failure. Only 39 patients (9.9%) with failure were switched from first- to second-line ART. The overall switching rate was 3.1 per 100 person-years. Mortality rate was higher in patients with than without treatment failure, with adjusted hazard rate ratios (HRRs) 10.0 (95% CI: 0.9–107.8), 7.6 (95% CI: 1.6–35.5) and 3.1 (95% CI: 1.5–6.3) in the first, second and following years, respectively. During the first year of follow-up, patients experiencing treatment failure had a higher risk of being lost to follow-up than patients not experiencing treatment failure (adjusted HRR 4.4; 95% CI: 1.7–11.8). Conclusions We found a high rate of treatment failure, an alarmingly high number of patients for whom treatment failure could not be assessed, and a low rate of switching to a second-line therapy. These factors could lead to an increased

  1. Acute renal failure in critically ill newborns increases the risk of death: a prospective observational study from India.

    Science.gov (United States)

    Patel, Ankur; Sharma, Deepak; Shastri, Sweta; Sharma, Pradeep

    2016-09-01

    To determine the incidence and risk factors of acute renal failure (ARF) in hospitalized critically ill neonates and analyze outcome of all neonates with renal failure in relation to risk factors. In this prospective observational study 815 infants were enrolled. Renal profile (blood urea and serum creatinine) was done after 12 h of life (or at the time of admission for outborn babies) and then every 12 hourly. Daily 24 h urine output was evaluated. Incidence of renal failure in critically ill neonates was 10.67%. Out of 87 ARF neonates 52 (60%) expired. Mortality in the renal failure group was significantly higher in comparison to control group (p renal failure was more common than oliguric renal failure, but mortality in the oliguric renal failure group was more. Neonatal sepsis was the most common cause of ARF. Eight neonates underwent peritoneal dialysis (PD) out of which there were seven neonatal deaths. Prognosis of neonates with ARF requiring PD was very poor. It can thus be concluded that the health care personal should do rapid diagnosis of ARF in neonates with potential risk factors and also goal at an early and effective treatment of these risk factors in neonates with ARF.

  2. Heart Failure and Frailty in the Community-Living Elderly Population: What the UFO Study Will Tell Us

    Directory of Open Access Journals (Sweden)

    Erik Fung

    2018-04-01

    Full Text Available Heart failure and frailty are clinical syndromes that present with overlapping phenotypic characteristics. Importantly, their co-presence is associated with increased mortality and morbidity. While mechanical and electrical device therapies for heart failure are vital for select patients with advanced stage disease, the majority of patients and especially those with undiagnosed heart failure would benefit from early disease detection and prompt initiation of guideline-directed medical therapies. In this article, we review the problematic interactions between heart failure and frailty, introduce a focused cardiac screening program for community-living elderly initiated by a mobile communication device app leading to the Undiagnosed heart Failure in frail Older individuals (UFO study, and discuss how the knowledge of pre-frailty and frailty status could be exploited for the detection of previously undiagnosed heart failure or advanced cardiac disease. The widespread use of mobile devices coupled with increasing availability of novel, effective medical and minimally invasive therapies have incentivized new approaches to heart failure case finding and disease management.

  3. Learning style and learning needs of heart failure patients (The Need2Know-HF patient study).

    Science.gov (United States)

    Boyde, Mary; Tuckett, Anthony; Peters, Robyn; Thompson, David R; Turner, Catherine; Stewart, Simon

    2009-12-01

    Heart failure management programs which include education are the gold standard for management of patients with heart failure. Identifying the learning styles and learning needs of heart failure patients is an essential step in developing effective education strategies within these programs. To investigate the learning style and learning needs of heart failure patients. Patients diagnosed with heart failure at a large tertiary referral hospital completed a Heart Failure Learning Style and Needs Inventory. From the total of 55 patients who completed the questionnaire 64% reported a preference for multimodal learning style, 18% preferred read/write, 11% preferred auditory, and 7% preferred kinesthetic. In relation to educational topics, signs and symptoms was ranked as the most important topic to learn about followed by prognosis. This study provides a poignant snap-shot into the world of chronic disease. In essence, the patients' educational needs for living with heart failure can be summed up as "Never better, getting worse, unpredictable". The results indicate that these groups of patients need to know (Need2Know) about information regarding their signs and symptoms as well as wanting to elicit the significance of their disease and whether it can be cured.

  4. Study of transient rod extraction failure without RBM in a BWR

    International Nuclear Information System (INIS)

    Vallejo Q, J. A.; Martin del Campo M, C.; Fuentes M, L.; Francois L, J. L.

    2015-09-01

    The study and analysis of the operational transients are important for predicting the behavior of a system to short-term events and the impact that would cause this transient. For the nuclear industry these studies are indispensable due to economic, environmental and social impacts that could cause an accident during the operation of a nuclear reactor. In this paper the preparation, simulation and analysis results of the transient rod extraction failure in which not taken into operation the RBM is presented. The study was conducted for a BWR of 2027 MWt, in an intermediate cycle of its useful life and using the computer code Simulate-3K a scenario of anomalies was created in the core reactivity which gave a coherent prediction to the type of presented event. (Author)

  5. A clinical comparative study of the management of chronic renal failure with Punarnavadi compound.

    Science.gov (United States)

    Prashanth, G S; Baghel, M S; Ravishankar, B; Gupta, S N; Mehta, Miten P

    2010-04-01

    India like any other country is facing a silent epidemic of chronic renal failure (CRF)- a facet of the health transition associated with industrialization partly fuelled by increase in sedentary lifestyle, low birth weight and malnutrition. Increasing figures by many folds seen is posing a difficult situation to overcome with respect to economy and health of the working and earning population of the nation. There is an urgent need to explore, highlight new interventions and modify modifiable risk factors as a basis for treatment strategies to prevent the development and progression of CRF. The present study was taken up to evaluate the role of trial formulation tab. Punarnavadi compound in the management of chronic renal failure. This was an open clinical comparative study in controlled circumstances wherein 67 patients were studied for two months in three groups- Group A (allopathic control), Group B (ayurvedic control) and Group C (ayurvedic test). It was a multi-centric study; patients were registered from Anandababa charitable dialysis centre, Jamnagar, Kayachikitsa O.P.D. of I.P.G.T. and R.A. Jamnagar and P. D. Patel Ayurveda hospital, Nadiad. Results were assessed on 15 parameters using Students (paired) 't' test. Group A patients showed comparatively better results in eight parameters- weight, platelet count, serum urea, serum uric acid, serum sodium, potassium, chloride and total proteins. Parameter Hemoglobin% showed better results in Group B patients and in Group C patients comparatively better results in six parameters viz.- quality of life (breathlessness, weakness, general functional capacity), total count, serum creatinine and serum calcium - were observed. Throughout the study, trial drug tab. Punarnavadi compound did not show any adverse drug reaction. The results of this study will help in developing a cheap and safe treatment for the management of CRF.

  6. Hematological Indices in Children with Non-organic Failure to Thrive: a Case-Control Study.

    Science.gov (United States)

    Jafari Nodoshan, A H; Hashemi, A; Golzar, A; Karami, F; Akhondzaraini, R

    2016-01-01

    Non-organic failure to thrive (NFTT) is the most common cause of failure to thrive (FTT) which is attributed to inadequate nutrition due to economic factors or parental neglect . NFTT can lead to a vicious cycle of poor and inadequate eating and severity of anemia. The aim of this study was to determine the hematological indices in children with NFTT. In a cross sectional case control study, iron status and blood indices of forty five aged 6-60 months children with NFTT were evaluated and compared with 45 healthy control children (with matching of age and sex). In this study, the prevalence of anemia was 48.9% in NFTT compared to 11.4% in the control group (p<0.001). Microcytic anemia was significantly more prevalent among the subjects than the controls (77.8% versus 27.3%; p<0. 001). The serum iron level was 73.2 and 62.8 mcg/dl for the case and control groups (P=0.29). The ferritin level in the study group was 29.8 versus 35.47 ng/ml in the control group (p=0.227). The prevalence of iron deficiency anemia among children with mild, moderate, and severe underweight was 44.4%, 45.5%, and 48%, respectively. The highest prevalence of iron-deficiency anemia was seen between age group of 12 and 24 months (p<0.05). Based on the results of this study, a correlation between malnutrition and anemia was found. However, further studies are needed to assess and confirm the current outcomes.

  7. Proteinuria as a Noninvasive Marker for Renal Allograft Histology and Failure: An Observational Cohort Study

    Science.gov (United States)

    Lerut, Evelyne; Emonds, Marie-Paule; Herelixka, Albert; Evenepoel, Pieter; Claes, Kathleen; Bammens, Bert; Sprangers, Ben; Meijers, Björn; Jochmans, Ina; Monbaliu, Diethard; Pirenne, Jacques; Kuypers, Dirk R.J.

    2016-01-01

    Proteinuria is routinely measured to assess renal allograft status, but the diagnostic and prognostic values of this measurement for renal transplant pathology and outcome remain unclear. We included 1518 renal allograft recipients in this prospective, observational cohort study. All renal allograft biopsy samples with concomitant data on 24-hour proteinuria were included in the analyses (n=2274). Patients were followed for ≥7 years post-transplantation. Compared with proteinuria failure were 1.14 (95% confidence interval [95% CI], 0.81 to 1.60; P=0.50), for proteinuria 0.3–1.0 g/24 h, 2.17 (95% CI, 1.49 to 3.18; P3.0 g/24 h, independent of GFR and allograft histology. The predictive performance of proteinuria for graft failure was lower at 3 months after transplant (area under the receiver-operating characteristic curve [AUC] 0.64, P3 months after transplant (AUC 0.73, P1.0 g/24 h. These data support current clinical guidelines to routinely measure proteinuria after transplant, but illustrate the need for more sensitive biomarkers of allograft injury and prognosis. PMID:26152270

  8. Study on COLSS In-Service Operation at ICI Processing Channel Failure

    Energy Technology Data Exchange (ETDEWEB)

    Song, In Ho [Korea Power Engineering Company, Inc., Daejeon (Korea, Republic of); Kim, Joon Sung; Baek, Byung Chan [Korea Nuclear Fuel Co., LTD., Daejeon (Korea, Republic of); Kim, Tae Suk [Ulchin Nuclear Power Site, Ulchin (Korea, Republic of)

    2007-10-15

    OPR1000 has 45 fixed ICI (In-Core Instrumentation) strings which have five neutron detectors axially per string. COLSS (Core Operating Limit Supervisory System) requires minimum 75% available ICIs to generate core power distribution. ICI signals are grouped into four channels and processed in this channel-wise manner. When a power fails or a processing card fails in a channel, COLSS becomes out-of-service due to the less amount of available ICIs than 75%. A study was done to recover COLSS in-service operation in this situation. Basically, this exceptional operation is limited to maximum 7 days to follow the surveillance requirement in the Technical Specification. COLSS uncertainty analysis and an assessment of Limiting Condition for Operation (LCO) were performed according to ICI failure rate. COLSS monitoring of power distribution with the higher failure rate was justified by comparison with the CPC (Core Protection Calculator) monitoring. Effects of this exceptional operation were analyzed to give a proper guideline for plant application.

  9. The early indicators of financial failure: a study of bankrupt and solvent health systems.

    Science.gov (United States)

    Coyne, Joseph S; Singh, Sher G

    2008-01-01

    This article presents a series of pertinent predictors of financial failure based on analysis of solvent and bankrupt health systems to identify which financial measures show the clearest distinction between success and failure. Early warning signals are evident from the longitudinal analysis as early as five years before bankruptcy. The data source includes seven years of annual statements filed with the Securities and Exchange Commission by 13 health systems before they filed bankruptcy. Comparative data were compiled from five solvent health systems for the same seven-year period. Seven financial solvency ratios are included in this study, including four cash liquidity measures, two leverage measures, and one efficiency measure. The results show distinct financial trends between solvent and bankrupt health systems, in particular for the operating-cash-flow-related measures, namely Ratio 1: Operating Cash Flow Percentage Change, from prior to current period; Ratio 2: Operating Cash Flow to Net Revenues; and Ratio 4: Cash Flow to Total Liabilities, indicating sensitivity in the hospital industry to cash flow management. The high dependence on credit from third-party payers is cited as a reason for this; thus, there is a great need for cash to fund operations. Five managerial policy implications are provided to help health system managers avoid financial solvency problems in the future.

  10. Subchondral bone failure in overload arthrosis: a scanning electron microscopic study in horses.

    Science.gov (United States)

    Norrdin, R W; Stover, S M

    2006-01-01

    Mechanical overload leads to a common arthrosis in the metacarpal condyle of the fetlock joint of racehorses. This is usually asymptomatic but severe forms can cause lameness. Subchondral bone failure is often present and the predictability of the site provided an opportunity to study of the progression of bone failure from microcracks to actual collapse of subchondral bone. Twenty-five fetlock condyles from racehorses with various stages of disease were selected. Stages ranged from mild through severe subchondral bone sclerosis, to the collapse of bone and indentation or loss of cartilage known as 'traumatic osteochondrosis'. Parasagittal slices were radiographed and examined with scanning electron microscopy. Fine matrix cracks were seen in the subchondral bone layer above the calcified cartilage and suggested loss of water or other non-collagenous components. The earliest microcracks appeared to develop in the sclerotic bone within 1-3 mm of the calcified cartilage layer and extend parallel to it in irregular branching lines. Longer cracks or microfractures appeared to develop gaps as fragmentation occurred along the margins. Occasional osteoclastic resorption sites along the fracture lines indicated activated remodeling may have caused previous weakening. In one sample, smoothly ground fragments were found in a fracture gap. Bone collapse occurred when there was compaction of the fragmented matrix along the microfracture. Bone collapse and fracture lines through the calcified cartilage were associated with indentation of articular cartilage at the site.

  11. HIV reservoirs and immune surveillance evasion cause the failure of structured treatment interruptions: a computational study.

    Directory of Open Access Journals (Sweden)

    Emiliano Mancini

    Full Text Available Continuous antiretroviral therapy is currently the most effective way to treat HIV infection. Unstructured interruptions are quite common due to side effects and toxicity, among others, and cannot be prevented. Several attempts to structure these interruptions failed due to an increased morbidity compared to continuous treatment. The cause of this failure is poorly understood and often attributed to drug resistance. Here we show that structured treatment interruptions would fail regardless of the emergence of drug resistance. Our computational model of the HIV infection dynamics in lymphoid tissue inside lymph nodes, demonstrates that HIV reservoirs and evasion from immune surveillance themselves are sufficient to cause the failure of structured interruptions. We validate our model with data from a clinical trial and show that it is possible to optimize the schedule of interruptions to perform as well as the continuous treatment in the absence of drug resistance. Our methodology enables studying the problem of treatment optimization without having impact on human beings. We anticipate that it is feasible to steer new clinical trials using computational models.

  12. Cardiac outcome prevention effectiveness of glucocorticoids in acute decompensated heart failure: COPE-ADHF study.

    Science.gov (United States)

    Liu, Chao; Liu, Kunshen

    2014-04-01

    Newly emerging evidence showed that glucocorticoids could potentiate natriuretic peptides' action by increasing the density of natriuretic peptide receptor A, leading to a potent diuresis and a renal function improvement in patients with acute decompensated heart failure (ADHF). Therefore, glucocorticoid therapy may be used in patients with ADHF. One hundred two patients with ADHF were randomized to receive glucocorticoids or standard treatment. Change from baseline in serum creatinine (SCr) at day 7 and cardiovascular death within 30 days were recorded. The study was terminated early because of slow site initiation and patient enrolment. Glucocorticoid therapy seemed to be well tolerated. There was a remarkable SCr reduction after 7 days treatment. The change from baseline in SCr is -0.14 mg/dL in glucocorticoid group versus -0.02 mg/dL in standard treatment group (P glucocorticoid group with odds ratio of 0.26 (3 deaths in glucocorticoid vs. 10 deaths in standard treatment group, P glucocorticoid therapy persisted during the follow-up. Patient-assessed dyspnea and physician-assessed global clinical status were also improved in glucocorticoid group. Limited data indicate that glucocorticoid therapy may be used safely in patients with ADHF in short term. Glucocorticoid therapy did not cause heart failure deterioration. Further investigations are warranted.

  13. Study on Dynamic Compressive Mechanical Properties and Failure Modes of Heat-Treated Granite

    Directory of Open Access Journals (Sweden)

    Zhiliang Wang

    Full Text Available Abstract Temperature and external load are two important factors affecting the mechanical properties of rock material. The test on heat- treated granite specimen was carried out by using an improved split Hopkinson pressure bar (SHPB. Based on the test data, the dynamic behavior and failure characteristics of the granite under the coupling action of temperature and impact loading are studied. The results show that the amplitude of incident wave increases with the impact velocity of striker, and the shapes of the transmitted and reflected waves are closely related to the failure state of the specimen. The stress-strain curves for the heat-treated specimens above 700oC are obviously different to those below 500oC in terms of the slopes for the ascending segment and the peak stress, indicating that there is a temperature threshold between 500oC and 700oC. Under the same velocity, the strain rate decreases slightly and then increases as the temperature increases. At a constant temperature, strain rate increases linearly with the impact velocity. The relationship between elastic modulus and strain rate for the heat-treated specimen obviously tends to have no regularity. In addition, both peak stress and peak strain exhibit strain rate sensitivity, but different increasing rates for different temperatures are detected. Below 500oC, the influence of temperature on peak stress and peak strain is not evident, however, the influence becomes remarkable at 700oC and 900oC.

  14. THE FAILURE OF SOCIALIZATION AND DEVIANT BEHAVIORS OF MINORS -CASE STUDY FOR ARAD COUNTY-

    Directory of Open Access Journals (Sweden)

    Maria OPREA

    2016-06-01

    Full Text Available Social deviance characteristic of minors and adolescents in particular expresses types of social behaviors that lead to a deep concern on the part of society. These behaviors can be the result of failure in primary socialization, the absence of an affective climate in disorganized families, and are often determined by the impossibility of school, as a socializing entity, to compensate for the educational errors of the family of origin as well as the negative influence of peer groups. The failure of socialization can even lead to juvenile delinquency, behaviors that stray from the legal norm and fall under criminal law sanctions so that a part of these minors end up under the supervision of probation services or worse, in the prison system. Based on these considerations the study conducted aims to highlight some anomic behaviors of Arad County minors, their specific family environment, school environment, entourage as well as the formulation of measures regarding the decrease of deviant phenomena of minors.

  15. Design study on containers for geological disposal of high-level radioactive waste

    International Nuclear Information System (INIS)

    Arup, O.

    1985-01-01

    A study has been made of the requirements and design features for containers to isolate vitrified high-level radioactive waste from the environment for a period of 500 to 1000 years. The requirements for handling, storing and transporting containers have been identified following a study of disposal operations, and the pressures and temperatures which may possibly be experienced in clay, granite and salt formations have been estimated. A range of possible container designs have been proposed to satisfy the requirements of each of the disposal environments. Alternative design concepts in corrosion resistant or corrosion allowance material have been suggested. Some resist pressure by using a structural shell leaving the contents unstressed whereas others transmit loads to their contents. Potentially suitable container shell materials have been selected following a review of corrosion studies and although metals have not been specified in detail, titanium alloys and low carbon steels are thought to be appropriate for corrosion resistant and corrosion allowance designs respectively. Performance requirements for container filler materials have been identified and candidate materials assessed. However, no entirely suitable materials have been found and further research is required in this area. A preliminary container stress analysis has shown the importance of thermal modelling and that if lead is used as a filler it dominates the stress response of the container. Possible methods of manufacturing disposal containers have been assessed and found to be generally feasible although filling operations and container closure could be difficult

  16. An Exploratory Study of the Formation and Impact of Electronic Service Failures

    DEFF Research Database (Denmark)

    Tan, Chee-Wee; Benbasat, Izak; Cenfetelli, Ronald

    2016-01-01

    expectation disconfirmation theory (EDT), we further distinguish among disconfirmed outcome, process, and cost expectancies as major consequences of e-commerce service failures. A theoretical model of e-commerce service failure classifications and their consequences was constructed together with testable...... propositions that relate the three failure categories to consumers’ disconfirmed expectancies. Finally, we explore the validity of our theoretical model based on descriptive accounts of actual occurrences of e-commerce service failures and their corresponding consequences. Consistent with our theoretical model......, information and functional failures were found to be associated with disconfirmed outcome and process expectancies respectively. System failures, on the other hand, do not affect consumers’ disconfirmed expectancies, thereby contradicting our predictions. Post hoc analysis on constituent dimensions...

  17. A Study on Estimating the Next Failure Time of Compressor Equipment in an Offshore Plant

    Directory of Open Access Journals (Sweden)

    SangJe Cho

    2016-01-01

    Full Text Available The offshore plant equipment usually has a long life cycle. During its O&M (Operation and Maintenance phase, since the accidental occurrence of offshore plant equipment causes catastrophic damage, it is necessary to make more efforts for managing critical offshore equipment. Nowadays, due to the emerging ICTs (Information Communication Technologies, it is possible to send health monitoring information to administrator of an offshore plant, which leads to much concern on CBM (Condition-Based Maintenance. This study introduces three approaches for predicting the next failure time of offshore plant equipment (gas compressor with case studies, which are based on finite state continuous time Markov model, linear regression method, and their hybrid model.

  18. Genome-wide association study of periweaning failure-to-thrive syndrome (PFTS) in pigs.

    Science.gov (United States)

    Zanella, R; Morés, N; Morés, M A Z; Peixoto, J O; Zanella, E L; Ciacci-Zanella, J R; Ibelli, A M G; Gava, D; Cantão, M E; Ledur, M C

    2016-06-25

    Porcine periweaning-failure-to-thrive syndrome (PFTS) is a condition that affects newly weaned piglets. It is characterised by a progressive debilitation leading to death, in the absence of infectious, nutritional, management or environmental factors. In this study, we present the first report of PFTS in South America and the results of a genome-wide association study to identify the genetic markers associated with the appearance of this condition in a crossbred swine population. Four chromosomal regions were associated with PFTS predisposition, one located on SSCX, one on SSC8, and the two other regions on SSC14. Regions on SSC8 and SSC14 harbour important functional candidate genes involved in human depression and might have an important role in PFTS. Our findings contribute to the increasing knowledge about this syndrome, which has been investigated since 2007, and to the identification of the aetiology of this disease. British Veterinary Association.

  19. Seroepidemiological study of parainfluenza 3 virus in bovines with reproductive failure, from monteria-colombia

    Directory of Open Access Journals (Sweden)

    César Betancur Hurtado

    2010-12-01

    Full Text Available The virus of the bovine Para influenza 3 is known to be a part of the bovine respiratory complex, along with another infectious agent as the bovine sincitialrespiratory virus, which has not as yet been diagnosed at the geographical area of this study. This work was carried out at Monteria, Colombia, in bovines from 28 farms, with the aim of finding the serological prevalence of the PI-3 virus. Blood samples were collected from 137 females, with a history of reproductive failure, and from 26 bulls from the same farms. The serological test used was the ELISA test. A descriptive analysis was carried out, recording data from positives and from negatives sera. A Chi-square test was used to test for association between the variables: sex, age, reproductive condition and type of production system, with serological reactivity to the PI-3virus. Concerning the results of the study, the point prevalence for the PI-3 virus found was 13, 5%, and under statistical bases, statistical significance was found between age groups and association was not found for the others variables taken in account for the study. According to the results, it was concluded that the PI-3 virus is present in bovines of Monteria, and that a part of the reproductive failure in females of the region, mostly the return to estrus and abortions, is due to the effect of that pathological entity. Finally, the authors recommend more extensive studies on PI-3 Infection, at the different cattle raising areas of Colombia, a country of 24 million heads.

  20. Does QI work? The Management to Improve Survival in Congestive Heart Failure (MISCHF) study.

    Science.gov (United States)

    Philbin, E F; Lynch, L J; Rocco, T A; Lindenmuth, N W; Ulrich, K; McCall, M; Jenkins, P; Roerden, J B

    1996-11-01

    In an ongoing study, a randomized, controlled trial is being conducted on the effects of a collaborative quality improvement program on practice patterns and patient outcomes regarding congestive heart failure (CHF) in community hospitals in upstate New York. CHF is associated with severe morbidity and mortality, with annual rates of death exceeding 50% among patients with the most severe disease. Phase I of the study was designed to model the processes of care and outcomes, develop valid disease-specific risk adjustment techniques, and target areas for quality improvement (QI) intervention. Beginning April 1, 1995, and ending December 31, 1995, baseline data were collected during hospitalization and for six months postdischarge for all 1,402 consecutive patients assigned diagnosis-related groups (DRGs) 127 and 124. Preliminary analyses revealed high rates of hospital readmission (46%) and postdischarge death (18%), with significant interhospital variation. Initiatives include educational programs on CHF, feedback of Phase I data to clinicians and administrators, design and implementation of a clinical care pathway, improvement of the emergency department (prehospital) phase of CHF management, and improvement in patient education and discharge planning. The study suggests that community hospitals, many without extensive experience in clinical investigation, can voluntarily collaborate to design and implement a timely QI initiative that is evidence based, clinically relevant, and scientifically sound. Preliminary results have led to better understanding of the processes of care and determinants of outcome for patients with heart failure. Phase II of the study should yield insights into the providers' response to a locally derived intervention and the effects of such a program on patient outcomes.

  1. Pediatric Hydrocephalus in Ethiopia: Treatment Failures and Infections: A Hospital-Based, Retrospective Study.

    Science.gov (United States)

    Laeke, Tsegazeab; Tirsit, Abenezer; Biluts, Hagos; Murali, Deeptha; Wester, Knut

    2017-04-01

    Treatment of pediatric hydrocephalus in sub-Saharan countries is associated with significant complication rates. The objective of this study is to analyze the management of hydrocephalus and complication rates of surgical intervention in the Ethiopian setting to improve future quality. A retrospective cohort study was conducted in a neurosurgical teaching hospital. Two cohorts separated by 2.5 years were analyzed. A total of 128 (58.6% male and 41.4% female) children with isolated hydrocephalus, meningomyelocele (MMC)-related hydrocephalus, or MMC without hydrocephalus were included. Their age ranged from 1 day to 5 years, for a mean age of 7.2 months (median age 2 months). One hundred thirteen patients had hydrocephalus, of whom 57 (44.5.3%) had isolated hydrocephalus and 56 (43.8%) had hydrocephalus associated with MMC. Seventy-seven (74.7%) patients underwent ventriculoperitoneal (VP) shunting, whereas 24 (23.3%) underwent endoscopic third ventriculostomy (ETV). The incidence of shunt infection was 23.4%. Reoperation was needed in 54 (52.4%) patients, with the most common indication being shunt failure. ETV failed in 14 (58.3%) of the 24 patients undergoing ETV. VP shunt insertions had unacceptably high infection rate despite the presence of a protocol for the procedure. Intraoperative guidelines should be developed further and followed strictly to reduce infections. Such measures should include restricting the number of surgeons performing the procedure. In our opinion, one should avoid insertion of a VP shunt as the primary treatment. ETV has proved to be a good alternative in other studies and the decreasing pattern of ETV failure in our study also suggest ETV as a better alternative to VP shunt. Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.

  2. Investigating the reasons for the failure of palaeointensity experiments: a study on historical lava flows from Mt. Etna (Italy)

    Science.gov (United States)

    Calvo, Manuel; Prévot, Michel; Perrin, Mireille; Riisager, Janna

    2002-04-01

    A refined palaeointensity experiment, accompanied by rock-magnetic studies, has been carried out on six lava flows from 1910 and 1928 from Mt. Etna. The purpose of the study was to try to understand why these very young basaltic flows are generally unable to provide a correct estimate of the magnitude of the ambient magnetic field during flow cooling. Susceptibility versus temperature curves and ore microscopic studies show that 3 types of magnetic minerals (phases `h ', `m ' and `l') are present in these flows, some samples containing a single largely dominant magnetic phase while others contain a mixture of several phases. Phase `h ' is a thermally stable, near magnetite phase resulting from titanomagnetite oxyexsolution. Phase `l' is a thermally stable titanomagnetite with a Curie temperature of approximately 200°C. Phase `m ' is a titanomagnetite phase of Curie temperature between 450-490°C which is unstable at temperatures above 400°C. In addition to the usual reliability checks of the Thellier method (NRM-TRM linearity, pTRM checks), our palaeointensity experiments included additional heating allowing determination of the MD or PSD-SD character of each pTRM and determination of CRM or transdomain remanences possibly acquired during heating. From the 28 samples studied 20 provide a linear NRM-TRM plot over about 1/4 or more of total NRM. However, only six of them, all containing near-magnetite as a single phase, display positive pTRM checks. Nevertheless, these six samples yield a mean palaeointensity of about 52 μT, which exceeds the real field palaeomagnitude (42 μT) by some 25 per cent. The reasons for this almost-total failure of palaeointensity experiments are diverse. For samples with a dominant `l' phase, pTRMs present a behaviour typical of large MD grains, with as much as 1/3 of remanence with unblocking temperatures exceeding the blocking range. No CRM is acquired. Yet a remanence does develop during heating in a field (followed by cooling in

  3. A reassessment of the potential for an alpha-mode containment failure and a review of the current understanding of broader fuel-coolant interaction issues. Second steam explosion review group workshop

    Energy Technology Data Exchange (ETDEWEB)

    Basu, S. [Nuclear Regulatory Commission, Washington, DC (United States); Ginsberg, T. [Brookhaven National Lab., Upton, NY (United States)

    1996-08-01

    This report summarizes the review and evaluation by experts of the current understanding of the molten fuel-coolant interaction (FCI) issues covering the complete spectrum of interactions, i.e., from mild quenching to very energetic interactions including those that could lead to the alpha-mode containment failure. Of the eleven experts polled, all but two concluded that the alpha-mode failure issue was resolved from a risk perspective, meaning that this mode of failure is of very low probability, that it is of little or no significance to the overall risk from a nuclear power plant, and that any further reduction in residual uncertainties is not likely to change the probability in an appreciable manner. To a lesser degree, discussions also took place on the broader FCI issues such as mild quenching of core melt during non-explosive FCI, and shock loading of lower head and ex-vessel support structures arising from explosive localized FCIs. These latter issues are relevant with regard to determining the efficacy of certain accident management strategies for operating reactors as well as for advanced light water reactors. The experts reviewed the status of understanding of the FCI phenomena in the context of these broader issues, identified residual uncertainties in the understanding, and recommended future research (both experimental and analytical) to reduce the uncertainties.

  4. A reassessment of the potential for an alpha-mode containment failure and a review of the current understanding of broader fuel-coolant interaction issues. Second steam explosion review group workshop

    International Nuclear Information System (INIS)

    Basu, S.; Ginsberg, T.

    1996-08-01

    This report summarizes the review and evaluation by experts of the current understanding of the molten fuel-coolant interaction (FCI) issues covering the complete spectrum of interactions, i.e., from mild quenching to very energetic interactions including those that could lead to the alpha-mode containment failure. Of the eleven experts polled, all but two concluded that the alpha-mode failure issue was resolved from a risk perspective, meaning that this mode of failure is of very low probability, that it is of little or no significance to the overall risk from a nuclear power plant, and that any further reduction in residual uncertainties is not likely to change the probability in an appreciable manner. To a lesser degree, discussions also took place on the broader FCI issues such as mild quenching of core melt during non-explosive FCI, and shock loading of lower head and ex-vessel support structures arising from explosive localized FCIs. These latter issues are relevant with regard to determining the efficacy of certain accident management strategies for operating reactors as well as for advanced light water reactors. The experts reviewed the status of understanding of the FCI phenomena in the context of these broader issues, identified residual uncertainties in the understanding, and recommended future research (both experimental and analytical) to reduce the uncertainties

  5. Patient participation in patients with heart failure receiving structured home care--a prospective longitudinal study.

    Science.gov (United States)

    Näsström, Lena; Jaarsma, Tiny; Idvall, Ewa; Årestedt, Kristofer; Strömberg, Anna

    2014-12-18

    Patient participation is important for improving outcomes, respect for self-determination and legal aspects in care. However, how patients with heart failure view participation and which factors may be associated with participation is not known. The aim of this study was therefore to describe the influence of structured home care on patient participation over time in patients diagnosed with heart failure, and to explore factors associated with participation in care. The study had a prospective pre-post longitudinal design evaluating the influence of structured home care on participation in patients at four different home care units. Patient participation was measured using 3 scales and 1 single item. Self-care behavior, knowledge, symptoms of depression, socio- demographic and clinical characteristics were measured to explore factors associated with patient participation. Repeated measure ANOVA was used to describe change over time, and stepwise regression analyses were used to explore factors associated with patient participation. One hundred patients receiving structured heart failure home care were included. Mean age was 82 years, 38 were women and 80 were in New York Heart Association functional class III. One aspect of participation, received information, showed a significant change over time and had increased at both six and twelve months. Better self-care behavior was associated with all four scales measuring different aspects of participation. Experiencing lower degree of symptoms of depression, having better knowledge, being of male sex, being of lower age, cohabiting and having home help services were associated with one or two of the four scales measuring different aspects of participation. Patients experienced a fairly high level of satisfaction with participation in care at baseline, and there was a significant improvement over time for participation with regard to received information after being admitted to structured home care. Higher level of

  6. Anaemia and long term mortality in heart failure patients: a retrospective study

    DEFF Research Database (Denmark)

    Charlot, Mette; Torp-Pedersen, Christian; Valeur, Nana

    2010-01-01

    Anaemia has been demonstrated as a risk factor in patients with heart failure over periods of a few years, but long term data are not available. We examined the long-term risk of anaemia in heart failure patients during 15 years of follow-up.......Anaemia has been demonstrated as a risk factor in patients with heart failure over periods of a few years, but long term data are not available. We examined the long-term risk of anaemia in heart failure patients during 15 years of follow-up....

  7. Managing Returnable Containers Logistics - A Case Study Part II - Improving Visibility through Using Automatic Identification Technologies

    Directory of Open Access Journals (Sweden)

    Gretchen Meiser

    2011-05-01

    Full Text Available This case study is the result of a project conducted on behalf of a company that uses its own returnable containers to transport purchased parts from suppliers. The objective of this project was to develop a proposal to enable the company to more effectively track and manage its returnable containers. The research activities in support of this project included (1 the analysis and documentation of the physical flow and the information flow associated with the containers and (2 the investigation of new technologies to improve the automatic identification and tracking of containers. This paper explains the automatic identification technologies and important criteria for selection. A companion paper details the flow of information and containers within the logistics chain, and it identifies areas for improving the management of the containers.

  8. Understanding of empty container movement: A study on a bottleneck at an off-dock depot

    Science.gov (United States)

    Zain, Rosmaizura Mohd; Rahman, Mohd Nizam Ab; Nopiah, Zulkifli Mohd; Saibani, Nizaroyani

    2014-09-01

    Port not only function as connections between marine and land transportation but also as core business areas. In a port terminal, available space is limited, but the influx of container is growing. The off-dock depot is one of the key supply chain players that hold empty containers in the inventory. Therefore, this paper aims to identify the main factors of bottlenecks or congestion that hinder the rapid movement of empty containers from the off-dock depot to the customers. Thirty interviews were conducted with individuals who are key players in the container supply chain. The data were analyzed using Atlas.ti software and the analytic hierarchy process to rank the priority factors of bottlenecks. Findings show that several pertinent factors act as barriers to the key players in the container movement in the day-to-day operations. In future studies, strategies to overcome fragmentation in the container supply chain and logistics must be determined.

  9. Design and performance of a multisensor heart failure monitoring algorithm: results from the multisensor monitoring in congestive heart failure (MUSIC) study.

    Science.gov (United States)

    Anand, Inder S; Tang, W H Wilson; Greenberg, Barry H; Chakravarthy, Niranjan; Libbus, Imad; Katra, Rodolphe P

    2012-04-01

    Remote monitoring of heart failure (HF) patients may help in the early detection of acute decompensation before the onset of symptoms, providing the opportunity for early intervention to reduce HF-related hospitalizations, improve outcomes, and lower costs. MUSIC is a multicenter nonrandomized study designed to develop and validate an algorithm for prediction of impending acute HF decompensation with the use of physiologic signals obtained from an external device adhered to the chest. A total of 543 HF patients (206 development, 337 validation) with ejection fraction ≤40% and a recent HF admission were enrolled. Patients were remotely monitored for 90 days using a multisensor device. Accounting for device failure and patient withdrawal, 314 patients (114 development, 200 validation) were included in the analysis. Development patient data were used to develop a multiparameter HF detection algorithm. Algorithm performance in the development cohort had 65% sensitivity, 90% specificity, and a false positive rate of 0.7 per patient-year for detection of HF events. In the validation cohort, algorithm performance met the prespecified end points with 63% sensitivity, 92% specificity, and a false positive rate of 0.9 per patient-year. The overall rate of significant adverse skin response was 0.4%. Using an external multisensor monitoring system, an HF decompensation prediction algorithm was developed that met the prespecified performance end point. Further studies are required to determine whether the use of this system will improve patient outcomes. Published by Elsevier Inc.

  10. Gadolinium-containing magnetic resonance imaging contrast and nephrogenic systemic fibrosis: a case-control study.

    Science.gov (United States)

    Kallen, Alexander J; Jhung, Michael A; Cheng, Steven; Hess, Theresa; Turabelidze, George; Abramova, Liana; Arduino, Matthew; Guarner, Jeannette; Pollack, Brian; Saab, Georges; Patel, Priti R

    2008-06-01

    Nephrogenic systemic fibrosis (NSF) is a newly described disorder occurring in persons with renal failure. Gadolinium-based contrast used in magnetic resonance imaging (MRI) has been suggested as a cause. A cluster of patients with NSF was investigated to identify risk factors. Limited preliminary findings from this investigation were presented in the Morbidity and Mortality Weekly Report. Matched case-control. Dialysis patients with and without a diagnosis of NSF treated at an academic medical center. Exposure to gadolinium-based contrast. Laboratory and clinical characteristics of NSF. 19 of 28 cases identified at the hospital from December 2002 to August 2006 met inclusion criteria and were matched to 57 controls. In univariate analysis, receipt of gadolinium-containing MRI contrast in the preceding year (odds ratio [OR], 7.99; 95% confidence interval, 2.22 to 28.8) was associated with NSF; the measure of association increased as cumulative dose increased. Gadodiamide exposure (OR, 9.83; 95% confidence interval, 2.09 to 46.2) was associated more strongly with NSF than gadoversetamide (OR, 1.82; 95% confidence interval, 0.33 to 10.2). Although not statistically significant, cases were more likely than controls to have undergone primarily peritoneal dialysis in the preceding 6 months. There was no significant difference in receipt of high-dose recombinant erythropoietin between cases and controls. In multivariable analysis, gadolinium contrast exposure (OR, 8.97; 95% confidence interval, 1.28 to 63.0) remained significantly associated with NSF. Retrospective design, small sample size, inability to completely evaluate erythropoietin. Receipt of gadolinium-containing MRI contrast is associated with NSF in a dose-dependent manner. The risk associated with gadolinium may differ by contrast agent and dialysis modality. Use of gadolinium-based contrast agents should be avoided when possible in patients with renal failure.

  11. Association between elevated fibrosis markers and heart failure in the elderly: the cardiovascular health study.

    Science.gov (United States)

    Barasch, Eddy; Gottdiener, John S; Aurigemma, Gerard; Kitzman, Dalane W; Han, Jing; Kop, Willem J; Tracy, Russell P

    2009-07-01

    Myocardial fibrosis reflects excess collagen deposition in the extracellular left ventricular matrix, which has been associated with heart failure (HF). No studies have addressed the relation between fibrosis biomarkers and HF in the elderly. Serum fibrosis markers were measured in 880 participants of the Cardiovascular Health Study (mean age 77+/-6 years, 48% women). Participants with systolic HF (n=131, left ventricular ejection fraction or =55%) were compared with controls (280 with cardiovascular risk factors, and 279 healthy individuals) using a nested case-control design. Fibrosis markers included carboxyl-terminal peptide of procollagen type I, carboxyl-terminal telopeptide of collagen type I, and amino-terminal peptide of procollagen type III. Echocardiography was used to document systolic and diastolic function parameters. Analysis of variance and logistic regression analysis (per tertile odds ratios [OR]), adjusted by age, gender, race, hypertension, atrial fibrillation, coronary heart disease, baseline serum glucose, serum cystatin C, serum creatinine, C-reactive protein, any angiotensin-converting enzyme inhibitor, spironolactone or any diuretic, NT-proBNP, and total bone mineral density were performed. Systolic HF was associated with significantly elevated carboxyl-terminal telopeptide of collagen type I (OR=2.6; 95% CI=1.2 to 5.7) and amino-terminal peptide of procollagen type III (OR=3.3; 95% CI=1.6 to 5.8), when adjusting for covariates. Associations of diastolic HF were significant for carboxyl-terminal telopeptide of collagen type I (OR=3.9; 95% CI=1.9 to 8.3) and amino-terminal peptide of procollagen type III (OR=2.7; 95% CI=1.4 to 5.4). HF was not associated with elevated carboxyl-terminal peptide of procollagen type I (P>0.10), and fibrosis markers did not significantly differ between HF with diastolic versus those with systolic dysfunction (P>0.10) whereas NT-proBNP mean values were higher in systolic heart failure than in diastolic heart

  12. Technical Failure of MR Elastography Examinations of the Liver: Experience from a Large Single-Center Study.

    Science.gov (United States)

    Wagner, Mathilde; Corcuera-Solano, Idoia; Lo, Grace; Esses, Steven; Liao, Joseph; Besa, Cecilia; Chen, Nelson; Abraham, Ginu; Fung, Maggie; Babb, James S; Ehman, Richard L; Taouli, Bachir

    2017-08-01

    Purpose To assess the determinants of technical failure of magnetic resonance (MR) elastography of the liver in a large single-center study. Materials and Methods This retrospective study was approved by the institutional review board. Seven hundred eighty-one MR elastography examinations performed in 691 consecutive patients (mean age, 58 years; male patients, 434 [62.8%]) in a single center between June 2013 and August 2014 were retrospectively evaluated. MR elastography was performed at 3.0 T (n = 443) or 1.5 T (n = 338) by using a gradient-recalled-echo pulse sequence. MR elastography and anatomic image analysis were performed by two observers. Additional observers measured liver T2* and fat fraction. Technical failure was defined as no pixel value with a confidence index higher than 95% and/or no apparent shear waves imaged. Logistic regression analysis was performed to assess potential predictive factors of technical failure of MR elastography. Results The technical failure rate of MR elastography at 1.5 T was 3.5% (12 of 338), while it was higher, 15.3% (68 of 443), at 3.0 T. On the basis of univariate analysis, body mass index, liver iron deposition, massive ascites, use of 3.0 T, presence of cirrhosis, and alcoholic liver disease were all significantly associated with failure of MR elastography (P analysis, only body mass index, liver iron deposition, massive ascites, and use of 3.0 T were significantly associated with failure of MR elastography (P technical failure rate of MR elastography with a gradient-recalled-echo pulse sequence was low at 1.5 T but substantially higher at 3.0 T. Massive ascites, iron deposition, and high body mass index were additional independent factors associated with failure of MR elastography of the liver with a two-dimensional gradient-recalled-echo pulse sequence. © RSNA, 2017.

  13. A mixed methods study of symptom perception in patients with chronic heart failure.

    Science.gov (United States)

    Riegel, Barbara; Dickson, Victoria Vaughan; Lee, Christopher S; Daus, Marguerite; Hill, Julia; Irani, Elliane; Lee, Solim; Wald, Joyce W; Moelter, Stephen T; Rathman, Lisa; Streur, Megan; Baah, Foster Osei; Ruppert, Linda; Schwartz, Daniel R; Bove, Alfred

    2018-01-03

    Early heart failure (HF) symptoms are frequently unrecognized for reasons that are unclear. We explored symptom perception in patients with chronic HF. We enrolled 36 HF out-patients into a longitudinal sequential explanatory mixed methods study. We used objectively measured thoracic fluid accumulation and daily reports of signs and symptoms to evaluate accuracy of detected changes in fluid retention. Patterns of symptom interpretation and response were explored in telephone interviews conducted every 2 weeks for 3-months. In this sample, 44% had a mismatch between objective and subjective fluid retention; younger persons were more likely to have mismatch. In interviews, two patterns were identified: those able to interpret and respond appropriately to symptoms were higher in decision-making skill and the quality of social support received. Many HF patients were poor at interpreting and managing their symptoms. These results suggest a subgroup of patients to target for intervention. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Prospective care of heart failure in Japan: lessons from CHART studies.

    Science.gov (United States)

    Shiba, Nobuyuki; Shimokawa, Hiroaki

    2011-12-01

    There are approximately 23 million patients with heart failure (HF) worldwide. The prognosis of patients with HF is still poor and a prospective approach for preventing and treating HF is necessary. The number of HF patients in Japan has been increasing since 1950 mainly because of a rapidly aging population. Furthermore, westernized dietary pattern, reduced physical activity, and obesity have become prominent, particularly in younger Japanese men. There is an increasing trend of diabetes and dyslipidemia, and the prevalence of smoking and hypertension continues to remain high. One of the largest HF cohorts in Japan, the CHART Studies, showed that coronary artery disease (CAD) was the most frequent etiology of HF currently. Thus, prospective strategies including accurate risk stratification, effective prevention of disease progression through evidence-based treatments, optimally personalized treatment particularly in elderly individuals, and life-long control of CAD risk factors are required to manage HF in Japan.

  15. Fusion magnet safety studies program: superconducting magnet protection system and failure. Interim report

    International Nuclear Information System (INIS)

    Allinger, J.; Danby, G.; Hsieh, S.Y.; Keane, J.; Powell, J.; Prodell, A.

    1975-11-01

    This report includes the first two quarters study of available information on schemes for protecting superconducting magnets. These schemes can be divided into two different categories. The first category deals with the detection of faulty regions (or normal regions) in the magnet. The second category relates to the protection of the magnet when a fault is detected, and the derived signal which can be used to activate a safety system (or energy removal system). The general detection and protection methods are first described briefly and then followed by a survey of the protection systems used by different laboratories for various magnets. A survey of the cause of the magnet difficulties or failures is also included. A preliminary discussion of these protection schemes and the experimental development of this program is given

  16. Fusion magnet safety studies program: superconducting magnet protection system and failure. Interim report

    Energy Technology Data Exchange (ETDEWEB)

    Allinger, J.; Danby, G.; Hsieh, S.Y.; Keane, J.; Powell, J.; Prodell, A.

    1975-11-01

    This report includes the first two quarters study of available information on schemes for protecting superconducting magnets. These schemes can be divided into two different categories. The first category deals with the detection of faulty regions (or normal regions) in the magnet. The second category relates to the protection of the magnet when a fault is detected, and the derived signal which can be used to activate a safety system (or energy removal system). The general detection and protection methods are first described briefly and then followed by a survey of the protection systems used by different laboratories for various magnets. A survey of the cause of the magnet difficulties or failures is also included. A preliminary discussion of these protection schemes and the experimental development of this program is given.

  17. Micromechanical study of the effect of inclusions on fatigue failure in a roller bearing

    DEFF Research Database (Denmark)

    Cerullo, Michele; Tvergaard, Viggo

    2015-01-01

    Purpose - The purpose of this paper is to carry out a set of micromechanical analyses to study the effect of small inclusions on fatigue life of wind turbine bearings. Design/methodology/approach - The local stress concentrations around an inclusion are determined from a characteristic unit cell...... of the most commonly used bearing steels, AISI 52100, and two different types of inclusions are considered. The macroscopic stress histories applied correspond to either a Hertzian or an elastohydrodynamic (EHL) contact pressure distribution under the rollers. Findings - The paper shows that sub......-surface fatigue failure due to rolling contact is more likely to develop close to the inclusion-matrix interface, at particular angles that depend on the material and on the inclusion orientation. Originality/value - Inclusions represent an important issue in the design of wind turbine bearings, that are supposed...

  18. A study on RFID adoption for vehicle tracking in container terminal

    Directory of Open Access Journals (Sweden)

    S.L. Ting

    2012-06-01

    Full Text Available Purpose: Numerous studies discuss that Radio Frequency Identification (RFID technology can provide better container handling efficiency; however, relative lack of research concerns the tracking and monitoring the movement of vehicle in the container terminal environment. Thus, this study aims at discussing the feasibility of applying RFID for vehicle tracking purpose in a container terminal. Design/methodology/approach: This study makes use of a series of experiments in a container terminal to discuss the factors that affect the use of RFID in the terminal. The possibility and accuracy of using RFID in such challenging environment is also investigated. These propositions are investigated by a case study. Findings: The experimental results indicate that the RFID communication is good at the containers area which occupies nearly all the area in the container terminal. However, in other area such as sea side and free area, the performance is not good and 100% readability only achieved in 5m and 10m in free area and sea side respectively. Originality/value: The container terminal environment, which consists of different transport vehicles for onward transportation, will affect the performance of RFID readability. Poor setup of the RFID reader and tag will lower the feasibility of RFID adoption as well as increase the cost. In order to address the challenges of implementing RFID in the container terminal environment, this paper provides a series of real site testing experiments to study the RFID performance in the container terminal environment. This represents an original contribution of value to future research and practice in the RFID adoptions in container terminal environment.

  19. Determinants of Deescalation Failure in Critically Ill Patients with Sepsis: A Prospective Cohort Study

    Directory of Open Access Journals (Sweden)

    Nawal Salahuddin

    2016-01-01

    Full Text Available Introduction. Deescalation refers to either discontinuation or a step-down of antimicrobials. Despite strong recommendations in the Surviving Sepsis Guidelines (2012 to deescalate, actual practices can vary. Our objective was to identify variables that are associated with deescalation failure. Methods. In this prospective study of patients with sepsis/septic shock, patients were categorized into 4 groups based on antibiotic administration: no change in antibiotics, deescalation, escalation (where antibiotics were changed to those with a broader spectrum of antimicrobial coverage, or mixed changes (where both escalation to a broader spectrum of coverage and discontinuation of antibiotics were carried out. Results. 395 patients were studied; mean APACHE II score was 24±7.8. Antimicrobial deescalation occurred in 189 (48% patients; no changes were made in 156 (39% patients. On multivariate regression analysis, failure to deescalate was significantly predicted by hematologic malignancy OR 3.3 (95% CI 1.4–7.4 p<0.004, fungal sepsis OR 2.7 (95% CI 1.2–5.8 p=0.011, multidrug resistance OR 2.9 (95% CI 1.4–6.0 p=0.003, baseline serum procalcitonin OR 1.01 (95% CI 1.003–1.016 p=0.002, and SAPS II scores OR 1.01 (95% CI 1.004–1.02 p=0.006. Conclusions. Current deescalation practices reflect physician reluctance when dealing with complicated, sicker patients or with drug-resistance or fungal sepsis. Integrating an antibiotic stewardship program may increase physician confidence and provide support towards increasing deescalation rates.

  20. Review of novel therapeutic targets for improving heart failure treatment based on experimental and clinical studies

    Directory of Open Access Journals (Sweden)

    Bonsu KO

    2016-06-01

    Full Text Available Kwadwo Osei Bonsu,1,2 Isaac Kofi Owusu,3 Kwame Ohene Buabeng,4 Daniel Diamond Reidpath,1 Amudha Kadirvelu1 1School of Medicine and Health Sciences, Monash University Sunway Campus, Jalan Lagoon Selatan, Bandar Sunway, Subang Jaya, Selangor, Malaysia; 2Accident and Emergency Directorate, Komfo Anokye Teaching Hospital, 3Department of Medicine, 4Department of Clinical and Social Pharmacy, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Abstract: Heart failure (HF is a major public health priority due to its epidemiological transition and the world’s aging population. HF is typified by continuous loss of contractile function with reduced, normal, or preserved ejection fraction, elevated vascular resistance, fluid and autonomic imbalance, and ventricular dilatation. Despite considerable advances in the treatment of HF over the past few decades, mortality remains substantial. Pharmacological treatments including β-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and aldosterone antagonists have been proven to prolong the survival of patients with HF. However, there are still instances where patients remain symptomatic, despite optimal use of existing therapeutic agents. This understanding that patients with chronic HF progress into advanced stages despite receiving optimal treatment has increased the quest for alternatives, exploring the roles of additional pathways that contribute to the development and progression of HF. Several pharmacological targets associated with pathogenesis of HF have been identified and novel therapies have emerged. In this work, we review recent evidence from proposed mechanisms to the outcomes of experimental and clinical studies of the novel pharmacological agents that have emerged for the treatment of HF. Keywords: novel treatment, experimental and clinical studies, therapeutic targets, heart failure

  1. Academic success or failure in nursing students: results of a retrospective observational study.

    Science.gov (United States)

    Lancia, Loreto; Petrucci, Cristina; Giorgi, Fabio; Dante, Angelo; Cifone, Maria Grazia

    2013-12-01

    Nursing student academic failure is a phenomenon of growing international interest, not only because of its economic impact but also because it negatively affects the availability of future nurses in different healthcare systems. To recruit the students with the highest probability of academic success, an open challenge for universities is to recruit students who have previously demonstrated superior scholastic aptitudes that appear to be associated with a greater likelihood of academic success. Documenting the relationship between the selection methods used when selecting nursing students and academic failure will contribute to the international debate concerning the optimisation of the selection strategies. The principal aim of this study was to investigate the role in predicting nursing student academic success of (1) the upper-secondary diploma grades and (2) the score obtained by students in the nursing degree program admission test. A retrospective observational study was conducted. Five cohorts of nursing students, matriculated in consecutive academic years from 2004 to 2008, in an Italian bachelor's degree program were observed retrospectively. Overall, 61.2% of the 1006 considered students concluded their degree within the legal duration allowed for the nursing degree. Students who failed were those who had lowest grades associated with their upper-secondary diploma coursework (p=0.000) and were male (p=0.000). The grades associated with the upper-secondary diploma coursework, unlike the admission test score, correlates positively with the final degree grade and the average value of degree program examination scores. No correlation was found between the upper-secondary diploma coursework grades and the scores obtained in the test for the nursing degree program admission test (r=-0.037). These results suggest that upper-secondary diploma coursework grades are a parameter that should receive great consideration, especially in cases where there are planned

  2. Safety and Dosing Study of Glucagon-Like Peptide 2 in Children With Intestinal Failure.

    Science.gov (United States)

    Sigalet, David L; Brindle, Mary; Boctor, Dana; Casey, Linda; Dicken, Bryan; Butterworth, Sonia; Lam, Viona; Karnik, Vikram; de Heuvel, Elaine; Hartmann, Bolette; Holst, Jens

    2017-07-01

    A glucagon-like peptide 2 (GLP-2) analogue is approved for adults with intestinal failure, but no studies of GLP-2 have included children. This study examined the pharmacokinetics, safety, and nutritional effects of GLP-2 in children with intestinal failure. Native human GLP-2(1-33) was synthesized following good manufacturing practices. In an open-label trial, with parental consent, 7 parenteral nutrition-dependent pediatric patients were treated with subcutaneous GLP-2 (20 µg/kg/d) for 3 days (phase 1) and, if tolerated, continued for 42 days (phase 2). Nutritional treatment was directed by the primary caregivers. Patients were followed to 1 year. Seven patients were enrolled (age: 4.0 ± 0.8 years; bowel length, mean ± SEM: 24% ± 4% of predicted). All were parenteral nutrition dependent since birth, receiving 44% ± 5% of calories by parenteral nutrition. GLP-2 treatment had no effect on vital signs (blood pressure, heart rate, and temperature) and caused no significant adverse events. Peak GLP-2 levels were 380 pM (day 3) and 295 pM (day 42), with no change in half-life or endogenous GLP-2 levels. Nutritional indices showed a numeric improvement in z scores and citrulline levels; the z score was maintained while citrulline levels returned to baseline once GLP-2 was discontinued. GLP-2 was well tolerated in children, with a pharmacokinetic profile similar to that of adults. There were no changes in endogenous GLP-2 release or metabolism. These results suggest that GLP-2 ligands may be safely used in pediatric patients; larger trials are suggested to investigate nutritional effects.

  3. Beta-Blockade With Nebivolol in Elderly Heart Failure Patients With Impaired and Preserved Left Ventricular Ejection Fraction Data From SENIORS (Study of Effects of Nebivolol Intervention on Outcomes and Rehospitalization in Seniors With Heart Failure)

    NARCIS (Netherlands)

    van Veldhuisen, Dirk J.; Cohen-Solal, Alain; Boehm, Michael; Anker, Stefan D.; Babalis, Daphne; Roughton, Michael; Coats, Andrew J. S.; Poole-Wilson, Philip A.; Flather, Marcus D.

    2009-01-01

    Objectives In this pre-specified subanalysis of the SENIORS (Study of Effects of Nebivolol Intervention on Outcomes and Rehospitalization in Seniors With Heart Failure) trial, which examined the effects of nebivolol in elderly heart failure (HF) patients, we explored the effects of left ventricular

  4. Nesiritide, Renal Function, and Associated Outcomes During Hospitalization for Acute Decompensated Heart Failure Results From the Acute Study of Clinical Effectiveness of Nesiritide and Decompensated Heart Failure (ASCEND-HF)

    NARCIS (Netherlands)

    van Deursen, Vincent M.; Hernandez, Adrian F.; Stebbins, Amanda; Hasselblad, Vic; Ezekowitz, Justin A.; Califf, Robert M.; Gottlieb, Stephen S.; O'Connor, Christopher M.; Starling, Randall C.; Tang, W. H. Wilson; McMurray, John J.; Dickstein, Kenneth; Voors, Adriaan A.

    2014-01-01

    Background-Contradictory results have been reported on the effects of nesiritide on renal function in patients with acute decompensated heart failure. We studied the effects of nesiritide on renal function during hospitalization for acute decompensated heart failure and associated outcomes. Methods

  5. A Pragmatic Study Shows Failure of Dental Composite Fillings Is Genetically Determined: A Contribution to the Discussion on Dental Amalgams.

    Science.gov (United States)

    Vieira, Alexandre R; Silva, Marília B; Souza, Kesia K A; Filho, Arnôldo V A; Rosenblatt, Aronita; Modesto, Adriana

    2017-01-01

    Composite resins for posterior tooth restorations have become a viable alternative to dental amalgam. Failures sometimes cannot be easily explained, and we hypothesize that a genetic component may influence longevity of restorations. We aimed to determine if there is any evidence for a difference in the performance of amalgams versus composite resin in extensive posterior restorations. We also aimed to determine if risk factors such as age, sex, smoking tobacco, alcohol drinking, diabetes status, and periodontal health status may have a role in the failures of extensive anterior composite restorations. Finally, we investigated if genetic variation in matrix metalloproteinases that are present in the mineralized dentin is associated with failure of composite resin. The data used to perform this research were obtained from the Dental Registry and DNA Repository project after screening 4,856 patients. All restorations were evaluated at times of 1, 2, and 5 years after the restoration placement. 6,266 amalgam and 2,010 composite restorations were analyzed in a total of 807 patients in a period of approximately 10 years (period corresponding to the database existence). An additional 443 extensive direct composite resin restorations in anterior teeth were also studied. Failure rates of amalgam and composite restorations are similar, and by the end of 5 years, composites outperformed amalgams slightly. Failures of anterior composite restorations occurred more often in males who smoked tobacco ( p  = 0.05), despite a similar number of females and males that smoked tobacco in the sample (116 individuals smoked tobacco, 54 females and 62 males). Alcohol drinking increased failure rate within 2 years ( p  = 0.03). We found a statistically significant association between matrix metalloproteinase 2 rs9923304 and failure of composite restorations ( p  = 0.007). Composite resins can replace amalgam restorations. Smoking tobacco and drinking alcohol will

  6. A Pragmatic Study Shows Failure of Dental Composite Fillings Is Genetically Determined: A Contribution to the Discussion on Dental Amalgams

    Directory of Open Access Journals (Sweden)

    Alexandre R. Vieira

    2017-11-01

    Full Text Available Composite resins for posterior tooth restorations have become a viable alternative to dental amalgam. Failures sometimes cannot be easily explained, and we hypothesize that a genetic component may influence longevity of restorations. We aimed to determine if there is any evidence for a difference in the performance of amalgams versus composite resin in extensive posterior restorations. We also aimed to determine if risk factors such as age, sex, smoking tobacco, alcohol drinking, diabetes status, and periodontal health status may have a role in the failures of extensive anterior composite restorations. Finally, we investigated if genetic variation in matrix metalloproteinases that are present in the mineralized dentin is associated with failure of composite resin. The data used to perform this research were obtained from the Dental Registry and DNA Repository project after screening 4,856 patients. All restorations were evaluated at times of 1, 2, and 5 years after the restoration placement. 6,266 amalgam and 2,010 composite restorations were analyzed in a total of 807 patients in a period of approximately 10 years (period corresponding to the database existence. An additional 443 extensive direct composite resin restorations in anterior teeth were also studied. Failure rates of amalgam and composite restorations are similar, and by the end of 5 years, composites outperformed amalgams slightly. Failures of anterior composite restorations occurred more often in males who smoked tobacco (p = 0.05, despite a similar number of females and males that smoked tobacco in the sample (116 individuals smoked tobacco, 54 females and 62 males. Alcohol drinking increased failure rate within 2 years (p = 0.03. We found a statistically significant association between matrix metalloproteinase 2 rs9923304 and failure of composite restorations (p = 0.007. Composite resins can replace amalgam restorations. Smoking tobacco and drinking alcohol

  7. Specific Metabolome Profile of Exhaled Breath Condensate in Patients with Shock and Respiratory Failure: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Brice Fermier

    2016-09-01

    Full Text Available Background: Shock includes different pathophysiological mechanisms not fully understood and remains a challenge to manage. Exhaled breath condensate (EBC may contain relevant biomarkers that could help us make an early diagnosis or better understand the metabolic perturbations resulting from this pathological situation. Objective: we aimed to establish the metabolomics signature of EBC from patients in shock with acute respiratory failure in a pilot study. Material and methods: We explored the metabolic signature of EBC in 12 patients with shock compared to 14 controls using LC-HRMS. We used a non-targeted approach, and we performed a multivariate analysis based on Orthogonal Partial Least Square-Discriminant Analysis (OPLS-DA to differentiate between the two groups of patients. Results: We optimized the procedure of EBC collection and LC-HRMS detected more than 1000 ions in this fluid. The optimization of multivariate models led to an excellent model of differentiation for both groups (Q2 > 0.4 after inclusion of only 6 ions. Discussion and conclusion: We validated the procedure of EBC collection and we showed that the metabolome profile of EBC may be relevant in characterizing patients with shock. We performed well in distinguishing these patients from controls, and the identification of relevant compounds may be promising for ICC patients.

  8. Feasibility study on the verification of fresh fuel assemblies in shipping containers

    Energy Technology Data Exchange (ETDEWEB)

    Swinth, K.L.; Tanner, J.E.

    1990-09-01

    The purpose of this study was to examine the feasibility of using various nondestructive measurement techniques to determine the presence of fuel assemblies inside shipping containers and to examine the feasibility of measuring the fissile content of the containers. Passive and active techniques based on both gamma and neutron assay were examined. In addition, some experiments and calculations were performed to evaluate neutron techniques. Passive counting of the 186 keV gamma from {sup 235}U is recommended for use as an attributes measurement technique. Experiments and studies indicated that a bismuth germanate (BGO) scintillator is the preferred detector. A properly designed system based on this detector will provide a compact detector that can selectively verify fuel assemblies within a shipping container while the container is in a stack of similarly loaded containers. Missing fuel assemblies will be readily detected, but gamma counting of assemblies cannot detect changes in the fissile content of the inner rods in an assembly. If a variables technique is required, it is recommended that more extensive calculations be performed and removal of the outer shipping container be considered. Marking (sealing) of the assemblies with a uniquely identifiable transponder was also considered. This would require the development of procedures that would assure proper application and removal of the seal. When change to a metal outer container occurs, the technique will no longer be useful unless a radiolucent window is included in the container. 20 refs., 7 figs., 2 tabs.

  9. A Failure Criterion for Concrete

    DEFF Research Database (Denmark)

    Ottosen, N. S.

    1977-01-01

    A four-parameter failure criterion containing all the three stress invariants explicitly is proposed for short-time loading of concrete. It corresponds to a smooth convex failure surface with curved meridians, which open in the negative direction of the hydrostatic axis, and the trace...... are given for three typical ratios. A review of some earlier proposed failure criteria is included....

  10. With great power comes great responsibility: using mouse genetics to study cardiac hypertrophy and failure.

    Science.gov (United States)

    Molkentin, Jeffery D; Robbins, Jeffrey

    2009-02-01

    Over the past 20 years generation and subsequent characterization of genetically modified mouse models has revolutionized our understanding of disease-gene relationships and suggested numerous therapeutic targets for human disease. Cardiac biology has perhaps benefited more than most fields from the advent of modern genetic approaches in the mouse by providing a 3-dimensional integrated platform for phenotypic dissection of single gene function, largely replacing the unitary relationships derived from 2-dimensional cell culture-based platforms. Indeed, cardiac hypertrophy and end-stage heart failure are whole organ phenomena that occur within a dynamic neuroendocrine milieu, a backdrop that cannot be adequately modeled in cultured myocytes. Here we advocate the use of genetically modified mouse models for studying cardiac biology and show how, if employed properly, these models will continue to provide highly reliable data sets that suggest disease-gene relationships and novel therapeutic targets. In addition to a discussion of proper technique and controls, we will highlight examples of genetic approaches in the mouse that suggest novel disease relationships and therapeutic treatments for human heart failure, insights not possible with other experimental systems. In the preceding review/editorial by Cook, Clerk and Sugden, a number of strong arguments are made detailing the potential short comings associated with genetic approaches in the mouse as a means of unraveling cardiac disease mechanisms. We take very little issue with these arguments per se, although here we attempt to put these shortcomings into a greater context that extends beyond a single experimental setting, as well as to carefully construct a counterpoint that delineates the advantages of genetic approaches in the mouse compared with any other system currently in use in cardiovascular biology.

  11. Study of the potential effect of selenium on gamma-radiation induced ovarian failure

    International Nuclear Information System (INIS)

    Said, R.S.M.

    2012-01-01

    Radiotherapy is a major factor contributing to female infertility by inducing premature ovarian failure (POF). Therefore, the need for an effective radioprotective agent is evident. The present study investigated the mechanism of potential radioprotective effect of sodium selenite on radiation-induced ovarian failure and whether sodium selenite can stimulate in vivo follicular development in experimental rats. Immature female Sprague-Dawely rats were either exposed to gamma radiation (3.2 Gy, LD 20 ), once and/or treated with sodium selenite (0.5 mg/kg), once daily for one week before irradiation. Follicular and oocyte development, apoptotic markers, proliferation marker as well as oxidative stress markers were assessed 24-h after irradiation. In addition, fertility assessment was performed after female rats became completely mature at two months of age. Sodium selenite significantly enhanced follicular development as compared to the irradiated group. Sodium selenite significantly reversed the oxidative stress effects of radiation that was evidenced by increasing in lipid peroxide level and decreasing in glutathione level, and glutathione peroxidase (GPx) activity. Assessment of apoptosis and cell proliferation markers revealed that caspase 3 and cytochrome c expressions markedly-increased, whereas, PCNA expression markedly-decreased in the irradiated group; in contrast, sodium selenite treatment prevented these alterations. Histopathological examination further confirmed the radioprotective efficacy of sodium selenite and its in-vivo effect on ovarian follicles’ maturation. In conclusion, sodium selenite showed a radioprotective effect and improved folliculogenesis through increasing ovarian granulosa cells proliferation, estradiol and FSH secretion, and GPx activity, whilst decreasing lipid peroxidation and oxidative stress, leading to inhibition of the apoptosis pathway through decreasing the expressions of caspase 3 and cytochrome c.

  12. EARLY-ESLI study: Long-term experience with eslicarbazepine acetate after first monotherapy failure.

    Science.gov (United States)

    Villanueva, V; Bermejo, P; Montoya, J; Toledo, M; Gómez-Ibáñez, A; Garcés, M; Vilella, L; López-González, F J; Rodriguez-Osorio, X; Campos, D; Martínez, P; Giner, P; Zurita, J; Rodríguez-Uranga, J; Ojeda, J; Mauri, J A; Camacho, J L; Ruiz-Giménez, J; Poza, J J; Massot-Tarrús, A; Galiano, M L; Bonet, M

    2017-09-01

    Evaluate real-life experience with eslicarbazepine acetate (ESL) after first monotherapy failure in a large series of patients with focal epilepsy. Multicentre, retrospective, 1-year, observational study in patients older than 18 years, with focal epilepsy, who had failed first antiepileptic drug monotherapy and who received ESL. Data from clinical records were analysed at baseline, 3, 6 and 12 months to assess effectiveness and tolerability. Eslicarbazepine acetate was initiated in 253 patients. The 1-year retention rate was 92.9%, and the final median dose of ESL was 800 mg. At 12 months, 62.3% of patients had been seizure free for 6 months; 37.3% had been seizure free for 1 year. During follow-up, 31.6% of the patients reported ESL-related adverse events (AEs), most commonly somnolence (8.7%) and dizziness (5.1%), and 3.6% discontinued due to AEs. Hyponatraemia was observed in seven patients (2.8%). After starting ESL, 137 patients (54.2%) withdrew the prior monotherapy and converted to ESL monotherapy; 75.9% were seizure free, 87.6% were responders, 4.4% worsened, and 23.4% reported ESL-related AEs. Use of ESL after first monotherapy failure was associated with an optimal seizure control and tolerability profile. Over half of patients were converted to ESL monotherapy during follow-up. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Study on operation of a research reactor during one PCS pump failure accident

    International Nuclear Information System (INIS)

    Seo, Kyoung Woo; Yoon, Hyu Ngi; Kim, Seong Hoon; Chi, Dae Young; Yoon, Juh Yeon

    2012-01-01

    The Primary cooling system (PCS) of a research reactor is designed to provide adequate cooling to the reactor core with a reasonable margin during all operation modes. The PCS consists of pumps, heat exchangers, and all necessary interconnecting pipes, valves, and instruments. The number of pumps is determined from a safety and economic point of view. As the number of pump trains increase, the cost increases according to the increase in safety class equipment. However, it is impossible to install one pump for a PCS because a zero flow can instantaneously occur during a pump failure such as a pump seizure. Thus, a PCS frequently consists of two parallel 50% capacity pumps and heat exchangers. In addition, check valves are generally installed to prevent a reversal flow when multiple pumps are designed to operate. However, if a swing type check valve is used, it should be estimated whether the slam due to instantaneous closing of the valve affects the system vibration. To reduce the vibration by a slam phenomenon, additional equipment such as a damper will be installed in the valve. The purpose of the check valve in PCS is to prevent the flow path when a reverse flow occurs. The installation of additional equipment will make it difficult to perform this function. In this study, it is estimated whether the PCS can operate without check valves. First, a flow analysis using Flowmaster was compared and verified by the calculation employing a empirical correlation. Second, the simulation for a one pump failure accident was performed and analyzed

  14. Resistance profiles and adherence at primary virological failure in three different highly active antiretroviral therapy regimens: analysis of failure rates in a randomized study

    DEFF Research Database (Denmark)

    Roge, BT; Barfod, TS; Kirk, O

    2004-01-01

    OBJECTIVES: To investigate the interplay between resistance and adherence in the virological failure of three fundamentally different highly active antiretroviral therapy (HAART) regimens. METHODS: We retrospectively identified 56 verified primary virological failures (viral load >400 HIV-1 RNA...... collected from patient files, and genotyping was performed on plasma samples collected at time of failure. RESULTS: Treatment interruption or poor adherence was mainly caused by side effects and accounted for 74% of failures, and was associated with absence of resistance mutations. In the 30 failing...

  15. Chocolate Consumption and Risk of Heart Failure: A Meta-Analysis of Prospective Studies.

    Science.gov (United States)

    Gong, Fei; Yao, Shuyuan; Wan, Jing; Gan, Xuedong

    2017-04-20

    Epidemiological studies have shown inconsistent findings on the association between chocolate consumption and risk of heart failure (HF). We, therefore, performed a meta-analysis of prospective studies to determine the role of chocolate intake in the prevention of HF. We searched databases of PubMed, Web of Science, and Scopus through December 2016 and scrutinized the reference lists of relevant literatures to identify eligible studies. Study-specific hazard ratios (HRs) and 95% confidence intervals (CIs) were aggregated using random effect models. The dose-response relationship between chocolate consumption and incident HF was also assessed. This meta-analysis is registered with PROSPERO, number CRD42017054230. Five prospective studies with 106,109 participants were finally included. Compared to no consumption of chocolate, the pooled HRs (95% CIs) of HF were 0.86 (0.82-0.91) for low-to-moderate consumption (chocolate consumption and risk of HF ( p for nonlinearity = 0.005). Compared with non-consumption, the HRs (95% CIs) of HF across chocolate consumption levels were 0.92 (0.88-0.97), 0.86 (0.78-0.94), 0.93 (0.85-1.03), and 1.07 (0.92-1.23) for 1, 3, 7, and 10 servings/week, respectively. In conclusion, chocolate consumption in moderation may be associated with a decreased risk of HF.

  16. Exergaming Through the Eyes of Patients with Heart Failure: A Qualitative Content Analysis Study.

    Science.gov (United States)

    Klompstra, Leonie; Jaarsma, Tiny; Mårtensson, Jan; Strömberg, Anna

    2017-06-01

    Exergaming appears to be a promising tool to increase exercise capacity in patients with chronic heart failure (HF). Therefore, it is important to obtain more in-depth knowledge about preferences, attitudes, use, and abilities in regard to exergaming. The aim of this study was to describe the experiences of patients with HF when using an exergame platform at home. A qualitative descriptive study using content analysis was conducted on interviews with 14 patients with HF (6 women, ages ranging between 56 and 81 years). The patients were recruited from three centers in Sweden included in a randomized controlled study. These patients had access to an exergame platform at home and were advised to exergame for 30 minutes per day. The analysis resulted in three categories describing patients' experience of exergaming: (1) making exergaming work, (2) added value of exergaming, and (3) low appeal of exergaming. This is the first study that explores how patients with HF experience using an exergame platform at home. The study provided important information on what aspects to discuss when initiating an exergame platform at home and following patients who may want to use an exergame platform at home. The results also revealed that this technology may be suitable for some patients, while others prefer other kinds of physical activity.

  17. [Hospital statistics as tool in epidemiologic studies: heart failure in Trieste].

    Science.gov (United States)

    Di Lenarda, Andrea; Goliani, Paolo; Grella, Maddalena; Sabbadini, Gastone; Driussi, Mauro; Sinagra, Gianfranco

    2002-01-01

    Since 1995, the reimbursement of hospital healthcare expenditure in Italy has been based upon the so-called Diagnosis Related Groups (DRGs). The DRG 127 includes all the cases in which the main clinical diagnosis is "heart failure or shock" and, therefore, it may be used to obtain epidemiological data concerning this syndrome. The analysis appears to be of relevance, since in the district of Trieste the phenomenon of progressive aging of the general population has already reached a very advanced phase. In this study, we evaluated, using the database of the Sistema Informativo Sanitario Regionale, the epidemiological data and clinical outcome of patients hospitalized for DRG 127 in the district of Trieste from 1997 to 2000 (5514 hospital admissions and 69,236 days of hospital stay). The DRG 127 accounted for 2.6% of the total hospital admissions and 4% of the total days of hospital stay; moreover, it was found to be the first cause of hospitalization for medical DRGs (18.8%) as well as the first cause of hospitalization and of the days of hospital stay for cardiovascular DRGs (27.5 and 40.5%, respectively). Seventy-two percent of patients admitted for DRG 127 were > 75 years. In 1997, a mean of 4/1000 inhabitants of the district of Trieste were hospitalized for DRG 127 (4.6 hospital admissions and 63 days of hospital stay/1000 inhabitants). Over the 4-year period, the number of hospital admissions for DRG 127 increased by 20.4%, the days of hospital stay by 11.1%, and the related healthcare costs rose by 36.7%. Most of the patients (89%) were admitted in Internal Medicine or Geriatric wards. By using suitable corrective factors, the prevalence rate of heart failure in 1997 was estimated at 6.4@1000 ( or = 85 years 47.4@1000). On the basis of the first hospital admission, the incidence was estimated at 2.4@1000 ( or = 85 years 20.4@1000). The in-hospital 1-, 2- and 3-year survival rates from the time of the first hospital admission for heart failure were

  18. Feasibility Study to Reduce Thermal Resistance of Finned Containment Wall in Simplified OPR1000

    International Nuclear Information System (INIS)

    Lee, Jong Hwi; Kang, Hie Chan; Noh, Hyung Gyun

    2016-01-01

    This concept is securing of cooling capability by using finned containment itself, it could be another alternative for achieving decompression of containment as heat sink. The objective of this study is a feasibility test to estimate the heat transfer performance from the finned containment wall in case of OPR1000. The commercial code, ANSYS CFX 16 was used in this work. The number of grids is about 1.8 million. Therefore, 250mm rebar affects more considerable than that of 50mm to the temperature distribution. For this reasons, temperature distribution of z-axis direction was showed significant changes in (c). The heat transfer in three types of containment was 267.6W, 265.2W and 307.8W, respectively. The Type B case increased up to 15% of heat transfer than the baseline containment building. Three different types of containment wall were tested by numerical simulation to understand the cooling performance of finned containment wall. We can conclude as follows: For the finned containment wall type A that fins are installed inside and outside with the same rebar configuration of conventional containment building, the heat transfer is almost the same as conventional containment wall. The finned containment wall type B that volume fraction of rebar is increased transfer the heat 15% more compared with conventional one. The cross-sectional area or volume fraction of the rebar to attach fin is important to enhance the heat transfer. The fin efficiency of the fin is very low as 3.1% in the present cases.

  19. Inflammation Markers and Major Depressive Disorder in Patients With Chronic Heart Failure: Results From the Sertraline Against Depression and Heart Disease in Chronic Heart Failure Study.

    Science.gov (United States)

    Xiong, Glen L; Prybol, Kevin; Boyle, Stephen H; Hall, Russell; Streilein, Robert D; Steffens, David C; Krishnan, Ranga; Rogers, Joseph G; O'Connor, Christopher M; Jiang, Wei

    2015-09-01

    Major depressive disorder (MDD) and chronic heart failure (CHF) have in common heightening states of inflammation, manifested by elevated inflammation markers such as C-reactive protein. This study compared inflammatory biomarker profiles in patients with CHF and MDD to those without MDD. The study recruited patients admitted to inpatient care for acute heart failure exacerbations, after psychiatric diagnostic interview. Patients with Beck Depression Inventory (BDI) scores lower than 10 and with no history of depression served as the nondepressed reference group (n = 25). MDD severity was defined as follows: mild (BDI 10-15; n = 48), moderate (BDI 16-23; n = 51), and severe (BDI ≥ 24; n = 33). A Bio-Plex assay measured 18 inflammation markers. Ordinal logistic models were used to examine the association of MDD severity and biomarker levels. Adjusting for age, sex, statin use, body mass index, left ventricular ejection fraction, tobacco use, and New York Heart Association class, the MDD overall group variable was significantly associated with elevated interleukin (IL)-2 (p = .019), IL-4 (p = .020), IL-6 (p = .026), interferon-γ (p = .010), monocyte chemoattractant protein 1 (p = .002), macrophage inflammatory protein 1β (p = .003), and tumor necrosis factor α (p = .004). MDD severity subgroups had a greater probability of elevated IL-6, IL-8, interferon-γ, monocyte chemoattractant protein 1, macrophage inflammatory protein 1β, and tumor necrosis factor α compared with nondepressed group. The nondepressed group had greater probability of elevated IL-17 (p depression. Whether effective depression treatment will normalize the altered inflammation marker levels requires further study. ClinicalTrials.gov NCT00078286.

  20. The CONFINE (Comorbidities and Outcome iN patients with chronic heart Failure: a study in INternal mEdicine units study: a new epidemiologic observational study on heart failure in the internal medicine departments in Italy

    Directory of Open Access Journals (Sweden)

    P. Biagi

    2013-05-01

    Full Text Available BACKGROUND The burden of heart failure (HF is enormous and its prevalence increases sharply with age. It has been estimated that heart failure affects up to 3% of the general population and 10% of the elderly. It contributes to hospital admission for most of them, mainly elder adults (admitted in internal medicine units with more than one comorbidity, cognitive disorders, impairment and so on. Despite the increasing prevalence of heart failure, its exact incidence and prevalence remain largely unknown and probably underestimated due to a lack of accurate epidemiological data and difficulties associated with comorbidities and correct diagnosis: over 40% of recurrent hospitalization causes, either cardiac or extracardiac, cannot be determined due to the lack of data. AIM OF THE STUDY The objective of this study estimated the prevalence and the primary care burden associated with comorbidities in internal medicine units. METHOD The design: a longitudinal multicentric observational study using spot analysis three data sheets were filled in during the hospital stay according to three crucial moments: enrolment (“the index day”, admission and discharge. Will be analyzed the following primary outcomes: total and cardiovascular mortality, intensive unit care admission, recurrent cardiovascular disorders, length of stay, hospital readmission, changes in activities of daily living, need for care. Second outcomes: clinical, therapeutic, instrumental and laboratory changes during the admission process. Deep analysis of the following comorbidities will be also taken into account: acute and chronic kidney failure, anaemia, chronic obstructive pulmonary disease, muscle loss, nutritional status, cirrhosis of the liver, neoplasms, blood cell disorders, chronic inflammatory diseases. Further evalutation items: cognitive impairment, self-sufficiency and perception of quality life.

  1. Nursing student profiles and occurrence of early academic failure: Findings from an explorative European study.

    Science.gov (United States)

    Dante, Angelo; Ferrão, Sónia; Jarosova, Darja; Lancia, Loreto; Nascimento, Carla; Notara, Venetia; Pokorna, Andrea; Rybarova, Lubica; Skela-Savič, Brigita; Palese, Alvisa

    2016-03-01

    In the European context regulated by the Bologna Process principles, there is little evidence to date on the different profiles, if any, of nursing students enrolled in the 1st academic year and their academic outcomes. To describe and compare the nursing student profiles and their academic outcomes at the end of the 1st year across European Bachelor of Nursing Science (BNS) courses. An exploratory multicentre cohort study involving five countries: Nursing students who were enrolled in nursing programmes for the academic year 2011/2012 in the participating BNS courses, willing to participate and regularly admitted to the 2nd academic year, were included in this study undertaken in 2013. Individual and faculty level variables were collected after having ensured the validity of the tools developed in English and then appropriately translated into the language of each participating country. A total of 378/710 (53.2%) students participated in the study. They attended from 390 to 810h of lessons, while clinical experience ranged from 162 to 536h. The students reported a mean average age of 21.4 (Confidence of Interval [CI] 95%, 21.0-22.3) and foreign students were limited in number (on average 3.7%). The students reported adopting mainly individual learning strategies (92.9%), duplicating notes or lecture notes prepared by professors (74.4%), and concentrating their study before exams (74.6%). The majority reported experiencing learning difficulties (49.7%) and a lack of academic support (84.9%). Around 33.2% reported economic difficulties and the need to work while studying nursing on average for 24h/week. Personal expectations regarding the nursing role were different (45.6%) than the role encountered during the 1st year, as learning workloads were higher (57.2%) with regard to expectations. Around one-third of students reported the intention to leave nursing education while the proportion of those reporting early academic failure was on average 5.6%. More strategies

  2. Managing Returnable Containers Logistics - A Case Study Part I - Physical and Information Flow Analysis

    Directory of Open Access Journals (Sweden)

    Reza A. Maleki

    2011-05-01

    Full Text Available This case study paper is the result of a project conducted on behalf of a company, hereon referred to as Midwest Assembly and Manufacturing or MAAN. The company's operations include component manufacturing, painting, and assembling products. The company also purchases a relatively large percentage of components and major assemblies that are needed to support final assembly operations. MAAN uses its own returnable containers to transport purchased parts from suppliers. Due to poor tracking of the containers, the company has been experiencing lost containers and occasional production disruptions at its facility well as at the supplier sites. The objective of this project was to develop a proposal to enable MAAN to more effectively track and manage its returnable containers. The research activities in support of this project included the analysis and documentation of both the physical flow and the information flow associated with the containers as well as some of the technologies that can help with automatic identification and tracking of containers. The focal point of this paper is on a macro?level approach for the analysis of container and information flow within the logistics chain. A companion paper deals with several of the automatic identification technologies that have the potential to improve the management of MAAN's returnable containers.

  3. Preliminary Study of Applying Phase Change Materials (PCM) for Containment Passive Cooling

    Energy Technology Data Exchange (ETDEWEB)

    Ko, A Reum; Lee, Jeong Ik [KAIST, Daejeon (Korea, Republic of); Yoon, Ho Joon [KUSTAR, Abu Dhabi (United Arab Emirates)

    2016-05-15

    Most of Pressurized Water Reactor (PWR) containments use fan cooler systems and containment spray systems. However, the importance of passive safety system has increased after the Fukushima accident. As the main passive safety system, Passive Containment Cooling System (PCCS), which utilizes natural phenomena to remove the heat released from the reactor, is suggested in the advanced pressurized water reactor (APWR). To increase the efficiency of passive cooling, additional passive containment cooling method using Phase Change Material (PCM) is suggested in this paper. For containment using PCMs, there are many advantages. Phase Change Material (PCM) is proposed as an additional passive containment cooling method to increase the efficiency of passive cooling in this paper. To apply proper PCMs to containment, commercially available PCMs were screened while reviewing thermophysical properties data and suggested selection criteria. A sensitivity study was also carried out to identify the effect of potential installation location of PCM using the CAP code. The pressure of containment in most cases showed slightly higher than that of the initial case. For the temperature of steam and water and humidity, similar results with the initial case were showed in most cases.

  4. Theoretical and experimental studies on in-plane stiffness of integrated container structure

    Directory of Open Access Journals (Sweden)

    Xiaoxiong Zha

    2016-03-01

    Full Text Available This article presents analytical, numerical, and experimental studies on the in-plane stiffness of container buildings. First, based on diaphragm theory, parallel corrugated direction stiffness of corrugated sheet has been deduced, and based on energy method, shear modulus of two elastic principal directions of orthotropic plate has been deduced, and through stiffness conversion method, the stiffness relationship between parallel corrugated direction and vertical corrugated direction has been obtained. Combined with container frame, the container stiffness of loading end and non-loading end, as bottom side beam fixed, has been obtained. Second, through the software Abaqus, full-scale container model has been established. The loading–displacement curve of finite element model has been compared with theoretical analysis and has a good agreement. Third, through 20 and 40 ft container, corresponding experimental verification has been done, and by comparison of container stiffness, the theoretical analysis and finite element simulation have been verified. Finally, based on verified finite element model, parametric analysis of corrugated sheet size, corrugated sheeting cross section, elasticity modulus of top side beam, and every plate action for container stiffness have been given. Research result has made feasible in design and construction of container buildings and can provide some references to corresponding specification preparation.

  5. Risk factors for oral methotrexate failure in patients with inflammatory polyarthritis: results from a UK prospective cohort study.

    Science.gov (United States)

    Bluett, James; Sergeant, Jamie C; MacGregor, Alex J; Chipping, Jacqueline R; Marshall, Tarnya; Symmons, Deborah P M; Verstappen, Suzanne M M

    2018-03-20

    Oral methotrexate (MTX) is the first-line therapy for patients with rheumatoid arthritis (RA). However, approximately one quarter of patients discontinue MTX within 12 months. MTX failure, defined as MTX cessation or the addition of another anti-rheumatic drug, is usually due adverse event(s) and/or inefficacy. The aims of this study were to evaluate the rate and predictors of oral MTX failure. Subjects were recruited from the Norfolk Arthritis Register (NOAR), a primary care-based inception cohort of patients with early inflammatory polyarthritis (IP). Subjects were eligible if they commenced MTX as their first DMARD and were recruited between 2000 and 2008. Patient-reported reasons for MTX failure were recorded and categorised as adverse event, inefficacy or other. The addition of a second DMARD during the study period was categorised as failure due to inefficacy. Cox proportional hazards regression models were used to assess potential predictors of MTX failure, accounting for competing risks. A total of 431 patients were eligible. The probability of patients remaining on MTX at 2 years was 82%. Competing risk analysis revealed that earlier MTX failure due to inefficacy was associated with rheumatoid factor (RF) positivity, younger age at symptom onset and higher baseline disease activity (DAS-28). MTX cessation due to an adverse event was less likely in the RF-positive cohort. RF-positive inflammatory polyarthritis patients who are younger with higher baseline disease activity have an increased risk of MTX failure due to inefficacy. Such patients may require combination therapy as a first-line treatment.

  6. Hypertensive disorders of pregnancy and the recent increase in obstetric acute renal failure in Canada: population based retrospective cohort study.

    Science.gov (United States)

    Mehrabadi, Azar; Liu, Shiliang; Bartholomew, Sharon; Hutcheon, Jennifer A; Magee, Laura A; Kramer, Michael S; Liston, Robert M; Joseph, K S

    2014-07-30

    To examine whether changes in postpartum haemorrhage, hypertensive disorders of pregnancy, or other risk factors explain the increase in obstetric acute renal failure in Canada. Retrospective cohort study. Canada (excluding the province of Quebec). All hospital deliveries from 2003 to 2010 (n=2,193,425). Obstetric acute renal failure identified by ICD-10 diagnostic codes. Information on all hospital deliveries in Canada (excluding Quebec) between 2003 and 2010 (n=2,193,425) was obtained from the Canadian Institute for Health Information. Temporal trends in obstetric acute renal failure were assessed among women with and without postpartum haemorrhage, hypertensive disorders of pregnancy, or other risk factors. Logistic regression was used to determine if changes in risk factors explained the temporal increase in obstetric acute renal failure. Rates of obstetric acute renal failure rose from 1.66 to 2.68 per 10,000 deliveries between 2003-04 and 2009-10 (61% increase, 95% confidence interval 24% to 110%). Adjustment for postpartum haemorrhage, hypertensive disorders, and other factors did not attenuate the increase. The temporal increase in acute renal failure was restricted to deliveries with hypertensive disorders (adjusted increase 95%, 95% confidence interval 38% to 176%), and was especially pronounced among women with gestational hypertension with significant proteinuria (adjusted increase 171%, 71% to 329%). No significant increase occurred among women without hypertensive disorders (adjusted increase 12%, -28 to 72%). The increase in obstetric acute renal failure in Canada between 2003 and 2010 was restricted to women with hypertensive disorders and was especially pronounced among women with pre-eclampsia. Further study is required to determine the cause of the increase among women with pre-eclampsia. © Mehrabadi et al 2014.

  7. Meta-analysis of clinical studies supports the pharmacokinetic variability hypothesis for acquired drug resistance and failure of antituberculosis therapy.

    Science.gov (United States)

    Pasipanodya, Jotam G; Srivastava, Shashikant; Gumbo, Tawanda

    2012-07-01

    Using hollow-fiber tuberculosis studies, we recently demonstrated that nonadherence is not a significant factor for ADR and that therapy failure only occurs after a large proportion of doses are missed. Computer-aided clinical trial simulations have suggested that isoniazid and rifampin pharmacokinetic variability best explained poor outcomes. We were interested in determining whether isoniazid pharmacokinetic variability was associated with either microbiological failure or ADR in the clinic. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Prospective, randomized, controlled clinical trials that reported isoniazid acetylation status and microbiological outcomes were selected. The main effects examined were microbiological sputum conversion, ADR, and relapse. Effect size was expressed as pooled risk ratios (RRs) comparing rapid with slow acetylators. Thirteen randomized studies with 1631 rapid acetylators and 1751 slow acetylators met inclusion and exclusion criteria. Rapid acetylators were more likely than slow acetylators to have microbiological failure (RR, 2.0; 95% confidence interval [CI], 1.5-2.7), ADR (RR, 2.0; CI, 1.1-3.4), and relapse (RR, 1.3; CI, .9-2.0). Higher failure rates were encountered even in drug regimens comprising >3 antibiotics. No publication bias or small-study effects were observed for the outcomes evaluated. Pharmacokinetic variability to a single drug in the regimen is significantly associated with failure of therapy and ADR in patients. This suggests that individualized dosing for tuberculosis may be more effective than standardized dosing, which is prescribed in directly observed therapy programs.

  8. Association between weight control failure and suicidal ideation in overweight and obese adults: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Yeong Jun Ju

    2016-03-01

    Full Text Available Abstract Background Korea has the highest suicide rate in the OECD and is one of the few OECD countries whose suicide rates have not decreased in recent years. To address these issues, we investigated the effects of weight control failure on suicidal ideation in the overweight and obese populations. Methods We performed a cross-sectional study using data from the Korea National Health and Nutrition Examination Survey (2008–2012 consisting of 6621 individuals 40 years of age or older. Logistic regression analysis was used to identify the relationship between weight control failure and suicidal ideation in the overweight and obese populations. Results A total of 6621 participants were analyzed in this study (overweight group: 2439; obese group: 4182. Among them, weight control failure (weight gain with weight loss efforts was experienced in 962 obese (males 16.3 %, females 29.6 % and 412 overweight individuals (males 9.1 %, females 23.4 %. Weight control failure was significantly associated with suicidal ideation in obese females (OR = 1.70, 95 % CI 1.21–2.39, but this association was not significant in obese males or in either sex of the overweight group. Conclusions Findings from this study suggest that weight control failure is associated with an increased risk of suicidal ideation among obese women. Furthermore, intervention programs that aim to address the prevalence of suicide, especially for obese women, are needed.

  9. Studies on failure kind analysis of the radiologic medical equipment in general hospital

    International Nuclear Information System (INIS)

    Lee, Woo Cheul; Kim, Jeong Lae

    1999-01-01

    This paper included a data analysis of the unit of medical devices using maintenance recording card that had medical devices of unit failure mode, hospital of failure mode and MTBF. The results of the analysis were as follows : 1. Medical devices of unit failure mode was the highest in QC/PM such A hospital as 33.9%, B hospital 30.9%, C hospital 30.3%, second degree was the Electrical and Electronic failure such A hospital as 23.5%, B hospital 25.3%, C hospital 28%, third degree was mechanical failure such A hospital as 19.6%, B hospital 22.5%, C hospital 25.4%. 2. Hospital of failure mode was the highest in Mobile X-ray device(A hospital 62.5%, B hospital 69.5%, C hospital 37.4%), and was the lowest in Sono devices(A hospital 16.76%, B hospital 8.4%, C hospital 7%). 3. Mean time between failures(MTBT) was the highest in SONO devices and was the lowest in Mobile X-ray devices which have 200 - 400 failure hours. 4. Average failure ratio was the highest in Mobile X-ray devices(A hospital 31.3%, B hospital 34.8%, C hospital 18.7%), and was the lowest in Sono(Ultrasound) devices (A hospital 8.4%, B hospital 4.2%, C hospital 3.5%). 5. Failure ratio results of medical devices according to QC/PM part of unit failure mode were as follows ; A hospital was the highest part of QC/PM (50%) in Mamo X-ray device and was the lowest part of QC/PM(26.4%) in Gastro X-ray. B hospital was the highest part of QC/PM(56%) in Mobile X-ray device, and the lowest part of QC/PM(12%) in Gastro X-ray. C hospital was the highest part of QC/PM(60%) in R/F X-ray device, and the lowest a part of QC/PM(21%) in Universal X-ray. It was found that the units responsible for most failure decreased by systematic management. We made the preventive maintenance schedule focusing on adjustment of operating and dust removal

  10. Forensic study into the causes of premature failures in asphalt pavements in Tanzania

    CSIR Research Space (South Africa)

    Anochie-Boateng, Joseph

    2015-11-01

    Full Text Available by TANROADS has attributed the premature failures to the advent of wide base (“super single”) tyres on their roads (Report No.C22, 2014). Rutting in asphalt concrete layers is one of the most frequent and more serious distresses associated with asphalt... due to poor asphalt mix design resulting in shear failure. The most common cause of this failure is associated with routes with heavy loads and high tyre pressures. A more detailed discussion and practical consideration based on the information...

  11. A study of failure-survival closed-loop plant autocontrol systems employing redundant microprocessors

    International Nuclear Information System (INIS)

    Lawrence, L.A.J.; Page, N.; Wells, F.

    1976-01-01

    Failure-survival techniques already in use in the nuclear industry can be further enhanced by the application of up-to-date developments in the avionics field. It is concluded that provided appropriate facilities are provided for failure detection, on-line replacement of failed units, periodic and automatic complete system checks, and deselection of failed units, it should be possible to obtain a system failure rate in the range 10 -5 to 10 -6 per hour using a triplex control system, depending on the quality of the components, the on-line repair time and the interval between (automated) system checkout. (orig./RW) [de

  12. Comparison of the epidemiology and co-morbidities of heart failure in the pediatric and adult populations: a retrospective, cross-sectional study

    Directory of Open Access Journals (Sweden)

    Zhang Jie

    2006-05-01

    Full Text Available Abstract Background Heart failure is a clinical syndrome that is associated with a significant number of interventional procedures and has received a large amount of scrutiny in the adult literature; however, the epidemiology in children is less well described. Methods We analyzed two large, commercially available inpatient datasets collected in 1997 by the Agency for Healthcare Research and Quality: the Kids' Inpatient Database and the National Inpatient Study, accounting for 50% of the U.S. pediatric discharges and 20% of the U.S. adult discharges in 1997. Results The database contained 5,610 children and 732,752 adults with a diagnosis of HF. When compared with the adult sample, the pediatric sample showed a higher proportion with cardiac procedures (61.4% vs. 0.28%, p Conclusion There are significant differences in the epidemiological profile of children and adults with heart failure. Children suffer from different types of co-morbidities and require different procedures in the hospital setting. As such, children with heart failure who are hospitalized may require significantly different facilities, management and therapeutic intervention than adults with similar symptoms.

  13. Design of the Multi-Sensor Monitoring in Congestive Heart Failure (MUSIC) study: prospective trial to assess the utility of continuous wireless physiologic monitoring in heart failure.

    Science.gov (United States)

    Anand, Inder S; Greenberg, Barry H; Fogoros, Richard N; Libbus, Imad; Katra, Rodolphe P

    2011-01-01

    Remote monitoring of heart failure (HF) patients may help in the early detection of acute HF decompensation before the onset of symptoms. Appropriate early intervention in these patients may reduce HF-related hospitalizations and costs. The MUSIC (Multi-Sensor Monitoring in Congestive Heart Failure) study comprises 2 multicenter nonrandomized phases (MUSIC-Development and MUSIC-Validation) designed to develop and validate an algorithm for the prediction of acute HF decompensation using multiple physiologic signals obtained from an external, adherent, multisensor system capable of intermittent transmission of physiologic signals. Data obtained from MUSIC-Development will be used to develop the algorithm to predict HF decompensation. The algorithm will be validated in MUSIC-Validation with the objectives of ≥ 60% sensitivity for correctly predicting an acute HF event, a false-positive patient status signal rate of ≤ 1.0 per patient-year, and a safety endpoint of ≤ 5% of patients experiencing significant adverse skin conditions related to the prolonged wearing of the adherent device. A total of 542 patients in New York Heart Association functional class III-IV HF, with ejection fraction ≤ 40% and a recent HF admission, are enrolled in MUSIC-Development (n = 180) and MUSIC-Validation (n = 362). All patients are remotely monitored for 90 days using the Corventis multisensor system that transmits bioimpedance, electrocardiogram, and accelerometer data. The MUSIC study has completed patient enrollment and follow-up in both phases. Once algorithm development is complete from the MUSIC-Development phase, the sequestered data set from the MUSIC-Validation phase will be used for algorithm validation. Published by Elsevier Inc.

  14. A study on LMFBR steam generator design without tube failure propagation in water leak events

    International Nuclear Information System (INIS)

    Futagami, Satoshi; Hayafune, Hiroki; Fujimura, Ken; Sato, Mitsuru

    2009-01-01

    The major target performance of the SG for commercialized FBR is not only economic performance but also property protection performance. The candidate SG design will be selected at the end of JFY 2010. The straight double wall tube SG is one of the SG candidates for commercialized FBR, and other SG concepts were studied in this paper. In proposing an alternative SG, alternative technological measures with a double wall tube were investigated and included reinforcing the tube against wastage and quick detection of initial tube leaks. Alternative SG concept candidates for preventing tube failure propagation and mitigation of water leak accidents were proposed through a combination of technological measures. The candidates were then comparatively evaluated from the point of view of property protection performance, total weight, technological issues, and so on. A coated wall tube SG and protective wall tube SG were decided on as the alternative SGs because of superior property protection performance and with the technological issues. At the end of JFY 2010, the straight double wall tube SG will be decided upon as the result of R and D activities, and alternative SGs evaluated in feasibility studies. A plan for studying feasibility with the technological issues of the alternative SG was proposed. (author)

  15. Risk factors for chronic renal failure in Ivory coast: A prospective study of 280 patients

    Directory of Open Access Journals (Sweden)

    Ackoundou-N′Guessan K

    2011-01-01

    Full Text Available Chronic renal failure (CRF represents the major cause of mortality in the nephro-logy unit in Ivory Coast because the means for appropriate management are lacking. The present study was performed to investigate the risk factors for CRF so that strategies for prevention could be elaborated. A case-control study was performed prospectively at the Yopougon Teaching Hos-pital in Abidjan from January 2006 to December 2006. Factors known to cause CRF were investigated in patients and controls. Their prevalence rates were compared with the general population. A total of 280 patients and 113 controls were recruited. The mean age of the patients was 37.88 ± 13.33 years and that of the controls was 41.5 ± 9.72 years. Both genders were equally represented. The main causes of CRF were chronic glomerulonephritis (47.48%, with HIV infec-tion accounting for 15% of them, and essential hypertension (HTA (25%. Essential HTA repre-sented the only factor which, if untreated, inevitably leads to CRF. Thus, our study indicates that HTA is a major public health concern. All efforts should be implemented to reduce the high prevalence of HTA and the deleterious effect of this disorder in Ivory Coast.

  16. Participating in university entrance exam despite repeated failure: a qualitative study of participants' experiences.

    Science.gov (United States)

    Seddigh, Ruohollah; Abdollahpour, Esmat; Azarnik, Somayeh; Shariati, Behnam; Keshavarz-Akhlaghi, Amir-Abbas

    2016-10-22

    To explore the experiences of general practitioners who continue to sit a highly-competitive residency entrance examination, despite repeated failure. This qualitative, exploratory study employed semi-structured, in-depth interviews with 35 candidates of a residency entrance exam who had failed the examination at least twice and were preparing to sit it again. Interview questions addressed the challenges they faced and how they managed these challenges. Interview data were audiotaped, transcribed, and analysed to identify themes. The results demonstrated that more than 50% (n=19) of candidates struggled continuously and internally with different aspects of the exam. These include being under a great deal of pressure to succeed, failing to prioritize study materials, inefficient review during the final days  of preparation, and sitting the exam with an afflicted body. Furthermore, during the examination, they frequently used inefficient strategies to answer questions. Afterwards, they experienced feelings of freedom associated with having finished the exam. Participation in a highly-competitive examination exerts a considerable amount pressure on low-performing candidates. This climate not only results in burn out of participants, but it also influences their learning styles and identities as future physicians. It is therefore necessary to design a syllabus for both test candidates and policy makers, in order better to manage this environment. Candidates also should be aware of their individual weaknesses in order to improve their studying skills.

  17. A comparative study of the palliative care needs of heart failure and cancer patients.

    LENUS (Irish Health Repository)

    O'Leary, Norma

    2012-02-01

    AIMS: Studies suggest that patients with advanced heart failure (HF) have unmet palliative care (PC) needs. However, many of these studies have been retrospective or based on patients receiving poorly coordinated ad hoc care. We aimed to demonstrate whether the PC needs of patients with advanced HF receiving specialist multidisciplinary coordinated care are similar to cancer patients deemed to have specialist PC needs; thereby justifying the extension of specialist PC services to HF patients. METHODS AND RESULTS: This was a cross-sectional comparative cohort study of 50 HF patients and 50 cancer patients, using quantitative and qualitative methods. Both patient cohorts were statistically indistinguishable in terms of symptom burden, emotional wellbeing, and quality-of-life scores. HF patients had good access to community and social support. HF patients particularly valued the close supervision, medication monitoring, ease of access to service, telephone support, and key worker provided at the HF unit. A small subset of patients had unmet PC needs. A palliative transition point is described. CONCLUSION: HF patients should not be excluded from specialist PC services. However, the majority of their needs can be met at a HF unit. Recognition of the palliative transition point may be key to ensuring that end-of-life issues are addressed. The palliative transition point needs further evaluation.

  18. Patient-centered disease management (PCDM) for heart failure: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Bekelman, David B; Plomondon, Mary E; Sullivan, Mark D; Nelson, Karin; Hattler, Brack; McBryde, Connor; Lehmann, Kenneth G; Potfay, Jonathan; Heidenreich, Paul; Rumsfeld, John S

    2013-07-09

    Chronic heart failure (HF) disease management programs have reported inconsistent results and have not included comorbid depression management or specifically focused on improving patient-reported outcomes. The Patient Centered Disease Management (PCDM) trial was designed to test the effectiveness of collaborative care disease management in improving health status (symptoms, functioning, and quality of life) in patients with HF who reported poor HF-specific health status. Patients with a HF diagnosis at four VA Medical Centers were identified through population-based sampling. Patients with a Kansas City Cardiomyopathy Questionnaire (KCCQ, a measure of HF-specific health status) score of patients were randomized to receive usual care or the PCDM intervention, which included: (1) collaborative care management by VA clinicians including a nurse, cardiologist, internist, and psychiatrist, who worked with patients and their primary care providers to provide guideline-concordant care management, (2) home telemonitoring and guided patient self-management support, and (3) screening and treatment for comorbid depression. The primary study outcome is change in overall KCCQ score. Secondary outcomes include depression, medication adherence, guideline-based care, hospitalizations, and mortality. The PCDM trial builds on previous studies of HF disease management by prioritizing patient health status, implementing a collaborative care model of health care delivery, and addressing depression, a key barrier to optimal disease management. The study has been designed as an 'effectiveness trial' to support broader implementation in the healthcare system if it is successful. Unique identifier: NCT00461513.

  19. Kidney Failure

    Science.gov (United States)

    ... enough red blood cells. This is called kidney failure. If your kidneys fail, you need treatment to ... providers, family, and friends, most people with kidney failure can lead full and active lives. NIH: National ...

  20. Respiratory Failure

    Science.gov (United States)

    Respiratory failure happens when not enough oxygen passes from your lungs into your blood. Your body's organs, such as ... need oxygen-rich blood to work well. Respiratory failure also can happen if your lungs can't ...

  1. MTBF evaluation for 2-out-of-3 redundant repairable systems with common cause and cascade failures considering fuzzy rates for failures and repair: a case study of a centrifugal water pumping system

    Science.gov (United States)

    Mortazavi, Seyed Mohammad; Mohamadi, Maryam; Jouzdani, Javid

    2017-08-01

    In many cases, redundant systems are beset by both independent and dependent failures. Ignoring dependent variables in MTBF evaluation of redundant systems hastens the occurrence of failure, causing it to take place before the expected time, hence decreasing safety and creating irreversible damages. Common cause failure (CCF) and cascading failure are two varieties of dependent failures, both leading to a considerable decrease in the MTBF of redundant systems. In this paper, the alpha-factor model and the capacity flow model are combined so as to incorporate CCF and cascading failure in the evaluation of MTBF of a 2-out-of-3 repairable redundant system. Then, using a transposed matrix, the MTBF function of the system is determined. Due to the fact that it is difficult to estimate the independent and dependent failure rates, industries are interested in considering uncertain failure rates. Therefore, fuzzy theory is used to incorporate uncertainty into the model presented in this study, and a nonlinear programming model is used to determine system's MTBF. Finally, in order to validate the proposed model, evaluation of MTBF of the redundant system of a centrifugal water pumping system is presented as a practical example.

  2. Resistance profiles and adherence at primary virological failure in three different highly active antiretroviral therapy regimens: analysis of failure rates in a randomized study

    DEFF Research Database (Denmark)

    Røge, B T; Barfod, T S; Kirk, O

    2004-01-01

    OBJECTIVES: To investigate the interplay between resistance and adherence in the virological failure of three fundamentally different highly active antiretroviral therapy (HAART) regimens. METHODS: We retrospectively identified 56 verified primary virological failures (viral load >400 HIV-1 RNA...... collected from patient files, and genotyping was performed on plasma samples collected at time of failure. RESULTS: Treatment interruption or poor adherence was mainly caused by side effects and accounted for 74% of failures, and was associated with absence of resistance mutations. In the 30 failing...... adherent patients on randomized treatment failed in the RS-arm, none in the NN-arm, and six in the ASD-arm. CONCLUSIONS: Primary virological failure was caused mainly by treatment interruption. No primary protease inhibitor (PI) mutations were found in patients failing on boosted saquinavir, whereas...

  3. Living with an unfixable heart: a qualitative study exploring the experience of living with advanced heart failure.

    LENUS (Irish Health Repository)

    Ryan, Marie

    2012-02-01

    BACKGROUND: Nurses working with patients with advanced heart failure need knowledge that will help us to help patients cope with their situations of chronic illness. However, our knowledge bank is deficient due to the scarcity of inquiry that takes the affected person\\'s point of view as its central focus. AIM: The aim of this study was to describe patients\\' experiences of living with advanced heart failure. METHODS: The study sample (N=9) consisted of male (N=6) and female (N=3) patients with advanced (NYHA classes III-IV) heart failure. The design was qualitative and open unstructured interviews were audio-taped and transcribed verbatim during 2006. RESULTS: Four main themes emerged: Living in the Shadow of Fear; Running on Empty; Living a Restricted life; and Battling the System. The experience of living with advanced heart failure was described as a fearful and tired sort of living characterised by escalating impotence and dependence. CONCLUSIONS: The findings suggest that there may be an illogical but enduring ethos of \\'cure\\' pervading health care worker\\'s attitudes to advanced heart failure care. This mindset might be working to hinder the application of additional or alternative therapies, which might better palliate the physical and psychosocial distress of patients.

  4. Epidemiology of Left Ventricular Systolic Dysfunction and Heart Failure in the Framingham Study

    DEFF Research Database (Denmark)

    Vasan, Ramachandran S; Xanthakis, Vanessa; Lyass, Asya

    2018-01-01

    OBJECTIVES: The purpose of this study was to describe the temporal trends in prevalence of left ventricular systolic dysfunction (LVSD) in individuals without and with heart failure (HF) in the community over a 3-decade period of observation. BACKGROUND: Temporal trends in the prevalence and mana......OBJECTIVES: The purpose of this study was to describe the temporal trends in prevalence of left ventricular systolic dysfunction (LVSD) in individuals without and with heart failure (HF) in the community over a 3-decade period of observation. BACKGROUND: Temporal trends in the prevalence...... with LVSD (∼2- to 4-fold risk of HF or death) remained unchanged over time. Among participants with new-onset HF (n = 894, mean age 75 years, 52% women), the frequency of heart failure with preserved ejection fraction (HFpEF) increased (preserved LVEF ≥50%: 41.0% in 1985 to 1994 vs. 56.17% in 2005 to 2014......; p failure with reduced ejection fraction (HFrEF) decreased (reduced LVEF failure with midrange LVEF remained unchanged (LVEF 40% to

  5. Risk of triple-class virological failure in children with HIV: a retrospective cohort study

    DEFF Research Database (Denmark)

    Castro, Hannah; Judd, Ali; Gibb, Diana M

    2011-01-01

    In adults with HIV treated with antiretroviral drug regimens from within the three original drug classes (nucleoside or nucleotide reverse transcriptase inhibitors [NRTIs], non-NRTIs [NNRTIs], and protease inhibitors), virological failure occurs slowly, suggesting that long-term virological...

  6. Acute hypoxemic respiratory failure in immunocompromised patients : The Efraim multinational prospective cohort study

    NARCIS (Netherlands)

    Azoulay, Elie; Pickkers, Peter; Soares, Marcio; Perner, Anders; Rello, Jordi; Bauer, Philippe R.; van de Louw, Andry; Hemelaar, Pleun; Lemiale, Virginie; Taccone, Fabio Silvio; Loeches, Ignacio Martin; Meyhoff, Tine Sylvest; Salluh, Jorge; Schellongowski, Peter; Rusinova, Katerina; Terzi, Nicolas; Mehta, Sangeeta; Antonelli, Massimo; Kouatchet, Achille; Barratt-Due, Andreas; Valkonen, Miia; Landburg, Precious Pearl; Bruneel, Fabrice; Bukan, Ramin Brandt; Pene, Frederic; Metaxa, Victoria; Moreau, Anne Sophie; Souppart, Virginie; Burghi, Gaston; Girault, Christophe; Silva, Ulysses V. A.; Montini, Luca; Barbier, Francois; Nielsen, Lene B.; Gaborit, Benjamin; Mokart, Djamel; Chevret, Sylvie

    2017-01-01

    Background: In immunocompromised patients with acute hypoxemic respiratory failure (ARF), initial management aims primarily to avoid invasive mechanical ventilation (IMV). Methods: To assess the impact of initial management on IMV and mortality rates, we performed a multinational observational

  7. Acute hypoxemic respiratory failure in immunocompromised patients: the Efraim multinational prospective cohort study

    NARCIS (Netherlands)

    Azoulay, E.; Pickkers, P.; Soares, M.; Perner, A.; Rello, J.; Bauer, P.R.; Louw, A. van de; Hemelaar, P.; Lemiale, V.; Taccone, F.S.; Loeches, I.M.; Meyhoff, T.S.; Salluh, J.; Schellongowski, P.; Rusinova, K.; Terzi, N.; Mehta, S.; Antonelli, M.; Kouatchet, A.; Barratt-Due, A.; Valkonen, M.; Landburg, P.P.; Bruneel, F.; Bukan, R.B.; Pene, F.; Metaxa, V.; Moreau, A.S.; Souppart, V.; Burghi, G.; Girault, C.; Silva, U.V.A.; Montini, L.; Barbier, F.; Nielsen, L.B.; Gaborit, B.; Mokart, D.; Chevret, S.

    2017-01-01

    BACKGROUND: In immunocompromised patients with acute hypoxemic respiratory failure (ARF), initial management aims primarily to avoid invasive mechanical ventilation (IMV). METHODS: To assess the impact of initial management on IMV and mortality rates, we performed a multinational observational

  8. Underlying Reasons for Success and Failure of Terrorist Attacks: Selected Case Studies

    National Research Council Canada - National Science Library

    McCleskey, Edward; McCord, Diana; Leetz, Jennifer; Markey, John

    2007-01-01

    .... This is the second of a two-phased effort: Phase I focused on assessing the underlying reasons for the success and failure of terrorist attacks against targets within the United States and against U.S. interests abroad...

  9. Studies on the mechanical performance of the steel containers intended as storage casks for thorium oxalate disposal

    International Nuclear Information System (INIS)

    Herzig, J.; Liewers, P.

    1995-08-01

    The tests have shown that the steel containers give considerable protection against mechanical impacts from the top if emplaced as a stack (3 containers in a vertical stack, on a stacking pallet). Even in the worst case, only relatively low amounts of thorium oxalate will escape from the casks. Care has to be taken that the material used for fixing the casks on the pallet is fire resistant (non-shrinking subject to heat for example), so that in the case of mechanical plus fire impacts, the containers in the stack will not turn over or tip out of the stack. There is no danger of containers bursting under fire impacts due to volume increase of contents as a result of transformation processes. The early, design-based failure of the container lid sealing observed in all tests will prevent the buildup of pressure. No thorium will be released, but the thorium emanation can be blown out. (orig./HP) [de

  10. Heart Failure

    DEFF Research Database (Denmark)

    Jorsal, Anders; Wiggers, Henrik; McMurray, John J V

    2018-01-01

    This article briefly discusses the epidemiology of heart failure and diabetes and summarizes the key findings from the recent cardiovascular outcome trials in patients with type 2 diabetes, with a focus on heart failure as an endpoint.......This article briefly discusses the epidemiology of heart failure and diabetes and summarizes the key findings from the recent cardiovascular outcome trials in patients with type 2 diabetes, with a focus on heart failure as an endpoint....

  11. An empirical study on the human error recovery failure probability when using soft controls in NPP advanced MCRs

    International Nuclear Information System (INIS)

    Jang, Inseok; Kim, Ar Ryum; Jung, Wondea; Seong, Poong Hyun

    2014-01-01

    Highlights: • Many researchers have tried to understand human recovery process or step. • Modeling human recovery process is not sufficient to be applied to HRA. • The operation environment of MCRs in NPPs has changed by adopting new HSIs. • Recovery failure probability in a soft control operation environment is investigated. • Recovery failure probability here would be important evidence for expert judgment. - Abstract: It is well known that probabilistic safety assessments (PSAs) today consider not just hardware failures and environmental events that can impact upon risk, but also human error contributions. Consequently, the focus on reliability and performance management has been on the prevention of human errors and failures rather than the recovery of human errors. However, the recovery of human errors is as important as the prevention of human errors and failures for the safe operation of nuclear power plants (NPPs). For this reason, many researchers have tried to find a human recovery process or step. However, modeling the human recovery process is not sufficient enough to be applied to human reliability analysis (HRA), which requires human error and recovery probabilities. In this study, therefore, human error recovery failure probabilities based on predefined human error modes were investigated by conducting experiments in the operation mockup of advanced/digital main control rooms (MCRs) in NPPs. To this end, 48 subjects majoring in nuclear engineering participated in the experiments. In the experiments, using the developed accident scenario based on tasks from the standard post trip action (SPTA), the steam generator tube rupture (SGTR), and predominant soft control tasks, which are derived from the loss of coolant accident (LOCA) and the excess steam demand event (ESDE), all error detection and recovery data based on human error modes were checked with the performance sheet and the statistical analysis of error recovery/detection was then

  12. Time to failure and neuromuscular response to intermittent isometric exercise at different levels of vascular occlusion: a randomized crossover study

    Directory of Open Access Journals (Sweden)

    Mikhail Santos Cerqueira

    2017-04-01

    Full Text Available Objectives: The purpose this study was investigate the effects of different vascular occlusion levels (total occlusion (TO, partial occlusion (PO or free flow (FF during intermittent isometric handgrip exercise (IIHE on the time to failure (TF and the recovery of the maximum voluntary isometric force (MVIF, median frequency (EMGFmed and peak of EMG signal (EMGpeak after failure.  Methods: Thirteen healthy men (21 ± 1.71 year carried out an IIHE until the failure at 45% of MVIF with TO, PO or FF. Occlusion pressure was determined previously to the exercise. The MVIF, EMGFmed and EMGpeak were measured before and after exercise. Results: TF (in seconds was significantly different (p < 0.05 among all investigated conditions: TO (150 ± 68, PO (390 ± 210 and FF (510 ± 240. The MVIF was lower immediately after IIHE, remaining lower eleven minutes after failure in all cases (p <0.05, when compared to pre exercise. There was a greater force reduction (p <0.05 one minute after the failure in the PO (-45.8% and FF (-39.9% conditions, when compared to TO (-28.1%. Only the PO condition caused lower MVIF (p <0.05 than in the OT, eleven minutes after the task failure. PO caused a greater reduction in EMGFmed compared TO and greater increase in EMGpeak, when compared to TO and FF (p <0.05. Conclusions: TO during IIHE lead to a lower time to failure, but a faster MVIF recovery, while the PO seems to be associated to a slower neuromuscular recovery, when compared to other conditions.

  13. A safety and pharmacokinetic dosing study of glucagon-like peptide 2 in infants with intestinal failure

    DEFF Research Database (Denmark)

    Sigalet, David L; Brindle, Mary E; Boctor, Dana

    2017-01-01

    BACKGROUND & AIMS: Glucagon-like peptide 2 (GLP-2) analogues are approved for adults with intestinal failure (IF), but no studies have included infants. This study examined the pharmacokinetics (PK), safety, and nutritional effects of GLP-2 in infants with IF. METHODS: With parental consent (Health...

  14. Induction Motor Bearing Failure Detection and Diagnosis: Park and Concordia Transform Approaches Comparative Study

    OpenAIRE

    Önel, Izzet; Benbouzid, Mohamed

    2008-01-01

    International audience; This paper dealswith the problem of bearing failure detection and diagnosis in induction motors. Indeed, bearing deterioration is now the main cause of induction motor rotor failures. In this context, two fault detection and diagnosis techniques, namely the Park transform approach and the Concordia transform, are briefly presented and compared. Experimental tests, on a 0.75 kW two-pole induction motor with artificial bearing damage, outline the main features of the afo...

  15. Induction Motors Bearing Failures Detection and Diagnosis: Park and Concordia Transform Approaches Comparative Study

    OpenAIRE

    Önel, Izzet; Benbouzid, Mohamed

    2007-01-01

    International audience; This paper deals with the problem of bearing failure detection and diagnosis in induction motors. Indeed, bearings deterioration is now the main cause of induction motor rotor failures. In this context, two fault detection and diagnosis techniques, namely the Park transform approach and the Concordia transform, are briefly presented and compared. Experimental tests, on a 0.75-kW two-pole induction motor with artificial bearing damages, outline the above approaches main...

  16. Mechanical Failure of Endocrowns Manufactured with Different Ceramic Materials: An In Vitro Biomechanical Study.

    Science.gov (United States)

    Aktas, Guliz; Yerlikaya, Hatice; Akca, Kivanc

    2018-04-01

    To evaluate the effect of different silica-based ceramic materials on the mechanical failure behavior of endocrowns used in the restoration of endodontically treated mandibular molar teeth. Thirty-six intact mandibular molar teeth extracted because of a loss of periodontal support received root canal treatment. The teeth were prepared with a central cavity to support the endocrowns, replacing the occlusal surface with mesial-lingual-distal walls. Data acquisition of the prepared tooth surfaces was carried out digitally with a powder-free intraoral scanner. Restoration designs were completed on manufactured restorations from three silicate ceramics: alumina-silicate (control), zirconia-reinforced (Zr-R), and polymer-infiltrated (P-I). Following adhesive cementation, endocrowns were subjected to thermal aging, and then, each specimen was obliquely loaded to record the fracture strength and define the mechanical failure. For the failure definition, the fracture type characteristics were identified, and further analytic measurements were made on the fractured tooth and ceramic structure. Load-to-fracture failure did not differ significantly, and the calculated mean values were 1035.08 N, 1058.33 N, and 1025.00 N for control, Zr-R, and P-I groups, respectively; however, the stiffness of the restoration-tooth complex was significantly higher than that in both test groups. No statistically significant correlation was established in paired comparisons of the failure strength, restorative stiffness, and fractured tooth distance parameters. The failure mode for teeth restored with zirconia-reinforced glass ceramics was identified as non-restorable. The resin interface in the control and P-I groups presented similar adhesive failure behavior. Mechanical failure of endocrown restorations does not significantly differ for silica-based ceramics modified either with zirconia or polymer. © 2016 by the American College of Prosthodontists.

  17. Further Study on Strain Growth in Spherical Containment Vessels Subjected to Internal Blast Loading

    OpenAIRE

    2009-01-01

    Abstract Strain growth is a phenomenon observed in the elastic response of containment vessels subjected to internal blast loading, which is featured by the increased vibration amplitude of the vessel in a later stage. Previous studies attributed the strain growth in spherical containment vessels to the beating between two close vibration modes, the interactions between the vessel vibration and the reflected shock waves and the structural perturbation. In this paper, it is shown th...

  18. Study of sorption of REE and TPE on sorbents containing ferro- and ferricyanide-ions

    International Nuclear Information System (INIS)

    Gelis, V.M.; Chuveleva, Eh.A.; Firsova, L.A.; Bashlykova, I.B.

    2003-01-01

    Sorptive properties are studied of anionites of different structure containing ferro- and ferricyanide-ions relative to rare earths and transplutonium elements in static and dynamic conditions. It is shown that in the case of rare earths sorption the full anionite capacity via ferrocyanide-ions is used. Influence of solution acidity on rare earths and transplutonium elements sorption is investigated. It is determined that rare earths sorption does not take place on anionites containing ferricyanide-ions, but Am is absorbed [ru

  19. Conformational Studies on γ - Benzyl- L- Glutamate and L- Valine Containing Block Copolypeptides

    OpenAIRE

    Kumar, Ajay

    2010-01-01

    Conformational studies on γ - benzyl-L- glutamate and L- valine containing block copolypeptides are reported using IR and CD spectra. The block copolypeptides contain valine block in the center and on both sides of the valine are γ - benzyl- L- glutamate blocks. The changes in conformation with increase in chain length of γ - benzyl- L- glutamate blocks are observed. When the chain length of γ - benzyl-L- glutamate block is 13, the block copolypeptide crystallized into beta conformation. With...

  20. A photoelastic study of the effects of an impulsive seismic wave on a nuclear containment vessel

    International Nuclear Information System (INIS)

    Burger, C.P.

    1981-01-01

    A dynamic photoelastic study of the progressive movement of a dilatational P-wave into a model of a nuclear containment vessel,is studied. The reflections at the dome abutments are observed and the strong flexural wave that deforms the dome itself is studied with photoelasticity and with dynamic strain gage procedures. (E.G.) [pt

  1. Arterial wave reflections and incident cardiovascular events and heart failure: MESA (Multiethnic Study of Atherosclerosis).

    Science.gov (United States)

    Chirinos, Julio A; Kips, Jan G; Jacobs, David R; Brumback, Lyndia; Duprez, Daniel A; Kronmal, Richard; Bluemke, David A; Townsend, Raymond R; Vermeersch, Sebastian; Segers, Patrick

    2012-11-20

    This study sought to assess the relationship between central pressure profiles and cardiovascular events (CVEs) in a large community-based sample. Experimental and physiologic data mechanistically implicate wave reflections in the pathogenesis of left ventricular failure and cardiovascular disease, but their association with these outcomes in the general population is unclear. Aortic pressure waveforms were derived from a generalized transfer function applied to the radial pressure waveform recorded noninvasively from 5,960 participants in the Multiethnic Study of Atherosclerosis. The central pressure waveform was separated into forward and reflected waves using a physiologic flow waveform. Reflection magnitude (RM = [Reflected/Forward wave amplitude] × 100), augmentation index ([Second/First systolic peak] × 100) and pulse pressure amplification ([Radial/aortic pulse pressure] × 100) were assessed as predictors of CVEs and congestive heart failure (CHF) during a median follow-up of 7.61 years. After adjustment for established risk factors, aortic AIx independently predicted hard CVEs (hazard ratio [HR] per 10% increase: 1.08; 95% confidence interval [CI]: 1.01 to 1.14; p = 0.016), whereas PPA independently predicted all CVEs (HR per 10% increase: 0.82; 95% CI: 0.70 to 0.96; p = 0.012). RM was independently predictive of all CVEs (HR per 10% increase: 1.34; 95% CI: 1.08 to 1.67; p = 0.009) and hard CVEs (HR per 10% increase: 1.46; 95% CI: 1.12 to 1.90; p = 0.006) and was strongly predictive of new-onset CHF (HR per 10% increase: 2.69; 95% CI: 1.79 to 4.04; p < 0.0001), comparing favorably to other risk factors for CHF as per various measures of model performance, reclassification, and discrimination. In a fully adjusted model, compared to nonhypertensive subjects with low RM, the HRs (95% CI) for hypertensive subjects with low RM, nonhypertensive subjects with high RM, and hypertensive subjects with high RM were 1.81 (0.85 to 3.86), 2.16 (1.07 to 5.01), and 3

  2. Heart Failure

    Science.gov (United States)

    Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped ... and shortness of breath Common causes of heart failure are coronary artery disease, high blood pressure and ...

  3. Omega-6 fatty acids and risk of heart failure in the Physicians' Health Study.

    Science.gov (United States)

    Petrone, Andrew B; Weir, Natalie; Hanson, Naomi Q; Glynn, Robert; Tsai, Michael Y; Gaziano, J Michael; Djoussé, Luc

    2013-01-01

    Although 1 in 5 adults will develop heart failure (HF) in their lifetime, data on the effect of plasma omega-6 (n-3) PUFAs on risk of HF are currently sparse. We investigated whether plasma phospholipid omega-6 concentrations are associated with risk of HF in US male physicians. In a secondary analysis, we evaluated whether such an association differs between HF with and without previous myocardial infarction (MI). With the use of a nested case-control design, this ancillary study comprised 788 cases and 788 matched controls from the Physicians' Health Study. Plasma omega-6 PUFAs were measured by using gas chromatography. The mean age of subjects was 58.7 y with a mean follow-up time of 17.1 y. We did not show any evidence of a statistically significant relation between total omega-6 PUFAs and HF [OR (95% CI): 1.00; 0.85 (0.63, 1.14); 0.84 (0.63, 1.13); and 0.87 (0.63, 1.20) across consecutive quartiles of omega-6 PUFAs; P-linear trend = 0.39]. Results were similar for HF with and without previous MI. Our data showed no significant association between total plasma omega-6 PUFAs and risk of developing HF.

  4. Chocolate consumption and risk of heart failure in the Physicians’ Health Study

    Science.gov (United States)

    Petrone, Andrew B; Gaziano, J. Michael; Djoussé, Luc

    2015-01-01

    Aims To test the hypothesis that chocolate consumption is associated with a lower risk of heart failure (HF). Methods and Results We prospectively studied 20,278 men from the Physicians’ Health Study. Chocolate consumption was assessed between 1999 and 2002 via a self-administered food frequency questionnaire and HF was ascertained through annual follow-up questionnaires with validation in a subsample. We used Cox regression to estimate multivariable adjusted relative risk of HF. During a mean follow-up of 9.3 years, there were 876 new cases of HF. The mean age at baseline was 66.4 ± 9.2 years. Hazard ratios (95% CI) for HF were 1.0 (ref), 0.86 (0.72–1.03), 0.80 (0.66–0.98), 0.92 (0.74–1.13), and 0.82 (0.63–1.07), for chocolate consumption of less than 1/month, 1–3/week, 2–4/week, and 5+/week, respectively, after adjusting for age, body mass index (BMI), smoking, alcohol, exercise, energy intake, and history of atrial fibrillation (p for quadratic trend = 0.62). In a secondary analysis, chocolate consumption was inversely associated with risk of HF in men whose BMI was chocolate might be associated with a lower risk of HF in male physicians.. PMID:25311633

  5. Failure modes induced by natural radiation environments on DRAM memories: study, test methodology and mitigation technique

    International Nuclear Information System (INIS)

    Bougerol, A.

    2011-05-01

    DRAMs are frequently used in space and aeronautic systems. Their sensitivity to cosmic radiations have to be known in order to satisfy reliability requirements for critical applications. These evaluations are traditionally done with particle accelerators. However, devices become more complex with technology integration. Therefore new effects appear, inducing longer and more expensive tests. There is a complementary solution: the pulsed laser, which triggers similar effects as particles. Thanks to these two test tools, main DRAM radiation failure modes were studied: SEUs (Single Event Upset) in memory blocks, and SEFIs (Single Event Functional Interrupt) in peripheral circuits. This work demonstrates the influence of test patterns on SEU and SEFI sensitivities depending on technology used. In addition, this study identifies the origin of the most frequent type of SEFIs. Moreover, laser techniques were developed to quantify sensitive surfaces of the different effects. This work led to a new test methodology for industry, in order to optimize test cost and efficiency using both pulsed laser beams and particle accelerators. Finally, a new fault tolerant technique is proposed: based on DRAM cell radiation immunity when discharged, this technique allows to correct all bits of a logic word. (author)

  6. Improvement of primary care for patients with chronic heart failure: a pilot study

    Directory of Open Access Journals (Sweden)

    Grol Richard

    2010-01-01

    Full Text Available Abstract Background Many patients with chronic heart failure (CHF receive treatment in primary care, but data have shown that the quality of care for these patients needs to be improved. We aimed to evaluate the impact and feasibility of a programme for improving primary care for patients with CHF. Methods An observational study was performed in 19 general practices in the south-eastern part of the Netherlands, evaluation involving 15 general practitioners and 77 CHF patients. The programme for improvement comprised educational and organizational components and was delivered by a trained practice visitor to the practices. The evaluation was based on case registration forms completed by health professionals and telephone interviews. Results Management relating to diet and physical exercise seemed to have improved as eight patients were referred to dieticians and five to physiotherapists. The seasonal influenza vaccination rate increased from 94% to 97% (75/77. No impact on smoking was observed. Pharmaceutical treatment was adjusted according to guideline recommendations in 12% of the patients (9/77; 7 patients started recommended medication and 2 patients received dosage adjustments. General practitioners perceived the programme to be feasible. Clinical task delegation to nurses and assistants increased in some practices, but collaboration with other healthcare providers remained limited. Conclusions The improvement programme proved to have moderate impact on patient care. Its effectiveness should be tested in a larger rigorous evaluation study using modifications based on the pilot experiences.

  7. Prevalence of Intestinal Protozoa among Saudi Patients with Chronic Renal Failure: A Case-Control Study

    Directory of Open Access Journals (Sweden)

    Yousry A. Hawash

    2015-01-01

    Full Text Available It has been hypothesized that chronic renal failure (CRF predisposes patients to infection with intestinal protozoa. We tested this hypothesis with a matched case-control study to determine the prevalence of these protozoa and their diarrhea associated symptoms among 50 patients with CRF (cases from Taif, western Saudi Arabia. Fifty diarrheal patients without CRF were recruited in the study as controls. Participants were interviewed by a structured questionnaire and stool samples were collected. Samples were thoroughly examined with microscopy and three coproantigens detection kits. Enteric protozoa were detected in 21 cases and 14 controls. Blastocystis spp. were the most predominant parasite (16% in cases versus 8% in controls, followed by Giardia duodenalis (10% in cases versus 12% in controls and Cryptosporidium spp. (10% in cases versus 6% in controls. Cyclospora cayetanensis was identified in two cases, while Entamoeba histolytica was described in one case and one control. Intestinal parasitism was positively associated with the male gender, urban residence, and travel history. Clinical symptoms of nausea/vomiting and abdominal pain were significantly varied between the parasitized cases and controls (P value ≤ 0.05. Given the results, we recommend screening all diarrheal feces for intestinal protozoa in the study’s population, particularly those with CRF.

  8. Study of some antioxidant enzymes and selenium levels in children with chronic renal failure

    International Nuclear Information System (INIS)

    Moawad, A.T.

    2006-01-01

    Chronic renal failure (CRF) is a complex of clinical, chemical and metabolic disturbances that resulted from chronic reduction in renal function. Despite of many investigations on the pathogenesis of CRF, much remains unexplained. Studies of disorders of oxidative metabolism have indicated the role of reactive oxygen species (ROS) in the development of symptoms and complications of this disease. Therefore, selenium (Se) concentration, glutathione peroxidase (GSH-Px) and superoxide dismutase (SOD) were determined in 25 children (15 males and 10 females) with advanced CRF. They were diagnosed in the Pediatric Nephrology Unit, Children Hospital, Ain Shams University, Egypt. Their ages ranged from 6-17 years with mean of 11.4 ± 3.54 years. Fifteen healthy control subjects (8 males and 7 females) matched in age were served as controls. This study revealed a very high significant decrease in the levels of antioxidant enzymes; glutathione peroxidase and superoxide dismutase. The level of plasma Se concentration in patients was very highly significantly decreased as compared to the control group. Also, there were significant positive correlations between Se and total protein and albumin. Furthermore, there were negative correlations between Se, SOD, GSH-Px and both of blood urea and serum creatinine among uremic children. It could be concluded that plasma Se concentration and the activities of antioxidant enzymes (GSH-Px and SOD) in uremic children could be helpful in identifying the progress of kidney impairment and the response of the treatment

  9. Study of washout rate in patients with chronic renal failure by dipyridamole 201Tl myocardial scintigraphy

    International Nuclear Information System (INIS)

    Matsumura, Kaname; Nakagawa, Tsuyoshi; Senda, Yutaka; Ito, Tsunao; Mizutani, Yasuhide; Yoshida, Nobutaka; Yasuda, Ryuichi; Takagi, Isao.

    1993-01-01

    Fourteen patients with chronic renal failure (CRF) were studied by dipyridamole 201 Tl myocardial scintigraphy. In this study, patients with coronary heart disease were excluded by clinical findings. 201 Tl SPECT was performed at 8 min after injection of dipyridamole (0.56 mg/kg) and at a 3-hr delayed interval, and washout rates (WR) were calculated. Because UCG showed left ventricular hypertrophy (thickness; 13±2 mm) in CRF, the WR values were compared with those of hypertrophic cardiomyopathy (HCM)(n=9). In CRF, an average WR was 54.2±6.8% and was significantly higher than that in normal (46.2±9.1%, p<0.05, n=9), though WR in HCM was significantly low (26.9±11.4%, p<0.01). Hematocrit value was 24.5±3.2% in CRF and was significantly lower than that in normal (37.8±3.6%, p<0.001). On the other hand, hemoconcentration was observed in HCM (hematocrit; 44.6±3.6%, p<0.001). WR in CRF, HCM and normal had significant correlation with hematocrit values (r=-0.796, p<0.001). These results suggest that anemia or hemoconcentration may affect coronary blood flow and WR, and this should be considered when diagnosing coronary heart disease in CRF or HCM. (author)

  10. Evaluation of various silver-containing dressing on infected excision wound healing study.

    Science.gov (United States)

    Lin, Yu-Hsin; Hsu, Wei-Shan; Chung, Wan-Yu; Ko, Tse-Hao; Lin, Jui-Hsiang

    2014-05-01

    Silver-containing dressings have been widely used for controlling wound infection. However, the relationship between different concentrations of silver in dressings and their antimicrobial activities and wound-healing efficacies remains unclear. In the present study, we (in cooperation with Bio-medical Carbon Technology) investigated various silver-containing activated carbon fibers to understand the effects of different silver concentrations on the efficacies of a silver containing dressing. Our results indicated that various silver-containing activated carbon fibers exhibited good antibacterial effects and biocompatibility in terms of cell viability and that silver concentration showed a minor influence on cell growth. The infected excision wound model indicated that compared to silver-containing activated carbon fiber and other commercial silver-containing dressings assisted wound healing by promoting granulation and collagen deposition. Meanwhile, the silver ion can only be restrained in epidermis by intact skin. During application on the wound area, a temporary increase of serum silver can be detected, but this elevated serum silver level decreased to a subtle level after the removal of silver-containing activated carbon fiber.

  11. Intake of very long chain n-3 fatty acids from fish and the incidence of heart failure: the Rotterdam Study.

    Science.gov (United States)

    Dijkstra, S Coosje; Brouwer, Ingeborg A; van Rooij, Frank J A; Hofman, Albert; Witteman, Jacqueline C M; Geleijnse, Johanna M

    2009-10-01

    Evidence is accumulating for a cardioprotective effect of fish or its n-3 fatty acids, eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA). We examined EPA plus DHA and fish intake in relation to incident heart failure in the population-based Rotterdam Study. The analysis comprised 5299 subjects (41% men, age approximately 68 years) free from heart failure for whom dietary data were available. During 11.4 years of follow-up, 669 subjects developed heart failure. The relative risk (RR) of heart failure in the top vs. bottom quintile of EPA plus DHA intake was 0.89 (95% CI 0.69-1.14), after adjustment for lifestyle and dietary factors. For fish intakes > or = 20 g/day, the RR was 0.96 (0.78-1.18) compared with no fish intake. In sex-specific analysis, a high EPA plus DHA intake tended to be protective in women (RR = 0.75, 0.54-1.04) but not in men (RR = 1.00, 0.73-1.36). An inverse association for EPA plus DHA was also observed in diabetics (RR = 0.58, 0.32-1.06), which was borderline statistically significant. Our findings do not support a major role for fish intake in the prevention of heart failure. The potentially protective effect of EPA plus DHA in diabetic patients, however, warrants further investigation.

  12. Parametric studies on containment thermal hydraulic loads during high pressure melt ejection in a BWR

    Energy Technology Data Exchange (ETDEWEB)

    Silde, A.; Lindholm, I. [VTT Energy, Espoo (Finland)

    1997-12-01

    The containment thermal hydraulic loads during high pressure melt ejection in a Nordic BWR are studied parametrically with the CONTAIN and the MELCOR codes. The work is part of the Nordic RAK-2 project. The containment analyses were divided into two categories according to composition of the discharged debris: metallic and oxidic debris cases. In the base case with highly metallic debris, all sources from the reactor coolant system to the containment were based on the MELCOR/BH calculation. In the base case with the oxidic debris, the source data was specified assuming that {approx} 15% of the whole core material inventory and 34,000 kg of saturated water was discharged from the reactor pressure vessel (RPV) during 30 seconds. In this case, the debris consisted mostly of oxides. The highest predicted containment pressure peaks were about 8.5 bar. In the scenarios with highly metallic debris source, very high gas temperature of about 1900 K was predicted in the pedestal, and about 1400 K in the upper drywell. The calculations with metallic debris were sensititive to model parameters, like the particle size and the parameters, which control the chemical reaction kinetics. In the scenarios with oxidic debris source, the predicted pressure peaks were comparable to the cases with the metallic debris source. The maximum gas temperatures (about 450-500 K) in the containment were, however, significantly lower than in the respective metallic debris case. The temperatures were also insensitive to parametric variations. In addition, one analysis was performed with the MELCOR code for benchmarking of the MELCOR capabilities against the more detailed CONTAIN code. The calculations showed that leak tightness of the containment penetrations could be jeopardized due to high temperature loads, if a high pressure melt ejection occurred during a severe accident. Another consequence would be an early containment venting. (au). 28 refs.

  13. Self-Care Motivation Among Patients With Heart Failure: A Qualitative Study Based on Orem's Theory.

    Science.gov (United States)

    Abotalebidariasari, Ghasem; Memarian, Robabe; Vanaki, Zohreh; Kazemnejad, Anoshirvan; Naderi, Nasim

    2016-11-01

    Initiating and adhering to self-care activities necessitate self-care motivation. This study was undertaken in Iran to explore self-care motivation among patients with heart failure (HF). This qualitative study was done in 2014 and 2015. Study participants were patients with HF and their family members who were purposively selected from Shaheed Rajaei Cardiovascular, Medical and Research Center, Tehran, Iran. The study data were collected from December 2014 to May 2015 by doing in-depth semistructured face-to-face interviews and were analyzed via the directed content analysis approach. Eleven primary codes were generated which reflected motivations for self-care among patients with HF in the Iranian sociocultural context. To enhance the clarity of the findings, these primarily codes were summarized and grouped into 7 subcategories including fear of death and love of life, returning to previous physical health status and preventing or alleviating symptoms, understanding the value of self-care behaviors and trusting them, having the desire for remaining independent, relying on God, reassuring and supporting family members, and preventing family members from feeling irritation. The findings of this study indicate that patients with HF have different motivations for doing self-care activities. Fear of death, love of life, wish to return to previous health status, and prevention or alleviation of HF symptoms were the participants' strongest motivations for self-care. Understanding the motivations for self-care among patients with HF, based a holistic approach and evidence-based practice, can help nurses and physicians develop motivational programs for promoting self-care behaviors.

  14. Nursing Diagnoses of hospitalized patients with heart failure: a longitudinal study.

    Science.gov (United States)

    Pereira, Juliana de Melo Vellozo; Flores, Paula Vanessa Peclat; Figueiredo, Lyvia da Silva; Arruda, Cristina Silva; Cassiano, Keila Mara; Vieira, Gláucia Cristina Andrade; Guerra, Thais de Rezende Bessa; Silva, Vanessa Alves da; Cavalcanti, Ana Carla Dantas

    2016-01-01

    Identifying Nursing Diagnoses of fatigue, activity intolerance and decreased cardiac output in hospitalized patients with heart failure and verifying the association between the defining characteristics and the Nursing Diagnoses. A longitudinal and prospective study that followed hospitalized patients with heart failure for three weeks. The data collected through interviews and physical examinations were sent to expert nurses for diagnostic inference. Descriptive and inferential statistical analyses were carried out. Of the 72 patients, 68.0% were male and presented the nursing diagnosis of decreased cardiac output (62.5%) in the first week, reducing to 52.8% and 38% in the second and third weeks, respectively. Fatigue only appeared in one patient. Activity intolerance was the diagnosis that had the greatest discrepancy among the experts. Decreased cardiac output was associated to the defining characteristics: dyspnea, edema, jugular venous distension and reduced ejection fraction during all three weeks of evaluation. Decreased cardiac output was more prevalent in hospitalized patients with heart failure, and the associated defining characteristics were determining factors for this nursing diagnosis. Identificar os diagnósticos de enfermagem fadiga, intolerância à atividade e débito cardíaco diminuído em pacientes com insuficiência cardíaca hospitalizados e verificar a associação entre as características definidoras e os diagnósticos de enfermagem. Estudo longitudinal e prospectivo que acompanhou pacientes com insuficiência cardíaca hospitalizados por três semanas. Os dados coletados por entrevista e exame físico foram encaminhados a enfermeiros peritos para inferência diagnóstica. Realizou-se análise estatística descritiva e inferencial. Dos 72 pacientes, 68,0% eram do sexo masculino e apresentaram o diagnóstico de enfermagem débito cardíaco diminuído (62,5%) na primeira semana, reduzindo para 52,8% e 38% na segunda e terceira semana

  15. Feasibility study of use alumina waste in compositions containing clay for the mullite synthesis

    International Nuclear Information System (INIS)

    Silva, V.J.; Dias, G.; Goncalves, W.P.; Santana, L.N.L.

    2016-01-01

    The reuse of alumina residue in addition to reducing environmental impacts can be used as raw material in ceramic masses to mullite produce. This study aims to obtain mullite from compositions containing clays and alumina residue used heating in a conventional oven. The raw materials were processed and characterized. Subsequently, these compositions were formulated containing precursors in appropriate proportions based on the stoichiometry of the mullite 3:2. Then, heat treatment was performed at temperatures of 1300 to 1400°C and 5°C rate/min. The products obtained were characterized by XRD, analyzing qualitatively and quantitatively the phases formed. The results showed that is possible, from compositions containing clays and alumina residue to obtain mullite as major phase (>70%) and high crystallinity (> 80%) The percentage of mullite approached the values obtained with the compositions containing alumina and clays. (author)

  16. Study of the Optimal Timing of Container Ship Orders Considering the Uncertain Shipping Environment

    Directory of Open Access Journals (Sweden)

    Jun Woo Jeon

    2017-07-01

    Full Text Available This study aims to apply System Dynamics (SD to analyze the optimal timing of container ship orders by considering the uncertain shipping environment. The collected monthly data for 12 years was obtained from the China seaborne container trade (CSCT and the China Containerized Freight Index (CCFI. Containership fleet development and the prices of new and second-hand container ships were classified based on five container vessel sizes (January of 2004–December of 2015. The period of simulation for this study was from 2004 to 2020. To analyze the optimal timing for the container ship orders, container ship fleet development as a supply factor and the CSCT as a demand factor, both of which are components of CCFI, were simulated. After the first simulation, CCFI was simulated holistically. Based on the CCFI simulation results, it was possible to develop three optimal timing scenarios for ship order placement. The CCFI for October 2016 was in the initial entry status of a short-term rebound, which makes it possible for shipping companies to order ships without the risk of revenue loss. The second best time period is May 2018, before the CCFI recovery of May 2019. The third best time for ship orders is later in 2020 for a CCFI recovery after 2021.

  17. Risk of heart failure after community acquired pneumonia: prospective controlled study with 10 years of follow-up

    Science.gov (United States)

    Marrie, Thomas J; Minhas-Sandhu, Jasjeet K; Majumdar, Sumit R

    2017-01-01

    Abstract Objective To determine the attributable risk of community acquired pneumonia on incidence of heart failure throughout the age range of affected patients and severity of the infection. Design Cohort study. Setting Six hospitals and seven emergency departments in Edmonton, Alberta, Canada, 2000-02. Participants 4988 adults with community acquired pneumonia and no history of heart failure were prospectively recruited and matched on age, sex, and setting of treatment (inpatient or outpatient) with up to five adults without pneumonia (controls) or prevalent heart failure (n=23 060). Main outcome measures Risk of hospital admission for incident heart failure or a combined endpoint of heart failure or death up to 2012, evaluated using multivariable Cox proportional hazards analyses. Results The average age of participants was 55 years, 2649 (53.1%) were men, and 63.4% were managed as outpatients. Over a median of 9.9 years (interquartile range 5.9-10.6), 11.9% (n=592) of patients with pneumonia had incident heart failure compared with 7.4% (n=1712) of controls (adjusted hazard ratio 1.61, 95% confidence interval 1.44 to 1.81). Patients with pneumonia aged 65 or less had the lowest absolute increase (but greatest relative risk) of heart failure compared with controls (4.8% v 2.2%; adjusted hazard ratio 1.98, 95% confidence interval 1.5 to 2.53), whereas patients with pneumonia aged more than 65 years had the highest absolute increase (but lowest relative risk) of heart failure (24.8% v 18.9%; adjusted hazard ratio 1.55, 1.36 to 1.77). Results were consistent in the short term (90 days) and intermediate term (one year) and whether patients were treated in hospital or as outpatients. Conclusion Our results show that community acquired pneumonia substantially increases the risk of heart failure across the age and severity range of cases. This should be considered when formulating post-discharge care plans and preventive strategies, and assessing downstream episodes

  18. Validation of an Experimental Model to Study Less Severe Chronic Renal Failure.

    Science.gov (United States)

    Fernandes-Charpiot, Ida Mária Maximina; Caldas, Heloisa Cristina; Mendes, Glória Elisa Florido; Gomes de Sá Neto, Luiz; Oliveira, Henrique Lacativa; Baptista, Maria Alice Sperto Ferreira; Abbud-Filho, Mario

    2016-10-01

    The 5/6 nephrectomy, mimics the stages of human chronic renal failure (CRF), but the procedure causes severe renal functional and morphological damage that could interfere with the evaluation of therapies for slowing the progression of the disease. This study summarizes the results of renal function, histology, and immunohistochemical findings in rats undergoing a 2/3 nephrectomy. The rats were distributed in groups according to the type of nephrectomy: CRF5/6: induced by a 5/6 renal mass reduction and CRF2/3: less severe CRF. The body weight and blood pressure were monitored, and the serum creatinine (SCr), creatinine clearance (CCr), urine osmolality, and 24-h proteinuria (PT24h) were measured. CRF progression was evaluated by the rate of decline of CCr (RCCr). Histology and immunohistochemistry were performed in the remnant kidneys. Statistical analysis was done by unpaired t-test, and a P-value renal histopathological findings revealed fewer chronic lesions in rats with CRF2/3. Similarly, we observed less macrophage accumulation as well as lower proliferative activity and expression of fibronectin and a-smooth muscle-actin in the CRF2/3 model. The CRF2/3 model presented with a pattern of less severe CRF, functionally and morphologically, compared to the classical CRF5/6 model, and the CRF2/3 model may be useful for evaluating therapeutic interventions that target the early stages of CRF.

  19. Acute electromyostimulation decreases muscle sympathetic nerve activity in patients with advanced chronic heart failure (EMSICA Study.

    Directory of Open Access Journals (Sweden)

    Marc Labrunée

    Full Text Available Muscle passive contraction of lower limb by neuromuscular electrostimulation (NMES is frequently used in chronic heart failure (CHF patients but no data are available concerning its action on sympathetic activity. However, Transcutaneous Electrical Nerve Stimulation (TENS is able to improve baroreflex in CHF. The primary aim of the present study was to investigate the acute effect of TENS and NMES compared to Sham stimulation on sympathetic overactivity as assessed by Muscle Sympathetic Nerve Activity (MSNA.We performed a serie of two parallel, randomized, double blinded and sham controlled protocols in twenty-two CHF patients in New York Heart Association (NYHA Class III. Half of them performed stimulation by TENS, and the others tested NMES.Compare to Sham stimulation, both TENS and NMES are able to reduce MSNA (63.5 ± 3.5 vs 69.7 ± 3.1 bursts / min, p < 0.01 after TENS and 51.6 ± 3.3 vs 56.7 ± 3.3 bursts / min, p < 0, 01 after NMES. No variation of blood pressure, heart rate or respiratory parameters was observed after stimulation.The results suggest that sensory stimulation of lower limbs by electrical device, either TENS or NMES, could inhibit sympathetic outflow directed to legs in CHF patients. These properties could benefits CHF patients and pave the way for a new non-pharmacological approach of CHF.

  20. Failure of aluminium self-piercing rivets: An experimental and numerical study

    International Nuclear Information System (INIS)

    Hoang, N.-H.; Hopperstad, O.S.; Langseth, M.; Westermann, I.

    2013-01-01

    Highlights: ► We investigated the fracture mechanism of AA7278-T6 aluminium self-piercing rivets. ► Fracture of AA 7278-T6 rivets during the riveting process is a complex phenomenon. ► Microstructure of AA7278-T6 has significant influence on the fracture mechanism. ► Increasing friction will change the deformation mode of the rivet. - Abstract: The present paper investigates the fracture mechanisms of AA7278-T6 aluminium self-piercing rivets under compression during the riveting process. First, a microstructure investigation was conducted to disclose the grain structure and the particle distribution of the extruded aluminium alloy. Transmission electron micrographs revealed precipitate free zones along grain boundaries. Uniaxial tensile tests in three different directions with respect to the extrusion direction revealed anisotropy of the alloy in strength and ductility and a change in fracture mode with tensile direction. The behaviour of the alloy under compression was studied experimentally using upsetting tests and self-piercing riveting tests. Micrographs of the deformed specimens provided insight into the influence of the microstructure on the deformation and fracture of the alloy under compression. Second, numerical analyses were carried out using a 2-D axisymmetric model in LS–DYNA in an attempt to investigate the role of different physical variables on the final failure of the rivet. The numerical results revealed that constituent particles, precipitate free zones, and friction between the rivet and plates are important for strain localisation and fracture in the rivet

  1. Painful posterior shoulder instability: Anticipating and preventing failure. A study in 25 patients.

    Science.gov (United States)

    Garret, J; Nourissat, G; Hardy, M B; Antonucci, D; Clavert, P; Mansat, P; Godenèche, A

    2017-12-01

    Painful posterior shoulder instability (PPSI) is the least common of the three clinical patterns of posterior shoulder instability. PPSI is defined as pain combined with anatomical evidence of posterior instability but no instability events. We studied a multicentre cohort of 25 patients with PPSI; 23 were identified retrospectively and had a follow-up of at least 2 years and 2 patients were included prospectively. Most patients engaged in sports. All 25 patients underwent surgery, which usually consisted in arthroscopic capsulo-labral reconstruction. The outcome was excellent in 43% of patients; another 43% had improvements but reported persistent pain. The pain remained unchanged or worsened in the remaining 14% of patients. Causes of failure consisted of a missed diagnosis of shoulder osteoarthritis with posterior subluxation, technical errors, and postoperative complications. The main cause of incomplete improvement with persistent pain was presence of cartilage damage. Outcomes were excellent in patients who were free of cartilage damage, bony abnormalities associated with posterior instability (reverse Hill-Sachs lesion, erosion or fracture of the posterior glenoid), technical errors, and postoperative complications. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  2. Phase 4 Studies in Heart Failure - What is Done and What is Needed?

    Science.gov (United States)

    Iyngkaran, Pupalan; Liew, Danny; McDonald, Peter; Thomas, Merlin C.; Reid, Christopher; Chew, Derek; Hare, David L.

    2016-01-01

    Congestive heart failure (CHF) therapeutics is generated through a well-described evidence generating process. Phases 1 – 3 of this process are required prior to approval and widespread clinical use. Phase 3 in almost all cases is a methodologically sound randomized controlled trial (RCT). After this phase it is generally accepted that the treatment has a significant, independent and prognostically beneficial effect on the pathophysiological process. A major criticism of RCTs is the population to whom the result is applicable. When this population is significantly different from the trial cohort the external validity comes into question. Should the continuation of the evidence generating process continue these problems might be identified. Post marketing surveillance through phase 4 and comparative effectiveness studies through phase 5 trials are often underperformed in comparison to the RCT. These processes can help identify remote adverse events and define new hypotheses for community level benefits. This review is aimed at exploring the post-marketing scene for CHF therapeutics from an Australian health system perspective. We explore the phases of clinical trials, the level of evidence currently available and options for ensuring greater accountability for community level CHF clinical outcomes. PMID:27280303

  3. The effect of xanthine oxidase inhibition upon ejection fraction in heart failure patients: La Plata Study.

    Science.gov (United States)

    Cingolani, Horacio E; Plastino, Juan A; Escudero, Eduardo M; Mangal, Brian; Brown, Joanne; Pérez, Néstor G

    2006-09-01

    Reactive oxygen species (ROS) have been linked to hypertrophy, remodeling and abnormal excitation-contraction coupling. Previous data demonstrated that an increase in oxidative stress is associated to the pathogenesis of congestive heart failure (CHF). We examined whether inhibition of the superoxide anion (*O2(-))-generating enzyme xanthine oxidase (XO) with oxypurinol may improve cardiac function in patients with CHF. A randomized, placebo-controlled, double-blind study on 60 patients (30/group) with New York Heart Association class II-III CHF, comparing 600-mg/day oxypurinol during 1 month with placebo, added to standard therapy. Effects on left ventricular ejection fraction (LVEF), serum uric acid (SUA) level, and 6-minute walking test were analyzed. SUA decreased by 16.0 +/- 2.8 mg/L from baseline to Week 4 in the oxypurinol group relative to placebo (P 40% at baseline were excluded, a statistically significant increase of 6.8 +/- 2.8% from baseline to Week 4 was seen in the oxypurinol group relative to placebo (P < .02, n = 26 placebo, n = 21 oxypurinol). No treatment-related adverse effects or increase in walking capacity were detected. Inhibition of XO by oxypurinol in patients with CHF decreases SUA and improves LVEF in patients with LVEF < or = 40% after 1 month of treatment.

  4. [Non-organic failure to thrive: retrospective study in hospitalized children].

    Science.gov (United States)

    Genero, A; Moretti, C; Fait, P; Guariso, G

    1996-01-01

    To evaluate incidence, clinical and laboratoristic values of patients with non organic failure to thrive (NOFTT), a retrospective study (January 1987-January 1991) among inpatient children of Department of Pediatrics of University of Padova was made. Thirty-six children (23 females and 13 males) aged 10 days to 22 months were selected. The incidence of NOFTT was 1.15% of total admission for the same age; it was more frequent in females than in males (F:M = 1.8:1) and it was more represented in children 0-3 months and 10-12 months aged. The main data have been: breast-feeding very frequent but early stopped (45% within the first month of life); administration of special formulas (soy milk, hydrolisate, hypoallergenic formulas) in 25% of cases. Specific symptoms in different ages: regurgitation, sucking problems and dysphagia more present in children less than 3 months, and inappetence and/or food refusal more represented in children more than 3 months. Ematologic and other lab values were totally normal.

  5. Helicobacter pylori infection is not associated with failure to thrive: a case control study.

    Science.gov (United States)

    Chiu, Nan-Chang; Lin, Chien-Yu; Chi, Hsin; Yeung, Chun-Yan; Ting, Wei-Hsin; Chan, Wai-Tao; Jiang, Chuen-Bin; Li, Sung-Tse; Lin, Chao-Hsu; Lee, Hung-Chang

    2017-01-01

    The long-term impact of Helicobacter pylori infection is complex, and concerns about the need for eradication exist. We conducted this case control study to investigate the association between H. pylori infection and failure to thrive (FTT). From January 2009 to December 2011, 53 children with FTT group and matched children with the same sex and age and similar socioeconomic status without FTT (control group) were enrolled. A questionnaire was administered to the parents/guardian, and a 13 C-urea breath test was performed to detect H. pylori infection. We found that the total prevalence of H. pylori infection was 29.2% and that there was no association between FTT and H. pylori infection (FTT group: 32%; control group: 26.4%; P =0.67). Short stature was more common in the FTT group and abdominal pain in the control group (FTT group: 37.7%; control group: 11.3%; P =0.003). In a comparison between the H. pylori -positive and -negative groups, abdominal pain (87.1% vs 64%; P =0.032) and the frequency of endoscopy (74.2% vs 32%; P <0.001) were significantly more common in the H. pylori -positive group. We found that children with H. pylori infection are at an increased risk for abdominal pain and that FTT is not associated with H. pylori infection. The decision for eradication should be evaluated carefully and individualized.

  6. A Hospital-Based Study on Causes Peculiar to Heart Failure

    Directory of Open Access Journals (Sweden)

    Muhammad Hafizullah

    2009-03-01

    Full Text Available Background: We sought to determine the frequency of the risk factors for congestive cardiac failure (CCF in a tertiary care hospital in Peshawar, Pakistan. Methods: This retrospective, observational study was conducted in the department of cardiology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar, from March 2005 to September 2007. Relevant information regarding the risk factors of CCF was recorded on questionnaires, devised in accordance with the objectives of the study. Results: This study recruited 1019 patients with an established diagnosis of CCF on the basis of clinical findings and pertinent investigations. The study population comprised 583 (57.12% men and 436 (42.78% women. The patients’ age ranged from 6 years to 82 years with a mean age of 48.5 years and a mode of age of 45 years. The distribution of the causative factors of CCF was as follows: ischemic heart disease in 38.56%; hypertension in 26.30%; dilated cardiomyopathies in 10.10%; obstructive and restrictive cardiomyopathies in 5.39%; valvular heart diseases in 9.32%; congenital heart diseases like ventricular septal defects and atrial septal defects in 4.41% and 0.58%, respectively; constrictive pericarditis in 1.07%; pericardial effusion in 0.68%; chronic obstructive pulmonary disease and pulmonary hypertension in 1.47%; thyrotoxicosis in 0.68%; complete heart block in 0.29%; and Paget’s disease in 0.09% of the cases.Conclusion: Ischemic heart disease, hypertension, cardiomyopathy, valvular heart disease, and congenital heart disease were the major contributors to CCF in our patients.

  7. A scenarios study on future demands on container and truck sizes of the future

    NARCIS (Netherlands)

    B. Kraaijenhagen; Jan Jansen; H. Graser; Stef Weijers; I. Szylar

    2012-01-01

    To what extent will future demands of worldwide operating parties, regarding the (tertiary) packaging of their freight flows, determine or influence the future dimensions of freight trucks? That is the question we address to in this paper. In this study we have studied what container sizes may fit

  8. Experimental and analytical studies on creep failure of reactor coolant piping

    International Nuclear Information System (INIS)

    Maeda, Akio; Maruyama, Yu; Hashimoto, Kazuichiro; Harada, Yuhei; Shibazaki, Hiroaki; Kudo, Tamotsu; Hidaka, Akihide; Sugimoto, Jun; Nakamura, N.

    1999-01-01

    Thermal and structural responses of reactor coolant piping under and elevated internal pressure and temperature are being investigated in WIND project at JAERI. In a recent failure test in which a nuclear grade type 316 stainless steel pipe with an outer diameter of 114.3 mm and a wall thickness of 13.5 mm was used and an internal pressure was kept at approximately 15 MPa. A failure of the piping was observed when the temperature was sustained at 970degC for one hour. In parallel with conducting the tests, post-test analyses were performed. The objective of the analyses is to assess analytical models for the creep deformation and failure of the piping at elevated internal pressure and temperature simulating thermal-hydraulic conditions during a severe accident. The major material properties needed for the analysis were measured at elevated temperatures. Coefficients of a creep constitutive equation including the tertiary stage were determined with the measured creep data and incorporated into ABAQUS code. The analysis reasonably reproduced the time history of the enlargement of the piping diameter, and the wall thickness and the diameter of the piping at the failure. It was also found that the piping failure timing obtained from the analysis agreed well with the test result. (author)

  9. Plasma phospholipid saturated fatty acids and heart failure risk in the Physicians' Health Study.

    Science.gov (United States)

    Matsumoto, Chisa; Hanson, Naomi Q; Tsai, Michael Y; Glynn, Robert J; Gaziano, J Michael; Djoussé, Luc

    2013-10-01

    Previous studies have suggested that some plasma phospholipid saturated fatty acids (SFA) are associated with an increased risk of coronary heart disease and hypertension, major risk factors for heart failure (HF). However, little is known about the association between SFA and HF. This study examines associations of individual plasma phospholipid SFA with HF risk in US male physicians. The current ancillary study used a prospective nested matched case-control design to select 788 cases of incident HF and 788 controls. Plasma phospholipid SFAs were measured using gas chromatography. HF was self-reported on follow-up questionnaires and validated by review of medical records in a subsample. We used conditional logistic regression to estimate relative risks. Mean age was 58.7 ± 8.0 years. One standard deviation higher plasma phospholipid 16:0 was associated with an odds ratio (95% CI) of 1.20 (1.04, 1.38) controlling for established HF risk factors and other SFAs (p = 0.042). However, this association was not significant after Bonferroni correction (p > 0.008). We did not observe associations between other SFAs (14:0, 15:0, 18:0, 20:0, or 22:0) and HF risk (all p for trend > 0.05). Our data suggested no association between plasma phospholipid SFAs and HF in US male physicians. Copyright © 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  10. Heart failure in a cohort of patients with chronic kidney disease: the GCKD study.

    Directory of Open Access Journals (Sweden)

    Hanna Beck

    Full Text Available Chronic kidney disease (CKD is a risk factor for development and progression of heart failure (HF. CKD and HF share common risk factors, but few data exist on the prevalence, signs and symptoms as well as correlates of HF in populations with CKD of moderate severity. We therefore aimed to examine the prevalence and correlates of HF in the German Chronic Kidney Disease (GCKD study, a large observational prospective study.We analyzed data from 5,015 GCKD patients aged 18-74 years with an estimated glomerular filtration rate (eGFR of 500 mg/d. We evaluated a definition of HF based on the Gothenburg score, a clinical HF score used in epidemiological studies (Gothenburg HF, and self-reported HF. Factors associated with HF were identified using multivariable adjusted logistic regression. The prevalence of Gothenburg HF was 43% (ranging from 24% in those with eGFR >90 to 59% in those with eGFR<30 ml/min/1.73m2. The corresponding estimate for self-reported HF was 18% (range 5%-24%. Lower eGFR was significantly and independently associated with the Gothenburg definition of HF (p-trend <0.001. Additional significantly associated correlates included older age, female gender, higher BMI, hypertension, diabetes mellitus, valvular heart disease, anemia, sleep apnea, and lower educational status.The burden of self-reported and Gothenburg HF among patients with CKD is high. The proportion of patients who meet the criteria for Gothenburg HF in a European cohort of patients with moderate CKD is more than twice as high as the prevalence of self-reported HF. However, because of the shared signs, symptoms and medications of HF and CKD, the Gothenburg score cannot be used to reliably define HF in CKD patients. Our results emphasize the need for early screening for HF in patients with CKD.

  11. Intake of very long chain n-3 fatty acids from fish and the incidence of heart failure: the Rotterdam Study

    NARCIS (Netherlands)

    Dijkstra, S.; Brouwer, I.A.; Rooij, van F.J.A.; Hofman, A.; Witteman, J.C.M.; Geleijnse, J.M.

    2009-01-01

    Aims: Evidence is accumulating for a cardioprotective effect of fish or its n-3 fatty acids, eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA). We examined EPA plus DHA and fish intake in relation to incident heart failure in the population-based Rotterdam Study. Methods and results: The

  12. Intake of very long chain n-3 fatty acids from fish and the incidence of heart failure: the Rotterdam Study

    NARCIS (Netherlands)

    Dijkstra, S.C.; Brouwer, I.A.; van Rooij, F.J.A.; Hofman, A.; Witteman, J.C.M.; Geleijnse, J.M.

    2009-01-01

    Aims Evidence is accumulating for a cardioprotective effect of fish or its n-3 fatty acids, eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA). We examined EPA plus DHA and fish intake in relation to incident heart failure in the population-based Rotterdam Study.Methods and resultsThe

  13. Abnormal liver function tests in acute heart failure: relationship with clinical characteristics and outcome in the PROTECT study

    NARCIS (Netherlands)

    Biegus, Jan; Hillege, Hans L.; Postmus, Douwe; Valente, Mattia. A. E.; Bloomfield, Daniel M.; Cleland, John G. F.; Cotter, Gad; Davison, Beth A.; Dittrich, Howard C.; Fiuzat, Mona; Givertz, Michael M.; Massie, Barry M.; Metra, Marco; Teerlink, John R.; Voors, Adriaan A.; O'Connor, Christopher M.; Ponikowski, Piotr

    Aims Episodes of acute heart failure (AHF) unfavourably affect multiple organs, which may have an adverse impact on the outcomes. We investigated the prevalence and clinical consequences of abnormal liver function tests (LFTs) in AHF patients enrolled in the PROTECT study. Methods and results The

  14. Relational Underpinnings and Professionality--A Case Study of a Teacher's Practices Involving Students with Experiences of School Failure

    Science.gov (United States)

    Frelin, Anneli

    2015-01-01

    Relational features of the educational environment, such as positive teacher-student relationships, are important for students' academic success. This case study explores the relational practices of a teacher who negotiates educational relationships with students who have a history of school failure. "Gunilla", a secondary school teacher…

  15. Dose-finding study of imidapril, a novel angiotensin converting enzyme inhibitor, in patients with stable chronic heart failure

    NARCIS (Netherlands)

    Pinto, Y. M.; van Veldhuisen, D. J.; Tjon-Ka-Jie, R. T.; Rooks, G.; Netzer, T.; Lie, K. I.

    1996-01-01

    OBJECTIVE: To study the haemodynamic profile and tolerability of imidapril, a new long-acting ACE inhibitor, and to investigate the effect of inhibition of circulating ACE on blood pressure in patients with stable chronic heart failure. METHODS: Twenty-four patients with stable, chronic heart

  16. Dose-finding study of imidapril, a novel angiotensin converting enzyme inhibitor, in patients with stable chronic heart failure

    NARCIS (Netherlands)

    Pinto, YM; vanVeldhuisen, DJ; TjonKaJie, RT; Rooks, G; Netzer, T; Lie, KI

    Objective: To study the haemodynamic profile and tolerability of imidapril, a new long-acting ACE inhibitor, and to investigate the effect of inhibition of circulating ACE on blood pressure in patients with stable chronic heart failure. Methods: Twenty-four patients with stable, chronic heart

  17. Trade-offs in experimental designs for estimating post-release mortality in containment studies

    Science.gov (United States)

    Rogers, Mark W.; Barbour, Andrew B; Wilson, Kyle L

    2014-01-01

    Estimates of post-release mortality (PRM) facilitate accounting for unintended deaths from fishery activities and contribute to development of fishery regulations and harvest quotas. The most popular method for estimating PRM employs containers for comparing control and treatment fish, yet guidance for experimental design of PRM studies with containers is lacking. We used simulations to evaluate trade-offs in the number of containers (replicates) employed versus the number of fish-per container when estimating tagging mortality. We also investigated effects of control fish survival and how among container variation in survival affects the ability to detect additive mortality. Simulations revealed that high experimental effort was required when: (1) additive treatment mortality was small, (2) control fish mortality was non-negligible, and (3) among container variability in control fish mortality exceeded 10% of the mean. We provided programming code to allow investigators to compare alternative designs for their individual scenarios and expose trade-offs among experimental design options. Results from our simulations and simulation code will help investigators develop efficient PRM experimental designs for precise mortality assessment.

  18. ORGANIZATIONAL AND LEGAL STUDY OF THE CIRCULATION OF THE COMBINED MEDICINES CONTAINING DEXTROPROPOXYPHENE

    Directory of Open Access Journals (Sweden)

    Shapovalov VV

    2016-03-01

    Full Text Available Introduction. Scientific studies in recent years in the field of pharmaceutical law and forensic pharmacy indicate the existence of cause-effect relationships of various kinds of addictive dependence and illegal circulation of certain groups of combined medicines containing controlled active pharmaceutical ingredients. Illegal production of narcotic drugs and psychotropic substances from the combined drugs containing controlled active pharmaceutical ingredients is of particular concern because these medicines are in legal trade in the pharmaceutical sector of Ukraine and used by patients in the treatment of pain of various etiologies, with colds, dry cough and others. Purpose of the work is to carry out organizational and legal studies of the legal circulation of combined medicines containing controlled active pharmaceutical ingredient – dextropropoxyphene. Materials and methods. Research material were legal documents, instructions for medical use of combined medicines, forensic and pharmaceutical practice, scientific literature sources and Internet sites. In carrying out organizational and legal studies were used conventional regulatory, documentary, retrospective, forensic and pharmaceutical comparative graphical analysis methods. Results and discussion. In the course of the organizational and legal research on the characteristics of the legal handling controlled drugs that contain controlled active pharmaceutical ingredient - dekstropropoksyfen found that to date its circulation is regulated by the Order of the Ministry of healthcare of Ukraine from 19.07.2005. №360 «On approval of the rules of writing prescriptions and requirements, orders for drugs and medical products, the Procedure for sale of drugs and medical supplies from pharmacies and their structural subdivisions and Instruction on storage, accounting and disposal of prescription forms and claims-orders» According to the requirements of this order all combined

  19. Adjusting survival estimates for premature transmitter failure: A case study from the Sacramento-San Joaquin Delta

    Science.gov (United States)

    Holbrook, Christopher M.; Perry, Russell W.; Brandes, Patricia L.; Adams, Noah S.

    2013-01-01

    In telemetry studies, premature tag failure causes negative bias in fish survival estimates because tag failure is interpreted as fish mortality. We used mark-recapture modeling to adjust estimates of fish survival for a previous study where premature tag failure was documented. High rates of tag failure occurred during the Vernalis Adaptive Management Plan’s (VAMP) 2008 study to estimate survival of fall-run Chinook salmon (Oncorhynchus tshawytscha) during migration through the San Joaquin River and Sacramento-San Joaquin Delta, California. Due to a high rate of tag failure, the observed travel time distribution was likely negatively biased, resulting in an underestimate of tag survival probability in this study. Consequently, the bias-adjustment method resulted in only a small increase in estimated fish survival when the observed travel time distribution was used to estimate the probability of tag survival. Since the bias-adjustment failed to remove bias, we used historical travel time data and conducted a sensitivity analysis to examine how fish survival might have varied across a range of tag survival probabilities. Our analysis suggested that fish survival estimates were low (95% confidence bounds range from 0.052 to 0.227) over a wide range of plausible tag survival probabilities (0.48–1.00), and this finding is consistent with other studies in this system. When tags fail at a high rate, available methods to adjust for the bias may perform poorly. Our example highlights the importance of evaluating the tag life assumption during survival studies, and presents a simple framework for evaluating adjusted survival estimates when auxiliary travel time data are available.

  20. Incremental value of biomarkers to clinical variables for mortality prediction in acutely decompensated heart failure: the Multinational Observational Cohort on Acute Heart Failure (MOCA) study.

    Science.gov (United States)

    Lassus, Johan; Gayat, Etienne; Mueller, Christian; Peacock, W Frank; Spinar, Jindrich; Harjola, Veli-Pekka; van Kimmenade, Roland; Pathak, Atul; Mueller, Thomas; Disomma, Salvatore; Metra, Marco; Pascual-Figal, Domingo; Laribi, Said; Logeart, Damien; Nouira, Semir; Sato, Naoki; Potocki, Michael; Parenica, Jiri; Collet, Corinne; Cohen-Solal, Alain; Januzzi, James L; Mebazaa, Alexandre

    2013-10-03

    This study aims to evaluate the incremental value of plasma biomarkers to traditional clinical variables for risk stratification of 30-day and one-year mortality in acutely decompensated heart failure (ADHF). Through an international collaborative network, individual patient data on 5306 patients hospitalized for ADHF were collected. The all-cause mortality rate was 11.7% at 30 days and 32.9% at one year. The clinical prediction model (age, gender, blood pressure on admission, estimated glomerular filtration rate NRI) was 28.7% for mid-regional adrenomedullin (MR-proADM; pNRI 10.3%), MR-proADM (NRI 9.1%), amino-terminal pro-B-type natriuretic peptide (NT-proBNP; NRI 9.1%), mid-regional proatrial natriuretic peptide (MR-proANP; NRI 7.4%), B-type natriuretic peptide (NRI 5.5%) and C-reactive protein (CRP; NRI 5.3%) reclassified patients with ADHF (pNRI 36.8% [pNRI 20.3%; [p<0.001] for one-year mortality). In this study, biomarkers provided incremental value for risk stratification of ADHF patients. Biomarkers such as sST2, MR-proADM, natriuretic peptides and CRP, reflecting different pathophysiologic pathways, add prognostic value to clinical risk factors for predicting both short-term and one-year mortality in ADHF. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  1. Failure analysis of a repairable system: The case study of a cam-driven reciprocating pump

    Science.gov (United States)

    Dudenhoeffer, Donald D.

    1994-09-01

    This thesis supplies a statistical and economic tool for analysis of the failure characteristics of one typical piece of equipment under evaluation: a cam-driven reciprocating pump used in the submarine's distillation system. Comprehensive statistical techniques and parametric modeling are employed to identify and quantify pump failure characteristics. Specific areas of attention include: the derivation of an optimal maximum replacement interval based on costs, an evaluation of the mission reliability for the pump as a function of pump age, and a calculation of the expected times between failures. The purpose of this analysis is to evaluate current maintenance practices of time-based replacement and examine the consequences of different replacement intervals in terms of costs and mission reliability. Tradeoffs exist between cost savings and system reliability that must be fully understood prior to making any policy decisions.

  2. Finite Element Model for Failure Study of Two-Dimensional Triaxially Braided Composite

    Science.gov (United States)

    Li, Xuetao; Binienda, Wieslaw K.; Goldberg, Robert K.

    2010-01-01

    A new three-dimensional finite element model of two-dimensional triaxially braided composites is presented in this paper. This meso-scale modeling technique is used to examine and predict the deformation and damage observed in tests of straight sided specimens. A unit cell based approach is used to take into account the braiding architecture as well as the mechanical properties of the fiber tows, the matrix and the fiber tow-matrix interface. A 0 deg / plus or minus 60 deg. braiding configuration has been investigated by conducting static finite element analyses. Failure initiation and progressive degradation has been simulated in the fiber tows by use of the Hashin failure criteria and a damage evolution law. The fiber tow-matrix interface was modeled by using a cohesive zone approach to capture any fiber-matrix debonding. By comparing the analytical results to those obtained experimentally, the applicability of the developed model was assessed and the failure process was investigated.

  3. Study of the concrete tensile creep: application for the containment vessel of the nuclear power plants (PWR)

    International Nuclear Information System (INIS)

    Reviron, Nanthilde

    2009-01-01

    The aim of this work is to study experimentally and to conduct numerical simulations on the creep of concrete subjected to tensile stresses. The main purpose is to predict the behaviour of containment vessels of nuclear power plants (PWR) in the case of decennial test or accident. In order to satisfy to these industrial needs, it is necessary to characterize the behaviour of concrete under uniaxial tension. Thus, an important experimental study of tensile creep in concrete has been performed for different loading levels (50%, 70% and 90% of the tensile strength). In these tests, load was kept constant during 3 days. Several tests were performed: measurements of elastic properties and strength (in tension and in compression), monitoring of drying, shrinkage, basic creep and drying creep strains. Moreover, compressive creep tests were also performed and showed a difference with tensile creep. Furthermore, decrease of tensile strength and failure under tensile creep for large loading levels were observed. A numerical model has been proposed and developed in Cast3m finite element code. (author)

  4. Patient safety analysis of the ED care of patients with heart failure and COPD exacerbations: a multicenter prospective cohort study.

    Science.gov (United States)

    Calder, Lisa; Tierney, Sarah; Jiang, Yue; Gagné, Austin; Gee, Andrew; Hobden, Elisabeth; Vaillancourt, Christian; Perry, Jeffrey; Stiell, Ian; Forster, Alan

    2014-01-01

    For emergency department (ED) patients with acute exacerbations of heart failure and chronic obstructive pulmonary disease (COPD), we aimed to assess the adherence to evidence-based care and determine the proportion that experienced adverse events. An expert panel identified critical actions for ED care of heart failure and COPD patients based on clinical practice guidelines. We collected outcome data for discharged ED patients >age 50 with acute heart failure or COPD in a multicenter prospective cohort study at five academic EDs. We measured 3 flagged outcomes: return ED visit, admission, or death within 14 days. Three trained physician reviewers reviewed case summaries for adverse event determination (flagged outcomes related to healthcare received). We evaluated health records for adherence to the critical actions for each condition. We identified 122 (7.0%) flagged outcomes among 1,718 enrolled patients (61 heart failure, 59 COPD and 2 dual diagnoses). The mean age was 74.2 (SD 10.4) and 44.3% were female. Among 10 critical actions for heart failure and 13 for COPD, a mean proportion of 9.4/10 and 11.0/13 were adhered to respectively. We identified 12 adverse events (9.8%, 95%CI: 5.6-16.5%), all of which were deemed preventable, including 1 death. The most common contributors were unsafe disposition decisions (10/12, 83.3%) and diagnostic issues (5/12, 41.7%). Patients who died with heart failure were statistically significantly less likely to have guideline adherent care (P = .02). A small proportion of return ED visits were related to index care. We believe there is need for improvement around disposition decision making for both conditions to reduce the highly preventable and clinically significant adverse events we found. © 2013 Elsevier Inc. All rights reserved.

  5. Heart failure patients’ experiences with continuity of care and its relation to medication adherence: a cross-sectional study

    Science.gov (United States)

    2012-01-01

    Background A growing number of health care providers are nowadays involved in heart failure care. This could lead to discontinuity and fragmentation of care, thus reducing trust and hence poorer medication adherence. This study aims to explore heart failure patients’ experiences with continuity of care, and its relation to medication adherence. Methods We collected data from 327 primary care patients with chronic heart failure. Experienced continuity of care was measured using a patient questionnaire and by reviewing patients’ medical records. Continuity of care was defined as a multidimensional concept including personal continuity (seeing the same doctor every time), team continuity (collaboration between care providers in general practice) and cross-boundary continuity (collaboration between general practice and hospital). Medication adherence was measured using a validated patient questionnaire. The relation between continuity of care and medication adherence was analysed by using chi-square tests. Results In total, 53% of patients stated not seeing any care provider in general practice in the last year concerning their heart failure. Of the patients who did contact a care provider in general practice, 46% contacted two or more care providers. Respectively 38% and 51% of patients experienced the highest levels of team and cross-boundary continuity. In total, 14% experienced low levels of team continuity and 11% experienced low levels of cross-boundary continuity. Higher scores on personal continuity were significantly related to better medication adherence (p continuity and medication adherence. Conclusions A small majority of patients that contacted a care provider in general practice for their heart failure, contacted only one care provider. Most heart failure patients experienced high levels of collaboration between care providers in general practice and between GP and cardiologist. However, in a considerable number of patients, continuity of care

  6. Design and Rationale of the Cognitive Intervention to Improve Memory in Heart Failure Patients Study.

    Science.gov (United States)

    Pressler, Susan J; Giordani, Bruno; Titler, Marita; Gradus-Pizlo, Irmina; Smith, Dean; Dorsey, Susan G; Gao, Sujuan; Jung, Miyeon

    2018-03-29

    Memory loss is an independent predictor of mortality among heart failure patients. Twenty-three percent to 50% of heart failure patients have comorbid memory loss, but few interventions are available to treat the memory loss. The aims of this 3-arm randomized controlled trial were to (1) evaluate efficacy of computerized cognitive training intervention using BrainHQ to improve primary outcomes of memory and serum brain-derived neurotrophic factor levels and secondary outcomes of working memory, instrumental activities of daily living, and health-related quality of life among heart failure patients; (2) evaluate incremental cost-effectiveness of BrainHQ; and (3) examine depressive symptoms and genomic moderators of BrainHQ effect. A sample of 264 heart failure patients within 4 equal-sized blocks (normal/low baseline cognitive function and gender) will be randomly assigned to (1) BrainHQ, (2) active control computer-based crossword puzzles, and (3) usual care control groups. BrainHQ is an 8-week, 40-hour program individualized to each patient's performance. Data collection will be completed at baseline and at 10 weeks and 4 and 8 months. Descriptive statistics, mixed model analyses, and cost-utility analysis using intent-to-treat approach will be computed. This research will provide new knowledge about the efficacy of BrainHQ to improve memory and increase serum brain-derived neurotrophic factor levels in heart failure. If efficacious, the intervention will provide a new therapeutic approach that is easy to disseminate to treat a serious comorbid condition of heart failure.

  7. Novel biaxial tensile test for studying aortic failure phenomena at a microscopic level

    Directory of Open Access Journals (Sweden)

    Sugita Shukei

    2013-01-01

    Full Text Available Abstract Background An aortic aneurysm is a local dilation of the aorta, which tends to expand and often results in a fatal rupture. Although larger aneurysms have a greater risk of rupture, some small aneurysms also rupture. Since the mechanism of aortic rupture is not well understood, clarification of the microstructure influencing the failure to rupture is important. Since aortic tissues are stretched biaxially in vivo, we developed a technique to microscopically observe the failure of an aortic rupture during biaxial stretch. Methods A thinly sliced porcine thoracic aortic specimen was adhered to a circular frame and pushed onto a cylinder with a smaller diameter to stretch the specimen biaxially. To induce failure to rupture at the center, the specimen was thinned at the center of the hole as follows: the specimen was frozen while being compressed with metal plates having holes, which were 3 mm in diameter at their centers; the specimen was then sliced at 50-μm intervals and thawed. Results The ratio of the thickness at the center to the peripheral area was 99.5% for uncompressed specimens. The ratio decreased with an increase in the compression ratio εc and was 47.3% for specimens with εc = 40%. All specimens could be stretched until failure to rupture. The probability for crack initiation within the cylinder was εc εc >30%, respectively. Among specimens ruptured within the cylinder, 93% of those obtained from the mid-media showed crack initiation at the thin center area. Conclusions Aortic tissues were successfully stretched biaxially until failure, and their crack initiation points were successfully observed under a microscope. This could be a very useful and powerful method for clarifying the mechanism of aortic rupture. We are planning to use this technique for a detailed investigation of events occurring at the point of failure when the crack initiates in the aortic aneurysm wall.

  8. Association between adiponectin and heart failure risk in the physicians' health study.

    Science.gov (United States)

    Djoussé, Luc; Wilk, Jemma B; Hanson, Naomi Q; Glynn, Robert J; Tsai, Michael Y; Gaziano, J Michael

    2013-04-01

    To assess the association between adiponectin and incident heart failure (HF). In the current ancillary study to the Physicians' Health Study (PHS), we used a prospective nested case-control design to examine whether plasma adiponectin concentration was related to the risk of HF. We selected 787 incident HF cases and 787 matched controls for the current analysis. Each control was selected using a risk set sampling technique at the time of the occurrence of the index case and matched on year of birth, age at blood collection, and race. Adiponectin was measured using enzyme-linked immunosorbent assay. HF occurrence was self-reported in annual follow-up questionnaire. Validation of self-reported HF in this cohort has been published. The mean age was 58.7 years. In a conditional logistic regression adjusting for age, race, time of blood collection, year of birth, hypertension, atrial fibrillation, smoking, alcohol intake, and exercise, estimates of the relative risk (95% confidence interval) were 1.0 (reference), 0.74 (0.53-1.04), 0.67 (0.48-0.94), 0.70 (0.50-0.99), and 0.92 (0.65-1.30) from the lowest to the highest quintile of adiponectin, respectively, P for quadratic trend 0.004. Additional adjustment for potential mediating factors including diabetes, C-reactive protein, and BMI led to the attenuation of the estimate of effect (1.0 (reference), 0.81 (0.57-1.15), 0.75 (0.53-1.06), 0.83 (0.58-1.18), and 1.26 (0.87-1.81) across consecutive quintiles of adiponectin). Our data are consistent with a J-shaped association between total adiponectin and the risk of HF among US male physicians. Copyright © 2012 The Obesity Society.

  9. Evaluation of road failure vulnerability section through integrated geophysical and geotechnical studies

    Science.gov (United States)

    Adiat, K. A. N.; Akinlalu, A. A.; Adegoroye, A. A.

    2017-06-01

    In order to investigate the competence of the proposed road for pavement stability, geotechnical and geophysical investigations involving Land Magnetic, Very Low Frequency Electromagnetic (VLF-EM) and Electrical Resistivity methods were carried out along Akure-Ipinsa road Southwestern Nigeria. The magnetic profile was qualitatively and quantitatively interpreted to produce geomagnetic section that provides information on the basement topography and structural disposition beneath the proposed road. Similarly, the VLF-EM profile was equally interpreted to provide information on the possible occurrence of linear features beneath the study area. These linear features pose a potential risk to the proposed road as they are capable of undermining the stability of the pavement structure. The geoelectric parameters obtained from the quantitative interpretation of the VES data were used to generate geoelectric section. The geoelectric section generated shows that the study area was underlain by four geoelectric layers namely the topsoil, the weathered layer, the partly weathered/fractured basement and the fresh basement. The major part of the topsoil, which constitutes the subgrade, is characterized by relatively low resistivity values (road. This therefore suggests that the layer is composed of incompetent materials that are unsuitable for engineering structures. Furthermore, fractured basement was also delineated beneath some portion of the proposed road. Since fracture is a weak zone, its presence can facilitate failure of the proposed road especially when it is occurring at shallow depth. The geotechnical results reveal that most of the investigated soil samples are clayey in nature. Integration of the results demonstrates that there is a good correlation between geophysical results and the geotechnical results. Furthermore, a vulnerability section that divided the road segments into three zones based on the degree of vulnerability was produced. These zones were high

  10. A controlled pilot study of stress management training of elderly patients with congestive heart failure.

    Science.gov (United States)

    Luskin, Frederic; Reitz, Megan; Newell, Kathryn; Quinn, Thomas Gregory; Haskell, William

    2002-01-01

    The purpose of this study was to evaluate the effect of stress management training on quality of life, functional capacity, and heart rate variability in elderly patients with New York Heart Association class I-III congestive heart failure (CHF). While substantial research exists on stress management training for patients with coronary heart disease, there are few data on the value of psychosocial training on patients with CHF. Thirty-three multiethnic patients (mean age, 66+/-9 years) were assigned through incomplete randomization to one of two treatment groups or a wait-listed control group. The 14 participants who completed the treatment attended eight training sessions during a 10-week period. The training consisted of 75-minute sessions adapted from the Freeze-Frame stress management program developed by the Institute of HeartMath. Subjects were assessed at baseline and again at the completion of the training. Depression, stress management, optimism, anxiety, emotional distress, and functional capacity were evaluated, as well as heart rate variability. Significant improvements (pstress, emotional distress, 6-minute walk, and depression, and positive trends were noted in each of the other psychosocial measures. The 24-hour heart rate variability showed no significant changes in autonomic tone. The authors noted that CHF patients were willing study participants and their emotional coping and functional capacity were enhanced. This program offers a simple and cost-effective way to augment medical management of CHF. Given the incompleteness of CHF medical management and the exploding interest in complementary medical intervention, it seems imperative that further work in psychosocial treatment be undertaken. Copyright 2002 CHF, Inc.

  11. Age at menopause and incident heart failure: the Multi-Ethnic Study of Atherosclerosis.

    Science.gov (United States)

    Ebong, Imo A; Watson, Karol E; Goff, David C; Bluemke, David A; Srikanthan, Preethi; Horwich, Tamara; Bertoni, Alain G

    2014-06-01

    This study aims to evaluate the associations of early menopause (menopause occurring before age 45 years) and age at menopause with incident heart failure (HF) in postmenopausal women. We also explored the associations of early menopause and age at menopause with left ventricular (LV) measures of structure and function in postmenopausal women. We included 2,947 postmenopausal women, aged 45 to 84 years without known cardiovascular disease (2000-2002), from the Multi-Ethnic Study of Atherosclerosis. Cox proportional hazards models were used to examine the associations of early menopause and age at menopause with incident HF. In 2,123 postmenopausal women in whom cardiac magnetic resonance imaging was obtained at baseline, we explored the associations of early menopause and age at menopause with LV measures using multivariable linear regression. Across a median follow-up of 8.5 years, we observed 71 HF events. There were no significant interactions with ethnicity for incident HF (Pinteraction > 0.05). In adjusted analysis, early menopause was associated with an increased risk of incident HF (hazard ratio, 1.66; 95% CI, 1.01-2.73), whereas every 1-year increase in age at menopause was associated with a decreased risk of incident HF (hazard ratio, 0.96; 95% CI, 0.94-0.99). We observed significant interactions between early menopause and ethnicity for LV mass-to-volume ratio (LVMVR; Pinteraction = 0.02). In Chinese-American women, early menopause was associated with a higher LVMVR (+0.11; P = 0.0002), whereas every 1-year increase in age at menopause was associated with a lower LVMVR (-0.004; P = 0.04) at baseline. Older age at menopause is independently associated with a decreased risk of incident HF. Concentric LV remodeling, indicated by a higher LVMVR, is present in Chinese-American women who experienced early menopause at baseline.

  12. Surveillance for infectious complications in pediatric acute liver failure - a prospective study.

    Science.gov (United States)

    Mekala, Suresh; Jagadisan, Barath; Parija, Subhash Chandra; Lakshminarayanan, Subitha

    2015-03-01

    To prospectively evaluate infectious complications (IC) in pediatric acute liver failure (PALF) by employing surveillance cultures. From 2011 to 2013, children with PALF in a tertiary care centre received a standard protocolised management. Prophylactic parenteral antibiotics were used without antifungals. Surveillance cultures of blood, urine, ascites and tracheal aspirates were sent. Biochemical and clinical parameters and outcomes were compared between children with and without IC. Of the 29 children with PALF admitted during the study period (median age 36 mo, range 12-90 mo), 13.8 % had blood stream infections (BSI) at admission. Organisms were isolated in 8.8 % (12/136) of the blood cultures, 13.7 % (11/80) of the urine cultures, 30.8 % (8/26) of the tracheal aspirates and 7.1 % (1/14) of the ascitic fluid cultures. Gram negative bacteriae (n = 17) were the commonest, followed by fungi (n = 13) and gram positive bacteriae (n = 2). Klebsiella pneumoniae and Candida nonalbicans group were the commonest bacteria and fungi respectively. After admission, fungal BSI and urinary tract infections were diagnosed at a median time of 4 d (range 3-8 d) and 3.5 d (range 3-6 d) respectively. ICs were not associated with other complications and increased mortality but with longer hospital and pediatric intensive care unit (PICU) stay. In this study BSI was a common finding at admission in PALF. Inspite of prophylactic antibiotics, break through gram negative bacterial and fungal ICs were common. Empirical treatment of IC should include broad spectrum antibiotics. Fungal IC occurred beyond 48 h. Prophylactic antifungals at admission may be considered to decrease their frequency. IC prolongs PICU and hospital stay.

  13. Acute heart failure in the emergency department: a follow-up study.

    Science.gov (United States)

    Fabbri, Andrea; Marchesini, Giulio; Carbone, Giorgio; Cosentini, Roberto; Ferrari, Annamaria; Chiesa, Mauro; Bertini, Alessio; Rea, Federico

    2016-02-01

    Acute heart failure (AHF) is a major public health issue due to high incidence and poor prognosis. Only a few studies are available on the long-term prognosis and on outcome predictors in the unselected population attending the emergency department (ED) for AHF. We carried out a 1-year follow-up analysis of 1234 consecutive patients from selected Italian EDs from January 2011 to June 2012 for an episode of AHF. Their prognosis and outcome-associated factors were tested by Cox proportional hazard model. Patients' mean age was 84, with 66.0% over 80 years and 56.2% females. Comorbidities were present in over 50% of cases, principally a history of acute coronary syndrome, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, valvular heart disease. Death occurred within 6 h in 24 cases (1.9%). At 30-day follow-up, death was registered in 123 cases (10.0%): 110 cases (89.4%) died of cardiovascular events and 13 (10.6%) of non-cardiovascular causes (cancer, gastrointestinal hemorrhages, sepsis, trauma). At 1-year follow-up, all-cause death was recorded in 50.1% (over 3 out of 4 cases for cardiovascular origin). Six variables (older age, diabetes, systolic arterial pressure <110 mm/Hg, high NT pro-BNP, high troponin levels and impaired cognitive status) were selected as outcome predictors, but with limited discriminant capacity (AUC = 0.649; SE 0.015). Recurrence of AHF was registered in 31.0%. The study identifies a cluster of variables associated with 1-year mortality in AHF, but their predictive capacity is low. Old age and the presence of comorbidities, in particular diabetes are likely to play a major role in dictating the prognosis.

  14. Developing healthcare rule-based expert systems: case study of a heart failure telemonitoring system.

    Science.gov (United States)

    Seto, Emily; Leonard, Kevin J; Cafazzo, Joseph A; Barnsley, Jan; Masino, Caterina; Ross, Heather J

    2012-08-01

    The use of expert systems to generate automated alerts and patient instructions based on telemonitoring data could enable increased self-care and improve clinical management. However, of great importance is the development of the rule set to ensure safe and clinically relevant alerts and instructions are sent. The purpose of this work was to develop a rule-based expert system for a heart failure mobile phone-based telemonitoring system, to evaluate the expert system, and to generalize the lessons learned from the development process for use in other healthcare applications. Semi-structured interviews were conducted with 10 heart failure clinicians to inform the development of a draft heart failure rule set for alerts and patient instructions. The draft rule set was validated and refined with 9 additional interviews with heart failure clinicians. Finally, the clinical champion of the project vetted the rule set. The concerns voiced by the clinicians during the interviews were noted, and methods to mitigate these concerns were employed. The rule set was then evaluated as part of a 6-month randomized controlled trial of a mobile phone-based heart failure telemonitoring system (n=50 for each of the telemonitoring and control groups). The developed expert system generated alerts and instructions based on the patient's weight, blood pressure, heart rate, and symptoms. During the trial, 1620 alerts were generated, which led to various clinical actions including 105 medication changes/instructions. The findings from the trial indicated the rule set was associated with improved quality of life and self-care. A rule set was developed with extensive input by heart failure clinicians. The results from the trial indicated the rule set was associated with significantly increased self-care and improved the clinical management of heart failure. The developed rule set can be used as a basis for other heart failure telemonitoring systems, but should be validated and modified as

  15. Reduced Protein C Global Assay Levels in Infertile Women with in vitro Fertilization Failure: A Pilot Study.

    Science.gov (United States)

    El Masry, Sally; Azzam, Hanan; Youssef, Hamed; Othman, Maha; Awad, Mohamed

    2018-01-01

    Protein C global is a global dotting assay that evaluates abnormalities in the protein C anticoagulant pathway. A few studies have examined this assay in relation to assisted reproductive technology (ART), but its role in infertile women with in vitro fertilization (IVF) failure remains unclear. In this study, we assessed protein C in infertile women with a history of IVF failure who were undergoing ART. We examined 45 healthy fertile women who conceived naturally, and 45 infertile women with 2 or more implantation failures undergoing ART. Both protein C and activated protein C resistance (APC-R) were evaluated. The results showed that mean protein C expressed as a normalized ratio (PCAT-NR) was significantly lower in the study group compared to the control group (0.76 ± 0.15 vs. 0.91 ± 0.14, respectively; p = 0.0001). Follow-up on ART outcomes showed that women who failed ART had significantly lower PCAT-NR compared to successful cases. PCAT-NR did not correlate with APC-R levels in the study (r = 0.125, p ART subgroups. Using logistic regression analysis, patients with lower PCAT-NR levels showed an elevated risk of implantation failure (p = 0.04, OR 0.50, 95% CI 0.26-0.84). In conclusion, protein C global assay may play a role in the etiology of IVF failure, which might be independent of APC-R. Larger studies are encouraged to validate these findings and explore the underlying pathophysiological mechanisms. © 2018 S. Karger AG, Basel.

  16. Diabetes treatments and risk of heart failure, cardiovascular disease, and all cause mortality: cohort study in primary care

    Science.gov (United States)

    Coupland, Carol

    2016-01-01

    Objective To assess associations between risks of cardiovascular disease, heart failure, and all cause mortality and different diabetes drugs in people with type 2 diabetes, particularly newer agents, including gliptins and thiazolidinediones (glitazones). Design Open cohort study. Setting 1243 general practices contributing data to the QResearch database in England. Participants 469 688 people with type 2 diabetes aged 25-84 years between 1 April 2007 and 31 January 2015. Exposures Diabetes drugs (glitazones, gliptins, metformin, sulphonylureas, insulin, other) alone and in combination. Main outcome measure First recorded diagnoses of cardiovascular disease, heart failure, and all cause mortality recorded on the patients’ primary care, mortality, or hospital record. Cox proportional hazards models were used to estimate hazard ratios for diabetes treatments, adjusting for potential confounders. Results During follow-up, 21 308 patients (4.5%) received prescriptions for glitazones and 32 533 (6.9%) received prescriptions for gliptins. Compared with non-use, gliptins were significantly associated with an 18% decreased risk of all cause mortality, a 14% decreased risk of heart failure, and no significant change in risk of cardiovascular disease; corresponding values for glitazones were significantly decreased risks of 23% for all cause mortality, 26% for heart failure, and 25% for cardiovascular disease. Compared with no current treatment, there were no significant associations between monotherapy with gliptins and risk of any complications. Dual treatment with gliptins and metformin was associated with a decreased risk of all three outcomes (reductions of 38% for heart failure, 33% for cardiovascular disease, and 48% for all cause mortality). Triple treatment with metformin, sulphonylureas, and gliptins was associated with a decreased risk of all three outcomes (reductions of 40% for heart failure, 30% for cardiovascular disease, and 51% for all cause

  17. A preliminary study on the containment building integrity following BIT removal for nuclear power plant

    International Nuclear Information System (INIS)

    Jo, Jong Young; Song, Dong Soo; Byun, Choong Sub

    2008-01-01

    Boron Injection Tank(BIT) is a component of the Safety Injection System, which its sole function is to provide concentrated boric acid to the reactor coolant in order to mitigate the consequences of postulated main steamline break accidents. Although BIT plays an important role in mitigating the accident, high concentration of 20,000ppm causes valve leakage, clog of precipitation and continuous heat tracing have to be provided. For the removal of BIT, benchmarking analysis is performed between COPATTA code used in final safety analysis report and CONTEMPT code to be used this study. CONTEMPT is well compatible with COPATTA. The sensitivity study for integrity is performed for the three cases of full double ended rupture at 102% power with diesel generator failure, 3.4m 3 and 2400ppm BIT, 3.4m 3 and 0ppm BIT and no volume of BIT. The results show that the deactivation of BIT is plausible for success

  18. Feasibility Study of Non-Destructive Techniques to Measure Corrosion in SAVY Containers

    Energy Technology Data Exchange (ETDEWEB)

    Davenport, Matthew Nicholas [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-07-15

    Stainless Steel SAVY containers are used to transport and store nuclear material. They are prone to interior corrosion in the presence of certain chemicals and a low-oxygen environment. SAVY containers also have relatively thin walls to reduce their weight, making their structural integrity more vulnerable to the effects of corrosion. A nondestructive evaluation system that finds and monitors corrosion within containers in use would improve safety conditions and preclude hazards. Non-destructive testing can determine whether oxidation or corrosion is occurring inside the SAVY containers, and there are a variety of non-destructive testing methods that may be viable. The feasibility study described will objectively decide which method best fits the requirements of the facility and the problem. To improve efficiency, the containers cannot be opened during the non-destructive examination. The chosen technique should also be user-friendly and relatively quick to apply. It must also meet facility requirements regarding wireless technology and maintenance. A feasibility study is an objective search for a new technology or product to solve a particular problem. First, the design, technical, and facility feasibility requirements are chosen and ranked in order of importance. Then each technology considered is given a score based upon a standard ranking system. The technology with the highest total score is deemed the best fit for a certain application.

  19. Study on the Behaviors of a Conceptual Passive Containment Cooling System

    Directory of Open Access Journals (Sweden)

    Jianjun Wang

    2014-01-01

    Full Text Available The containment is an ultimate and important barrier to mitigate the consequences after the release of mass and energy during such scenarios as loss of coolant accident (LOCA or main steam line break (MSLB. In this investigation, a passive containment cooling system (PCCS concept is proposed for a large dry concrete containment. The system is composed of series of heat exchangers, long connecting pipes with relatively large diameter, valves, and a water tank, which is located at the top of the system and serves as the final heat sink. The performance of the system is numerically studied in detail under different conditions. In addition, the influences of condensation heat transfer conditions and containment environment temperature conditions are also studied on the behaviors of the system. The results reveal that four distinct operating stages could be experienced as follows: startup stage, single phase quasisteady stage, flashing speed-up transient stage, and flashing dominated quasisteady operating stage. Furthermore, the mechanisms of system behaviors are thus analyzed. Moreover, the feasibility of the system is also discussed to meet the design purpose for the containment integrity requirement. Considering the passive feature and the compactness of the system, the proposed PCCS is promising for the advanced integral type reactor.

  20. An analytical model for interactive failures

    International Nuclear Information System (INIS)

    Sun Yong; Ma Lin; Mathew, Joseph; Zhang Sheng

    2006-01-01

    In some systems, failures of certain components can interact with each other, and accelerate the failure rates of these components. These failures are defined as interactive failure. Interactive failure is a prevalent cause of failure associated with complex systems, particularly in mechanical systems. The failure risk of an asset will be underestimated if the interactive effect is ignored. When failure risk is assessed, interactive failures of an asset need to be considered. However, the literature is silent on previous research work in this field. This paper introduces the concepts of interactive failure, develops an analytical model to analyse this type of failure quantitatively, and verifies the model using case studies and experiments

  1. Anorexia, functional capacity, and clinical outcome in patients with chronic heart failure: results from the Studies Investigating Co‐morbidities Aggravating Heart Failure (SICA‐HF)

    Science.gov (United States)

    Saitoh, Masakazu; dos Santos, Marcelo R.; Emami, Amir; Ishida, Junichi; Ebner, Nicole; Valentova, Miroslava; Bekfani, Tarek; Sandek, Anja; Lainscak, Mitja; Doehner, Wolfram; Anker, Stefan D.

    2017-01-01

    Abstract Aims We aimed to assess determinants of anorexia, that is loss of appetite in patients with heart failure (HF) and aimed to further elucidate the association between anorexia, functional capacity, and outcomes in affected patients. Methods and results We assessed anorexia status among 166 patients with HF (25 female, 66 ± 12 years) who participated in the Studies Investigating Co‐morbidities Aggravating HF. Anorexia was assessed by a 6‐point Likert scale (ranging from 0 to 5), wherein values ≥1 indicate anorexia. Functional capacity was assessed as peak oxygen uptake (peak VO2), 6 min walk test, and short physical performance battery test. A total of 57 patients (34%) reported any anorexia, and these patients showed lower values of peak VO2, 6 min walk distance, and short physical performance battery score (all P anorexia. A total of 22 patients (13%) died during a mean follow‐up of 22.5 ± 5.1 months. Kaplan‐Meier curves for cumulative survival showed that those patients with anorexia presented higher mortality (Log‐rank test P = 0.03). Conclusions Inflammation, use of loop diuretics, and cachexia are associated with an increased likelihood of anorexia in patients with HF, and patients with anorexia showed impaired functional capacity and poor outcomes. PMID:28960880

  2. Criticality study of the storage of radioactive waste containing 235U

    International Nuclear Information System (INIS)

    Couasnon, O.

    1999-01-01

    The purpose of this study is to define the conditions of storage of nuclear waste drums containing 350 g of 235 U (per drum). This study is valid for a square pitch stacking of cylindrical drums whose height/diameter ratio does not exceed 3. The reflector effect of concrete is taken into account. This study defines a conservative case that can be used under any hypothesis of moderation, of radiation coupling between drums and of fissile material density. (A.C.)

  3. Study on the chronic inflammatory status in patients with chronic renal failure (CRF)

    International Nuclear Information System (INIS)

    Deng Lirong; Wang Caili; Wei Hong; Yang Yuhua

    2005-01-01

    Objective: To study the relationship between the status of chronic inflammation and deterioration of renal function in patients with chronic renal failure (CRF). Methods: Serum CRP, IL-10 (with ELISA), TNF-α, IL-6 (with RIA) and creatinine (with bio-chemistry methods) levels were determined in 126 patients with CRF of various stages as well as in 30 controls. The creatinine clearance rate (CCr) was also calculated. Results: (1)In all these patients, the serum CRP, IL-6, IL-10 and TNF-α contents were significantly higher than those in the controls (P <0.01). (2) CRP, IL-6, IL-10 and TNF-α levels were linearly positively correlated with the creatinine levels (r= 0.716, 0.836, 0.501 and 0.574 respectively), linearly negatively correlated with the creatinine clearance rate (r=-0.755, -0.825, -0.497 and -0.564 respectively). As the renal function deteriorated progressively, the serum levels of CRP, IL-6, IL-10 and TNF-α increased correspondingly. (3) The acute phase protein CRP and inflammatory cytokines IL-6 and TNF-α levels were correlated with those of the anti-inflammatory cytokine IL-10 (r=0.463, 0.546 and 0.402 respectively). Conclusion: The serum acute phase protein CRP, inflammatory cytokines IL-6, TNF-α and anti-inflammatory cytokine IL-10 contents were all gradually increased along with the progression of CRF and these inflammatory mediators were mutually positively correlated with each other. (authors)

  4. Neuropsychological functioning and health-related quality of life: pediatric acute liver failure study group results.

    Science.gov (United States)

    Sorensen, Lisa G; Neighbors, Katie; Zhang, Song; Limbers, Christine A; Varni, James W; Ng, Vicky L; Squires, Robert H; Alonso, Estella M

    2015-01-01

    Pediatric acute liver failure (PALF) is a rare but serious event, with poorly understood functional outcomes. The goal was to determine the prevalence of reduced neuropsychological functioning and health-related quality of life (HRQOL) following PALF. This multicenter study examined neuropsychological functioning and HRQOL 1 to 6 (median 3.8) years after PALF. Participants ages 6 to 16 (median 9.9) years were recruited from the PALF registry and administered measures of intelligence, visual spatial/visual motor coordination, attention, executive function, depression, and adaptive skills. HRQOL and fatigue were assessed using the Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL 4.0) and PedsQL Multidimensional Fatigue Scale. A total of 36 patients participated; 50% were boys and 67% were white. Median age at PALF was 5.6 years. A history of grade 3 or 4 hepatic encephalopathy was reported in 5/36 (14%) participants and 23/36 (64%) received a liver transplant. Visual spatial ability was significantly better than norms (P = 0.009), but motor coordination was worse (P = 0.04). Teachers (P = 0.04 to P < 0.0001) and parents (P = 0.005) reported more executive deficits versus norms, and participants had worse attention (P = 0.02). Participants did not differ significantly from norms on IQ, depression, or adaptive functioning. All of the child self-report PedsQL Generic Core and fatigue scales were significantly lower than a matched healthy sample (P = 0.001 to P < 0.0001) and parent proxy report was lower on the fatigue scales (P = 0.001 to P < 0.0001). Long-term PALF survivors demonstrate average IQ and visual spatial ability, but greater than expected impairments in motor skills, attention, executive function, HRQOL, and fatigue.

  5. Acute Heart Failure in the Emergency Department: the SAFE-SIMEU Epidemiological Study.

    Science.gov (United States)

    Fabbri, Andrea; Marchesini, Giulio; Carbone, Giorgio; Cosentini, Roberto; Ferrari, Annamaria; Chiesa, Mauro; Bertini, Alessio; Rea, Federico

    2017-08-01

    Patients with acute heart failure (AHF) have high rates of attendance to emergency departments (EDs), with significant health care costs. We aimed to describe the clinical characteristics of patients attending Italian EDs for AHF and their diagnostic and therapeutic work-up. We carried out a retrospective analysis on 2683 cases observed in six Italian EDs for AHF (January 2011 to June 2012). The median age of patients was 84 years (interquartile range 12), with females accounting for 55.8% of cases (95% confidence interval [CI] 53.5-57.6%). A first episode of AHF was recorded in 55.3% (95% CI 55.4-57.2%). Respiratory disease was the main precipitating factor (approximately 30% of cases), and multiple comorbidities were recorded in > 50% of cases (history of acute coronary syndrome, chronic obstructive pulmonary disease, diabetes, chronic kidney disease, valvular heart disease). The treatment was based on oxygen (69.7%; 67.9-71.5%), diuretics (69.2%; 67.9-71.5%), nitroglycerin (19.7%; 18.3-21.4%), and noninvasive ventilation (15.2%; 13.8-16.6%). Death occurred within 6 h in 2.5% of cases (2.0-3.1%), 6.4% (5.5-7.3%) were referred to the care of their general practitioners within a few hours from ED attendance or after short-term (disease severity. Our study reporting the "real-world" clinical activity indicates that subjects attending the Italian EDs for AHF are rather different from those reported in international registries. Subjects are older, with a higher proportion of females, and high prevalence of cardiac and noncardiac comorbidities. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. [Patients' perception of quality of emergency department care for acute heart failure: the CALPERICA study].

    Science.gov (United States)

    Miró, Òscar; Escoda, Rosa; Martín-Sánchez, Francisco Javier; Herrero, Pablo; Jacob, Javier; Alquézar, Aitor; Aguirre, Alfons; Gil, Víctor; Andueza, Juan Antonio; Llorens, Pere

    2015-06-01

    To determine perception of quality of care for acute heart failure (AHF) of patients discharged from the emergency department in comparison with the perception of admitted patients; to explore the variables associated with perception of quality. Prospective, cross-sectional case-control study in 7 emergency departments. Consecutive patients diagnosed with AHF were recruited to answer a telephone survey assessing their view of quality of physician care, nurse care, overall treatment, and degree of resolution of their problem in the emergency department. Discharged patients were also asked to state their level of agreement with the decision to send them home from the emergency department. The answers of patients who were discharged home were compared with patients who were admitted to the ward. The results were analyzed according to whether or not adverse events occurred within 30 days. A total of 1147 patients were enrolled and 1003 (87.4%) were interviewed; 253 of the patients (25.2%) were discharged home. We found no significant differences in any of the assessments (on physician or nurse care, overall treatment, or degree of resolution) between patients who were discharged home and those who were admitted. The mean (SD) overall satisfaction assessments (on a scale of 0 to 10) were 7.34 (1.38) and 7.38 (1.52), respectively, in the 2 groups (P=.66). Over 90% of those discharged home agreed with or strongly agreed with the decision. Evaluations were unrelated to whether or not adverse events occurred in the next 30 dyas. Patients with AHF have high opinions of the different components of care received in the emergency department, and their evaluations are unrelated to whether they were admitted or discharged home. Those discharged home agree with the decision and their opinion remains firm regardless of whether adverse events occur later.

  7. Acute renal failure according to the RIFLE and AKIN criteria: a multicenter study.

    Science.gov (United States)

    Salgado, G; Landa, M; Masevicius, D; Gianassi, S; San-Román, J E; Silva, L; Gimenez, M; Tejerina, O; Díaz-Cisneros, P; Ciccioli, F; do Pico, J L

    2014-01-01

    To determine the incidence of acute renal failure (ARF) in critically ill patients using the RIFLE and AKIN criteria. A prospective, multicenter observational study with a duration of one year from February 2010 was carried out. RIFLE and AKIN were employed using the urinary (UC) and creatinine criteria (CC) jointly and separately. Nine polyvalent Critical Care Units (CCUs) in Argentina. A total of 627 critical patients over 18 years of age were admitted to the CCU for more than 48h. inability to quantify diuresis, surgical instrumentation of the urinary tract, and need for renal support therapy (RST). Calculated hourly diuresis (CHD) was used to apply the UC. The incidence of ARF was 69.4% and 51.8% according to RIFLE and AKIN, respectively. UC detected ARF in 59.5% of cases, while CC identified ARF in 34.7% (RIFLE) and 25.3% (AKIN). The mortality rate was 40.9% and 44.6% according to RIFLE and AKIN respectively, was significantly higher than in patients without ARF, and increased with disease severity (Data processing: Excel, SQL and SPSS. Levene test, comparison of means with Student t and chi-squared, with 95% confidence interval). RIFLE identified more cases of ARF. UC proved more effective than CC. The presence of ARF and severity levels were correlated to mortality but not to days of stay in the CCU. Implementation of the unified CHD was useful for implementing UC and achieving comparable results. Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  8. Making Strategic Planning Work in Local Government: An Empirical Study of Success And Failure

    Directory of Open Access Journals (Sweden)

    Ángel IGLESIAS

    2015-10-01

    Full Text Available Since the 1990s, local governments all over Europe have launched reforms to improve local democracy, public management and efficiency in the provision of local services. Some of these reforms are inspired by what previously has worked in private management and some of them have also a macro-level approach, whose main aim is to introduce institutional reforms and reorganizations to ensure contextual problem solving by strengthening governance within the local public sector. In this context, Strategic Planning in public organizations has attracted interest among academic researchers and practitioners as an instrument for dealing with a complex environment and for the achievement of higher performance and the attainment of greater democracy. But the decision on how to introduce Strategic Planning might follow a different rationale. The hypothesis maintained in this paper is that those that are based in an endogenous rationale are more likely to succeed. To test our hypothesis this paper draws on a comparative empirical analysis concerning the design and implementation of a Strategic Planning process within two Spanish city governments: one considered to have been a failure and the other a success. Focusing on the way in which the use of Strategic Planning has to face the trade-offs between urban and economic development and democracy, the paper explores how this formal mechanism of citizen´s and business’ participation serves to establish relational processes to reinvigorate local economic development, democracy and administrative modernization only when a strong political and administrative leadership is put into motion. Overall, the study yields evidence consistent with the notion that a successful Strategic Planning at the local level has to take into account not only institutional issues, but also the communal, social and political resources that frame the deliberations propelled by the Strategic Planning process.

  9. Failure of uniformly compression loaded debond damaged sandwich panels — An experimental and numerical study

    DEFF Research Database (Denmark)

    Moslemian, Ramin; Quispitupa, Amilcar; Berggreen, Christian

    2012-01-01

    This paper deals with the failure of compression-loaded sandwich panels with an implanted circular face/core debond. Uniform compression tests were conducted on intact sandwich panels with three different types of core material (H130, H250 and PMI) and on similar panels with circular face...

  10. A study on risk factors and diagnostic efficiency of posthepatectomy liver failure in the nonobstructive jaundice.

    Science.gov (United States)

    Wang, He; Lu, Shi-Chun; He, Lei; Dong, Jia-Hong

    2018-02-01

    Liver failure remains as the most common complication and cause of death after hepatectomy, and continues to be a challenge for doctors.t test and χ test were used for single factor analysis of data-related variables, then results were introduced into the model to undergo the multiple factors logistic regression analysis. Pearson correlation analysis was performed for related postoperative indexes, and a diagnostic evaluation was performed using the receiver operating characteristic (ROC) of postoperative indexes.Differences in age, body mass index (BMI), portal vein hypertension, bile duct cancer, total bilirubin, alkaline phosphatase (ALP), gamma-glutamyl transpeptidase (GGT), operation time, cumulative portal vein occlusion time, intraoperative blood volume, residual liver volume (RLV)/entire live rvolume, ascites volume at postoperative day (POD)3, supplemental albumin amount at POD3, hospitalization time after operation, and the prothrombin activity (PTA) were statistically significant. Furthermore, there were significant differences in total bilirubin and the supplemental albumin amount at POD3. ROC analysis of the average PTA, albumin amounts, ascites volume at POD3, and their combined diagnosis were performed, which had diagnostic value for postoperative liver failure (area under the curve (AUC): 0.895, AUC: 0.798, AUC: 0.775, and AUC: 0.903).Preoperative total bilirubin level and the supplemental albumin amount at POD3 were independent risk factors. PTA can be used as the index of postoperative liver failure, and the combined diagnosis of the indexes can improve the early prediction of postoperative liver failure.

  11. Acute renal failure in critically ill patients: a multinational, multicenter study

    NARCIS (Netherlands)

    Uchino, Shigehiko; Kellum, John A.; Bellomo, Rinaldo; Doig, Gordon S.; Morimatsu, Hiroshi; Morgera, Stanislao; Schetz, Miet; Tan, Ian; Bouman, Catherine; Macedo, Ettiene; Gibney, Noel; Tolwani, Ashita; Ronco, Claudio

    2005-01-01

    Although acute renal failure (ARF) is believed to be common in the setting of critical illness and is associated with a high risk of death, little is known about its epidemiology and outcome or how these vary in different regions of the world. To determine the period prevalence of ARF in intensive

  12. Heart rate awareness in patients with chronic stable heart failure. A multi-center observational study.

    LENUS (Irish Health Repository)

    Moran, D

    2014-08-23

    We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70bpm) in patients with chronic stable heart failure. We also investigated the percent of patients on target doses of rate controlling drugs.

  13. Intestinal rehabilitation for children with intestinal failure is cost-effective : a simulation study

    NARCIS (Netherlands)

    Groen, Henk; Neelis, Esther G; Poley, Marten J; Olieman, Joanne F; Scheenstra, René; Krabbe, Paul Fm; Dijkstra, Gerard; Rings, Edmond Hhm

    2017-01-01

    BACKGROUND: Children with intestinal failure (IF) depend on parenteral nutrition (PN). The goal in the treatment of IF is to wean children off PN through intestinal rehabilitation (IR). Although the healthcare burden of IF is enormous, to our knowledge there has been no previous cost-effectiveness

  14. Intestinal rehabilitation for children with intestinal failure is cost-effective : a simulation study

    NARCIS (Netherlands)

    Groen, Henk; Neelis, Esther G.; Poley, Marten J.; Olieman, Joanne F.; Scheenstra, Rene; Krabbe, Paul F. M.; Dijkstra, Gerard; Rings, Edmond H. H. M.

    Background: Children with intestinal failure (IF) depend on parenteral nutrition (PN). The goal in the treatment of IF is to wean children off PN through intestinal rehabilitation (IR). Although the healthcare burden of IF is enormous, to our knowledge there has been no previous cost-effectiveness

  15. Maternal Interactional Behavior with Nonorganic Failure-to-Thrive Infants: A Case Comparison Study.

    Science.gov (United States)

    Drotar, Dennis; And Others

    1990-01-01

    Observations of mothers of 47 6-month-old infants with early histories of nonorganic failure to thrive indicated these mothers demonstrated less adaptive social interactional behavior, less positive affective behavior, and more arbitrary termination of feedings when compared to mothers of physically normal infants. (DB)

  16. A Further Study of Productive Failure in Mathematical Problem Solving: Unpacking the Design Components

    Science.gov (United States)

    Kapur, Manu

    2011-01-01

    This paper replicates and extends my earlier work on productive failure in mathematical problem solving (Kapur, doi:10.1007/s11251-009-9093-x, 2009). One hundred and nine, seventh-grade mathematics students taught by the same teacher from a Singapore school experienced one of three learning designs: (a) traditional lecture and practice (LP), (b)…

  17. Case study of water-soluble metal containing organic constituents of biomass burning aerosol

    Science.gov (United States)

    Alexandra L. Chang-Graham; Luisa T. M. Profeta; Timothy J. Johnson; Robert J. Yokelson; Alexander Laskin; Julia Laskin

    2011-01-01

    Natural and prescribed biomass fires are a major source of aerosols that may persist in the atmosphere for several weeks. Biomass burning aerosols (BBA) can be associated with long-range transport of water-soluble N-, S-, P-, and metal-containing species. In this study, BBA samples were collected using a particle-into-liquid sampler (PILS) from laboratory burns of...

  18. Photolithographic Polymerization of Diacetylene-Containing Phospholipid Bilayers Studied by Multimode Atomic Force Microscopy

    NARCIS (Netherlands)

    Morigaki, Kenichi; Schönherr, Holger; Frank, Curtis W.; Knoll, Wolfgang

    2003-01-01

    Photopolymerization of the diacetylene-containing phospholipid 1,2-bis(10,12-tricosadiynoyl)-sn-glycero-3-phosphocholine (1) in substrate-supported planar lipid bilayers (SPBs) has been studied by using multimode atomic force microscopy (AFM). Monolayers and bilayers of 1 have been transferred onto

  19. A decision support system tool for the transportation by barge of import containers : A case study

    NARCIS (Netherlands)

    Fazi, Stefano; Fransoo, Jan C.; Van Woensel, Tom

    2015-01-01

    In this paper, we present a DSS that generates schedules for the transportation of containers by barge in the hinterland, in particular from sea terminals to an inland terminal. As a case study, we propose the transportation from the ports of Rotterdam and Antwerp to a terminal in the south of the

  20. Experimental study and phase equilibrium modeling of systems containing acid gas and glycol

    DEFF Research Database (Denmark)

    Afzal, Waheed; Breil, Martin P.; Tsivintzelis, Ioannis

    2012-01-01

    In this work, we study phase equilibria of systems containing acid gases and glycols. The acid gases include carbonyl sulfide (COS), hydrogen sulfide (H2S), and carbon dioxide (CO2) while glycols include monoethylene glycol (MEG), diethylene glycol (DEG), and triethylene glycol (TEG). A brief lit...

  1. Synthesis and Studies of Sulfur-Containing Heterocyclic Molecules for Molecular Electronics

    DEFF Research Database (Denmark)

    Mazzanti, Virginia

    This work describes the synthesis and studies of sulfur containing π conjugated heterocycles, which are considered interesting motifs in the field of molecular electronics. The first project, which is covered in Chapter 1, concerns the functionalization of tetracycle dibenzo[bc,fg][1,4]dithiapent...

  2. Study of the radioactivity of building materials in a room built with bricks containing phosphogypsum

    International Nuclear Information System (INIS)

    Marnissi, Anis

    2007-01-01

    The phosphogypsum is a waste product by the phosphate fertilizer industry. This product is present in huge quantities. It poses a boredom that is growing. His recovery still hangs at the impurities it contains, particularly radioactive elements. This is the main object of this study. (Author)

  3. Binding of phosphorus-containing inhibitors to thermolysin studied by the Poisson-Boltzmann method.

    OpenAIRE

    Shen, J.; Wendoloski, J.

    1995-01-01

    Zinc endopeptidase thermolysin can be inhibited by a series of phosphorus-containing peptide analogues, Cbz-Gly-psi (PO2)-X-Leu-Y-R (ZGp(X)L(y)R), where X = NH, O, or CH2; Y = NH or O; R = Leu, Ala, Gly, Phe, H, or CH3. The affinity correlation as well as an X-ray crystallography study suggest that these inhibitors bind to thermolysin in an identical mode. In this work, we calculate the electrostatic binding free energies for a series of 13 phosphorus-containing inhibitors with modifications ...

  4. Experimental studies on removal of airborne fission products methyl iodide by sprays in containment

    International Nuclear Information System (INIS)

    Zhu Jizhou; Li Ziping; Yu Baoan

    1991-01-01

    For reducing the amount of fission products leaked to environment under accident conditions of PWR, the experimental studies on the removal of airborne fission products methyl iodide by sprays in containment was carried out on the basis of the theoretical work in a simulation facility. Inactive methyl iodide was used for the experiment so the experiment facility was simplified. A gas chromatography was employed to measure the aerosol concentration of methyl iodide. A series of experiments on the removal of methyl iodide by sprays under different temperatures and various chemical additives has been made. The experimental results are useful for rationally selecting parameters of containment spray system of PWR

  5. Registered Nurses' Perceptions about the Situation of Family Caregivers to Patients with Heart Failure - A Focus Group Interview Study.

    Directory of Open Access Journals (Sweden)

    Annelie K Gusdal

    Full Text Available Heart failure is a growing public health problem associated with poor quality of life and significant morbidity and mortality. The majority of heart failure care is provided by family caregivers, and is associated with caregiver burden and reduced quality of life. Research emphasizes that future nursing interventions should recognize the importance of involving family caregivers to achieve optimal outcomes.The aims of this study are to explore registered nurses' perceptions about the situation of family caregivers to patients with heart failure, and registered nurses' interventions, in order to improve family caregivers' situation.The study has a qualitative design with an inductive approach. Six focus group interviews were held with 23 registered nurses in three hospitals and three primary health care centres. Data were analysed using qualitative content analysis.Two content areas were identified by the a priori study aims. Four categories and nine sub-categories emerged in the analysis process. The content area "Family caregivers' situation" includes two categories: "To be unburdened" and "To comprehend the heart failure condition and its consequences". The content area "Interventions to improve family caregivers' situation" includes two categories: "Individualized support and information" and "Bridging contact".Registered nurses perceive family caregivers' situation as burdensome, characterized by worry and uncertainty. In the PHCCs, the continuity and security of an RN as a permanent health care contact was considered an important and sustainable intervention to better care for family caregivers' worry and uncertainty. In the nurse-led heart failure clinics in hospitals, registered nurses can provide family caregivers with the opportunity of involvement in their relative's health care and address congruence and relationship quality within the family through the use of "Shared care" and or Family-centred care. Registered nurses consider it

  6. A Failure Criterion for Concrete

    DEFF Research Database (Denmark)

    Ottosen, N. S.

    1977-01-01

    A four-parameter failure criterion containing all the three stress invariants explicitly is proposed for short-time loading of concrete. It corresponds to a smooth convex failure surface with curved meridians, which open in the negative direction of the hydrostatic axis, and the trace in the devi......A four-parameter failure criterion containing all the three stress invariants explicitly is proposed for short-time loading of concrete. It corresponds to a smooth convex failure surface with curved meridians, which open in the negative direction of the hydrostatic axis, and the trace...

  7. Adverse cardiovascular effects of nitrogen-containing bisphosphonates in patients with osteoporosis: A nationwide population-based retrospective study.

    Science.gov (United States)

    Wang, Jen-Chun; Chien, Wu-Chien; Chung, Chi-Hsiang; Liao, Wen-I; Tsai, Shih-Hung

    2016-07-15

    Bisphosphonates (BPs) are a class of medications used for the treatment of osteoporosis. Nitrogen-containing BPs (N-BPs) are more potent than non-nitrogenous BPs in terms of their effects on osteoporosis. We examined the effects of N-BPs on osteoporosis in patients included in a large population-based cohort study. Based on the National Health Insurance Research Database of Taiwan, we identified 1258 patients with osteoporosis who had received N-BP treatment from 2005 through 2010. During the retrospective observation period, N-BP users had significantly higher incidence rates of hypertension, acute ischemic stroke, atrial fibrillation (Af), and congestive heart failure (CHF), and lower rates of hyperlipidemia than patients who did not use N-BPs. Overall, N-BP users had a higher incidence of cardiov